scholarly journals Biomedical Waste Management

2021 ◽  
Vol 9 (VII) ◽  
pp. 2875-2888
Author(s):  
Gaurav Khandelwal
Keyword(s):  
Health Care ◽  
Waste Management ◽  
Health Workers ◽  
Public Awareness ◽  
Medical Waste ◽  
Care Needs ◽  
Biomedical Waste ◽  
Infectious Waste ◽  
The Government ◽  
Health Care Waste

Bio medical waste (BMW) disposal is a very important yet a challenging task. Health care waste contains potentially harmful microorganisms, which can infect hospital patients, health workers, and the general public. Exposure to hazardous health care waste can result in disease or injury. The Government of India has been laying down rules, namely, Bio Medical Waste (Management and Handling) Rules, in 1998, COVID-19 pandemic and its consequent biomedical waste is an unprecedented challenge worldwide. Biomedical waste generated during COVID-19 patient isolation, testing and care needs special consideration as it challenges the previous notion that only 15–20% of waste can be considered infectious. With establishment of new home quarantine facility, isolation/quarantine centers the chances of general waste getting contaminated with biomedical waste has increased exponentially. The key step in COVID19 waste management is segregation of biomedical waste from solid waste. Waste generated from COVID19 patients is like any other infectious waste, therefore creating public awareness about the COVID19 waste hazards and segregation at source is highlighted in all guidelines as a recommendation.

scholarly journals Knowledge, attitude, and practices of Bio-medical Waste Management rules, 2016; Bio-medical Waste Management (amendment) rules, 2018; and Solid Waste Rules, 2016, among health-care workers in a tertiary care setup

2019 ◽  
Vol 11 (04) ◽  
pp. 292-296
Author(s):  
Annapurna Parida ◽  
Malini Rajinder Capoor ◽  
Kumar Tapas Bhowmik
Keyword(s):  
Health Care ◽  
Waste Management ◽  
Solid Waste ◽  
Health Care Workers ◽  
Medical Waste ◽  
Health Hazards ◽  
Biomedical Waste ◽  
Care Workers ◽  
Medical Waste Management ◽  
Health Care Waste

Abstract INTRODUCTION: Biomedical waste poses physical, chemical, radiological, and microbiological risks to the public and health-care workers (HCWs) for current and future generations. AIM: The aim was to gauge the depth of understanding amongst HCWs on biomedical waste management (BMWM). MATERIALS AND METHODS: A predesigned questionnaire on knowledge, attitude, and practices on BMWM Rules, 2016 (Principle), and 2018 (Amendment), Solid Waste Rules, 2016, and health hazards in HCW was distributed to all participants. RESULTS: Only 68% of the participants knew that the most important step in waste management is waste segregation. Eighty-two percent of the HCWs working in this setup knew of the different color-coded bins used for segregation. However, awareness was lacking with respect to health hazards associated with improperly segregated and disposed off biomedical waste as only 49% answered the questions on the hazards of waste correctly. Laboratory waste handling was found to be the least understood area of the newer guidelines. CONCLUSIONS: Training aspects of health-care waste management should be strengthened so that the current, existing, and future regulations are practiced diligently and uniformly. Periodic evaluation and assessment should become routine to enforce adherence to waste management.

BIOMEDICAL WASTE MANAGEMENT: A QUESTIONNAIRE STUDY ON ASSESSMENT OF KNOWLEDGE, ATTITUDE AND PRACTICES AMONG HEALTH CARE PROFESSIONALS IN ORANGE CITY HOSPITAL & RESEARCH INSTITUTE, NAGPUR.

