Evaluation of biomedical waste management practices in public and private sector of health care facilities in India

Devi, Aruna; Ravindra, Khaiwal; Kaur, Manmeet; Kumar, Rajesh

doi:10.1007/s11356-019-05785-9

Cited by 37 publications

(34 citation statements)

References 28 publications

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“…This was in contrast to the study done by Devi et al and in Meerut, where 91.8% and 90% of the HCW knew that wastes have to be segregated. 14,15 About 77.1% HCWs were aware of benefits of PPE. In a study done in West Bengal, it was found that 70.2% of respondents knew the use of gloves and mask together.…”

Section: Methodsmentioning

confidence: 99%

Awareness and practices of biomedical waste management in government health care facilities in Kamrup District, Assam

Ojah

Sharma

2020

Int J Community Med Public Health

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Background: Biomedical waste (BMW) is waste generated in the course of healthcare activities. It is a matter of serious concern to health and environment agencies. Objectives of the study was to assess awareness and practice of healthcare personnels regarding biomedical waste management (BMWM) in government healthcare facilities (HCF) in Kamrup district and to assess training given to healthcare workers involved in BMWM.Methods: The present study was undertaken in 109 HCF in Kamrup District, Assam. The study duration was for one year and the study population included were healthcare workers (HCW) with the help of a pretested interview schedule to elicit the knowledge of BMW management. An observatory checklist was also used to find out the practices.Results: About one-fourth of 218 respondents belonged to age group 26-30 years. Half of the respondents were nurses, 17.9% were doctors, 12.8% were pharmacists and 8.3% were waste handlers. Majority (78.4%) were aware of BMWM rules. Awareness on hazardness of healthcare waste, segregation of waste, maximum storage time of hospital waste, awareness about availability of training on healthcare waste management were found to be more among the doctors (84.6%, 79.4%, 56.4%, 82.1% respectively) and less among waste handlers (44.4%, 33.3%, 38.9%, 44.4% respectively). Only 40.8% were trained. The practice of disposing BMW in specified colour coded containers were done by 56.4% HCW. Out of 18 waste handlers, only 16.7% had the practice of wearing all the personal protective equipments (PPE) while handling BMW. All total 59.6% HCW had been vaccinated against Hepatitis B.Tetanus vaccination was taken by 77.5% HCW.Conclusions: Sensitization and training in accredited centres for HCW should be done regularly to develop awareness and motivation. Continuous monitoring and inspection of HCF need to be done.

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Section: Methodsmentioning

confidence: 99%

Awareness and practices of biomedical waste management in government health care facilities in Kamrup District, Assam

Ojah

Sharma

2020

Int J Community Med Public Health

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“…The study found that the public sector has more compliance with 67.2% as against the private sector with 40.4%. Both sectors show 100% compliance at the secondary level [45].…”

Section: Biomedical Waste Generationmentioning

confidence: 96%

A comprehensive review of the application of plasma gasification technology in circumventing the medical waste in a post-COVID-19 scenario

Kaushal

Rohit

Dhaka

2022

Biomass Conv. Bioref.

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The recent COVID-19 pandemic, which has hit the world, is third in the last two decades. The safety and precaution measures have led to the generation of a colossal pile of biomedical waste, including plastic waste, due to the usage of personal protective equipment kits and safety equipment that is not easily manageable. The environment and health and safety concerns for humans require biomedical waste to be treated with an outstanding treatment process that can help humanity manage it by adhering to strict environmental norms prescribed. The plasma gasification technology is the most beneficial and efficient technology for treating biomedical waste. The byproducts generated can be utilized further as valuable inputs in other industries, thus strengthening the circular economy concept. In this research paper, the applicability of plasma gasification for the treatment of biomedical waste in the present scenario has been reviewed. The feasibility and applicability of the technology in handling biomedical waste have been reviewed via various research articles in this study. Also, further steps have been suggested for the Indian scenario to make this technology commercially viable in the long run.

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“…Studies also indicate that the generation and type of BMW also depend on HCFs, recyclable and reusable items, the number of patients handled daily, etc. (Devi et al 2019;Thind et al 2021). Due to the COVID-19 outbreak, the sharp increase of PPEs, other medical gears, etc., have drastically affected the waste management system.…”

Section: Increase In Bmw During the Covid-19 Pandemicmentioning

confidence: 99%

Biomedical waste generation and management during COVID-19 pandemic in India: challenges and possible management strategies

Dehal

Vaidya

Kumar

2021

Environ Sci Pollut Res

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The COVID-19 pandemic has resulted in the massive generation of biomedical waste (BMW) and plastic waste (PW). This sudden spike in BMW and PW has created challenges to the existing waste management infrastructure, especially in developing countries. Safe disposal of PW and BMW is essential; otherwise, this virus will lead to a waste pandemic. This paper reviews the generation of BMW and PW before and during the COVID-19 pandemic, the regulatory framework for BMW management, policy interventions for COVID-19-based BMW (C-BMW), the capacity of BMW treatment and disposal facilities to cope with the challenges, possible management strategies, and perspectives in the Indian context. This study indicated that policy intervention helped minimize the general waste treated as C-BMW, especially during the second pandemic. Inadequacy of common BMW treatment facilities' (CBMWTFs) capacity to cope with the BMW daily generation was observed in some states resulting in compromised treatment conditions. Suggestions for better management of BMW and PW include decontamination of used personal protective equipment (PPEs) and recycling, alternate materials for PPEs, segregation strategies, and use of BMW for coprocessing in cement kilns. All upcoming CBMWTFs should be equipped with higher capacity and efficient incinerators for the sound management of BMW. Post-pandemic monitoring of environmental compartments is imperative to assess the possible impacts of pandemic waste.

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Evaluation of biomedical waste management practices in public and private sector of health care facilities in India

Cited by 37 publications

References 28 publications

Awareness and practices of biomedical waste management in government health care facilities in Kamrup District, Assam

Awareness and practices of biomedical waste management in government health care facilities in Kamrup District, Assam

A comprehensive review of the application of plasma gasification technology in circumventing the medical waste in a post-COVID-19 scenario

Biomedical waste generation and management during COVID-19 pandemic in India: challenges and possible management strategies

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