scholarly journals Healthcare Waste Management: A Case Study from Sudan

Environments ◽  
2018 ◽  
Vol 5 (8) ◽  
pp. 89 ◽  
Author(s):  
Ahmed Hassan ◽  
Terry Tudor ◽  
Mentore Vaccari

Healthcare waste (HCW) represents a major public health issue, especially in developing countries. Among HCW categories, sharps waste is one of the most hazardous. Exposure to needle-stick injuries can lead to blood-borne pathogens, therefore HCW should be managed in an effective manner. The main aims of this study were to assess the current management of used needles and to suggest suitable recommendations for an improved and safer system for needle management in Khartoum, Sudan. The study showed that the management of both healthcare and home-generated HCW in Sudan is inefficient, as all wastes are mixed together and disposed of improperly, especially used needles. The study attributes this to many reasons, including lack of waste segregation at the source, lack of policies, failure of planning, inadequate training, lack of awareness of the hazardous nature of such kinds of waste, weak infrastructure, and a lack of suitable treatment technologies. The estimated average generated rate of HCW ranged from 0.38 to 0.87 kg/bed/day in 2009 and 2012, respectively. Such ineffective healthcare waste management HCWM, especially used needles, can put public health as well as the environment at risk, particularly waste workers, thus urgent action needs to be taken by all involved parties and at all levels.

2018 ◽  
Vol 2018 ◽  
pp. 1-14 ◽  
Author(s):  
Mohammad Mehedi Hasan ◽  
M. Habibur Rahman

The management and treatment of healthcare waste (HCW) are of great concern owing to its potential hazard to human health and the environment, particularly in developing countries. Nowadays, various technological alternatives are gaining momentum as efficient and favorable waste management options across the world. However, selecting a suitable technology as well as an effective waste management approach for the treatment of HCW is still a challenging task for the municipal authorities. This study renders a comprehensive analysis of healthcare waste management (HCWM) practices and the technological options for its better management through a case study in Khulna, the southwestern division of Bangladesh. A number of healthcare establishments (HCEs) in the study area were selected and a questionnaire survey, as well as field investigations, was performed to find out the present status of HCWM and its limitations. An assessment of different technological alternatives was also carried out using Sustainability Assessment of Technologies (SAT) methodology which could pave the way for treating hazardous waste more efficiently in the Khulna metropolitan area. The study revealed that the overall HCW generation rate and hazardous HCW generation rate in Khulna city were 0.90 kg bed−1 day−1 and 0.18 kg bed−1 day−1, respectively. Assessment of management system revealed that 56% (n=38) of workers did not receive any form of training in the handling of hazardous waste. Around 54% (n=47) of them did not use any safety equipment or clothing. It has been found from the study that, among different technological alternatives based on the final score, incineration was the most suitable option for the treatment of hazardous waste in Khulna. Finally, some guidelines have been put forward to improve its existing management practices.


2015 ◽  
Vol 17 (2) ◽  
pp. 370-378

<div> <p>Proper Hospital healthcare Waste Management (HCWM) is imperative for ensuring public health and environmental protection. In this context, three Prefectural hospitals of Mytilene, Agrinio, and Messolonghi, were studied with respect to planning and management of infectious wastes, cost, training of the white Staff involved, security measures to be taken, and also knowledge related to the implementation of the existing National and European Community, legislation. It was found that the existing legislative procedures were broadly applied. However deviations were reported and it was recognized that serious difficulties in the implementation of the legislation throughout the process i.e. from the phase of separation throughout the processing phase did exist. These deviations frequently originated from conflicts in the directions given by the legislation Joint [Governmental Gazette B1537/8-5-2012]. In order to achieve better implementation of HCWM, recommendations are proposed here.</p> </div> <p>&nbsp;</p>


2021 ◽  
Vol 23 (06) ◽  
pp. 271-293
Author(s):  
Divyanshu Aneja ◽  
◽  
Anshul Rana ◽  
Anjali Kumari ◽  
Anunay A. Gour ◽  
...  

The COVID-19 pandemic has resulted in a significant rise in the production of biomedical waste in India’s healthcare waste management system. Authorities in Delhi are finding it increasingly difficult to maintain and treat large volumes of biomedical waste as the volume of biomedical waste continues to rise. In addition to the COVID- 19-related biomedical waste to segregate and dispose of, a huge strain has been imposed on the healthcare management system. This research examines the current state of biomedical waste management in Delhi, India as well as the past and present state of biomedical waste generation in various hospitals of Delhi. In this study, the five private hospitals of Delhi have been taken and the data is taken from their websites respectively. The duration of Waste generation has been taken from the year 2016-2020 for each hospital which has been represented graphically. This paper also covers the quantification of biomedical waste of Delhi and India from June 2020 to December 2020, highlighting the comparative analysis of the top 5 States of India producing the largest amount of biomedical waste presented graphically. Apart from that, the study covers the current legal status of biomedical waste management in India (Latest Guidelines and Amendments in BMW Rules, 2016 by Central Pollution Control Board for managing COVID-19 based medical wastes) as well as various advances in treatment technologies for handling large amounts of COVID-19 BMW. The consequences of biomedical waste, which can pose a significant threat to both humans and the environment, have also been addressed. Similarly, various effective measures and the latest treatment technologies have been listed in the sense of proper waste management in a holistic manner toward a sustainable future. This research will help officials and other organizations ensure that there is no inefficiency in the system and that all activities are carried out efficiently.


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