Search Results (17)

The possible threats that healthcare waste management (HWM) poses to the environment and public health are making it more and more crucial for medical facility administrators to be worried about it. This is in line with the global trend towards firms giving sustainability more of a priority. Many organizations, including the World Health Organization (WHO) and other organizations, as well as national and state laws, have mandated the proper disposal of infectious and hazardous healthcare waste. To effectively address the complex problem of selecting the best treatment option for HWM, a multi-criteria decision-making (MCDM) procedure must be used. The alternative ranking order method accounting for two-step normalization (AROMAN) methodology is provided in the context of q-rung orthopair fuzzy environment. This method comprises two steps of normalization and is based on the criteria importance through intercriteria correlation (CRITIC) paradigm. Whereas the AROMAN methodology uses vector and linear normalization techniques to improve the accuracy of the data for further computations, the CRITIC method assesses the intercriteria correlations and scores the significance of each criterion. The ranking from the proposed method is $A{l}_5>A{l}_4>A{l}_3>A{l}_1>A{l}_2$. The study’s conclusions indicate that recycling ($A{l}_5$) is the best option since it lessens trash production, aids in resource recovery, and protects the environment. Using this method helps decision makers deal with subjectivity and ambiguity more skillfully, promotes consistency and transparency in decision making, and streamlines the process of choosing the best waste management system. Sustainable waste management practices have been implemented in the biomedical industry with some success. The proposed technique is a helpful tool for legislators and practitioners seeking to improve waste management systems. Full article

The COVID-19 outbreak has impacted many daily activities and services we depend on. Due to changes in waste quantity and types, solid waste management (SWM) services such as waste collection, transportation, and treatment/disposal suffered. Global rules and mandates were issued to address these changes and the COVID-19 pandemic. This mini review examines seven countries and summarises the pandemic’s effects on municipal solid waste (MSW) and medical waste (MW) generation in terms of amount and composition, the SWM sector’s challenges, and government or other SWM guidelines and management measures. The data are analysed to provide suggestions for stakeholders on SWM worker protection, waste segregation, and recycling. This article identified that extending MW incineration, separating infectious waste at the source, and discontinuing recycling for infection control are the best ways to manage solid waste. The waste management system’s readiness was crucial to the pandemic response. Thus, countries like China, which has a robust SWM system, were able to contain the crisis and restrict danger, while others with weaker systems struggled. Additionally, the study highlights the importance of revising waste management policies and developing crisis response strategies that integrate flexible, innovative solutions to adapt quickly to changing waste demands and ensure public health and environmental protection during global health crises. Full article

Porto Alegre city, the capital of Rio Grande do Sul State, is an important medical, educational, and technological hub in Brazil. However, Porto Alegre faces critical challenges in achieving adequate environmental sanitation, hampering the development of the city, and negatively impacting the most socially vulnerable segments of the population. Although Porto Alegre’s sanitation plan aims at universal access to sewage collection and treatment services by 2035, some of the city’s sanitation indicators have deteriorated in recent years compared to other Brazilian cities. The inadequate or lack of proper sanitation (e.g., shortcomings in sewage collection and treatment, suboptimal management of solid waste, deficiencies in the distribution of treated water) contribute to the proliferation of disease vectors like mosquitoes and to the spread of infectious and parasitic diseases (e.g., toxoplasmosis, leishmaniasis, arboviral diseases). Recently, Porto Alegre’s population experienced a significant number of dengue infection cases. Climate change, social issues, and unplanned urbanization will further favor disease transmission in the region. In this Review, we provide an overview concerning the ecological, socio-economic, and public health aspects of Porto Alegre, drawing attention to the insufficient environmental sanitation in the city, a neglected problem by local authorities. We argue that this issue needs to be seriously addressed if Porto Alegre wants to realistically achieve sustainable development, protecting ecosystems and human health. Full article

Any hospital’s primary goal is to restore human health and save lives through health services provided to patients, but at the same time, hazardous wastes are produced. Inconsistent management of unsafe wastes might cause adverse effects and other issues for workers, the environment, and public health. Segregation is considered the critical stage in successful medical waste management. Mixing hazardous medical waste with non-hazardous medical waste will be avoided by correctly applying practices at the segregation stage. This study aimed to assess personnel’s knowledge about infectious medical waste and segregation practices used at six wards in Nicosia General Hospital. An analytical cross-sectional study was conducted, and data were collected through a structured self-administered questionnaire. The Statistical Package of Social Science (SPPS) version 25 was used with a minimum statistical significance of α = 0.05. The study population was nurses, nurse assistants, ward assistants, and cleaners working at the study wards. Out of 191 questionnaires, 82 were received, with a response rate of 42.93%. Most participants were female (72%) and nurses (85.4%). Participants had moderate knowledge about infectious medical waste management and good knowledge regarding segregation practices applied in their ward. Segregation was not carried out as it should have been, since most participants stated that infectious medical waste was mixed with non-hazardous medical waste. The number of correct answers the participants gave regarding the colour-coding of different medical waste categories was 67.5%, and only four answered correctly to all questions. Although participants knew segregation practices and the colour-coding process applied to medical waste, they did not use them satisfactorily. They applied methods regarding segregation without specific training, knowledge and guidance. Due to the issue’s importance, training programs must be implemented and performed. Full article

