Najmeh Bayat; Mahmood Alimohammadi; Ramin Nabizadeh Nodehi; Mohammad Hadi Dehghani; Kamyar Yaghmaeian; Masoud Binesh Berahmand; Mahmood Shams
Abstract
Background & objective: Parallel to the growth of Population and increasing healthcare needs ,the production of medical wastes is constantly increasing . Owing to the poor healthcare waste management ,this study surveys the state of waste management in Shariati Hospital of Tehran ...
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Background & objective: Parallel to the growth of Population and increasing healthcare needs ,the production of medical wastes is constantly increasing . Owing to the poor healthcare waste management ,this study surveys the state of waste management in Shariati Hospital of Tehran using IRAT in 2015 as part of WHO's strategy. Matrial&Methods:This descriptive study recorded 70 questions asked from environmental health and waste authorities after inspection the implementation waste management law using the IRAT tool . The waste products for sectors were weighed for one month. Results:The average weighing was 1911.68 kg waste production, which included 1.910.314 of infectious waste rate, 2.110.254 of domestic, 0.10.027 of Chemical/Pharmaceutical and 0.080.032 kg/b/d of sharp particles. According to the results, 18% of the bags and safety boxes with the capacity of more than 3/4 were collected with only 34 parts (72%) regular label waste bags. In addition, the hospital manager did not anticipate a specific budget to cover the costs of waste management. Conclusion:According to the IRAT analysis, the final score for the hospital was poor i.e. 50.71% which included 75.9% for separation, 78.9% for collection, 77.8% for transmission and storage and 81.7% for the treatment and disposal. The infectious waste rate ,that is 47.27%, seems more than that recommended by WHO. So it is necessary to have more educational programs in the field of waste separation for reducing the source of infections and hazardous wastes. Legal measures should be done to make the authorities of health centers implement the waste management rules.