No, they don't need a lid, but if they have one it has to have a foot pedal for opening it. Although a lid traps odors, it also accumulates mold, bacteria and viruses. Personally I do not favor lids. Diapers should go into a diaper bag that is tied closed.
Probably because if they fall on then, the lid is less harmful than the side of the open edge of the can. Also, keeps things than may be less than hygenic under cover.
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