Medical Waste Management in Private Hospitals in Tehran

Document Type : Original Article

Authors

1 College of Engineering, University of Tehran, Tehran, Iran

2 Ecohydrology Research Group, Department of Earth and Environmental Sciences, University of Waterloo, Waterloo, ON, Canada

3 Department of Civil and Environmental Engineering and Construction, University of Nevada, Las Vegas, NV, USA

4 School of Environment, Azad University of Tehran, Tehran, Iran

10.34172/jaehr.1274

Abstract

Background: Solid waste management is one of the important aspects of the hospital management.
Methods: In this study, we examined the quantity and composition of medical solid waste in eight private hospitals in Tehran. For this purpose, a checklist was used through interviews with hospital waste management staff as well as collecting information on hospital waste generation. The annual average of obtained data was analyzed in this study.
Results: The results indicated that the private hospitals under study generated solid waste ranging from 24 to 1091 kg/day. The average medical waste generation in the studied privative hospitals was 4 kg/bed/day equal to 5.09 kg/patient/day. Common waste accounted for 70.73% of total hospital solid waste, while infectious and sharp waste accounted for 31.04% of the hospital solid waste. Infectious wastes were disinfected using autoclave in all hospitals.
Conclusion: Segregation of infectious waste from hospital waste mass reduces the environmental and health risk of hospital waste and reduces the cost of waste management in private hospitals. 

Keywords

Main Subjects


  1. Windfeld ES, Brooks MS. Medical waste management - a review. J Environ Manage. 2015;163:98-108. doi: 1016/j.jenvman.2015.08.013.
  2. Birpinar ME, Bilgili MS, Erdoğan T. Medical waste management in Turkey: a case study of Istanbul. Waste Manag. 2009;29(1):445-8. doi: 1016/j.wasman.2008.03.015.
  3. Diaz LF, Eggerth LL, Enkhtsetseg S, Savage GM. Characteristics of healthcare wastes. Waste Manag. 2008;28(7):1219-26. doi: 1016/j.wasman.2007.04.010 .
  4. Askarian M, Vakili M, Kabir G. Results of a hospital waste survey in private hospitals in Fars province, Iran. Waste management. 2004 Jan 1;24(4):347-52.
  5. Askarian M, Heidarpoor P, Assadian O. A total quality management approach to healthcare waste management in Namazi hospital, Iran. Waste Manag. 2010;30(11):2321-6. doi: 1016/j.wasman.2010.06.020.
  6. Torkashvand J, Pasalari H, Jonidi Jafari A, Kermani M, Nasri O, Farzadkia M. Medical waste management in Iran and comparison with neighbouring countries. Int J Enviro Anal Chem. 2022;102(12):2805-18. doi: 1080/03067319.2020.1759570.
  7. Jaafari J, Dehghani MH, Hoseini M, Safari GH. Investigation of hospital solid waste management in Iran. World Rev Sci Technol Sustain Dev. 2015;12(2):111-25. doi: 1504/wrstsd.2015.073820.
  8. Singh N, Ogunseitan OA, Tang Y. Medical waste: Current challenges and future opportunities for sustainable management. Crit Rev Environ Sci Technol. 2022;52(11):2000-22. doi: 1080/10643389.2021.1885325.
  9. Torkashvand J, Pasalari H, Jonidi Jafari A, Kermani M, Farzadkia M, Mehralipour J, Ghalkhanbaz A. Dental solid waste management in Iran: a systematic review. J Adv Environ Health Res. 2020;8(4):297-303. doi: 22102/jaehr.2020.211282.1151.
  10. Damani N, Koolivand A, Sadat M, Mahvi AH, Mazloomi S. Hospital waste generation and management in some provinces of Iran. Toxicol Environ Chem. 2013;95(6):962-9. doi: 1080/02772248.2013.840374.
  11. Zazouli MA, Alavinia SM, Bay A. Medical waste generation in Gorgan hospitals, 2014. J Mazandaran Univ Med Sci. 2016;25(132):304-8. [Persian].
  12. Abduli MA. Hospital waste management in Tehran. J Environ Sci Health A. 1994;29(3):477-92. doi: 1080/10934529409376049.
  13. Aghapour P, Nabizadeh R, Nouri J, Monavari M, Yaghmaeian K. Analysis of hospital waste using a healthcare waste management index. Toxicol Environ Chem. 2013;95(4):579-89. doi: 1080/02772248.2013.802792.
  14. Arab M, Askari Baghbani R, Tajvar M, Pourreza A, Tajvar M, Omrani G, et al. Report: the assessment of hospital waste management: a case study in Tehran. Waste Manag Res. 2008;26(3):304-8. doi: 1177/0734242x08093598.
  15. Askarian M, Motazedian N, Palenik CJ. Clinical laboratory waste management in Shiraz, Iran. Waste Manag Res. 2012;30(6):631-4. doi: 1177/0734242x11413330.
  16. Bazrafshan E, Kord Mostafapoor F. Survey of medical waste characterization and management in Iran: a case study of Sistan and Baluchestan province. Waste Manag Res. 2011;29(4):442-50. doi: 1177/0734242x10374901.
  17. Sartaj M, Arabgol R. Quantitative assessment and statistical analysis of medical waste generation in developing countries: a case study in Isfahan (Iran). Iran J Sci Technol Trans Civ Eng. 2014;38(C2):409-20.
  18. Levendis YA, Atal A, Carlson JB, Quintana MD. PAH and soot emissions from burning components of medical waste: examination/surgical gloves and cotton pads. Chemosphere. 2001;42(5-7):775-83. doi: 1016/s0045-6535(00)00251-4.