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Ramakrishna Shenoi ◽  
JIGNESH RAJGURU ◽  
Anup Marar
Keyword(s):  
Health Care ◽  
Waste Management ◽  
Health Care Professionals ◽  
Tertiary Care ◽  
Medical Waste ◽  
Questionnaire Study ◽  
Care Hospital ◽  
City Hospital ◽  
Biomedical Waste ◽  
Health Care Waste

Health care waste is a unique category of waste by the source of generation, the quality of its composition, its hazardous nature and the need for appropriate protection during handling, treatment and disposal. Little knowledge and inappropriate technique of handling of biomedical waste can lead to serious consequences on health of the individual handling the bio-medical waste, the community and environment. Biomedical waste management begins with sequential efforts from the early stage of waste generation, segregation at the source itself, storage at the site, disinfection and transfer to the terminal disposal site safely. A questionnaire study was conducted in a tertiary care hospital in Nagpur, India to assess the current knowledge, attitude and practices regarding Bio-medical waste management

scholarly journals Review article on study about perception of health care waste management amongst dental professionals in Mathura district of Uttar Pradesh

2019 ◽  
pp. 30-36
Author(s):  
Payal Sharma ◽  
Bhumika Badiyani ◽  
Amit Kumar
Keyword(s):  
Health Care ◽  
Waste Management ◽  
Hazardous Waste ◽  
Medical Waste ◽  
Dental Students ◽  
Household Waste ◽  
Dental Practice ◽  
Care Providers ◽  
Infectious Waste ◽  
Health Care Waste

This study has been conducted to assess the awareness and concern of dental health care providers towards handling and disposal of dental waste generated as well as knowledge of effective recycling and reuse of dental materials so that further necessary steps can be taken and more studies of such kind can be initiated in same direction. This cross-sectional study has been conducted among private practitioners and dental students who are planning to practice in Mathura district. After analysing responses to attitude based questions on biomedical waste management response showed favourable positive attitude. However they do not know concrete opportunities to put into practice waste recycling from dental work but majority of them collect household waste and dental practice waste together. Only few of them suggested for possible reuse of waste from dental practice. There are also inaccurate ways to collect hazardous waste; infectious waste is being collected with non-infectious or household waste. Keywords: Hazardous waste, infectious and non-infectious waste, bio-medical waste, segregation and bio-medical waste management.

scholarly journals Awareness and practices of biomedical waste management guidelines 2016 in an upcoming super speciality hospital of east Delhi, India

2018 ◽  
Vol 5 (8) ◽  
pp. 3289
Author(s):  
Sonali Bhattar ◽  
Shariqa Qureshi ◽  
Rajeev Kumar Seth ◽  
Ruchika Butola ◽  
Priyanjali Shingare
Keyword(s):  
Health Care ◽  
Waste Management ◽  
Legal Aspect ◽  
Hospital Setting ◽  
Cross Sectional Study ◽  
Continuous Medical Education ◽  
Cross Sectional ◽  
Biomedical Waste ◽  
Present Cross Sectional Study ◽  
Health Care Waste

Background: Revised and redefined biomedical waste management (BMWM) rules 2016 are an area of immediate focus for the health care personnel amidst the menace created by improper disposal of health care waste, emergence of multi drug resistant superbugs and harmful emissions.Methods: The present cross sectional study was conducted in Rajiv Gandhi Super speciality hospital, Tahirpur, an upcoming referral hospital in east Delhi, India. The study was merged with the training sessions conducted in 13 phases. A self-administered questionnaire pertaining to biomedical waste management rules 2016 knowledge, awareness and practices was used for data collection.Results: Of the 100 respondents consisted of 50 doctors, 30 nurses and 20 technicians, about 54% of HCP were aware about modifications in waste categories. Approximately 42% of the respondents could define sharp waste correctly while 56% had the clarity of changed specifications of BMW bags. Safe injection practices were followed by 47%.Conclusions: Doctors were aware that there had been revision in the biomedical waste management rules in 2016 and its legal aspect but nursing staff was better in the practical implications of the same while the technicians lagged behind in both. It is of prime importance to reinforce comprehensive teaching programmes, spot trainings for the staff and continuous medical education in our hospital setting.

scholarly journals Health Care Waste Management Improvement Interventions Specifications and Results: A Systematic Review and MetaAnalysis

2020 ◽  
Author(s):  
Ali ASHTARI ◽  
Jafar SADEGH TABRIZI ◽  
Ramin REZAPOUR ◽  
Mohammad RASHIDIAN MALEKI ◽  
Saber AZAMI-AGHDASH
Keyword(s):  
Health Care ◽  
Waste Management ◽  
Waste Disposal ◽  
Meta Analysis ◽  
Educational Interventions ◽  
Library Science ◽  
Cochrane Library ◽  
Control Group ◽  
Infectious Waste ◽  
Health Care Waste

