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Quantitative assessment of medical waste generation in the capital city of Bangladesh
Authors:Masum A Patwary  William Thomas O’Hare  Graham Street  K Maudood Elahi  Syed Shahadat Hossain  Mosharraf H Sarker
Institution:1. School of Science and Technology, University of Teesside, Middlesbrough, TS1 3BA, UK;2. Stamford University Bangladesh, Dhaka 1209, Bangladesh;3. Institute of Statistical Research and Training (ISRT), University of Dhaka, Dhaka 1000, Bangladesh;1. School of Management, Hefei University of Technology, Hefei 230009, PR China;2. Department of Industrial Engineering and Management, Tokyo Institute of Technology, Tokyo 152-8552, Japan;3. Department of Public Management, Tongji University, Shanghai 200092, PR China;4. Shanghai Pudong New Area Zhoupu Hospital, No. 135 Guanyue Road, Shanghai 201318, PR China;5. East Hospital Affiliated to Tongji University, No. 150 Jimo Road, Shanghai 200120, PR China;1. School of Management Science and Engineering, Shandong University of Finance and Economics, Jinan, 250014, Shandong Province, China;2. Department of Mathematics, National Institute of Technology, Warangal, Telangana, India;3. Department of Mathematics, Government College, Jaitwara, M. P., India;1. Department of Environmental Sciences, Jahangirnagar University, Savar, Dhaka, Bangladesh;2. Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, Bangladesh;3. Climate Change Programme, BRAC, Dhaka, Bangladesh;4. Psychology Department, Nottingham Trent University, Nottingham, UK;5. Undergraduate Research Organization, Savar, Dhaka, Bangladesh
Abstract:There is a concern that mismanagement of medical waste in developing countries may be a significant risk factor for disease transmission. Quantitative estimation of medical waste generation is needed to estimate the potential risk and as a basis for any waste management plan. Dhaka City, the capital of Bangladesh, is an example of a major city in a developing country where there has been no rigorous estimation of medical waste generation based upon a thorough scientific study. These estimates were obtained by stringent weighing of waste in a carefully chosen, representative, sample of HCEs, including non-residential diagnostic centres. This study used a statistically designed sampling of waste generation in a broad range of Health Care Establishments (HCEs) to indicate that the amount of waste produced in Dhaka can be estimated to be 37 ± 5 ton per day. The proportion of this waste that would be classified as hazardous waste by World Health Organisation (WHO) guidelines was found to be approximately 21%. The amount of waste, and the proportion of hazardous waste, was found to vary significantly with the size and type of HCE.
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