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1

Lee, C., George Huffman, and Richard Nalesnik. "Medical waste management." Environmental Science & Technology 25, no. 3 (March 1991): 360–63. http://dx.doi.org/10.1021/es00015a607.

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2

Anderson, Leigh G. "Medical Waste Management." Plastic Surgical Nursing 12, no. 1 (1992): 7–12. http://dx.doi.org/10.1097/00006527-199201210-00003.

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3

Krivokuća, Milan. "Medical waste management." Serbian Journal of Engineering Management 6, no. 1 (2021): 30–36. http://dx.doi.org/10.5937/sjem2101030k.

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Medical waste management is of great importance for people and the environment. Irresponsible management and classification of medical waste can lead to environmental hazards and cause health risks to both employees and patients. Traditional waste disposal on landfills are the most common form of waste disposal in our country, although the authors see the most efficient incineration solution as a more appropriate method or an integrated method of hierarchical management from the generation stage to waste treatment, which brings economic advantage and risk reduction potential damages. In order to live in harmony with the environment, the problem of waste disposal must be recognized as one of the important tasks of all structures involved in its creation and disposal.
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4

Sutrisno, Hendri, and Fitriana Meilasari. "Review: Medical Waste Management for Covid19." JURNAL KESEHATAN LINGKUNGAN 12, no. 1si (September 30, 2020): 104. http://dx.doi.org/10.20473/jkl.v12i1si.2020.104-120.

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Introduction: Medical waste generation during the Covid19 pandemic increased by around 30%. Sources of medical waste generation are health care activities. If medical waste is not appropriately managed, it can pollute the environment and disturb health. The purpose of the review is to identify the potential of medical waste in health-care facilities in Indonesia when the Covid19 pandemic and to review medical waste management in Indonesia. The analysis uses a systematic literature review. Discussion: The potential of medical waste during the Covid19 epidemic is infectious waste (PPE wastes), sharps waste (syringes), chemical waste (expired medicines), and pharmaceutical waste (the used alcohol bottles when rapid tests). The hazardous waste management system refers to Government Regulation No. 101 year 2014 about Management of Hazardous and Toxic Waste and and Regulation of Minister of Environment and Forestry of Republic Indonesia No. P.56/MenlhkSetjen/2015 about Procedures and Technical Requirements for Waste Management Hazardous and Toxic From the Health Service Facilities. Infectious waste, sharps waste, chemical waste, and pharmaceutical waste are destroyed with incinerators. Syringe residues were damaged with a needle shredder. Residue and incineration ashes are processed using solidification. If the heavy metal content under the quality standards, then the waste can be landfill. Conclusion: The potential of medical waste during the Covid19 pandemic is infectious waste, sharps waste, chemical waste, and pharmaceutical waste. Medical waste generated must be appropriately managed. Proper medical waste management can prevent environmental pollution and the spread of disease. One of the processing of potential medical waste is incineration. The incineration system produces residue and ash waste that must further be handled so that it does not pollute the environment and disturb health.
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5

Chhugani, Manju. "Bio-Medical Waste Management: An Initiative towards Swacch Bharat." International Journal of Nursing & Midwifery Research 04, no. 03 (November 10, 2017): 1. http://dx.doi.org/10.24321/2455.9318.201723.

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6

Rao, Salla Surya Prakasa, Sweta Ramani, Manem Raveena, and Manem Nikitha. "Knowledge, attitude of medical students regarding biomedical waste management." Asian Pacific Journal of Health Sciences 3, no. 3 (July 2016): 194–96. http://dx.doi.org/10.21276/apjhs.2016.3.3.30.

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7

Ralph, Jrina G. "Infectious Medical Waste Management." Home Healthcare Nurse: The Journal for the Home Care and Hospice Professional 11, no. 3 (May 1993): 25–33. http://dx.doi.org/10.1097/00004045-199305000-00005.

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8

Gahutu, Jean Bosco. "Editorial: Medical waste management." Rwanda Journal of Medicine and Health Sciences 2, no. 3 (February 4, 2020): 212. http://dx.doi.org/10.4314/rjmhs.v2i3.1.