Background: Given the importance of proper management of Health Care Waste Management (HCWM), comprehensive information on interventions in this field is necessary. Therefore, we aimed to systematically review and meta-analysis of characteristics and results of interventions in the field of HCWM. Methods: The required data were gathered through searching the keywords such as waste management, biomedical waste, hospitals waste, health care waste, infectious waste, medical waste, Waste Disposal Facilities, Garbage, Waste Disposal Facilities, Hazardous Waste Sites in PubMed, Scopus, EMBASE, Google scholar, Cochrane library, Science Direct, web of knowledge, SID and MagIran and hand searching in journals, reference by reference, and search in Gray literatures between 2000 and 2019. CMA software: 2 (Comprehensive Meta-Analysis) was used to perform the meta-analysis. Results: Twenty-seven interventions were evaluated. Most of the studies were conducted after 2010, in the form of pre and post study, without control group, and in hospital. Interventions were divided into two categories: educational interventions (19 studies) and multifaceted managerial interventions (8 studies). The most studied outcome (in 11 studies) was KAP (knowledge, attitude and practice). The mean standard difference of interventions on KAP was estimated 3.04 (2.54–3.54) which was significant statistically (P<0.05). Also, interventions were considerably effective in improving the indicators of waste production amount, waste management costs and overall waste management performance. Conclusion: Despite positive effect of interventions, due to the methodological deficiencies of published studies and high heterogeneity in results of studies, caution should be exercised in interpreting and using the results of the studies.

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 BIO-MEDICAL WASTE MANAGEMENT RULES 2016. ARE THE HEALTH CARE WORKERS AWARE? – EVALUATION OF AN INTERVENTION.

2019 ◽  
Vol 3 (4) ◽  
Author(s):  
Arthi M ◽  
Surendar R ◽  
Srikanth S ◽  
Latha S ◽  
Radhika .
Keyword(s):  
Health Care ◽  
Waste Management ◽  
Health Care Workers ◽  
Medical Waste ◽  
Staff Nurses ◽  
Biomedical Waste ◽  
Attitude And Practice ◽  
Care Workers ◽  
Post Test ◽  
Medical Waste Management

Background: Biomedical waste has become a crucial health hazard in many countries including India. Careless and indiscriminate disposal of these wastes can contribute to the spread of serious diseases. The new guideline of Bio-Medical Waste Management Rules -2016 was released on March, 2016 and revised in 2018. In order to update the new rules periodically, the present study was carried out with the aim to assess the knowledge, attitude and practice on biomedical waste management among health care workers working in a tertiary hospital in Puducherry and to evaluate the effectiveness of sensitisation program regarding 2016 Bio-medical waste management rules. Methods: All staff nurses and nursing assistants working at SVMCH & RC, Puducherry were included. Study period was between August and October 2016. About 103 willing participants were included.The participants were assessed by pre-test and post-test with a semi-structured questionnaire. Dataanalysed using SPSS (version 23).Descriptive and inferential statistics were used to compare pre-test and post-test score. Chi-square and Fisher’s exact tests were applied to find the significant difference before and after intervention. Results:Among total participants (103), 83.5% of the participants were Staff Nurses, 10.7% Female Nursing Assistant and rest Auxiliary Nursing Mid-wife. About 68 % of them have reported that it is the sole responsibility of the Government in proper management of Bio-medical waste and 27.2% of them reported that procedures involved in Bio-Medical Waste Management (BMWM) are increasing the financial burden of their hospital.Regarding identification of the symbol of bio-hazard, there was a significant increase in knowledge in the post-test when compared to the pre-test. About 40.8% (42) of participants had poor knowledge about BMW in pre test. Regarding attitude and practice, in the pre-test, around 59% have said that they will report about any injury due to or during wrong disposal whereas in the post-test it has been increased to 78% which is statistically significant (p<0.05). About 89.3% of the participants reported that they are having the practice of wearing gloves while handling BMW in pre-test whereas in the post-test, 94.2% has reported. Overall mean and standard deviation of pre-test and post-test scores regarding BMW shows a statistically significant improvement in KAP score regarding biomedical waste management and new rules in the post-test after interventionthan the pre-test. Conclusions:The knowledge of the participants regarding management of bio-medical waste is still in its childhood stage.There was an evident increase after administration of sensitisation program.

