Volume 12, Issue 2 (3-2025)                   J Environ Health Eng 2025, 12(2): 211-226 | Back to browse issues page

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Nematpour kajel D, Tavakoli B, Torkaman J, Aalipour M. Determining the Status of Medical Waste Production in Healthcare Centers of Siahkal City. J Environ Health Eng 2025; 12 (2) :211-226
URL: http://jehe.abzums.ac.ir/article-1-1073-en.html
Department of Environmental science and engineering, Faculty of Natural Resources, University of Guilan, Iran
Abstract:   (183 Views)
Background: Medical and healthcare wastes are major environmental concerns due to their hazardous and polluting nature. Considering the environmental hazards posed by medical waste as a regional and global issue, it is essential to conduct studies on the status of medical waste generation and management in Siahkal city, located in the eastern part of Gilan province. This city serves as a representative example of northern cities in the country.
Materials and Methods: This study investigated the waste produced by all medical and healthcare centers in Siahkal on an annual basis. Three days of each month were selected to weigh the waste produced, using a 10-gram scale. Excel and SPSS software were used to categorize and analyze the data..
Results: The average total amount of waste produced in healthcare centers in the city was estimated to be 8,262.98 kg annually, consisting of 5,588.43 kg of infectious waste, 2,111.74 kg of general waste, 317.09 kg of needles, and 245.72 kg of chemical waste. The results showed that the total amount of waste produced (from clinics, private sectors, and hospitals) is higher in the spring and summer seasons compared to the autumn and winter. Additionally, the amount of medical waste produced by different treatment departments varied significantly..
Conclusion: The findings of this study indicate that hospital waste management in Siahkal city is generally inadequate. Private offices and clinics in the city are in worse condition than healthcare centers and hospitals in terms of waste production, separation, decontamination, and disposal.
Full-Text [PDF 1329 kb]   (22 Downloads)    
Type of Study: Research | Subject: Special
Received: 2024/10/25 | Accepted: 2025/01/13 | Published: 2025/04/19

References
1. Padmanabhan KK, Barik D. Health hazards of medical waste and its disposal. In: Energy from toxic organic waste for heat and power generation. 2019:99-118. doi: 10.1016/B978-0-08-102528-4.00008-0. Epub 2018 Nov 9. PMCID: PMC7152398. [DOI:10.1016/B978-0-08-102528-4.00008-0]
2. World Health Organization. Safe management of waste from health-care activities. World Health Organization; 2018.Availablefrom:https://www.who.int/publications/i/item/9789241547385.
3. Masoumbeigi H. Study of the management status and the quantity and physical analysis of solid wastes in selected health care centers in one of the military forces and a comparison with the solid waste management regulation. J Police Med. 2015;4(1):27-38.
4. Hadi Poor M, Takdastan A, Afkhami M. Identification and measurement of hospital waste materials and their classification based on WHO criteria (Case study: Amir Al-Momenin Hospital and Shahid Rajaei Specialized Polyclinic, Ahvaz). National Conference on Health, Environment, and Sustainable Development; 2010 Dec 14-16; Bandar Abbas, Iran. Available from: https://civilica.com/doc/128278 [In Persian].
5. Eslami A, Nowrouz P, Sheikholeslami S. Status and challenges of medical waste management in hospitals of Iran. Civ Eng J. 2017;3(9):741-748 [In Persian]. [DOI:10.21859/cej-030910]
6. Farzadkia M, Akbari H, Gholami H, Darabi A. Management of hospital waste: A case study in Tehran, Iran. Health Scope. 2018;7(2) [In Persian]. [DOI:10.5812/jhealthscope.61412]
7. Mohee R. Medical wastes characterization in healthcare institutions in Mauritius. Waste Manag. 2005;25(6):575-581. [DOI:10.1016/j.wasman.2004.10.003]
8. Chartier Y, editor. Safe management of wastes from health-care activities. World Health Organization; 2014.
9. Nabizadeh R, Kulivand A, Jonidi Jafari A, Younesian M, Omrani G. Evaluation of dental solid waste in Hamedan. J Dent Med. 2009;22:66-73 [In Persian].
