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1

Qadir, Murad, Rafat Murad, and Naveed Faraz. "HOSPITAL WASTE MANAGEMENT." Professional Medical Journal 23, no. 07 (July 10, 2016): 802–6. http://dx.doi.org/10.29309/tpmj/2016.23.07.1642.

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Objectives: To evaluate the knowledge and practices of hospital administrationregarding hospital waste management at Tertiary Care Hospitals of Karachi. Study Design:Cross sectional study. Period: June 2014 to December 2014. Methods: Study was conductedin fifteen tertiary care hospitals. Five government, eight private and two trust hospitals wereselected by quota sampling technique. Information was collected from selected hospitalwaste management staff, using a pretested questionnaire regarding knowledge and practicesof hospital waste disposal. Results: Data shows that only 33.3% had knowledge regardinginfectious and noninfectious waste disposal and 27% of the understudy hospitals wereseparate infectious and noninfectious waste. Only 20% of the total hospitals were using propermethod for the separation of the sharps.93.3% hospital waste management staff was notvaccinated against hepatitis ‘B’ and tetanus. Only 53.3% hospitals have their own incineratorfacilities. Conclusions: This study showed that the practices employed by the hospital wastemanagement staff were not safe. There is a need to implement the recommended SOP’s ofhospital waste management program.
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AMIN, RAHEELAH, RUBINA GUL, and AMINA MEHRAB. "HOSPITAL WASTE MANAGEMENT;." Professional Medical Journal 20, no. 06 (December 15, 2013): 988–94. http://dx.doi.org/10.29309/tpmj/2013.20.06.1684.

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Introduction: Hospital waste is a special type of waste which carries high potential of infection and injury. Objectives: Thisstudy was conducted to examine Medical Waste Management Practices in different hospitals of Peshawar. Methodology: Simpleobservational, cross-sectional study. was conducted with a case study approach. Aug-Sep 2011, with selection of 15 hospitals. The datawas collected through a pre-designed questionnaire with a checklist. Results: The study showed that 80% of the hospital personnel knewhospital waste and its management. There was waste management plan present in 30% of hospitals. Although hospitals did not quantifiedwaste amounts but on average the amount of waste generated daily was 0.5-1 kg/bed/day. Segregation into risk and non risk waste wasdone in 93.3% of hospitals. For non risk waste, disposal through Municipal Corporation was conducted in 86.67% of the hospitals, whilein 13.3%, it was burnt. For risk waste, either it was buried or burnt. Proper incineration was carried out in only 33.3% of the hospitals.Discussion: Hospital waste generation, segregation, collection, transportation & disposal practices were not in accordance with standardguidelines. The average waste generation in most of the hospitals was almost equivalent to other under developed countries but less thanthat of developed countries. Conclusions: The hospital waste in the majority of hospitals of Peshawar was mismanaged. No properhospital waste management plan existed except at few hospitals.
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Ali, Mustafa, Wenping Wang, Nawaz Chaudhry, and Yong Geng. "Hospital waste management in developing countries: A mini review." Waste Management & Research: The Journal for a Sustainable Circular Economy 35, no. 6 (February 1, 2017): 581–92. http://dx.doi.org/10.1177/0734242x17691344.

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Health care activities can generate different kinds of hazardous wastes. Mismanagement of these wastes can result in environmental and occupational health risks. Developing countries are resource-constrained when it comes to safe management of hospital wastes. This study summarizes the main issues faced in hospital waste management in developing countries. A review of the existing literature suggests that regulations and legislations focusing on hospital waste management are recent accomplishments in many of these countries. Implementation of these rules varies from one hospital to another. Moreover, wide variations exist in waste generation rates within as well as across these countries. This is mainly attributable to a lack of an agreement on the definitions and the methodology among the researchers to measure such wastes. Furthermore, hospitals in these countries suffer from poor waste segregation, collection, storage, transportation and disposal practices, which can lead to occupational and environmental risks. Knowledge and awareness regarding proper waste management remain low in the absence of training for hospital staff. Moreover, hospital sanitary workers, and scavengers, operate without the provision of safety equipment or immunization. Unsegregated waste is illegally recycled, leading to further safety risks. Overall, hospital waste management in developing countries faces several challenges. Sustainable waste management practices can go a long way in reducing the harmful effects of hospital wastes.
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Novi, Fitria, Damanhuri Enri, Rachmatiah Siti Salami Indah, Ulya Bunga Venny, and Supriatin Yati. "Generation and Proportion Assessment of Hospitals Infectious Waste in Bandung Region Indonesia." E3S Web of Conferences 73 (2018): 07018. http://dx.doi.org/10.1051/e3sconf/20187307018.

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The accurate information about generation quantities of waste generated is a fundamental prerequisite for the successful implementation of any infectious waste management plan. The objectives of this study were to determine the quantity of generation rate and proportion of hospital infectious waste at Bandung region, Indonesia. The generation and proportion of infectious waste data were collected by using direct sampling method from 7 hospitals, which was completed for three days continuously in hospitals inpatient installation. Afterwards, average generation and proportion were determined in comparison to certain important organizational and functional factors, such as the number of beds, bed coverage, the value of infectious waste management and handling, accreditation status, waste handler status, ownership status, the different of type and the class of hospital. The way that source of infectious wastes, generated from hospitals, vary by functional factors, was also illustrated and the most important influenced factors were identified. Generated infectious hospital wastes vary from 0.22 to 1.26 kg/patient/day. Proportion infectious hospital wastes also vary from 8, 88% to 47, 37%..
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Shaner, Hollie. "Hospital waste." Nursing Standard 13, no. 40 (June 23, 1999): 16. http://dx.doi.org/10.7748/ns.13.40.16.s32.