Medical waste management in Khulna City Corporation, Bangladesh

2020 ◽  
Vol 66 (4) ◽  
pp. 306-319
Author(s):  
Jafrin Sultana Jeba ◽  
◽  
Md. Mujibor Rahman ◽  
Keyword(s):  
Health Care ◽  
Waste Management ◽  
Management System ◽  
Medical Waste ◽  
Poor Countries ◽  
Treatment Facilities ◽  
Medical Waste Management ◽  
Waste Handling ◽  
Health Care Waste ◽  
Storage Facilities

Management of medical waste or Clinical Solid Waste (CSW) is a major challenge for developing world and poor countries. In a developing country like Bangladesh, poor and inappropriate handling of medical waste continuously increases health risks, as well as environmental risks thus treatment and management of Health-Care Waste (HCW), are important here. This study reviews the current situation of medical waste management (MWM) and practices in Khulna City Corporation, Bangladesh, and examines possible solutions for further study. Both qualitative and quantitative data were used in this study. The study was conducted in 30 HCEs (Health Care Establishments) within Khulna City Corporation. The Result of the study unveiled an unsatisfactory management system in the surveyed HCEs. The entire city corporation's waste management is looked after through a public-private partnership between City Corporation and Prodipan (NGOs). Everyday 3509kg wastes are generated from HCEs within the City Corporation. Only 28% of the waste handling process related personnel claimed that they got training, none of these HCEs has their waste transportation (off-site transportation) facilities and for waste management, they entirely depend on City Corporation and Prodipan. For waste management, absence necessary plan and monitoring team makes it more difficult, only 33% of the surveyed HCEs showed their satisfaction for their manpower in this sector. Only 3.3% Health-Care Establishments (HCEs) have claimed that they have their distinguished treatment facilities for specific non-hazardous wastes. Insufficient collection and storage facilities, inadequate transportation and disposal facilities. The funding also demonstrates that segregation practices were not satisfactory in public and small HCEs. Arrangement of training and awareness program, appropriate plan, skilled staffs, proper storage facilities, regular monitoring are recommended to achieve an efficient medical waste management system.

scholarly journals Investigating Knowledge, Attitude and Health Care Waste Management by Health Workers in a Nigerian Tertiary Health Institution

2017 ◽  
Vol 9 (4) ◽  
pp. 222
Author(s):  
E. Ezeoke Uchechukwu ◽  
I. Omotowo Babatunde ◽  
C. Ndu Anne
Keyword(s):  
Health Care ◽  
Waste Management ◽  
Health Workers ◽  
Statistical Significance ◽  
Hospital Waste ◽  
Chi Square ◽  
Cross Sectional ◽  
Latex Gloves ◽  
Chi Square Test ◽  
Health Care Waste

INTRODUCTION: Inadequate knowledge and practice of health care waste management by health workers may have serious health consequences and a significant impact on the environment.OBJECTIVE: The purpose of the study was to ascertain the knowledge, attitude and practice of hospital waste management among health workers in Enugu.METHODS: A cross sectional descriptive survey was carried out among 115 health workers at the University of Nigeria Teaching Hospital Enugu. Data were collected using self-administered questionnaire, and was analysed using SPSS version 21. Statistical significance of association between variables was assessed using Chi-square test at p<0.05. Ethical clearance was obtained from the Research Ethics Committee of UNTHRESULTS: All 115 respondents returned the completed questionnaires. Sixty (52.2%) were females and fifty five (47.8%) were males. The mean age of respondents was 31.7 ±11.8 years. Ninety three (80.9%) had heard of hospital waste management, 95 (83%) were aware that hospital waste is classified into hazardous and non-hazardous waste. Ninety nine (86.1%) were aware of waste segregation, only 25(21.7%) dispose medical waste in specified color coded container always. Majority 90 (78.3%) use latex gloves when handling waste.CONCLUSION: Most of the respondents knew what health care waste management means (HCWM), but very few practiced appropriate health care waste management. Health education and training is recommended for the health care workers periodically and regularly.

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