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Elsayed, Amna, Manal Ibrahem, and Gehan Diab. "Hospital Waste Management System." Menoufia Nursing Journal 5, no. 1 (May 1, 2020): 17–22. http://dx.doi.org/10.21608/menj.2020.122681.
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Santos, Elci de Souza, Karla Magna dos Santos Gonçalves, and Marcos Paulo Gomes Mol. "Healthcare waste management in a Brazilian university public hospital." Waste Management & Research: The Journal for a Sustainable Circular Economy 37, no. 3 (December 19, 2018): 278–86. http://dx.doi.org/10.1177/0734242x18815949.
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Some healthcare waste presents hazardousness characteristics and requires specific procedures to ensure the safety management. Waste segregation is an important action to control the risks of each type of waste. Healthcare waste indicators also may improve the waste management system. The aim of this article was to evaluate the healthcare waste management in a Brazilian university hospital, as well as the waste indicators, quantifying and qualifying the waste generation. Weighing of wastes occurred by sampling occurred sampling of seven consecutive days or daily, between 2011 and 2017. General wastes represent more than 55.6% of the total generated, followed by infectious, sharps and chemicals wastes, respectively, 39.1%, 2.9% and 2.4%. The generation rate in 2017 was 4.09 kg bed−1 day−1, including all types of wastes. Non-dangerous wastes represented around 93.3%, including infectious wastes with low potential risks, while dangerous was represented by high infectious risk (1.4%), chemicals (2.4%) and sharps (2.9%). Healthcare waste indicators may favour the risk identification and improve the waste management system, in particular when involving hazardous wastes. Failures in healthcare waste segregation could represent, in addition to the health risks, unnecessary expenses.
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Debalkie, Desta, and Abera Kumie. "Healthcare Waste Management: The Current Issue in Menellik II Referral Hospital, Ethiopia." Current World Environment 12, no. 1 (April 25, 2017): 42–52. http://dx.doi.org/10.12944/cwe.12.1.06.
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Healthcare wastes generated in Hospitals from medical activities have not given sufficient attention. In developing countries, healthcare wastes are still handled and disposed indiscriminately creating an immense threat to the public health and the environment. This situation is much worse in Ethiopia where there is paucity of convincing evidence about healthcare waste generation rate and management system. A crossectional study was conducted in Menellik II hospital to evaluate the healthcare waste management system. Primary data on the healthcare waste management system was collected using observational checklist. Key informant interview guide was also employed on 11 selected informants to assess waste management practice and analyzed by thematic framework. The results revealed that there was no segregation of healthcare waste by type at the point of generation and disinfection of infectious waste before disposal. The main HCW treatment and disposal mechanism was incineration using low temperature, single chamber incinerator; open burning; burring in to amputation pit and open dumping on municipal dumping site as well as on the hospital back yard. Furthermore, there was negligence, attitudinal problem and low level of awareness about safe healthcare waste management. To diminish the risk of healthcare waste on public health and environment, a cost effective interventions include providing better medical waste management facilities, adherence to national regulatory and rising awareness of all concerned need to adopt in the hospital.
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Abidar, Nadia, Sofia Tiskat, and Maryami Zohra. "Chemical Waste Management in Hospital; Impact on Environment and Health." Journal Wetenskap Health 1, no. 2 (December 5, 2020): 36–41. http://dx.doi.org/10.48173/jwh.v1i2.36.
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This article discusses the chemical management of wastewater in hospitals. Liquid waste is all wastewater including feces originating from hospital activities which may contain pathogenic microorganisms, toxic chemicals and radioactive substances that are harmful to health. Therefore, the potential impact of hospital wastewater on public health is very large, so each hospital is required to treat its wastewater until it meets the applicable standard requirements. Good wastewater management is not only for sharp medical wastes but covers hospital waste as a whole. With the increasing number of health service facilities, it will result in an increasing potential for environmental pollution, because waste disposal activities, especially waste water, will contribute to decreasing the level of human health. Hospital waste is all waste generated from hospital activities in the form of solid, liquid and gas. It is better if hospital waste has a waste storage and treats the waste first before discharging it into the environment, so that the environment is not polluted and the government should build a monitoring system.
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Wilson, Joseph H., David N. Lasiter, and Randall G. McKee. "Hospital waste disposal system." Nuclear and Chemical Waste Management 8, no. 4 (January 1988): x. http://dx.doi.org/10.1016/0191-815x(88)90063-0.
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Ghimire, Hari Prasad, and A. Dhungana. "A Critical Analysis on Hospital Waste Management at Bandipur Hospital, Bandipur, Tanahu District, Nepal." Journal of Gandaki Medical College-Nepal 11, no. 02 (December 31, 2018): 41–45. http://dx.doi.org/10.3126/jgmcn.v11i02.22961.
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Background: Hospitals generate large volumes of wastes as a byproduct of a variety of health services and procedures carried out such as surgery, dressing of the wounds, dialysis, deliveries, laboratory and dental procedures, postmortem procedures etc. Such a waste may be infectious or non-infectious. If such a waste is not collected, transported and disposed off, it not only results in causation of ‘Hospital Acquired Infections” but also poses a major public health hazard by causing pollution of air, water and soil.
Objective: This study objective was to critically analyze current waste management system in Bandipur Hospital, Tanahu District, Nepal and critically review the findings.
Methods: For the critical analysis on waste management, literature review on hospital waste management was done. The techniques used for critical analysis were observation using observation checklist and interview with hospital manager, doctors, staff nurses, and local people living nearby the hospital. Tool of this critical analysis was SWOT analysis.
Results: It can be seen from SWOT analysis that, most of the waste of the hospital is not managed in an appropriate way. Appropriate segregation and disposal of biodegradable and non biodegradable, infectious and non-infectious wastes is important to avoid health hazards caused by poor waste management such as vector borne diseases, pollution of air, water and soil contamination. In Bandipur Hospital, waste disposal is not according to WHO standard. Physical infrastructures do not meet the requirements. Available dustbins are not according to WHO color coding, no basin at Emergency room, no trolley to carry waste and open dumping practice. The reason behind most of these problems is the management of the hospital, staffs of the hospital and the stakeholders who are not giving any attention to proper waste management process. The other reason beyond this is inadequate budget allocation for waste management in the hospital.
Conclusion: If the waste management of the hospital is done properly, environment of the hospital will become clean and hospital can provide quality health services to the patient. For this there is necessity of strong committment from the hospital management, the hospital staffs, hospital development committee and the Government.
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Chaerul, Mochammad, Masaru Tanaka, and Ashok V. Shekdar. "A system dynamics approach for hospital waste management." Waste Management 28, no. 2 (January 2008): 442–49. http://dx.doi.org/10.1016/j.wasman.2007.01.007.
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Islam, Nazimul, Parvin Akter Khanam, Shahidul Hoque Mollik, and Nazmun Nahar. "Exploring the Effective Management of Medical Waste of BIRDEM General Hospital." BIRDEM Medical Journal 8, no. 1 (December 27, 2017): 56–62. http://dx.doi.org/10.3329/birdem.v8i1.35041.