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9

Lee, C. C., and G. L. Huffman. "Medical waste management/incineration." Journal of Hazardous Materials 48, no. 1-3 (June 1996): 1–30. http://dx.doi.org/10.1016/0304-3894(95)00153-0.

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10

MIYAMORI, K. "Medical Waste Management System." JAPANES JOURNAL OF MEDICAL INSTRUMENTATION 60, no. 2 (February 1, 1990): 62–67. http://dx.doi.org/10.4286/ikakikaigaku.60.2_62.

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11

Jeba, Jafrin Sultana, and Md Mujibor Rahman. "Medical waste management in Khulna City Corporation, Bangladesh." National Geographical Journal of India 66, no. 4 (December 31, 2020): 306–19. http://dx.doi.org/10.48008/ngji.1750.

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Management of medical waste or Clinical Solid Waste (CSW) is a major challenge for developing world and poor countries. In a developing country like Bangladesh, poor and inappropriate handling of medical waste continuously increases health risks, as well as environmental risks thus treatment and management of Health-Care Waste (HCW), are important here. This study reviews the current situation of medical waste management (MWM) and practices in Khulna City Corporation, Bangladesh, and examines possible solutions for further study. Both qualitative and quantitative data were used in this study. The study was conducted in 30 HCEs (Health Care Establishments) within Khulna City Corporation. The Result of the study unveiled an unsatisfactory management system in the surveyed HCEs. The entire city corporation's waste management is looked after through a public-private partnership between City Corporation and Prodipan (NGOs). Everyday 3509kg wastes are generated from HCEs within the City Corporation. Only 28% of the waste handling process related personnel claimed that they got training, none of these HCEs has their waste transportation (off-site transportation) facilities and for waste management, they entirely depend on City Corporation and Prodipan. For waste management, absence necessary plan and monitoring team makes it more difficult, only 33% of the surveyed HCEs showed their satisfaction for their manpower in this sector. Only 3.3% Health-Care Establishments (HCEs) have claimed that they have their distinguished treatment facilities for specific non-hazardous wastes. Insufficient collection and storage facilities, inadequate transportation and disposal facilities. The funding also demonstrates that segregation practices were not satisfactory in public and small HCEs. Arrangement of training and awareness program, appropriate plan, skilled staffs, proper storage facilities, regular monitoring are recommended to achieve an efficient medical waste management system.
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12

Shareefdeen, Zarook M. "Medical Waste Management and Control." Journal of Environmental Protection 03, no. 12 (2012): 1625–28. http://dx.doi.org/10.4236/jep.2012.312179.

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13

Salkin, Ira F., Edward Krisiunas, and Wayne L. Turnberg. "Medical and Infectious Waste Management." Journal of the American Biological Safety Association 5, no. 2 (June 2000): 54–69. http://dx.doi.org/10.1177/109135050000500206.

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14

Reinhardt, Peter A., and Judith G. Gordon. "Infectious and Medical Waste Management." Journal of Clinical Engineering 16, no. 3 (May 1991): 259. http://dx.doi.org/10.1097/00004669-199105000-00015.

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15

C, Periya Ganesh. "Bio-Medical Waste Management System." International Journal of Nursing and Health Science 1, no. 1 (December 25, 2015): 6–9. http://dx.doi.org/10.14445/24547484/ijnhs-v1i1p102.

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16

Curtis, Fred A., and Karen Mak. "A Medical Waste Management Strategy." Environmental Management and Health 2, no. 1 (January 1991): 13–18. http://dx.doi.org/10.1108/09566169110006965.

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17

Jang, Yong-Chul, Cargro Lee, Oh-Sub Yoon, and Hwidong Kim. "Medical waste management in Korea." Journal of Environmental Management 80, no. 2 (July 2006): 107–15. http://dx.doi.org/10.1016/j.jenvman.2005.08.018.

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18

Windfeld, Elliott Steen, and Marianne Su-Ling Brooks. "Medical waste management – A review." Journal of Environmental Management 163 (November 2015): 98–108. http://dx.doi.org/10.1016/j.jenvman.2015.08.013.

