The authors have investigated the sanitary problematics of the terminal municipal waste disposal by the methods of the field inspection and quering in the comparison with the incidence of relevant diseases among the people living in the neighbouring settlements. Ten municipal waste deponia are registered in the region with the range of distance of one hundred meters afar from the periphery of the human settlements, in Breza, to 3,500 meters afar, in Maglaj. According to the quering, only 30% of waste deponia do not affect the health seccurity of direct neighbouring area, but none of them fulfill the necessary sanitary conditions of disposition, though the waist deponium "Vila" (Tesanj) is the nearest to the wishful conditions. Half, out of all deponia, are not guarded at all, neither by human or by technical support. The incidence of the relevant diseases is evidently correlative to the nearness of wast deponia location to the human settlements; For instance, in the surrounding of main waste-deponium for Zenica (Tetovo), in the last year (1999), the incidence of the relevant diseases was 620 of cases per 100,000 of population, but on the furthest point (The village Janjići), the incidence of the relevant diseases was only 77/000.