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6

Gifford, Mary. "Hospital waste." Journal of Hospital Infection 6, no. 1 (March 1985): 116. http://dx.doi.org/10.1016/s0195-6701(85)80033-5.

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7

Qadir, Dr Murad, Dr Rafat Murad, and Dr Naveed Faraz. "HOSPITAL WASTE MANAGEMENT; TERTIARY CARE HOSPITALS." PROFESSIONAL MEDICAL JOURNAL 23, no. 07 (July 1, 2016): 802–6. http://dx.doi.org/10.17957/tpmj/16.3281.

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8

Mia, MY, MA Ali, MA Rahman, L. Naznin, and MU Hossain. "Hospital Waste Management in Tangail Municipality." Journal of Environmental Science and Natural Resources 5, no. 1 (August 7, 2012): 121–27. http://dx.doi.org/10.3329/jesnr.v5i1.11566.

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An investigation was conducted on hospital waste management in Tangail Municipality and its impact on human health. Data was collected through questionnaire interview from local residents, superintendents, nurses, observation and secondary sources. The results revealed that wastes are collected every alternative day and though sometime in irregular basis. Hospital wastes causes different health hazards like bad smell, infestation of animals, diarrhoea, skin diseases etc. due to irregular collection, unsafe handling, disposal, storage, transportation and finally dumped with municipal wastes. For knowing health impacts, among 110 general respondents 63% was affected, and 50 respondents who were associated with medical waste handling including nurse, pickers, workers, etc. in which more than 90% were affected one or more diseases due to improper management and imposed of hospital wastes. Shortage of dustbin is common in every hospitals and clinics in Tangail Municipality. The study also revealed that 1000-1500kg wastes were generated per day in Tangail Municipal area in which 19.23% infectious and 80.77% noninfectious. DOI: http://dx.doi.org/10.3329/jesnr.v5i1.11566 J. Environ. Sci. & Natural Resources, 5(1): 121 - 127, 2012
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9

Li, Chih-Shan, and Fu-Tien Jenq. "Physical and Chemical Composition of Hospital Waste." Infection Control & Hospital Epidemiology 14, no. 3 (March 1993): 145–50. http://dx.doi.org/10.1086/646700.

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AbstractFor selecting the most efficient treatment method of hospital waste, the composition analysis is generally considered to be the fundamental information. Currently, there are few studies regarding the characteristics of hospital waste. This study evaluated the physical and elemental composition of the hospital waste at the National Taiwan University Hospital (NTUH). The results should help us design an incinerator for the treatment of infectious waste, plastic syringes, pathological waste, and kitchen waste. During the study period, the estimated daily waste generation rate at NTUH was 4,600 kg/day, which consisted of 4,100 kg/day noninfectious refuse, 340 kg/day infectious waste, 70 kg/day kitchen waste, 50 kg/day pathological waste, and 40 kg/day plastic syringes. The NTUH waste consisted of 99.02% combustible wastes and 0.97% noncombustible wastes by mass. The combustibie wastes constituted paper (16.17%), textiles (9.77%), cardboard, wood, and leaves (1.12%), food waste (21.5 1%), and plastics (50.45%). The noncombustible waste included 0.40% metal and 0.57% glass. Furthermore, the analysis indicated that the wastes contained 38% moisture, 4% ashes, and 58% solid with an average heat value of 3,400 kcal/kg. From the elemental analysis, the dominant elements were found to be carbon (34%) and oxygen (15%).
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10

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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11

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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12

Sadeghi, Mahdi, Abdolmajid Fadaei, and M. Ataee. "Assessment of hospitals medical waste management in Chaharmahal and Bakhtiari Province in Iran." Archives of Agriculture and Environmental Science 5, no. 2 (June 25, 2020): 157–63. http://dx.doi.org/10.26832/24566632.2020.0502011.

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The hospital wastes could threaten the surface waters, ground waters, soil, air environment and humans’ health. This study was intended to investigate the management of medical waste generated in hospitals of Charharmahal and Bakhtiari province, located in south west of Iran. The samples came from all 9 province’s hospitals with 1156 beds. The data forms and questionnaires were completed. The questionnaire contained questions about the generation of waste and practices related to separation, collection, storage, transport, treatment and final disposal, and training and awareness. The highest generation rate on a bed basis of 3.22±0.4 kg/bed/day was found in Shohada hospital, and the lowest rate was 1.37±0.2 kg/bed/day for Sina hospital. There was significant variation (P<0.05). The average general waste production rate was 2.12±0.37 kg/bed/day at all the surveyed hospitals. The highest percentage (63%) of total medical wastes were general, 36.05% were infectious wastes. About 44.44% of the hospitals have used autoclave to disinfect their infectious medical waste prior to disposal, while incineration is used in 33.33% of the hospitals. All hospitals (100%) indicated their needs and willingness to participate in future specialized training programs in medical waste management. It has been suggested that enhancing the education, awareness and promoting programs about medical waste management for cleaning workers, doctors, nurses, and technicians.
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13

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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14

Uddin, Mohammad Nasir, Mohammad Rashedul Islam, and Khadiza Yesmin. "Knowledge on Hospital Waste Management among Senior Staff Nurses Working in a Selected Medical College Hospital of Bangladesh." Journal of Waste Management 2014 (August 17, 2014): 1–5. http://dx.doi.org/10.1155/2014/573069.

