scholarly journals Modern Management of Medical Waste in UNRWA Clinics in Gaza Strip Governorates: الإدارة الحديثة للنفايات الطبية في عيادات وكالة الغوث الدولية في محافظات قطاع غزة

Author(s):  
Nizam Mahmoud Al Ashqar - Israa Idris Abu Shuaib

This study aimed to identify the reality of modern medical waste management in UNRWA which include: First: sorting operations, which is the separation of the normal medical waste from the hazardous medical waste at the source of its production and packaging in bags as classified by the World Health Organization. Second: collection operations, which is the collection of medical waste in tightly sealed bags up to three quarters and internal transport processes by providing suitable vehicles for the transport of medical waste from the clinics to the temporary storage room. Third: storage operations, the allocation of a room as a collection point for waste. Fourth: the final disposal, where the produced medical waste are quantified by weighing then transported by Ministry of Health trucks in order to be treated and final disposed. The study also aimed to identify the occupational safety procedures for workers against medical waste hazards, in order to provide recommendations regarding the management and safe handling of medical waste, to protect the worker from infection accidents and the dangers of medical waste, reduce the incidence of errors, accidents during the management of medical waste and maintain environmental safety. The study relied on several methods of collecting information, including field visits, UNRWA reports and manuals of waste management.

Author(s):  
Anjuman Chowdhary

Background: Healthcare wastes are of great importance due to its hazardous nature. As World Health Organization (WHO) indicated, some of healthcare wastes are considered the most hazardous and potentially dangerous to human health and pollute the environment. With this background this study was undertaken to assess awareness, behavior and practices healthcare personnel about biomedical waste, its hazards and management.Methods: This one cross-sectional study was conducted at S.V.B.P. hospital associated with L.L.R.M. medical college, Meerut. A total of 291 healthcare personnel who consented for interview were interviewed biomedical waste management rules and observed for biomedical waste management practices by using redesigned and a pretested questionnaire. The data was analysed by using SPSS software.Results: Awareness regarding bio-medical waste management rules was 67% in doctors, 60% in nurses, 57% among lab technicians, but the sanitary staff was not aware about this. Awareness about category of BMW, number, colour coding, disposed content, labelling and cover of waste containers and segregation of waste were more among nurses and lab technicians in comparison to doctors but minimum among sanitary staff. All the respondents (100%) doctors, nurses and lab technicians knew that HIV and Hepatitis B transmitted through Bio medical waste but their awareness regarding Hepatitis C and other diseases was very low. 74% of sanitary Staff did not know that these diseases could be transmitted through bio medical waste.Conclusions: Healthcare facilities should get their healthcare personnel trained from accredited training centers.


Author(s):  
Qaiser Rasool Panzoo ◽  
Ravneet Sandhu ◽  
S S Sandhu ◽  
Pardeep Singh

The world health organization [WHO] in 1983 discussed bio-medical waste issue. The seriousness of improper biomedical waste management was brought to the limelight during the “beach wash-ups” during summer 1998; which was investigated by the Environment Protection Agency (EPA) of the USA; and it resulted in the passing of Medical waste tracking Act (MWTA) in November 1998. This made USA the pioneer as far as waste management is concerned (1). Most important regarding the bio-medical waste is health hazards to patient and relatives, microbiological and chemical contamination of soil and ground water (2). Every human being should live in a clean environment is one of the Fundamental Rights, and is the innovative judicial interpretations of article 21 of Constitution of India. Article 48-A and 51 of the Constitution provide to protect and improve the natural environment including forests lakes, rivers and wild life. There are number of statutes like The Water Act, The Air Act, The Environment Protection Act, Hazardous Waste (management and Handling) Rules 1980. Forests Act, the Wild Life Acts and Provision of Indian Penal court, Criminal Procedure Code and Factories Act are meant for providing pollution free environment to mankind. There are many categories of institutions which pollute the environment but recently the ignored field which produce the pollution by way of Bio-Medical waste have attracted the attention of the environmentalists are the Hospitals, Dispensaries, Medical Shops, Medical clinics of doctors and other paramedical staff (3).


Author(s):  
Esraa Mosbah Azzam, Nizam M. El-Ashgar

    This study aimed to evaluate the status of medical waste management in dental clinics in Khan Younis governorate (case study) in terms of sorting of hazardous medical waste, collection of waste in sealed bags when filled, transportation through transport trucks for the disposal of medical waste. The researchers used field interview methodology and the direct observation of the clinic and ask a set of questions to the staff in the clinic. The most important findings of the study that there was no proper process of sorting of medical waste where it is random and there was no application of instructions of the laws of the World Health Organization for waste management properly so that it is disposed of by the Ministry of Health in Gaza Governorates incinerators. The study recommended the need for a special system for sorting of hazardous medical waste from non-hazardous medical waste at the source of its production in proper methods and promoting the development of legislation as policies for the management of health waste for health safety and raising awareness among health institutions employees about the concept of medical waste management.      


