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 Knowledge and attitude of nurse professionals towards medical waste management at Hamad Medical Corporation in Qatar: a cross-sectional study

2020 ◽  
Vol 7 (4) ◽  
pp. 1228
Author(s):  
Fatema Musa ◽  
Ayatullah A. Mohamed ◽  
Nagah Selim
Keyword(s):  
Waste Management ◽  
Cross Sectional Study ◽  
Medical Waste ◽  
Management Program ◽  
Health Care Facilities ◽  
Sectional Study ◽  
Cross Sectional ◽  
Management Procedures ◽  
Hamad Medical Corporation ◽  
Medical Waste Management

Background: The improper management of wastes generated in health care facilities can severely affect the health of caregivers, patients and members of the community. Medical waste management can be achieved with the cooperation of all workers and patients; however, nursing personnel play a significant role in the whole process. Therefore, this study was done to evaluate the knowledge of nursing professionals regarding waste management in Hamad Medical Corporation (HMC) hospitals in Doha and to assess their attitude towards medical waste management.Methods: Descriptive cross-sectional study conducted at 4 governmental hospitals in Doha city; Hamad General Hospital (HGH), Women's Hospital (WH), Rumiallalh Hospital (RH) and Al-Amal hospital among 420 nurses.Results: The response rate among nurses were 82.3%, most of them are female and non-Qatari. On analyzing data on knowledge about waste management procedures, it was found that the most widely reported procedures was segregation (89.9%) and incineration (84.9%). Almost all nurses (99.4%) believed that training and education regarding medical waste is required for all staff, also 98.8% of the studied nurses agreed that attending medical waste management program is beneficial.Conclusions: Knowledge of most studied nurses regarding medical waste management was found to be high and had positive attitude.

scholarly journals Medical waste management practices in a selected secondary healthcare facility

2020 ◽  
Vol 38 (4) ◽  
pp. 160-165
Author(s):  
Mohammad Ferdous Rahman Sarker ◽  
Rupa Debnath ◽  
AFM Shahidur Rahman ◽  
Liton Bhushan Howlader ◽  
Zakia Jalal Sarker ◽  
...  
Keyword(s):  
Waste Management ◽  
Management Practices ◽  
Management Practice ◽  
Healthcare Facility ◽  
Cross Sectional Study ◽  
Medical Waste ◽  
Healthcare Personnel ◽  
Cross Sectional ◽  
Medical Waste Management ◽  
Waste Management Practice

Introduction: Living things and human activities produce huge waste every day. Globally medical waste is the second most hazardous waste after radiation waste. In this context, this study was a modest endeavor to examine the current situation of ‘Jamalpur 250 Bed General Hospital’s’ medical waste management practice. Methods : This cross sectional study was conducted among doctors, nurses, laboratory technicians and sanitary staffs at ‘Jamalpur 250 Bed General Hospital’. 185 healthcare personnel were purposively interviewed (face to face) to assess previous and existing knowledge and practices of medical waste management. Informed written consent was taken from the study subjects before taking interview. Data was collected by a pretested semi-structured questionnaire. Results : In our current study, out of 185 respondents, 10.0% were doctors and 43.0% were nurses. Five among six color coding segregation system, below 50.0% of the respondent answered correctly. Only 23.8% respondents revealed that the waste handler use PPE properly. 90.8% respondents were mentioned about the lack of storage place for medical waste at hospital premise. 55.7% respondents didn’t know about the in house disinfection process, 56.8% respondents didn’t know about the municipal vehicle support and 52.4% didn’t know about the availability of waste management equipment. Poor knowledge with favorable attitude and risky medical waste management practice of this hospital’s healthcare personnel were detected. Conclusion : This study were indicated that the majority of healthcare personnel did not apply the recommended medical waste management practice set by WHO. Moreover, the current medical waste management practice in selected district hospital was not managed properly and could pose a risk for human health and the environment. J Bangladesh Coll Phys Surg 2020; 38(4): 160-165

scholarly journals Assessment of bio medical waste management practices of staff nurses according to newer guidelines in a teaching hospital of rural Vadodara, Gujarat

2017 ◽  
Vol 4 (10) ◽  
pp. 3922 ◽  
Author(s):  
Bhavesh R. Bariya ◽  
Grishma D. Chauhan ◽  
Aarti Jadeja ◽  
Meet Jain
Keyword(s):  
Waste Management ◽  
Teaching Hospital ◽  
Management Practices ◽  
Hospital Staff ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Medical Waste ◽  
Staff Nurses ◽  
Cross Sectional ◽  
Medical Waste Management

