Advertisement

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
  • 26 Downloads

Abstract

Purpose

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.

Methods

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.

Results

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.

Conclusions

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

Keywords

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

Notes

Acknowledgments

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.

References

  1. 1.
    Oweis R, Al-Widyan M, Al-Limoon O. Medical waste management in Jordan: a study at the king Hussein medical center. Waste Manag. 2005;25(6):622–5.  https://doi.org/10.1016/j.wasman.2005.03.011.CrossRefGoogle Scholar
  2. 2.
    Townend WK. Safe management of wastes from health care activities. Bull World Health Organ. 2001;79:171.Google Scholar
  3. 3.
    Keshava N, T-m O. Occupational exposure to genotoxic agents. Mutat Res Rev Mutat Res. 1999;437(2):175–94.  https://doi.org/10.1016/S1383-5742(99)00083-6.CrossRefGoogle Scholar
  4. 4.
    Kumar R, Khan EA, Ahmed J, Khan Z, Magan M, Nousheen, et al. Healthcare waste management (HCWM) in Pakistan: current situation and training options. J Ayub Med Coll Abbottabad. 2010;22(4):101–5.Google Scholar
  5. 5.
    Johannssen LM, Dijkman M, Bartone C, Hanrahan D, Boyer MG, Chandra C. Health care waste management guidance note. HNP discussion paper series. Washington, DC: World Bank; 2000.Google Scholar
  6. 6.
    Smith CA. Managing pharmaceutical waste: what pharmacist should know. J Pharm Soc Wis. 2002:17–22.Google Scholar
  7. 7.
    Manyele SV, Lyasenga TJ. Factors affecting medical waste Management in low-Level Health Facilities in Tanzania. Afr J Environ Sci Technol. 2010;4(5):304–18.Google Scholar
  8. 8.
    WHO RCfEHA, Bank W. Better health care waste management: an integral component of health investment. World Health Organization; 2005.Google Scholar
  9. 9.
    Mosquera M, Andres-Prado MJ, Rodriguez-Caravaca G, Latasa P, Mosquera ME. Evaluation of an education and training intervention to reduce health care waste in a tertiary hospital in Spain. Am J Infect Control. 2014;42(8):894–7.  https://doi.org/10.1016/j.ajic.2014.04.013.CrossRefGoogle Scholar
  10. 10.
    Shinee E, Gombojav E, Nishimura A, Hamajima N, Ito K. Healthcare waste management in the capital city of Mongolia. Waste Manag. 2008;28(2):435–41.  https://doi.org/10.1016/j.wasman.2006.12.022.CrossRefGoogle Scholar
  11. 11.
    Bokhoree C, Beeharry Y, Makoondlall-Chadee T, Doobah T, Soomary N. Assessment of environmental and health risks associated with the Management of Medical Waste in Mauritius. APCBEE Procedia. 2014;9(Supplement C):36–41.  https://doi.org/10.1016/j.apcbee.2014.01.007.CrossRefGoogle Scholar
  12. 12.
    Aghapour P, Nabizadeh R, Nouri J, Monavari M, Yaghmaeian K. Analysis of the health and environmental status of sterilizers in hospital waste management: a case study of hospitals in Tehran. Waste Manag Res. 2013;31(3):333–7.  https://doi.org/10.1177/0734242x12472706.CrossRefGoogle Scholar
  13. 13.
    Patil AD, Shekdar AV. Health-care waste management in India. J Environ Manag. 2001;63(2):211–20.  https://doi.org/10.1006/jema.2001.0453.CrossRefGoogle Scholar
  14. 14.
    Askarian M, Vakili M, Kabir G. Hospital waste management status in university hospitals of the Fars province, Iran. Int J Environ Health Res. 2004;14(4):295–305.  https://doi.org/10.1080/09603120410001725630.CrossRefGoogle Scholar
  15. 15.
    Bahrami H, Malakootian M, Mousavi Nasab SD, Jaafarzadeh N, Askarian M, Samadi S, et al. WITHDRAWN: an overview of the present status of hospital waste management in Kerman, Iran. J Infect Public Health. 2014.  https://doi.org/10.1016/j.jiph.2014.07.007.
  16. 16.
    Taghipour H, Mosaferi M. Characterization of medical waste from hospitals in Tabriz, Iran. Sci Total Environ. 2009;407(5):1527–35.  https://doi.org/10.1016/j.scitotenv.2008.11.032.CrossRefGoogle Scholar
  17. 17.
    Alagoz AZ, Kocasoy G. Determination of the best appropriate management methods for the health-care wastes in Istanbul. Waste Manag. 2008;28(7):1227–35.  https://doi.org/10.1016/j.wasman.2007.05.018.CrossRefGoogle Scholar
  18. 18.
    Da Silva CE, Hoppe AE, Ravanello MM, Mello N. Medical wastes management in the south of Brazil. Waste Manag. 2005;25(6):600–5.  https://doi.org/10.1016/j.wasman.2004.03.002.CrossRefGoogle Scholar
  19. 19.
    Mohamed LF, Ebrahim SA, Al-Thukair AA. Hazardous healthcare waste management in the Kingdom of Bahrain. Waste Manag. 2009;29(8):2404–9.  https://doi.org/10.1016/j.wasman.2009.02.015.CrossRefGoogle Scholar
  20. 20.
    Dehghani MH, Azam K, Changani F, Dehghani Fard E. Assessment of medical waste management in educational hospitals of Tehran university medical sciences. Iran J Environ Health Sci Eng. 2008;5(2):131–6.Google Scholar
  21. 21.
    Nemathaga F, Maringa S, Chimuka L. Hospital solid waste management practices in Limpopo Province, South Africa: a case study of two hospitals. Waste Manag. 2008;28(7):1236–45.  https://doi.org/10.1016/j.wasman.2007.03.033.CrossRefGoogle Scholar
  22. 22.
    Insa E, Zamorano M, López R. Critical review of medical waste legislation in Spain. Resour Conserv Recycl. 2010;54(12):1048–59.  https://doi.org/10.1016/j.resconrec.2010.06.005.CrossRefGoogle Scholar
  23. 23.
    Ananth AP, Prashanthini V, Visvanathan C. Healthcare waste management in Asia. Waste Manag. 2010;30(1):154–61.  https://doi.org/10.1016/j.wasman.2009.07.018.CrossRefGoogle Scholar

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

Personalised recommendations