scholarly journals Factual Status of Bio-Medical Waste Management in Kota, Rajasthan, India

2019 ◽  
Vol 8 (6) ◽  
pp. 2482-2489
Keyword(s):  
Waste Management ◽  
Treatment Plant ◽  
Medical Waste ◽  
Disposal Site ◽  
Local Newspapers ◽  
The Status ◽  
Central Pollution Control Board ◽  
Medical Waste Management ◽  
Treatment And Disposal ◽  
Health Care Centers

Hospitals including all types of health care centers generate a lot of wastes per day which needs to be segregated, collected and transported to the treatment and disposal site according to the norms prescribed by the Central Pollution Control Board (CPCB), India. After reading about mismanagement of bio-medical waste in local newspapers of Kota city, it was planned to perform an analytical study to find out the factual status. During study, the hospitals of Kota both government and private were visited and the status of bio-medical waste management was studied right from its generation to the final transportation from the hospitals by concerned agency nominated for this purpose. It was noticed that treatment and disposal facilities are not available at Kota and as per official records; the waste is transported to another city Alwar. During the study period, this fact could not be verified as there were no vehicles seen transporting bio-medical waste daily from Kota to Alwar and no monitoring system was seen in place for this purpose whether the operator has actually transported the waste to the treatment site or dumped it somewhere else with municipal solid waste. Other than this, many shortcomings in the system were also noticed during the study period. The segregation is not performed at the point of generation, the employees deployed for segregation, collection and transportation are neither sufficient in number nor well trained and do not have any safety equipment, transportation is not carried out properly and most critical point to note is that the city does not have any treatment plant of its own. There is a lack of awareness among all stakeholders regarding new Bio-Medical Waste Management (BMWM) Rules, 2016. The concerned authorities need to take an immediate action for proper management of bio-medical waste in Kota; otherwise it may create severe health hazards to human health, especially the young students studying in coaching institutes of Kota

scholarly journals Medical Waste Management: Technologies ANS Innovations

2019 ◽  
Vol 9 (1) ◽  
pp. 5546-5551
Keyword(s):  
Health Care ◽  
Waste Management ◽  
Scientific Literature ◽  
Medical Waste ◽  
Theoretical Approaches ◽  
The Status ◽  
Medical Waste Management ◽  
Health Care Centers ◽  
Intensive Growth

The problem of medical waste management is an issue that concerns not only experts since the amount of waste has a stable tendency to intensive growth. The research aims to study the status of medical waste management and analyze the approaches to its classification, taking into account the specific features of its formation and possible disposal. The article defines theoretical approaches to the analysis of the "medical waste" category and identifies the main directions of research in the field of medical waste management. Based on the analysis of scientific literature and an expert survey, the authors analyze the problems associated with the disposal of medical waste and the possible approaches to their solution. The authors propose a classification of medical waste and operations performed with it in health care centers.

scholarly journals The Knowledge, attitude and practices about bio-medical waste management system in a tertiary care 60 bedded hospital in Rajasthan, India

2020 ◽  
Author(s):  
Virender Verma ◽  
Priya Soni ◽  
Meenakshi Kalhan ◽  
Sanjiv Nanda ◽  
Anjani Kumar ◽  
...  
Keyword(s):  
Waste Management ◽  
Tertiary Care ◽  
Sewage Treatment Plant ◽  
Treatment Plant ◽  
Medical Waste ◽  
Small Scale ◽  
Potential Hazard ◽  
Cross Sectional ◽  
Medical Waste Management ◽  
Tertiary Care Hospitals