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Background. Healthcare wastes include all types of wastes generated by healthcare establishments. Waste disposal problem is growing with an ever-increasing number of hospitals, clinics, and diagnostic laboratories in Bangladesh and also in Faridpur town. Aim and Objective. The outcomes of this study will contribute to increase proper waste management practice among nurses in Bangladesh. Methods. A descriptive type of cross sectional study design was used to assess the level of knowledge regarding hospital waste management among senior staff nurses working in Faridpur Medical College Hospital, Bangladesh. All respondents (n=125) were selected by random sampling. Results. In the answer of knowledge about general waste only 4% (n=5) gave all correct answers. In the answer of knowledge about infectious waste 63.2% (n=79) gave one correct answer, of knowledge about pharmaceutical waste only 8% (n=10) gave all correct answers, and of knowledge about biomedical waste only 7.2% (n=9) gave all correct answers. In the answer of knowledge about color coded bins collecting waste 53.6% (n=67) cannot give any correct answer and only 46.4% (n=58) gave all correct answers and of knowledge about the safe disposal of hospital waste 16% (n=8) could not give any correct answer. However, against all questions were 5 options. Conclusion. Knowledge about hospital waste and its management is very poor among senior staff nurses. As a recommendation to improve this situation continuous training should be made compulsory for healthcare personnel specially staff nurses working in Bangladesh.
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15

Putri, Anggreany Haryani. "EFEKTIVITAS PENGELOLAAN LIMBAH MEDIS RUMAH SAKIT TERHADAP DAMPAK LINGKUNGAN HIDUP." KRTHA BHAYANGKARA 12, no. 1 (June 18, 2018): 78–90. http://dx.doi.org/10.31599/krtha.v12i1.31.

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The hospital is where the health services are operated and maintained with the utmost regard for the building and environmental hygiene aspect both physically, waste, liquid waste, clean water and insect/pest animals.Akantetapi to create the hygiene in hospitals is an attempt which is quite difficult and complex nature of the dealing with various aspects of, among others, culture/society behaviors, habits, environmental conditions, social and technological. Hospital waste is any waste generated by the activities of the hospital and other supporting activities.Hospital waste, in particular the infectious medical waste that has not been in the manage well will be catastrophic for the environment.Many hospitals have yet to manage infectious wastes according procedural should be.Not rare cases medical and non medical waste mixed giving rise to the problem of medical waste. Hospital waste processing can be done in various ways, by giving priority to sterilization, namely in the form of a reduction in volume, the use of sterilization must return with the first, recycling and processing.The most important thing in the processing of waste is the separation of waste, waste storage, handling of waste and waste disposal must be in accordance with the provisions of the regulations.So as not to give a negative impact to the environment.
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Rani, Sapna, and Raj Kumar Rampal. "Biomedical waste generation, composition and management: A case study of Shree Maharaja Gulab Singh Hospital (SMGS) Shalamar, Jammu (J&K)." Journal of Applied and Natural Science 11, no. 3 (September 10, 2019): 596–600. http://dx.doi.org/10.31018/jans.v11i3.1956.

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For the life, health and general well-being, good medical care play vital role and hospitals are health institutions that provide these services. Wastes generated from the hospitals, medical care units, blood banks and medical laboratory is called biomedical waste. Proper management of biomedical waste is important for good health of not only the patients but also for residents living in the vicinity of hospitals. The present study, has been made to study biomedical waste management in SMGS Hospital Jammu (Jammu and Kashmir). The average biomedical waste per bed per day of SMGS Hospital was observed to be 116.37g, whereas maximum value of average biomedical waste per bed per day was observed to be 315.61g in Gynecology and Obstetric, 68.34g in ENT wards, 37.28g in Paedriatic wards and 44.27g in Dermatology wards The average per bed per day biomedical waste generation in SMGS hospital appears to be is less as compared with work of other workers because their evaluations were based on Biomedical Waste (Management and Handing) Rules, 1998 in which both infectious and non-infectious waste were included whereas present study was based on Bio-Medical Waste Management Rules which included only infectious waste.
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17

Szczepanski, Mary. "Reducing Hospital Waste." Nursing Management (Springhouse) 22, no. 1 (January 1991): 12. http://dx.doi.org/10.1097/00006247-199101000-00003.

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18

Musa, Fatema, Ayatullah A. Mohamed, and Nagah Selim. "Knowledge and attitude of nurse professionals towards medical waste management at Hamad Medical Corporation in Qatar: a cross-sectional study." International Journal Of Community Medicine And Public Health 7, no. 4 (March 26, 2020): 1228. http://dx.doi.org/10.18203/2394-6040.ijcmph20201424.

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Background: The improper management of wastes generated in health care facilities can severely affect the health of caregivers, patients and members of the community. Medical waste management can be achieved with the cooperation of all workers and patients; however, nursing personnel play a significant role in the whole process. Therefore, this study was done to evaluate the knowledge of nursing professionals regarding waste management in Hamad Medical Corporation (HMC) hospitals in Doha and to assess their attitude towards medical waste management.Methods: Descriptive cross-sectional study conducted at 4 governmental hospitals in Doha city; Hamad General Hospital (HGH), Women's Hospital (WH), Rumiallalh Hospital (RH) and Al-Amal hospital among 420 nurses.Results: The response rate among nurses were 82.3%, most of them are female and non-Qatari. On analyzing data on knowledge about waste management procedures, it was found that the most widely reported procedures was segregation (89.9%) and incineration (84.9%). Almost all nurses (99.4%) believed that training and education regarding medical waste is required for all staff, also 98.8% of the studied nurses agreed that attending medical waste management program is beneficial.Conclusions: Knowledge of most studied nurses regarding medical waste management was found to be high and had positive attitude.
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19

Costa, Clauber A., Camila C. Maia, Arthur Co Neves, Raphael T. de Vasconcelos Barros, and Marcos PG Mol. "Profile of highly infected wastes generated by hospitals: A case in Belo Horizonte, Brazil." Waste Management & Research: The Journal for a Sustainable Circular Economy 37, no. 6 (May 13, 2019): 643–50. http://dx.doi.org/10.1177/0734242x19846296.

