Hospital Waste Management: Execution in Pakistan and Environmental Concerns – A Review

Mukhtar, Shakira; Khan, Hamna; Kiani, Zainab; Nawaz, S.; Zulfiqar, Sana; Tabassum, Noshabah

doi:10.26480/ecr.01.2018.18.23

Cited by 19 publications

(16 citation statements)

References 21 publications

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Section: Management and Mitigation Strategies For Solid Wastes Associated With Covid-19mentioning

confidence: 99%

“…Other techniques for handling HSW include autoclaving (steam sterilization) and microwaving [51,52] and these are virus effective too. More novel technologies that can be implemented include low-temperature plasma, irradiation technology, reverse polymerization, and bio-converters [52]. For cases where there is a lack of an integrated system for the management of solid waste, the possible spread of the pandemic would invariably become a serious issue.…”

Section: Management and Mitigation Strategies For Solid Wastes Associated With Covid-19mentioning

confidence: 99%

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Insights into hazardous solid waste generation during COVID-19 pandemic and sustainable management approaches for developing countries

Adelodun

Ajibade

Ibrahim³

et al. 2021

J Mater Cycles Waste Manag

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The recent emergence of the COVID-19 pandemic has contributed to the drastic production and use of healthcare and personal protective equipment, leading to the release of a huge quantity of hazardous medical and solid wastes in the environment. Meanwhile, these solid wastes may contribute to the spread of the SARS-CoV-2 viral particles when disposed of without proper treatment and care. Since SARS-CoV-2 could persist on different material surfaces including plastic, steel, paper, cardboard, cloth, and wood, proper management of these hazardous solid wastes has become a challenging task during the COVID-19 pandemic. In this paper, an overview of the consumption of COVID-19-related healthcare and personal protective equipment along with the production of hazardous solid waste is presented. The efficient management of these wastes is necessary to prevent the entering of SARS-CoV-2 in various environmental compartments. Therefore, some preventive measures including the use of biodegradable materials for manufacturing personal protective equipment, minimizing the use of non-biodegradable materials, efficient pre-and-post planning, careful segregation, and disposal are, therefore, proposed for their sustainable management. The findings reported in this paper contribute to tackling the problems associated with hazardous solid waste management, particularly for low-and middle-income countries.

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Section: Management and Mitigation Strategies For Solid Wastes Associated With Covid-19mentioning

confidence: 99%

Section: Management and Mitigation Strategies For Solid Wastes Associated With Covid-19mentioning

confidence: 99%

Insights into hazardous solid waste generation during COVID-19 pandemic and sustainable management approaches for developing countries

Adelodun

Ajibade

Ibrahim³

et al. 2021

J Mater Cycles Waste Manag

View full text Add to dashboard Cite

show abstract

“…Remedial waste is hazardous, spreadable, toxic, and even lethal to humankind. If these materials are not correctly disposed of, treated, they lead to health disasters for humans and the environment (23). Problems like disease spread, ecological poisoning, and contamination result.…”

Section: Better Practices For Hospital Waste Managementmentioning

confidence: 99%

Operative Management and Disposal of Hospital Wastes: A Comprehensive Appraisal

Ahad¹,

Singh²,

Chinthaginjala³

et al. 2021

Int J Infect

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: Health clinics are significant destinations for the creation of risky waste. Every clinic has its own profile for the management and transport of waste contingent upon its area. It is amazingly crucial to guarantee that the waste created in medical clinics is sufficiently kept away from dangers to well-being and the climate. The manuscript describes the control of clinical waste, which incorporates infectious waste, synthetic substances, lapsed medications, radioactive trash, and rough waste are the major ones in hospitals. On the off chance that the administration is not efficient, it becomes perilous, as they are pathogenic and environmentally unsafe. Inability to do so can bring about negative results; for example, genuine well-being chances and the clinic's standing. This article portrays the different ways to deal with the powerful administration of clinic squander. The authors conclude that pretreatment is basic before discarding emergency clinic squander in a hospital to minimize hazardous issues.

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“…Likewise, several studies address various reasons, such as lack of awareness of hospital staff as well as the administration to enforce the rules, assessment of hospital waste compositions, unsafe and malpractices of hospital waste and their impacts on human health and environment [ 24 – 33 ], but in published literature, limited studies exist at the management status of hospital waste, current practices, and issues responsible for the gaps in the teaching hospitals of Pakistan. The present study is based to evaluate and compare the current practices of hospital waste management being undertaken by public and private teaching hospitals in Peshawar, along with structural and operational parameters of incinerators in relation to Pak HWM (2005) rules [ 34 ] based on WHO guidelines [ 35 ].…”

Section: Introductionmentioning

confidence: 99%

Current practices of waste management in teaching hospitals and presence of incinerators in densely populated areas

et al. 2021

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Background Hospital waste management (HWM) practices are the core need to run a proper health care facility. This study encompasses the HWM practices in teaching hospitals of Peshawar, Pakistan and examine the enforcement of Pak HWM (2005) rules and risks through transmission of pathogens via blood fluids, air pollution during waste incineration and injuries occurring in conjunction with open burning and dumping. Methods A questionnaire based on World Health Organization (WHO) recommendations was used to survey the selected private and public teaching hospital (n = 16). Site visits and personnel observations were also included in the data. It was spatio-statistically analyzed using descriptive statistics, Krushkal-wallis and Fisher’s exact tests. Results The findings revealed that the lack of HWM practices in all surveyed hospitals (p > 0.05), besides statistical difference (p < 0.017) in waste generation/day. No proper segregation of waste from generation point to final disposal was practiced. However, the performance of private teaching hospitals (50%) was found better in terms of HWM personnel and practices. In surveyed hospitals, only nine hospitals (56.3%) were found with the incinerator facility while rest of the hospitals (43.7%) practiced open dumping. Moreover, operational parameters of the incinerators were not found satisfactory and located in densely populated areas and emitting hazardous gases. Conclusion Proper HWM practices are not being followed in the light of WHO guidelines. Hospital waste impose serious menace to healthcare workers and to nearby population. WHO issued documents for improving HWM practices but triggered no change in Pakistan. To improve the situation, insights in this context is need for enforcement of rules.

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Hospital Waste Management: Execution in Pakistan and Environmental Concerns – A Review

Cited by 19 publications

References 21 publications

Insights into hazardous solid waste generation during COVID-19 pandemic and sustainable management approaches for developing countries

Insights into hazardous solid waste generation during COVID-19 pandemic and sustainable management approaches for developing countries

Operative Management and Disposal of Hospital Wastes: A Comprehensive Appraisal

Current practices of waste management in teaching hospitals and presence of incinerators in densely populated areas

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