Professional Documents
Culture Documents
Hospital
Waste
Medical
waste
Infectious
waste
Health Care Waste
Hospital waste: are waste generated from health
care facilities including cafeteria, office and
construction waste.
Medical waste (a subset of Hospital waste): waste
generated as a result of patient diagnosis,
treatment and immunization of human beings or
animals.
Potentially infectious waste (a sub set of medical
waste): that % of medical waste potential to
transmit infectious disease (10-25%).
Bio-medical Waste
Bio-Medical Waste" means any waste, which
is generated during the diagnosis, treatment or
immunization of human beings or animals or
in research activities pertaining thereto or in
the production or testing of biological.
Bio-medical Waste
It includes infectious and non-infectious waste.
Supervision and
Waste identification
monitoring
Waste
Training Segregation
Record
Waste handling
keeping
Advantages:
Requires no pre-treatment.
Good disinfection efficiency.
Incineration
Disadvantages:
If not operated effectively may pollute atmosphere
High capital and operational costs. Low cost incineration is
possible by using a drum or brick incinerator, however,
these present large emission problems and are not as
effective in the destruction of hazards.
Suitable condition:
>60% combustible
Moisture content < 30%.
Not suitable for pressurized gas canisters, reactive chemical
waste, PVC, wastes with high heavy metal content,
photographic or radiography wastes.
Chemical disinfection
Description: Chemicals added to the waste to
kill/inactivate the pathogens. Shredding is
usually necessary before disinfection, as only
the surface of intact solid waste will be treated.
The waste is then disposed of in a conventional
way, e.g. landfill.
Advantages:
Efficient disinfection when operated well.
Some chemical disinfectants are low cost.
Shredding reduces volume of waste.
Chemical disinfection
Disadvantages:
Disinfectants may themselves be hazardous to
operators & pose risks in the case of leakage and
subsequent disposal.
Needs highly trained operators.
Shredder liable to mechanical failure.
Suitable condition:
Best for liquid or sewage
Inadequate for pharmaceutical, chemical and some
types of infectious waste.
Render inert
Description:
Mixing the waste with cement in order to
prevent migration of toxic substances from
waste into ground water etc.
Advantages:
Relatively low cost.
Low-technology
Render inert
Disadvantages:
Bulky and heavy final waste product to be
disposed of.
Especially suitable for pharmaceuticals.
Suitable condition
Not suitable for infectious waste.
Wet thermal treatment
(including autoclaving)
Description: Exposure of shredded waste to
high temperature, high-pressure steam. If
temperature and contact time is sufficient, most
micro-organisms are inactivated. Waste can
subsequently be disposed of as municipal
waste.
Advantages:
Relatively low capital and operating costs.
Low environmental impact.
Wet thermal treatment
(including autoclaving)
Disadvantages:
Shredder liable to mechanical failure.
Efficiency of disinfection very sensitive to
operational conditions.
Suitable condition
Not suitable for anatomical, pharmaceutical
or chemical wastes.
Microwave irradiation
Description: Waste shredded, humidified and
then irradiated by microwaves. The heat
generated destroys micro-organisms.
Advantages:
Very efficient disinfection when operated
well. Environmentally sound. Reduction in
volume of waste.
Microwave irradiation
Disadvantages:
Relatively high capital and operating costs.
Potential operation and maintenance
problems.
Suitable condition
Not suitable for pharmaceutical or chemical
wastes
Not suitable for large metal objects.
Landfill (Sanitary)
Description: Landfill isolates waste from the
environment; it requires appropriate
engineering preparation, staff to control
operations, organized deposition and covering
of waste. Waste may be pre-treated (see above).
Ideally, healthcare waste is separated from
municipal waste.
Advantages:
Simple, low cost & safe when operated
properly.
Landfill (Sanitary)
Disadvantages:
If not operated properly scavengers may
access the waste and it may cause pollution
of environment etc.
Suitable condition
Generally suitable
Encapsulate
Description: Pre-treatment involving filling
containers with waste, adding an immobilizing
material and sealing the container e.g.
bituminous sand, cement mortar.
Advantages:
Preventing access to HC waste by
scavengers.
Relatively simple, low cost & safe
Encapsulate
Disadvantages:
Not recommended as sole method for non-
sharp infectious waste.
Bulky and heavy final waste product to be
disposed of.
Suitable condition
Appropriate for establishments using
minimal programs for disposal of sharps,
chemical or pharmaceutical residue.
Source: WHO, 1999
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