Determination of the best appropriate management methods for the health-care wastes in İstanbul

Alagöz, Aylin Zeren; Kocasoy, Günay

doi:10.1016/j.wasman.2007.05.018

Cited by 88 publications

(76 citation statements)

References 3 publications

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“…The activities implemented in these units are mainly focused on health promotion and prevention of disease and generate small quantities of waste in comparison with hospitals (Alagoz and Kocasoy, 2008;Gai et al, 2010;Moreira and Gunther, 2013;Pereira et al, 2013;Shinee et al, 2008). The somewhat distant location of these units, together with their relatively low levels of waste generation, hinder daily collection of this waste, which is stored in inappropriate locations for up to seven days until its collection through the public collection service.…”

Section: Introductionmentioning

confidence: 99%

The reality of waste management in primary health care units in Brazil

et al. 2014

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A large number of users are serviced in primary health care units in Brazil, both in health facilities and in households. These services generate waste that must be managed safely, but there is no legislation that regulates this type of waste management in Brazil. The objective of this study was to analyse the production and management of waste in primary health care. A direct observation was performed of the stages in the handling and weighing of waste generated in primary health care units in the municipality of Goiânia (Brazil). The units generated infectious, chemical, and common waste, as well as sharp objects. The generation of waste ranged between 0.027 and 0.075 kg user-day. The generated waste was classified mostly as common and recyclable. Flaws were observed in the management of all types of waste. The critical point is segregation. Only 34.1% of the waste disposed of as infectious actually belonged to this group, the rest was ordinary waste. Flaws at this stage increase the volume of infectious waste, the occupational and environmental risks, and associated costs. Intervention to change this reality is needed and it requires the careful preparation of a waste management plan, corroborating structural changes to the implementation of this plan, and professional training and public policies to guide waste management in primary care, especially those generated in households.

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Section: Introductionmentioning

confidence: 99%

The reality of waste management in primary health care units in Brazil

et al. 2014

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“…HCWs' low awareness of the required standards can make the situation worse [9]. However, with limited resources, organizations can put forward appropriate rules and control systems, and raise HCWs' awareness of international standard practices of healthcare waste disposal.…”

Section: Introductionmentioning

confidence: 99%

Knowledge and practice of universal precautions among health care workers in four national hospitals in Kabul, Afghanistan

Fayaz

Higuchi

Hirosawa

et al. 2014

J Infect Dev Ctries

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Introduction: This study aimed to assess the knowledge and practice of health care workers (HCWs) towards universal precautions (UPs) and to look into any associations between knowledge and practice. Methodology: A cross-sectional study was undertaken between August and October 2012, involving 300 HCWs from four national public hospitals in Kabul, Afghanistan. A self-administered questionnaire assessing the knowledge and practice of UPs was used. Results: Among the 300 respondents, the mean knowledge score was 5.2 with a standard deviation (SD) of 1.5. On the practice score, the mean was 8.7 (SD = 2.2). A total of 90.6% and 70.8% of HCWs believed that UPs were necessary in contact with urine/feces and tears, respectively, although UPs are not necessary in these cases. On the other hand, 57.8% reported that they always recapped the needle after giving an injection, and 31.8% did not always change gloves in between patients. There were no associations between the knowledge and self-reported practice of UPs. Conclusions: The HCWs in Kabul had inadequate knowledge and poor practice of UPs. Training for HCWs is needed to encourage them to adhere to practice based on improved knowledge.

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“…Olko and Winch (2002) found that in England, approximately 50 % of healthcare waste generated annually could be classified as municipal (non-hazardous) waste. Alagöz and Kocasoy (2008) indicated that 65 % of healthcare waste generated is municipal (general) waste, thus only 35 % of this waste could be considered as a hazardous waste and should be successfully segregated and diverted with special attention. In spite of the small proportion of hazardous healthcare waste annually generated, there are still poor practices in segregating general waste from hazardous healthcare waste streams, which consequently show that the entire waste is potentially infectious.…”

Section: Hospital Waste Managementmentioning

confidence: 99%

A system dynamics approach for hospital waste management in a city in a developing country: the case of Nablus, Palestine

Al‐Khatib

Eleyan

Garfield

2016

Environ Monit Assess

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Hospitals and health centers provide a variety of healthcare services and normally generate hazardous waste as well as general waste. General waste has a similar nature to that of municipal solid waste and therefore could be disposed of in municipal landfills. However, hazardous waste poses risks to public health, unless it is properly managed. The hospital waste management system encompasses many factors, i.e., number of beds, number of employees, level of service, population, birth rate, fertility rate, and not in my back yard (NIMBY) syndrome. Therefore, this management system requires a comprehensive analysis to determine the role of each factor and its influence on the whole system. In this research, a hospital waste management simulation model is presented based on the system dynamics technique to determine the interaction among these factors in the system using a software package, ithink. This model is used to estimate waste segregation as this is important in the hospital waste management system to minimize risk to public health. Real data has been obtained from a case study of the city of Nablus, Palestine to validate the model. The model exhibits wastes generated from three types of hospitals (private, charitable, and government) by considering the number of both inpatients and outpatients depending on the population of the city under study. The model also offers the facility to compare the total waste generated among these different types of hospitals and anticipate and predict the future generated waste both infectious and non-infectious and the treatment cost incurred.

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Determination of the best appropriate management methods for the health-care wastes in İstanbul

Cited by 88 publications

References 3 publications

The reality of waste management in primary health care units in Brazil

The reality of waste management in primary health care units in Brazil

Knowledge and practice of universal precautions among health care workers in four national hospitals in Kabul, Afghanistan

A system dynamics approach for hospital waste management in a city in a developing country: the case of Nablus, Palestine

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