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Healthcare wastes are generated in facilities whose activities are related to human or animal healthcare. Wastes with high infectious potential risk to human health and the environment must be managed carefully, from generation to its final disposal. However, there is an absence of consolidated data addressing the healthcare waste qualitative classification generated by hospitals of a large city. Therefore, the present study aims to characterise qualitatively the high infectious waste generated by hospitals from Belo Horizonte city, Brazil, whose Health Services Waste Management Plan were approved and certificated by the municipal cleansing autarchy. Differences in the types of infectious wastes generated in maternity hospitals were identified ( p 0.034), when compared with general ( p 0.189), low ( p 0.549) and high complexity ( p 0.619), which can be explained owing to the extended hospital activities. This information suggests a similar profile of the qualitative generation of infectious wastes by hospital categories, as expected. The largest generation and diversity of high-infected wastes are associated with a greater variety of activities provided. The segregation can be considered as the main step in healthcare waste management, therefore, it is concluded that the correct classification leads to a better understanding of all those involved in the healthcare waste management.
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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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Behnam, Batool, Shafiqua Nawrin Oishi, Sayed Mohammad Nazim Uddin, Nazifa Rafa, Sayed Mohammad Nasiruddin, AKM Moniruzzaman Mollah, and Ma Hongzhi. "Inadequacies in Hospital Waste and Sewerage Management in Chattogram, Bangladesh: Exploring Environmental and Occupational Health Hazards." Sustainability 12, no. 21 (October 31, 2020): 9077. http://dx.doi.org/10.3390/su12219077.

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Bangladesh has been grappling with the issues of improper hospital waste management. To reflect the inadequacies in existing management practices and the potential implications on the environment and health, this study evaluated the Knowledge, Attitude, and Practice (KAP) of doctors and nurses in a private and a public hospital in Chattogram city via a structured questionnaire survey. At the public hospital, 20.4% of the doctors and 6% of the nurses had occupational illnesses, compared to 36% of the doctors and 26.5% of the nurses at the private hospital. At the public hospital, 67.8% of the nurses wore PPE during waste collection, compared to 17.7% in the private hospital. Hospital wastes and occupational safety are not properly dealt with in both hospitals. An inadequacy was observed in the knowledge of hospital waste management among healthcare workers. The route of hospital wastes from the sources to the end destination was also traced via interviews and focus group discussions, which revealed that disposal practices of the hospital solid waste were environmentally unsustainable. In attempts to show opportunities for environmental and health risks from the hospital wastewater, this study also investigated the quality of the wastewater and tested it for the presence of resistant enteric pathogens. E. coli and S. aureus from both hospitals showed resistance against some common antibiotics used in Bangladesh. The physicochemical properties of the samples were nearly compliant with the Bangladesh Water Quality Standards for hospital wastewater. While more robust sampling and water quality analysis are required, this study provides basic water quality indicators and scope for future research to understand the apparent significant negative impact on the environment and health.
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Arub, Samita, Sajid Rashid Ahmad, Sana Ashraf, Zahra Majid, Sadia Rahat, and Rehan Iftikhar Paracha. "Assessment of Waste Generation Rate in Teaching Hospitals of Metropolitan City of Pakistan." Civil Engineering Journal 6, no. 9 (September 1, 2020): 1809–21. http://dx.doi.org/10.28991/cej-2020-03091584.

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Hospital waste management is of vital significance owing to its contagious and hazardous nature as it can produce detrimental effects for both humans and the environment. This work aimed to examine types of waste with respect to waste generation rate in multiple teaching hospitals of metropolitan Lahore. A structured questionnaire survey, site visits, interviews and meetings were conducted in seventeen teaching hospitals. The results have shown that total hospitals average waste, infectious, non-infectious and waste generation rate in Lahore teaching hospitals were 38978 kg/day, 10789 kg/day, 28189 kg/day and 3.7 kg/bed/day, respectively. It is concluded that maximum waste generated in Mayo hospital, Jinnah hospital, Services hospital and Lahore general hospital was 16%, 12%, 12% and 10%, respectively, as per maximum patient’s visits. Positive liner correlation was between number of beds (P=0.917), number of accidents and emergency patients (P=0.75), infectious waste (P=0.998) and (P=1) with total waste. A straight line of linear regression was between (0.9966) infectious waste and (0.9995) general waste with average waste. Although, waste collection practices in these teaching hospitals were observed satisfactory but required training of doctors, nurses and hospital paramedical staff regarding infectious and general waste segregation. It is suggested that hospital staff, waste management and waste collection workers and respective waste management companies should be well trained and aware regarding infectious and non-infectious waste segregation, handling and disposing off procedures.
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Rafisa, Anggun. "Plate waste of inpatients with diabetes mellitus." International Journal Of Community Medicine And Public Health 7, no. 9 (August 28, 2020): 3600. http://dx.doi.org/10.18203/2394-6040.ijcmph20203929.