Background and PurposeFrom antiquity, the healthcare facilities have treated sick people but there was little awareness about the fact that hospitals generate a lot of hazardous bio-medical waste, which had been disposed without proper guidelines. Lately, it has been a proven thing that bio-medical-waste is a potential hazard for heath-personals, and environment. Therefore, it must be disposed in a proper manner.ObjectivesThis was an observational study carried out at one of the tertiary care hospitals in Rajgarh city about the knowledge, attitude and practices of the hospital staff about the bio-medical waste management.Material and methodAn observational (cross-sectional) study using questionnaires was carried out at one of the non-NABH accredited tertiary care hospitals of Rajgarh City in Rajasthan (India).ResultsMore than 70% staff (except housekeeping) had good ideas about waste categories, segregation and color coding except in radioactive waste. The house keeping staff did well in 3 categories (Linen, sharps and glasses). Most of the employees has clarity about BMW except the housekeeping staff which did well on most of parameters except barcoding, pretreatment of anatomical/ biotechnology waste, knowledge about STP plant (Sewage treatment plant), Hazmat and signage. On actual hospital rounds we found that the hazmat practices were in a poor shape. Most of staff was aware occupational hazards except housekeeping staff.ConclusionA written policy, induction training of healthcare workers, constant and repetitive workshops, and motivation are important human factors to implement the biomedical waste practices in a small-scale healthcare organization. Risk-stratification, understanding of health hazards and how to activate hazmat protocols are important things which are to be brought into practice.

scholarly journals The Reality of the Medical Waste Management in Dental Clinics Case Study: Dental Clinic in Khan Younis Governorate: واقع إدارة النفايات الطبية في عيادات الأسنان دراسة حالة: عيادة الأسنان في محافظة خانيونس

2019 ◽  
Vol 1 (3) ◽  
Author(s):  
Esraa Mosbah Azzam, Nizam M. El-Ashgar
Keyword(s):  
Waste Management ◽  
Medical Waste ◽  
World Health ◽  
Dental Clinics ◽  
The Status ◽  
Medical Waste Management ◽  
Khan Younis ◽  
Interview Methodology ◽  
Health Organization

    This study aimed to evaluate the status of medical waste management in dental clinics in Khan Younis governorate (case study) in terms of sorting of hazardous medical waste, collection of waste in sealed bags when filled, transportation through transport trucks for the disposal of medical waste. The researchers used field interview methodology and the direct observation of the clinic and ask a set of questions to the staff in the clinic. The most important findings of the study that there was no proper process of sorting of medical waste where it is random and there was no application of instructions of the laws of the World Health Organization for waste management properly so that it is disposed of by the Ministry of Health in Gaza Governorates incinerators. The study recommended the need for a special system for sorting of hazardous medical waste from non-hazardous medical waste at the source of its production in proper methods and promoting the development of legislation as policies for the management of health waste for health safety and raising awareness among health institutions employees about the concept of medical waste management.      

scholarly journals Sustainable waste management of medical waste in African developing countries: A narrative review

2021 ◽  
pp. 0734242X2110291
Author(s):  
Jade Megan Chisholm ◽  
Reza Zamani ◽  
Abdelazim M Negm ◽  
Noha Said ◽  
Mahmoud M Abdel daiem ◽  
...  
Keyword(s):  
Waste Management ◽  
Waste Treatment ◽  
Medical Waste ◽  
Decision Makers ◽  
National Guidelines ◽  
African Countries ◽  
Healthcare Facilities ◽  
Medical Waste Management ◽  
Treatment And Disposal ◽  
The Right

Africa is the second populous continent, and its population has the fastest growing rate. Some African countries are still plagued by poverty, poor sanitary conditions and limited resources, such as clean drinking water, food supply, electricity, and effective waste management systems. Underfunded healthcare systems, poor training and lack of awareness of policies and legislations on handling medical waste have led to increased improper handling of waste within hospitals, healthcare facilities and transportation and storage of medical waste. Some countries, including Ethiopia, Botswana, Nigeria and Algeria, do not have national guidelines in place to adhere to the correct disposal of such wastage. Incineration is often the favoured disposal method due to the rapid diminishment of up to 90% of waste, as well as production of heat for boilers or for energy production. This type of method – if not applying the right technologies – potentially creates hazardous risks of its own, such as harmful emissions and residuals. In this study, the sustainability aspects of medical waste management in Africa were reviewed to present resilient solutions for health and environment protection for the next generation in Africa. The findings of this research introduce policies, possible advices and solutions associated with sustainability and medical waste management that can support decision-makers in developing strategies for the sustainability by using the eco-friendly technologies for efficient medical waste treatment and disposal methods and also can serve as a link between the healthcare system, decision-makers, and stakeholders in developing health policies and programmes.

