scholarly journals Inadequacies in Hospital Waste and Sewerage Management in Chattogram, Bangladesh: Exploring Environmental and Occupational Health Hazards

2020 ◽  
Vol 12 (21) ◽  
pp. 9077
Author(s):  
Batool Behnam ◽  
Shafiqua Nawrin Oishi ◽  
Sayed Mohammad Nazim Uddin ◽  
Nazifa Rafa ◽  
Sayed Mohammad Nasiruddin ◽  
...  
Keyword(s):  
Water Quality ◽  
Waste Management ◽  
Public Hospital ◽  
Private Hospital ◽  
Quality Analysis ◽  
Hospital Wastewater ◽  
Hospital Waste ◽  
The Public ◽  
Environment And Health ◽  
Hospital Wastes

Bangladesh has been grappling with the issues of improper hospital waste management. To reflect the inadequacies in existing management practices and the potential implications on the environment and health, this study evaluated the Knowledge, Attitude, and Practice (KAP) of doctors and nurses in a private and a public hospital in Chattogram city via a structured questionnaire survey. At the public hospital, 20.4% of the doctors and 6% of the nurses had occupational illnesses, compared to 36% of the doctors and 26.5% of the nurses at the private hospital. At the public hospital, 67.8% of the nurses wore PPE during waste collection, compared to 17.7% in the private hospital. Hospital wastes and occupational safety are not properly dealt with in both hospitals. An inadequacy was observed in the knowledge of hospital waste management among healthcare workers. The route of hospital wastes from the sources to the end destination was also traced via interviews and focus group discussions, which revealed that disposal practices of the hospital solid waste were environmentally unsustainable. In attempts to show opportunities for environmental and health risks from the hospital wastewater, this study also investigated the quality of the wastewater and tested it for the presence of resistant enteric pathogens. E. coli and S. aureus from both hospitals showed resistance against some common antibiotics used in Bangladesh. The physicochemical properties of the samples were nearly compliant with the Bangladesh Water Quality Standards for hospital wastewater. While more robust sampling and water quality analysis are required, this study provides basic water quality indicators and scope for future research to understand the apparent significant negative impact on the environment and health.

Assessment of Available Technologies for Hospital Waste Management

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.

scholarly journals Sedation/Analgesia Administration Practice Varies according to Endoscopy Facility (Hospital- or Office-Based) Setting: Results from a Nationwide Survey in Greece

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Georgios Tziatzios ◽  
Dimitrios N. Samonakis ◽  
Theocharis Tsionis ◽  
Spyridon Goulas ◽  
Dimitrios Christodoulou ◽  
...  
Keyword(s):  
Airway Management ◽  
Public Hospital ◽  
Private Hospital ◽  
Life Support ◽  
Advanced Life Support ◽  
Nationwide Survey ◽  
Web Based ◽  
The Public ◽  
Management Techniques ◽  
The Impact

Objectives. To examine the impact of endoscopy setting (hospital-based vs. office-based) on sedation/analgesia administration and to provide nationwide data on monitoring practices among Greek gastroenterologists in real-world settings. Material and Methods. A web-based survey regarding sedation/analgesia rates and monitoring practices during endoscopy either in a hospital-based or in an office-based setting was disseminated to the members of the Hellenic Society of Gastroenterology and Professional Association of Gastroenterologists. Participants were asked to complete a questionnaire, which consisted of 35 items, stratified into 4 sections: demographics, preprocedure (informed consent, initial patient evaluation), intraprocedure (monitoring practices, sedative agents’ administration rate), and postprocedure practices (recovery). Results. 211 individuals responded (response rate: 40.3%). Propofol use was significantly higher in the private hospital compared to the public hospital and the office-based setting for esophagogastroduodenoscopy (EGD) (85.8% vs. 19.5% vs. 10.5%, p<0.0001) and colonoscopy (88.2% vs. 20.1% vs. 9.4%, p<0.0001). This effect was not detected for midazolam, pethidine, and fentanyl use. Endoscopists themselves administered the medications in most cases. However, a significant contribution of anesthesiology sedation/analgesia provision was detected in private hospitals (14.7% vs. 2.8% vs. 2.4%, p<0.001) compared to the other settings. Only 35.2% of the private offices have a separate recovery room, compared to 80.4% and 58.7% of the private hospital- and public hospital-based facilities, respectively, while the nursing personnel monitored patients’ recovery in most of the cases. Participants were familiar with airway management techniques (83.9% with bag valve mask and 23.2% with endotracheal intubation), while 49.7% and 21.8% had received Basic Life Support (BLS) and Advanced Life Support (ALS) training, respectively. Conclusion. The private hospital-based setting is associated with higher propofol sedation administration both for EGD and for colonoscopy. Greek endoscopists are adequately trained in airway management techniques.

