Dangerous and infectious waste generation: Data from a provincial hospital in tropical country

2016 ◽  
Vol 9 (6) ◽  
pp. 435
Author(s):  
Viroj Wiwanitkit ◽  
Patthamaporn Apaijitt ◽  
Vechayan Kanchan
2006 ◽  
Vol 27 (5) ◽  
pp. 519-522 ◽  
Author(s):  
Chow F. Chiang ◽  
Fung C. Sung ◽  
Fang H. Chang ◽  
Ching T. Tsai

During the SARS outbreak in Taiwan, the number of ambulatory patients and inpatients treated at one medical center decreased by 40%-70% because of the increasing number of SARS patients. A the peak of the epidemic, the amount of hospital infectious waste had increased from a norm of 0.85 kg per patient-day to 2.7 kg per patient-day. However, the hospital was able to return the generation of waste to normal levels within 10 days.


2021 ◽  
Vol 4 (2) ◽  
pp. 135-142
Author(s):  
Prihartanto Prihartanto

Abstract The generation of medical and municipal waste during the COVID-19 pandemic has the potential to become a medium for spreading the virus if it is not handled properly. The lack of information regarding the generation of medical and the effectiveness of handling infectious waste is one of the factors that influence the handling of Covid-19 hazardous waste. In this study, a literature review will be presented regarding several studies on the generation of Covid-19 medical hazardous waste that have been carried out in several developing and developed countries from December 2019 to mid-2020. In addition, a comparison of the handling of infectious municipal waste in developing and developed countries will be presented in this paper during a pandemic. It is hoped that this research can be used as a reference for further research on the generation of hazardous medical waste and handling municipal-scale infectious waste due to the Covid-19 pandemic. Keywords: Covid-19, hazardous waste, waste generation, medical waste, municipal waste Abstrak Timbulan limbah medis dan rumah tangga pada masa pandemi COVID-19, berpotensi menjadi media penyebaran virus bila tidak ditangani dengan benar. Minimnya infomasi mengenai timbulan limbah medis dan efektivitas penanganan limbah infeksius menjadi salah satu faktor yang berpengaruh terhadap penanganan limbah B3 Covid-19 ini. Dalam kajian ini akan disampaikan tinjauan pustaka mengenai beberapa penelitian tentang timbulan limbah medis B3 Covid-19 yang pernah dilakukan dibeberapa negara berkembang dan negara maju sejak Desember 2019 hingga pertengahan 2020. Disamping itu dalam makalah ini akan dipaparkan perbandingan penanganan limbah infeksius rumah tangga di negara berkembang dan negara maju selama terjadi pandemik. Diharapkan penelitian ini dapat digunakan sebagai salah satu rujukan bagi penelitian lanjutan tentang timbulan limbah medis B3 serta penanganan limbah infeksius skala rumah tangga akibat pandemik Covid-19. Kata kunci: Covid-19, limbah beracun dan berbahaya, timbulan limbah, limbah medis, limbah rumah tangga


2020 ◽  
Vol 6 (9) ◽  
pp. 1809-1821
Author(s):  
Samita Arub ◽  
Sajid Rashid Ahmad ◽  
Sana Ashraf ◽  
Zahra Majid ◽  
Sadia Rahat ◽  
...  

Hospital waste management is of vital significance owing to its contagious and hazardous nature as it can produce detrimental effects for both humans and the environment. This work aimed to examine types of waste with respect to waste generation rate in multiple teaching hospitals of metropolitan Lahore. A structured questionnaire survey, site visits, interviews and meetings were conducted in seventeen teaching hospitals. The results have shown that total hospitals average waste, infectious, non-infectious and waste generation rate in Lahore teaching hospitals were 38978 kg/day, 10789 kg/day, 28189 kg/day and 3.7 kg/bed/day, respectively. It is concluded that maximum waste generated in Mayo hospital, Jinnah hospital, Services hospital and Lahore general hospital was 16%, 12%, 12% and 10%, respectively, as per maximum patient’s visits. Positive liner correlation was between number of beds (P=0.917), number of accidents and emergency patients (P=0.75), infectious waste (P=0.998) and (P=1) with total waste. A straight line of linear regression was between (0.9966) infectious waste and (0.9995) general waste with average waste. Although, waste collection practices in these teaching hospitals were observed satisfactory but required training of doctors, nurses and hospital paramedical staff regarding infectious and general waste segregation. It is suggested that hospital staff, waste management and waste collection workers and respective waste management companies should be well trained and aware regarding infectious and non-infectious waste segregation, handling and disposing off procedures.


