Developing a master plan for hospital solid waste management: A case study

School of Civil Engineering, University of Tehran, Tehran, Iran.
Waste Management (Impact Factor: 3.22). 02/2007; 27(5):626-38. DOI: 10.1016/j.wasman.2006.03.018
Source: PubMed


Disposal of about 1750tons of solid wastes per day is the result of a rapid population growth in the province of Khuzestan in the south west of Iran. Most of these wastes, especially hospital solid wastes which have contributed to the pollution of the environment in the study area, are not properly managed considering environmental standards and regulations. In this paper, the framework of a master plan for managing hospital solid wastes is proposed considering different criteria which are usually used for evaluating the pollution of hospital solid waste loads. The effectiveness of the management schemes is also evaluated. In order to rank the hospitals and determine the share of each hospital in the total hospital solid waste pollution load, a multiple criteria decision making technique, namely analytical hierarchy process (AHP), is used. A set of projects are proposed for solid waste pollution control and reduction in the proposed framework. It is partially applied for hospital solid waste management in the province of Khuzestan, Iran. The results have shown that the hospitals located near the capital city of the province, Ahvaz, produce more than 43% of the total hospital solid waste pollution load of the province. The results have also shown the importance of improving management techniques rather than building new facilities. The proposed methodology is used to formulate a master plan for hospital solid waste management.

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    • "Owing to these facts, installation of an integrated healthcare waste management system for health institutions is becoming a cross-cutting issue (Nema et al., 2011). Many researchers have argued that the availability of enough information about the amount and composition of the healthcare waste generated is the first step for the implementation of sound waste management systems (Altin et al., 2003; Karamouz et al., 2007; Taghipour and Mosaferi, 2009). In addition, healthcare waste should be characterised by source, generation rates, types of waste produced and composition in order to monitor and control the existing healthcare waste management systems (Altin et al., 2003). "
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    • "Different decision-making tools have been developed for application in the environmental field such as the Matrix Method, the AHP and the Electre III method. AHP is one of the most practical multiple choice decision making techniques among the available methods widely used [24,28]. It should be explained, currently there is not any installed off-site medical waste treatment facilities in country. "
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    • "Based on the results of interviews with experts in the field, they tried to reduce overhead costs and enhance medical waste management. Karamouz et al. (2007) presented a framework for managing hospital solid wastes considering different criteria which are usually used for evaluating the pollution of hospital solid waste loads. In order to rank the hospitals and determine the share of each hospital in the total hospital solid waste pollution load, analytical hierarchy process was used. "
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