Thesis (MTech (Environmental Health))--Cape Peninsula University of Technology, 2007 / The waste management that is taking place in the Breede Valley district focus mainly on disposal and end-of-pipe solutions. This approach resulted in serious negative impacts on the environment and human health. Improper waste management practices have become a major source of concern due to the risk associated with poor waste management in the area. Indiscriminate dumping of waste at street corners is very common. The basic waste management processes of collection, transport, segregation and [mal disposal appear to be very inefficient and inadequate. The objective of this study was to determine the composition of the waste stream as well as public awareness, attitudes and behaviours towards current and alternative waste management practices. A waste assessment study was conducted to determine the amount of waste generated by the different communities, as well as how much and what of the recyclables can be taken out of the waste stream by recycling. For this study data was obtained by formulation of questionnaires for businesses, communities and medical practitioners, as well as an interview with the Engineering Department of the Breede Valley Municipality about the current waste management situation in the area. From the data obtain from businesses, communities and medical facilities, it is clear that public participation, partnership, education and awareness is essential for effective integrated waste management. This study revealed that waste management practices are inefficient, uncontrolled and fragmented. This investigation shows that there is a huge difference between the different communities in terms of the volume of waste generation. The study also shows that waste related legislation is outdated and fragmented and there is no enforcement by municipal officials. The major Issues and challenges that affect the management of waste. include its organisational structure and lack of waste minimisation plans.