Medical waste management – A review

Windfeld, Elliott Steen; Brooks, Marianne Su-Ling

doi:10.1016/j.jenvman.2015.08.013

Cited by 439 publications

(356 citation statements)

References 36 publications

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“…As the quality of healthcare services increases, more medical equipment and medical consumables are purchased, more patients are treated and, thus, more HCW are generated. Similar findings had been found by Windfeld and Brooks (2015) [7], who had also showed a positive correlation between HCWGR and the GDP and HE. In that case, the coefficients of determination were statistically significant and equal to 25.7% and 34.9%, respectively.…”

Section: Correlationssupporting

confidence: 88%

“…To the knowledge of the authors, there have been limited studies in the literature to assess the potential effect of such a number of factors on the HCWGR. Only Windfeld and Brooks (2015) have recently examined the influence of HCWGR on two factors, namely GDP and health expenditure (HE), and had observed that both had significantly positive correlations with HCWGR [7]. Karpusenkaite et al (2016) evaluated the performance of various mathematical modeling methods during the forecasting of medical waste generation rates using Lithuania's annual medical waste data (visits at hospital, number of children, number of visits at hospital, average life expectancy, etc.)…”

Section: Introductionmentioning

confidence: 99%

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Healthcare Waste Generation Worldwide and Its Dependence on Socio-Economic and Environmental Factors

2017

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This paper examines the dependence of the healthcare waste (HCW) generation rate on several social-economic and environmental parameters. Correlations were calculated between the quantities of healthcare waste generated (expressed in kg/bed/day) versus economic indices (GDP, healthcare expenditure per capita), social indices (HDI, IHDI, MPI, life expectancy, mean years of schooling, HIV prevalence, deaths due to tuberculosis and malaria, and under five mortality rate), and an environmental sustainability index (total CO 2 emissions) from 42 countries worldwide. The statistical analysis included the examination of the normality of the data and the formation of linear multiple regression models to further investigate the correlation between those indices and HCW generation rates. Pearson and Spearman correlation coefficients were also calculated for all pairwise comparisons. Results showed that the life expectancy, the HDI, the mean years of schooling and the CO 2 emissions positively affect the HCW generation rates and can be used as statistical predictors of those rates. The resulting best reduced regression model included the life expectancy and the CO 2 emissions and explained 85% of the variability of the response.

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Section: Correlationssupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Healthcare Waste Generation Worldwide and Its Dependence on Socio-Economic and Environmental Factors

2017

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“…The total amount of waste generated in hospitals is associated with various factors such as the number of beds, economic conditions, social and cultural status of the patients and the type or the size of the institution [7,19]. It is generally accepted that kg/bed-day is the best available basis for hospital waste production comparison, with studies finding that the number of beds in service strongly relates to the amount of medical waste produced at similar hospital facilities [20]. Mean, median and percentage of hospital waste generation rate in provinces of Iran in the groups of non-hazardous waste, sharp and infectious, and chemical waste are shown in Table 1.…”

Section: Generation Ratementioning

confidence: 99%

“…Further, medical waste contains a significantly higher plastic content than typical municipal solid waste, and as a result the combustion of medical waste leads to the formation of polychlorinated dibenzo-pdioxins (dioxins) and polychlorinated dibenzofurans (furans), both highly toxic substances. This has led to an increased focus on alternate treatment methods such as autoclaving and microwaving to kill any pathogens present [15].…”

Section: Introductionmentioning

confidence: 99%

Status and Challenges of Medical Waste Management in Hospitals of Iran

Eslami

Nowrouz

Sheikholeslami

2017

cej

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Medical waste is of great importance due to its hazardous nature that can cause undesirable effects on humans and the environment. This study focuses on medical waste management in hospitals of Iran. Data were collected based on questionnaires and for self-report of medical waste management. The results along with other information were sent to the ministry of health network system. Results indicated that the mean generation rate of non-hazardous and sharp and infectious and total wastes in Iran were, respectively, 1.84, 1.09 (36.9% of total waste generated) and 2.98 kg/bed/day. Chemical waste generation rate in Iran is 0.02 kg/bed/day (0.68%) that relative to infectious waste and total waste generation rate is much lower which could be due to improper segregation of medical wastes. There is significant differences between private and governmental hospitals, in terms of infectious and sharp waste generation rates (P=0.027). Also there are significant differences between specialized and general hospitals in group of non-hazardous waste (P=0.039), infectious waste (P=0.001) and total waste generation rate (P=0.02). 65.41% of governmental hospitals used autoclave for infectious waste treatment. In the private and governmental hospitals 14.8% and 24.29%, respectively not have any treatment devices and hazardous waste was disposed without treatment.

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“…Many developed nations have specific legislation regarding HCWM, but there isn't much explanation about which ones are classified as infectious [19].…”

Section: Health-care Wastementioning

confidence: 99%

Health-Care Waste: Diagnosis and Possibility of Application of Reverse Logistics on a Dental Clinic

Ribeiro¹,

Vieira²

2017

IJESD

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Abstract-Management of the waste related to environmental issues becomes increasingly essential for maintaining a healthy environment, and the waste of health services are part of this system that should be well planned and solved. The objective of this work is to make the diagnosis of management of dental waste production chain system in a dental clinic in the city of Manaus and check the possibility of application of reverse logistics. A single case study was conducted, with an exploratory, qualitative and observational approach, empirically, the management of waste production chain system. The management plan is a reality in the studied public health unit and complies with current legislation; however, the application of reverse logistics still does not occur. The relevance of the plan compliance assists in preserving the environment and health of the population, minimizing health and environmental risks, and demonstrates the importance of proper management of this waste.Index Terms-Healthcare waste, management plan, reverse logistic.

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Medical waste management – A review

Cited by 439 publications

References 36 publications

Healthcare Waste Generation Worldwide and Its Dependence on Socio-Economic and Environmental Factors

Healthcare Waste Generation Worldwide and Its Dependence on Socio-Economic and Environmental Factors

Status and Challenges of Medical Waste Management in Hospitals of Iran

Health-Care Waste: Diagnosis and Possibility of Application of Reverse Logistics on a Dental Clinic

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