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19

Bennett, G. F. "Medical waste management and disposal." Journal of Hazardous Materials 31, no. 2 (July 1992): 196. http://dx.doi.org/10.1016/0304-3894(92)85016-t.

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20

Kassou, M., S. Bourekkadi, S. Khoulji, K. Slimani, H. Chikri, and M. L. Kerkeb. "Blockchain-based medical and water waste management conception." E3S Web of Conferences 234 (2021): 00070. http://dx.doi.org/10.1051/e3sconf/202123400070.

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The revolutionary technology blockchain began with cryptocurrencies like bitcoin but has since expanded beyond the worlds of finance and banking. One relatively unexplored application domain is medical and water waste. The production of medical/water waste is an integral part of healthcare operations. However, Health care and water waste management methods can also pose a health and environment risk if the various steps in the management process are not carried out correctly. The objective of this paper is to propose conception of a system, based on the Blockchain and IoT, that ensures the control of these wastes in order to effectively manage, coordinate and monitor their disposal. An initial design of this system and an evaluation of the system's performance are also presented.
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21

Shikoska, Biljana, Cena Dimova, Gjorgji Schumanov, and Vlado Vankovski. "Biomedical Waste Management." Macedonian Medical Review 70, no. 1 (January 1, 2016): 1–7. http://dx.doi.org/10.1515/mmr-2016-0001.

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Abstract Medical waste is all waste material generated in health care facilities, such as hospitals, clinics, physician’s offices, dental practices, blood banks, and veterinary hospitals/ clinics, as well as medical research facilities and laboratories. Poor management of health care waste potentially exposes health care workers, waste handlers, patients and the community at large to infection, toxic effects and injuries, and risks polluting the environment. It is essential that all medical waste materials have to be segregated at the point of generation, appropriately treated and disposed of safety.
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22

Yustina, Endang Wahyati. "ASPEK HUKUM PENGELOLAAN LIMBAH MEDIS PADA FASILITAS PELAYANAN KESEHATAN DAN PERLINDUNGAN TERHADAP KESEHATAN LINGKUNGAN." Jurnal Paradigma Hukum Pembangunan 6, no. 1 (July 16, 2021): 98–115. http://dx.doi.org/10.25170/paradigma.v6i1.2585.

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Hazardous and Toxic Waste/ (Hazardous and Toxic Materials) is the residue of a business and/or activity containing hazardous and toxic materials (B3). One of the B3 wastes is medical waste, which is an infectious waste generated from activities at health care facilities, in the form of solid or liquid waste. These medical wastes are generated from activities such as hospitals, community health centres, independent practice places, clinics, etc. Amenities. Medical waste is an infectious object or item that must be properly managed, starting from the time of collection, transportation, to the destruction process. Therefore, it is necessary to have legally binding regulations related to waste and its management. This research is descriptive in nature which will produce a regulatory description of B3 waste management, particularly medical waste with the protection of environmental health rights. The research approach used normative legal approach. The data collected is in the form of secondary data, while the method of analysis used is qualitative analysis methods. The results showed that the more human activity increased, the more waste was generated. Medical waste is one of the B3 wastes. Medical waste is waste that is directly generated from the diagnosis and medical treatment of patients in health care facilities, such as in polyclinic, nursing, surgical, obstetrics, autopsy and laboratory rooms. To avoid environmental risks, medical waste management must be carried out properly. Various laws and regulations for the management of B3 waste have been enacted, including Government Regulation No. 19/1994 (PP 19/1994) concerning Management of Hazardous and Toxic Wastes up to PP 101/2014. The provisions regarding B3 waste management are based on Law Number 32 the Year 2009 concerning Environmental Protection and Management (UUPLH). However, related to medical waste, it still needs to be synchronized with the regulations in Law Number 36 of 2009 concerning Health. Regulations on medical waste management aim to protect environmental health. Medical waste management can prevent environmental pollution and prevent disease transmission (infection) and prevent waste misuse.
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23

Chen, Lin, Jun Mei Sun, and Zheng Wen Huang. "Research on the Whole-Progress Management of Medical Waste with Life Cycle Assessment." Advanced Materials Research 915-916 (April 2014): 900–904. http://dx.doi.org/10.4028/www.scientific.net/amr.915-916.900.