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Background: The nutrition services of inpatient with diabetes mellitus is very important because dietary management is the key to controlling blood glucose level. Ensuring the patient to consume all the food served by the hospital or reduce the plate waste may help patients to meet their nutritional needs. This study aimed to investigate plate waste of inpatient with diabetes mellitus in hospitals and its contributing factors so the quality of food service in the hospital could be enhanced.Methods: The sample of the study was 22 inpatient with diabetes mellitus at Al Islam Hospital in Bandung, Indonesia from November 2014 to February 2015. The patient's plate waste at breakfast, lunch and dinner for 2 days was weighed using an electronic scale. Patients were also interviewed to find out the reasons for wasting food. Results: The overall mean of plate waste in this study was 13.26% of food served. Porridge was the type of food that had the highest mean percentage of plate waste (17.38%). Vegetables were the second-highest wasted food (17.05%). Loss of appetite, lack of knowledge, cold food temperature and large main plate portion were the reasons for food wastage.Conclusions: The type of food that wasted the most by inpatient with diabetes mellitus was porridge and vegetables. Improving the quality of food service and delivery as well as increasing the role of health workers to educate and encourage patients to eat while under treatment in hospitals are interventions that can be done to reduce the amount of inpatient plate waste.
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Islam, MA, MN Mobin, MA Baten, MAM Hossen, and MJ Islam. "Hospital Waste Generation and Management in Mymensingh Municipality." Journal of Environmental Science and Natural Resources 8, no. 1 (August 24, 2015): 135–38. http://dx.doi.org/10.3329/jesnr.v8i1.24686.

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The study was conducted on hospital waste generation in Mymensingh municipality and also its management technique. Data was collected through questionnaire interview from local residents, superintendents, nurses, observation and secondary sources. The results revealed that wastes are collected every alternative day and though sometime in irregular basis. Hospital wastes causes different health hazards like bad smell, infestation of animals, diarrhoea, skin diseases etc. due to irregular collection, unsafe handling, disposal, storage, transportation and finally dumped with municipal wastes. Shortage of dustbin is common in every hospitals and clinics in Mymensingh municipality. The study also revealed that 1500-2000 kg wastes were generated per day in Mymensingh municipality area in which 25% infectious and 75% non- infectious. These huge amount of wastes could be treated or disposed by the process like incineration, deep-burial, local autoclaving, micro waving, disinfections destruction & drugs disposal in secured landfills, chemical treatment etc.J. Environ. Sci. & Natural Resources, 8(1): 135-138 2015
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Alani, R., D. Nwude, and O. Adeniyi. "Assessment of Hospital Wastes Management Practices in Lagos, Nigeria, using Two Health Care Centres as Case Studies." Nigerian Journal of Environmental Sciences and Technology 3, no. 2 (October 2019): 361–69. http://dx.doi.org/10.36263/nijest.2019.02.0121.

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Hospital wastes are highly infectious and can pose serious threat to human health. As the rate at which these wastes are generated is getting rapidly higher because of rapid urbanization and population growth, also the problem of disposal of these wastes is becoming more serious. It is of utmost importance that these wastes receive specialized treatment and management prior to their final disposal. Some of these wastes are mixed with household wastes, and the entire pile becomes a great public health hazard. Scavengers search through the piles for salable items, which they wash, repack and resell to the public, endangering their lives, and that of the entire public. Until recently, the management of medical wastes has received little attention despite their potential environmental hazards and public health risks. The collection, storage and disposal of medical wastes in Lagos are of growing environmental problem which needs immediate attention. This study was carried out to assess the current waste management practices in terms of type of wastes and quantities of waste generated in the healthcare facilities and the waste handling and disposal practices; also, to assess the level of awareness of health workers regarding hospital and clinical waste management. Two health care facilities in Lagos state were used as case studies. These hospitals are secondary facilities providing emergency, surgical, material and child health services. The methodology design was mainly of qualitative and involved physical observation, questionnaire administration, quantitative data collection procedures and manipulation, data analysis and interpretation. The findings showed that there was almost no knowledge of hospital waste management policy in the two health care facilities among the management staff, which seemed to confirm the premium on hospital wastes and their poor management.
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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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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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Rogers, Arthur. "Europe: Hospital waste summit." Lancet 340, no. 8820 (September 1992): 662–63. http://dx.doi.org/10.1016/0140-6736(92)92187-k.

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DORION, ERIC, ELIANA SEVERO, PELAYO OLEA, CRISTINE NODARI, and JULIO FERRO DE GUIMARAES. "HOSPITAL ENVIRONMENTAL AND RESIDUES MANAGEMENT: BRAZILIAN EXPERIENCES." Journal of Environmental Assessment Policy and Management 14, no. 03 (September 2012): 1250018. http://dx.doi.org/10.1142/s1464333212500184.

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Since Brazilian healthcare institutions have the duty to care about public health service, they also have the social and financial responsibilities to bring environmentally friendly practices and strategies, including principally a responsible attitude towards hospital waste management. Negligent waste management contributes significantly to polluting the environment. Today, a specific regional context in the southern State of Rio Grande do Sul, Brazil, shows an ambivalent situation in terms of hospital waste management. This study aims to analyze the environmental management practices and innovation strategies of the hospitals of the Serra Gaúcha region, as well as conducting a comparison between the environmental management practices versus the current Brazilian laws. Based on data analysis, it was found that all hospitals employ the practice of waste segregation, preserving public health and environmental quality. However, in respect to hospital waste effluents, 75% of the hospitals of the Serra Gaúcha region do not treat their hospital effluents, not complying with the current Brazilian legislation.
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Narayana, Vanamala, Sushma Rudraswamy, and Nagabhushana Doggalli. "Hazards and Public Health Impacts of Hospital Waste." Indian Journal of Applied Research 4, no. 6 (October 1, 2011): 384–86. http://dx.doi.org/10.15373/2249555x/june2014/120.

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Bagheri Lankarani, Kamran, Sulmaz Ghahramani, Marjan Roozitalab, Mohammadreza Zakeri, Behnam Honarvar, and Hengameh Kasraei. "What do hospital doctors and nurses think wastes their time?" SAGE Open Medicine 7 (January 2019): 205031211881368. http://dx.doi.org/10.1177/2050312118813680.

