HEALTHCARE WASTE MANAGMENT Research Papers (original) (raw)

This Health Care Waste Management SOP(Kenya) was developed as a result of the need to strategically and professionally manage the healthcare waste arising from the healthcare industry as well as safeguarding healthcare workers from the... more

This Health Care Waste Management SOP(Kenya) was developed as a result of the need to strategically and professionally manage the healthcare waste arising from the healthcare industry as well as safeguarding healthcare workers from the risks and infections associated with such wastes. Management of wastes arising from health care installations is a requirement necessary for the country to attain environmental sustainability as envisioned in the Kenya’s Environment Policy. The SOPs and guidance is therefore a derivative of the healthcare waste management Strategic Plan 2015 - 2020, Policy and Guidelines as well as the Infection Prevention and control Policy 2015

A Joint Administrative Order (JAO) between the Department of Environment and Natural Resources (DENR) and the Department of Health (DOH) on the Policies and Guidelines on Effective and Proper Handling, Collection, Transport, Treatment,... more

A Joint Administrative Order (JAO) between the Department of Environment and Natural Resources (DENR) and the Department of Health (DOH) on the Policies and Guidelines on Effective and Proper Handling, Collection, Transport, Treatment, Storage and Disposal of Health Care Wastes.

Los Establecimientos de Atención de la Salud (EAS), en todos sus niveles de complejidad y especialidad, tienen la responsabilidad de proteger el ambiente, la salud de sus trabajadores, pacientes y público concurrente a los mismos. Parte... more

Los Establecimientos de Atención de la Salud (EAS), en todos sus niveles de complejidad y especialidad, tienen la responsabilidad de proteger el ambiente, la salud de sus trabajadores, pacientes y público concurrente a los mismos. Parte de esa responsabilidad reside en promover una gestión integral de los residuos que generan, que contemple minimizar la cantidad y peligrosidad de los mismos. Un adecuado manejo interno, transporte, tratamiento y disposición final de los residuos constituye uno de los componentes de la calidad de la prestación de los EAS. La Organización Mundial de la Salud (OMS) refiere que entre el 75 al 90% de los residuos generados en los EAS pueden ser asimilables a los generados en la comunidad (residuos domiciliarios) y el resto presenta características de peligrosidad a evaluar.
La variada complejidad de los EAS hace necesario establecer directrices para la gestión de los residuos que cumplan no sólo estándares de seguridad y eficiencia sino que consideren también las características del trabajo en cada establecimiento, su ubicación geográfica, el contexto local y la gestión de los mismos en la jurisdicción.
Entendiendo como RESIDUOS DE ESTABLECIMIENTOS DE ATENCIÓN DE LA SALUD (REAS) a los residuos
generados en los servicios de atención de la salud humana o animal por la realización de actividades de
prevención, control, diagnóstico, tratamiento, rehabilitación o investigación, así como en otros establecimientos, que, sin ser del ámbito específico de salud, generan residuos de estas características, estas directrices proponen un marco referencial para la gestión de los REAS, basado en el cuidado del
ambiente y la comunidad, que contemple las particularidades locales.

Biomedical waste is identified under many terminologies like hospital waste, healthcare waste etc., which are generated due to long or short term care of persons. Various health care establishments are the minor and major source of these... more

Biomedical waste is identified under many terminologies like hospital waste, healthcare waste etc., which are generated due to long or short term care of persons. Various health care establishments are the minor and major source of these types of wastes. Biomedical waste may be primarily classified as Hazardous and Non Hazardous wastes. Further, the
biomedical waste is categorized by WHO and also under The
Biomedical Waste (Management & Handling) Rules, 1998, India.
According to previous studies the quantum of waste generated in a healthcare establishment depends on the Income of the
country, type of Hospital, Region etc. Biomedical wastes are
highly infectious and can be a potential source for transmission
of diseases if not properly managed. Hence, a proper management procedure has to be adopted to safely dispose the wastes to safeguard the public health and Environment and a stringent regulation have to be imposed on the health care
establishments before and after it is approved for execution.
Further, the hospital staffs are at high risk of being infected by
these biomedical wastes, therefore, the occupational health and safety can be recommended to be a component of biomedical management plans with qualified personnel in Hospitals.

The planning for waste management should not happen as an afterthought of the planning of global immunization campaigns or major investments in building new health care infrastructure. Waste management is a basic public health concern... more

The planning for waste management should not happen as an afterthought of the planning of global
immunization campaigns or major investments in building new health care infrastructure. Waste management
is a basic public health concern and needs to be integrated from the beginning of project
planning. Waste management is a process, not a technology, and its various components or planning,
training, management systems, technology, equipment and disposal sites need to be given comprehensive
attention if they are to provide a sustainable and flexible solution for today and tomorrow.
Various waste management strategies and processes are discussed in section four.

