医疗废物管理;其影响:以加纳大阿克拉地区为例。

Benedicta Asante, E. Yanful, Benjamin Edem Yaokumah
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引用次数: 44

摘要

由于医院废弃物具有传染性和危险性,医院废弃物管理是一个迫切需要解决的环境和公共安全问题。近年来,医院废物管理已成为一个日益受到关注的问题,越来越多的证据表明,与医疗废物有关的健康危害对服务提供者、患者和整个社区造成了危害。加纳是一个发展中国家,几乎没有关于医疗废物产生、处理和处置的信息。该研究分析了加纳大阿克拉地区的医疗废物管理做法。这项研究涉及该地区的120个医疗中心。共有150名保健屋邨主任及废物管理人员。通过实地考察、访谈和问卷调查,收集医疗废物管理不同方面的信息,包括医疗废物的产生、分类、收集、储存、运输和处置。研究结果显示,每天每张床产生8221.2kg废物{1.2kg床-1天-1 * 6851张床}。根据加纳人口规模(2500万)与2025年的预测估计数进行的分析表明,医疗保健废物将大大增加,因此需要将战略重点放在国际公认的信息技术管理上。将废物产生率的发现与其他研究进行比较,加纳大区域的医疗废物产生率要高得多。总之,大阿克拉地区的医疗保健中心不遵守加纳公认的医疗废物管理政策。建议地方政府部通过并执行关于医疗废物管理最佳标准的法律,以改善现状,保护环境和人类健康。
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Healthcare Waste Management; Its Impact: A Case Study Of The Greater Accra Region, Ghana.
Hospital waste management is an imperative environmental and public safety issue, due to the waste’s infectious and hazardous character. In recent years, hospital waste management has become a growing issue of concern with the increasing evidence suggesting health hazards related to health care waste (HCW) inflicted upon the service providers, patients and the community as a whole. Ghana, a developing country, has little information on the healthcare waste generate, how it is handle, and its disposal. The study analyzed the healthcare waste management practices in the Greater Accra Region, Ghana. The study involved 120 healthcare centers in the region. A total of 150 healthcare estate officers and waste management workers. Site visits, interviews, and survey questionnaires were implemented to collect information regarding different medical waste management aspects, including medical waste generation, separation, collection, storage, transportation, and disposal. Results from the study shows 8221.2kg waste per bed per day {1.2kg bed-1 day-1 *6,851 beds} are generated. An analysis per the population size of Ghana (25 million) as against a projection estimate by 2025 shows that, healthcare waste will increase greatly, hence the need for strategic focus on it management as accepted internationally. Comparing the finding of the waste generation rate to other studies Greater Region of Ghana has a much higher generation rate of healthcare waste. In conclusion, healthcare centers in the Greater Accra Region do not abide to the accepted healthcare waste management policy of Ghana. It is recommended that laws of best standard of healthcare waste management should be passed and enforced by the Ministry of Local Government, to improve the current situation and to protect the environment and human health.
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