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Objective: With regard to limitation in national budget, the relevant authorities of healthcare and treatment throughout the globe are seeking the use of available resources in a way that no wastage of money or time—which is, of course, convertible to money—is acceptable. This study sought the opinions of hospital doctors and nurses on those activities at work that wasted their time. Methods: A questionnaire designed to identify activities that waste time during hospital care was completed based on the review of previous studies and including hospital wastes items. The authors designed a questionnaire, which was filled out by 209 nurses and 30 doctors in the surgery wards in hospitals affiliated to Shiraz University of Medical Sciences (SUMS). The items for time wasting activities were extracted from previous studies, and the reliability of the questionnaire was more than 0.785 using Cronbach’s alpha. The response rate was more than 60%. Results: The mean age of the participating nurses and doctors was 30.24 ± 6.85 and 32.77 ± 7.05 years. In all aspects, more time was wasted during the morning and evening shifts in comparison with the night shifts. The activity that was thought to waste time in hospital care the most was paper-based documentation. Preventable wasted time during the shift was 16%–30% in the nurses’ view and 18%–34% in the doctors’ view. For both nurses and doctors, the highest-rated preventable wasted time was related to time spent waiting in ward for lab data responses, transfer of patients, or delivery of care. Conclusion: Hospital working environment is complex, and opportunities for improvement of the efficiency of the nurses’ and doctors’ workload should be analyzed, case by case, in each hospital and work group. Process change (for the decrease in the wasted time for waiting in wards), simple innovative ways (for the decrease in the wasted time for searching the needed equipment), using hospital information system technology for documentation, communication, and the better design of the wards (to decrease the wasted time due to transfer between the ward and restroom) could be helpful for improving efficiency and for a safer and acceptable delivery of care.
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Taheri, Mohammad, and Amir Hossein Hamidian. "Results of a Hospital Waste Survey in Tabriz Hospitals." Journal of Middle East and North Africa Sciences 2, no. 3 (2016): 70–77. http://dx.doi.org/10.12816/0032666.

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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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Deraman, Suriati, Lee Khai Loon, and Puteri Fadzline Muhamad Tamyez. "HOSPITAL WASTE MANAGEMENT PRACTICES: EXPLANATION FROM MEDICAL PERSONNEL." International Journal of Industrial Management 11 (August 31, 2021): 257–61. http://dx.doi.org/10.15282/ijim.11.1.2021.6419.

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Today, the healthcare industry has become more important with the increasing number of hospitals due to the rise of patients. This signifies the world is facing more critical issues towards hospital waste due to its impact on the environment. The increase of waste generation from the hospital is not only to the environment but to an organisation such as cost of disposal. Current research fails to provide a manager behaviour view on the solution to reduce waste from their organization. Thus, this study explores the current hospital waste practices at the hospital, to examine depth understanding of recycling factor behaviour among medical personnel and the impacts from recycling hospital waste. This study used the semi-structured interview with hospital managers to address The result shows, respondents are willing to recycle hospital waste with factors such as government support, top management involvement through providing training, awareness, knowledge, facilities and incentives. This study will contribute to both bodies of knowledge and practice among hospital managers.
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Ream, Priscilla Santos Ferreira, Anaclara Ferreira Veiga Tipple, Thaís Arvelos Salgado, Adenícia Custódia Silva Souza, Sandra Maria Brunini Souza, Hélio Galdino-Júnior, and Sergiane Bisinoto Alves. "Hospital housekeepers: Victims of ineffective hospital waste management." Archives of Environmental & Occupational Health 71, no. 5 (February 19, 2016): 273–80. http://dx.doi.org/10.1080/19338244.2015.1089827.

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MacBrayne, Christine E., Manon C. Williams, Haley Obermeier, Jason Child, Justin W. Heizer, Matt Millard, Kelly Pearce, Casey Dugan, and Sarah K. Parker. "Anti-infective Waste in a Pediatric Institution: Pinpointing Problems in the Process." Hospital Pharmacy 55, no. 4 (May 4, 2019): 220–23. http://dx.doi.org/10.1177/0018578719844164.

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Purpose: At Children’s Hospital Colorado (CHCO), there are approximately 40 000 inpatient anti-infective orders every year resulting over 100 000 dispenses. Significant quantities of anti-infectives are wasted, incurring roughly $100 000 in waste annually. Identifying areas for improvement will result in cost savings and ameliorate the impact of drug shortages. Summary: This descriptive report discusses the reasons for anti-infective waste at a free-standing, quaternary-care, pediatric hospital. The anti-infectives with the highest cost in waste ($) included meropenem ($38 084), micafungin ($21 690), amphotericin B liposome ($15 913). An internal audit of CHCO anti-infective waste revealed that drugs are wasted for the following reasons: patient discharge, medication order discontinuation or change, and misplaced doses. Conclusion: The CHCO Antimicrobial Stewardship Program and the Pharmacy have proposed 4 process improvement measures that will target anti-infective waste to reduce pharmaceutical waste and hospital costs. These measures may be applicable to other drug classes that likely suffer from a similar proportion of waste.
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Halomoan, Nico. "The Potential For Implementing Zero Waste Practices Based on the Composition of Domestic Waste in The Hospital (Case study: Bandung Adventist Hospital)." Jurnal Rekayasa Hijau 5, no. 1 (April 5, 2021): 91–100. http://dx.doi.org/10.26760/jrh.v5i1.91-100.

