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Management of hospitals solid waste in Khartoum State

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This research had been conducted during year 2012 to review existing data on hospital waste management for some of Khartoum town hospitals and to try to produce appropriate proposals acceptable for waste management and final treatment methods. The overall status of hospital waste management in Khartoum has been assessed through direct visits and designated questionnaires. Eight main hospitals were covered in the study with an overall bed capacity of 2,978. The current waste management practice observed at all studied hospitals was that most of waste, office, general, food, construction debris, and hazardous chemical materials were all mixed together as they are generated, collected, and finally disposed of. Only a small portion of waste in some hospitals (part of potentially infectious, body parts, and sharps) are collected separately and treated in a central incinerator. The estimated value of per bed generation rate in the studied hospitals was found to be 0.87 kg/day, which lies within the range for the low-income countries. In all studied hospitals, it was found that workers were working under very poor unsafe conditions with very low salaries ($35 to $45 per month on average). About 90 % were completely illiterate or had very low education levels. At the national level, no laws considering hospital waste, or even hazardous waste, were found; only some federal general environmental regulations and some procedures from town and city localities for controlling general municipal waste exist. At the hospital level, no policies or rules were found, except in the radiotherapy center, where they manage radioactive wastes under the laws of the Sudanese Atomic Agency. Urgent actions are needed for the remediation and prevention of hazards associated with this type of waste.

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  • Abu Sin, M. E., & Davies, H. R. J. (1991). The future of Sudan’s capital region: a study in development and change. Khartoum: Khartoum University Press.

    Google Scholar 

  • Akter, N. (2000). Medical waste management: a review. Thailand: Asian Institute of Technology, School of Environment, Resources and Development.

    Google Scholar 

  • Batstone R, Smith JE Jr., Wilson D (1989) The safe disposal of hazardous waste. World Bank Technical Paper Number 93, Washington, DC

  • California Medical Waste Management Program (2000) Medical Waste Management Act, California Health and Safety Code. Sacramento, January

  • Cardenas ML (2000) Technical workbook on environmental management tools for decision analysis. Environmental Risk Assessment (EnRA), United Nations Environment Programme Technical Publications

  • Carr, R. (2001). Decision-making guide for managing health care waste from primary health care centres. Draft Document. Geneva: World Health Organization Protection of the Human Environment (PHE) Vaccines and Biologicals (VAB).

    Google Scholar 

  • Cole, E. C., Pierson, T. K., Greenwood, D. R., Leese, K. E., & Forde, K. K. (1993). Guidance for evaluating medical waste treatment technologies. Washington,DC: Report US Environmental Protection Agency.

    Google Scholar 

  • Elamin AA (2008) Proposal of Medical Waste Management Plan (MWMP) for rural health facilities in four states (Blue Nile, South Kordufan, Kasala, and Red Sea). Prepared for the Federal Ministry of Health (FMOH) Decentralized Health System Development Project (DHSDP), 12 August

  • EPA (US Environmental Protection Agency) (1996) Proposed air emission standards and guidance for medical waste incinerators: notice of availability of supplemental information. Fact Sheet, USA, 13 June

  • Hancock T (2001) Doing less harm: assessing & reducing the environmental & health impacts of Canada’s healthcare system. A Report from the Canadian Coalition for Green Healthcare, November

  • ICRC (International Committee of the Red Cross). (2011). Medical Waste Management. Geneva: ICRC.

    Google Scholar 

  • ICSP (Infection Control Society Pakistan) (2012) Disposal of hospital waste. Chapter 3 in the Infection Control Manual

  • Johannessen LM, Dijkman M et al. (2000) Health care waste management guidance note. The International Bank for Reconstruction and Development/The World Bank, Health, Nutrition and Population (HNP) Discussion Paper, May

  • Picken, D. J. (1999). A low cost incinerator for disposing of hospital waste in remote rural locations. Leicester, UK: Annotative Technology Centre, Incineration Project Work, De Montfort University.

    Google Scholar 

  • Prüss, A., Giroult, E., & Rushbrook, P. (1999). Safe management of wastes from health-care activities. Geneva: World Health Organization.

