Hosny Gihan, El-Zarka Eman M A
Environmental Health Division, Department of Environmental Studies, Institute of Graduate Studies and Research, University of Alexandria, Alexandria, Egypt.
J Egypt Public Health Assoc. 2005;80(5-6):607-28.
Though healthcare services aim to reduce the health problems and prevent the potential risks to the health of the community. These services create wastes which are considered as hazardous materials due to the higher potential of infection and injury possessed by these wastes than any other type of waste. Healthcare waste management is an integral part of healthcare services, and can create harm through inadequate waste management; thus reducing the overall benefits provided by healthcare centers. In the current study, a survey for medical waste disposal was performed in order to examine the current status of medical waste disposal in some hospitals in Alexandria and to properly assess management of this type of hazardous waste. A questionnaire was designed for hospitals to assess the quantity of medical waste, collection, sorting, storage, transportation and way of final disposal. From the total waste generated by healthcare activities, almost 80% are waste similar to domestic waste. The remaining approximate of 20% is considered as hazardous waste. As Alexandria has about 3911 healthcare facilities providing medical services for people, a huge amount of medical waste are generated daily with about 208 tons generated per month. The results revealed that the most common problems associated with healthcare wastes are the absence of waste management, lack of awareness about their health hazards, insufficient financial and human resources for proper management, and poor control of waste disposal. The current situation of medical waste disposal in Alexandria is depending on incinerators. Some of these incinerators are not working anymore. Incinerations as a system is not accepted at the time being in most developed countries due to the risks associated with it and suitable substitution management system for medical waste disposal is now taking its place.
尽管医疗保健服务旨在减少健康问题并预防对社区健康的潜在风险。但这些服务会产生废物,由于这些废物比其他任何类型的废物具有更高的感染和伤害可能性,所以被视为有害物质。医疗废物管理是医疗保健服务不可或缺的一部分,管理不善可能造成危害;从而降低医疗中心提供的整体效益。在本研究中,进行了一项医疗废物处置调查,以检查亚历山大港一些医院的医疗废物处置现状,并正确评估此类危险废物的管理情况。设计了一份问卷,用于评估医院的医疗废物数量、收集、分类、储存、运输和最终处置方式。在医疗活动产生的总废物中,近80%是类似于生活垃圾的废物。其余约20%被视为危险废物。由于亚历山大港约有3911个为人们提供医疗服务的医疗保健设施,每天产生大量医疗废物,每月约产生208吨。结果显示,与医疗废物相关的最常见问题是缺乏废物管理、对其健康危害认识不足、缺乏适当管理所需的资金和人力资源以及对废物处置的控制不力。亚历山大港医疗废物处置的现状依赖于焚烧炉。其中一些焚烧炉已不再运行。由于焚烧存在相关风险,目前在大多数发达国家,焚烧作为一种系统已不被接受,适合的医疗废物处置替代管理系统正在取而代之。