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      Knowledge, attitude, and practices of Bio-medical Waste Management rules, 2016; Bio-medical Waste Management (amendment) rules, 2018; and Solid Waste Rules, 2016, among health-care workers in a tertiary care setup

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          Abstract

          INTRODUCTION:

          Biomedical waste poses physical, chemical, radiological, and microbiological risks to the public and health-care workers (HCWs) for current and future generations.

          AIM:

          The aim was to gauge the depth of understanding amongst HCWs on biomedical waste management (BMWM).

          MATERIALS AND METHODS:

          A predesigned questionnaire on knowledge, attitude, and practices on BMWM Rules, 2016 (Principle), and 2018 (Amendment), Solid Waste Rules, 2016, and health hazards in HCW was distributed to all participants.

          RESULTS:

          Only 68% of the participants knew that the most important step in waste management is waste segregation. Eighty-two percent of the HCWs working in this setup knew of the different color-coded bins used for segregation. However, awareness was lacking with respect to health hazards associated with improperly segregated and disposed off biomedical waste as only 49% answered the questions on the hazards of waste correctly. Laboratory waste handling was found to be the least understood area of the newer guidelines.

          CONCLUSIONS:

          Training aspects of health-care waste management should be strengthened so that the current, existing, and future regulations are practiced diligently and uniformly. Periodic evaluation and assessment should become routine to enforce adherence to waste management.

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          Biomedical solid waste management in an Indian hospital: a case study.

          Satish V Patil, Amod K. Pokhrel (2004)
          The objectives of this study were: (i) to assess the waste handling and treatment system of hospital bio-medical solid waste and its mandatory compliance with Regulatory Notifications for Bio-medical Waste (Management and Handling) Rules, 1998, under the Environment (Protection Act 1986), Ministry of Environment and Forestry, Govt. of India, at the chosen KLE Society's J. N. Hospital and Medical Research Center, Belgaum, India and (ii) to quantitatively estimate the amount of non-infectious and infectious waste generated in different wards/sections. During the study, it was observed that: (i) the personnel working under the occupier (who has control over the institution to take all steps to ensure biomedical waste is handled without any adverse effects to human health and the environment) were trained to take adequate precautionary measures in handling these bio-hazardous waste materials, (ii) the process of segregation, collection, transport, storage and final disposal of infectious waste was done in compliance with the Standard Procedures, (iii) the final disposal was by incineration in accordance to EPA Rules 1998, (iv) the non-infectious waste was collected separately in different containers and treated as general waste, and (v) on an average about 520 kg of non-infectious and 101 kg of infectious waste is generated per day (about 2.31 kg per day per bed, gross weight comprising both infectious and non-infectious waste). This hospital also extends its facility to the neighboring clinics and hospitals by treating their produced waste for incineration.
          Article 0 comments Cited 33 times – based on 0 reviews     Review now
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            Knowledge, Attitude, and Practices about Biomedical Waste Management among Healthcare Personnel: A Cross-sectional Study

            Vanesh Mathur, Rama S Dwivedi, MA Hassan … (2011)
            Background: The waste produced in the course of healthcare activities carries a higher potential for infection and injury than any other type of waste. Inadequate and inappropriate knowledge of handling of healthcare waste may have serious health consequences and a significant impact on the environment as well. Objective: The objective was to assess knowledge, attitude, and practices of doctors, nurses, laboratory technicians, and sanitary staff regarding biomedical waste management. Materials and Methods: This was a cross-sectional study. Setting: The study was conducted among hospitals (bed capacity >100) of Allahabad city. Participants: Medical personnel included were doctors (75), nurses (60), laboratory technicians (78), and sanitary staff (70). Results: Doctors, nurses, and laboratory technicians have better knowledge than sanitary staff regarding biomedical waste management. Knowledge regarding the color coding and waste segregation at source was found to be better among nurses and laboratory staff as compared to doctors. Regarding practices related to biomedical waste management, sanitary staff were ignorant on all the counts. However, injury reporting was low across all the groups of health professionals. Conclusion: The importance of training regarding biomedical waste management needs emphasis; lack of proper and complete knowledge about biomedical waste management impacts practices of appropriate waste disposal.
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              Current perspectives on biomedical waste management: Rules, conventions and treatment technologies.

              Malini Capoor, Kumar Tapas Bhowmik (2017)
              Unregulated biomedical waste management (BMWM) is a public health problem. This has posed a grave threat to not only human health and safety but also to the environment for the current and future generations. Safe and reliable methods for handling of biomedical waste (BMW) are of paramount importance. Effective BMWM is not only a legal necessity but also a social responsibility. This article reviews the current perspectives on BMWM and rules, conventions and the treatment technologies used worldwide. BMWM should ideally be the subject of a national strategy with dedicated infrastructure, cradle-to-grave legislation, competent regulatory authority and trained personnel. Improving the management of biomedical waste begins with waste minimisation. These standards, norms and rules on BMWM in a country regulate the disposal of various categories of BMW to ensure the safety of the health-care workers, patients, public and environment. Furthermore, developing models for the monitoring of hospital health-care waste practices and research into non-burn eco-friendly sustainable technologies, recycling and polyvinyl chloride-free devices will go in long way for safe carbon environment. Globally, greater research in BMWM is warranted to understand its growing field of public health importance.
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                Author and article information

                Journal
                Journal ID (nlm-ta): J Lab Physicians
                Journal ID (iso-abbrev): J Lab Physicians
                Journal ID (publisher-id): JLP
                Title: Journal of Laboratory Physicians
                Publisher: Wolters Kluwer - Medknow (India )
                ISSN (Print): 0974-2727
                ISSN (Electronic): 0974-7826
                Publication date (Print): Oct-Dec 2019
                Volume: 11
                Issue: 4
                Pages: 292-299
                Affiliations
                [1] Department of Microbiology, VMMC Safdarjung Hospital, Biomedical Waste Unit, VMMC and Safdarjung Hospital, New Delhi, India
                [1 ] Department of Microbiology, Biomedical Waste Unit, VMMC and Safdarjung Hospital, New Delhi, India
                [2 ] Department of Radiotherapy, Biomedical Waste Unit, VMMC and Safdarjung Hospital, New Delhi, India
                Author notes
                Address for correspondence: Dr. Malini Rajinder Capoor, Department of Microbiology, Biomedical Waste Unit, VMMC and Safdarjung Hospital, New Delhi - 110 029, India. E-mail: malinircapoor@ 123456gmail.com
                Article
                Publisher ID: JLP-11-292
                DOI: 10.4103/JLP.JLP_88_19
                PMC ID: 6943866
                PubMed ID: 31929693
                SO-VID: 7836e50a-64cc-4e4a-b7c7-093843f3dc25
                Copyright © Copyright: © 2019 Journal of Laboratory Physicians
                License:

                This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

                History
                Date received : 21 May 2019
                Date accepted : 12 November 2019
                Categories
                Subject: Original Article

                ScienceOpen disciplines: Clinical chemistry
                Keywords: biomedical waste management,bio-medical waste management rules 2016 and 2018,health-care workers,india
                Data availability:
                ScienceOpen disciplines: Clinical chemistry
                Keywords: biomedical waste management, bio-medical waste management rules 2016 and 2018, health-care workers, india

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