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Background: Medical waste can be generated in hospitals or clinics where diagnosis and treatment are conducted. The management of these wastes are of public concern and health threats are associated with such wastes. The study assessed to explore the current situation of medical waste management and level of awareness related to impact of medical waste and its management among the different levels of professionals.Methods: A descriptive cross-sectional study was done and data were collected from September 2012 to December 2012 at BIRDEM General Hospital. Data were collected by simple random sampling method and semi-structured questionnaire were used in this study. The questionnaire included socio-demographic information, source of hospital waste, description of hospital waste, segregation of waste and assessment of medical waste management system. The questionnaires were interviewed to the doctors, nurses, paramedical staff and cleaners who were related to waste management practices.Results: A total of 186 participants were interviewed in this study. The mean and SD of age was 37.9 ± 10.4 years and the age range from 22 to 65 years respectively. The male and female subjects were 28.0% and 72.0% respectively. Of the total participants, doctors, nurses, paramedical staff and cleaners were 15.1%, 55.4%, 12.9% and 16.7% respectively. To assess the perception of the respondents about hospital waste management, the nurses (100.0%) and cleaners (100.0%) were found in a better position to follow color-coding system (CCS) and to use of protective bags while segregating primary waste, while doctors (21.4%) and paramedical staff’s (29.2%) practice were not encouraging. However, in terms of constituents of medical waste doctors and paramedical staff’s perception was better than the nurses and cleaners. Doctors (92.9%), nurses (96.1%) and paramedical staff (95.8%) were very comfortable about the present color coding system than compared with cleaners (74.2%), although the doctors are less compliant to follow the color-coding system (78.6% compliant) in practice. A substantial proportion of the doctors (71.4%) sometimes put waste in wrong bins as opposed to 51.5% nurses and 33.3% paramedical staff. Few of the respondents would consider the waste if some medical waste is accidentally put to the general waste bin, 85.7% of the doctors, 95.1% nurses, 66.7% paramedical staff and 100% cleaners told that they would consider the waste as medical waste. Nurse’s perception was also better compared to other occupants in sealing waste-bin for disposal. In view of improving the existing waste management system, most of the respondents of different categories were in favor on waste management system. Majority of the respondents think that there should be designated person (97.8%) or rules (97.8%) or monitoring (96.8%) at the administrative level for organizing and managing of waste collection, handling, storage and disposal of waste who will follow a definite rule during all these processes.Conclusion: The study observed that there is lack of knowledge affiliate and practice among the doctors, nurses, paramedical staff and cleaners in segregating hospital waste at the primary source of collection. However, nurses and cleaners were more aware than the doctors and paramedical staff in terms of practice of segregating primary waste. The study also found that perception of waste management was better in doctors and paramedical staff than compared with cleaners and other staffs. To improve the waste management system, it is needed to make policy and regulation guidelines to well-organized system of collecting and treating waste in the hospital.Birdem Med J 2018; 8(1): 56-62
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Manjunatha, M., VC Sunil Kumar, Badami Vijetha, and P. R. Pradeep. "Biomedical Waste Management: A Review." Journal of Oral Health and Community Dentistry 6, no. 3 (2012): 141–44. http://dx.doi.org/10.5005/johcd-6-3-141.
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ABSTRACT Various national and international agencies have shown their concern towards proper handling, treatment and disposal of biomedical waste, as they may cause serious infectious diseases like hepatitis, tuberculosis and HIV/AIDS. Most of the hospitals do not have effective disposal system leading to complex problem of hygiene and sanitation in hospitals. The use of disposable items has reduced the rate of infection but at the same time has increased the volume of the waste which needs to be disposed properly. Effective waste disposal can be achieved only by considering the various components of the waste management system and this should be made an integral part of hospital planning and designing.
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Ruoyan Gai, Chushi Kuroiwa, Lingzhong Xu, Xingzhou Wang, Yufei Zhang, Huijuan Li, Chengchao Zhou, et al. "Hospital medical waste management in Shandong Province, China." Waste Management & Research: The Journal for a Sustainable Circular Economy 27, no. 4 (June 2009): 336–42. http://dx.doi.org/10.1177/0734242x09104384.
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Medical waste refers to those hazardous waste materials generated by healthcare activities, including a broad range of materials, and remains as an issue on both public health and environment. In China, there was inadequate information on the implementation of management systems in hospitals based on the national regulatory framework. The objectives of this study were to assess the current situation of medical waste management and to identify factors determining the implementation of a management system based on the national regulatory framework in hospitals. We investigated 23 general hospitals in both urban and rural areas of Shandong Province, China, by both quantitative and qualitative approaches. The medical waste generation rate was 0.744, 0.558 and 1.534 kg bed— 1 day—1 in tertiary hospitals, urban secondary hospitals and county hospitals, respectively. There is a wide disparity between implementation in tertiary, secondary and county hospitals. With increasing financial, technological, and materials investment, a management system has been established in tertiary and secondary hospitals. Financial support and administrative monitoring by the government is urgently needed to build a sound management system in hospitals located at remote and less-developed areas. In those areas issues in the financial, administrative and technical aspects should be further examined.
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Hanumantha Rao, P. "Hospital waste management system — a case study of a south Indian city." Waste Management & Research: The Journal for a Sustainable Circular Economy 27, no. 4 (May 26, 2009): 313–21. http://dx.doi.org/10.1177/0734242x09104128.
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It is more than 5 years since the prescribed deadline, 30 December 2002, for all categories of towns covered by the Biomedical Waste Management (BMW) Rules 1998 elapsed. Various reports indicate that the implementation of the BMW Rules is not satisfactory even in the large towns and cities in India. Few studies have looked at the `macro system' of the biomedical waste management in India. In this context the present study describes the role of the important stakeholders who comprise the `macrosystem' namely the pollution control board, common waste management facilities, municipal corporation, state government (Directorate of Medical Education and Health Systems Development Project), professional agencies such as the India Medical Association and non-governmental organizations, in the implementation of BMW rules in a capital city of a state in south India. Brief descriptions of the `micro-system' (i.e. biomedical waste management practices within a hospital) of six hospitals of different types in the study city are also presented.
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Katsiri, Eleftheria, and Konstantinos Moschou. "A pervasive computing system for the remote management of hospital waste." Journal of Communications Software and Systems 12, no. 1 (March 22, 2016): 53. http://dx.doi.org/10.24138/jcomss.v12i1.91.
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Waste generated by health care activities includes a broad range of materials, from used needles and syringes to soiled dressings, body parts, diagnostic samples, medical devices and radioactive materials. As a result of poor practice and large volumes, only a very small percentage ofmedical waste is actually disposed of properly in final reception units while the rest is unaccounted for potentially exposing the community at large to infection, toxic effects and injuries, and risking polluting the environment.This paper discusses, Greenactions, a novel Pervasive Computing system for the remote end-to-end management of hazardous medical waste. Greenactions provides real-time trace-ability for 100% of medical waste, by continually monitoring the full life cycle of each waste container, from their delivery to the hospitals, through to their collection and disposal, and providing remedial action in real-time, whenever an incident occurs. This is achieved by employing both fixed and handheld RFID and sensortechnology, supported by a state-machine model that knows at any time the current and next state of each waste container. Deployed together with a small fleet of appropriately modified vehicles for waste collection, Greenactions provides an integrated solution can be applied in any waste collection and tracking scenario, without requiring any costly, proprietary infrastructure thus alleviating the burden of medical waste management fromhealth-care units. A prototype system was developed using open source technology that is ready to be deployed to pilot healthcare units in Athens, while a set of KPIs were implemented for evaluating the efficiency of the system.
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Hiremath, Ravishekar N., Sumeena Basandra, Renuka Kunte, Sandhya Ghodke, Tarana Sarah Edwards, Jyoti Yadav, Arun K. Yadav, and Shailaja Patil. "Assessment of biomedical waste management of a multispeciality hospital in the light of new BMW rules 2016: what has changed from the past?" International Journal Of Community Medicine And Public Health 4, no. 9 (August 23, 2017): 3224. http://dx.doi.org/10.18203/2394-6040.ijcmph20173817.
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Background: The hierarchies of Bio-Medical Waste (BMW) is largely based on the concept of the “3Rs”, namely reduces, reuse and recycle, and broadly relates to the sustainable practice of resources. The objectives of the study were to assess the Bio-Medical Waste (BMW) Management operating system in a multispecialty hospital and discuss the situation in terms of newly introduced BMW Rules 2016.Methods: A hospital based cross-sectional study was carried out by collecting data by means of independent surveys involving on-ground operating system of BMW management across different wards, outpatient departments, emergency departments, intensive care units and laboratories in the hospital.Results: The hospital was following Bio Medical Waste (Management and Handling) Draft rules, 2011 in the management of BMW. All the wastes were categorized into 8 categories as per 2011 draft rules. Efficient waste segregation, collection, storage, transport and waste treatment were followed as per norms with regular training of all health care workers under the close supervision and monitoring by dedicated BMW management committee. The hospital was registered for BMW management and renewal was being carried out every three years.Conclusions: It can be concluded that the hospital had an efficient and a well-organized BMW management system in place that was even conforming to the latest BMW Management Rules 2016 to some extent. Moreover, the hospital could upgrade the techniques of BMW management as per the newly introduced latest guidelines. As far as the categorization of BMW is concerned, it has to be changed accordingly to the new rules. Needless to say, a regular training and monitoring of BMW Management at all hospitals is the need of the hour and has a long way to go for environmental and human health.
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Paiz, Janini Cristina, Marcio Bigolin, Vania Elisabete Schneider, and Nilva Lúcia Rech Stedile. "Applying Nightingale charts to evaluate the heterogeneity of biomedical waste in a Hospital." Revista Latino-Americana de Enfermagem 22, no. 6 (December 2014): 942–49. http://dx.doi.org/10.1590/0104-1169.3309.2499.
