Quantitative assessment of medical waste generation in the capital city of Bangladesh

Patwary, Masum A.; O’Hare, W. T.; Street, G.; Elahi, K. Maudood; Hossain, Syed Shahadat; Sarker, Mosharraf H.

doi:10.1016/j.wasman.2009.03.021

Cited by 128 publications

(91 citation statements)

References 14 publications

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“…6 Tamplin et al and Patwary et al found that improper clinical solid waste management practices impact healthcare staffs, patients and hospitals environment both directly and indirectly. 7,8 Therefore, segregation, collection, treatment and disposal of BMW in a suitable way is of great importance as it can considerably reduce damage to flora, fauna and environment. 9,10 An efficient BMW management helps in controlling nosocomial diseases (hospital acquired infections), reduce community exposure dramatically to HIV/AIDS and Hepatitis transmission from dirty needles and other inaccurately cleaned medical items.…”

Section: Introductionmentioning

confidence: 99%

Assessment of biomedical waste management of a multispeciality hospital in the light of new BMW rules 2016: what has changed from the past?

Hiremath¹,

Basandra²,

Kunte

et al. 2017

Int J Community Med Public Health

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Background: The hierarchies of Bio-Medical Waste (BMW) is largely based on the concept of the “3Rs”, namely reduces, reuse and recycle, and broadly relates to the sustainable practice of resources. The objectives of the study were to assess the Bio-Medical Waste (BMW) Management operating system in a multispecialty hospital and discuss the situation in terms of newly introduced BMW Rules 2016.Methods: A hospital based cross-sectional study was carried out by collecting data by means of independent surveys involving on-ground operating system of BMW management across different wards, outpatient departments, emergency departments, intensive care units and laboratories in the hospital.Results: The hospital was following Bio Medical Waste (Management and Handling) Draft rules, 2011 in the management of BMW. All the wastes were categorized into 8 categories as per 2011 draft rules. Efficient waste segregation, collection, storage, transport and waste treatment were followed as per norms with regular training of all health care workers under the close supervision and monitoring by dedicated BMW management committee. The hospital was registered for BMW management and renewal was being carried out every three years.Conclusions: It can be concluded that the hospital had an efficient and a well-organized BMW management system in place that was even conforming to the latest BMW Management Rules 2016 to some extent. Moreover, the hospital could upgrade the techniques of BMW management as per the newly introduced latest guidelines. As far as the categorization of BMW is concerned, it has to be changed accordingly to the new rules. Needless to say, a regular training and monitoring of BMW Management at all hospitals is the need of the hour and has a long way to go for environmental and human health.

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Section: Introductionmentioning

confidence: 99%

Assessment of biomedical waste management of a multispeciality hospital in the light of new BMW rules 2016: what has changed from the past?

Hiremath¹,

Basandra²,

Kunte

et al. 2017

Int J Community Med Public Health

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“…Informed consent was then obtained from the participants. Quantitative data was gathered through weighing waste generated in the mortuary by a hand held scale [2] . The data were recorded in SPSS (version 12) and analysed by descriptive statistical methods.…”

Section: Study Area and Study Samplementioning

confidence: 99%

“…The investigation started with observations to create a social network map [2] . Observation was continued on day and night shifts.…”

Section: Qualitative Datamentioning

confidence: 99%

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Quantitative assessment of mortuary waste: occupational safety and environmental health

Patwary

Sarker

2012

JHA

Self Cite

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Mismanagement of mortuary waste is a significant risk factor for disease transmission. Quantitative estimation of mortuary waste generation is needed to estimate the potential risk and as a basis for any waste treatment, disposal and management plan. Bangladesh, a developing country, is an example where there has been no rigorous estimation of mortuary waste generation and associated risk factors based on a thorough scientific study. The present study used a statistically designed sampling method of waste generation in a broad range to identify the factors associated with public health and environmental safety. The data gathering techniques included observation, formal structured interview, informal dialogue, and waste weighing.The proportion of mortuary waste classified as hazardous by the World Health Organisation (WHO) guidelines was found to be high. The waste generation rate per dead body was found to be 9.00 ± 2.52kg and average waste generation per day was 918 ± 11kg among the surveyed mortuaries. Operatives dealing with the infectious waste were frequently found to be untrained, without even a basic understanding of the hazards involved. Personal protective equipment was inadequate in most cases, which led to frequent accidental injuries. None of the mortuaries were found to have adequate storage facilities for dead bodies as well as hazardous waste in the context of environmental health and safety. Hazardous waste was dumped into city corporation bins, and disposed of on general landfill sites. As well as exposing the waste to the environment, this could potentially contaminate ground water, soil and sediments, especially as the dumps were located in areas subject to frequent flooding. The significant factor of health and environmental risk was identified as decomposition of dead bodies. The degree to which dead bodies are decomposed is related to the time taken to bring them to the mortuary and to the duration of the autopsies. The delay was due to poor communication, low level of interest, transportation cost, and trying to avoid social harassment. This is the first study to attempt this type of thorough estimation of mortuary waste and assessment of risk on environmental health occupational safety.

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“…Sometimes budget issue is the reason for misconduct of infectious waste handling and disposal. Patwari [11] has studied, in many countries hazardous and medical waste are still handled and disposed of together with domestic, thus creating a health risk to healthcare worker, the public and environment.…”

Section: Introductionmentioning

confidence: 99%

Assessment of Infectious Waste Management Practices at Hospital with Excellent Accreditation Level in Bandung, Cimahi and East Jakarta, Indonesia

Fitria¹,

Damanhuri²,

Salami³

2018

MATEC Web Conf.

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Abstract. This study includes the procedures available and methods of handling and disposing of infectious waste at Military hospital with Excellent Accreditation level in Bandung, Cimahi and East Jakarta, Indonesia. A total three (3) military hospitals with equal type of hospital and level accreditation were surveyed during the course of this research. The methods consisted of survey and interview with the authorities of the hospital and the personal involved in the management of the generated waste. The information was collected using forms specially developed for this purpose. Site visits were conducted to support and supplement information gathered in the survey. Assessment of infectious waste handling divided into six parameters: Hospital policy at organizational structure, status of cleaning services worker, classification/segregation process, collect and transport the infectious waste, condition of temporary storage of infectious waste and disposal phase of infectious waste. The result showed that the hospital with highest level of accreditation have less appropriate practices when it comes to segregation, collecting, storage and disposal of waste generated in comparison to developed country. It appears that hospital authorities should pay better attention to educational planning, organizational resources and supervision at infectious waste management.

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Quantitative assessment of medical waste generation in the capital city of Bangladesh

Cited by 128 publications

References 14 publications

Assessment of biomedical waste management of a multispeciality hospital in the light of new BMW rules 2016: what has changed from the past?

Assessment of biomedical waste management of a multispeciality hospital in the light of new BMW rules 2016: what has changed from the past?

Quantitative assessment of mortuary waste: occupational safety and environmental health

Assessment of Infectious Waste Management Practices at Hospital with Excellent Accreditation Level in Bandung, Cimahi and East Jakarta, Indonesia

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