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The management and treatment of medical waste directly affected the security of doctors, patients and human health. The hazard of medical wastes and domestic status of medical waste management were discussed, the countermeasures for achieving sustainable management of medical waste in China were put forward on the basis of the theoretical framework of life cycle assessment and whole-process management called Cradle-toGrave. Finally, the development direction and trend, appropriate suggestion and control measures of medical waste management was put forward combined with the international development requirements.
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24

Perelygin, Vladimir, Nataliia Sklyarova, Sergey Paramonov, and Timofey Pyatizbyantsev. "Approaches to a comprehensive solution to the problem of medical waste management." Pharmacy Formulas 1, no. 1 (December 12, 2019): 78–83. http://dx.doi.org/10.17816/phf18618.

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Topical issues of medical waste compliance with Federal Law 89-ФЗ On Production and Consumption Wastes and aspects of conducting medical waste management activities in order to comply with this regulatory legal act are considered. It has been established that when medical waste falls under the federal law FZ-89, additional requirements for conducting waste management activities are not taken into account, the entry of medical waste into the Federal Classification Catalog of Waste (FCCW) as a separate unit and optimization of the certification of medical waste. In our opinion, there are currently gaps in the medical waste management activities in the environmental legislation of the Russian Federation and, as a consequence, in law enforcement practice. An algorithm of scientifically based approaches to solving the main problems of the existing problems that can be applied during the preparation and development of the Information and Technical Guide on the best available technologies (BAT) for medical waste management is proposed.
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25

Muhammad, Edo, Tri Joko, and Nurjazuli Nurjazuli. "EVALUATION OF SOLID MEDICAL WASTE MANAGEMENT SYSTEM OF PUSKESMAS IN CIANJUR DISTRICT." Journal of Public Health for Tropical and Coastal Region 2, no. 2 (January 2, 2020): 20–32. http://dx.doi.org/10.14710/jphtcr.v2i2.6187.

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Some of the waste produced by community health centers is hazardous waste and can pose a number of health and environmental risks if management is not in accordance with the requirements. This study aims to evaluate the conditions for managing solid medical waste in the Cianjur Regency community health center. This type of research is a qualitative descriptive study. The results of the study show that the public health center with the HR condition is quite 90% and less 10%. Public health center with budget conditions in good category 73.3%, and quite 26.7%. Community health center with a condition of facilities and infrastructure of less than 50% category, and quite 50%. Community health centers with SOP conditions in the category of both 90%, and less than 10%. Public health center with conditions for sorting and storing good categories of 46.7%, and enough of 53.3%. all community health centers have sufficient conditions for collecting medical waste. Community health center with conditions for transporting medical categories of waste both 60%, enough 26.7%, and less 13.3%. Community health center with temporary storage conditions medical waste is quite 83.3%, and less 16.7%. a public health center whose medical waste management officers had experienced an accident of 13.3%, whose officers had never had an accident of 86.7%. The conclusion of this study is that most public health center medical waste management is in accordance with the requirements, which are not yet appropriate are aspects of HR, facilities and infrastructure, sorting, use of PPE and Temporary Storage Places.
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26

King, Allison R. "Waste Management." Hospital Pharmacy 46, no. 2 (February 2011): 81. http://dx.doi.org/10.1310/hpj4602-81.

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27

MATSUSHIMA, Hajime. "Recent Trend in Medical Wastes. Management of Medical Waste in Large Scale Medical Institutions." Waste Management Research 7, no. 1 (1996): 30–39. http://dx.doi.org/10.3985/wmr.7.30.

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28

Reinhart, Debra R., and Philip T. McCreanor. "Medical Waste Management: Where Does the Solid Waste Go?" Laboratory Medicine 31, no. 3 (March 2000): 141–45. http://dx.doi.org/10.1309/muf3-h904-y8r1-jtc8.

