Article

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

ABSTRACT

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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    • "With a view to overcoming these shortcomings, indicative strategies and guidelines for action plan preparation were formulated. Solid waste disposal and waste management systems are not satisfactory in many hospitals in Iran (Karamous et al., 2007). Little information is available regarding the generation and disposal of medical waste in Iran, and is needed to have better management for the hospital wastes (Askarian et al., 2004a, Arab et al., 2008). "
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    ABSTRACT: ABSTRACT The integrated hospital solid waste management emphasizes the need to conduct a survey based on a standardized method that equally be analyzed at national level. This study aimed to test the usability of a national tool to do integration data analysis of hospital waste management status. Then, a typical study was conducted in Karaj hospitals. Also, critical analysis of hospital’s solid waste management aspects was done, and shortcomings in the aspects were identified. The pilot study results showed that the daily per capita waste generations were reported to be 4.2±0.49 kg/available bed, 5.8±0.63 kg/occupied bed, and 10.3±0.9 kg/inpatient. The names of the hospitals were omitted when they were named from H1 to H8. So the highest and lowest daily waste generation rate were 5.5±0.35 and 2.6±0.78 kg/available bed in H7 and H3 hospitals, respectively. In this study, total infectious wastes per capita were reported to be 2.3±0.39 kg/available bed/day, 3±0.5 kg/occupied bed/day and 5.2±0.84 kg/inpatient/day. Furthermore, the averages per capita of total general waste were 2±0.4 kg/available bed/day, 2.8±0.51 kg/occupied bed/day and 5.1±0.8 kg/inpatient/day. Analysis of the Karaj hospital waste management status showed statue of hospital waste management in 88% of hospitals were ranked moderate when others were achieved to be poor by 12%. The hospital waste management had been evaluated poor in term of collection, transportation and manpower aspects, moderate in the separation and temporary storage aspects and good in the disposal aspect. It was also found that the MOHME tool is appropriate tool to investigate the status of waste management in hospitals. Keywords: Hazardous waste, Hospital waste, Waste management
    Full-text · Article · Nov 2015 · Global Nest Journal
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    • "With a view to overcoming these shortcomings, indicative strategies and guidelines for action plan preparation were formulated. Solid waste disposal and waste management systems are not satisfactory in many hospitals in Iran (Karamous et al., 2007). Little information is available regarding the generation and disposal of medical waste in Iran, and is needed to have better management for the hospital wastes (Askarian et al., 2004a, Arab et al., 2008). "
    [Show abstract] [Hide abstract]
    ABSTRACT: ABSTRACT The integrated hospital solid waste management emphasizes the need to conduct a survey based on a standardized method that equally be analyzed at national level. This study aimed to test the usability of a national tool to do integration data analysis of hospital waste management status. Then, a typical study was conducted in Karaj hospitals. Also, critical analysis of hospital’s solid waste management aspects was done, and shortcomings in the aspects were identified. The pilot study results showed that the daily per capita waste generations were reported to be 4.2±0.49 kg/available bed, 5.8±0.63 kg/occupied bed, and 10.3±0.9 kg/inpatient. The names of the hospitals were omitted when they were named from H1 to H8. So the highest and lowest daily waste generation rate were 5.5±0.35 and 2.6±0.78 kg/available bed in H7 and H3 hospitals, respectively. In this study, total infectious wastes per capita were reported to be 2.3±0.39 kg/available bed/day, 3±0.5 kg/occupied bed/day and 5.2±0.84 kg/inpatient/day. Furthermore, the averages per capita of total general waste were 2±0.4 kg/available bed/day, 2.8±0.51 kg/occupied bed/day and 5.1±0.8 kg/inpatient/day. Analysis of the Karaj hospital waste management status showed statue of hospital waste management in 88% of hospitals were ranked moderate when others were achieved to be poor by 12%. The hospital waste management had been evaluated poor in term of collection, transportation and manpower aspects, moderate in the separation and temporary storage aspects and good in the disposal aspect. It was also found that the MOHME tool is appropriate tool to investigate the status of waste management in hospitals.
    Full-text · Article · Nov 2015 · GlobalNEST International Journal
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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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    ABSTRACT: An increase in the number of health institutions, along with frequent use of disposable medical products, has contributed to the increase of healthcare waste generation rate. For proper handling of healthcare waste, it is crucial to predict the amount of waste generation beforehand. Predictive models can help to optimise healthcare waste management systems, set guidelines and evaluate the prevailing strategies for healthcare waste handling and disposal. However, there is no mathematical model developed for Ethiopian hospitals to predict healthcare waste generation rate. Therefore, the objective of this research was to develop models for the prediction of a healthcare waste generation rate. A longitudinal study design was used to generate long-term data on solid healthcare waste composition, generation rate and develop predictive models. The results revealed that the healthcare waste generation rate has a strong linear correlation with the number of inpatients (R2 = 0.965), and a weak one with the number of outpatients (R2 = 0.424). Statistical analysis was carried out to develop models for the prediction of the quantity of waste generated at each hospital (public, teaching and private). In these models, the number of inpatients and outpatients were revealed to be significant factors on the quantity of waste generated. The influence of the number of inpatients and outpatients treated varies at different hospitals. Therefore, different models were developed based on the types of hospitals.
    Full-text · Article · Oct 2015 · Waste Management & Research
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