Assessment of hospitals medical waste management in Chaharmahal and Bakhtiari Province in Iran

The hospital wastes could threaten the surface waters, ground waters, soil, air environment and humans’ health. This study was intended to investigate the management of medical waste generated in hospitals of Charharmahal and Bakhtiari province, located in south west of Iran. The samples came from all 9 province’s hospitals with 1156 beds. The data forms and questionnaires were completed. The questionnaire contained questions about the generation of waste and practices related to separation, collection, storage, transport, treatment and final disposal, and training and awareness. The highest generation rate on a bed basis of 3.22±0.4 kg/bed/day was found in Shohada hospital, and the lowest rate was 1.37±0.2 kg/bed/day for Sina hospital. There was significant variation (P<0.05). The average general waste production rate was 2.12±0.37 kg/bed/day at all the surveyed hospitals. The highest percentage (63%) of total medical wastes were general, 36.05% were infectious wastes. About 44.44% of the hospitals have used autoclave to disinfect their infectious medical waste prior to disposal, while incineration is used in 33.33% of the hospitals. All hospitals (100%) indicated their needs and willingness to participate in future specialized training programs in medical waste management. It has been suggested that enhancing the education, awareness and promoting programs about medical waste management for cleaning workers, doctors, nurses, and technicians.

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Assessment of Medical Waste Management in Private Hospitals

FUOYE Journal of Engineering and Technology ◽

10.46792/fuoyejet.v1i1.21 ◽

2016 ◽

Vol 1 (1) ◽

Author(s):

O E Omofunmi ◽

H C Agwagu ◽

A L Atuche

Keyword(s):

Waste Management ◽

Medical Waste ◽

Current Status ◽

Private Hospitals ◽

Temporary Storage ◽

Lagos State ◽

Medical Waste Management ◽

And Training ◽

Generation Information ◽

Medical Wastes

Recent happening globally especially in the developing country such as Nigeria has shown that there is need to conduct a survey on medical waste management due to direct or indirect adverse effect on the environment and human health. The medical waste management in private hospitals in Lagos State was assessed. Information on hospitals was collected from Lagos State Ministry of Health, Aluasa. Nine hospitals were visited and questionnaires and schedules were administered on the current status of medical waste management such as hospital generation information, waste amount, separation, collection, temporary storage and training.Data collected were analysed using descriptive statistics. The results showed that the total medical wastes were 207.16 Kg/day. Of the total medical wastes produced in studied area in one day, 119.07 Kg consisted of hazardous-infectious wastes, 85.91 Kg municipal wastes and 2.18 Kg sharp wastes. The average generation rate of total medical waste was 1.14 ± 0.2 Kg/bed-day. However, these rates were 0.72 ± 0.01 Kg/bed-day, 0.47 ± 0.01 Kg/bed-day and 0.01 ± 0.002 Kg/bed-day for hazardous-infectious, municipal and sharp wastes respectively. The percentages of hazardous-infectious wastes, municipal wastes and sharp wastes were 60.00%, 39.10% and 0.83% respectively. The hospitals waste management was evaluated poor in terms of separation, collection, transportation, temporary storage and training aspects and good in the treatment aspect.

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MEDICAL WASTE MANAGEMENT EDUCATIONAL AND TRAINING INTERVENTION PROGRAM IN ZAGAZIG UNIVERSITY HOSPITALS

Egyptian Journal of Occupational Medicine ◽

10.21608/ejom.2017.3932 ◽

2017 ◽

Vol 41 (3) ◽

pp. 459-474

Author(s):

El-Naggar S ◽

Abass R ◽

El-Gohary S ◽

Bolbol S ◽

Abd-El-Azem W

Keyword(s):

Waste Management ◽

Intervention Program ◽

Medical Waste ◽

Training Intervention ◽

University Hospitals ◽

Medical Waste Management ◽

And Training

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Management of Solid Medical Waste on One of the Covid19 Referral Hospitals in Surabaya, East Java

JURNAL KESEHATAN LINGKUNGAN ◽

10.20473/jkl.v12i1si.2020.38-44 ◽

2020 ◽

Vol 12 (1si) ◽

pp. 38

Author(s):

Rani Ayu Wardani ◽

R. Azizah

Keyword(s):

Waste Management ◽

Secondary Data ◽

Medical Waste ◽

Observational Research ◽

Patient Referral ◽

Waste Production ◽

Surgical Masks ◽

Referral Hospitals ◽

Medical Waste Management ◽

The Republic

Introduction: e Covid19 virus has an outer lipid sheath that is not tolerant towards disinfectants, but this virus can quickly infect humans with a fairly high mortality rate. The increasing Covid19 patients directly proportional the amount of solid medical waste production in hospitals. This study aims to identify the health protocol in solid medical waste management in one of the Covid19 patient referral hospitals in Surabaya, East Java. Method: We used descriptive observational research with secondary data for the data compiling method. The obtained data were then compared with the 2020 Guidebook on Waste Management in Referral Hospitals, Emergency Hospitals, and Public Health Centers that Handles Covid19 Patients, issued by the Ministry of Health of the Republic of Indonesia. Result and Discussion: Research results showed that the management of all solid medical waste yielded from the Covid19 Special Isolation Room is directly infectious, went through the incineration process using an incinerator with the primary burner set at 800o C and the secondary burner set at minus 1.000o C. The usage of Personal Protective Equipment (PPE) by medical waste trolley carriers was inappropriate. The officers only used surgical masks, head caps, gloves, shirt, and work shoes, without using any apron. Conclusion: Health protocol for medical waste management in one of the Covid19 patient referral hospitals in Surabaya, East Java has been implemented, but the usage of PPE by medical waste trolley carriers was still inappropriate.