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29

Shivaprakash., G., and Veena S. Prakash. "Relavance of Bio Medical Waste Management." CODS Journal of Dentistry 2, no. 2 (2010): 26–28. http://dx.doi.org/10.5005/cods-2-2-26.

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30

Emilia, Asuquo Udofia, N. Fobil Julius, and Gulis Gabriel. "Solid medical waste management in Africa." African Journal of Environmental Science and Technology 9, no. 3 (March 30, 2015): 244–54. http://dx.doi.org/10.5897/ajest2014.1851.

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31

Rajendran, S., and R. Ramachandran. "Expenditure Patterns of Medical Waste Management." Artha Vijnana: Journal of The Gokhale Institute of Politics and Economics 53, no. 4 (December 1, 2011): 391. http://dx.doi.org/10.21648/arthavij/2011/v53/i4/117548.

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32

Haskell, Scott R. R., Carol J. Ormond, Larry P. Occhipinti, and Ed L. Powers. "Medical waste management in veterinary practice." Journal of the American Veterinary Medical Association 223, no. 1 (July 2003): 46–47. http://dx.doi.org/10.2460/javma.2003.223.46.

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33

Komilis, Dimitrios P. "Issues on medical waste management research." Waste Management 48 (February 2016): 1–2. http://dx.doi.org/10.1016/j.wasman.2015.12.020.

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34

Aske, Dilip kumar. "Bio medical waste management through vermitechnology." Environment Conservation Journal 14, no. 3 (December 21, 2013): 105–7. http://dx.doi.org/10.36953/ecj.2013.14318.

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The earthworm is very beneficial for the soil fertility and for maintaining the earthworm in the soil, soil moisture and organic matter should be at optimum temperature level. From such a point of view the analysis of nutrient contents in biomedical waste treated with earthworm for the plant growth is very important. In present work the the total organic carbon, nitrogen, available phosphorous (as p2o5) and potassium (as k2o) at beginning and after different vermicomposting period were analyzed. During this study the moisture content (70-80%) pH (7.5 to 8) and organic matter (40-60%) was observed in biomedical waste consisting of cottons and bandage treated through vermicompost while in plant material moisture content (70-90%) pH (7.5-8.0) and organic matter (50-60%) was observed through vermicompost treatment.
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35

KINOSHITA, Masaaki. "Recent Trend in Medical Wastes. Proper Management of Infectious Waste." Waste Management Research 7, no. 1 (1996): 5–11. http://dx.doi.org/10.3985/wmr.7.5.

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36

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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37

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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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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39

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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40

Khandelwal, Gaurav. "Biomedical Waste Management." International Journal for Research in Applied Science and Engineering Technology 9, no. VII (July 30, 2021): 2875–88. http://dx.doi.org/10.22214/ijraset.2021.36936.

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Bio medical waste (BMW) disposal is a very important yet a challenging task. Health care waste contains potentially harmful microorganisms, which can infect hospital patients, health workers, and the general public. Exposure to hazardous health care waste can result in disease or injury. The Government of India has been laying down rules, namely, Bio Medical Waste (Management and Handling) Rules, in 1998, COVID-19 pandemic and its consequent biomedical waste is an unprecedented challenge worldwide. Biomedical waste generated during COVID-19 patient isolation, testing and care needs special consideration as it challenges the previous notion that only 15–20% of waste can be considered infectious. With establishment of new home quarantine facility, isolation/quarantine centers the chances of general waste getting contaminated with biomedical waste has increased exponentially. The key step in COVID19 waste management is segregation of biomedical waste from solid waste. Waste generated from COVID19 patients is like any other infectious waste, therefore creating public awareness about the COVID19 waste hazards and segregation at source is highlighted in all guidelines as a recommendation.
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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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Ganis, Ahmad. "MEDICAL WASTES MANAGEMENT A POLICY REVIEW." JURNAL GREEN GROWTH dan MANAJEMEN LINGKUNGAN 3, no. 2 (June 30, 2013): 1. http://dx.doi.org/10.21009/jgg.032.01.