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OBJECTIVES: to evaluate the heterogeneity of biomedical waste (BW) using Nightingale charts.METHOD: cross-sectional study consisting of data collection on wastes (direct observation of receptacles, physical characterisation, and gravimetric composition), development of a Management Information System, and creation of statistical charts.RESULTS: the wastes with the greatest degree of heterogeneity are, in order, recyclable, infectious, and organic wastes; chemical waste had the most efficient segregation; Nightingale charts are useful for quick visualisation and systematisation of information on heterogeneity.CONCLUSION: the development of a management information system and the use of Nightingale charts allows for the identification and correction of errors in waste segregation, which increase health risks and contamination by infectious and chemical wastes and reduce the sale and profit from recyclables.
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Agrawal, Deepali, Parag Dalal, and J. K. Srivastava. "Biomedical Waste Management in Hospitals – A Review." IRA-International Journal of Technology & Engineering (ISSN 2455-4480) 7, no. 2 (May 27, 2017): 10. http://dx.doi.org/10.21013/jte.v7.n2.p1.
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<div><p><em>Biomedical waste management is receiving larger attention because of recent regulations of the biomedical Wastes (Management &amp; Handling Rules, 1998). Inadequate management of biomedical waste may be associated with risks to healthcare employees, patients, communities and their environment. The current study was conducted to assess the quantities and proportions of different constituents of wastes, their handling, treatment and disposal way in numerous health-cares. In this research, we try to elaborate and discuss the of Bio-medical waste management procedure of Ujjain city. Various health care units were surveyed using a modified survey form for waste management. This form was obtained from the world Health Organization (WHO), with the aim of assessing the processing systems for biomedical waste disposal. Hazards related to poor biomedical waste management and shortcomings in the existing system were identified. The development of waste management policies, plans, and protocols are suggested, in addition to establishing training programs on correct waste management for all healthcare workers.</em></p></div>
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S. Ahmed, Khaled, and Fayroz F. Sherif. "Smart management and control system for liquid radioactive waste in hospitals using neural network techniques." International Journal of Engineering & Technology 9, no. 3 (July 12, 2020): 607. http://dx.doi.org/10.14419/ijet.v9i3.30729.
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In tertiary hospitals where the nuclear medicine services have been introduced, the radioactive materials used in diagnosis and / or treatment need to be handled. The hospital design and medical planning should consider such these materials and their policy for treatment. The nuclear wastes have been divided into solid and liquid based on the used materials and for their half-life times which start from few minutes till reaching years. In our study, the most common radioactive liquid materials (wastes) have been treated by smart system. The system will detect the material of the waste via nuclear sensors and based on its HLT (activities), it will be distributed in two shielded storage tanks classified based on capacity then to the sewage treatment plant (STP) of the hospital after keeping for required times. The location and capacity of these tanks together with their monitoring and control system should be considered in design stage which determines the treatment processes. By applying our proposed technique on two hospitals, the results have reduced the storage tank capacity by 87% (reduction) and space area leading to cost reduction by 72% keeping the maximum level of safety.
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El Morhit, Amina, Mohamed El Morhit, Nadira Mourabit, and Mimoun Zouhdi. "Biomedical Waste Management (BMW) Assessment at the RHC Regional Hospital in Tangier, Morocco." E3S Web of Conferences 240 (2021): 02001. http://dx.doi.org/10.1051/e3sconf/202124002001.
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Biomedical waste is a real danger to public health and the environment. The quantity of this waste, mainly from hospitals, is constantly increasing, leading to various forms of pollution. This is a cross-sectional, observational study that took place in 2017. A questionnaire was submitted to nurses, doctors and those responsible for hospital hygiene and the operation of waste incinerators to assess the mechanisms and knowledge of medical staff in terms of biomedical waste management. It was confirmed that the hospital wastes are still poorly managed due to the absence of a plan or program for MPSD in all the structures studied, which attests to the non-application of the regulations in force and an inadequate internal management system in most laboratories. Due to the non-availability of health technicians and the lack of material resources in quality and quantity, a staff that is poorly informed about the regulations that apply to BMW, and a poorly recognized and disrespected BMW process that breaks even the clearest instructions regarding incineration and landfill disposal. It has become very urgent to adopt new strategies to be planned for an adequate training to be included for better medical waste management.
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Amala, Nahawanda Ahasanu, Shinfi Wazna Auvaria, and Sulistiya Nengse. "SISTEM PENGELOLAAN LIMBAH PADAT B3 DI RUMAH SAKIT MUHAMMADIYAH BABAT KABUPATEN LAMONGAN." Al-Ard: Jurnal Teknik Lingkungan 3, no. 2 (March 30, 2018): 39–45. http://dx.doi.org/10.29080/alard.v3i2.330.
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Muhammadiyah Babat Hospital in Lamongan District is one of the hospitals producing hazardous solid waste. Hazardous solid waste from the hospital has the potential environmental impacts and disrupt the public health both within the environment of the Hospital and surrounding communities, if not managed properly. Hazardous solid waste management system in the Hospital needs to be implemented properly and correctly in accordance with Government Regulation No. 101 of 2014 and KEPMENKES No.1204 / MENKES / SK / X / 2004. This research method using qualitative descriptive method by collecting primary and secondary data. Primary data obtained from observation and treatment in the field by weighing the quantity of hazardous solid waste and documentation of existing hazardous solid waste management, and interview. While secondary data obtained through study of literaturs and hospital documents related to the management of hazardous solid waste. The results showed that management system of hazardous solid waste at Muhammadiyah Babat Hospital was quite good and in accordance with Government Regulation and KEPMENKES. However, there are still some facilities that are not available to support the management of hazardous solid waste. Unavailable facilities include drainage channels, spill reservoirs, easily accessible APARs, and first aid facilities in the temporary landfill of hazardous solid waste in hospital. Suggestions that can be submitted to the conclusion of this research is the need for additional supporting facilities in temporary landfill of hazardous solid waste, in accordance with the applicable regulations, such as drainage channels, spill reservoirs, etc. Keywords: solid waste, hazardous solid waste, management, hospital.
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Yaseen AL Kindi, Ghayda, and . "Evaluation of the Reality of the Management and Treatment of Solid Waste in Al-Yarmouk Teaching Hospital." International Journal of Engineering & Technology 7, no. 4.20 (November 28, 2018): 594. http://dx.doi.org/10.14419/ijet.v7i4.20.27417.
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The aim of this study is to evaluate the reality of the management and treatment of solid waste in Al-Yarmouk teaching hospital, it’s observed that total generation rate of solid waste per day was 116.133 kg/day. while the rate of medical waste generation was 55.075 kg/day. More than 50% of this waste was generated in the surgery rooms and patients' rooms. As well as, it was found that the generation rate of waste for each bed per day was (0.87) kg, while it was (0.28 kg/bed.day) of medical solid waste. In addition, the medical wastes characteristics are studied by taking samples during 3 months of 2017, and analyzing them to determine their moisture content and density. The moisture content are observed between (1.7-30%, 40-56%) for medical and general waste respectively. While the density are (270.4 and 239), kg/m3 for medical and general waste respectively. In addition, the number of surgical operations and the number of patients per day are shown to be most important factors affecting the generation rate of medical waste in the hospital. The treatment of medical wastes for Al-Yarmouk Hospital adopts a system of steam sterilization in a special system.
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Farzadkia, Mahdi, Arash Moradi, Mojtaba Shah Mohammadi, and Sahand Jorfi. "Hospital waste management status in Iran: a case study in the teaching hospitals of Iran University of Medical Sciences." Waste Management & Research: The Journal for a Sustainable Circular Economy 27, no. 4 (June 2009): 384–89. http://dx.doi.org/10.1177/0734242x09335703.
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Hospital waste materials pose a wide variety of health and safety hazards for patients and healthcare workers. Many of hospitals in Iran have neither a satisfactory waste disposal system nor a waste management and disposal policy. The main objective of this research was to investigate the solid waste management in the eight teaching hospitals of Iran University of Medical Sciences. In this cross-sectional study, the main stages of hospital waste management including generation, separation, collection, storage, and disposal of waste materials were assessed in these hospitals, located in Tehran city. The measurement was conducted through a questionnaire and direct observation by researchers. The data obtained was converted to a quantitative measure to evaluate the different management components. The results showed that the waste generation rate was 2.5 to 3.01 kg bed—1 day—1, which included 85 to 90% of domestic waste and 10 to 15% of infectious waste. The lack of separation between hazardous and non-hazardous waste, an absence of the necessary rules and regulations applying to the collection of waste from hospital wards and on-site transport to a temporary storage location, a lack of proper waste treatment, and disposal of hospital waste along with municipal garbage, were the main findings. In order to improve the existing conditions, some extensive research to assess the present situation in the hospitals of Iran, the compilation of rules and establishment of standards and effective training for the personnel are actions that are recommended.
