Abstract
Municipal solid waste disposed of in open dumpsites and unlined landfills contaminates groundwater, soils, and air across urban areas of low- and middle-income countries. Nevertheless, impacts across all three environmental media have not been systematically assessed together. We conducted a PRISMA 2020-compliant systematic review of 286 peer-reviewed studies from PubMed, Dimensions, and OpenAlex, applying structured eligibility screening and quality appraisal using an adapted JBI checklist. Heavy metals—lead, cadmium, chromium, and zinc—were the most frequently detected contaminants in leachate and groundwater, commonly exceeding WHO drinking water guidelines by one to three orders of magnitude. Soil contamination by potentially toxic elements was documented at virtually all open dumpsites studied, persisting for decades after site closure. Particulate matter at South Asian MSW sites reached up to 41 times the WHO 2021 annual guideline. Microplastics acting as heavy metal carriers and dumpsite leachate as a source of antimicrobial resistance genes were identified as emerging risks outside standard monitoring frameworks. Non-carcinogenic hazard indices exceeded acceptable thresholds in the majority of health risk studies reviewed. Engineered containment was the strongest predictor of contamination severity across all sites. Phytoremediation, constructed wetlands, and biofiltration showed promise as mitigation approaches. Critical evidence gaps remain for Central Asia, harmonized reporting standards, and longitudinal monitoring data.