Management of healthcare waste in circumstances of limited resources: a case study in the hospitals of Nablus city, Palestine

2009 ◽  
Vol 27 (4) ◽  
pp. 305-312 ◽  
Author(s):  
Issam A. Al-Khatib ◽  
Yousef S. Al-Qaroot ◽  
Mohammad S. Ali-Shtayeh
Keyword(s):  
Waste Management ◽  
Waste Treatment ◽  
Mean Value ◽  
Medical Waste ◽  
Generation Rate ◽  
Waste Generation ◽  
Healthcare Facilities ◽  
Healthcare Waste ◽  
Healthcare Waste Management ◽  
Waste Generation Rate

The objectives of this study were the assessment of healthcare waste management and the characterization of healthcare waste material generated in the hospitals in Nablus city, Palestine, and furthermore, to estimate the prevalence of hepatitis B among the cleaning personnel working in these hospitals. The medical waste generation rate in kg per bed per day was between 0.59 and 0.93 kg bed— 1 day—1. The waste generation rate in the healthcare facilities of Nablus city hospitals was similar to some other developing countries; however, the percentage of medical wastes in the total waste stream was comparatively high. The density of medical waste at the four hospitals studied ranged between 144.9 and 188.4 kg m— 3 with a mean value of 166.7 kg m—3. The waste segregation and handling practices were very poor. Other alternatives for waste treatment rather than incineration such as a locally made autoclave integrated with a shredder should be evaluated and implemented. The system of healthcare waste management in Nablus city is in need of immediate improvement and attention. Formulating rules and guidelines for medical waste and developing strategies for overcoming the obstacles related to waste management should be considered as an urgent matter.

scholarly journals Face Mask Consumption and Medical Waste Generation During the COVID-19 Pandemic in Iran: Challenges and Problems

2021 ◽  
Vol 7 (3) ◽  
Author(s):  
Hooshyar Hossini ◽  
Sheida Atashkar ◽  
Tooraj Massahi
Keyword(s):  
Waste Management ◽  
Solid Waste ◽  
Consumption Rate ◽  
Face Mask ◽  
Medical Waste ◽  
Generation Rate ◽  
Current Status ◽  
Waste Generation ◽  
Continuous Increase ◽  
Waste Generation Rate

Background: The outbreak of COVID-19 has caused a devastating pandemic scenario in the world. The mortality rate has increased and new socio-economic challenges are emerging. Millions of gloves, gowns, face masks, and face shields are used daily to prevent airborne transmission and facilitate the treatment of COVID-19. Mismanagement of these wastes can lead to increased concerns due to their contamination potential. A comprehensive plan to improve the management of medical wastes in every country requires awareness of the current status of solid waste. As a result, the study aimed to calculate and estimate the consumption rate of face masks and medical waste generation rate during the COVID-19 pandemic in Iran. Also, the performance of different departments of medical waste management and future challenges are discussed. Methods: The daily consumption of face masks and medical waste generation were calculated based on the population data, the percentage of the urban population, face mask acceptance rate, the number of face masks needed per person per day, total COVID-19 confirmed cases, and medical waste generation rate (kg/bed/day). Results: The consumption of face masks in Iran is estimated at 46576000 pieces per day. Also, the three provinces of Tehran (9,560,000 pieces), Khorasan Razavi (3,825,600 pieces), and Isfahan (3,523,200 pieces) have the highest consumption rate of masks, respectively. Increasing the number of confirmed COVID-19 cases has increased the medical waste generation rate. Until April 3, 2021, more than 1,920,394 cases of COVID-19 have been confirmed in Iran, and calculations show that the medical waste generation rate in Iran is about 7,585.56 tons per day. Conclusions: COVID-19 is a highly infectious and problematic disease. The continuous increase in the number of confirmed COVID-19 cases has increased face mask consumption rate and medical waste generation rate, and as a result, new challenges have emerged in the field of solid waste management. These emerging challenges in managing solid waste during the COVID-19 pandemic necessitate the development of appropriate waste management policies and strategies.

