Improper waste management in healthcare settings poses significant risks to public health and the environment, leading to infections and contamination. Effective waste management practices are crucial for protecting healthcare workers, patients, and communities from hazardous waste and its harmful effects. Implementing proper strategies and awareness can enhance safety and mitigate the negative impacts of healthcare waste.
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Improper waste management in healthcare settings poses significant risks to public health and the environment, leading to infections and contamination. Effective waste management practices are crucial for protecting healthcare workers, patients, and communities from hazardous waste and its harmful effects. Implementing proper strategies and awareness can enhance safety and mitigate the negative impacts of healthcare waste.
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Importance of Proper Waste Management in the Health Care Settings
Healthcare wastes come second to radiation waste as one of the most dangerous pollutants on the planet (Arab et al., 2018). WHO (2018) claims that health-care waste encompasses everything from spent needles and syringes—infectious waste such as blood, pathological waste such as human tissues, sharps waste such as syringes, chemical wastes, pharmaceutical waste such as vaccines, cytotoxic waste, radioactive waste, and non-hazardous or general waste—and they are mostly dangerous. Poor waste management can put health care employees, waste handlers, patients, and the public at danger of illness, harmful effects, and injuries, as well as contaminating the environment. It is critical that all medical waste items be separated at the point of creation, processed properly, and disposed of securely. Specifically, there have been adverse cases to human health and environment brought by the improper waste management of these healthcare wastes from the healthcare settings (Bdour et al., 2007). Pepin et al. (2014) estimates that contaminated and improperly disposed syringes has caused 21 million hepatitis B virus (HBV) infections, two million hepatitis C virus infections and 260000 HIV infections worldwide. Scavenging and manual sorting of this waste further aggravates the problem. In Russia, six children caught a smallpox virus after playing expired vaccine ampules at a garbage dump. Serious accidents from radioactive waste from a radiotherapy treatment caused the death of four people and burned 28 people in Brazil from the last decade (Nwachukwu et al., 2013). Incineration of medical wastes has been associated with the release of toxic and carcinogenic dioxins, furans, and heavy metals to the environment. These toxins can harm whole food chains and ecosystems and can concentrate on the top consumers—the humans. Contamination of water supply can be disastrous in the community, particularly, the lack of sewage treatment and proper sterilization procedures caused cholera epidemics in Africa. Aside from the potentially infectious and pathogenic nature of medical wastes in disposal areas, multi-antibiotic resistant bacteria also rise from the untreated healthcare liquid waste to the sewage systems (Pradhan & Mishra, 2010). In some countries, there is also a limited segregation of hazardous and medical wastes and usually mixed with non-infectious waste—causing exposure to the health of people living near or working with wastes (Bdour, 2007). With these in mind, there is a sense of greater importance and urgency in implementing proper waste management in health care settings as it can prevent all the concerning problems reported. Furthermore, at its most basic level, proper hospital/laboratory waste management improves staff and patient safety by lowering the risk of a sharps injury, expenses of direct and indirect care, pathogen exposure, and hospital-acquired illnesses (Wafula, 2019). For the community and environment, proper waste management in healthcare settings can bring protection to the safety and security of the public health and balance of the ecosystem. Instigating the key elements—overseeing strategies, addressing responsibilities, promoting mitigation, awareness, compliance, & treatment—of healthcare waste management system can ensure this (WHO, 2015). REFERENCES: Arab, M., Baghbani, R. A., Tajvar, M., Pourreza, A., Tajvar, M., Omrani, G., & Mahmoudi, M. (2008). Report: The assessment of hospital waste management: a case study in Tehran. Waste management & research, 26(3), 304-308. Bdour, A., Altrabsheh, B., Hadadin, N., & Al-Shareif, M. (2007). Assessment of medical wastes management practice: a case study of the northern part of Jordan. Waste management, 27(6), 746-759. Nwachukwu, N. C., Orji, F. A., & Ugbogu, O. C. (2013). Health care waste management–public health benefits, and the need for effective environmental regulatory surveillance in federal Republic of Nigeria. Current topics in public health, 2, 149-178. Pepin, J., Abou Chakra, C. N., Pepin, E., Nault, V., & Valiquette, L. (2014). Evolution of the global burden of viral infections from unsafe medical injections, 2000–2010. PloS one, 9(6), e99677. Pradhan, B., & Mishra, S. K. (2010). Multiple drug resistance in bacterial isolates from liquid wastes generated in central hospitals of Nepal. Kathmandu University Medical Journal, 8(1), 40-44. Wafula, S. T., Musiime, J., & Oporia, F. (2019). Health care waste management among health workers and associated factors in primary health care facilities in Kampala City, Uganda: a cross-sectional study. BMC public health, 19(1), 1-10. World Health Organization. (2015). Water, sanitation and hygiene in health care facilities: status in low- and middle-income countries and way forward. World Health Organization. (2018). Health-Care Waste. World Health Organization News Room. Retrieved December 6, 2021, from https://www.who.int/news-room/fact-sheets/detail/health-care-waste.