Mondal Ramkrishna, Mishra Siddharth, Pillai Jawahar S K, Sahoo Mukunda C
Department of Hospital Administration, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
J Family Med Prim Care. 2022 Feb;11(2):439-446. doi: 10.4103/jfmpc.jfmpc_1139_21. Epub 2022 Feb 16.
The whole world was shaken with the pandemic of Coronavirus Disease (COVID-19) in end of the year 2019. Due to its novel origin, it was required to follow all precautions possible. Dealing with the massive amount of infectious healthcare waste became an enormous challenge. This review identifies the impacts of the pandemic on biomedical waste management. This systematic review was made by using keywords "biomedical waste" and "COVID 19" in open access databases like PubMed, Science Direct, Scopus, Google Scholers etc. 2124 articles downloaded and 765 found duplicate and 634 not related to the topic. after scrutiny with inclusion criteria 102 articles were considered to analyze the practices related to biomedical waste management during pandemic using PRISMA guideline.. The COVID-19 waste segregation, collection, storage, transportation, and disposal are a big challenge with all stakeholders. In order to control the virus spread, strict monitoring of the complete waste management cycle is required. Adoption of appropriate guidelines is paramount to worker safety and containment of infection. Sustainable recycling methods are needed to deal with the ever-increasing plastic waste resulting from mandatory personal protective equipment (PPE) usage. The situation also demands a rethinking of the healthcare system. Overall, there was an increase in BMW generation, and municipal waste had increased globally. Pandemic preparedness requires a global public health strategy and long-term investments. This will be vital for making a robust community capable enough to fight against any public health pressures in the future, as well as the pandemic tremors. Systematized efforts from all stakeholders, at all levels, not only refines epidemic preparation but also helps to attain a sustainable development of health for a healthier future.
2019年末，新型冠状病毒肺炎（COVID-19）疫情席卷全球。因其起源不明，需采取一切可能的预防措施。处理大量传染性医疗废物成为巨大挑战。本综述确定了该疫情对生物医学废物管理的影响。通过在PubMed、Science Direct、Scopus、Google Scholers等开放获取数据库中使用关键词“生物医学废物”和“COVID-19”进行了这项系统综述。共下载2124篇文章，发现765篇重复，634篇与主题无关。经纳入标准筛选后，102篇文章被纳入，以使用PRISMA指南分析疫情期间与生物医学废物管理相关的实践。COVID-19废物的分类、收集、储存、运输和处置对所有利益相关者来说都是一项重大挑战。为控制病毒传播，需要对整个废物管理周期进行严格监测。采用适当的指南对工人安全和感染控制至关重要。需要可持续的回收方法来处理因强制使用个人防护装备（PPE）而产生的不断增加的塑料废物。这种情况也需要对医疗系统进行重新思考。总体而言，生物医学废物的产生有所增加，全球城市垃圾也有所增加。大流行防范需要全球公共卫生战略和长期投资。这对于建立一个强大的社区至关重要，该社区有足够能力应对未来的任何公共卫生压力以及疫情冲击。各级所有利益相关者的系统化努力不仅能完善疫情防范，还有助于实现更健康未来的健康可持续发展。
