Donor must adhere to the Zanzibar medicine, medical supplies and medical equipment donation guidelines so that donations will address the expressed needs of the Zanzibar and that the date of expiry should not be less than one year unless there is a clear evidence from Zanzibar that there is clear logistics and managerial capacity to store and distribute shorter dated drugs efficiently. The cost of disposal of waste pharmaceuticals Pharmaceuticals are ideally disposed of by high temperatures (. above 1200 o C) incineration. Such incineration facilities, equipped with adequate emission control, are mainly found in industrialized world. The costs for such disposal in Zanzibar have not yet been determined