Hospital solid waste management practices in Limpopo Province, South Africa: a case study of two hospitals.

The shortcomings in the management practices of hospital solid waste in Limpopo Province of South Africa were studied by looking at two hospitals as case studies. Apart from field surveys, the generated hospital waste was weighed to compute the generation rates and was followed through various management practices to the final disposal. The findings revealed a major policy implementation gap between the national government and the hospitals. While modern practices such as landfill and incineration are used, their daily operations were not carried according to minimum standards. Incinerator ash is openly dumped and wastes are burned on landfills instead of being covered with soil. The incinerators used are also not environmentally friendly as they use old technology. The findings further revealed that there is no proper separation of wastes according to their classification as demanded by the national government. The mean percentage composition of the waste was found in the following decreasing order: general waste (60.74%)>medical waste (30.32%)>sharps (8.94%). The mean generation rates were found to be 0.60kg per patient per day.

[1]  Philip Rushbrook,et al.  STARTING HEALTH CARE WASTE MANAGEMENT IN MEDICAL INSTITUTIONS , 2001 .

[2]  Rafael Moure-Eraso,et al.  Analyses of the recycling potential of medical plastic wastes. , 2002, Waste management.

[3]  R.R.A.M Mato,et al.  Critical review of industrial and medical waste practices in Dar es Salaam City , 1999 .

[4]  P Klangsin,et al.  Medical waste treatment and disposal methods used by hospitals in Oregon, Washington, and Idaho. , 1998, Journal of the Air & Waste Management Association.

[5]  T. Gwebu.  Population, Development, and Waste Management in Botswana: Conceptual and Policy Implications for Climate Change , 2003, Environmental management.

[6]  P Brown,et al.  Precautions in medical care of, and in handling materials from, patients with transmissible virus dementia (Creutzfeldt-Jakob disease). , 1977, The New England journal of medicine.

[7]  A. Lafuente,et al.  Urban Waste Recycling Behavior: Antecedents of Participation in a Selective Collection Program , 2002, Environmental management.

[8]  D. Kuritzkes,et al.  Model for inactivation and disposal of infectious human immunodeficiency virus and radioactive waste in a BL3 facility , 1990, Applied and environmental microbiology.

[9]  C. Palenik,et al.  Effects of steam sterilization on the contents of sharps containers. , 1993, American journal of infection control.

[10]  A V Shekdar,et al.  Health-care waste management in India. , 2001, Journal of environmental management.

[11]  S. Salhofer,et al.  Importance of Public Relations in Recycling Strategies: Principles and Case Studies , 2002, Environmental management.

[12]  G. R Kassenga,et al.  A study on problems of management of medical solid wastes in Dar es Salaam and their remedial measures , 1997 .

[13]  Fabrizio Passarini,et al.  The environmental fate of heavy metals arising from a MSW incineration plant. , 2002, Waste management.