Background: The healthcare services while providing curative, promotive or preventive services inevitably produce waste which may be hazardous to health of patients and hospital staff as well as to the environment. The bio medical waste (management and handling) rules were recently updated by Government of India notification 2016. The present study was carried out to observe and assess the BMW management Practices among staff nurses in a teaching hospital of Vadodara district.Methods: A cross sectional study was carried out to assess BMW management practices in the hospital using BMW Checklist. Observation was the predominant method for data collection.Results: Segregation of BMW at the site of generation was found in 72.73%. Sharp and non-sharp infectious waste was correctly segregated in 72.73% and 100% of areas respectively. Bio medical Waste was found covered in bins, but overfilled in 81.82%. In 6 out of 11, BMW was kept beyond 48 hours. IV set, bottles, syringes, latex gloves, catheters etc. were cut by scissors before disinfection in 45.45%. Staff nurses were using gloves while handling syringe and needles in 10 out of 11 places.Conclusions: Staff nurses were knowledgeable about segregation of BMW, but storage and pretreatment of BMW before its final disposal needs to be improved. An orientation programme about newer guidelines may improve the current practice. 

scholarly journals Medical Waste Management during Conflict: A Cross-sectional Study in Yemen

2021 ◽  
Author(s):  
Samira Hameed Hanash ◽  
Lutfi A Al-Maktari ◽  
Redhwan A Al-Naggar
Keyword(s):  
Waste Management ◽  
Arabic Language ◽  
Cross Sectional Study ◽  
Medical Waste ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Language Data ◽  
Knowledge And Practice ◽  
Medical Waste Management

Introduction: Proper handling and disposal of medical waste is an important issue. However, a lack of awareness on medical waste management is a dangerous hazard for humans and the environment. Aim: To determine the knowledge and practices of Health Care Workers (HCWs) about medical waste management in Yemen. Materials and Methods: A cross-sectional study was conducted among 337 HCWs in four main hospitals in Ibb city, Yemen, from November 2019 to May 2020. Knowledge and practice of medical waste disposal were assessed using a self-administered questionnaire to gather data from the respondents in Arabic language. Data analysis was performed using Statistical Package for the Social Sciences (SPSS) v. 25.0. Mann-Whitney, Chi-square, and Spearman and correlation tests. Results: Most of the participants had a diploma (47.8%), occupation was nursing (41.2%), with less than five years experience (50.7%). The study showed that respondents demonstrated good knowledge and practice about medical waste management. There was a moderate positive correlation between knowledge and practice domains. Occupation significantly influenced knowledge (p=0.001) and practice (p=0.002) of the participants. Type of hospital showed a statistically significant relation to knowledge (p=0.001). Education significantly influenced the knowledge (p=0.030) of the study participants. conclusion: Occupation, type of hospital and education level are the factors which significantly influenced the knowledge of Yemeni nurses. Contentious education should be focused on medical waste management among HCWs.

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.

scholarly journals KAP study of bio-medical waste management among health care workers in Delhi

2017 ◽  
Vol 4 (9) ◽  
pp. 3332 ◽  
Author(s):  
Gajanan C. Soyam ◽  
Prabhakar A. Hiwarkar ◽  
Umesh G. Kawalkar ◽  
Vishal C. Soyam ◽  
Vimal K. Gupta
Keyword(s):  
Health Care ◽  
Waste Management ◽  
Nursing Staff ◽  
Health Care Workers ◽  
Medical Waste ◽  
Rural Hospital ◽  
Hospital Data ◽  
Cross Sectional ◽  
Care Workers ◽  
Medical Waste Management

Background: Bio-medical waste management is vital issue not only to hospitals, but also to the environment, law enforcement agency, media and to the general public.The objectives of the study were to find out level of knowledge, attitude and practices of health care workers (HCWs) about bio-medical waste management in a rural hospital of Delhi. Methods: A cross sectional study was carried out in rural hospital, Delhi on 155 HCWs. Pre-designed, pretested, structured questionnaire were administered on 155 HCWs of hospital. Data collected and analyzed by using SPSS-17. Results: Total of 155 HCWs were selected. Majority of HCWs were in the age group of 30.3 years±5.6 (mean age±SD) Almost half (54.2%) of study population comprised of female. Most of them were nursing staff. Mean years of experience in service was 4.8±3.7 (mean age±SD). Majority HCWs in this study took education up to senior secondary and they possess respective professional qualification. Statistically significant numbers of HCWs vaccinated with HBV vaccine and received training of bio-medical waste management (p<0.05). Almost all (97.4%) HCWs aware of bio-medical waste management rules and have very positive attitude. Practice of HCWs regarding bio-medical waste management was relatively poor. Conclusions: Nursing staff have not only best knowledge and attitude but also good practices among all HCWs. Additional training have been required to Paramedics and group-D workers.  

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