Evaluate the types and amount of genotoxic waste in Tehran University of Medical Science’s hospitals

  • Leila Ghasemi
  • Samira Yousefzadeh
  • Noushin Rastkari
  • Kazem Naddafi
  • Nabi Shariati Far
  • Ramin Nabizadeh
Research Article



Genotoxic wastes are one type of hospital wastes that are extremely dangerous and may cause cell mutation or cancer and their disposal should be taken seriously. Cytotoxic drugs are main component of these wastes. The purpose of this study was to determine the types and quantities of genotoxic wastes in hospitals of Tehran University of Medical Sciences and evaluation of genotoxic waste management index.


For this purpose, a questionnaire was used to collect data. Each question was scored according to compliance or non-compliance with the law, and genotoxic hospital waste management index was calculated for each hospital.


Various parameters including waste generation rate, segregation, collection, transportation, storage, disposal and the hygiene of personnel were evaluated. The results showed that 60% of hospitals ranked medium, 27% ranked poor and 13% ranked as very poor according to this index.


Since the condition of genotoxic waste management in this study was ranked as medium, therefore some steps of hospital waste management system require improvement.


Genotoxic waste Cytotoxic drugs Genotoxic waste management index GWMI Hospital wastes management index HWMI 



This research was supported by grants from Tehran University of Medical Sciences and Health Services. The authors would like to acknowledge staff of all those hospitals in Tehran that participated in this study and helped the present research to develop.

Compliance with ethical standards

Conflict of interest

No potential conflict of interest was reported by the author.


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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Leila Ghasemi
    • 1
  • Samira Yousefzadeh
    • 2
    • 3
  • Noushin Rastkari
    • 4
  • Kazem Naddafi
    • 1
  • Nabi Shariati Far
    • 1
  • Ramin Nabizadeh
    • 1
    • 4
  1. 1.Department of Environmental Health Engineering, School of Public HealthTehran University of Medical SciencesTehranIran
  2. 2.Department of Environmental Health Engineering, Aradan School of Public Health and ParamedicalSemnan University of Medical SciencesSemnanIran
  3. 3.Students’ Scientific Research Center (SSRC)Tehran University of Medical SciencesTehranIran
  4. 4.Center for Air Pollution Research, Institute for Environmental ResearchTehran University of Medical SciencesTehranIran

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