Table 1

Total MSW, landfilling rates (%), and human use antibiotics consumptions in typical developed and developing countries

Year 2018 2017 2016 2015 2014 2013
USA# (landfill) 292.4 million tons (50.0%) 268.7 million tons (52.1%) 263.1 million tons (52.5%) 262.2 million tons (53.8%) 251.1 million tons (52.6%) 253.7 million tons (54.3%)
Antibiotics use Hospital/clinical admission: 26.8 DID (2000)–25.7 DID (2017) [15]
Retail/household sector: 6.8×109 SU (2015) [18]; non-prescription use: < 5% [20]
Year 2019 2018 2017 2016 2015 2014
EU-28* (landfill) 246.9 million tons (23.4%) 246.5 million tons (24.5%) 242.9 million tons (25.8%) 241.6 million tons (26.3%) 240.5 million tons (30.3%) 243.6 million tons (32.4%)
Antibiotics use Hospital/clinical admission: 21.6 DID (2010)–24.3 DID (2017) [17]
Retail/household sector: <5×109 SU (2015) [18]; non-prescription use: <5% [20]
Year 2018 2017 2016 2015 2014 2013
China+ (landfill) 221.1 million tons (n.a) 200.8 million tons (n.a) 248.3 million tons (71.7%) 242.5 million tons (75.2%) 206.1 million tons (86.9%) 197.7 million tons (86.2%)
Antibiotics use Hospital/clinical admission: 5.1 DID (2000)–10.8 DID (2015) [15,16]
Retail/household sector: 10.0×109 SU (2015) [18]; non-prescription use 36% [20]
Year 2018 2017 2016 2015 2014 2013
India& (landfill) 19.8 million tons (40.1%) n.a. 48.8 million tons (n.a.) n.a. 47.6 million tons (n.a) n.a.
Antibiotics use Hospital/clinical admission: 4.2 DID (2000)–13.6 DID inhabitants (2015) [15]
Retail/household sector: 12.9×109 SU (2015) [18]; non-prescription use 18% [20]

# USAEPA (Advancing Sustainable Materials Management: 2018 Fact Sheet; data updated in 2020 November); * Eurostat: http://appsso.eurostat.ec.europa.eu/nui/submitViewTableAction.do; + Ministry of Ecology and Environment (The 2017 Report on the State of the Ecology and Environment in China 2017 released: https://english.mee.gov.cn/Resources/Reports/soe/SOEE2017/201808/P020180801597738742758.pdf#:~:text=The%202017%20Report%20on%20the%20State%20of%20the,State%20of%20the%20Ecology%20and%20Environment%20in%20China), People’s Republic of China.; & India Ministry of Environment, Forest and Climate Change (Annual report 2018–2013 http://moef.gov.in/resource/annual-reports-of-the-ministry/) data from 16 states of India in 2018. Standard unit (SU); Daily doses per 1000 inhabitants per day (DID).

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