10. Jalilzadeh A, Mahmoudian M, Izanlou H, Yaori Z. Review of the management of collection, transfer and disposal of medical waste (a case study West Azarbaijan Province). 5th National Congress on Waste Management Mashhad; 2009 [In Persian].
11. Rakhshan S, Farmani N, Asadi A. Investigation of the hospital waste management in Iran: A case study of the Kermanshah province during 2015-16 years. J Environ Health Eng. 2020;7(4):443-454. Available from: http://jehe.abzums.ac.ir/article-1-779-fa.html [In Persian]. [DOI:10.29252/jehe.7.4.443]
12. Hossain MS, Santhanam A, Norulaini NN, Omar AM. Clinical solid waste management practices and its impact on human health and environment: A review. Waste Manag. 2011 Apr 1;31(4):754-66. [DOI:10.1016/j.wasman.2010.11.008]
13. Dehghani MH, Azam K, Changani F, Dehghanifard E. Quantity and quality of medical wastes in hospitals of Tehran University Medical Sciences in 2006. Hakim Res J. 2008;11(1):40-7. [In Persian].
14. Zahraavandi M, et al. Challenges of medical waste management in hospitals in Iran. J Iran Waste Manag. 2023;31(2):45-54 [In Persian].
15. Kenny C, Priyadarshini A. Review of current healthcare waste management methods and their effect on global health. In: Healthcare. 2021 Mar 5;9(3):284. MDPI. [DOI:10.3390/healthcare9030284]
16. Bdour A, Altrabsheh B, Hadadin N, Al-Shareif M. Assessment of medical waste management practice: A case study of the northern part of Jordan. Waste Manag. 2007;27:746. [DOI:10.1016/j.wasman.2006.03.004]
17. Hansen D, Mikloweit U, Ross B, Popp W. Healthcare waste management in Germany. Int J Infect Control. 2014;10(1):1-5. [DOI:10.3396/IJIC.v10i1.006.14]
18. Komilis D, Katsafaros N, Vassilopoulos P. Hazardous medical waste generation in Greece: Case studies from medical facilities in Attica and from a small insular hospital. Waste Manag Res. 2011;29(8):807-14. [DOI:10.1177/0734242X10388684]
19. Omar D, Nazli SN, Karuppannan S. Clinical waste management in Malaysia. J Asian Behav Stud. 2018;3(7):11-18. [DOI:10.21834/jabs.v3i7.253]
20. Korkut EN. Estimations and analysis of medical waste amounts in the city of Istanbul and proposing a new approach for the estimation of future medical waste amounts. Waste Manag. 2018;81:168-76. [DOI:10.1016/j.wasman.2018.10.004]
21. Caniato M, Tudor T, Vaccari M. International governance structures for healthcare waste management: A systematic review of scientific literature. J Environ Manag. 2015;153:93-107. [DOI:10.1016/j.jenvman.2015.01.039]
22. Shakiba M, Mohagheghian A. Hospital waste generation and management status in Rasht, North of Iran. Caspian J Health Res. 2018;3(1):20-23. [DOI:10.29252/cjhr.3.1.20]
23. Parto A, Siahkol Diyar Paydar, Farhang Ilia. 2014 [In Persian].
24. World Health Organization (WHO). Safe management of wastes from healthcare activities. World Health Organization; 2014.
25. Ministry of Health, Treatment and Medical Education, Iran. Guidelines for health services in Iran. Tehran: Ministry of Health; 2014 [In Persian].
