scholarly journals The use of Geographic Information Systems Technologies for creation of regional medical waste management systems

2021 ◽  
Vol 100 (11) ◽  
pp. 1209-1217
Author(s):  
Olga V. Mironenko ◽  
Andrey Yu. Lomtev ◽  
Ekaterina A. Fedorova ◽  
Lidiya A. Soprun ◽  
Nina M. Frolova ◽  
...  

Introduction. The annual growth of medical waste due necessitates a comprehensive approach to solving the issue of medical waste management. It is necessary to develop unified methodical strategies for the complex solution. The objective of the study. To substantiate the hygienic efficiency of the thermal decontamination of class B and C medical waste based on geo-informational system (GIS) technologies in the Krasnoyarsk region for five consecutive years. Materials and methods. Medical institutions (MI) of the Krasnoyarsk region’s three macro districts were studied as class B and C waste sources. At the first stage, the composition of wastes by classes and their volumes were determined, and local technologies of thermal deactivation available in medical organizations were identified. The received information was subjected to statistical processing, stratified on electronic maps to apply GIS technologies further. Results. Based on statistical processing of data on medical class B and C waste generation in separate MO, the analysis of operating technologies capacity in 2014-2015 based on GIS-technology of spatial analysis, construction of optimal transport ways of waste delivery, area mapping in the three districts in the Krasnoyarsk region have been substantiated proposals to optimize medical waste management for five years. Conclusion. To have an environmentally and epidemiologically safe system of handling class B and C waste in the region, it is necessary to create a comprehensive functional model based on GIS technology, taking into account the optimal combination of decentralized and centralized systems, regional features of the transport network, and the prospects of health care system development.

2021 ◽  
Vol 25 (3) ◽  
pp. 586-601
Author(s):  
Nadezhda A. Alekseeva

Medical waste management has always been relevant from a practical point of view, but as a result of the pandemic declared in 2020, this topic has multiplied, leading to significant changes in the legal regulation of medical waste. The realization that re-contamination from medical covid-waste is possible led to the obligation to install disinfectants in medical and pharmacological organizations. The division of medical waste into classes predetermined the assignment of medical covid-waste to class B, and after disinfection - to A-class, that are possible to transport and dispose after disinfection. However, there is a huge amount of covid-waste outside medical and pharmacological organizations, which is, clearly, are not medical. When mixed with solid household waste and garbage that does not require a transport licence, it increases the likelihood of re-infection of those who handle such waste. The object of the work is to explore these topics and to raise the issue of separation of the accumulation and disposal of non-medical covid-waste in legal regulation, as well as the ways to implement them. Related to this is the issue of environmental pollution in the context of the pandemic, because non-medical covid-waste has increased the amount of plastic that pollutes the environment.


2016 ◽  
pp. 101-108
Author(s):  
Duy Tao Tran ◽  
Trong Si Hoang

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.


2018 ◽  
Vol 10 (1) ◽  
pp. 34-45 ◽  
Author(s):  
Olaniyi FC ◽  
Ogola JS ◽  
Tshitangano TG

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.


2021 ◽  
Vol 790 (1) ◽  
pp. 012032
Author(s):  
Ahmed Mahmoud Falih ◽  
Mohammed K. Al Kasser ◽  
Mukhtar Dhajir Abbas ◽  
Hiba Abbas Ali

2009 ◽  
Vol 29 (1) ◽  
pp. 445-448 ◽  
Author(s):  
Mehmet Emin Birpınar ◽  
Mehmet Sinan Bilgili ◽  
Tuğba Erdoğan

2017 ◽  
Vol 2 (2) ◽  
pp. 143-150
Author(s):  
Sarko Masood Mohammed ◽  
Nasih Othman ◽  
Ali Hattem Hussein ◽  
Kamal Jalal Rashid

Medical waste management is of crucial importance in health care facilities (HCF). In the present study, we assessed the knowledge, attitude and practices of medical waste management in an HCF of Sulaimani city, Kurdistan Region of Iraq. Using a self-administered questionnaire, we collected information on waste management practices from health care professionals (HCP) in 14 public and private hospitals and 10 primary health care centers of the city. Based on answers, total knowledge score on a 10-point scale was established. A total of 406 HCPs (of those, 261 women), average age 37.3 (SD ± 9.4) years participated. Just 20.3% have been trained on medical waste management. The total knowledge score ranged from 0 to 9 with a mean of 4.7 (SD ± 1.8).  Factors which were significantly associated with the better knowledge score was male gender, having a high educational degree, being trained in waste management and has been in service for more than 5 years. 68% of HCPs followed the color coding system, 91% always/frequently disposed used sharps/needles to safety boxes, 79% always or frequently recapped needles, 49% reported experiencing at least one needle prick injury during their work but only 37% of them had reported the injury to a supervisor and only 4% of those injured had filled an injury form. There is a low average level of knowledge and the unsafe risky practices are quite prevalent in HCFs. Provision of appropriate training on dealing with medical waste is essential to promote safe practices among HCFs.


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