Hospital Waste Generation During an Outbreak of Severe Acute Respiratory Syndrome in Taiwan

2006 ◽  
Vol 27 (5) ◽  
pp. 519-522 ◽  
Author(s):  
Chow F. Chiang ◽  
Fung C. Sung ◽  
Fang H. Chang ◽  
Ching T. Tsai
Keyword(s):  
Severe Acute Respiratory Syndrome ◽  
Medical Center ◽  
Waste Generation ◽  
Hospital Waste ◽  
Ambulatory Patients ◽  
Infectious Waste

During the SARS outbreak in Taiwan, the number of ambulatory patients and inpatients treated at one medical center decreased by 40%-70% because of the increasing number of SARS patients. A the peak of the epidemic, the amount of hospital infectious waste had increased from a norm of 0.85 kg per patient-day to 2.7 kg per patient-day. However, the hospital was able to return the generation of waste to normal levels within 10 days.

scholarly journals The First Quarter of SARS-CoV-2 Testing: the University of Washington Medicine Experience

2020 ◽  
Vol 58 (8) ◽  
Author(s):  
Alexander L. Greninger ◽  
Keith R. Jerome
Keyword(s):  
Severe Acute Respiratory Syndrome ◽  
Real Time ◽  
Real Time Pcr ◽  
Medical Center ◽  
Rt Pcr ◽  
University Of Washington ◽  
Clinical Laboratories ◽  
To Come ◽  
The Many ◽  
The University

ABSTRACT In early March 2020, the University of Washington Medical Center clinical virology laboratory became one of the first clinical laboratories to offer testing for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). When we first began test development in mid-January, neither of us believed there would be more than 2 million confirmed SARS-CoV-2 infections nationwide or that we would have performed more than 150,000 real-time PCR (RT-PCR) tests, with many more to come. This article will be a chronological summary of how we rapidly validated tests for SARS-CoV-2, increased our testing capacity, and addressed the many problems that came up along the way.

scholarly journals Maintaining Laboratory Services in a Rural Academic Medical Center During the Severe Acute Respiratory Syndrome Coronavirus 2 Pandemic

2020 ◽  
Vol 3 ◽  
pp. 5-11
Author(s):  
Wendy A. Wells ◽  
Michael T. Harhen ◽  
Michael S. Calderwood ◽  
Antonia L. Altomare ◽  
Jonathan T. Huntington ◽  
...  
Keyword(s):  
Severe Acute Respiratory Syndrome ◽  
Medical Center ◽  
Academic Medical Center ◽  
Laboratory Services ◽  
Academic Medical

scholarly journals Penelitian-Penelitian Tentang Timbulan Limbah B3 Medis dan Rumah Tangga Selama Bencana Pandemic Covid-19

2021 ◽  
Vol 4 (2) ◽  
pp. 135-142
Author(s):  
Prihartanto Prihartanto
Keyword(s):  
Literature Review ◽  
Hazardous Waste ◽  
Developed Countries ◽  
Medical Waste ◽  
Municipal Waste ◽  
Waste Generation ◽  
Lack Of Information ◽  
Infectious Waste ◽  
Developing And Developed Countries

Abstract The generation of medical and municipal waste during the COVID-19 pandemic has the potential to become a medium for spreading the virus if it is not handled properly. The lack of information regarding the generation of medical and the effectiveness of handling infectious waste is one of the factors that influence the handling of Covid-19 hazardous waste. In this study, a literature review will be presented regarding several studies on the generation of Covid-19 medical hazardous waste that have been carried out in several developing and developed countries from December 2019 to mid-2020. In addition, a comparison of the handling of infectious municipal waste in developing and developed countries will be presented in this paper during a pandemic. It is hoped that this research can be used as a reference for further research on the generation of hazardous medical waste and handling municipal-scale infectious waste due to the Covid-19 pandemic. Keywords: Covid-19, hazardous waste, waste generation, medical waste, municipal waste Abstrak Timbulan limbah medis dan rumah tangga pada masa pandemi COVID-19, berpotensi menjadi media penyebaran virus bila tidak ditangani dengan benar. Minimnya infomasi mengenai timbulan limbah medis dan efektivitas penanganan limbah infeksius menjadi salah satu faktor yang berpengaruh terhadap penanganan limbah B3 Covid-19 ini. Dalam kajian ini akan disampaikan tinjauan pustaka mengenai beberapa penelitian tentang timbulan limbah medis B3 Covid-19 yang pernah dilakukan dibeberapa negara berkembang dan negara maju sejak Desember 2019 hingga pertengahan 2020. Disamping itu dalam makalah ini akan dipaparkan perbandingan penanganan limbah infeksius rumah tangga di negara berkembang dan negara maju selama terjadi pandemik. Diharapkan penelitian ini dapat digunakan sebagai salah satu rujukan bagi penelitian lanjutan tentang timbulan limbah medis B3 serta penanganan limbah infeksius skala rumah tangga akibat pandemik Covid-19. Kata kunci: Covid-19, limbah beracun dan berbahaya, timbulan limbah, limbah medis, limbah rumah tangga