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Abstract Since so many mishandling of medical waste in various places in Indonesia that has endangered our environment by the potential disease that easily can spread to our society , it is very important for all of us to address it on how to improve the medical waste management. There are area of improvement needed in our regulation, public policies disciplines and social awareness and especially the importance of proper handling of medical waste by the medical waste producers such as hospital, clinic and laboratories. This study is not intended to produce scientific theory but more focus on how to solve the problem of medical waste with the limit time and less costly manner or in the other words as a macro diagnosis of “the main causes of the problems” of medical waste management in Indonesia. This study has made clear conclusion that Indonesia has to follow the basic principle and guidelines of International standards and recommends improvement of the coordination between Ministry of Health and Ministry of Environment, toward “one roof policy”, “strong political will of top government to empower MOE and also Law No. 18, 2008 and Law No. 32, 2009 must be reviewed toward “Polluter pay the price” Policy. The government also must allocate sufficient fund to function as regulator and controlling body and increase social awareness for environmental health. Key note: Medical waste, public policy, environmental health
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Mozzhukhina, Natalya A., G. B. Yeremin, and A. Yu Lomtev. "CONTRADICTIONS IN LEGISLATION ON MEDICAL WASTE MANAGEMENT IN THE MANUFACTURING OF MEDICINAL PRODUCTS." Hygiene and sanitation 98, no. 1 (March 27, 2019): 38–44. http://dx.doi.org/10.18821/0016-9900-2019-98-1-38-44.

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Introduction. The rapid development of the pharmaceutical industry makes the impact on the environmeте to be very important. The solution of the problem is related to waste management and, accordingly, the legislative regulation of waste management at medicinal products enterprises. Materials and methods. The methods of the scientific hypothetical-deductive cognition, general logical methods, and methods of research: analysis, synthesis, abstraction, generalization, induction were applied. The objects of research were laws and regulations governing relations in the field of waste management in the production of medicines, as well as departmental letters. Results. This article analyzes the contradictions occurring in federal laws and departmental regulations related to the management of medical waste in medicinal products manufacturing, which, on the one hand, may cause the violation of citizens' rights to a healthy environment and sanitary and epidemiological well-being, on the other hand to become the reason of restrictions in development of business. The legislative definition of medical waste was shown to include, besides other things, wastes from medicinal products manufacturing, which leads to the withdrawal of pharmaceutical enterprises waste from the general field of waste legislation. At the same time, there is a transfer of regulation of medicinal products manufacturing waste management to the sanitary legislation field. However, in practice, there is a situation of double regulation by the departmental acts of the Federal Service for Supervision of Consumer Rights Protection and Human Welfare and Federal Service for Supervision over Natural Resource Management. Discussion. The analysis of the experience in the field of the organization of pharmaceutical waste management in the foreign practice (WHO, EPA) has been introduced, where the concept of pharmaceutical waste was introduced, within which hazardous chemical waste, controlled substances (narcotic, psychotropic, hormones) and biomedical wastes are selected. Conclusion. The analysis of federal regulations, sanitary norms, and rules, norms of Federal Service for Supervision over Natural Resource Management affecting the management of waste (medical waste) in the production of medicines, shows their limited applicability to modern high-tech industries, which requires bringing the regulatory and legal acts in line and improving the standardization.
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Debita, Mihaela, Carmina Musat, Elena Mereuta, Madalina Rus, Claudiu Mereuta, Iuliu Fulga, and Daniel Ganea. "Hazardous Private Healthcare Waste Management and Forecast of Medical Waste Generation." Revista de Chimie 68, no. 9 (October 15, 2017): 2048–51. http://dx.doi.org/10.37358/rc.17.9.5819.

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The paper presents some considerations about medical waste management in private medical facilities which are considered to be small generators of such waste. The regulations are also applicable in these facilities and the management must develop strategic plans for minimizing the amount of medical waste. Some examples are revealed and a statistical analysis is conducted in order to reveal the efficiency of the medical waste management system. A forecast of hazardous medical waste is determined using the moving average method.
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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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Nussbaum, George F. "Alternative Waste Management Strategies." Perioperative Nursing Clinics 3, no. 1 (March 2008): 63–72. http://dx.doi.org/10.1016/j.cpen.2007.11.009.

