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Medical waste management in Turkey: A case study of Istanbul
Authors:Birpinar Mehmet Emin  Bilgili Mehmet Sinan  Erdo?an Tu?ba
Institution:1. Ministry of Environment and Forestry, Environment and Forestry Directorate of Istanbul City, Sirkeci, 34112 Eminönü, ?stanbul, Turkey;2. Yildiz Technical University, Environmental Engineering Department, 34349 Besiktas, ?stanbul, Turkey;1. University of Belgrade-Faculty of Organizational Sciences, Jove Ilica 154, Belgrade, Serbia;2. The Clinical Centre of Serbia, Pasterova 2, Belgrade, Serbia;1. Department of Mathematics, Bharathiar University, Coimbatore, 641 046, India;2. Department of Industrial and Management Engineering, Inje University 197 Inje-ro, Gimhae-si, Gyeongsangnam-do, 50834, Republic of Korea;3. Department of Mathematics, Cankaya University, Balgat, Ankara, Turkey;4. Turkey and Institute of Space Sciences, Magurele, Bucharest, Romania;5. Department of Industrial & Systems Engineering, Gyeongsang National University, Jinju- Si, Gyeongsangnam-do, South Korea;6. CHRIST (Deemed to Be University), Bangalore, India;2. Centre for Sustainable Waste Management, School of Science and Technology, University of Northampton, Northampton, UK;1. School of Economics and Management, Liaoning Shihua University, No.1, West Dandong Road, Wanghua District, Fushun, Liaoning Province, 113001, PR China;2. Shandong Provincial Key Laboratory of Water Pollution Control and Resource Reuse, School of Environmental Science and Engineering, Shandong University, Shanda South Road 27, Jinan 250100, PR China
Abstract:The objective of this study was to analyze the present status of medical waste management in the light of the Medical Waste Control Regulation (MWCR) in Istanbul, the largest city in Turkey. About 17% of the hospitals, 20% of bed capacity, and 54% of private hospitals in Turkey are located in Istanbul. The first regulation about medical waste management in Turkey was published in 1993, and as a candidate state, it was changed in 2005 in accordance with EU Environmental Directives. In this work, a survey of 14 questions about the amount, collection, and temporary storage of medical wastes was applied to 192 hospitals in Istanbul through face-to-face interviews. It was found that the estimated quantity of medical waste from the hospitals is about 22tons/day and the average generation rate is 0.63kg/bed-day. Recyclable materials are collected separately at a rate of 83%. Separate collection of different types of wastes is consistently practiced, but 25% of the hospitals still use inappropriate containers for medical waste collection. Almost 77% of the hospitals use appropriate equipment for the medical waste collection personnel. The percentage of the hospitals that have temporary storage depots is 63%. Medical waste management in Istanbul is carried out by applying the MWCR.
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