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Letho, Zimba, Tshering Yangdon, Chhimi Lhamo, Chandra Bdr Limbu, Sonam Yoezer, Thinley Jamtsho, Puja Chhetri, and Dawa Tshering. "Awareness and practice of medical waste management among healthcare providers in National Referral Hospital." PLOS ONE 16, no. 1 (January 6, 2021): e0243817. http://dx.doi.org/10.1371/journal.pone.0243817.
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Introduction The management and treatment of Medical Waste (MW) are of great concern owing to its potential hazard to human health and the environment, particularly in developing countries. In Bhutan, although guidelines exist on the prevention and management of wastes, the implementation is still hampered by technological, economic, social difficulties and inadequate training of staff responsible for handling these waste. The study aimed at assessing the awareness and practice of medical waste management among health care providers and support staff at the National Referral Hospital and its compliance with the existing National guidelines and policies. Materials and methods An observational cross-sectional study was conducted from March to April 2019. Three research instruments were developed and used; (i) Demographic questionnaire, (ii) Awareness questions, and (iii) the Observational checklist. The data was coded and double entered into Epi data version 3.1 and SPSS version 18 was used for analysis. Descriptive statistics were used to present the findings of the study. Results The majority of the respondents were female (54.1%) with a mean age of 32.2 (±7.67) years, most of whom have not received any waste management related training/education (56.8%). About 74.4% are aware of medical waste management and 98.2% are aware on the importance of using proper personal protective equipment. Only 37.6% knew about the maximum time limit for medical waste to be kept in hospital premises is 48 hours. About 61.3% of the observed units/wards/departments correctly segregated the waste in accordance to the national guidelines. However, half of the Hospital wastes are not being correctly transported based on correct segregation process with 58% of waste not segregated into infectious and general wastes. Conclusion The awareness and practice of medical waste management among healthcare workers is often limited with inadequate sensitization and lack of proper implementation of the existing National guidelines at the study site. Therefore, timely and effective monitoring is required with regular training for healthcare workers and support staff. Furthermore, strengthening the waste management system at National Referral Hospital would provide beneficial impact in enhancing safety measures of patients.
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Yıldız, M. Said, and M. Mahmud Khan. "Hospital Level Inventory Control and System-Wide Cost Savings: A Case Study from Turkey." Journal of Health Management 20, no. 4 (October 29, 2018): 498–507. http://dx.doi.org/10.1177/0972063418799183.
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Health Transformation Program (HTP) of Turkey, initiated in 2003, improved access to care and quality of health care services. In 2009, HTP implemented a centralized web-based information system to manage inventories of public hospitals. Prior to the introduction of inventory management, significant medical resources were wasted because of misuse, non-use and expiration of medical supplies. The objective of inventory management was to improve the efficiency of hospitals by projecting quantities of items likely to be needed by hospitals over a three-month period. The system also allowed transfer of unneeded and surplus items from one hospital to another. This article estimated cost savings for the health care system through the inter-hospital transfer of items. The success of inventory management was evaluated by using indicators such as the value of medical commodities purchased per unit of service delivered, value of stock to purchase ratios and the value of inter-hospital transfers. Trends in purchase, storage and transfer indicate that the new web-based inventory management infrastructure helped the hospital sector to become more efficient in terms of size of stocks held and inter-temporal changes in the value of stocks. It reduced system-wide waste of medical goods and pharmaceuticals, improved effective use of commodities and reduced storage cost.
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Aneja, Divyanshu, Anshul Rana, Anjali Kumari, and Anunay A. Gour. "Scenario of Biomedical Waste Management during COVID-19 Pandemic in Delhi, India." Journal of University of Shanghai for Science and Technology 23, no. 06 (June 7, 2021): 271–93. http://dx.doi.org/10.51201/jusst/21/05266.
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The COVID-19 pandemic has resulted in a significant rise in the production of biomedical waste in India’s healthcare waste management system. Authorities in Delhi are finding it increasingly difficult to maintain and treat large volumes of biomedical waste as the volume of biomedical waste continues to rise. In addition to the COVID- 19-related biomedical waste to segregate and dispose of, a huge strain has been imposed on the healthcare management system. This research examines the current state of biomedical waste management in Delhi, India as well as the past and present state of biomedical waste generation in various hospitals of Delhi. In this study, the five private hospitals of Delhi have been taken and the data is taken from their websites respectively. The duration of Waste generation has been taken from the year 2016-2020 for each hospital which has been represented graphically. This paper also covers the quantification of biomedical waste of Delhi and India from June 2020 to December 2020, highlighting the comparative analysis of the top 5 States of India producing the largest amount of biomedical waste presented graphically. Apart from that, the study covers the current legal status of biomedical waste management in India (Latest Guidelines and Amendments in BMW Rules, 2016 by Central Pollution Control Board for managing COVID-19 based medical wastes) as well as various advances in treatment technologies for handling large amounts of COVID-19 BMW. The consequences of biomedical waste, which can pose a significant threat to both humans and the environment, have also been addressed. Similarly, various effective measures and the latest treatment technologies have been listed in the sense of proper waste management in a holistic manner toward a sustainable future. This research will help officials and other organizations ensure that there is no inefficiency in the system and that all activities are carried out efficiently.
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Aini, Farida, Enni Sari Siregar, Nora Zulvianti, and Helmawati Helmawati. "Solid Medical Waste Management on the Budget Effectiveness at West Pasaman Regional General Hospital West Sumatera." International Journal of Online and Biomedical Engineering (iJOE) 15, no. 10 (June 27, 2019): 4. http://dx.doi.org/10.3991/ijoe.v15i10.10919.
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<p class="0abstract">Special handling is needed for the treatment of the management of solid medical waste, especially the hazardous and toxic wastes (B3) at the hospital so that the expected effects of this medical solid waste can be minimized. At the West Pasaman Regional General Hospital, the management of solid medical waste is carried out using a third party. In 2018, The hospital cooperated with PT Noor Annisa Kemikal with the number of the cooperation agreement Number 660/431 / RSUD-2018 and Number 0302 / NAK / PSM / II / 18 on 01-02-2018 and in 2019, with PT Andalas Bumi Lestari with the Agreement Number of Hazardous and Toxic Waste Treatment Services Number 445/003 / PKS / RSUD-2019 and Number 003.22 / ABL-PKS / II / 2019. In the implementation of management by third parties, the Hospital has to provide a quite large amount of budget for services for the management of solid medical waste by a third party. In order to make the existing budget effective and minimize the Budget absorption, the efforts taken are internal management systems so that some solid medical waste (especially Infusion Tubes) does not need to be handled by the third party and by utilizing existing technological equipment instead. Based on existing data, the West Pasaman Regional General Hospital undertakes efforts to process solid medical waste carried out internally by the Hospital itself by using a sterilization system using the existing technology, namely sterilizers. It is expected that the use of Sterilization technology can yield budget effectiveness approximately IDR. 168,890,000. - per year. This is done specifically for infusion tubes with a large density and considered the safest to be sterilized and recycled.</p>
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Demetrian, Alin Dragos, Mihnea Cosmin Costoiu, Augustin Semenescu, Gigel Paraschiv, Oana Roxana Chivu, Claudiu Babis, Georgiana Moiceanu, Olivia Negoita, and Ileana Mates. "On the Reduction of the Biological Danger of Environmental Contamination by Using a “Complete and Reusable Thoracic Drainage System”." Sustainability 11, no. 10 (May 20, 2019): 2873. http://dx.doi.org/10.3390/su11102873.
