scholarly journals Considerations for choosing appropriate healthcare waste management treatment technologies: A case study from an East Midlands NHS Trust, in England

2016 ◽  
Vol 135 ◽  
pp. 139-147 ◽  
Author(s):  
Steve Lee ◽  
Mentore Vaccari ◽  
Terry Tudor
Environments ◽  
2018 ◽  
Vol 5 (8) ◽  
pp. 89 ◽  
Author(s):  
Ahmed Hassan ◽  
Terry Tudor ◽  
Mentore Vaccari

Healthcare waste (HCW) represents a major public health issue, especially in developing countries. Among HCW categories, sharps waste is one of the most hazardous. Exposure to needle-stick injuries can lead to blood-borne pathogens, therefore HCW should be managed in an effective manner. The main aims of this study were to assess the current management of used needles and to suggest suitable recommendations for an improved and safer system for needle management in Khartoum, Sudan. The study showed that the management of both healthcare and home-generated HCW in Sudan is inefficient, as all wastes are mixed together and disposed of improperly, especially used needles. The study attributes this to many reasons, including lack of waste segregation at the source, lack of policies, failure of planning, inadequate training, lack of awareness of the hazardous nature of such kinds of waste, weak infrastructure, and a lack of suitable treatment technologies. The estimated average generated rate of HCW ranged from 0.38 to 0.87 kg/bed/day in 2009 and 2012, respectively. Such ineffective healthcare waste management HCWM, especially used needles, can put public health as well as the environment at risk, particularly waste workers, thus urgent action needs to be taken by all involved parties and at all levels.


2018 ◽  
Vol 2018 ◽  
pp. 1-14 ◽  
Author(s):  
Mohammad Mehedi Hasan ◽  
M. Habibur Rahman

The management and treatment of healthcare waste (HCW) are of great concern owing to its potential hazard to human health and the environment, particularly in developing countries. Nowadays, various technological alternatives are gaining momentum as efficient and favorable waste management options across the world. However, selecting a suitable technology as well as an effective waste management approach for the treatment of HCW is still a challenging task for the municipal authorities. This study renders a comprehensive analysis of healthcare waste management (HCWM) practices and the technological options for its better management through a case study in Khulna, the southwestern division of Bangladesh. A number of healthcare establishments (HCEs) in the study area were selected and a questionnaire survey, as well as field investigations, was performed to find out the present status of HCWM and its limitations. An assessment of different technological alternatives was also carried out using Sustainability Assessment of Technologies (SAT) methodology which could pave the way for treating hazardous waste more efficiently in the Khulna metropolitan area. The study revealed that the overall HCW generation rate and hazardous HCW generation rate in Khulna city were 0.90 kg bed−1 day−1 and 0.18 kg bed−1 day−1, respectively. Assessment of management system revealed that 56% (n=38) of workers did not receive any form of training in the handling of hazardous waste. Around 54% (n=47) of them did not use any safety equipment or clothing. It has been found from the study that, among different technological alternatives based on the final score, incineration was the most suitable option for the treatment of hazardous waste in Khulna. Finally, some guidelines have been put forward to improve its existing management practices.


2021 ◽  
Vol 23 (06) ◽  
pp. 271-293
Author(s):  
Divyanshu Aneja ◽  
◽  
Anshul Rana ◽  
Anjali Kumari ◽  
Anunay A. Gour ◽  
...  

The COVID-19 pandemic has resulted in a significant rise in the production of biomedical waste in India’s healthcare waste management system. Authorities in Delhi are finding it increasingly difficult to maintain and treat large volumes of biomedical waste as the volume of biomedical waste continues to rise. In addition to the COVID- 19-related biomedical waste to segregate and dispose of, a huge strain has been imposed on the healthcare management system. This research examines the current state of biomedical waste management in Delhi, India as well as the past and present state of biomedical waste generation in various hospitals of Delhi. In this study, the five private hospitals of Delhi have been taken and the data is taken from their websites respectively. The duration of Waste generation has been taken from the year 2016-2020 for each hospital which has been represented graphically. This paper also covers the quantification of biomedical waste of Delhi and India from June 2020 to December 2020, highlighting the comparative analysis of the top 5 States of India producing the largest amount of biomedical waste presented graphically. Apart from that, the study covers the current legal status of biomedical waste management in India (Latest Guidelines and Amendments in BMW Rules, 2016 by Central Pollution Control Board for managing COVID-19 based medical wastes) as well as various advances in treatment technologies for handling large amounts of COVID-19 BMW. The consequences of biomedical waste, which can pose a significant threat to both humans and the environment, have also been addressed. Similarly, various effective measures and the latest treatment technologies have been listed in the sense of proper waste management in a holistic manner toward a sustainable future. This research will help officials and other organizations ensure that there is no inefficiency in the system and that all activities are carried out efficiently.


2017 ◽  
Vol 36 (1) ◽  
pp. 48-58 ◽  
Author(s):  
Diego V de Godoy Delmonico ◽  
Hugo H dos Santos ◽  
Marco AP Pinheiro ◽  
Rosani de Castro ◽  
Regiane M de Souza

Healthcare waste management is an essential field for both researchers and practitioners. Although there have been few studies using statistical methods for its evaluation, it has been the subject of several studies in different contexts. Furthermore, the known precarious practices for waste management in developing countries raise questions about its potential barriers. This study aims to investigate the barriers in healthcare waste management and their relevance. For this purpose, this paper analyses waste management practices in two Brazilian hospitals by using case study and the Analytic Hierarchy Process method. The barriers were organized into three categories – human factors, management, and infrastructure, and the main findings suggest that cost and employee awareness were the most significant barriers. These results highlight the main barriers to more sustainable waste management, and provide an empirical basis for multi-criteria evaluation of the literature.


Author(s):  
Kaouther Maaroufi ◽  
Terry Tudor ◽  
Mentore Vaccari ◽  
Afef Siala ◽  
Ezzeddine Mahmoudi

This study evaluated the engagement of staff regarding infectious healthcare waste management, in two case-study universities in Tunisia. Using a questionnaire survey, it was found that the most significant reported factors that influenced engagement were the availability of technical sheets and posters, training and education programs, and the age range of the staff. While there was some accordance with the Tunisian Decree application n° 2008–2745 of July 28th, 2008, as well as international guidelines and best practice (e.g. the use of color coded bins, waste management teams, and infection control measures), there were also limitations in the provision of training. This limitation in training and, to a lesser extent, awareness impacted on the beliefs about infectious healthcare waste management of staff and their practices. Recommendations for addressing these issues are suggested.


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