Abstract
Healthcare waste management is a serious public health concern. In developing countries, compared to developed nations, the management of infectious wastes has not received sufficient attention. Recently, worldwide awareness has grown of the need to impose stricter controls on the handling and disposal of wastes generated by healthcare facilities. This exploratory study attempted in seven selected hospitals to explain the situation of healthcare waste management, with a focus on handling practices, occupational safety, and the implementation status of waste management policy, together with other pertinent policy issues. It was noted that the current system of healthcare waste management was underdeveloped and was in dire need of immediate attention and improvement, especially in Mongolia and Pakistan; the medical waste management practices were better in the hospitals studied in Thailand. This study underscores the importance for improvement of medical waste management of a national regulatory framework, a sound internal management system, and programs to train and ensure the safety of related personnel, as well as programs to estimate quantities of waste generated and to evaluate appropriate techniques of disposal. Once a healthcare waste management plan has been prepared, a regular program of inspection and review can be undertaken within the healthcare institution. A good inspection program can also expose problems and new issues in managing healthcare wastes.
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Pruss A, Giroult E, Rushbrook P (1999) Safe management of wastes from health care activities. World Health Organization, Geneva
Malkan S, Nelson J (2005) Global trends in responsible health care waste management: a perspective from health care without harm. Waste Manag 25:570–571
Department for Environment, Food and Rural Affairs (DEFRA) (2005) Guidance on mixing hazardous waste: hazardous waste regulations. DEFRA, London
Karademir A (2004) Health risk assessment of PCDD/F emissions from a hazardous and medical waste incinerator in Turkey. Environ Int J 30:1027–1038
Rushbrook P, Chandra C, Gayton S (2000) Starting healthcare waste management in medical institutions, practical approach. World Health Organization (WHO) Healthcare Practical Information Series No. 1, Geneva
Landrum VJ, Barton RG, Neulicht R, Turner M, Wallace D, Smith S (1991) Medical waste management and disposal. US Environmental Protection Agency, Noyes Data, Park Ridge
Sadeghi A (2001) Assessment of collection and disposal management of hospital waste in Mashhad city. Tehran, Iran: MS Thesis of environmental health engineering of Tehran University of Medical Sciences
Hassan MM, Ahmed SA, Rahman KA, Biswas TK (2008) Pattern of medical waste management: existing scenario in Dhaka City, Bangladesh. BMC Public Health 26:18–36S
WHO (2005) Safe health care waste management. Policy paper by the World Health Organization. Waste Manag 25:568–569
Almuneef M, Memish Z (2003) Effective medical waste management: it can be done. Am J Infect Control 31:188–192
Johnson KR, Braden CR, Cairns KL, Field KW, Colombel AC, Yang Z, Woodley CL, Morlock GP, Weber AM, Boudreau AY, Bell TA, Onorato IM, Valway SE, Stehr-Green PA (2000) Transmission of Mycobacterium tuberculosis from medical waste. JAMA 284(13):1683–1688
Braden CR, Morlock GP, Woodley CL, Johnson KR, Colombel AC, Cave MD, Yang Z, Valway SE, Onorato IM, Crawford JT (2001) Simultaneous infection with multiple strains of Mycobacterium tuberculosis. Clin Infect Dis 15;33(6):42–47
Tudor TL, Noonan CL, Jenkin LET (2005) Healthcare waste management: a case study from the National Health Service in Cornwall, United Kingdom. Waste Manag 25:606–615
Silva CE, Hoppe AE, Ravanello MM, Mello N (2005) Medical waste management in the south of Brazil. Waste Manag 25:600–605
Diaz LF, Savage GM, Eggerth LL (2005) Alternatives for the treatment and disposal of healthcare wastes in developing countries. Waste Manag 25:626–637
Shinee E, Gombojav E, Nishimura A (2008) Health care waste management in the capital of Mongolia. Waste Manag 28:435–441
Massrouje H (2001) Medical waste and health workers in Gaza governorates. East Mediterr Health J 7:1017–1024
Mohee R (2005) Medical waste characterization in health care institutions in Mauritius. Waste Manag 25:575–581
WHO (2008) Country statistics. http://www.who.int/countries/en (Accessed on May 1, 2008)
Creswell JW (1998) Five qualitative traditions of inquiry. In: Qualitative inquiry and research design: choosing among five traditions. Sage, Thousand Oaks, pp 65–66
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Ali, M., Kuroiwa, C. Status and challenges of hospital solid waste management: case studies from Thailand, Pakistan, and Mongolia. J Mater Cycles Waste Manag 11, 251–257 (2009). https://doi.org/10.1007/s10163-009-0238-4
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DOI: https://doi.org/10.1007/s10163-009-0238-4