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

Author(s):  
Ramakrishna Shenoi ◽  
JIGNESH RAJGURU ◽  
Anup Marar

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

Author(s):  
Mohan Kumar P.

Background: All the wastes which are generated by the hospital are collectively called as health care waste. The medical interns exposed to various health hazards while working in the hospital during their training period. The study was done with the aim to assess the knowledge and awareness regarding various aspects of biomedical waste management amongst interns in a tertiary care hospital, Kancheepuram, Tamil Nadu.Methods: This was a descriptive cross sectional study carried out among 94 interns who had cleared the final MBBS exams and 81 interns who participated in the study after giving informed consent. A pretested, self-administered questionnaire on knowledge and awareness of bio-medical waste management policy and practice were given to the interns. Statistical analysis was done using Microsoft Excel.Results: Around 63% interns knew the correct definition of biomedical waste. 24.6% interns were aware that authorization is required for biomedical waste management by Central Pollution Control board. Only 22.2% of the interns had undergone the training programme and 64.1% were keen to attend training program for biomedical waste management. 88.8% knew about sources of generation of BMW and 96% had knowledge of bio-hazard symbol. 72.5% had knowledge of segregation of waste but none had knowledge of correct colour coding. 91.3% said that record maintenance was essential for biomedical waste management. 96.2% agreed that BMW is teamwork.Conclusions: It is hour of need for rigorous training, IEC program for all the medical interns to make them aware of the various health hazards associated with biomedical waste products. 


Author(s):  
Priyanka Sriramula ◽  
Rajashekar Neelakanti ◽  
P. S. Supriya

Background: Every day, relatively large amount of potentially infectious and hazardous wastes is generated in the health-care hospitals and facilities around the world. Indiscriminate disposal and improper management of waste generated in health care facilities causes serious threat to environment and to human health that requires specific treatment and management prior to its final disposal.Methods: Cross-sectional study was conducted among 241 health care personnel working at Mahatma Gandhi Memorial hospital, Warangal. Data was collected and pre and post analysis was done using a pre-validated self-administered questionnaire. Data was entered in MS Excel and analysed using SPSS 17 software.Results: Among 241 respondents, 33.2% were sanitary staff, 35.3% are nursing staff and 31.5% are nursing students. Only 35.7% of participants has knowledge regarding the colour of the bag into which expired antibiotics are discarded and 45.2% of participants were aware of the colour of the bag in which IV bottles, gloves were discarded. Scoring for 10 was done in both pre and post-test and post test scores were found to be higher and there is significant increase in level of knowledge of biomedical waste management rules in study population in post-test analysis (p<0.001).Conclusions: Training program on the waste management in the health sector has significant effect in increasing knowledge of the healthcare personnel. 


Author(s):  
Gaurav Khandelwal

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.


2019 ◽  
Vol 11 (04) ◽  
pp. 292-296
Author(s):  
Annapurna Parida ◽  
Malini Rajinder Capoor ◽  
Kumar Tapas Bhowmik

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.


Author(s):  
Arvind Achra ◽  
Rakesh Kumar Mahajan ◽  
Sambit Sahoo

Abstract Background As a consequence of growth and advancement in health care, production of health care waste has seen an exponential upward trend. Waste from individual health care facilities can vary based on the nature and scope of health care services they provide. Objectives To analyze the amount of biomedical waste generated by a tertiary care hospital. Methods Biomedical waste generated by the hospital from 2005 to 2019 was quantified and analyzed to calculate the total amount of incinerable waste, recyclable plastic waste, and sharp and glass waste. The amount of waste generated per bed per day and the compound annual growth rate (CAGR) were also calculated. Results The total amount of biomedical waste generated in 2005 was 65,658 kg, which has substantially increased to 374,712 kg in 2019, with a CAGR of 12.5%. The hospital was producing average biomedical waste of 0.179 kg/bed/day in 2005, which has increased four times in 2019 to reach 0.709 kg/bed/day. The overall estimated plastic waste was 31% of the total biomedical waste in 2005 and 53% in 2019. Conclusion The generation of biomedical waste is likely to see significant upward trends unless diligent deliberations are held between different stakeholders in regard to the reintroduction of reusable materials and waste reduction strategies.


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