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Analysis of quality and quantity of health-care wastes in clinical laboratories: a case study of Ilam city

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Abstract

Generation of health-care wastes is one of the major concerns in health-care institutions worldwide due to direct and indirect impact on human health and environment. The purpose of the present work was to estimate the quantity and quality of clinical laboratory wastes in the city of Ilam, Iran. In this cross-sectional study, randomly eight clinical laboratories including five in private sector and three governmental clinical laboratories were selected for sampling according to the purpose of the study. The results showed that the total amount of waste generation was 27,700.90 kg/year. The average amount of health-care wastes generation in Ilam city was 0.2 kg/person/year. The portions of general, pathologic, sharp, infectious, and pharmaceutical and chemical wastes were 37, 5, 2, and 56% (by weight), respectively. As a considerable amount of waste is generated in clinical laboratories of Ilam city, therefore, it is necessary to implement integrated plans for the proper management of these wastes. Thus, sufficient training and education programs must be developed for all clinical staffs and that the existing training and education procedures should also be promoted.

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References

  • Abasloo, M. (2005). Survey of medical waste management in hospitals of Khoy city, Iran, The second national conference on waste management. Tehran, Tehran University.

  • Alavi, N., Mohammadi, M., Vosoughi Niri, M., Salimi, J., Ahmadi Angaly, K., Ghaffari Zadeh, F., et al. (2014). Survey of quantity and quality of medical waste during 2009–2011 in Razi Hospital of Torbat-e-Hydareih, Iran. Journal of Health Chimes| Torbat Heydariyeh University of Medical Sciences, 1(4), 32–40.

    Google Scholar 

  • Bharti, P. K., Sharma, B., Singh, R., & Tyagi, A. (2016). Waste generation and management in Antarctica. Procedia Environmental Sciences, 35, 40–50.

    Article  Google Scholar 

  • Damani, N., Koolivand, A., Sadat, M., Mahvi, A. H., & Mazloomi, S. (2013). Hospital waste generation and management in some provinces of Iran. Toxicological & Environmental Chemistry, 95(6), 962–969.

    Article  CAS  Google Scholar 

  • Gavrancic, T., Simic, A., & Gavrancic, B. (2012). Medical waste management at the oncology Institute of Vojvodina: possibilities of successful implementation of medical waste regulation in Serbia. Waste Management & Research, 30(6), 596–600.

    Article  Google Scholar 

  • Graikos, A., Voudrias, E., Papazachariou, A., Iosifidis, N., & Kalpakidou, M. (2010). Composition and production rate of medical waste from a small producer in Greece. Waste Management, 30(8–9), 1683–1689.

    Article  CAS  Google Scholar 

  • Hanumantha Rao, P. (2008). Report: hospital waste management—awareness and practices: a study of three states in India. Waste Management & Research, 26(3), 297–303.

    Article  Google Scholar 

  • Hauri, A. M., Armstrong, G. L., & Hutin, Y. J. (2003). Contaminated injections in health care settings. In Comparative quantification of health risks: global and regional burden of disease attributable to selected major risk factors. Geneva: World Health Organization.

    Google Scholar 

  • He, Z.-g., Li, Q., & Fang, J. (2016). The solutions and recommendations for logistics problems in the collection of medical waste in China. Procedia Environmental Sciences, 31, 447–456.

    Article  Google Scholar 

  • Higgs, G. (2006). Integrating multi-criteria techniques with geographical information systems in waste facility location to enhance public participation. Waste Management & Research, 24(2), 105–117.

    Article  Google Scholar 

  • Hossain, M. S., Santhanam, A., Norulaini, N. N., & Omar, A. M. (2011). Clinical solid waste management practices and its impact on human health and environment–a review. Waste Management, 31(4), 754–766.

    Article  CAS  Google Scholar 

  • Jang, Y.-C., Lee, C., Yoon, O.-S., & Kim, H. (2006). Medical waste management in Korea. Journal of Environmental Management, 80(2), 107–115.

    Article  Google Scholar 

  • Komilis, D., Makroleivaditis, N., & Nikolakopoulou, E. (2017). Generation and composition of medical wastes from private medical microbiology laboratories. Waste Management, 61, 539–546. https://doi.org/10.1016/j.wasman.2017.01.033.

    Article  Google Scholar 

  • Koolivand, A., Mahvi, A. H., Alipoor, V., Azizi, K., & Binavapour, M. (2012). Investigating composition and production rate of healthcare waste and associated management practices in Bandar Abbass, Iran. Waste Management & Research, 30(6), 601–606.

    Article  Google Scholar 

  • Marinković, N., Vitale, K., Holcer, N. J., Džakula, A., & Pavić, T. (2008). Management of hazardous medical waste in Croatia. Waste Management, 28(6), 1049–1056.