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ABSTRAKRumah Sakit Advent Bandung sebagai salah satu rumah sakit swasta di Kota Bandung dalam kegiatannya menghasilkan sejumlahsampah medis dan sampah domestik. Sampah domestik rumah sakit meningkat dengan bertambahnya jumlah rumah sakit. Inisiatif zero waste berpotensi mengurangi limbah yang akan dibuang keTPA. Limbah padat yang dihasilkan terdiri dari berbagai komposisi yang dapat digunakan untuk mencari potensi reduksi, penggunaan kembali atau daur ulang. Penghitungan timbulan limbah padat domestik dilakukan dengan pendekatan SNI 19-3964-1994, sampel diambil dari dapur dan non dapur. Komposisi sampah dipilah menurut jenis dan potensi zero waste dilihat dari komposisinya. Sampah yang dihasilkan rumah sakit adalah 0,39 kg / tempat tidur / hari untuk dapur, 1,08 kg/bed/hari untuk non dapur dan untuk semua sumber sampah sebanyak 1,47 kg /bed/ hari, lebih rendah dari standar WHO 3,2 kg/bed/hari. Komposisi sampah adalah plastik(17,66%) kertas (8,25%), sampah organik (43,99%), logam (0,41%), karton (9,37%), residu (17,61%) dan lain-lain. (2,71%). Rumah Sakit Advent Bandung telah memulai beberapa upaya untuk minimasi pemborosan. Penerapan zero waste dengan pemisahan sampah selanjutnya dapat diolah sesuai dengan karakteristik masing-masing jenis sampah. Sampah plastik, kertas dan karton dapat dipisahkan untuk didaur ulang. Sampah organik berupa sisa-sisa makanan seperti beras dapat dipisahkan untuk pakan ternak, dicerna dan dibuat kompos.Kata kunci: komposisi, rumah sakit, sampah domestik,minimasi, zero-waste ABSTRACTBandung Adventist Hospital as one of the private hospitals in Bandung City in its activities produces subtantial amount of medical and domestic solid waste. The hospital's domestic solid waste increases with the increase in the number of hospitals. Zero waste initiative can potentially reduce waste to be disposed of in the TPA. The resulting solid waste consists of various compositions that can be used to seek potential for reduction, reuse or recycling. Domestic solid waste generation is calculated using the SNI 19-3964- 1994 approach, samples are taken from kitchens and non-kitchens. The composition of waste is sorted by type and the potential for zero waste seen from the composition. The waste generated by hospital is 0.39 kg/bed/day for kitchen, 1.08 kg/bed/day for non-kitchen and for all source of waste total 1.47 kg/bed/day, lower than the WHO standard 3.2 kg/bed /day. The composition of the waste were plastic (17.66%), papers (8.25%), organic waste (43.99%), metal (0,41%), cardboard (9,37%), residue (17,61%) and others (2,71%). Bandung Adventist Hospital has started several efforts to minimize waste. Zero waste application with separated waste can then be processed according to the characteristics of each type of waste. Plastic, paper and cardboard waste can be separated for recycling. Organic waste in the form of food scraps such as rice can be separated for animal feed, digested and composted.Keywords: composition, hospital, domestic waste, minimize, zero-waste,
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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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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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Kuchibanda, Kizito, and Aloyce W. Mayo. "Public Health Risks from Mismanagement of Healthcare Wastes in Shinyanga Municipality Health Facilities, Tanzania." Scientific World Journal 2015 (2015): 1–11. http://dx.doi.org/10.1155/2015/981756.

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The increase of healthcare facilities in Shinyanga municipality has resulted in an increase of healthcare wastes, which poses serious threats to the environment, health workers, and the general public. This research was conducted to investigate management practices of healthcare wastes in Shinyanga municipality with a view of assessing health risks to health workers and the general public. The study, which was carried out in three hospitals, involved the use of questionnaires, in-depth interview, and observation checklist. The results revealed that healthcare wastes are not quantified or segregated in all the three hospitals. Healthcare wastes at the Shinyanga Regional Referral Hospital are disposed of by on-site incineration and burning and some wastes are disposed off-site. At Kolandoto DDH only on-site burning and land disposal are practiced, while at Kambarage UHC healthcare solid wastes are incinerated, disposed of on land disposal, and burned. Waste management workers do not have formal training in waste management techniques and the hospital administrations pay very little attention to appropriate management of healthcare wastes. In light of this, it is evident that management of healthcare solid wastes is not practiced in accordance with the national and WHO’s recommended standards.
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Filip, Gabriela Maria, and Valeria Mirela Brezoczki. "MEDICAL WASTE MANAGEMENT WITHIN THE INFECTIOUS DISEASES AND PSYCHIATRY HOSPITAL, BAIA MARE." Scientific Bulletin Series D : Mining, Mineral Processing, Non-Ferrous Metallurgy, Geology and Environmental Engineering 32, no. 1 (2018): 57–62. http://dx.doi.org/10.37193/sbsd.2018.1.08.

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The paper presents several aspects of the general theme related to medical waste management and elimination in a health unit in Baia Mare. Therefore, non-hazardous wastes are collected like household wastes, being temporarily stored in euro containers and transported by S.C. DRUSAL S.A. The hazardous wastes are selectively collected in special containers, temporarily stored in an especially laid out storage unit and transported by the S.C. ECO BURN S.R.L company to the "Stery Cycle" Bucuresti waste incineration plan.
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Thakre, Anup R. "HOSPITAL WASTE MANAGEMENT: A REVIEW." Journal of Medical Pharmaceutical And Allied Sciences 8, no. 4 (July 15, 2019): 2256–75. http://dx.doi.org/10.22270/jmpas.v8i4.844.

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43

Edra, Beatriz, Catarina Maia, Filomena Cardoso, José Manuel Silva, and Maria do Céu Costa. "Hospital Waste Management - Case Study." Journal Biomedical and Biopharmaceutical Research 14, no. 1 (June 27, 2017): 23–36. http://dx.doi.org/10.19277/bbr.14.1.147.

