Poor Medical Waste Management (MWM) Practices and Its Risks to Human Health and the Environment: A Literature Review
Medical care is vital for our life, health and well-being. But the waste generated from medical activities can be hazardous, toxic and even lethal because of their high potential for diseases transmission. The hazardous and toxic parts of waste from healthcare establishments comprising infectious, medical and radioactive material as well as sharps constitute a grave risks to mankind and the environment, if these are not properly treated / disposed or are allowed to be mixed with other municipal waste. In Nigeria, practical information on this aspect is inadequate and research on the public health implications of poor management of medical wastes is few and limited in scope. Findings drawn from Literature particularly in the third world countries highlights financial problems, lack of awareness of risks involved in MWM, lack of appropriate legislation and lack of specialized MWM staff. The paper recommends how MWM practices can be improved in medical facilities.
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 H.P, Rao, "Report: Hospital waste management- awareness and practices: a study of three states in India”. Waste Management & Research, 2008, Vol.26, pp297-303.
 Y. Y. Babanyara,” An assessment of medical waste management practice(s) of Ahmadubello university teaching hospital (ABUTH) Zaria. Nigeria.”2012.Unpublished M.Sc. Thesis. Abubakar Tafawa Balewa University, Bauchi, Nigeria.
 A. Fayez, A. Q. Hani, and R. Atallah, "Sites investigation on medical waste management practices in northern Jordan”. Waste Management. 2008, Vol. 28 450–458.
 S. V. Manyele, "Effects of Improper Hospital Waste Management on Occupational Health and Safety”, African Newsletter on Occupational Health and Safety, Vol.14 pp30-33.
 J. J. Edmund, "Characterization and analysis of medical solid waste in Osun State, Nigeria” African Journal of Environmental Science and Technology. December 2012, Vol. 5(12), pp. 1027-1038.
 A. Coker, and M. K. C. Sridhar, "Increase in healthcare facilities and rapid environmental degradation: A technological paradox in Nigeria’s urban centers”, African Journal of Environmental Science and Technology. September, 2010 .Vol. 4(9), pp. 577-585.
 S. Yitayel, A. Tamrat, and M. Adane,”Sharps injuries and exposure to blood and bloodstained body fluids involving medical waste handlers.” Waste management and Research, 2012.Vol. 30, pp. 1299-1305.
 S. O. Abahand E. I. Ohimain,” Healthcare waste management in Nigeria: A case study” Journal of Public Health and Epidemiology March, 2011, Vol. 3(3), pp. 99-110,
 I. Ibijoke, A. Babajide, A. Williams and A.K, Rafid, " Profile of medical waste management in two healthcare facilities in Lagos, Nigeria” Waste management and research, 2013. Vol.31.pp494-501.
 C. E. Silva, A. E. Hoppe M. M. Ravanello, and N. Mello "Medical waste management in the south of Brazil” Waste Management, 2005, Vol. 25(6) pp. 600–605.
 D. N. Ogbonna, A. Chindah, and N. Ubani, "Waste management options for health care wastes in Nigeria: A case study of Port Harcourt hospitals” Journal of Public Health and Epidemiology. June 2012Vol. 4(6), pp.156-169
 P. Palanisamy, S. Sivaraman, S. P. Babu, and A. Athimoolam, "Biomedical waste management for health care industry” International Journal of Biological & Medical Research.2011, Vol. 2(1) pp. 472-486
 A. E. Toyobo, A. O. Baba, and A. B. Oyeniyi, "Appraisal of university teaching hospital medical waste management in Nigeria: Case Studies of University College Hospital (UCH) Ibadan and Obafemi Awolowo University Teaching Hospital (OAUTH) Ile-Ife”. Universal Journal of Education and General Studies, September, 2012 Vol. 1(9) pp. 290-297.
 E. Shinee, E. Gombojav, A. Nishimura, N. Hamajima, and K. Ito, "Healthcare waste management in the capital city of Mongolia”, Waste Management, 2008 Vol. 28, 435–441.
 C. Visvanathan,, "Hazardous waste disposal Resources” Conservation and Recycling. 2006 Vol16, 201–212.
 WHO, "Safe Management of Wastes from Health Care Activities”, World Health Organization, 1999. Geneva. Switzerland.
 WHO, "Management of Solid Health-Care Waste at Primary Health-Care Centers: A Decision-Making Guide” World Health Organization, 2005. Geneva. Switzerland.
 N. Akter, "Medical Waste Management: A Review.” Asian Institute of Technology y, 2000.Thailand.
 WHO, "Safe health care-waste management policy paper. Available at, www.healthcarewaste.org. Accessed 20th March, 2012.
 O. A. Mokuolu, "Health-care waste management, Microsoft power point presentation for HCWM-SQHN” Kwara state 2009, Nigeria.
 S. V. Manyele, and H. Anicetus, "Management of medical waste in Tanzanian hospitals” Tanzania Health Res. Bull, 2006, Vol. 8(3) pp177-182.
 A. D., Patil, and A.V., Shekdar, "Health-care waste management in India”. Journal of Environmental Management, 2001.Vol. 63, pp, 211–220.
 D. Manohar, P.R. Reddy, and B. Kotaih, "Characterization of solid waste of a super specialty hospital: a case study”. Ind. J. Environ. Health, 1998, Vol, 40, pp. 319-326.
 C. E. Da Silva, A.E. Hoppe, M. M. Ravanello, and N. Mello, "Medical Wastes Management in the South of Brazil”. Waste Management, Vol. 25, pp., 600–605.
