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[作为公共卫生问题的危险医疗废物管理]

[Hazardous medical waste management as a public health issue].

作者信息

Marinković Natalija, Vitale Ksenija, Afrić Ivo, Janev Holcer Natasa

机构信息

Skola narodnog zdravlja Andrja Stampar, Medicinski fakultet Sveucilista u Zagrebu.

出版信息

Arh Hig Rada Toksikol. 2005 Mar;56(1):21-32.

Abstract

The amount of waste produced is connected with the degree of a country's economic development; more developed countries produce more waste. This paper reviews the quantities, manipulation and treatment methods of medical waste in Croatia, as well as hazardous potentials of medical waste for human health. Medical waste must be collected and sorted in containers suitable for its characteristics, amount, means of transportation and treatment method in order to prevent contact with environment and to protect people who are working with waste. Hazardous medical waste in Croatia is largely produced by hospitals. Even though only one hospital has a licence to incinerate infectious medical waste, many other hospitals incinerate their hazardous waste in inappropriate facilities. Healthcare institutions also store great amounts of old medical waste, mostly pharmaceutical, anti-infectious, and cytostatic drugs and chemical waste. Data on waste treatment effects on human health are scarce, while environmental problems are covered better. Croatian medical waste legislation is not being implemented. It is very important to establish a medical waste management system that would implement the existing legislation in all waste management cycles from waste production to treatment and final disposal.

摘要

产生的废物量与一个国家的经济发展程度相关;较发达国家产生的废物更多。本文综述了克罗地亚医疗废物的数量、处理和处置方法,以及医疗废物对人类健康的潜在危害。医疗废物必须收集并分类存放在适合其特性、数量、运输方式和处理方法的容器中,以防止与环境接触,并保护从事废物处理工作的人员。克罗地亚的危险医疗废物主要由医院产生。尽管只有一家医院有焚烧传染性医疗废物的许可证,但许多其他医院在不合适的设施中焚烧其危险废物。医疗机构还储存了大量旧医疗废物,主要是药品、抗感染药物、细胞毒性药物和化学废物。关于废物处理对人类健康影响的数据很少,而环境问题的报道则更好。克罗地亚的医疗废物立法未得到执行。建立一个医疗废物管理系统非常重要,该系统应在从废物产生到处理和最终处置的所有废物管理环节中执行现有立法。

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