Issues In Medical Waste Management

This is the second edition of the WHO handbook on the safe, sustainable and affordable management of health-care waste--commonly known as "the Blue Book". The original Blue Book was a comprehensive publication used widely in health-care centers and government agencies to assist in the adoption of national guidance. It also provided support to committed medical directors and managers to make improvements and presented practical information on waste-management techniques for medical staff and waste workers. It has been more than ten years since the first edition of the Blue Book. During the intervening period, the requirements on generators of health-care wastes have evolved and new methods have become available. Consequently, WHO recognized that it was an appropriate time to update the original text. The purpose of the second edition is to expand and update the practical information in the original Blue Book. The new Blue Book is designed to continue to be a source of impartial health-care information and guidance on safe waste-management practices. The editors' intention has been to keep the best of the original publication and supplement it with the latest relevant information. The audience for the Blue Book has expanded. Initially, the publication was intended for those directly involved in the creation and handling of health-care wastes: medical staff, health-care facility directors, ancillary health workers, infection-control officers and waste workers. This is no longer the situation. A wider range of people and organizations now have an active interest in the safe management of health-care wastes: regulators, policy-makers, development organizations, voluntary groups, environmental bodies, environmental health practitioners, advisers, researchers and students. They should also find the new Blue Book of benefit to their activities. Chapters 2 and 3 explain the various types of waste produced from health-care facilities, their typical characteristics and the hazards these wastes pose to patients, staff and the general environment. Chapters 4 and 5 introduce the guiding regulatory principles for developing local or national approaches to tackling health-care waste management and transposing these into practical plans for regions and individual health-care facilities. Specific methods and technologies are described for waste minimization, segregation and treatment of health-care wastes in Chapters 6, 7 and 8. These chapters introduce the basic features of each technology and the operational and environmental characteristics required to be achieved, followed by information on the potential advantages and disadvantages of each system. To reflect concerns about the difficulties of handling health-care wastewaters, Chapter 9 is an expanded chapter with new guidance on the various sources of wastewater and wastewater treatment options for places not connected to central sewerage systems. Further chapters address issues on economics (Chapter 10), occupational safety (Chapter 11), hygiene and infection control (Chapter 12), and staff training and public awareness (Chapter 13). A wider range of information has been incorporated into this edition of the Blue Book, with the addition of two new chapters on health-care waste management in emergencies (Chapter 14) and an overview of the emerging issues of pandemics, drug-resistant pathogens, climate change and technology advances in medical techniques that will have to be accommodated by health-care waste systems in the future (Chapter 15).

Incineration has been used widely for waste disposal, including household, hazardous, and medical wasteâ€"but there is increasing public concern over the benefits of combusting the waste versus the health risk from pollutants emitted during combustion. Waste Incineration and Public Health informs the emerging debate with the most up-to-date information available on incineration, pollution, and human healthâ€"along with expert conclusions and recommendations for further research and improvement of such areas as risk communication. The committee provides details on: Processes involved in incineration and how contaminants are released. Environmental dynamics of contaminants and routes of human exposure. Tools and approaches for assessing possible human health effects. Scientific concerns pertinent to future regulatory actions. The book also examines some of the social, psychological, and economic factors that affect the communities where incineration takes place and addresses the problem of uncertainty and variation in predicting the health effects of incineration processes.

This book deals with the general principles, policy instruments, sustainability of supply chain, and business of health-care waste (HCW) management including inputs on exercise in immune health defense against COVID 19. Health-care waste management is very important in any country for protection of environmental and animal and human health. The COVID-19 pandemic, in addition, has augmented this importance to a greater extent. Italy has been successful in curbing the problems related to HCW management during the COVID-19 pandemic at very fast rates from the worst situation, while for a few countries in Asia and Africa, challenges still exist. It is necessary that policy makers, researchers, and implementers gain more knowledge and information on these aspects and improve the strategies and actions. Addressing these issues will reduce the cost of health care as well as resource inefficiency hindering sustainable development goals. This book is of interest and useful to practitioners, capacity builders and policy makers, entrepreneurs, NGOs, and general people, and is a valuable source of reference to the relevant researchers and students in global markets. The book serves as a reading material for undergraduate and graduate students of environmental science, waste management, and medical science. National and international scientists as well as policy makers will also find this to be a useful read.

This reference presents reviews and case studies of hazardous waste management in a selection of cities. The overarching themes of the compiled topics include 1) the problems of healthcare waste management, 2) case studies of hazardous waste mismanagement, 3) health risks associated with environmental waste, issues in environmental health and 4) grassroots environmentalism. The volume initially presents reviews and case studies from developing countries, including countries in South America (Argentina), Africa (Algeria and Nigeria), and Asia (India). The latter chapters of the book focus on environmental issues in Campania, a region in Italy. These chapters also provide an insight into the impact of the COVID-19 pandemic on waste management practices in this region. Risks and Challenges of Hazardous Waste Management is an insightful reference for management trainees, professionals and researchers associated with waste management and environmental health firms. Readers will gain insights into current issues and practices in the respective industries. The reviews and case studies presented in the reference are also useful to professionals involved in risk assessment studies.