26. Shapiro SS, Wilk MB. An analysis of variance test for normality (complete samples). Biometrika. 1965;52(3/4):591-611. [DOI:10.1093/biomet/52.3-4.591]
27. SPSS Inc. IBM SPSS Statistics for Windows. Version 23.0. Armonk, NY: IBM Corp.; 2015.
28. Naimi N, Tavakoli Ghochani H, Nekohi N, Ghorbanpour R, Karimkoshte S, Amiri H, et al. Assessment of medical waste management in hospitals of North Khorasan University of Medical Sciences. North Khorasan Univ Med Sci. 2015;6(4):935-45 [In Persian]. [DOI:10.29252/jnkums.6.4.935]
29. Fahimi Hamidabad E, Aligoodari M, Rahmani K. Evaluation of medical waste management (Case study: hospitals in Ardabil city). Health and Safety of Ardabil [Internet]. 2019;10(2):205-215. Available from: https://sid.ir/paper/363222/fa [In Persian]. [DOI:10.29252/j.health.10.2.205]
30. Nourmohammadi M, Rezaee MR, Sayyadi Anari MH. Survey configuration of collection and disposal of medical wastes in hospitals of Sabzevar, in 2016. J Sabzevar Univ Med Sci. 2017;24(4):293-298 [In Persian].
31. Safari Rad M. Per capita determination of infectious waste in health care centers and hospitals in Lahijan city. Master's thesis, Gilan University; 2014 [In Persian].
32. Amouei A. Determination of the type and amount of solid waste in hospitals of Babol University of Medical Sciences. J Babol Uni Med Sci. 2003;20:37-41 [In Persian].
33. Mirzaii H, Shaarbafchi Zadeh N, Hamidi F, Rahmani K, Darabi M, Ezatifard A. A survey of waste management status in selected hospitals in Isfahan. Health-Based Res. 2020;5(4):343-353 [In Persian].
34. Eslami H, Heydar Z, Mohammadtaghizadeh F. Surveying the quantity, quality, and management of hospital wastes in Rafsanjan in 2020: A descriptive study. JRUMS. 2022;20(12):1297-1308 [In Persian]. [DOI:10.52547/jrums.20.12.1297]
35. Ananth AP, Prashanthini V, Visvanathan C. Healthcare waste management in Asia. Waste Manag. 2010;30:154-161. [DOI:10.1016/j.wasman.2009.07.018]
36. Eker HH, Bilgili MS. Statistical analysis of waste generation in healthcare services: A case study. Waste Manag Res. 2011;29:791-796. [DOI:10.1177/0734242X10396755]
37. Suhair A, Gayoum S. Management of hospital solid waste in Khartoum State. Environ Monit Assess. 2013;185:8567-8582. [DOI:10.1007/s10661-013-3196-1]
38. Tolera ST, Kebede K, Muzeyin M, Aschalew A. Medical waste generation rate and management practices among government hospitals in Eastern Ethiopia: A descriptive survey. SAGE Open Med. 2024;12. doi:10.1177/20503121241257145. [DOI:10.1177/20503121241257145]
39. Thakur Y, Katoch SS. Annual pattern of biomedical waste generation and the seasonal variation. Int J Sci Eng Res. 2015;6(5):1373.
40. Haque MR, Chowdhury FN, Hossain A, Akter R, Rahman MM. An emerging concern of medical waste management in Rohingya refugee camps at Cox's Bazar, Bangladesh: Existing practice and alternatives. Front Environ Sci. 2023;11:1149314. doi:10.3389/fenvs.2023.1149314. [DOI:10.3389/fenvs.2023.1149314]
41. Anicetus H, Saria J, Mohamed H. Estimation of different categories of healthcare waste generated at two different hospital categories in four hospitals in Dar es Salaam city. J Environ Prot. 2020;11:872-888. doi:10.4236/jep.2020.1110055. [DOI:10.4236/jep.2020.1110055]
42. Neves AC, Maia CC, de Castro e Silva ME, Vimieiro GV, Gomes Mol MP. Analysis of healthcare waste management in hospitals of Belo Horizonte, Brazil. Environ Sci Pollut Res. 2022 Dec;29(60):90601-14. [DOI:10.1007/s11356-022-22113-w]
43. Nkonge AN, Magambo JK, Kithinji J, Mayabi AO, Taratisio N. Management of healthcare waste in national teaching and referral hospitals in Kenya. Int J Environ Waste Manag. 2014;14(2):199-209. [DOI:10.1504/IJEWM.2014.064087]

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