Department of Environmental Health Engineering, Tabriz University of Medical Sciences, Tabriz, Iran.
Student Research Committee, Department of Environmental Health Engineering, Tabriz University of Medical Sciences, Tabriz, Iran.
J Environ Health Sci Eng. 2014 Apr 16;12:68. doi: 10.1186/2052-336X-12-68. eCollection 2014.
Treating hazardous-infectious medical waste can be carried out on-site or off-site of health-care establishments. Nevertheless, the selection between on-site and off-site locations for treating medical waste sometimes is a controversial subject. Currently in Iran, due to policies of Health Ministry, the hospitals have selected on-site-treating method as the preferred treatment. The objectives of this study were to assess the current condition of on-site medical waste treatment facilities, compare on-site medical waste treatment facilities with off-site systems and find the best location of medical waste treatment. To assess the current on-site facilities, four provinces (and 40 active hospitals) were selected to participate in the survey. For comparison of on-site and off-site facilities (due to non availability of an installed off-site facility) Analytical Hierarchy Process (AHP) was employed. The result indicated that most on-site medical waste treating systems have problems in financing, planning, determining capacity of installations, operation and maintenance. AHP synthesis (with inconsistency ratio of 0.01 < 0.1) revealed that, in total, the off-site treatment of medical waste was in much higher priority than the on-site treatment (64.1% versus 35.9%). According to the results of study it was concluded that the off-site central treatment can be considered as an alternative. An amendment could be made to Iran's current medical waste regulations to have infectious-hazardous waste sent to a central off-site installation for treatment. To begin and test this plan and also receive the official approval, a central off-site can be put into practice, at least as a pilot in one province. Next, if it was practically successful, it could be expanded to other provinces and cities.
处理危险感染性医疗废物可以在医疗保健机构现场或场外进行。然而，在现场和场外位置之间选择处理医疗废物有时是一个有争议的话题。目前在伊朗，由于卫生部的政策，医院选择现场处理方法作为首选治疗方法。本研究的目的是评估现场医疗废物处理设施的现状，将现场医疗废物处理设施与场外系统进行比较，并找到医疗废物处理的最佳位置。为了评估当前的现场设施，选择了四个省（和 40 家活跃医院）参与调查。由于没有安装场外设施，因此采用层次分析法（AHP）对现场和场外设施进行比较。结果表明，大多数现场医疗废物处理系统在融资、规划、确定设施能力、运行和维护方面存在问题。AHP 综合（不一致比为 0.01 < 0.1）表明，总的来说，场外医疗废物处理比现场处理更优先（64.1%比 35.9%）。根据研究结果得出结论，场外集中处理可以作为替代方案。可以对伊朗现行医疗废物法规进行修订，将感染性危险废物送往场外集中处理设施进行处理。为了启动和测试该计划并获得正式批准，可以先在一个省建立一个场外集中处理设施，至少作为一个试点。接下来，如果实际成功，可以将其扩展到其他省份和城市。