Background: The key to the effective management of healthcare wastes is segregation of the waste at the point of generation; no matter what final strategy for treatment and disposal of wastes is selected, it is critical that waste streams... more

Background: The key to the effective management of healthcare wastes is segregation of the waste at the point of generation; no matter what final strategy for treatment and disposal of wastes is selected, it is critical that waste streams are separated. In Ethiopia, healthcare waste segregation practice among healthcare workers is overlooked and scarcely addressed in the scientific literature. This hospital-based cross-sectional study was, therefore, conducted to assess healthcare waste segregation practice and its correlate among healthcare workers in Bale zone, southeast Ethiopia. Methods: All five hospitals found in Bale zone were included and the study participants were selected using a systematic sampling technique from each hospital. Data were collected through interview using structured questionnaires. Descriptive statistics were computed. Bivariate and multivariable logistic regression analyses were employed to identify factors that correlate with healthcare waste segregation practice.

El propósito de esta directriz es contribuir a la estandarización de la comunicación visual de seguridad para la gestión de los residuos generados en los EAS, que informe y advierta a los trabajadores y al público sobre la presencia de un... more

El propósito de esta directriz es contribuir a la estandarización de la comunicación visual de seguridad para la gestión de los residuos generados en los EAS, que informe y advierta a los trabajadores y al público sobre la presencia de un peligro o la existencia de una prohibición u obligación, a fin de prevenir daños que puedan afectar su salud o el ambiente.

Healthcare is undoubtedly an inevitable facet of human existence. Delivery of qualitative healthcare services is now considered a basic need for people irrespective of their age, gender, and culture. However while rendering healthcare... more

Healthcare is undoubtedly an inevitable facet of human existence. Delivery of qualitative healthcare services is now considered a basic need for people irrespective of their age, gender, and culture. However while rendering healthcare services, healthcare establishments generate large quantity healthcare (bio-medical and hospital) waste, which creates unhygienic conditions and pose a serious health threat to healthcare professionals, workers, patients, local inhabitants (general community) as well as environment. Such waste till recently was not being managed but it was simply ‘disposed off’. Such disposal of healthcare waste can be very hazardous particularly when it gets mixed with municipal solid waste and is dumped in uncontrolled or illegal landfills such as vacant lots in neighbouring residential areas and slums.
The problem of healthcare waste disposal has become an issue of increasing concern in India taking into account the rate of growth of population and growing burden of lifestyle related diseases. As such management of healthcare waste by way of proper handling, treatment, and disposal will play a vital role in hospitals infection control programme thereby preventing transmission of disease from patient to patient, from patient to health worker, and vice versa, to prevent injury to the healthcare worker(s), worker(s) delivering support services, while handling healthcare waste.
Off the few studies carried out in India, pertaining to healthcare waste, it have established that majority of hospitals did not manage healthcare waste properly. In this paper an attempt is made to understand healthcare waste especially with reference to cytotoxic and antineoplastic class of drugs that has the capability to ensure cure of patients as well as the capability to take lives if not treated properly before final disposal.

A validated Manual on Healthcare Waste Management (HCWM) for Level 1 Government Hospitals in Northern Philippines was developed based on the (1) profile of the (a) healthcare facility as to services, bed capacity, bed occupancy, and... more

A validated Manual on Healthcare Waste Management (HCWM) for Level 1 Government Hospitals in Northern Philippines was developed based on the (1) profile of the (a) healthcare facility as to services, bed capacity, bed occupancy, and number of outpatients, and (b) medical staff as to HCWM training, awareness, vaccination, and staff contingent; (2) status of HCWM practices among respondents as to HCWM generation, segregation and handling, storage containers, storage areas, collection and on-site transport, off-site transport, treatment, final disposal, regulations, policy and budget, and sanitation and wastewater; and (3) the SWOT analysis of the HCWM implementation. Descriptive research design was employed on the current status of HCWM among 22 respondent hospitals as the identified cases. Standardized questionnaires adapted from the UN–WHO HCWM Rapid Assessment Tool were used and a survey based on observation and key informant interviews were the tools for data collection. Profile r...

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)... more

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.

Backgrounds & objectives: Improper management of infectious waste cause environmental pollution and transmission of diseases through contact of susceptible groups with this type of waste. Due to mismanagement of infectious waste,... more

Backgrounds & objectives: Improper management of infectious waste cause environmental pollution and transmission of diseases through contact of susceptible groups with this type of waste. Due to mismanagement of infectious waste, development and improving the current management system are necessary. The aims of this study were to investigate the current status of infectious waste management in imam-khomeini hospital complex in Tehran and suggesting appropriate managerial solutions. Methods: This descriptive cross-sectional study was implemented from March to June 2014 in imam-khomeini hospital complex, Tehran. Th required data were collected using a questionnaire approved by World Health Organization for hospital waste management through field survey. Data analysis was performed using Microsoft Excel and IBM SPSS softwares. Results: The average infectious waste generated in imam-khomeini hospital complex was 1380 kilogram per day. The average of waste produced in summer was significantly higher than those in spring (p<0.01). Results showed that separation of infectious and non-infectious waste at the sources was not appropriatly performed in the hospital. Also the treatment of infectious waste was conducted by hydroclave technology. Conclusion: According to the results, the high percentage of infectious waste indicates many problems in segregation stage. In order to solve this problem, implementation of training programs is highly recommended for hospital personnel to promote personnel awareness on proper waste segregation.