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Composition and production rate of medical waste from a small producer in Greece
Anastasios Graikos1, Evangelos Voudrias, Athanasios Papazachariou
1Department of Environmental Engineering, Democritus University of Thrace, GR-671 00 Xanthi, Greece.
Abstract:
The objective of this work was to determine the composition and production rate of medical waste from the health care facility of social insurance institute, a small waste producer in Xanthi, Greece. Specifically, produced medical waste from the clinical pathology (medical microbiology) laboratory, the X-ray laboratory and the surgery and injection therapy departments of the health facility was monitored for six working weeks. A total of 240 kg medical solid waste was manually separated and weighed and 330 L of liquid medical waste was measured and classified. The hazardous waste fraction (%w/w) of the medical solid waste was 91.6% for the clinical pathology laboratory, 12.9% for the X-ray laboratory, 24.2% for the surgery departments and 17.6% for the injection therapy department. The infectious waste fraction (%w/w) of the hazardous medical solid waste was 75.6% for the clinical pathology laboratory, 0% for the X-ray laboratory, 100% for the surgery departments and 75.6% for the injection therapy department. The total hazardous medical solid waste production rate was 64+/-15 g/patient/d for the clinical pathology laboratory, 7.2+/-1.6 g/patient/d for the X-ray laboratory, 8.3+/-5.1 g/patient/d for the surgery departments and 24+/-9 g/patient/d for the injection therapy department. Liquid waste was produced by the clinical pathology laboratory (infectious-and-toxic) and the X-ray laboratory (toxic). The production rate for the clinical pathology laboratory was 0.03+/-0.003 L/patient/d and for the X-ray laboratory was 0.06+/-0.006 L/patient/d. Due to the small amount produced, it was suggested that the most suitable management scheme would be to transport the hazardous medical waste, after source-separation, to the Prefectural Hospital of Xanthi to be treated with the hospital waste. Assuming this data is representative of other small medical facilities, medical waste production can be estimated for such facilities distributed around Greece.
Insights
This study analyzed medical waste from a small Greek healthcare facility, finding high hazardous waste percentages. Transporting source-separated waste to a larger hospital for treatment is recommended for efficient management.
Area of Science:
- Environmental Science
- Public Health
- Waste Management
Background:
- Healthcare facilities generate diverse medical waste streams.
- Effective management of medical waste is crucial for environmental and public health protection.
- Small healthcare facilities often have unique waste management challenges due to lower volumes.
Purpose of the Study:
- To determine the composition and production rates of medical waste.
- To analyze hazardous and infectious waste fractions from specific departments.
- To propose a suitable management strategy for small healthcare facilities.
Main Methods:
- Monitoring and quantifying medical solid and liquid waste over six weeks.
- Manual separation and weighing of solid medical waste.
- Classification and measurement of liquid medical waste.
- Calculation of waste production rates per patient per day.
Main Results:
- The clinical pathology laboratory produced the highest hazardous waste fraction (91.6%) and infectious waste (75.6%).
- Hazardous medical solid waste production rates varied significantly across departments, ranging from 64+/-15 g/patient/d (clinical pathology) to 7.2+/-1.6 g/patient/d (X-ray).
- Liquid waste, classified as infectious-toxic or toxic, was generated by the clinical pathology and X-ray laboratories.
Conclusions:
- Source-separation and off-site treatment at a larger facility are recommended for small healthcare facilities.
- The proposed management scheme involves transporting hazardous medical waste to the Prefectural Hospital of Xanthi.
- Findings can inform waste management strategies for similar small medical facilities in Greece.
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