    Google Scholar 

  • Republic of the Philippines (2000) Congress of the Philippines Metro Manila Republic Act on no. 9003 “An Act Providing for an Ecological Solid Waste Management Program, Creating the Necessary Institutional Mechanisms and Incentives, Declaring Certain Acts Prohibited and Providing Penalties, Appropriating Funds There For, and For Other Purposes”. Manila

  • Rushbrook, P. (2000). Starting health care waste management in medical institutions, a practical approach. World Health Organization Regional Office For Europe. Copenhagen: WHO Publications.

    Google Scholar 

  • Saad R (2012) International legislation on transboundary movements and disposal of hazardous waste and their effectiveness in African countries. M.Sc. thesis, Council of Political and Diplomatic Studies, Sudan Academy of Science

  • Saad S (2002) Management of hospitals solid waste in Khartoum State. M.Sc. thesis, Faculty of Engineering, University of Khartoum

  • Salkin, I. F. (2001). Review of health impacts from microbiological hazards in health-care wastes. Draft Document. Geneva: World Health Organization.

    Google Scholar 

  • Santarsiero, A., & Ottaviani, M. (1995). Evaluation of heavy metals in slags from medical waste incinerator. Microchemical Journal, 51(1/2), 166–169.

    Article  CAS  Google Scholar 

  • Stokoe, J., & Teague, E. (1995). Integrated solid waste management for rural areas. Washington: USDA—Rural Utilities Service.

    Google Scholar 

  • Sudan Central Bureau for Statistics (2005) Census. Available at

  • Sudanese Environment Conservation Society and Friedrich Ebert Stiftung (1996) Toward a national plan for environmental work in Sudan. Khartoum

  • Trochim, W. M. K. (1999). Research methods knowledge base (2nd ed.). Ithaca: Cornell University.

    Google Scholar 

  • UNEP (United Nations Environmental Programme). (1992). United Nations Conference on Environment and Development, Agenda 21. Rio de Janeiro: UNEP Publication.

    Google Scholar 

  • UNEP (United Nations Environmental Programme) (1999) Basel Convention on the control of transboundary movements of hazardous wastes and their disposal adopted by the Conference of the Plenipotentiaries on 22 March 1989 entry into force 5 May 1992. UNEP Publications, July

  • United States Code (1988) Title 42—The Public Health and Welfare—Chapter 82—Solid Waste Disposal—Subchapter X—Demonstration Medical Waste Tracking Program

  • Wagner, K. (Ed.). (1998). Environmental management in healthcare facilities. USA: WB Saunders Co.

    Google Scholar 

  • Washington Medical Waste Institute. (2000). Model regulations for medical waste management. Document prepared by a policy making group of The National Solid Wastes Management Associations USA. DC: Washington.

    Google Scholar 

  • Washington State Department of Ecology (2005) Best management practices for hospital waste. Publication Number 05-04-013, October

  • WHO (World Health Organization) (2000a) Policy analysis, management of health-care wastes. WHO Publications, April

  • WHO (World Health Organization) (2000b) Policy analysis, management of health-care wastes. WHO Publication, January

  • WHO (World Health Organization). (2000c). Information fact sheets. Fact sheet no. 253. Wastes from health-care activities. Geneva: WHO.

    Google Scholar 

  • WHO (World Health Organization) (2001) Health-care waste management. Rapid assessment tool for country level. Second Draft, WHO Publications, February

  • Work Safe Western Australia Commission. (2000). Code of Practice on the Management of HIV/Aids and Hepatitis at Workplaces Appendix E Principles of the Storage, Transportation and Disposal of Medical Waste. Australia: Work Safe Western Australia Commission.

    Google Scholar 

  • World Bank (2008) Implementation status and results Sudan. Sudan Multi-donor Trust Fund for Decentralized Health System Development Project, Report No. ISR4362

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Correspondence to Suhair A. Gayoum Saad.

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Saad, S.A.G. Management of hospitals solid waste in Khartoum State. Environ Monit Assess 185, 8567–8582 (2013).

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