2020 ◽  
Vol 12 (1si) ◽  
pp. 104
Author(s):  
Hendri Sutrisno ◽  
Fitriana Meilasari

Introduction: Medical waste generation during the Covid19 pandemic increased by around 30%. Sources of medical waste generation are health care activities. If medical waste is not appropriately managed, it can pollute the environment and disturb health. The purpose of the review is to identify the potential of medical waste in health-care facilities in Indonesia when the Covid19 pandemic and to review medical waste management in Indonesia. The analysis uses a systematic literature review. Discussion: The potential of medical waste during the Covid19 epidemic is infectious waste (PPE wastes), sharps waste (syringes), chemical waste (expired medicines), and pharmaceutical waste (the used alcohol bottles when rapid tests). The hazardous waste management system refers to Government Regulation No. 101 year 2014 about Management of Hazardous and Toxic Waste and and Regulation of Minister of Environment and Forestry of Republic Indonesia No. P.56/MenlhkSetjen/2015 about Procedures and Technical Requirements for Waste Management Hazardous and Toxic From the Health Service Facilities. Infectious waste, sharps waste, chemical waste, and pharmaceutical waste are destroyed with incinerators. Syringe residues were damaged with a needle shredder. Residue and incineration ashes are processed using solidification. If the heavy metal content under the quality standards, then the waste can be landfill. Conclusion: The potential of medical waste during the Covid19 pandemic is infectious waste, sharps waste, chemical waste, and pharmaceutical waste. Medical waste generated must be appropriately managed. Proper medical waste management can prevent environmental pollution and the spread of disease. One of the processing of potential medical waste is incineration. The incineration system produces residue and ash waste that must further be handled so that it does not pollute the environment and disturb health.


2021 ◽  
Vol 22 (2) ◽  
pp. 138-146
Author(s):  
Venny Ulya Bunga ◽  
Enri Damanhuri