Hazardous Private Healthcare Waste Management and Forecast of Medical Waste Generation

2017 ◽  
Vol 68 (9) ◽  
pp. 2048-2051
Author(s):  
Mihaela Debita ◽  
Carmina Musat ◽  
Elena Mereuta ◽  
Madalina Rus ◽  
Claudiu Mereuta ◽  
...  
Keyword(s):  
Waste Management ◽  
Moving Average ◽  
Medical Waste ◽  
Waste Generation ◽  
Healthcare Waste ◽  
System A ◽  
Strategic Plans ◽  
Medical Facilities ◽  
Healthcare Waste Management ◽  
Medical Waste Management

The paper presents some considerations about medical waste management in private medical facilities which are considered to be small generators of such waste. The regulations are also applicable in these facilities and the management must develop strategic plans for minimizing the amount of medical waste. Some examples are revealed and a statistical analysis is conducted in order to reveal the efficiency of the medical waste management system. A forecast of hazardous medical waste is determined using the moving average method.

Medical Waste Management: A Case Study on Rajshahi City Corporation in Bangladesh

2015 ◽  
Vol 6 (1) ◽  
pp. 173-178 ◽  
Author(s):  
MZ Alam ◽  
MS Islam ◽  
MR Islam
Keyword(s):  
Waste Management ◽  
Medical Waste ◽  
Generation Rate ◽  
Waste Generation ◽  
Different Types ◽  
Medical Waste Management ◽  
Waste Generation Rate ◽  
Rajshahi City ◽  
Medical Wastes

The management of medical waste (MW) is of great importance due to its impact on human health and environment. The present practices of improper management of generated medical wastes in different Healthcare Establishment (HCEs) in Rajshahi City Corporation (RCC) is playing a contributing role to create vulnerable condition in spreading out the Diarrhea, Hepatitis and various skin related diseases. The objectives of the study are to identify different types of wastes, its generation rate and assess the existing waste management in various HCEs. The study was carried out in 14 different HCEs that generated much portion of MW of total generated MW in RCC. The methodology of this project was descriptive and consisted of the use of field survey and interviews with the relevant authorities and personnel involved in the management of MW. It was found that the surveyed HCEs generate a total of 1495 kg/day of MW; of which about 1328.6 kg/day (88.87%) are non-infectious and about 166.4 kg/day (11.13%) are infectious. The average waste generation rate for surveyed HCEs is 1.54 kg/bed/day or 0.30 kg/patient/day. It was found from the survey that there is no proper and systematic management of medical wastes. The study reveals that lack of awareness; financial support and willingness are responsible for improper management of MW. So the RCC and HCEs authorities should adopt appropriate policy regarding this issue and provide training program on relevant personnel who are engaged in medical waste management.DOI: http://dx.doi.org/10.3329/jesnr.v6i1.22062 J. Environ. Sci. & Natural Resources, 6(1): 173-178 2013

scholarly journals Analysis of medical waste management and impact analysis of COVID-19 on its generation in Taiwan

2021 ◽  
pp. 0734242X2199680
Author(s):  
Wen-Tien Tsai
Keyword(s):  
Waste Management ◽  
Impact Analysis ◽  
Waste Treatment ◽  
Medical Waste ◽  
Medical Services ◽  
Waste Generation ◽  
Healthcare Facilities ◽  
Rate Of Increase ◽  
Medical Waste Management ◽  
The Impact

Medical waste management in Taiwan is a crucial issue due to its highly environmental and human health risks. The main objectives of this paper were to analyse the status of medical waste generation and treatment in recent years, and also address the discussions on the impacts of coronavirus disease 2019 (COVID-19) on its generation in the first half of 2020. It showed that the reported quantities have slightly increased from 35,747 metric tonnes (Mt) in 2016 to 40,407 Mt in 2019, showing an average increase by 4.17%. This rate of increase was consistent with the hospital services. When classified by the reported codes, the C-type waste (infectious waste) accounted for about 89% of the reported quantities, which indicated an annual increase by 4.14% during the same period. In addition, the medical waste treatment in 2019 was mainly dependent on the commissioned treatment (80.18%), followed by the recycling (18.53%) and the self-treatment (1.29%). Furthermore, the impact of COVID-19 on the medical waste generation in Taiwan was not significant in the first half of 2020 compared to the data during the years of 2016–2019. It was indicated that the consistent trend was observed at the daily confirmed COVID-19 cases in Taiwan during this period. Obviously, the reduction in the hospital medical services during the COVID-19 outbreak should be offset by the increase in medical waste generation from the medical services. In order to try to ensure safe and complete destruction of the COVID-19 virus, all the waste generated from the healthcare facilities should be treated in the incineration plants.