scholarly journals Assessment of Waste Generation Rate in Teaching Hospitals of Metropolitan City of Pakistan

2020 ◽  
Vol 6 (9) ◽  
pp. 1809-1821
Author(s):  
Samita Arub ◽  
Sajid Rashid Ahmad ◽  
Sana Ashraf ◽  
Zahra Majid ◽  
Sadia Rahat ◽  
...  
Keyword(s):  
Waste Management ◽  
Hospital Staff ◽  
Generation Rate ◽  
Teaching Hospitals ◽  
Waste Generation ◽  
Waste Collection ◽  
Waste Segregation ◽  
Infectious Waste ◽  
Waste Generation Rate ◽  
Collection Practices

Hospital waste management is of vital significance owing to its contagious and hazardous nature as it can produce detrimental effects for both humans and the environment. This work aimed to examine types of waste with respect to waste generation rate in multiple teaching hospitals of metropolitan Lahore. A structured questionnaire survey, site visits, interviews and meetings were conducted in seventeen teaching hospitals. The results have shown that total hospitals average waste, infectious, non-infectious and waste generation rate in Lahore teaching hospitals were 38978 kg/day, 10789 kg/day, 28189 kg/day and 3.7 kg/bed/day, respectively. It is concluded that maximum waste generated in Mayo hospital, Jinnah hospital, Services hospital and Lahore general hospital was 16%, 12%, 12% and 10%, respectively, as per maximum patient’s visits. Positive liner correlation was between number of beds (P=0.917), number of accidents and emergency patients (P=0.75), infectious waste (P=0.998) and (P=1) with total waste. A straight line of linear regression was between (0.9966) infectious waste and (0.9995) general waste with average waste. Although, waste collection practices in these teaching hospitals were observed satisfactory but required training of doctors, nurses and hospital paramedical staff regarding infectious and general waste segregation. It is suggested that hospital staff, waste management and waste collection workers and respective waste management companies should be well trained and aware regarding infectious and non-infectious waste segregation, handling and disposing off procedures.

scholarly journals Review: Medical Waste Management for Covid19

2020 ◽  
Vol 12 (1si) ◽  
pp. 104
Author(s):  
Hendri Sutrisno ◽  
Fitriana Meilasari
Keyword(s):  
Health Care ◽  
Waste Management ◽  
Medical Waste ◽  
Health Care Facilities ◽  
Toxic Waste ◽  
Waste Generation ◽  
Chemical Waste ◽  
Pharmaceutical Waste ◽  
Medical Waste Management ◽  
Infectious Waste

