Conceptual Barricades to Coronavirus Disease 2019 Biomedical Waste Management

2021 ◽  
pp. 1-9
Author(s):  
Ravinder Nath Bansal Ravinder Nath Bansal ◽  
Sonu Gupta ◽  
Surender Pal Singh Sodhi ◽  
Samriti Jindal ◽  
Ruchika Bansal

Biomedical waste management (BMWM) is a major environmental health concern. Corona Virus Disease 2019 (COVID-19) pandemic came as bolt from the blue for governance with negligible preparedness. Pandemic COVID-19 has led to generation of solid waste in large volumes. Such BMW is an additional challenge in COVID-19 situation for healthcare facilities supplementary to COVID-19 pandemic management, control and prevention strategies. Centre for Pollution Control Board (CPCB) issued guidelines for COVID-19 related BMW waste in 3rd week of March 2020 and subsequently revised the same on 25th March 2020 and then on 18th April 2020. Scenario becomes compounded with less literate workers handling BMW required to develop newer competencies with deficient training and timeframe. Lots has been done to prepare COVID-19 related BMW waste management and lots still needs to be done to cover all the guidelines including practicality of implementation and ensuring less compromise on quality healthcare. This article focuses to review the COVID-19 related revised BMW requirements and their critical appraisal.

2021 ◽  
pp. 36-41
Author(s):  
Lata Ghanshamnani ◽  
Ambily Adithyan ◽  
Shyamala K. Mani ◽  
Manisha Pradhan

Due to enhanced healthcare needs brought upon by the COVID-19 pandemic, the amount of biomedical waste generated has also increased manifold across the globe. With the world in global crisis due to the recent outbreak of the COVID-19 pandemic, it has put great pressure on the biomedical waste management system in India and around the world. To control the spread of the COVID-19 virus, proper disposal of the waste is essential to reduce any risk of secondary transmission. This paper investigates the situation of biomedical waste management in the city of Thane in Maharashtra due to the onset of COVID-19 and suggests some key recommendations to the policymakers to help handle biomedical waste from possible future pandemics. The study found that there was an 81% increase in the total biomedical waste (BMW) generation in 2020, when compared to 2019 and the yellow category waste from COVID-19 centres was the highest contributor to this waste. It was also found that though there was a slight increase in yellow category waste, the total biomedical waste from non- COVID healthcare facilities (HCFs) was comparable to that of the waste generated in HCFs during 2019, revealing that there was conscious reduction in the usage of single use PPEs at non- COVID HCFs. The city, despite owning a Central Biomedical Waste Treatment Facility (CBWTF), was dependent on another incinerator at the Hazardous Waste Management Treatment facility (HWTF) for treatment of the additional waste generated. Unforeseen situation like these, expose the vulnerability of our existing biomedical waste management system and reinforces the need for investing and improving them for strengthening preparedness in the future. The situation also demands periodic education on importance of source segregation and waste reduction through rational use, disinfection and disposal of PPEs.


Author(s):  
Rashmi Kashyap ◽  
Salig Ram Mazta

Background: Hospital waste management is a crucial environmental issue of public health concern due to hazardous and infectious character of the waste. Since the hospital staff is at risk of being infected by the hospital waste, therefore occupational health and safety should be recommended as a component of biomedical management plans with qualified personnel. Health safety of the waste handlers is an issue of prime concern.Methods: A descriptive study was conducted in Government Medical College, Nahan, Sirmaur, Himachal Pradesh to evaluate the health safety of direct waste handlers. The information regarding the biomedical waste management awareness, practices and health safety was recorded from direct waste handlers. Semistructured questionnaire was used for interview.Results: A total of 26 biomedical waste handlers were interviewed from August 31, 2017 to September 13, 2017. Gender composition showed 18 (69.2%) females and 8 (30.8%) males. Awareness regarding the risk associated with biomedical waste handling like exposure to infections like HIV, HBV, injury with sharp objects and Chemical burns etc. was present in 19 (73.0%) workers. Most 10 (38.4%) demanded the provision of personal protective equipments, training and vaccination.Conclusions: Regular orientation and training programs should be organized for biomedical waste handlers and strict implementation of biomedical waste management guidelines should be in practice. Risk to the health of direct waste handlers in the form of exposure to infectious diseases needs to be considered by timely provision of vaccination.


2018 ◽  
Vol 2018 ◽  
pp. 1-10 ◽  
Author(s):  
Teshiwal Deress ◽  
Fatuma Hassen ◽  
Kasaw Adane ◽  
Aster Tsegaye

Background. Healthcare activities restore health and save lives at the same time; however, they can generate hazardous biomedical wastes to a human being or the environment. Generation and disposal of biomedical wastes have become an emerging problem worldwide. Objective. To assess knowledge, attitude, and practice about biomedical waste management and associated factors among healthcare professionals in Debre Markos town healthcare facilities, northwest Ethiopia. Methods. A cross-sectional study was employed, and data were collected through structured self-administered questionnaire and observational checklist. Data were entered into the Epi-data 3.1 software and exported into SPSS version 20 for analysis. Bivariate and multivariate logistic regression analyses were computed. Variables with a P value of <0.05 in the multivariate logistic regression analysis were considered to explain the presence of statistically significant associations. Result. Among 296 healthcare professionals studied, 168 (56.8%), 196 (66.2%), and 229 (77.4%) had adequate knowledge, favorable attitude, and adequate practice score, respectively. Regarding associated factors, MSc and MD+ (AOR: 4, 95% CI: (1.37, 149.52)), BSc holders (AOR: 2.53, 95% CI: (1.47, 4.38)), and availability of color-coded bins (AOR: 7.68, 95% CI: (3.30, 17.89)) were identified more likely to contribute for adequate knowledge, favorable attitude, and adequate practice scores, respectively. Conclusion. The level of knowledge, attitude, and practice scores were not satisfactory. Majority of the healthcare professionals did not access biomedical waste management training. Educational level, use of visual aid, and availability of color-coded bins in the department were identified as a factor for biomedical waste management. Regular training should be given to healthcare professionals.


