Practice and enforcement of national Hospital Waste Management 2005 rules in Pakistan

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.

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HOSPITAL ENVIRONMENTAL AND RESIDUES MANAGEMENT: BRAZILIAN EXPERIENCES

Journal of Environmental Assessment Policy and Management ◽

10.1142/s1464333212500184 ◽

2012 ◽

Vol 14 (03) ◽

pp. 1250018 ◽

Cited By ~ 3

Author(s):

ERIC DORION ◽

ELIANA SEVERO ◽

PELAYO OLEA ◽

CRISTINE NODARI ◽

JULIO FERRO DE GUIMARAES

Keyword(s):

Public Health ◽

Environmental Management ◽

Waste Management ◽

Management Practices ◽

Hospital Waste ◽

Environmental Management Practices ◽

Hospital Effluents ◽

Waste Segregation ◽

Waste Effluents ◽

Responsible Attitude

Since Brazilian healthcare institutions have the duty to care about public health service, they also have the social and financial responsibilities to bring environmentally friendly practices and strategies, including principally a responsible attitude towards hospital waste management. Negligent waste management contributes significantly to polluting the environment. Today, a specific regional context in the southern State of Rio Grande do Sul, Brazil, shows an ambivalent situation in terms of hospital waste management. This study aims to analyze the environmental management practices and innovation strategies of the hospitals of the Serra Gaúcha region, as well as conducting a comparison between the environmental management practices versus the current Brazilian laws. Based on data analysis, it was found that all hospitals employ the practice of waste segregation, preserving public health and environmental quality. However, in respect to hospital waste effluents, 75% of the hospitals of the Serra Gaúcha region do not treat their hospital effluents, not complying with the current Brazilian legislation.

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WITHDRAWN: An overview of the present status of hospital waste management in Kerman, Iran

Journal of Infection and Public Health ◽

10.1016/j.jiph.2014.07.007 ◽

2014 ◽

Cited By ~ 2

Author(s):

Hamideh Bahrami ◽

Mohammad Malakootian ◽

Seyed Dawood Mousavi Nasab ◽

Nemat Jaafarzadeh ◽

Mehrdad Askarian ◽

...

Keyword(s):

Waste Management ◽

Present Status ◽

Hospital Waste

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DEVELOPMENT OF IMPROVED SOLID HOSPITAL WASTE MANAGEMENT PRACTICES IN A NIGERIAN TERTIARY HOSPITAL

Nigerian Journal of Technology ◽

10.4314/njt.v35i3.28 ◽

2016 ◽

Vol 35 (3) ◽

pp. 674 ◽

Cited By ~ 1

Author(s):

OA Mokuolu ◽

RS Akindele ◽

HO Olawumi

Keyword(s):

Waste Management ◽

Management Practices ◽

Tertiary Hospital ◽

Hospital Waste ◽

Waste Management Practices

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Assessment of Available Technologies for Hospital Waste Management

Advances in Environmental Engineering and Green Technologies - Environmental Issues Surrounding Human Overpopulation ◽

10.4018/978-1-5225-1683-5.ch010 ◽

2017 ◽

pp. 172-188

Author(s):

Alok Rai ◽

Richa Kothari ◽

D. P. Singh

Keyword(s):

Waste Management ◽

Human Life ◽

Human Society ◽

Body Parts ◽

Human Beings ◽

Hospital Waste ◽

Liquid Discharge ◽

Hospital Wastes ◽

Hospital Practices ◽

Modern Hospital

Modern hospital practices with galloping growth in medical technology facilitate increase human life span, decrease mortality rate and increase natality rate. Life supporting health services generates potentially hazardous and infectious hospital wastes like pharmaceuticals, cottons, food, paper, plastics, radionuclide, sharps, and anatomical parts etc. These wastes are complex in nature with maximum part of municipal solid waste and small part of biomedical waste (anatomical parts, body parts etc.). Improper conduct and management of hospital waste create several problems and nosocomial diseases to human beings and harms environment. Traditional practices included for management are open burning, mixing waste, liquid discharge and waste disposal without treatment normally. Hence, this issue comes in lime light and several guidelines come to sort out this problem. Thus, challenges associated with traditional hospital waste management techniques and modern techniques for management are assessed in general and association with human society in particular in this chapter.

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