ABSTRACT The increased activities in hospitals will increase the infectious waste generation. The infectious waste contains pathogenic organisms that can spread disease to humans and the environment. The harmful impact of infectious waste can be minimized through proper waste management, starting from waste generation. This study aims to examine the problem of infectious waste generation: the overall percentage of infectious waste generation in hospitals, the amount of infectious waste generation from each source (processing unit), and analyze factors that significantly affected its generation. This study is expected to be the basis of recommendations for hospitals in handling infectious waste. The study was conducted in four public hospitals in Bandung and Cimahi City. The data consists of infectious waste generation, non-infectious waste (general waste) generation, and hospital data as data factors analyzed for its influence on waste generation. The stepwise regression method was used for factor analysis with 95% CI. The result showed that infectious waste generation had a lower percentage than non-infectious waste, ranging from 38–47%. The treatment rooms that produce the most considerable infectious waste are haemodialysis, operating rooms and inpatients with an average infectious waste generation of 0,08–2,18 kg/patient/day. Thus, the three rooms can become a priority for infectious waste management. Factors that significantly affect the generation of infectious waste are dominated by patients and medical personnel. The importance of this factor is related to waste sorting activities. Therefore, special control by hospital management is needed for these two factors. Keywords: hospital, generation, infectious waste, treatment room, factors   ABSTRAK Peningkatan aktivitas rumah sakit akan diikuti dengan peningkatan timbulan limbah infeksius. Limbah infeksius mengandung organisme patogen yang dapat menyebarkan penyakit bagi manusia dan lingkungan. Dampak limbah infeksius dapat diminimalisir melalui kegiatan pengelolaan limbah yang tepat, dimulai dari timbulan limbah. Penelitian ini bertujuan mengkaji secara mendalam hal seputar timbulan limbah infeksius, dimulai dari persentase timbulan limbah infeksius rumah sakit secara keseluruhan, besaran timbulan limbah infeksius dari setiap sumber (unit perawatan) serta analisa terhadap faktor yang memiliki pengaruh signifikan terhadap timbulan limbah. Kajian ini diharapkan dapat menjadi dasar rekomendasi untuk pengelolaan limbah infeksius rumah sakit. Penelitian dilakukan di empat rumah sakit umum area Kota Bandung dan Cimahi. Data penelitian terdiri atas timbulan limbah infeksius dan non-infeksius (limbah umum) serta data atribut rumah sakit sebagai data faktor yang dianalisis pengaruhnya terhadap timbulan limbah. Analisis faktor menggunakan metode stepwise regression dengan signifikansi 0,05 (95% CI). Hasil penelitian menunjukkan limbah infeksius memiliki persentase timbulan yang lebih kecil dibandingkan limbah non-infeksius (limbah umum) yaitu kisaran 38–47%. Unit perawatan yang menjadi penghasil limbah infeksius terbesar berasal dari unit haemodialisa, kamar operasi serta rawat inap dengan kisaran rata-rata besaran timbulan limbah infeksius sebesar 0,08–2,18 kg/pasien/hari. Dengan demikian, ketiga unit perawatan tersebut dapat menjadi prioritas pengelolaan limbah infeksius. Adapun faktor yang berpengaruh signifikan terhadap timbulan limbah infeksius didominasi oleh faktor jumlah pasien dan jumlah staf medis. Signifikan faktor ini berkaitan dengan kegiatan pemilahan limbah sehingga perlu pengendalian khusus poleh pihak rumah sakit terhadap kedua faktor tersebut. Kata kunci: rumah sakit, timbulan, limbah infeksius, unit perawatan, faktor


2019 ◽  
Vol 11 (3) ◽  
pp. 596-600
Author(s):  
Sapna Rani ◽  
Raj Kumar Rampal

For the life, health and general well-being, good medical care play vital role and hospitals are health institutions that provide these services. Wastes generated from the hospitals, medical care units, blood banks and medical laboratory is called biomedical waste. Proper management of biomedical waste is important for good health of not only the patients but also for residents living in the vicinity of hospitals. The present study, has been made to study biomedical waste management in SMGS Hospital Jammu (Jammu and Kashmir). The average biomedical waste per bed per day of SMGS Hospital was observed to be 116.37g, whereas maximum value of average biomedical waste per bed per day was observed to be 315.61g in Gynecology and  Obstetric, 68.34g in ENT wards, 37.28g in Paedriatic wards and 44.27g in Dermatology wards The average per bed per day biomedical waste generation in SMGS hospital appears to be  is less as compared with work of other workers because their evaluations were based on Biomedical Waste (Management and Handing) Rules, 1998 in which both infectious and non-infectious waste were included whereas present study was based on Bio-Medical Waste Management Rules which included only infectious waste.


Author(s):  
Roshanak Rezaei Kalantary ◽  
Arsalan Jamshidi ◽  
Mohammad Mehdi Golbini Mofrad ◽  
Ahmad Jonidi Jafari ◽  
Neda Heidari ◽  
...  

