Generation, management practices and rapid risk assessment of solid medical wastes: a case study in Burundi

Niyongabo, Edouard; Jang, Yong-Chul; Kang, Daeseok; Sung, Kijune

doi:10.1007/s10163-019-00854-0

Cited by 24 publications

(17 citation statements)

References 29 publications

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“…However, for this purpose, specific training is needed [8,10,15,29,45,49,51,57]; the Romanian College of Pharmacists could be inspired by professional initiatives from other countries and could implement specific projects for the continuous education of pharmacists in the field of environmental protection. It is of utmost importance to raise the awareness of the population concerning the need to prevent the environmental contamination with medicines [8,10,38,41,45,51,57], through their rational use and proper disposal, and pharmacists could make an essential contribution to achieving this goal. Our proposals are the following.…”

Section: Resultsmentioning

confidence: 99%

“…Furthermore, research has been conducted in different countries emphasizing possible solutions for a better pharmaceutical waste management system, such as: creating well organized pharmaceutical waste classification systems, educating population for a rational use of medicines, implementing adequate collection schemes, organizing safe storage areas and providing sufficient financial support for pharmaceutical waste disposal. All scholars agree that there is of utmost importance to have specific regulations in this field, educational programs for healthcare professionals as well as for patients [6,7,10,30,33,38,45,49,51,57]. Also, a study in the United States reveals that a correct standardization of doses for each hospitalized patient and a better timing for the administration of medicines could significantly reduce the quantity of pharmaceutical waste in hospitals [33].…”

Section: Introductionmentioning

confidence: 99%

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Regulations on Green Pharmacy in European Countries – A Comparative Study

Toma¹

2021

FARMACIA

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Green pharmacy is a policy of protecting the environment from the risk of contamination with medicines. The aim of the paper was to compare relevant regulations from European countries in order to find solutions for such a policy in Romania. Official texts from five countries were analysed using methods of legal interpretation and the comparative method. Each country has specific regulations, but the responsibility of each stakeholder is different, from regulating, to collecting or funding. In Finland, expired medicines are collected by pharmacies and municipalities, which fund their disposal. In France, Spain and Hungary, expired medicines are collected by pharmacies, but the pharmaceutical industry is responsible for managing and funding the waste disposal. In Romania, only pharmacies and drugstores are responsible for collecting and disposing expired medicines from patients. Regulations on sharing the responsibility among all types of pharmaceutical enterprises are needed in order to develop a green pharmacy policy in Romania. Rezumat Farmacia verde e o politică de protecţie a mediului faţă de riscul contaminării cu medicamente. Scopul lucrării a fost de a compara reglementări relevante din ţări europene, căutând soluţii pentru o astfel de politică în România. Texte oficiale din cinci ţări s-au cercetat folosind metodele interpretării juridice şi metoda comparativă. Fiecare ţară are reglementări specifice, dar responsabilitatea celor implicaţi e diferită, de la reglementare, la colectare sau finanţare. În Finlanda, medicamentele expirate sunt colectate de farmacii şi municipalităţi, care finanţează eliminarea lor. În Franţa, în Spania şi în Ungaria, farmaciile colectează de la pacienţi medicamentele expirate, dar industria farmaceutică e responsabilă de gestionarea şi eliminarea lor. În România, doar farmaciile şi drogheriile sunt responsabile de colectarea şi eliminarea medicamentelor expirate de la pacienţi. Reglementări privind responsabilitatea comună a tuturor tipurilor de unităţi farmaceutice sunt necesare pentru a dezvolta farmacia verde în România.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Regulations on Green Pharmacy in European Countries – A Comparative Study

Toma¹

2021

FARMACIA

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“…La Paz suffers HWM issues due to its low financial sustainability. However, it could be considered a good example regarding first collection (at the source), transportation and final disposal compared with other developing cities (Ali et al, 2017; Niyongabo et al, 2019). The lack of treatment plants, on-site and off-site, is the main barrier for implementing a sustainable system, in parallel with the lack of information campaigns at hospital and municipal level.…”

Section: Discussionmentioning

confidence: 99%

Application of healthcare waste indicators for assessing infectious waste management in Bolivia

et al. 2019

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In the developing world, healthcare waste management is a human health and environmental burden that should be solved for improving sustainability. Solutions should be introduced in the short term, concerning management, planning, financial assistance and expertise. The paper introduces an indicator set for assessing healthcare waste management in developing cities, implemented in La Paz (Bolivia) as a case study. The objective is to suggest an integrated management tool as a first assessment technique to identify the prevailing problems with a healthcare waste management system. Results suggest that, in La Paz, the application of such indicators is useful for evaluating which priorities should be addressed for improving the healthcare waste management system. The tool was applied for introducing a study necessary for the application of new management plans, especially concerning healthcare waste treatment. The method can be replicated in other contexts worldwide, with a focus on the developing world, for comparing cities, management solutions and improvements carried out along the years. The approach is of interest for boosting sustainability and human health, improving the awareness of the actors and policy-makers involved in waste management.

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“…Each ward requires a different type of diagnosis and treatment. Other studies calculated total waste generation by using per bed and the number of medical wastes per health care worker and found that they were 3.6 and 5.9 times higher in public HCFs than in private HCFs, respectively (Niyongabo et al, 2019). Hospital waste management faces the risk of cross-contamination from hospital activities.…”

Section: Theme 3: Hospital Waste Generationmentioning

confidence: 99%

Why Hospital Waste Management Is Important to the Environment?: A Systematic Literature Review

Suriati

Lee

Fadzline

2021

IJIM

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Today, the healthcare industry has grown in importance as the number of hospitals has increased in response to the increased number of patients. This signifies that the world will be facing a more critical environment as a result of waste generation by hospitals. However, there are still insufficient studies that systematically review the existing literature on hospital waste management. Thus, this systematic literature review focuses on hospital waste management and its environmental impact. The results from Google Scholar and Science Direct show 80 articles starting from 2015 to 2020. Only 12 articles fulfil the criteria for further analysis. Most studies indicated the presence of hospital waste procedures such as waste segregation, a lack of awareness among clinical staff, poor facilities and government enforcement. The study contributes to the body of knowledge and the industry. This study explains the importance and environmental impact of hospital waste management. A recommendation for future research is provided.

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Generation, management practices and rapid risk assessment of solid medical wastes: a case study in Burundi

Cited by 24 publications

References 29 publications

Regulations on Green Pharmacy in European Countries – A Comparative Study

Regulations on Green Pharmacy in European Countries – A Comparative Study

Application of healthcare waste indicators for assessing infectious waste management in Bolivia

Why Hospital Waste Management Is Important to the Environment?: A Systematic Literature Review

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