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Colonel Zulfiquer Ahmed Amin Armed Forces Medical Institute (AFMI)

This document discusses hospital waste management. It defines hospital waste as any waste generated during diagnosis, treatment, or research involving humans or animals. Hospital waste is classified as either non-hazardous or hazardous. Effective management requires national policies, legislation, resources, and following proper procedures like training, segregation, collection, treatment, and disposal. Key aspects include minimizing waste, identifying and separating waste according to international color codes, proper handling and transportation, and final treatment using high-temperature incineration to avoid health risks like disease transmission, genotoxicity and cytotoxicity. However, hospital waste management practices in Bangladesh still have gaps and need improvement in areas like implementation, enforcement, and oversight.

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Harish Arnepalli
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81 views39 pages

Colonel Zulfiquer Ahmed Amin Armed Forces Medical Institute (AFMI)

This document discusses hospital waste management. It defines hospital waste as any waste generated during diagnosis, treatment, or research involving humans or animals. Hospital waste is classified as either non-hazardous or hazardous. Effective management requires national policies, legislation, resources, and following proper procedures like training, segregation, collection, treatment, and disposal. Key aspects include minimizing waste, identifying and separating waste according to international color codes, proper handling and transportation, and final treatment using high-temperature incineration to avoid health risks like disease transmission, genotoxicity and cytotoxicity. However, hospital waste management practices in Bangladesh still have gaps and need improvement in areas like implementation, enforcement, and oversight.

Uploaded by

Harish Arnepalli
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Colonel Zulfiquer Ahmed Amin

M Phil, MPH, PGD (Health Economics), MBBS


Armed Forces Medical Institute (AFMI)
Definition:
• Hospital waste is “Any waste which is
generated in the diagnosis, treatment or
immunization of human beings or animals or
in research” in a hospital. This is also called
‘Bio-Medical Waste’ (BMW).
• Hospital Waste Management means the
management of waste produced by hospitals
using such techniques that will help to check
the spread of diseases through.
Medical Waste Generation in Asia

Developing Countries: 1-2 kg/patient/day


Classification of Hospital Waste:

Non-Hazardous:

Hazardous:
Composition:
Composition:
Sources of Hospital Waste
Health Risks from Poor Hospital Waste Management
Health Hazards:

In genetics, Genotoxicity describes the property of chemical agents that


damages the genetic information within a cell causing mutations, which
may lead to cancer.
Cytotoxicity is the quality of being toxic to cells.
Management of Healthcare Waste
Effective Waste Management needs:

• National Policy, Strategy, Plan, Guidelines and SOP


• Legislation/ Rules for waste management
• Political commitment
• Committed manpower
• Good Management
• Proper budgetary allocation
Waste Management Hierarchy
WHO Hospital Waste Management Cycle
Steps in Management of Hospital Waste

Steps in the management of hospital waste include : -


- Training and Awareness
- Generation
- Segregation / separation
- Collection
- Transportation
- Storage
- Treatment
- Final disposal
Waste Minimization

Waste minimization is a process of elimination that


involves reducing the amount of waste produced in society
and helps to eliminate the generation of harmful and
persistent wastes.
Waste Identification
WHO Recommended Colour Code
Colour Code Practice in CMHs
Waste Segregation

- Waste segregation means dividing or separating waste at


earliest opportunity, at point of origin.
- Not allowing hazardous waste to mix-up with non-
hazardous waste.
Waste Handling
Out-Fit of Waste-Handler
Waste Collection
Transportation
Record Keeping
Treatment and Final Disposal of Hospital Waste

Principles are:

(Temp over 850 degree Centigrade)


Hospital Waste Management- Practices in Bangladesh

The hospital waste management practices somehow have not been


given appropriate attention and importance in Bangladesh. Other
problems include:

-Lack of implementation of guideline


-Existing gaps within the waste management rule 2008
-Problem in Environmental Act 1995
-Lack of interest and unity
-Economic constrains
-Following the old management
-Corruption of the lower level
-Hazardous waste management is not high in the political agenda
-Lack of responsibilities and supervision
-Inadequate enforcement of existing pollution control laws.
There are only three NGOs in Bangladesh that are actively
working in the field of hospital waste management. These NGOs
are PRISM (Project in Agriculture, Rural Industry, Science and
Medicine) Bangladesh in Dhaka city, BASA (Bangladesh
Association for Social Development) in Tongi and Shawpno in
Bagura.
They are collecting the waste from the hospitals with a nominal
service charge. Among the three NGOs, PRISM Bangladesh along
with DCC is properly collecting and treating the hospital waste
up to final disposal. There are only 342 hospitals, clinics and
diagnostic centres under PRISM Hospital waste management
program. Rest of the healthcare institutions follow none, or their
own or old system.

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