scholarly journals ASSESSMENT OF SOCIO-ECONOMIC STATUS OF PATIENTS

2008 ◽  
Vol 15 (02) ◽  
pp. 270-272
Author(s):  
AYESHA ASHFAQ ◽  
NOOR FATIMA ◽  
SEEMA DAUD ◽  
Ahsen Nazir Ahmed ◽  
Zakariya Imam ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Public Hospital ◽  
Private Hospital ◽  
Economic Status ◽  
Tertiary Care ◽  
Cross Sectional ◽  
The Public ◽  
Improve Compliance ◽  
Status Assessment ◽  
Tertiary Care Hospitals

Objective: To determine whether or not doctors assess the socio-economicstatus of their patients in order to customize treatment and improve compliance. Design: A cross-sectional Setting:Jinnah Hospital and Shalimar Hospital Lahore. Period: From March to June 2005 Methods & Material: Ninety-threepatients were included from each of the two randomly selected tertiary care hospitals (one public, one private) ofLahore. Doctor-patient encounters were observed. Results: No assessment was made for 134/186(72%) patients.51/186(27.4%) received an inadequate assessment. Only 01/186(0.5 %) patient received a thorough assessment ofhis socioeconomic status. Doctors in the private hospital made better effort to assess the socioeconomic backgroundof the patient (albeit inadequately), compared to those in the public hospital (p: < 0.0001). Conclusion: Doctors shouldbe regular and meticulous in patients’ socioeconomic status assessment.

scholarly journals A comparison of the awareness and utilisation of postoperative health services provided to women with breast cancer

2000 ◽  
Vol 23 (2) ◽  
pp. 113 ◽  
Author(s):  
Joy Chisolm ◽  
Judith Donoghue ◽  
Kim Dunn
Keyword(s):  
Breast Cancer ◽  
Cancer Care ◽  
Public Hospital ◽  
Private Hospital ◽  
Care Centre ◽  
Post Discharge ◽  
The Public ◽  
Significant Difference ◽  
Use Of Services ◽  
Different Levels

Nurses at a metropolitan Cancer Care Centre (CCC) noted that women who have had recent breastsurgery for carcinoma had significantly different levels of knowledge and use of support servicesdepending upon public or private hospitalisation. The public hospital participants were more aware ofthe range of available services (mean = 3.6) compared to women from the private sector(mean = 2.6). In addition, the public hospital participants were more likely to access a wider rangeof services post discharge (mean = 2.21) compared to the private hospital women (mean = 0.85).A significant difference was found between younger and older women's use of services.

scholarly journals Significant differences in cesarean section rates between a private and a public hospital in Brazil

2008 ◽  
Vol 24 (12) ◽  
pp. 2909-2918 ◽  
Author(s):  
Sueli de Almeida ◽  
Heloisa Bettiol ◽  
Marco Antonio Barbieri ◽  
Antônio Augusto Moura da Silva ◽  
Valdinar Sousa Ribeiro
Keyword(s):  
Public Hospital ◽  
Protective Factor ◽  
Private Hospital ◽  
Early Morning ◽  
Cross Sectional Study ◽  
Cesarean Sections ◽  
Cross Sectional ◽  
The Public ◽  
The City ◽  
Maternity Clinic