The Internet of Things (IoT) for smart industry requires the surveillance and management of people and objects. The ultra-wideband positioning system is an attractive solution for achieving centimeter-level accuracy in target location. While many studies have focused on improving the accuracy of the anchor coverage range, it is important to note that in practical applications, positioning areas are often limited and obstructed by furniture, shelves, pillars, or walls, which can restrict the placement of anchors. Furthermore, some positioning regions are located beyond anchor coverage, and a single group with few anchors may not be able to cover all rooms and aisles on a floor due to non-line-of-sight errors causing severe positioning errors. In this work, we propose a dynamic-reference anchor time difference of arrival (TDOA) compensation algorithm to enhance accuracy beyond anchor coverage by eliminating local minima of the TDOA loss function near anchors. We designed a multidimensional and multigroup TDOA positioning system with the aim of broadening the coverage of indoor positioning and accommodating complex indoor environments. By employing an address-filter technique and group-switching process, tags can seamlessly move between groups with a high positioning rate, low latency, and high accuracy. We deployed the system in a medical center to locate and manage researchers with infectious medical waste, demonstrating its usefulness for practical healthcare institutions. Our proposed positioning system can thus facilitate precise and wide-range indoor and outdoor wireless localization. Full article

The onset of the COVID-19 pandemic posed many global challenges, mainly in the healthcare sector; however, the impacts on other vital sectors cannot be overlooked. The waste sector was one of the significantly impacted sectors during the pandemic, as it dramatically changed the dynamics of waste generation. Inadequate waste management practices during COVID-19 shed light on the opportunities for developing systematic, sustainable, and resilient waste infrastructure in the future. This study aimed to exploit the learnings of COVID-19 to identify any potential opportunities in post-pandemic waste infrastructure. A comprehensive review on existing case studies was conducted to understand the waste generation dynamics and the waste management strategies during COVID-19. Infectious medical waste from healthcare facilities had the largest influx of waste compared with non-medical waste from residential and other sectors. This study then identified five key opportunities from a long-term operational perspective: considering healthcare waste sector as a critical area of focus; encouraging the integration and decentralization of waste management facilities; developing systematic and novel approaches and tools for quantifying waste; shifting towards a circular economy approach; and modernizing policies to improve the effectiveness of the post-pandemic waste management infrastructure. Full article

If it is not adequately managed, the waste from healthcare facilities containing infectious material poses a risk to the general public and the natural environment. As a result, hospitals must ensure that their waste management policies do not add to the dangers posed to both human health and the environment. In this study, we aimed to determine the effect that varying doses of disinfectant in conjunction with andosol soil had on the total number of bacteria present in the medical waste generated by three hospitals in Semarang City, Indonesia. According to the findings of the study, the most efficient method for decreasing the overall number of microbial colonies by 93% was a combination involving soil (at a percentage of 30) and chlorine (at a concentration of 0.75 ppm). As a consequence of this, and due to the limited technology available, this straightforward method can become an alternative for the healthcare industry in managing medical waste before dumping or incinerating it. Hospitals have been advised to discontinue the practice of directly burning, disinfecting, or transporting waste to disposal locations before it receives treatment. This can help reduce the risk of pandemics, as the correct disposal of medical waste can control infection sources. Full article

