At the initial epicenter of the COVID-19 pandemic in Wuhan, China, the daily output of medical waste soared five times its average volume — from about 40 tons to as much as 250 tons at the end of February. This overwhelmed Wuhan’s single specialized medical waste treatment plant, far exceeding its 50 tons-per-day processing capacity. As the pandemic progressed throughout China, it revealed the shortfalls in medical waste management capacity in many cities. At a news conference in Beijing in March, Zhao Qunying, director of the emergency management office of the Ministry of Ecology and Environment, reported that 22 cities were operating over-capacity and 28 cities were working at full or near full load.