This paper evaluates the association of maternal variables and of variables related to prenatal and delivery care with cesarean sections at a public and at a private maternity. A retrospective cross-sectional study was performed at a public maternity clinic (2,889 deliveries) and at a private maternity clinic (2,911 deliveries) in the city of Ribeirão Preto, São Paulo State, Brazil. The prevalence of cesarean sections was 18.9% at the public maternity clinic and 84.3% at the private one. The factors associated with cesarean sections at both hospitals were: mothers from other cities, aged > 25 years and with hypertension. Having more than one child was a protective factor. At the public hospital, cesarean sections were more frequent on Wednesdays and from 12:00 to 23:59 hours of any day of the week, whereas at the private hospital they occurred on any day, though were less common on Sundays, and at any time except in the early morning. At the private hospital, cesarean sections were more frequent when performed by the doctor who had provided the prenatal care. Non-medical factors were more associated with cesarean sections in the private maternity clinic than biological or clinical factors related to pregnancy.

scholarly journals Hospital waste management in developing countries: A mini review

2017 ◽  
Vol 35 (6) ◽  
pp. 581-592 ◽  
Author(s):  
Mustafa Ali ◽  
Wenping Wang ◽  
Nawaz Chaudhry ◽  
Yong Geng
Keyword(s):  
Developing Countries ◽  
Waste Management ◽  
Management Practices ◽  
Hospital Staff ◽  
Hospital Waste ◽  
Safety Risks ◽  
Safe Management ◽  
Waste Segregation ◽  
Hospital Wastes ◽  
Waste Management Practices

Health care activities can generate different kinds of hazardous wastes. Mismanagement of these wastes can result in environmental and occupational health risks. Developing countries are resource-constrained when it comes to safe management of hospital wastes. This study summarizes the main issues faced in hospital waste management in developing countries. A review of the existing literature suggests that regulations and legislations focusing on hospital waste management are recent accomplishments in many of these countries. Implementation of these rules varies from one hospital to another. Moreover, wide variations exist in waste generation rates within as well as across these countries. This is mainly attributable to a lack of an agreement on the definitions and the methodology among the researchers to measure such wastes. Furthermore, hospitals in these countries suffer from poor waste segregation, collection, storage, transportation and disposal practices, which can lead to occupational and environmental risks. Knowledge and awareness regarding proper waste management remain low in the absence of training for hospital staff. Moreover, hospital sanitary workers, and scavengers, operate without the provision of safety equipment or immunization. Unsegregated waste is illegally recycled, leading to further safety risks. Overall, hospital waste management in developing countries faces several challenges. Sustainable waste management practices can go a long way in reducing the harmful effects of hospital wastes.

Assessment of Available Technologies for Hospital Waste Management

2020 ◽  
pp. 791-807
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.

scholarly journals Hospital Waste Management in Tangail Municipality

2012 ◽  
Vol 5 (1) ◽  
pp. 121-127
Author(s):  
MY Mia ◽  
MA Ali ◽  
MA Rahman ◽  
L Naznin ◽  
MU Hossain
Keyword(s):  
Waste Management ◽  
Skin Diseases ◽  
Health Data ◽  
Medical Waste ◽  
Health Impacts ◽  
Hospital Waste ◽  
Secondary Sources ◽  
Hospital Wastes ◽  
Local Residents ◽  
Waste Handling