Healthcare waste (HCW) is generated in different healthcare facilities (HCFs), such as hospitals, laboratories, veterinary clinics, research centres and nursing homes. It has been assessed that the majority of medical waste does not pose a risk to humans. It is estimated that 15% of the total amount of produced HCW is hazardous and can be infectious, toxic or radioactive. Hazardous waste is a special type of waste which, if not properly treated, can pose a risk to human health and to the environment. HCW contains potentially harmful microorganisms that can be spread among healthcare personnel, hospital patients and the general public, causing serious illnesses. Healthcare personnel are the specialists especially exposed to this risk. The most common medical procedure, which pose the highest risk, is injection (i.e, intramuscular, subcutaneous, intravenous, taking blood samples). The World Health Organization (WHO) estimates that around 16 billion injections are administered worldwide each year. However, if safety precautions are not followed, and needles and syringes are not properly disposed of, the risk of sharps injuries increases among medical staff, waste handlers and waste collectors. What is more, sharps injuries increase the risk of human immunodeficiency virus (HIV), hepatitis B and C viruses (HBV/HCV), tuberculosis (TB), diphtheria, malaria, syphilis, brucellosis and other transmissions. Disposing of medical waste in a landfill without segregation and processing will result in the entry of harmful microorganisms, chemicals or pharmaceuticals into soil and groundwater, causing their contamination. Open burning or incinerator malfunctioning will result in the emission of toxic substances, such as dioxins and furans, into the air. In order to reduce the negative impact of medical waste, waste management principles should be formulated. To minimize health risks, it is also important to build awareness among health professionals and the general public through various communication and educational methods. The aim of this paper is to present a general overwiev of medical waste, its categories, the principles of its management and the risks to human health and the environment resulting from inappropriate waste management. Full article

The disposal of infectious waste remains one of the most severe medical, social, and environmental problems in almost every country. Choosing the right location and arranging the most suitable transport route is one of the main issues in managing hazardous waste. Identifying a site for the disposal of infectious waste is a complicated process because both tangible and intangible factors must be considered together, and it also depends on various rules and regulations. This research aims to solve the problem of the size selection and location of infectious waste incinerators for 109 community hospitals in the upper part of northeastern Thailand by applying a differential evolution algorithm to solve the problem with the objective of minimizing the total system cost, which consists of the cost of transporting infectious waste, the fixed costs, and the variable cost of operating the infectious waste incinerator. The developed differential evolution produces vectors that differ from the conventional differential evolution. Instead of a single set of vectors, three are created to search for the solution. In addition to solving the problem of the case study, this research conducts numerical experiments with randomly generated data to measure the performance of the differential evolution algorithm. The results show that the proposed algorithm efficiently solves the problem and can find the global optimal solution for the problem studied. Full article

Healthcare waste management has become an important aspect of medical care delivery globally. This is simply because of its hazardous and infectious components that have greater potential for adverse health and environmental impacts. As such, certain guidelines and procedures have been developed by international aid agencies and conventions to guide national governments and local administrations in formulating policies and practices for effective healthcare waste management. In this work, we reviewed the existing literature to appraise the status of healthcare waste management practices in Nigeria. This included generation, segregation, collection, storage, transportation, treatment, and disposal. The current work further reviewed the other essential elements of healthcare waste management, such as policy landscapes, training, awareness, and waste characterization, and discusses challenges and opportunities for effective healthcare waste management in Nigeria. Among the challenges are poor funding, inadequate training, ineffective legislature, and absence of data. However, there are available low-cost technologies that are suitable for the treatment of waste in a developing country like Nigeria. This technology variant offers an opportunity for a circular economy as it can simultaneously achieve energy production, waste management, and other socioeconomic advantages. Full article

The healthcare sector is an ever-growing industry which produces a vast amount of waste each year, and it is crucial for healthcare systems to have an effective and sustainable medical waste management system in order to protect public health. Greek public hospitals in 2018 produced 9500 tons of hazardous healthcare wastes, and it is expected to reach 18,200 tons in 2025 and exceed 18,800 tons in 2030. In this paper, we investigated the factors that affect healthcare wastes. We obtained data from all Greek public hospitals and conducted a regression analysis, with the management cost of waste and the kilos of waste as the dependent variables, and a number of variables reflecting the characteristics of each hospital and its output as the independent variables. We applied and compared several models. Our study shows that healthcare wastes are affected by several individual-hospital characteristics, such as the number of beds, the type of the hospital, the services the hospital provides, the number of annual inpatients, the days of stay, the total number of surgeries, the existence of special units, and the total number of employees. Finally, our study presents two prediction models concerning the management costs and quantities of infectious waste for Greece’s public hospitals and proposes specific actions to reduce healthcare wastes and the respective costs, as well as to implement and adopt certain tools, in terms of sustainability. Full article

The development of COVID-19 in China has gradually become normalized; thus, the prevention and control of the pandemic has encountered new problems: the amount of infectious medical waste (IMW) has increased sharply; the location of outbreaks are highly unpredictable; and the pandemic occurs everywhere. Thus, it is vital to design an effective IMW reverse logistics network to cope with these problems. This paper firstly introduces mobile processing centers (MPCs) into an IMW reverse logistics network for resource-saving, quick response, and the sufficient capacity of processing centers. Then, a multi-participant-based (public central hospitals, disposal institutions, the logistics providers, and the government) collaborative location and a routing optimization model for IMW reverse logistics are built from an economic, environmental perspective. An augmented ε-constraint method is developed to solve this proposed model. Through a case study in Chongqing, it is found that for uncertain outbreak situations, fixed processing centers (FPCs) and MPCs can form better disposal strategies. MPC can expand the processing capacity flexibly in response to the sudden increase in IMW. The results demonstrate good performance in reduction in cost and infection risk, which could greatly support the decision making of IMW management for the government in the pandemic prevention and control. Full article

