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    Colonel Zulfiquer Ahmed Amin Armed Forces Medical Institute (AFMI)

    Uploaded by

    Harish Arnepalli
    This document discusses hospital waste management. It defines hospital waste as any waste generated during diagnosis, treatment, or research involving humans or animals. Hospital waste is classified as either non-hazardous or hazardous. Effective management requires national policies, legislation, resources, and following proper procedures like training, segregation, collection, treatment, and disposal. Key aspects include minimizing waste, identifying and separating waste according to international color codes, proper handling and transportation, and final treatment using high-temperature incineration to avoid health risks like disease transmission, genotoxicity and cytotoxicity. However, hospital waste management practices in Bangladesh still have gaps and need improvement in areas like implementation, enforcement, and oversight.

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    Colonel Zulfiquer Ahmed Amin Armed Forces Medical Institute (AFMI)

    Uploaded by

    Harish Arnepalli
    30 views39 pages
    This document discusses hospital waste management. It defines hospital waste as any waste generated during diagnosis, treatment, or research involving humans or animals. Hospital waste is classified as either non-hazardous or hazardous. Effective management requires national policies, legislation, resources, and following proper procedures like training, segregation, collection, treatment, and disposal. Key aspects include minimizing waste, identifying and separating waste according to international color codes, proper handling and transportation, and final treatment using high-temperature incineration to avoid health risks like disease transmission, genotoxicity and cytotoxicity. However, hospital waste management practices in Bangladesh still have gaps and need improvement in areas like implementation, enforcement, and oversight.

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    This document discusses hospital waste management. It defines hospital waste as any waste generated during diagnosis, treatment, or research involving humans or animals. Hospital waste is classified as either non-hazardous or hazardous. Effective management requires national policies, legislation, resources, and following proper procedures like training, segregation, collection, treatment, and disposal. Key aspects include minimizing waste, identifying and separating waste according to international color codes, proper handling and transportation, and final treatment using high-temperature incineration to avoid health risks like disease transmission, genotoxicity and cytotoxicity. However, hospital waste management practices in Bangladesh still have gaps and need improvement in areas like implementation, enforcement, and oversight.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    30 views39 pages

    Colonel Zulfiquer Ahmed Amin Armed Forces Medical Institute (AFMI)

    Uploaded by

    Harish Arnepalli
    This document discusses hospital waste management. It defines hospital waste as any waste generated during diagnosis, treatment, or research involving humans or animals. Hospital waste is classified as either non-hazardous or hazardous. Effective management requires national policies, legislation, resources, and following proper procedures like training, segregation, collection, treatment, and disposal. Key aspects include minimizing waste, identifying and separating waste according to international color codes, proper handling and transportation, and final treatment using high-temperature incineration to avoid health risks like disease transmission, genotoxicity and cytotoxicity. However, hospital waste management practices in Bangladesh still have gaps and need improvement in areas like implementation, enforcement, and oversight.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    Colonel Zulfiquer Ahmed Amin

    M Phil, MPH, PGD (Health Economics), MBBS


    Armed Forces Medical Institute (AFMI)
    Definition:
    • Hospital waste is “Any waste which is
    generated in the diagnosis, treatment or
    immunization of human beings or animals or
    in research” in a hospital. This is also called
    ‘Bio-Medical Waste’ (BMW).
    • Hospital Waste Management means the
    management of waste produced by hospitals
    using such techniques that will help to check
    the spread of diseases through.
    Medical Waste Generation in Asia

    Developing Countries: 1-2 kg/patient/day


    Classification of Hospital Waste:

    Non-Hazardous:

    Hazardous:
    Composition:
    Composition:
    Sources of Hospital Waste
    Health Risks from Poor Hospital Waste Management
    Health Hazards:

    In genetics, Genotoxicity describes the property of chemical agents that


    damages the genetic information within a cell causing mutations, which
    may lead to cancer.
    Cytotoxicity is the quality of being toxic to cells.
    Management of Healthcare Waste
    Effective Waste Management needs:

    • National Policy, Strategy, Plan, Guidelines and SOP


    • Legislation/ Rules for waste management
    • Political commitment
    • Committed manpower
    • Good Management
    • Proper budgetary allocation
    Waste Management Hierarchy
    WHO Hospital Waste Management Cycle
    Steps in Management of Hospital Waste

    Steps in the management of hospital waste include : -


    - Training and Awareness
    - Generation
    - Segregation / separation
    - Collection
    - Transportation
    - Storage
    - Treatment
    - Final disposal
    Waste Minimization

    Waste minimization is a process of elimination that


    involves reducing the amount of waste produced in society
    and helps to eliminate the generation of harmful and
    persistent wastes.
    Waste Identification
    WHO Recommended Colour Code
    Colour Code Practice in CMHs
    Waste Segregation

    - Waste segregation means dividing or separating waste at


    earliest opportunity, at point of origin.
    - Not allowing hazardous waste to mix-up with non-
    hazardous waste.
    Waste Handling
    Out-Fit of Waste-Handler
    Waste Collection
    Transportation
    Record Keeping
    Treatment and Final Disposal of Hospital Waste

    Principles are:

    (Temp over 850 degree Centigrade)


    Hospital Waste Management- Practices in Bangladesh

    The hospital waste management practices somehow have not been


    given appropriate attention and importance in Bangladesh. Other
    problems include:

    -Lack of implementation of guideline


    -Existing gaps within the waste management rule 2008
    -Problem in Environmental Act 1995
    -Lack of interest and unity
    -Economic constrains
    -Following the old management
    -Corruption of the lower level
    -Hazardous waste management is not high in the political agenda
    -Lack of responsibilities and supervision
    -Inadequate enforcement of existing pollution control laws.
    There are only three NGOs in Bangladesh that are actively
    working in the field of hospital waste management. These NGOs
    are PRISM (Project in Agriculture, Rural Industry, Science and
    Medicine) Bangladesh in Dhaka city, BASA (Bangladesh
    Association for Social Development) in Tongi and Shawpno in
    Bagura.
    They are collecting the waste from the hospitals with a nominal
    service charge. Among the three NGOs, PRISM Bangladesh along
    with DCC is properly collecting and treating the hospital waste
    up to final disposal. There are only 342 hospitals, clinics and
    diagnostic centres under PRISM Hospital waste management
    program. Rest of the healthcare institutions follow none, or their
    own or old system.

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