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A clean environment is essential for human health and well-being. A significant share of total waste is represented by hospital waste that is produced in increasing quantities by sanitary units, with the appearance of the disposable tools. Taking into account the unfavourable environmental impact, the biological danger that this waste represents, and the restrictive legislation imposed by the European Union, urgent measures are needed to reduce their quantities. In this regard, the paper refers to the design of a completely reusable thoracic drainage system and to the positive implications that this system has on the amount of hospital waste. The research starts with the presentation of the medical system from Romania, continues with the classification of the hospital waste, then highlights the dangers and the risks caused by this and analyzes the impact on the sensitive groups. Furthermore, the paper presents the disposable bicameral and tricameral thoracic drainage device systems used in hospitals and then the advantages of using a completely reusable thoracic drainage system. The paper introduces also a research method based on the “opinion questioning”. The method uses a questionnaire with 23 items, addressed to physicians, because, despite restrictive legislation related to hospital waste management, this is not always respected. Each participant of the study works in a different hospital so that the questioned sample is representative.
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Alwabr, Gawad M. A., Ahmed S. Al-Mikhlafi, Saif A. Al-Hakimi, and Munira A. Dughish. "Determination of medical waste composition in hospitals of Sana'a city, Yemen." Journal of Applied Sciences and Environmental Management 20, no. 2 (July 25, 2016): 343–47. http://dx.doi.org/10.4314/jasem.v20i2.15.
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The composition analysis of medical waste is generally considered to be the fundamental information for the most basic steps in the development of a plan for solid hospitals waste management. The objectives of this study were to determine the quantity, generation rate, and the physical composition of medical waste generated in hospitals of Sana'a city, Yemen. This cross-sectional, descriptive study was conducted on the composition of hospital wastes generated in four governmental hospitals in Sana'a City. Purposive sampling was used in the selection of the hospitals, which included (Al-Thawra, Al-Kuwait, Republic, and Military). Results of this study showed that the daily average of the waste generated from the studied hospitals was 5615 kg/day. Approximately 26% of the total waste was hazardous (infectious, pathological, and chemical wastes). While 74% was a general (non-hazardous) waste. The average rate of the total waste generation was 3 kg/patient/day, and 2.5 kg/bed/day. The mean individual components of generated waste in the studied hospitals were; foods 27%, plastic 22%, paper/cardboard 22%, glass 11%, metals 10%, and others 8%. In conclusion, about 26% of the waste was hazardous. The physical component analysis of the waste indicated that the foods, plastic, and paper/cartoon has the highest content of the hospitals waste. Decision makers in Yemen can use this study information for designing and plan the properly management for the collecting system and the healthy disposal of the hazardous waste. Also, for estimating the total policy of required facilities, manpower, and other related costs.Keywords: Composition; medical waste; hospitals waste; Yemen
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Ranasinghe, G. S. P., W. K. Wickremasinghe, and P. W. C. Panapitiya. "An analysis of clinical waste management system in a tertiary care hospital." International Journal of Scientific and Research Publications (IJSRP) 10, no. 8 (August 6, 2020): 296–300. http://dx.doi.org/10.29322/ijsrp.10.08.2020.p10436.
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Y. Ammary, Bashaar. "Introducing a new medical waste tracking and classification system for Jordan." World Journal of Science, Technology and Sustainable Development 11, no. 3 (July 29, 2014): 224–38. http://dx.doi.org/10.1108/wjstsd-04-2014-0004.
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Purpose – The purpose of this paper is to introduce a cradle to grave manifest system for medical waste in Jordan. As part of this program, medical waste classification, generation rates, and tracking in different parts of the world and in Jordan are described. Design/methodology/approach – After reviewing different classification systems, the program adopted the World Health Organization definition with minor modification to be used with the proposed manifest, as it is very similar to the current bylaw regulating medical waste in Jordan. In addition, the generation rates of hazardous medical waste in 11 public hospitals and one governmental university hospital in the northern part of Jordan were calculated. These were based on the weights of these wastes that were transferred to the sole incinerator used by these hospitals over a 12-month period. These weights were obtained through interviews with personnel in charge of the medical waste incinerator. Findings – This project has devised a manifest form to be used for medical waste transport. In addition, the generation rate was found to vary from 0.88 to 3.05 kg/bed/day based on 100 percent occupancy rates. The generation weight was found to be different for different months of the year. Originality/value – Management of waste disposal and treatment, including medical waste is very important in a water poor country like Jordan. The introduction of a manifest system and the adoption of a medical classification system, in addition to the calculation of the generation rates are very important for sustainable development in the country.
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Thakur, Vikas, and Ramesh Anbanandam. "Healthcare waste management: an interpretive structural modeling approach." International Journal of Health Care Quality Assurance 29, no. 5 (June 13, 2016): 559–81. http://dx.doi.org/10.1108/ijhcqa-02-2016-0010.
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Purpose – The World Health Organization identified infectious healthcare waste as a threat to the environment and human health. India’s current medical waste management system has limitations, which lead to ineffective and inefficient waste handling practices. Hence, the purpose of this paper is to: first, identify the important barriers that hinder India’s healthcare waste management (HCWM) systems; second, classify operational, tactical and strategical issues to discuss the managerial implications at different management levels; and third, define all barriers into four quadrants depending upon their driving and dependence power. Design/methodology/approach – India’s HCWM system barriers were identified through the literature, field surveys and brainstorming sessions. Interrelationships among all the barriers were analyzed using interpretive structural modeling (ISM). Fuzzy-Matrice d’Impacts Croisés Multiplication Appliquée á un Classement (MICMAC) analysis was used to classify HCWM barriers into four groups. Findings – In total, 25 HCWM system barriers were identified and placed in 12 different ISM model hierarchy levels. Fuzzy-MICMAC analysis placed eight barriers in the second quadrant, five in third and 12 in fourth quadrant to define their relative ISM model importance. Research limitations/implications – The study’s main limitation is that all the barriers were identified through a field survey and barnstorming sessions conducted only in Uttarakhand, Northern State, India. The problems in implementing HCWM practices may differ with the region, hence, the current study needs to be replicated in different Indian states to define the waste disposal strategies for hospitals. Practical implications – The model will help hospital managers and Pollution Control Boards, to plan their resources accordingly and make policies, targeting key performance areas. Originality/value – The study is the first attempt to identify India’s HCWM system barriers and prioritize them.
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Pal, Puspalata, and Dhirendra Kumar Sarangi. "Impact of Biomedical Waste on Cuttack City." Current World Environment 13, no. 2 (August 25, 2018): 259–69. http://dx.doi.org/10.12944/cwe.13.2.11.
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Waste generated from health care centres and its management are emerging issues in India. The improper management of such wastes has adverse impact on health and environment. Though these wastes constitute a small portion of the total waste but very special handling , treatment and disposal are needed to manage such wastes because of their highly toxic and infectious nature. There are seven major specialized government hospitals in Cuttack City. According to the Chief District Medical Officer, Cuttack there are 131 registered and more than 300 unregistered nursing homes, clinics, pathology and diagnostics centres also which generate huge quantity of biomedical wastes. Most of the health care centres of the City are either dumping the wastes in the municipal bins or Mahanadi river and Taladanda canal side or hand over the waste to the unauthorised private parties. This is ultimately collected by rag pickers for reuse.Unlawful disposal of these wastes by healthcare cenres can contribute to the spread of serious diseases such as hepatitis, AIDS (HIV) and other deadly diseases. The present study focuses upon the management practice followed in Cuttack City by the Hospitals and and large number of other health care centres and the impact of biomedical waste on environment. According to the study ,the unethical open dumping and unsegregaed mixed biomedical waste were found in municipal bins is a serious health hazards for rag pickers and also to the hospital staff and the public. The study also found that wastes generated from the radio diagonostics centres, and the laboratory units disposed off directly into the municipal sewer without proper disinfection of pathogens, ultimately flowing to the river Mahanadi and Kathajodi and also to the Taladanda canal through various drains of the city. The results of the study showed that there is an adverse impact of the biomedical wastes on Cuttack city due to mismanagement which needs strict enforcement of laws and other legal provisions for better environmental management system for the disposal of biomedical waste in order to bring back congenial and healthy environment for city dwellers.
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D'souza, Bryal, Arun MS, and Bijoy Johnson. "Comparative Analysis of Cost of Biomedical Waste Management in Rural India." International Journal of Research Foundation of Hospital and Healthcare Administration 4, no. 1 (2016): 11–15. http://dx.doi.org/10.5005/jp-journals-10035-1053.