Appropriate waste management is increasingly relevant due to environmental and infectious disease transmission concerns. An anonymous observational cross-sectional study was conducted from 2013–2017 of 262 tattooists and 824 beauticians throughout Poland. Knowledge, attitudes, behavior, and compliance with blood-borne infection controls and correct waste disposal were assessed. Tattooists correctly addressed hazardous waste significantly more often than did beauticians (83.3% vs. 44.8%). Medical waste was collected by a specialist company in 90.1% of tattoo parlors and 63.3%of beauty parlors. Tattooists correctly used and disposed of sharps more frequently than beauticians (93.1% vs. 68.9%); however, 46.4% of beauticians and 12.4% of tattooists discarded waste into municipal trash, including sharps (27.1% and 2.6%, respectively). Incorrect collection and labeling of biological waste present occupational risk to waste disposal personnel. Education and instructional controls could improve health safety in this industry. Biological waste management processes are restrictive for medical services and liberal for beauty services, an industry for which they should also be applied more comprehensively. Full article

Globally, the pandemic of COVID-19 has penetrated all spheres of human endeavors, and noteworthy is the tremendous increase in the volume of healthcare wastes generated in Nigeria. There has been an increase in medical waste materials produced as a result of the extensive use of both disposable personal protective equipment (PPE), such as face shields and nose and face masks, and highly infectious waste materials, such as contaminated syringes, needles, and soiled bandages from diagnosed positive cases. Despite the huge volume in waste generation, a standardized evaluation framework is currently lacking in the management of medical wastes in Nigeria. This study has developed a novel assessment framework for managing medical wastes, which is curated from the technical guidelines of the World Health Organization (WHO). The applicability of the framework was examined on seven designated public and private-owned hospitals in Ota. The fuzzy analytical hierarchy process (FAHP) and analytical hierarchy process (AHP) approaches of multi-criteria decision analysis were utilized in modelling an evaluation framework for the objective of medical waste management. Carefully designed interview questionnaires, observations, and site visits were carried out to obtain data from healthcare professionals in Ota. Results show that waste segregation was practiced more decisively in private hospitals than public hospitals. Waste segregation is established as a key determinant in implementing an effective waste management system in any healthcare facility. The success of waste segregation in healthcare institutions is highly dependent on good hospital management, organizational policies, efficient budget planning for waste management, and the operational running cost. Disposal methods investigated were mostly open burning and incessant dumping for most public health care centers. Deficient waste management practices were observed in waste disposal, waste transportation, storage, and organizational policies. While the awareness and capacity building on occupational safety practices and environmental public health is widely known by health workers and waste handlers, compliance and enforcement are critical challenges. The validation of results using fuzzy TOPSIS and a sensitivity analysis shows a high degree of the consistency, stability, and robustness of the model. Findings from the present study can aid decision making, as this will benefit policy makers and key stakeholders in developing more comprehensive and effective medical waste management guidelines in Nigeria. In addition, future decision-making studies could augment the results from the current research by assessing the impact of the pandemic preparedness and response on medical waste management. Full article

The alarming rate at which infectious waste is growing was an unsolved problem worldwide before the pandemic, and it has only gotten worse. It is especially prominent in the medical services, owing to the improper use or the lack of high-efficiency waste management systems. To address this issue, this paper presents a modification to the conventional rotary kiln incineration method using add-on ozone (O₃) at a concentration of 100–160 g/h in order to enhance its efficiency when treating emitted air pollutants. These pollutants of Hg, HF, TSP, SO₂, NO₂, CO, and HCl were measured, and their percent opacity concentrations were 0.006 mg/m³, 0.680 mg/m³, 21.900 mg/m³, 5.600 mg/m³, 16.300 mg/m³, 13.700 mg/m³, 0.022 mg/m³, and 6%, respectively. The amounts of these air pollutants were considerably lower than those released from a rotary kiln incinerator without the add-on ozone. Additionally, all the measurements were lower than the emission thresholds established in the US Environmental Protection Agency Emission Standards Reference Guide. Therefore, using the proposed rotary kiln incineration method modified with add-on ozone is suitable for use in the elimination of infectious waste in that it drastically reduces air pollution and improves air quality, resulting in environmental improvements aimed at mitigating the devastating impacts pollution has on human health. Full article