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44

Abduli, M. A. "Hospital waste management in Tehran." Journal of Environmental Science and Health . Part A: Environmental Science and Engineering and Toxicology 29, no. 3 (April 1994): 477–92. http://dx.doi.org/10.1080/10934529409376049.

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Meçaj, Stela, and Arjana Llano. "HOSPITAL WASTE MANAGEMENT IN ALBANIA." European Science Review, no. 5-6 (2021): 99–104. http://dx.doi.org/10.29013/esr-21-5.6-99-104.

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Maina, Jaccobed Wanjiku. "Knowledge, Attitude and Practice of Staff on Segregation of Hospital Waste: A Case Study of a Tertiary Private Hospital in Kenya." European Scientific Journal, ESJ 14, no. 9 (March 31, 2018): 401. http://dx.doi.org/10.19044/esj.2018.v14n9p401.

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This study set to find out the knowledge, attitude and practice of hospital staff in segregation of hospital waste. Specifically, the study sought to analyse how healthcare waste is segregated, what organizational factors affect the practice, knowledge on proper management of biomedical waste and the attitude of workers towards the practice. A sample size of 105 respondents was included in the study from a population of 442 members of staff. Stratified random sampling technique was used. A structured questionnaire was administered to the sample. The Statistical Package for the Social Sciences was used for the purpose of data analysis. Data was analyzed using descriptive statistical techniques. Inferences were drawn using chi-square test of significance. Results revealed that waste segregation was done across all the departments at the hospital except the accounts department. Syringes and needles made up most of the waste segregated from the various departments at the hospital. With the exception of surgical blades and needles which were disposed in yellow sharps containers, all the other healthcare wastes were disposed in any of the bins. Clear instructions and guidelines influenced the practice of waste segregation among staff at the hospital. The study recommended that training on health care waste management should be done on a regular basis. Adequate quantity of the right colour of waste disposal bags should be provided. Policies and guidelines should be introduced in order to guide and direct staff on what the institution expects of them. A waste segregation plan should be introduced.
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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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Khan, M. Junaid, M. Asim Hamza, Bilal Zafar, Rashid Mehmod, and Sharjeel Mushtaq. "Knowledge, attitude and practices of health care staff regarding hospital waste handling in tertiary care hospitals of Muzaffarabad, AJK, Pakistan." International Journal of Scientific Reports 3, no. 7 (June 30, 2017): 220. http://dx.doi.org/10.18203/issn.2454-2156.intjscirep20173094.

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<p class="abstract"><strong>Background:</strong> Hospital waste management means the management of waste produced in hospitals by using different techniques that will prevent the spread of diseases. Hospital is the place where infectious and non-infectious healthcare waste is being generated and this needs a special precaution for its proper disposal. However, its mismanagement has posed major environmental threats and is now being reported as a serious public health issue worldwide. In developing countries, knowledge, attitude and practices regarding hospital waste management in terms of its segregation, collection, storage, transportation and disposal is limited.</p><p class="abstract"><strong>Methods:</strong> A cross sectional study using simple convenient sampling was conducted from January to May 2015 at tertiary care hospitals of Muzaffarabad, AJK. A self-designed pretested questionnaire was used. Sample size was 114. </p><p class="abstract"><strong>Results:</strong> Mean age of these participants was of 33 years (min 25-maz 41 years) and average work experience was 7 years. Among them, n67 (58%) were male and n47 (42%) were female. n13 (11.4%) were doctors, n68 (60%) were of paramedical staff and n33 (29%) were junior staff. The overall Satisfactory knowledge and attitude score (≥60% answers correct) of doctors was significantly higher than others. Knowledge about the color coding for specific wastes were insignificantly higher among doctors, rather only n4 (30.7%) doctors responded to this question. The overall Satisfactory practice score (≥60% answers correct) of junior staff was higher (94%).</p><p><strong>Conclusions:</strong> Qualified medical professionals give little importance for hospital waste handling practices evident from lower practice score than the paramedical and lower staff. An important opportunity of possible oversight for hospital waste handling is missed in day to day hospital operation.</p>
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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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Sancho, María, José Miguel Arnal, Gumersindo Verdú-Martín, Cristina Trull-Hernandis, and Beatriz García-Fayos. "Management of hospital radioactive liquid waste: treatment proposal for radioimmunoassay wastes." AIMS Environmental Science 8, no. 5 (2021): 449–64. http://dx.doi.org/10.3934/environsci.2021029.

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<abstract> <p>Radioactive liquid wastes are produced at hospitals from diagnostic and therapeutic applications of radionuclides. The most usual management of these wastes is temporary storage at the hospital for radioactivity decay and, then, discharge into sewage if not other pollutants are present in waste, always after authorization of the corresponding institution. In some cases, radioactive wastes have other hazards, such as chemical or biological ones, which can be more dangerous than radiological hazard, and do not allow direct discharge into sewage in spite of decaying activity below the clearance level. Therefore, these wastes have to be treated and condition before discharge in spite of activity decay below discharge limit. This is the case of liquid wastes from radioimmunoassay (RIA), a laboratory technique that allows to determine human substances in very low concentrations (below 10<sup>-12</sup> g/mL), like hormones, using <sup>125</sup>I as radionuclide. This study summarizes the usual management of radioactive liquid wastes from hospitals, including conventional and recent treatments applied. Furthermore, based on experimental results obtained with real RIA wastes, this work exposes a proposal of treatment with ultrafiltration and reverse osmosis membranes, and determines the most suitable application of this treatment according to radiological and operational considerations.</p> </abstract>
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