1 School of Economics and Management, Nanjing University of Science and Technology, Nanjing, China.
2 School of Economics and Management, Southeast University, Nanjing, China.
Waste Manag Res. 2019 Sep;37(9):863-875. doi: 10.1177/0734242X19857470. Epub 2019 Jul 3.
Healthcare waste encompasses a significant quantity of hazardous substances. Poor healthcare waste management can result in serious environmental and human health risks. Asian developing countries are densely populated, and some are highly resource constrained. These countries commonly fail to practice appropriate healthcare waste management. Moreover, facilities in these countries extensively lack proper waste segregation, collection, safe storage, transportation, and disposal. This mini-review recapitulates key issues of healthcare waste management confronting Asian developing countries. Regulations, legislation, and policies are found to be recent, and their implementation varies from one another. Variation in waste generation rate is common. Contradictory methods of waste measurement used by researchers leave these variations questionable. The absence of waste management training programmes roots ignorance among staff and handlers, which leads to unsafe waste handling and causes different health risks. Unsafe and illegal recycling of hazardous waste is a threat to human health, also landfilling is often confused with open dumping, causing environmental damage. Outdated incineration plants need to be replaced with autoclaving, steam sterilisation, and comparatively reasonable new practice of pyrolysis to avoid the emission of toxic gases. The significance of proper healthcare waste management cannot be ignored, especially in Asian developing countries; substantial improvements are required in order to protect the environment and human health from serious risks.
医疗废物包含大量危险物质。医疗废物管理不善可能会对环境和人类健康造成严重风险。亚洲发展中国家人口密集,有些国家资源严重匮乏。这些国家通常无法实施适当的医疗废物管理。此外,这些国家的设施普遍缺乏适当的废物分类、收集、安全储存、运输和处置。本综述回顾了亚洲发展中国家面临的医疗废物管理的关键问题。发现法规、立法和政策是最近才有的,其执行情况彼此不同。废物产生率的差异很常见。研究人员使用的废物计量方法相互矛盾,这使得这些差异值得怀疑。废物管理培训计划的缺失导致工作人员和处理人员一无所知,从而导致废物处理不安全,并带来不同的健康风险。危险废物的不安全和非法回收对人类健康构成威胁,而垃圾填埋场也经常与露天倾倒混淆,造成环境破坏。过时的焚烧厂需要用高压灭菌器、蒸汽灭菌器和相对合理的新型热解技术来替代,以避免有毒气体的排放。适当的医疗废物管理的重要性不容忽视,尤其是在亚洲发展中国家;需要进行重大改进,以保护环境和人类健康免受严重风险的影响。