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RESULTS OF ENVIRONMENTAL MONITORING IN 6 PROVINCIAL HOSPITALS HIGHLAND AREA 2011-2013

Journal of Medicine and Pharmacy ◽

10.34071/jmp.2016.1.13 ◽

2016 ◽

pp. 101-108

Author(s):

Duy Tao Tran ◽

Trong Si Hoang

Keyword(s):

Waste Water ◽

Radioactive Waste ◽

Waste Management ◽

Environmental Monitoring ◽

Monitoring And Evaluation ◽

Medical Waste ◽

Contamination Rate ◽

Cross Sectional ◽

Medical Waste Management ◽

Central Highlands

Objective: Monitoring and evaluation of air environmental quality, waste water and medical waste management activities in some hospitals in the Central Highlands. Research Methodology: Cross-sectional descriptive survey was deployed in 6 provincial hospitals of the Central Highlands in 7th- 8th months every year for 3 years, 2011, 2012, 2013. Observing the process of waste management in hospitals, weighing the medical solid waste generated daily, sampling and environmental monitoring of air, water waste samples after treatment of hospitals. Findings: The percentage of substandard sample of radioactive 2011 was 5.88%, in 2012 was 5%, 2013 was 0.02%. Mainly in dose laboratories, rinse the nuclear medicine department, hatch covers radioactive waste storage. 100% of the air sample of wastewater treatment areas have NO2 target and 60% of SO2 target sample have not reached allowed regulations. The atmosphere at the garbage area hospitals in Kon Tum and Lam Dong provinces through 2 years of monitoring in 2012, 2013 exceeded SO2 target standards. Monitoring results incinerator emissions sample at 3 hospitals: Kontum, Gia Lai, Dak Nong in 3 years reached Regulations allow. The observation sample treated waste water of the hospital in 2013 with low contamination rate than in 2011 and 2012 in terms of physics and chemistry. Particularly criteria Total coliforms 3 years are from 40-50% of samples exceeded standards. Regarding waste management, the results of monitoring in 2013 showed that 60% of faculties have sharps instruments and 20% of the faculties have satisfactory utensils anatomical waste. 59.48% of the faculties have the guidelines for waste separation. Condition misclassified not many and occur in two hospitals Gia Lai, Dak Lak. Only Lam Dong hospitals have waste transportation vehicles secured closed during transport. The amount of waste / beds / 24 hours is 1.097kg. In particular infectious waste is 0.26kg. Only two hospitals in Daklak, Lam Dong has generated radioactive waste with a total of 0.9 kg/day. Key words: Medical waste, medical waste management.

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A Review of Medical Waste Management in South Africa

Open Environmental Sciences ◽

10.2174/1876325101810010034 ◽

2018 ◽

Vol 10 (1) ◽

pp. 34-45 ◽

Cited By ~ 1

Author(s):

Olaniyi FC ◽

Ogola JS ◽

Tshitangano TG

Keyword(s):

South Africa ◽

Waste Management ◽

South African ◽

Management Practice ◽

National Policy ◽

Medical Waste ◽

African Government ◽

The Past ◽

Government Documents ◽

Medical Waste Management

Background:Poor medical waste management has been implicated in an increase in the number of epidemics and waste-related diseases in the past years. South Africa is resource-constrained in the management of medical waste.Objectives:A review of studies regarding medical waste management in South Africa in the past decade was undertaken to explore the practices of medical waste management and the challenges being faced by stakeholders.Method:Published articles, South African government documents, reports of hospital surveys, unpublished theses and dissertations were consulted, analysed and synthesised. The studies employed quantitative, qualitative and mixed research methods and documented comparable results from all provinces.Results:The absence of a national policy to guide the medical waste management practice in the provinces was identified as the principal problem. Poor practices were reported across the country from the point of medical waste generation to disposal, as well as non-enforcement of guidelines in the provinces where they exit. The authorized disposal sites nationally are currently unable to cope with the enormous amount of the medical waste being generated and illegal dumping of the waste in unapproved sites have been reported. The challenges range from lack of adequate facilities for temporary storage of waste to final disposal.Conclusion:These challenges must be addressed and the practices corrected to forestall the adverse effects of poorly managed medical waste on the country. There is a need to develop a medical waste policy to assist in the management of such waste.

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