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ABSTRACT Introduction The quantum of waste generated from medical care and activities is a global matter of concern. Improper management of biomedical waste (BMW) has a grave health impact on the community, health care professionals, and the environment.1 It is mandatory by law that every medical organization that generates waste should have a system, process, and resources in place for segregating BMW within the organization for proper disposal. The present article deals with the understanding of various costs associated in BMW management process that will help the health care organization to prioritize their spending and focus on areas that require spending to achieve compliance in process of BMW management. Materials and methods Descriptive cross-sectional study was carried out, to study the compliance of BMW management at three different hospitals with respect to Bio-Medical Waste (Management and Handling) Rules, 2011. A retrospective study was conducted to analyze cost data for a 1-year time period. Cost involved in BMW management was analyzed and classified as capital and recurring costs. The study was undertaken in Udupi taluk, and the taluk comprises 11 hospitals (1 Government and 10 private hospitals). The hospitals were selected using convenient sampling as taking permission to conduct the study was difficult. Only three hospitals were permitted to carry out the study. Results and discussion Compliance was found to be better in accredited hospital than in nonaccredited hospital. This could be attributed to strict adherence to standard operating procedures and regular training of staff. Cost involved in BMW management was analyzed as capital and recurring costs. Since most of the hospital outsource final disposal, capital costs are significantly less compared to recurring costs. Among the recurring costs, maximum expenditure is on consumables like color-coded bags. Cost per bed per day for handling BMW was calculated and it was found to be higher in smaller hospitals. How to cite this article Bryal D'souza, Arun MS, Johnson B. Comparative Analysis of Cost of Biomedical Waste Management in Rural India. Int J Res Foundation Hosp Healthc Adm 2016;4(1):11-15.
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Uyanik, Ibrahim, Oktay Özkan, and Hamdi Mihçiokur. "Waste management in a university campus." Sustainable Engineering and Innovation 3, no. 1 (March 23, 2021): 49–53. http://dx.doi.org/10.37868/sei.v3i1.id137.
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In this study, we discussed how can be the management hierarchy and management process in a university campus. Erciyes University is in the middle of the Anatolia Region that has about 60.000 population. The university has faculty /institutional administrations and hospital-related buildings and research centers. It has an area of about 20 m2 for each person on the campus. The university is responsible in terms of legislative directives that are in operation. The waste directive is published by the university in 2017 that shares the responsibilities and distributes the tasks for each unit on the university campus. In Turkey, zero waste projects and zero waste legislation are also in operation by 2019. The importance of waste management strategy is important for Sustainable Development Goals (SDG) that is published by the United Nations and put in consideration of Times Higher Education (THE) which is one of the most confidential ranking systems for universities. There is also, environmental assessment system for university campuses, the Green-Metric. One of the grading subjects of the Council of Higher Education (YÖK) in Turkey is the zero waste strategy on the campus. Therefore, the operation of a zero-waste strategy gains importance.
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Saeedi, Khadem Hussain, and Abdul Wahid Monib. "Biomedical Waste Management in Kandahar City." American International Journal of Biology and Life Sciences 1, no. 2 (November 21, 2019): 40–48. http://dx.doi.org/10.46545/aijbls.v1i2.124.
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Biomedical wastes management is one of the most important issues in public health centers and it is a crucial issue for environmental sectors as well. Wrong and inappropriate management treat the life of human beings in Kandahar City. Currently the population of this city has exponentially increased than ever because of the immigration of many people from neighboring provinces. This research was conducted in 15 districts of Kandahar public and private health care centers to identify the current biomedical waste management in Kandahar city. The qualitative and quantitative date was collected through a questionnaire from public and private hospitals, clinics and health care centers. In addition, discarding, segregating, labeling, transporting and disposing system of biomedical waste were observed. The result showed that 65.3% newly hired biomedical waste staff not received training or instruction. Furthermore, the result indicates that 44% generated biomedical wastes are regulated by municipality and color coding is not followed accordingly. Current biomedical waste is not appropriate based on designed international standards and the criteria suggested by world health organization.
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Palmer, Allan G. "Impact of Innovative Pulse Oximeter Sensor Management Strategy." Biomedical Instrumentation & Technology 55, no. 2 (May 1, 2021): 59–62. http://dx.doi.org/10.2345/0890-8205-55.1.59.
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Abstract Background: Following a merger of two children's hospitals, leadership discovered a considerable utilization volume of single-use sensors that was associated with declining hospital reimbursements. This discovery resulted in the establishment of a new sensor management strategy, the goal of which was to decrease costs and waste associated with disposable pulse oximetry sensors. Implementation: The sensor management strategy involved using replacement tapes with single-patient-use pulse oximeter sensors instead of the current practice of reprobing with a new sensor. A 60% utilization goal was set, with the focus shifted from sensors used per patient to replacement tapes per sensor. Results: The implementation of a new sensor management strategy between the years 2006 and 2019 in a hospital system decreased sensor volume by more than 780,000 sensors and realized a cost avoidance of more than 7 million dollars. Conclusion: A sensor management strategy can substantially reduce the cost and medical waste commonly associated with the use of disposable, single-patient pulse oximetry sensors.
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Palmer, Allan G. "Impact of Innovative Pulse Oximeter Sensor Management Strategy." Biomedical Instrumentation & Technology 55, no. 2 (May 1, 2021): 59–62. http://dx.doi.org/10.2345/0890-8205-55.2.59.
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Abstract Background: Following a merger of two children's hospitals, leadership discovered a considerable utilization volume of single-use sensors that was associated with declining hospital reimbursements. This discovery resulted in the establishment of a new sensor management strategy, the goal of which was to decrease costs and waste associated with disposable pulse oximetry sensors. Implementation: The sensor management strategy involved using replacement tapes with single-patient-use pulse oximeter sensors instead of the current practice of reprobing with a new sensor. A 60% utilization goal was set, with the focus shifted from sensors used per patient to replacement tapes per sensor. Results: The implementation of a new sensor management strategy between the years 2006 and 2019 in a hospital system decreased sensor volume by more than 780,000 sensors and realized a cost avoidance of more than 7 million dollars. Conclusion: A sensor management strategy can substantially reduce the cost and medical waste commonly associated with the use of disposable, single-patient pulse oximetry sensors.
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Kundapur, Rashmi, Tanmay Bhat, Sanjeev Badiger, and Rajesh Ballal. "THE AWARENESS IN BIOMEDICAL WASTE MANAGEMENT OF NURSING STAFF AT A TERTIARY CARE HOSPITAL OF MANGALORE, SOUTH INDIA." Journal of Health and Allied Sciences NU 04, no. 04 (December 2014): 073–75. http://dx.doi.org/10.1055/s-0040-1703836.
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Abstract Introduction:In country like India, where there is big and complex health care system, mixed economy, private and Government hospitals working together; while providing services generate waste. It is estimated that the quantity of waste generated from hospitals in our country ranges between 0.5 and 2.0 kg/bed/day and annually about 0.33 million tons of waste are generated in India Aim and objectives:To study the awareness of nursing staff about the biomedical waste segregation in a tertiary care center Material and methods:A cross-sectional study was conducted among the nurses of Justice K.S.Hegde Hospital, Derlakatte. Total of 123 nurses who were present at the time were the study subjects. The pre-tested semi-structured questionnaire which was validated by face validation method was distributed. Results:The total of 96.66% of nurses knew the segregation of biomedical waste was the need of the hour. 90% of them felt they have adequate knowledge about segregation. 96% knew the color coding of sharps and human anatomical waste. But 99% knew the colour coding of blood, blood products and microbiological waste. 67% knew the colour coding of pharmacological waste and double glove disposal. Only 89.3% were confident that they followed the correct methods of segregation.
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Boyom, S. F., D. A. Asoh, C. Asaah, F. Kengne, and S. Y. Kwankam. "Health-2000: An Integrated Large-scale Expert System for the Hospital of the Future." Methods of Information in Medicine 36, no. 02 (March 1997): 92–94. http://dx.doi.org/10.1055/s-0038-1634702.
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Abstract:Decision making and management are problems which plague health systems in developing countries, particularly in Sub-Saharan Africa where there is significant waste of resources. The need goes beyond national health management information systems, to tools required in daily micromanagement of various components of the health system. This paper describes an integrated expert system, Health-2000, an information-oriented tool for acquiring, processing and disseminating medical knowledge, data and decisions in the hospital of the future. It integrates six essential features of the medical care environment: personnel management, patient management, medical diagnosis, laboratory management, propharmacy, and equipment management. Disease conditions covered are the major tropical diseases. An intelligent tutoring feature completes the package. Emphasis is placed on the graphical user interface to facilitate interactions between the user and the system, which is developed for PCs using Pascal, C, Clipper and Prolog.