Developing models for the prediction of hospital healthcare waste generation rate

2015 ◽  
Vol 34 (1) ◽  
pp. 75-80 ◽  
Author(s):  
Esubalew Tesfahun ◽  
Abera Kumie ◽  
Abebe Beyene
Keyword(s):  
Generation Rate ◽  
Waste Generation ◽  
Healthcare Waste ◽  
Waste Generation Rate

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 Assessment of Healthcare Waste Management Paradigms and Its Suitable Treatment Alternative: A Case Study

2018 ◽  
Vol 2018 ◽  
pp. 1-14 ◽  
Author(s):  
Mohammad Mehedi Hasan ◽  
M. Habibur Rahman
Keyword(s):  
Waste Management ◽  
Hazardous Waste ◽  
Sustainability Assessment ◽  
Generation Rate ◽  
Management Approach ◽  
Potential Hazard ◽  
Management Options ◽  
Healthcare Waste ◽  
Healthcare Waste Management

The management and treatment of healthcare waste (HCW) are of great concern owing to its potential hazard to human health and the environment, particularly in developing countries. Nowadays, various technological alternatives are gaining momentum as efficient and favorable waste management options across the world. However, selecting a suitable technology as well as an effective waste management approach for the treatment of HCW is still a challenging task for the municipal authorities. This study renders a comprehensive analysis of healthcare waste management (HCWM) practices and the technological options for its better management through a case study in Khulna, the southwestern division of Bangladesh. A number of healthcare establishments (HCEs) in the study area were selected and a questionnaire survey, as well as field investigations, was performed to find out the present status of HCWM and its limitations. An assessment of different technological alternatives was also carried out using Sustainability Assessment of Technologies (SAT) methodology which could pave the way for treating hazardous waste more efficiently in the Khulna metropolitan area. The study revealed that the overall HCW generation rate and hazardous HCW generation rate in Khulna city were 0.90 kg bed−1 day−1 and 0.18 kg bed−1 day−1, respectively. Assessment of management system revealed that 56% (n=38) of workers did not receive any form of training in the handling of hazardous waste. Around 54% (n=47) of them did not use any safety equipment or clothing. It has been found from the study that, among different technological alternatives based on the final score, incineration was the most suitable option for the treatment of hazardous waste in Khulna. Finally, some guidelines have been put forward to improve its existing management practices.

scholarly journals Management of COVID-19 waste in a health facility in Ghana

2020 ◽  
Vol 8 (1) ◽  
pp. 17
Author(s):  
Tengey Senam ◽  
Mizpah Ama Dziedzorm Rockson
Keyword(s):  
Waste Management ◽  
Health Facility ◽  
Hazardous Waste ◽  
Waste Treatment ◽  
Sampling Technique ◽  
Medical Waste ◽  
World Health ◽  
Infection Prevention And Control ◽  
Healthcare Waste ◽  
The World

Background: COVID-19 which has been declared a global pandemic by the World Health Organization (WHO) has affected most countries in the world including Ghana. The first positive case of the disease was confirmed in Ghana on 12th March, 2020 and since then, its number has increased to over 566 as at the end of the study period. The aim of the study was to assess how one of the health facilities manages waste materials generated from COVID-19 patients.Methods: The study lasted for four weeks within which various interviews, independent observations, waste measurements and data analysis with Microsoft Excel were made. A purposive sampling technique was used to select one health facility for this study.Results: The facility allocated 36 beds for the COVID-19 patients. A total of 178.80 kg of infectious waste was generated within the four weeks. Waste from the isolation units were placed in bins lined with red bags and plastic sharps containers. The hazardous waste from the facility is finally collected and transported by a private waste medical waste management company for safe treatment and disposal.Conclusions: The study concluded that, the health facility practiced proper infection prevention and control (IPC) practices at the COVID-19 isolation centre. The study recommends that, awareness should be created for hazardous waste in general through training and advocacy. More centralized medical waste treatment facilities should be established in other parts of the country and there should also be strict enforcement of policies and regulations on healthcare waste management.

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