Healthcare waste management in the capital city of Mongolia

被引:96
作者
Shinee, Enkhtsetseg [1 ]
Gombojav, Enkhjargal [2 ]
Nishimura, Akio [3 ]
Hamajima, Nobuyuki [4 ]
Ito, Katsuki [1 ]
机构
[1] Nagoya Univ, Grad Sch Med, Dept Young Leaders Program, Showa Ku, Nagoya, Aichi 4668550, Japan
[2] Minist Hlth, Ulaanbaatar, Mongolia
[3] Natl Inst Publ Hlth, Wako, Saitama 3510197, Japan
[4] Nagoya Univ, Grad Sch Med, Dept Prevent Med Biostat & Med Decis Making, Showa Ku, Nagoya, Aichi 4668550, Japan
关键词
Environmental impact - Health care - Patient monitoring;
D O I
10.1016/j.wasman.2006.12.022
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Inconsistencies are present in the management options for healthcare wastes in Mongolia. One of the first critical steps in the process of developing a reliable waste management plan requires the performance of a waste characterization analysis. The objectives of this study were an assessment of the current situation of healthcare waste management (HCWM) and characterization of healthcare wastes generated in Ulaanbaatar. A total about 2.65 tonnes of healthcare wastes are produced each day in Ulaanbaatar (0.78 tons of medical wastes and 1.87 tons of general wastes). The medical waste generation rate per kg/patient-day in the inpatient services of public healthcare facilities was 1.4-3.0 times higher than in the outpatient services (P < 0.01). The waste generation rate in the healthcare facilities of Ulaanbaatar was lower than in some other countries; however, the percentage of medical wastes in the total waste stream was comparatively high, ranging from 12.5% to 69.3%, which indicated poor waste handling practices. Despite the efforts for the management of wastes, the current system of healthcare waste management in Ulaanbaatar city of Mongolia is under development and is in dire need of immediate attention and improvement. It is essential to develop a national policy and implement a comprehensive action plan for HCWM providing environmentally sound technological measures to improve HCWM in Mongolia. (c) 2007 Elsevier Ltd. All rights reserved.
引用
收藏
页码:435 / 441
页数:7
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