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Sarker, Mohammad Ferdous Rahman, Rupa Debnath, AFM Shahidur Rahman, Liton Bhushan Howlader, Zakia Jalal Sarker, and Md Shafiur Rahman. "Medical waste management practices in a selected secondary healthcare facility." Journal of Bangladesh College of Physicians and Surgeons 38, no. 4 (September 8, 2020): 160–65. http://dx.doi.org/10.3329/jbcps.v38i4.48975.
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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
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Musavi, Seyed Mehdi, Reza Khosropour, Seyed Abolfazl Musavi, and Alimohammad Ahmadvand. "System dynamics approach for the relationship between different types of hospitals and hospital waste management (case study: Tabriz)." Progress in Industrial Ecology, An International Journal 13, no. 1 (2019): 29. http://dx.doi.org/10.1504/pie.2019.098765.
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Musavi, Seyed Mehdi, Reza Khosropour, Alimohammad Ahmadvand, and Seyed Abolfazl Musavi. "System dynamics approach for the relationship between different types of hospitals and hospital waste management (case study: Tabriz)." Progress in Industrial Ecology, An International Journal 13, no. 1 (2019): 29. http://dx.doi.org/10.1504/pie.2019.10020099.
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Khorasani, Sasan T., Maryam Keshtzari, Md Saiful Islam, and Ramyar Feizi. "Intravenous fluid delivery time improvement: application of cross-docking system." International Journal of Health Care Quality Assurance 31, no. 8 (October 8, 2018): 1070–81. http://dx.doi.org/10.1108/ijhcqa-09-2017-0164.
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Purpose The cost of pharmaceutical supply chain due to drug waste is one of the current major issues in health care. Drug waste associated with intravenous (IV) fluid form of medication is one of the crucial issues for many pharmacies. The purpose of this paper is to apply a cross-docking model to minimize the IV delivery lead time to reduce drug waste by scheduling staff in a local hospital’s inpatient pharmacy. Design/methodology/approach A mixed integer linear programming model is applied to the IV delivery system of a hospital. The parameters are selected based on the observations made in the inpatient pharmacy. Findings The result implies that cross-docking approach can be effectively applied to IV delivery system. In fact, the cross-docking optimization model employed in this case study reduces the IV delivery completion time of the inpatient pharmacy by 41 percent. Research limitations/implications The scope of this research is limited to the activities performed after IV preparation. Practical implications The application of cross-docking system in staff scheduling will be beneficial for health care organizations that aim to minimize medication waste. Originality/value The prime value of this study lies in the introduction of a cross-docking concept in an internal hospital ordering process. Cross-docking models are widely used in general supply chain systems; however, their application for specific activities inside hospitals is the novelty of this study, which can fill the research gap in terms of drug waste management within the inpatient pharmacy.
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Yang, Ying, Limin Dong, Hua Rong, and Jing Wu. "Optimization on Medical Material Distribution Management System Based on Artificial Intelligence Robot." Journal of Healthcare Engineering 2021 (March 19, 2021): 1–12. http://dx.doi.org/10.1155/2021/5511299.
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The traditional medical material distribution management system method lacks systematic analysis and relies heavily on the subjective judgment of related operators, and it is easy to cause excessive or too little inventory, which leads to waste of operating costs. This study builds on a dedicated system for artificial intelligence robot logistics and aims to minimize the total cost of medical material ordering and distribution operations. In addition, in view of the constraints in the actual operation of the hospital, this study uses the concept of the spatiotemporal network to construct an ordering and distribution scheduling planning model of single material certainty, single material stochastic, and multiple material stochastic to help the hospital make optimal decisions and ensure the hospital's continuous and stable operation. In addition, after building the system, this study designs experiments to analyze the performance of this study system. The research shows that the model constructed in this paper has a certain effect and can provide a reference for the follow-up medical material distribution management system.
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Sahal Alharbi, Nouf, Malak Yahia Qattan, and Jawaher Haji Alhaji. "Towards Sustainable Food Services in Hospitals: Expanding the Concept of ‘Plate Waste’ to ‘Tray Waste’." Sustainability 12, no. 17 (August 24, 2020): 6872. http://dx.doi.org/10.3390/su12176872.
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Early debates on the sustainability of food-plating systems in hospitals have concentrated mostly on plate waste food served, but not eaten. This study aims to address the need for more comprehensive studies on sustainable food services systems by expanding the concept of plate waste, to that of tray waste (organic and inorganic materials), through a case study of a hospital in Saudi Arabia. Tray waste arising at the ward level was audited for three weeks, covering 939 meals. It was found that, on average, each patient threw away 0.41, 0.30, 0.12, and 0.02 kg of food, plastic, paper, and metal, respectively, each day. All this equated to 4831 tons of food, 3535 tons of plastic, 1414 tons of paper, and 235 tons of metal each year at hospitals across Saudi Arabia. As all of this waste ends up in landfills, without any form of recycling, this study proposes the need for a more comprehensive, political approach that unites all food system stakeholders around a shared vision of responsible consumption and sustainable development.
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Nallusamy, S., Christina Mary P. Paul, and K. Sujatha. "Bio-Medical Waste Management System in Multi-Specialty Hospital Using Birnbaum's Measures-A Case Study." Indian Journal of Public Health Research & Development 9, no. 2 (2018): 283. http://dx.doi.org/10.5958/0976-5506.2018.00134.1.
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Al-Khatib, Issam A., Yousef S. Al-Qaroot, and Mohammad S. Ali-Shtayeh. "Management of healthcare waste in circumstances of limited resources: a case study in the hospitals of Nablus city, Palestine." Waste Management & Research: The Journal for a Sustainable Circular Economy 27, no. 4 (May 7, 2009): 305–12. http://dx.doi.org/10.1177/0734242x08094124.
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The objectives of this study were the assessment of healthcare waste management and the characterization of healthcare waste material generated in the hospitals in Nablus city, Palestine, and furthermore, to estimate the prevalence of hepatitis B among the cleaning personnel working in these hospitals. The medical waste generation rate in kg per bed per day was between 0.59 and 0.93 kg bed— 1 day—1. The waste generation rate in the healthcare facilities of Nablus city hospitals was similar to some other developing countries; however, the percentage of medical wastes in the total waste stream was comparatively high. The density of medical waste at the four hospitals studied ranged between 144.9 and 188.4 kg m— 3 with a mean value of 166.7 kg m—3. The waste segregation and handling practices were very poor. Other alternatives for waste treatment rather than incineration such as a locally made autoclave integrated with a shredder should be evaluated and implemented. The system of healthcare waste management in Nablus city is in need of immediate improvement and attention. Formulating rules and guidelines for medical waste and developing strategies for overcoming the obstacles related to waste management should be considered as an urgent matter.
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Sakdiyah, Halimatus. "ANALISIS PENERAPAN ENVIROMENTAL MANAGEMENT ACCOUNTING (EMA) PADA RSUD DR.H.SLAMET MARTODJIRJO PAMEKASAN." PERFORMANCE: Jurnal Bisnis & Akuntansi 7, no. 1 (May 9, 2017): 1–18. http://dx.doi.org/10.24929/feb.v7i1.343.
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The negative impacts caused by the hospital require the environmental accounting system as the control of the organization's responsibility because the waste management conducted by the hospital requires measurement, assessment, disclosure and reporting of waste management cost from the operational activities of the hospital is one of the interesting accounting problems for The Eirviromental Management Accounting (EMA) is a technique that emphasizes efficiency and effectiveness in the use of resources and is part of a wider management control system. This research method used qualitative method with case study. RSUD Dr.H. Slamet Martodjirjo Pamekasan has implemented Regulation of Minister of Trade Regulation No.64 of 2013 on the implementation of accounting based on full accrual in government in 2015 for example, has done the process of identification, recognition of measurement, recording, presentation and also disclosure. In RSUD Dr.H. Slamet Martodjirjo Pamekasan recognizes the environmental costs that occur as operational costs using the basic accrual method. Environmental accounting can support income accounting, financial accounting as well as internal business managerial accounting. Environmental accounting helps companies and other organizations raise their confidence and beliefs in relation to a more equitable assessment. Environmental accounting becomes important to consider as well as possible because environmental accounting is part or sub-accounting. Disclosure of policies relating to environmental management issues in the notes to the financial statements of RSUD Dr.Slamet Martodjirjo Pamekasan shows that the costs incurred for waste management are combined with similar accounts.Keywords :Eviromental Management Acoounting
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Tsyganchuk, O. M. "State sanitary and anti-epidemic rules and norms of medical waste management." Infusion & Chemotherapy, no. 3.2 (December 15, 2020): 300–302. http://dx.doi.org/10.32902/2663-0338-2020-3.2-300-302.
