Profile of medical waste management in two healthcare facilities in Lagos, Nigeria: a case study

Idowu, Ibijoke; Alo, Babajide I.; Atherton, William; Khaddar, Rafid M. Al

doi:10.1177/0734242x13479429

Cited by 41 publications

(40 citation statements)

References 11 publications

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“…The medical waste generation rates in the surveyed hospitals were obtained by actual measurements and through assessment of the storage facilities emptying frequencies and degree of filling of the waste receptacles [4]. The hospitals with better medical facilities were reported have higher waste generation rates [6] [15]. Moreover, the average waste generation rate is estimated to be 0.66 kg/patient/day with a range of 0.03 -2.0 kg/patient/day [13] [17].…”

Section: Literature Reviewmentioning

confidence: 99%

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Analysis of Health Workers’ Perceptions on Medical Waste Management in Tanzanian Hospitals

Kagonji¹,

Manyele²

2016

ENG

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This paper presents the perceptions of health workers (HWs) on medical waste management (MWM) issues in Tanzanian hospitals. The perceived total waste generation rates were lower than the actual measurements. Administrators perceived lower rates than implementers. The results indicated three categories of medical waste which are given due attention, that is, sharps waste, pathological and infectious waste. Other wastes like radioactive, chemical, pharmaceutical, pressurized containers receive very little attention. Container colour coding and labelling was negligible, while improvised containers are still in use. Medical waste is transported within hospitals manually, with little efforts on mechanized transportation. Poor waste storage was observed, while the prominent medical waste treatment technologies are medium temperature incinerators. Off-site transportation of medical waste is practiced, where the waste is finally dumped or buried. The hospitals are currently utilizing public-private partnership schemes for MWM in only one aspect of off-site transportation. Three main problems which require high attention include: Weaknesses in hospital management, poor MWM infrastructure, and lack of skills and knowledge on MWM among HWs. Knowledge and awareness among HWs on health hazards associated with poor MWM is low (with exception of cholera, HIV and typhoid). Few PPE types are supplied and used in the hospitals, leading to poor diseases prevention. There is also low knowledge among HWs on administrative issues related to MWM in Tanzanian hospitals.

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Section: Literature Reviewmentioning

confidence: 99%

“…All medical waste management processes require proper planning and implementation by HWs of all levels [6]. Segregation of the medical waste by categories also depends on what HWs perceive on the risks posed by the waste categories [7].…”

Section: Introductionmentioning

confidence: 99%

Analysis of Health Workers’ Perceptions on Medical Waste Management in Tanzanian Hospitals

Kagonji¹,

Manyele²

2016

ENG

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“…With the notable exception of healthcare waste management (25% ± 6.8 percentage points), “supporting” activities are also understudied. The literature on healthcare waste management includes, but is not limited to, reviews of legal and regulatory requirements (Takatsuki, ; Haylamicheal & Desalegne, ; Botelho, ), surveys and case studies of healthcare waste management attitudes and practices (Idowu, Alo, Atherton, & Al Khaddar, ; Ul Rahman, Hameed, Shahjehan, Ayyaz, & Kha et al., ; Askarian, Vakili, & Kabir, ; Aseweh Abor & Bouwer, ; Saad, ; Thiel, Duncan, & Woods, ; Jovanović, Manojlović, Jovanović, Matić, & Đonović, ; Gupta et al., ), waste audits (Patwary et al., ; Voudrias, Goudakou, Kermenidou, & Softa, ; Suwannee, ; Komilis, Brat, Makary, ; Saad, ; Majid & Umrani, ; Patil & Pokhrel, ), and toxicological studies of healthcare wastes (Gupta, Mathur, Bhatnagar, Nagar, & Srivastava, ). The evident focus on waste management probably reflects the visibility of this issue, the large volumes of waste generated in healthcare services (e.g., the US healthcare sector generates about 1.7 million tons of solid waste annually [United States Environmental Protection Agency, ]), and the complex legal and regulatory aspects related to medical waste.…”

Section: Resultsmentioning

confidence: 99%

Potential for industrial ecology to support healthcare sustainability: Scoping review of a fragmented literature and conceptual framework for future research

Cimprich

Santillán‐Saldivar

Thiel

et al. 2019

J of Industrial Ecology

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Summary Healthcare is a critical service sector with a sizable environmental footprint from both direct activities and the indirect emissions of related products and infrastructure. As in all other sectors, the “inside‐out” environmental impacts of healthcare (e.g., from greenhouse gas emissions, smog‐forming emissions, and acidifying emissions) are harmful to public health. The environmental footprint of healthcare is subject to upward pressure from several factors, including the expansion of healthcare services in developing economies, global population growth, and aging demographics. These factors are compounded by the deployment of increasingly sophisticated medical procedures, equipment, and technologies that are energy‐ and resource‐intensive. From an “outside‐in” perspective, on the other hand, healthcare systems are increasingly susceptible to the effects of climate change, limited resource access, and other external influences. We conducted a comprehensive scoping review of the existing literature on environmental issues and other sustainability aspects in healthcare, based on a representative sample from over 1,700 articles published between 1987 and 2017. To guide our review of this fragmented literature, and to build a conceptual foundation for future research, we developed an industrial ecology framework for healthcare sustainability. Our framework conceptualizes the healthcare sector as comprising “foreground systems” of healthcare service delivery that are dependent on “background product systems.” By mapping the existing literature onto our framework, we highlight largely untapped opportunities for the industrial ecology community to use “top‐down” and “bottom‐up” approaches to build an evidence base for healthcare sustainability.

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“…The clothing processing unit performs various activities involving risks to the health of workers, users, and the environment and, therefore, it is a major concern for health monitoring [33]. The clothing processing service is an area of little health study, which can pose a serious problem, particularly for the conditions and risks of the workers in this sector, which undergoes physical, chemical, biological, ergonomic, psychosocial, and accidental issues [33,[35][36][37].…”

Section: The Hospital Laundrymentioning

confidence: 99%

Analysis of Sustainability in Hospital Laundry: The Social, Environmental, and Economic (Cost) Risks

et al. 2019

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Personal and physical injuries are two of the most relevant costs to hospitals. Hospital laundries are sources of these costs due to the physical and health risks present in the clothes and the activities performed. Energy and environmental risk and infrastructure issues also incur operational costs to these organizations and to the health system. This research analyzes the social, environmental, and economic risk in the hospital laundry process, through a multiple-case-study design. Data collection methods include interviews regarding three hospital laundry services in Brazil. The processes of these laundry services have a high consumption of resources (water and energy) and a substantial generation of solid and liquid wastes. Cost reduction actions include pooled laundry services and material substitution. There are also social and environmental risks, the most frequent being ergonomic, biological, and chemical hazards, and injures from sharp devices inadequately disposed. Hospital laundries need more sustainable operations, not only in the infrastructure, but also mostly in the awareness of leaders and teams about the importance of their engagements to resource management and waste reduction in laundry. It is opportune to convince professionals and users about changing habits that do not prioritize sustainability, especially its social and environmental aspects.

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Profile of medical waste management in two healthcare facilities in Lagos, Nigeria: a case study

Cited by 41 publications

References 11 publications

Analysis of Health Workers’ Perceptions on Medical Waste Management in Tanzanian Hospitals

Analysis of Health Workers’ Perceptions on Medical Waste Management in Tanzanian Hospitals

Potential for industrial ecology to support healthcare sustainability: Scoping review of a fragmented literature and conceptual framework for future research

Analysis of Sustainability in Hospital Laundry: The Social, Environmental, and Economic (Cost) Risks

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