An investigation was conducted on hospital waste management in Tangail Municipality and its impact on human health. Data was collected through questionnaire interview from local residents, superintendents, nurses, observation and secondary sources. The results revealed that wastes are collected every alternative day and though sometime in irregular basis. Hospital wastes causes different health hazards like bad smell, infestation of animals, diarrhoea, skin diseases etc. due to irregular collection, unsafe handling, disposal, storage, transportation and finally dumped with municipal wastes. For knowing health impacts, among 110 general respondents 63% was affected, and 50 respondents who were associated with medical waste handling including nurse,  pickers, workers, etc. in which more than 90% were affected one or more diseases due to improper management and imposed of hospital wastes. Shortage of dustbin is common in every hospitals and clinics in Tangail Municipality. The study also revealed that 1000-1500kg wastes were generated per day in Tangail Municipal area in which 19.23% infectious and 80.77% noninfectious. DOI: http://dx.doi.org/10.3329/jesnr.v5i1.11566 J. Environ. Sci. & Natural Resources, 5(1): 121 - 127, 2012  

scholarly journals The cost analysis of breast cancer: A comparison between private and public hospitals 

2020 ◽  
Author(s):  
Abolhasan Afkar ◽  
Habib Jalilian ◽  
Abolghasem Pourreza ◽  
Habibeh Mir ◽  
Abdolhosein Emami Sigaroudi ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Public Hospital ◽  
Private Hospital ◽  
Public Hospitals ◽  
The Public ◽  
Illness Study ◽  
Collection Data ◽  
Private And Public ◽  
Spss Software ◽  
The Cost

Abstract Backgrounds Breast cancer is the most prevalent cancer among women. Breast cancer imposes a considerable economic burden on the health system. This study aimed to compare the cost of breast cancer among patients who referred to private and public hospitals in Iran (2017). Methods This was a prevalence-based cost of illness study. A total of 179 patients were selected from private and public hospitals using the census method. The researcher-constructed checklist was used for data collection. Data were analyzed using SPSS software version 22. Results The estimated total mean (SD) direct cost of patients who referred to the private hospital and the public hospital was $10050 (19480) and $3960 (6780), respectively. Further, the total mean indirect cost of patients who referred to the private hospital was lower than those referring to the public hospital at $1870 (%15 of total costs) and $22350 (%85 of total costs), respectively. These differences were statistically significant (P<0.05). Conclusion Breast cancer imposes a substantial cost on patients, health insurance organizations and the whole society in Iran. Therefore, the adoption of effective measures for the prevention and early diagnosis of breast cancer is urgently needed.

scholarly journals The cost of breast cancer: A comparison between private and public hospitals

2020 ◽  
Author(s):  
Abolhasan Afkar ◽  
Habib Jalilian ◽  
Abolghasem Pourreza ◽  
Habibeh Mir ◽  
Abdolhosein Emami Sigaroudi ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Public Hospital ◽  
Private Hospital ◽  
Public Hospitals ◽  
The Public ◽  
Illness Study ◽  
Collection Data ◽  
Private And Public ◽  
Spss Software ◽  
The Cost

Abstract Backgrounds Breast cancer is the most prevalent cancer among women. Breast cancer imposes a considerable economic burden on the health system. This study aimed to compare the cost of breast cancer among patients who referred to private and public hospitals in Iran (2017).Methods This was a prevalence-based cost of illness study. A total of 179 patients were selected from private and public hospitals using the census method. The researcher-constructed checklist was used for data collection. Data were analyzed using SPSS software version 22.Results The estimated total mean ± SD direct cost of patients who referred to the private hospital and the public hospital was $10051.78 ± 19484.61 and $3956.33 ± 6783.02, respectively. Further, the total mean indirect cost of patients who referred to the private hospital was lower than those referring to the public hospital at $1870.89 (%15.69 of total costs) and $22348.5 (%84.95 of total costs), respectively. These differences were statistically significant (P < 0.05).Conclusion Breast cancer imposes a substantial cost on patients, health insurance organizations and the whole society in Iran. Therefore, the adoption of effective measures for the prevention and early diagnosis of breast cancer is urgently needed.

Sign in / Sign up

Export Citation Format

Share Document