Author(s):  
Anjuman Chowdhary

Background: Healthcare wastes are of great importance due to its hazardous nature. As World Health Organization (WHO) indicated, some of healthcare wastes are considered the most hazardous and potentially dangerous to human health and pollute the environment. With this background this study was undertaken to assess awareness, behavior and practices healthcare personnel about biomedical waste, its hazards and management.Methods: This one cross-sectional study was conducted at S.V.B.P. hospital associated with L.L.R.M. medical college, Meerut. A total of 291 healthcare personnel who consented for interview were interviewed biomedical waste management rules and observed for biomedical waste management practices by using redesigned and a pretested questionnaire. The data was analysed by using SPSS software.Results: Awareness regarding bio-medical waste management rules was 67% in doctors, 60% in nurses, 57% among lab technicians, but the sanitary staff was not aware about this. Awareness about category of BMW, number, colour coding, disposed content, labelling and cover of waste containers and segregation of waste were more among nurses and lab technicians in comparison to doctors but minimum among sanitary staff. All the respondents (100%) doctors, nurses and lab technicians knew that HIV and Hepatitis B transmitted through Bio medical waste but their awareness regarding Hepatitis C and other diseases was very low. 74% of sanitary Staff did not know that these diseases could be transmitted through bio medical waste.Conclusions: Healthcare facilities should get their healthcare personnel trained from accredited training centers.


Author(s):  
Jutika Ojah ◽  
Rakesh Sharma

Background: Biomedical waste (BMW) is waste generated in the course of healthcare activities. It is a matter of serious concern to health and environment agencies. Objectives of the study was to assess awareness and practice of healthcare personnels regarding biomedical waste management (BMWM) in government healthcare facilities (HCF) in Kamrup district and to assess training given to healthcare workers involved in BMWM.Methods: The present study was undertaken in 109 HCF in Kamrup District, Assam. The study duration was for one year and the study population included were healthcare workers (HCW) with the help of a pretested interview schedule to elicit the knowledge of BMW management. An observatory checklist was also used to find out the practices.Results: About one-fourth of 218 respondents belonged to age group 26-30 years. Half of the respondents were nurses, 17.9% were doctors, 12.8% were pharmacists and 8.3% were waste handlers. Majority (78.4%) were aware of BMWM rules. Awareness on  hazardness of healthcare waste, segregation of waste, maximum storage time of hospital waste, awareness about availability of  training on healthcare waste management were found to be more among the doctors (84.6%, 79.4%, 56.4%, 82.1% respectively) and less among waste handlers (44.4%, 33.3%, 38.9%, 44.4% respectively). Only 40.8% were trained. The practice of disposing BMW in specified colour coded containers were done by 56.4% HCW. Out of 18 waste handlers, only 16.7% had the practice of wearing all the personal protective equipments (PPE) while handling BMW. All total 59.6% HCW had been vaccinated against Hepatitis B.Tetanus vaccination was taken by 77.5% HCW.Conclusions: Sensitization and training in accredited centres for HCW should be done regularly to develop awareness and motivation. Continuous monitoring and inspection of HCF need to be done.


Author(s):  
Ms. Blessy Mathew

Abstract: In pursuing the aim of abating health problems and enhancing the quality of care, healthcare facilities inevitably create waste that may itself be hazardous to health. Proper management of such waste is not only a legal, but also a social responsibility of the hospitals. Segregation at the site of waste generation is the first and foremost important step in healthcare waste management. It is emphasized as a means of ensuring that hazardous healthcare risk waste and healthcare general waste are separated and stored in appropriate containers. The importance of segregation is highlighted by the mere fact that only 10% to 25% of waste generated in health facilities is hazardous. Failure of this vital step turns non-hazardous waste into hazardous. Segregation also enables those who handle the containers outside the hospital wards to identify and treat them appropriately. There has been a sharp increase in the amount of waste generated from both health facilities and households. It is estimated that 0.5 to 2.0 kg per bed per day hospital waste is generated in India. Therefore, Biomedical waste must be properly managed and disposed of to protect the environment, general public and workers, especially healthcare and sanitation workers who are at risk of exposure to biomedical waste as an occupational hazard. Objectives 1-To assess the level of knowledge among the GNM students regarding Biomedical waste in selected hospital of Vrindavan. 2- To correlate the knowledge of GNM students regarding Biomedical waste with selected demographic variables Methodology: This study was conducted to assess knowledge among the GNM students regarding Biomedical waste in selected Hospital in Vrindavan, Mathura and the descriptive study design was selected. Population selected was GNM students and sample size were 70. The consent was taken from samples. The subjects were selected by convenient sampling technique. The structured questionnaires were distributed to the students to assess their level of knowledge regarding Biomedical waste management after obtaining an informed consent. Data was collected by using Structured Knowledge Questionnaire. Results: The study revealed that the level of knowledge among the students who has inadequate knowledge was 12.85% those who have moderate knowledge is 67.15% and adequate 20%. The chi-square test revealed that there was significant association with age, and training attended by students on Biomedical waste management and there is no significant association with year, source of information, area of working. Keywords: Biomedical waste, Management, knowledge


2017 ◽  
Vol 7 (2) ◽  
pp. 6
Author(s):  
KHANAM RIYA ◽  
CHORAI GOROTI ◽  
BHATTACHARYA KRISHNAKALI ◽  
SWAIN AISHWARYA ◽  
JOSEPH NEETHU MARIA ◽  
...  

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