The challenge of medical waste management: a case study in northwest Iran-Tabriz

2009 ◽  
Vol 27 (4) ◽  
pp. 328-335 ◽  
Author(s):  
Hassan Taghipour ◽  
Mohammad Mosaferi
Keyword(s):  
Air Pollution ◽  
Waste Management ◽  
Hazardous Waste ◽  
Training Programme ◽  
Cross Sectional Study ◽  
Medical Waste ◽  
Disposal Site ◽  
Cross Sectional ◽  
Medical Waste Management ◽  
The City

This article presents the results of a descriptive cross-sectional study on medical waste management in Tabriz (Iran's fourth largest city). The study was conducted in 10 of 25 active hospitals of the city in the summer of 2007. The methodology of the present study was based on data collected from hospitals through a checklist, site visits (observation), and quantity analysis by weight. The results indicated that more than 13.59 tonnes day—1 of total medical waste and 4.06 tonnes day—1 of hazardous-infectious medical waste are generated by the active hospitals of the city. Currently, there are no practical instructions, or suitable supervision on different levels of waste management. The health authorities and hospital managers do not accept sufficient responsibility for the medical waste due to financial problems and the lack of awareness regarding the hazards of medical waste. Segregation and minimization of waste are not carried out correctly in any of the hospitals. The use of protective measures by staff and temporary storage areas was not in agreement with standards in 70 and 60% of the hospitals in the present study, respectively. About 50% of the hospitals had been equipped with an incinerator, but all but one (10%) of them had been phased out due to operation and maintenance problems, air pollution, etc. Almost all of the hospitals have a waste management officer, but there is not an effective training programme for the staff. Infectious-hazardous medical waste is mixed with general waste, and it is disposed of in a municipal waste landfill, which is an unsanitary dumpsite. Illegal segregation and recycling of medical waste is carried out at the final disposal site; therefore, there are concerns about environmental pollution and the transmission of infectious diseases. It is proposed that, through the allocation of increased budgets, implementation of integrated segregation, minimization of waste, and creation of a training programme in the hospitals, the quantity of medical waste would be decreased (by about 70.11%). Considering the previous unsuccessful experience of on-site incineration in Tabriz (and in Iran's other large cites), an amendment should be made to Iran's current hazardous waste regulations to have infectious-hazardous waste sent to a central off-site autoclave or incinerator for treatment. The off-site autoclave would have some advantages, such as decreased air pollution. Of course, some health officials oppose this plan. To test this plan and receive the official's approval, a central off-site autoclave can be put into practice as a pilot.

scholarly journals Hospital Waste Management through Green QFD Implementation

2021 ◽  
Vol 3 (2) ◽  
Author(s):  
Rudy Joegijantoro
Keyword(s):  
Waste Management ◽  
Health Workers ◽  
Medical Waste ◽  
Environmental Index ◽  
Staff Perceptions ◽  
Environmental Criteria ◽  
Level Of Knowledge ◽  
High Production ◽  
Medical Waste Management ◽  
Health Care Centers

Based on case studies conducted in various health institutions, the high production of medical waste is one proof that medical waste management is still problematic. This study examines various problems in the field of medical waste management. This study explores staff perceptions of medical waste management. This study aims to determine the level of knowledge and attitudes as well as the role of health workers on medical waste management. Here we study the quality index and environmental index of two health care centers, one is a private hospital and one is a government hospital and compared these two indices with each other via a questionnaire survey. To produce more environmentally friendly services, customers, and environmental criteria must be considered during the decision-making process, and the Implementation of Green QFD (G-QFD) provides a very useful methodology to meet this goal.

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

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.

A Review of Medical Waste Management in South Africa

2018 ◽  
Vol 10 (1) ◽  
pp. 34-45 ◽  
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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