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Giasuddin, Prof Dr ASM, Dr Natasha Khurshid, and Ms Nuhad Raisa Seoty. "Importance of Compliance to Quality Management of Healthcare/Medical Waste: A Review." International Journal of Medical Science and Clinical invention 7, no. 02 (February 27, 2020): 4751–56. http://dx.doi.org/10.18535/ijmsci/v7i02.04.

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All healthcare and service provider including corporate hospital generate healthcare/medical waste during their activities, although 75-90% of the wastes. The remaining 10-26% healthcare waste are considered/regarded as hazardous and may create a variety of health risk for the healthcare workers as well as for the community and Environment as a whole unless managed properly and adequately. Therefore, Compliance to adequate & appropriate waste disposal processes should be carried out & compliance to them are vitally important from public health view point.
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Dewi, Oktavia, Yusni Ikhwan, Elda Nazriati, and Sukendi Sukendi. "The Characteristics and Factors Associated with Medical Waste Management Behaviour in Private Dental Health Services in Pekanbaru City, Indonesia." Open Access Macedonian Journal of Medical Sciences 7, no. 1 (January 14, 2019): 157–61. http://dx.doi.org/10.3889/oamjms.2019.039.

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BACKGROUND: Medical waste is a problem when its amount is accumulated as well as the way the private dental healthcare still manages improperly. AIM: This study aims to define types and the number of medical wastes, also to analyse behaviour toward waste management and its associated factors. MATERIAL AND METHODS: The research used a quantitative analytic approach and cross-sectional design with 149 private dental practice populations in total. There were 60 dentists obtained using systematic random sampling in Pekanbaru. Data processed by conducting summation medical waste and counting the percentage of behaviour’s variables. Data collected within 20 days were processed with dental waste laboratory tests and chi-square analysis. RESULTS: The result showed that dental, medical wastes average was 0.3 ± 0.07 kg/day which is 69% infectious, 27% toxic, and 4% radioactive. Overall results showed associated factors related to waste management behaviour were knowledge, training attainment, availability of facilities, and the use of personal protective equipment. CONCLUSION: The numbers of medical waste from dental health services in Pekanbaru were still low. More than half the Dentist had poor behaviour in dental, medical waste management. It is recommended to the dental profession organisation to cooperate with City Health Office to hold management training on medical waste in dental health care to educate and raise dentists’ awareness to be able to manage the waste of dental health services properly and by the regulations.
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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;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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Alam, MZ, MS Islam, and MR Islam. "Medical Waste Management: A Case Study on Rajshahi City Corporation in Bangladesh." Journal of Environmental Science and Natural Resources 6, no. 1 (February 10, 2015): 173–78. http://dx.doi.org/10.3329/jesnr.v6i1.22062.

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The management of medical waste (MW) is of great importance due to its impact on human health and environment. The present practices of improper management of generated medical wastes in different Healthcare Establishment (HCEs) in Rajshahi City Corporation (RCC) is playing a contributing role to create vulnerable condition in spreading out the Diarrhea, Hepatitis and various skin related diseases. The objectives of the study are to identify different types of wastes, its generation rate and assess the existing waste management in various HCEs. The study was carried out in 14 different HCEs that generated much portion of MW of total generated MW in RCC. The methodology of this project was descriptive and consisted of the use of field survey and interviews with the relevant authorities and personnel involved in the management of MW. It was found that the surveyed HCEs generate a total of 1495 kg/day of MW; of which about 1328.6 kg/day (88.87%) are non-infectious and about 166.4 kg/day (11.13%) are infectious. The average waste generation rate for surveyed HCEs is 1.54 kg/bed/day or 0.30 kg/patient/day. It was found from the survey that there is no proper and systematic management of medical wastes. The study reveals that lack of awareness; financial support and willingness are responsible for improper management of MW. So the RCC and HCEs authorities should adopt appropriate policy regarding this issue and provide training program on relevant personnel who are engaged in medical waste management.DOI: http://dx.doi.org/10.3329/jesnr.v6i1.22062 J. Environ. Sci. & Natural Resources, 6(1): 173-178 2013
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