    Article  Google Scholar 

  • Mazloomi, S. (2015). Analyzing costs of collection and transportation of municipal solid waste using WAGs and arc GIS: A case study in Tabriz, Iran. Journal of Advances in Environmental Health Research, 3(4).

  • Mohammad Mosaferi, R. N. (2013). Investigation of the status of infectious and biological wastes management in medical laboratories of Tabriz University of Medical Sciences, Iran 16th National Conference on Environmental Health Engineering.

  • Mohseni Moghadam, F., Tashakori, M., Shahidi Zandi, B., Hadavi, M., Akbarpoor, V., Kazemi, F., et al. (2016). Medical waste management in clinical and educational laboratories affiliated to Rafsanjan University of Medical Sciences, Iran, in 2015. Journal of occupational health and epidmiology, 5(3), 176–181.

    Article  Google Scholar 

  • Najafpoor, A. A., Jamali-Behnam, F., Vahedian-Shahroudi, M., & Zarei, A. (2014). A study identifying causes of construction waste production and applying safety management on construction site. Iranian Journal of Health Sciences, 2(3), 49–54.

    Article  Google Scholar 

  • Oroei, M., Momeni, M., Palenik, C. J., Danaei, M., & Askarian, M. (2014). A qualitative study of the causes of improper segregation of infectious waste at Nemazee Hospital, Shiraz, Iran. Journal of Infection and Public Health, 7(3), 192–198.

    Article  Google Scholar 

  • Oweis, R., Al-Widyan, M., & Al-Limoon, O. (2005). Medical waste management in Jordan: A study at the King Hussein Medical Center. Waste Management, 25(6), 622–625.

    Article  Google Scholar 

  • Patwary, M. A., O’Hare, W. T., & Sarker, M. H. (2011). Assessment of occupational and environmental safety associated with medical waste disposal in developing countries: a qualitative approach. Safety Science, 49(8), 1200–1207.

    Article  Google Scholar 

  • Qasemi M, Afsharnia M, Zarei A, Najafpoor AA, Salari S, Shams M (2018) Phenol removal from aqueous solution using Citrullus colocynthis waste ash, Data in Brief, 18, 620–628.

    Article  Google Scholar 

  • Qasemi M, Zarei A, Afsharnia M, Salehi R, Allahdadi M, Farhang M, (2018). Data on cadmium removal from synthetic aqueous solution using garbage ash. Data in Brief, 20, 1115–1123.

    Article  Google Scholar 

  • Shams, M., Nabipour, I., Dobaradaran, S., Ramavandi, B., Qasemi, M., & Afsharnia, M. (2013). An environmental friendly and cheap adsorbent (municipal solid waste compost ash) with high efficiency in removal of phosphorus from aqueous solution. Fresenius Environmental Bulletin, 22, 723–727.

    Google Scholar 

  • Sharma, S. K., & Gupta, S. (2017). Healthcare waste management scenario: a case of Himachal Pradesh (India). Clinical Epidemiology and Global Health, 5(4), 169-172.

  • Taghipour, H., & Mosaferi, M. (2009). Characterization of medical waste from hospitals in Tabriz, Iran. Science of the Total Environment, 407(5), 1527–1535.

    Article  CAS  Google Scholar 

  • Voudrias, E., Goudakou, L., Kermenidou, M., & Softa, A. (2012). Composition and production rate of pharmaceutical and chemical waste from Xanthi General Hospital in Greece. Waste Management, 32(7), 1442–1452.

    Article  CAS  Google Scholar 

  • WHO. (2005). Management of solid health-care waste at primary health-care centres. Geneva: World Health Organization. https://www.who.int/water_sanitation_health/publications/manhcwm.pdf.

  • Yong, Z., Gang, X., Guanxing, W., Tao, Z., & Dawei, J. (2009). Medical waste management in China: a case study of Nanjing. Waste Management, 29(4), 1376–1382.

    Article  Google Scholar 

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Acknowledgements

The authors would thank Professor Mehdi Zarrei in Sickkids—Hospital in Toronto, Canada, and Mansoureh Farhang in Gonabad University of Medical Sciences for valuable comments and suggestions, allowing us to improve this paper.

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This study was financially supported by Ilam University of Medical Sciences.

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Correspondence to Ziaeddin Bonyadi.

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Mazloomi, S., Zarei, A., Alasvand, S. et al. Analysis of quality and quantity of health-care wastes in clinical laboratories: a case study of Ilam city. Environ Monit Assess 191, 207 (2019). https://doi.org/10.1007/s10661-019-7345-z

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