AbstractCovid-19 Pandemic leads to medical services for the society all over the world. The Covid-19 pandemic influence the waste management and specially medical waste management. In this study, the effect of the Covid-19 outbreak on medical waste was evaluated via assessing the solid waste generation, composition, and management status in five hospitals in Iran. The results indicated that the epidemic Covid-19 leads to increased waste generation on average 102.2 % in both private and public hospitals. In addition, the ratio of infectious waste in the studied hospitals increased by an average of 9 % in medical waste composition and 121 % compared with before COVID-19 pandemic. Changes in plans and management measurement such as increasing the frequency of waste collection per week leads to lower the risk of infection transmission from medical waste in the studied hospitals. The results obtained from the present research clearly show the changes in medical waste generation and waste composition within pandemic Covid-19. In addition, established new ward, Covid-19 ward with high-infected waste led to new challenges which should be managed properly by change in routine activities.


2021 ◽  
pp. 0734242X2110139
Author(s):  
Dhundi Raj Pathak ◽  
Suvash Nepal ◽  
Tejendra Thapa ◽  
Nimesh Dhakal ◽  
Pravin Tiwari ◽  
...  

This study is one of the first systematic attempts to examine the possibility of a common treatment facility (CTF) to treat infectious healthcare waste (HCW) in Nepal. First, the survey was conducted in 14 healthcare facilities (HFs) ranging from health posts to large hospitals selected from 120 total HFs in Nepalgunj sub-metropolitan city (SMC), a rapidly urbanising city of Nepal to investigate the current practices of HCW management (HCWM) and to estimate the waste generation and characteristics in the different HFs. The result shows that the average unit waste generation rate for health posts, clinics, urban health centres, and hospitals was estimated at 1.397 kg day−1, 1.608 kg day−1, 0.178 kg day−1 and 1.818 kg bed−1 day−1, respectively. Of the total 1242 kg day−1 HCW generated in Nepalgunj SMC, 73% is infected in the current situation, but if fully sorted at source, only 32% of the waste will be infected. Based on these HCW generation data and fraction of infectious waste, including waste management practices, three different scenarios are proposed for the capacity assessment and designing implementation modality of the CTF to treat infectious waste from all HFs of Nepalgunj SMC as a case study where an integrated solid waste management facility including material recovery facility and sanitary landfill site for municipal solid waste management is already in operation. The different implementation analyses are discussed, and the best implementation arrangement has been recommended for the sustainability of the project. This approach can be replicated in other cities alone or regions with many neighbouring cities of Nepal and explores a workable solution for HCWM in the rapidly urbanising cities of developing countries to help them improve their condition.


2007 ◽  
pp. 315-323
Author(s):  
Ahmad Kamruzzaman Majumder ◽  
Sanjay Nath Khanal ◽  
Gyanendra Chaudhary ◽  
Silu Bhochhibhoya ◽  
Sunita Kumari Yadav ◽  
...  

Waste management is always a serious problem in developing country like Nepal, Medicalwaste has become a matter of major concern at present with the growth of health facilities inboth public and private sectors of Nepal, It is a serious concern, as most of its waste goes tomunicipal waste management system, There is no proper or separate waste handling, dumpingor incinerating practice for hazardous or hospital waste in Nepal, This study aimed to evaluatethe characterization, quantification and management situation of various health care centers inNepal, A study on the waste characterization and quantification as well as existing wastemanagement system was conducted in six different hospitals and nursing homes of Nepalduring 2004 to 2007, These hospitals has been serving about 0,25 million patients in averageevery year, The methodology involved in the study is the collection of the waste from eachward, segregation, characterization into infectious, non-infectious waste groups andquantification. In each hospital investigation was conducted for 7-15 days, Existingmanagement practice were directly observed and documented, Necessary infonnation wasalso collected through fonnal and infonnal consultations with different stakeholders of theconcern hospitals, This study found that the average daily waste generation in surveyedhospitals is 69,35 kg, The average per capita waste generation in these hospitals is 0.66 kg inwhich infectious waste was 0, 13 kg/day/person and non-infectious waste was 0,53kg/day/person, The average infectious waste was almost 22,07% and non- infectious wastewas 77.93% in the surveyed hospitals, Application of strong policies and legislation measuresfor proper management of the medical waste is highly needed


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