Introduction: Medical waste generation during the Covid19 pandemic increased by around 30%. Sources of medical waste generation are health care activities. If medical waste is not appropriately managed, it can pollute the environment and disturb health. The purpose of the review is to identify the potential of medical waste in health-care facilities in Indonesia when the Covid19 pandemic and to review medical waste management in Indonesia. The analysis uses a systematic literature review. Discussion: The potential of medical waste during the Covid19 epidemic is infectious waste (PPE wastes), sharps waste (syringes), chemical waste (expired medicines), and pharmaceutical waste (the used alcohol bottles when rapid tests). The hazardous waste management system refers to Government Regulation No. 101 year 2014 about Management of Hazardous and Toxic Waste and and Regulation of Minister of Environment and Forestry of Republic Indonesia No. P.56/MenlhkSetjen/2015 about Procedures and Technical Requirements for Waste Management Hazardous and Toxic From the Health Service Facilities. Infectious waste, sharps waste, chemical waste, and pharmaceutical waste are destroyed with incinerators. Syringe residues were damaged with a needle shredder. Residue and incineration ashes are processed using solidification. If the heavy metal content under the quality standards, then the waste can be landfill. Conclusion: The potential of medical waste during the Covid19 pandemic is infectious waste, sharps waste, chemical waste, and pharmaceutical waste. Medical waste generated must be appropriately managed. Proper medical waste management can prevent environmental pollution and the spread of disease. One of the processing of potential medical waste is incineration. The incineration system produces residue and ash waste that must further be handled so that it does not pollute the environment and disturb health.

scholarly journals Kajian Timbulan Limbah Infeksius Rumah Sakit Kota Bandung dan Cimahi

2021 ◽  
Vol 22 (2) ◽  
pp. 138-146
Author(s):  
Venny Ulya Bunga ◽  
Enri Damanhuri
Keyword(s):  
Waste Management ◽  
Stepwise Regression ◽  
Waste Treatment ◽  
Medical Personnel ◽  
Public Hospitals ◽  
Lower Percentage ◽  
Processing Unit ◽  
Waste Generation ◽  
Hospital Data ◽  
Infectious Waste

ABSTRACT The increased activities in hospitals will increase the infectious waste generation. The infectious waste contains pathogenic organisms that can spread disease to humans and the environment. The harmful impact of infectious waste can be minimized through proper waste management, starting from waste generation. This study aims to examine the problem of infectious waste generation: the overall percentage of infectious waste generation in hospitals, the amount of infectious waste generation from each source (processing unit), and analyze factors that significantly affected its generation. This study is expected to be the basis of recommendations for hospitals in handling infectious waste. The study was conducted in four public hospitals in Bandung and Cimahi City. The data consists of infectious waste generation, non-infectious waste (general waste) generation, and hospital data as data factors analyzed for its influence on waste generation. The stepwise regression method was used for factor analysis with 95% CI. The result showed that infectious waste generation had a lower percentage than non-infectious waste, ranging from 38–47%. The treatment rooms that produce the most considerable infectious waste are haemodialysis, operating rooms and inpatients with an average infectious waste generation of 0,08–2,18 kg/patient/day. Thus, the three rooms can become a priority for infectious waste management. Factors that significantly affect the generation of infectious waste are dominated by patients and medical personnel. The importance of this factor is related to waste sorting activities. Therefore, special control by hospital management is needed for these two factors. Keywords: hospital, generation, infectious waste, treatment room, factors   ABSTRAK Peningkatan aktivitas rumah sakit akan diikuti dengan peningkatan timbulan limbah infeksius. Limbah infeksius mengandung organisme patogen yang dapat menyebarkan penyakit bagi manusia dan lingkungan. Dampak limbah infeksius dapat diminimalisir melalui kegiatan pengelolaan limbah yang tepat, dimulai dari timbulan limbah. Penelitian ini bertujuan mengkaji secara mendalam hal seputar timbulan limbah infeksius, dimulai dari persentase timbulan limbah infeksius rumah sakit secara keseluruhan, besaran timbulan limbah infeksius dari setiap sumber (unit perawatan) serta analisa terhadap faktor yang memiliki pengaruh signifikan terhadap timbulan limbah. Kajian ini diharapkan dapat menjadi dasar rekomendasi untuk pengelolaan limbah infeksius rumah sakit. Penelitian dilakukan di empat rumah sakit umum area Kota Bandung dan Cimahi. Data penelitian terdiri atas timbulan limbah infeksius dan non-infeksius (limbah umum) serta data atribut rumah sakit sebagai data faktor yang dianalisis pengaruhnya terhadap timbulan limbah. Analisis faktor menggunakan metode stepwise regression dengan signifikansi 0,05 (95% CI). Hasil penelitian menunjukkan limbah infeksius memiliki persentase timbulan yang lebih kecil dibandingkan limbah non-infeksius (limbah umum) yaitu kisaran 38–47%. Unit perawatan yang menjadi penghasil limbah infeksius terbesar berasal dari unit haemodialisa, kamar operasi serta rawat inap dengan kisaran rata-rata besaran timbulan limbah infeksius sebesar 0,08–2,18 kg/pasien/hari. Dengan demikian, ketiga unit perawatan tersebut dapat menjadi prioritas pengelolaan limbah infeksius. Adapun faktor yang berpengaruh signifikan terhadap timbulan limbah infeksius didominasi oleh faktor jumlah pasien dan jumlah staf medis. Signifikan faktor ini berkaitan dengan kegiatan pemilahan limbah sehingga perlu pengendalian khusus poleh pihak rumah sakit terhadap kedua faktor tersebut. Kata kunci: rumah sakit, timbulan, limbah infeksius, unit perawatan, faktor