 A. Code, and J .Christen, "How are we managing our healthcare wastes?: St. Gallen,1999, Switzerland: SKAT.
 T. C. Nascimento, W. A. Januzzi, M. Leonel, V. L. Silva, and C. G. Diniz, "Occurrence of clinically relevant bacteria in health service waste in a Brazilian sanitary landfill and antimicrobial susceptibility profile”. Rev. Soc. Bras. Med. Trop. 2009, Vol., 42(4) pp., 60-79.
 N. Akter and J. Trankler "An analysis of possible scenarios of medical waste management in Bangladesh”. Management of Environmental Quality: An International Journal, Vol., 14 (2), pp., 242–255.
 NEERI, "National Environmental Engineering Research Institute in Nagpur Comprehensive. Characterization of Municipal Solid Waste at Calcutta” 1995.
 P. Baccini, and P. Brunner, "The Metabolism of the Anthroposphere,” Springer Verlag, Berlin, 1991.
 S. Pruthvish, D. Gopinath, R. M. Jayachandra, N .Girish, P. Bineesha, C. Shivaram, Health-Care Waste Management Cell, Department of Community Medicine, M. S. Ramaiah Medical College. Bangalore, India Information Learning Units for Health-Care Waste, 1998.
 I. B. Singh and R.K. Sarma "Hospital wastes disposal system and Technology”. Journal of Academy of Hospital Administration, July, 1996, Vol., 8(2), pp. 44-48.
 S. Shah, M. Mehta, and M. D. Mukherjee, "Occupational Health Hazards Encountered at HealthCare Facility and Medical College in India” American Industrial Hygiene Association.2001.
 S. Rasheed, S. Iqbal, and L. A. Baig, "Hospital wastes management in the teaching hospitals of Karachi” Journal of Pakistan Medical Association,2005, Vol., 55 (5), pp.192–195.
 UNEP, (United Nations Environment Program) "Minimizing Hazardous Wastes”: A Simplified Guide to the Basel Convention; France, 2000. GE 04-03062.
 World Bank,” Health care waste management guidance note,” 2000, Yale, New Haven Hospital and Yale University 1997. Risk Management handbook: www.yale.edn/sustainability.envreport.pdf, Retrieved on 30thSeptember 2011.
 S. V. Manyele, and T. J. Lyasenga, "Factors affecting medical waste management in low level health facilities in Tanzania” African Journal of Environmental Science and Technology,2010.Vol, 4(5), pp,304-318.
 S. V. Manyele, "Medical Waste Management in Tanzania: Current Situation and the Way Forward”, Afr. J. Environ. Assessment Manage. AJEAM, http://ajeam-ragee.sl-writers-series.org/; 2004, Vol. 8, pp, 74-99.
 L. Leonard, "Health Care Waste in Southern Africa”, A civil society perspective. Proceeding International Health Care Waste Management Conference and Exhibition, Johannesburg, S. Africa. 2003.
 S. V. Manyele, H. Anicetus and M. H. Bilia, "Globalization and its effects on Medical Waste Management in Tanzania. IET Annual Conference and General Meeting AICC Arusha”, Tanzania,2003.
 S. V. Manyele, "Effects of Improper Hospital Waste Management on Occupational Health and Safety”, African Newsletter on Occupational Health and Safety, 2004, Vol.14,pp., 30-33.
 E. O. Longe and A. Williams "A preliminary study on medical waste management in Lagos Metropolis Nigeria”. Iranian Journal of Environmental Health Sciences and Engineering, 2006, Vol. 3(3), pp., 133-139.
 B. A. Z. Alagoz, and G. Kocasoy, "Treatment and disposal alternatives for health-care wastes in developing countries- A case study in Istanbul, Turkey”. Waste Management and Research, 2007, Vol. 25, pp., 83-89.
 A. O. Coker, K. A. Sikiru, M. K. C. Sridhar, and A. Y. Sangodoyin, "Characterization and management of solid hospital wastes” In: Proceedings of the 25th Conference of Water, Engineering and Development Centre held at Addis Ababa, Ethiopia, 7–12 September, 1999, pp. 331–334.
 M. A. Adegbita, S. O. Nwafor, A. Afon, A. A.. Abegunde, and C. T. Bamise "Assessment of dental waste management in a Nigerian tertiary hospital” Waste Management and Research, 2010, Vol. 28, pp., 769-777.
 B. O. Olubukola, "Comparative Analysis of Health Care Waste Management Practice in Two General Hospitals in Nigeria”. Available at; www.ecoweb.com/edi/index.htm.,Accessed, August 10, 2012.
 K. T. Townend and C. R. Cheeseman, "Guidelines for the evaluation and assessment of the sustainable use of resources and of wastes management at healthcare facilities” Waste Management and Research, 2005, Vol. 23, pp., 398-408.
 A. Coker, A. Sangodoyin, M. Sridhar, C. Booth, P. Olomolaiye, and F. Hammond "Medical waste management in Ibadan, Nigeria: Obstacle and prospects,” Waste management Journal,2009, Vol. 29, pp., 804-811.
 PATH, "Achieving effective sharps waste management in GAVI host countries”. A proposed approach with estimates of cost 2006 Available at; www.Path.org/files/TS_ach_eff_swm.pdf Accessed 6th April, 2012.
 N. Ngwuluka, N. Ochekpe, Odumosu, P. and S. A. John,” Waste management in healthcare establishments within Jos Metropolis, Nigeria” African Journal of Environmental Science and Technology, 2009 .Vol.3 (12), pp., 459-465.
 D. N. Ogbonna, "Characteristics and waste management practices of Medical wastes in healthcare institutions in Port Harcourt, Nigeria,” Journal of Soil Science and Environmental Management, 2011.Vol, 2(5), pp., 132-141.