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Salma Khalid ◽  
Najibul Haq ◽  
Zia-ul-Ain Sabiha ◽  
Abdul Latif ◽  
Muhammad Amjad Khan ◽  
...  

Abstract Background Hospital waste management (HWM) practices are the core need to run a proper health care facility. This study encompasses the HWM practices in teaching hospitals of Peshawar, Pakistan and examine the enforcement of Pak HWM (2005) rules and risks through transmission of pathogens via blood fluids, air pollution during waste incineration and injuries occurring in conjunction with open burning and dumping. Methods A questionnaire based on World Health Organization (WHO) recommendations was used to survey the selected private and public teaching hospital (n = 16). Site visits and personnel observations were also included in the data. It was spatio-statistically analyzed using descriptive statistics, Krushkal-wallis and Fisher’s exact tests. Results The findings revealed that the lack of HWM practices in all surveyed hospitals (p > 0.05), besides statistical difference (p < 0.017) in waste generation/day. No proper segregation of waste from generation point to final disposal was practiced. However, the performance of private teaching hospitals (50%) was found better in terms of HWM personnel and practices. In surveyed hospitals, only nine hospitals (56.3%) were found with the incinerator facility while rest of the hospitals (43.7%) practiced open dumping. Moreover, operational parameters of the incinerators were not found satisfactory and located in densely populated areas and emitting hazardous gases. Conclusion Proper HWM practices are not being followed in the light of WHO guidelines. Hospital waste impose serious menace to healthcare workers and to nearby population. WHO issued documents for improving HWM practices but triggered no change in Pakistan. To improve the situation, insights in this context is need for enforcement of rules.


Biomedical wastes management is one of the most important issues in public health centers and it is a crucial issue for environmental sectors as well. Wrong and inappropriate management treat the life of human beings in Kandahar City. Currently the population of this city has exponentially increased than ever because of the immigration of many people from neighboring provinces. This research was conducted in 15 districts of Kandahar public and private health care centers to identify the current biomedical waste management in Kandahar city. The qualitative and quantitative date was collected through a questionnaire from public and private hospitals, clinics and health care centers. In addition, discarding, segregating, labeling, transporting and disposing system of biomedical waste were observed. The result showed that 65.3% newly hired biomedical waste staff not received training or instruction. Furthermore, the result indicates that 44% generated biomedical wastes are regulated by municipality and color coding is not followed accordingly. Current biomedical waste is not appropriate based on designed international standards and the criteria suggested by world health organization.


2020 ◽  
Vol 35 (1) ◽  
pp. 9-14 ◽  
Author(s):  
Patience Erick

AbstractAccording to the World Health Organization (WHO), 5.9 million children under age 5 died in 2015, and globally, the main causes of child deaths are pneumonia, prematurity, intrapartum-related complications, neonatal sepsis, congenital anomalies, diarrhoea, injuries and malaria. In 2012, it was reported that one quarter of childhood deaths and disease burden could have been prevented by reducing environmental risks. Children are vulnerable to environmental risks such as air pollution, inadequate water, sanitation and hygiene, hazardous chemicals and waste, radiation, climate change, as well as emerging threats like e-waste. They are particularly vulnerable to these threats due to their developing organs and immune systems, smaller bodies and airways. In 2010, there were 132,989 in-patient morbidities. This number represents a 5.2% increase from the 126,381 registered in 2009. The major causes of infant morbidity and morbidity in children under 5 years old were diarrhoea and pneumonia. Although morbidity cases increased in 2010, there was a 6% decline in in-patient mortality from 6952 registered deaths in 2009 to 6535 deaths in 2010. Pneumonia and diarrhoea were the major causes of both infant and child mortalities. In Botswana, various environmental risk factors such as contaminated water, air and soil pollution and poor waste management have been associated with children’s environmental health (CEH). The outbreaks of diarrhoea in the country have always been associated with contaminated water. In the recent outbreak of diarrhoea in August 2018, laboratory investigations attributed the outbreak of diarrhoea to rotavirus. Children (1–6 years) living in areas with high levels of traffic congestion (living near a busy road) had higher levels of lead in their blood than those who lived in areas with less traffic. Poor waste management may lead to contamination of air, soil and water. CEH has not been given the attention it deserves in Botswana. It is, therefore, time to raise awareness on the subject. Health care workers, for example, need to be trained on diseases affecting children that are due to environmental exposures. Communities as well need to be trained on environmental factors that are prevalent in their areas and the effects of those on children’s health. It is important that research should be conducted on CEH in Botswana. At the time of compiling this report, the author was not aware of any CEH network in the country or networks in the region. To raise awareness and advocacy of CEH, there is a need for the establishment of a CEH network in the country or to participate in networks in the regions.


Health ◽  
2019 ◽  
Vol 11 (08) ◽  
pp. 1028-1042 ◽  
Author(s):  
Ahmed I. Abu Mhady ◽  
Mohammed A. Awad ◽  
Mohammed R. Al-Aghah ◽  
Yasser Z. El-Nahhal

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