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Background. Hands are a favorable environment for bacterial colonization. The microflora of skin is divided into resident and transient. The latter gets to the hands of healthcare workers (HCW) by the contact during professional activities during various diagnostic and treatment procedures, as well as by the contact with contaminated objects. General requirements for hand hygiene include short nails, absence of false nails, absence of infected skin injuries (or covered injuries) on the hands and forearms, absence of jewelry or watch. If there is visible dirt, the hands should be washed with usual soap. As for disinfection, it is divided into focal (current and final) and preventive (planned and according to the epidemic indications). Not only the hands of the HCW, medical devices, surfaces and furniture, but also medical waste (MW) should be disinfected.
Objective. To describe the features of disinfection and MW management.
Materials and methods. Analysis of the literature on this issue.
Results and discussion. After use, the syringes are disinfected together with the needles without caps and collected in waterproof and puncture-proof containers. When using containers for sharp objects, it is allowed to fill them for 3 days. Medical devices should be immersed in a disinfectant solution immediately after use; the solution should cover the tools at least 1 cm above their surface. Containers with disinfectant solutions must be marked with the name of the solution, its concentration, purpose, exposure time, date of preparation and expiration date. Disinfectants are divided into halide-containing, alcohol-containing, aldehyde-containing, oxidizing, detergent and composite. Decamethoxine – an antiseptic and antifungal drug for topical use – is widely used for disinfection. The mechanism of action of this solution is to disrupt the permeability of the cytoplasmic membrane of bacteria and fungi by binding to phosphatide groups of membrane lipids. The problem of MW is a major problem in the domestic health care system. Ukraine annually produces about 400 thousand tons of MW, 100-120 thousand of which are dangerous. The risks caused by MW are divided into infectious, chemical and radiation-associated. Categories of MW include category A – epidemically safe MW, B – epidemically dangerous MW, C – toxicologically dangerous MW, D – radiologically dangerous MW. The waste management system includes its collection and sorting; marking; disinfection; transportation within the institution; utilization or disposal (category A only). For each type of waste there are special types of containers and markings regulated by normative documents. Category A waste include household waste of all departments of the hospital, except infectious; waste that have not had contact with biological fluids of the body; food waste of all departments of the hospital, except infectious. Food waste is collected separately from other waste. When collecting MW of B category (used medical instruments; items contaminated with blood or other biological fluids; organic MW of patients; food waste of infectious departments), it is forbidden to cut or destroy this waste, to remove needles from syringes, to spill or compact MW, to install containers for waste collection at a distance of less than 1 m from heating appliances. Category C waste includes drugs, substances for diagnostics, and disinfectants; batteries; items containing mercury and heavy metals; wastes generate as a result of operation of transport, lighting systems, etc. Collection and temporary storage of waste, associated with cytostatics and genotoxic drugs, as well as all MW produced as a result of their preparation (category C), is not allowed without decontamination. It is also needed to decontaminate the workplace. Any work with such waste should be carried out with the use of personal protective equipment in the special ventilated rooms. Category D waste management is implemented in accordance with the requirements of the legislation of Ukraine on radioactive waste management and radiation safety standards.
Conclusions. 1. The problem of MW is a significant problem of the domestic health care system. 2. Categories of MW include category A – epidemically safe MW, B – epidemically dangerous MW, C – toxicologically dangerous MW, D – radiologically dangerous MW. 3. The waste management system includes their collection and sorting; marking; disinfection; transportation within the institution; utilization or disposal (category A only).
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Ranjit, Amit Shankar, Ronish Shakya, Sushila Gwachha, Razim Ganesh, Meera Prajapati, Puna Bhaila, and Indu Duwal. "Assessment of Solid Waste Management in Bhaktapur Municipality." Journal of Science and Engineering 7 (December 20, 2019): 10–19. http://dx.doi.org/10.3126/jsce.v7i0.26781.
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Bhaktapur Municipality has been performing better to keep the city clean. However, scarcity of space for the land filling of the solid waste and proper segregation of waste at the source has been a hurdle for the Municipality. This paper aims to determine solid waste generation rate and to analyze overall situation of solid waste management of Bhaktapur Municipality. However, the data will not represent the seasonal and occasional variations. Additionally, waste from street-sweeping and large-scale institutional and commercial components of the Municipality has not been assessed. Arkin and Colton (1963) was referred for the sample size determination. Sample of 376 households were taken accordingly. Twenty representative samples each for commercial and institutional establishments were selected, and one each for special cases such as hospital, slaughter house and poultry has been assessed. Municipal household waste generation was found to be 0.093kg per capita per day which was chiefly composed of 77% organic, 18% plastic and 3% paper. Organic waste has been a major waste for institutions such as schools whereas at governmental and public offices, paper is the predominantly generated waste. Among commercial establishments, shops and restaurants mostly generate organic waste and that for departmental stores has been paper. Though collection system was found to be satisfactory, treatment and final disposal have been unsustainable. Available treatment facilities have been shut down whereas other infrastructural components have been lacking.
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Ahmad, Riaz, Gengyuan Liu, Remo Santagata, Marco Casazza, Jingyan Xue, Kifayatullah Khan, Javed Nawab, Sergio Ulgiati, and Massimiliano Lega. "LCA of Hospital Solid Waste Treatment Alternatives in a Developing Country: The Case of District Swat, Pakistan." Sustainability 11, no. 13 (June 26, 2019): 3501. http://dx.doi.org/10.3390/su11133501.
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Improper management of hospital waste leads to serious health and environmental issues, particularly in the case of developing countries, where, often, applied technologies are obsolete and there is a lack of compliance with respect to international best practices. The present study is designed to assess the environmental impacts of hospital waste management practices in Swath District, Pakistan. For this purpose, a life-cycle assessment (LCA) is applied for the estimation of different impacts of current and alternative hospital solid waste (HSW) treatment practices. Two scenarios are used to describe the current alternative practices (Scenario A and Scenario B), referring either to incineration or to direct landfilling of HSW without any sorting of collected materials. Conversely, Scenario C, which includes the use of pyrolysis and chemical disinfection, are considered as an up-to-date alternative, based on current international recommendations in this field. Prior to the analysis of impacts, due to the lack of available information, data were directly collected from both government and private hospitals in District Swat, involving measurements and a characterization of collected waste. In parallel, interviews were conducted, involving the hospitals’ personnel. With respect to waste generation, government hospitals produce a larger amount of waste (74%) compared to private hospitals (24%). Poor regulatory indications and the absence of clear obligations for collection, disposal and management still represent a first obstacle to implement good practices. After defining the boundary of the system and the functional unit, according to standardized LCA practices, a life--cycle impact assessment (LCIA) was conducted, considering eight impact categories: human toxicity, freshwater eco-toxicity, marine aquatic eco-toxicity, terrestrial eco-toxicity, acidification potential, climate change, eutrophication and photochemical oxidation. The current practices (Scenario A and Scenario B) turned out to be the worst for all categories. In particular, the largest impact of all is recorded for human toxicity generated by incineration. In parallel, it must be considered that, currently, no recycling or reusing practices are implemented. Conversely, Scenario C (alternative up-to-date practices) would generate lower impacts. In detail, the highest value was recorded for marine aquatic ecotoxicity in relation to pyrolysis. Applying Scenario C, it would be possible to recover some materials, such as plastics, paper and sharps. In detail, considering the observed compositional characteristics, it would be possible to recover up to 78% of sharps and recycle 41% of plastic and paper from the general waste stream. Moreover, energy could be recovered from the pyrolysis process, generating a further benefit for the surrounding area. A lack of awareness, knowledge and infrastructures prevents the application of correct management practices, further degrading life and environmental conditions of this remote region of Pakistan. The huge difference in impacts between current practices and alternatives is demonstrated, showing a clear alternative for future management plans in this remote region and supporting future actions for local policymakers and hospital managers.
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Villar, Marina, Antoni Borràs, Jessica Avivar, Fernando Vega, Víctor Cerdà, and Laura Ferrer. "Fully Automated System for 99Tc Monitoring in Hospital and Urban Residues: A Simple Approach to Waste Management." Analytical Chemistry 89, no. 11 (May 16, 2017): 5857–63. http://dx.doi.org/10.1021/acs.analchem.7b00184.
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