Solid waste management in local hospitals of the north of Valle del Cauca, Colombia
DOI:
https://doi.org/10.17533/udea.rfnsp.2778Keywords:
health-care solid waste, hazardous wasteAbstract
Health-care institutions must offer adequate conditions for both employers and users in order to maintain, improve or recover their health status; inadequate health-care solid waste (HSW) management is an obstacle to achieve this goal. Objective: to estimate the quantity and composition of HSW in ten healthcare public institutions located in ten municipalities in northern Valle del Cauca region (Colombia). Methodology: quantity and composition of HSW was estimated through two 24 hours sampling rounds. Results: the proportion of hazardous healthcare solid waste (HHSW) was usually equal to or higher than 25% and it also surpassed the mean average values reported by organizations like World Health Organization; bio-sanitary waste was the category with major proportion in the HHSW fraction. Discussion: the values obtained in order to determine indicators as kg/bed-day and kg/patient-day were in a lower or equal range of those values reported by different institutional or scientific sources. Considering the health-care services offered in the evaluated institutions, the kg/patient-day indicator is considered more representative than the kg/bed-day.
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References
(1). World Health Organization. Some basic information on health care waste. [Internet] 2005 [acceso 7 octubre de 2009]. Disponible en: http://www.healthcarewaste.org/en/123_hcw_general.html
(2). Ministerio de Ambiente, Vivienda y Desarrollo Territorial. Política Ambiental para la Gestión Integral de Residuos o Desechos Peligrosos [Internet] 2005 Disponible en: http://www.secretariadeambiente.gov.co/sda/libreria/pdf/residuos/publicacion_politica.pdf
(3). Corporación Autónoma Regional del Valle del Cauca:. Los residuos Peligrosos en el Valle del Cauca. Publicación de la Subdirección de Conocimiento Ambiental Territorial COAT. Cali: c v c; 2004.
(4). Diaz LF, Eggerth LL, Enkhtsetseg SH, Savage GM. Characteristics of healthcare wastes. Waste management 2008;28:1219-1226. DOI: https://doi.org/10.1016/j.wasman.2007.04.010
(5). Gobernación del Valle del Cauca. Información de los municipios [Internet] [acceso 7 de octubre de 2009]. Disponible en: http://www.valledelcauca.gov.co/publicaciones.php?id=269
(6). Centro Panamericano de Ingeniería Sanitaria y Ciencias del Ambiente. Guía para el Manejo de Residuos Sólidos en Centros de Atención de Salud. [Internet] 1998 [acceso 7 de octubre de 2009]. Disponible en: http://www.bvsde.paho.org/eswww/full-text/repind62/guiamane/guiamane.html
(7). Ministerio del Medio Ambiente, Ministerio de Salud. Manual para la Gestión Integral de Residuos Hospitalarios y Similares en Colombia. [Internet] 2002. Disponible en http://www.secretariadeambiente.gov.co/sda/libreria/pdf/residuos/Manual%20Residuos%20Hospitalarios.pdf
(8). Canavos GC. Probabilidad y Estadística: Aplicaciones y Métodos. México: McGraw-Hill/Interamericana de México; 1988.
(9). Corporación Autónoma Regional del Valle del Cauca, Universi-dad del Valle. Diagnóstico del Manejo de los Residuos Peligrosos de Origen Hospitalarios en el Valle del Cauca – Fase I. Cali: CVC, Universidad; 2006.
(10). Corporación Autónoma Regional del Valle del Cauca, Univer-sidad del Valle. Diagnóstico del Manejo de los Residuos Peli-grosos de Origen Hospitalarios en el Valle del Cauca – Fase II. Cali: CVC; 2006.
(11). Departamento Nacional de Estadística: d a n e. Colombia y sus re-giones, Valle del Cauca [Internet] [acceso 7 de octubre de 2009]. Disponible en http://www.dane.gov.co/censo_regiones.swf
(12). Sawalem M, Selic E, Herbell JD. Hospital waste management in Libya: A case study. Waste Management 2009;29:1370-1375. DOI: https://doi.org/10.1016/j.wasman.2008.08.028
(13). Mohee R. Medical wastes characterization in healthcare institutions in Mauritius. Waste Management 2005;25:575-581. DOI: https://doi.org/10.1016/j.wasman.2004.10.003
(14). World Health Organization. Wastes from health-care activities [Internet] 2007 [acceso 7 de octubre de 2009]. Disponible en http://www.who.int/mediacentre/factsheets/fs253/en/
(15). Ministerio de Ambiente, Vivienda y Desarrollo Territorial. Decreto 4741 de Diciembre 30 de 2005 [Internet] [acceso 7 de octubre de 2009] Disponible en http://basedoc.superservicios.gov.co/basedoc/decreto_nacional.shtml?x=58557
(16). Rushbrook P, Zghondi R. Better Health Care Waste Manage-ment, w h oLibrary, Amman [Internet] 2005. [acceso 7 de octubre de 2009] Disponible en http://www.who.int/water_sanitation_health/medicalwaste/betterhcwm/en/index.html
(17). Da Silva CE, Hoppe AE, Revanello MM, Mello N. Medical Wastes management in the south of Brazil. Waste Management 2005;25:600-605. DOI: https://doi.org/10.1016/j.wasman.2004.03.002
(18). Patil AD, Shedkar A. Health-care waste management in India. Journal of Environmental Management 2001;63:211-220. DOI: https://doi.org/10.1006/jema.2001.0453
(19). Karaka Y. Management of clinical waste. Appropriate Environ-mental and solid Waste management and technologies for deve-loping countries. ISWA 2002. p. 303-312.
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