Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.
Waste Manag Res. 2011 Apr;29(4):442-50. doi: 10.1177/0734242X10374901. Epub 2010 Jul 2.
Medical waste management has not received enough attention in recent decades in Iran, as is the case in most economically developing countries. This study investigated the quantities, generation rate, quality and composition of medial waste generated by hospitals in Sistan and Baluchestan province in Iran. A comprehensive inspection survey was performed for 14 hospitals located in the study area. Field visits were conducted to provide information on the different medical waste management aspects. The total number of beds in the hospitals was 2139, and the anticipated quantity of medical waste generated by these hospitals was about 6100 kg day(-1). The results indicated that the medical waste generation rate for total waste, infectious waste, general waste and sharp waste were 2.76, 1.36, 1.37 and 0.042 kg bed(-1) day(-1), respectively, which was comprised of 51.6% of infectious waste, 47.2% general waste and 1.2% sharps waste. The most frequently used treatment practice for solid medical waste was disposal in an unsanitary dumpsite after open burning. The results also showed that segregation of various medical waste types in the hospitals had not been conducted properly. The study revealed the need for training and capacity building programmes for all employees involved in management of the medical waste.
近几十年来，伊朗的医疗废物管理一直没有得到足够的重视，大多数经济发展中国家也是如此。本研究调查了伊朗锡斯坦和俾路支省医院产生的医疗废物的数量、产生率、质量和组成。对研究区域内的 14 家医院进行了全面的检查调查。进行实地考察，以提供有关医疗废物管理各个方面的信息。医院共有 2139 张床位，预计这些医院产生的医疗废物量约为 6100 公斤/天。结果表明，总废物、传染性废物、一般废物和锐利废物的医疗废物产生率分别为 2.76、1.36、1.37 和 0.042 公斤/床/天，其中传染性废物占 51.6%，一般废物占 47.2%，锐利废物占 1.2%。固体医疗废物最常用的处理方法是在未经卫生处理的垃圾场进行露天焚烧后处置。研究还表明，医院没有对各种医疗废物类型进行适当的分类。研究结果表明，需要为所有参与医疗废物管理的员工提供培训和能力建设计划。