NEWS AND ANNOUNCEMENTS

PEDIATRICS ◽  
1965 ◽  
Vol 35 (4) ◽  
pp. 721-722
Keyword(s):  
New York ◽  
Patient Care ◽  
Annual Meeting ◽  
Medical Center ◽  
Scientific Meeting ◽  
Annual Scientific ◽  
Care Teaching ◽  
Ambulatory Patients ◽  
Sheraton Hotel ◽  
Pediatric Services

Annual Meeting, Association for Ambulatory Pediatric Services The annual scientific meeting of the Association for Ambulatory Pediatric Services will be held at 8:00 P.M. Tuesday, May 4, 1965, at the Sheraton Hotel, Philadelphia. This meeting is open to anyone interested in patient care, teaching, or research in connection with ambulatory patients. Pediatric Postgraduate Course at Maimonides Hospital The fourth annual course, sponsored by the Maimonides Hospital of Brooklyn and the Downstate (New York) Medical Center, will be held at the Hospital May 23, 24, 25, 1965.

Sanitary waste management under Covid-19 restrictions in Ecuador

2021 ◽  
Author(s):  
Katerine Elizabeth Ponce Ochoa ◽  
Javier Rodrigo-Ilarri ◽  
María-Elena Rodrigo-Clavero
Keyword(s):  
Considerable Increase ◽  
Working Hours ◽  
Health Centers ◽  
Direct Care ◽  
State Of Exception ◽  
Hospital Waste ◽  
Full Compliance ◽  
Administrative Personnel ◽  
Infectious Waste ◽  
The City

<p>Ecuador, with a population of approximately 17.08 million inhabitants, is one of the most COVID-19 affected countries in the world. On March 16<sup>th</sup>, 2020, a countrywide state of exception was declared by the national government, therefore applying measures to restrict mobility, suspension of working hours and closure of borders. This situation caused an increase in the massive demand for masks and gloves as the primary ways to preventing infection. These masks and gloves are single-used and discarded, causing an impact on the environment due to the time they take to decompose. In addition, syringes and other hospital may also become infectious waste.</p><p> </p><p>Although hospitals may comply the regulations for the management and treatment of hazardous solid waste in Ecuador, the health emergency surprised all hospitals, clinics and health centers due to the increase in patients with coronavirus. This situation led to the establishment of new protocols for this type of waste and also for the management of corpses with COVID-19.</p><p>Health personnel are the ones that have been most affected during this time, so they have been working on the front line and have been the most exposed to contagion, increasing the use of disposable masks, gloves and gowns and contributing to the increase of waste from hospitals and health centers.</p><p> </p><p>The objective of this study is to investigate and understand how the management of hospital waste has been developed in times of pandemic in the Ecuadorian Institute of Social Security (IESS) Manuel Ignacio Monteros in the city of Loja.</p><p> </p><p>To carry out this study, information are taken from the records and databases generated in the IESS about the amount of hospital waste generated during the months of March to December 2020. Results are obtained making comparisons with the amount of hospital waste generated in the previous year 2019. The information was collected through surveys directed both to medical and administrative personnel who were in direct care of COVID-19 managing operations.</p><p> </p><p>Results show that a considerable increase in the quantity and characteristics of hospital waste generated during the months of analysis was found. Hazardous hospital waste have been managed correctly as established by various protocols and agreements (Ministerial Agreement 0323) in full compliance with current legislation.</p>

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