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The purpose of this paper is to introduce a cradle to grave manifest system for medical waste in Jordan. As part of this program, medical waste classification, generation rates, and tracking in different parts of the world and in Jordan are described.

After reviewing different classification systems, the program adopted the World Health Organization definition with minor modification to be used with the proposed manifest, as it is very similar to the current bylaw regulating medical waste in Jordan. In addition, the generation rates of hazardous medical waste in 11 public hospitals and one governmental university hospital in the northern part of Jordan were calculated. These were based on the weights of these wastes that were transferred to the sole incinerator used by these hospitals over a 12-month period. These weights were obtained through interviews with personnel in charge of the medical waste incinerator.

This project has devised a manifest form to be used for medical waste transport. In addition, the generation rate was found to vary from 0.88 to 3.05 kg/bed/day based on 100 percent occupancy rates. The generation weight was found to be different for different months of the year.

Management of waste disposal and treatment, including medical waste is very important in a water poor country like Jordan. The introduction of a manifest system and the adoption of a medical classification system, in addition to the calculation of the generation rates are very important for sustainable development in the country.

The purpose of this paper is to determine the amount of different kinds of solid wastes produced, segregated, collected, stored, transported and disposed off in the governmental hospitals of Kuwait.

The research in this paper shows that all governmental hospitals were assessed in a period of six months (September, 2005 through December, 2005 and June, 2006 through July, 2006). The weight fraction of each component in the sorting sample was calculated by the weights of the components. The amount of non‐infectious and infectious waste generated in kg/day in each ward and various hospital blocks were determined and recorded.

The findings in this paper indicated that the waste generation rate is between 3.87 kg/bed/day and 7.44 kg/bed/day. Subsequently, this waste consists of 10,534.5 kg (71.44 percent) of domestic waste, 4,099.4 kg (27.8 percent) of hazardous/infectious waste, and 112.1 kg (0.76 percent) of sharps. Hospital waste makes up approximately 30 percent of all the hazardous waste generated in Kuwait. Segregation of the different types of wastes is practiced in nearly all of the hospitals. All infectious/medical wastes are finally disposed of through incineration.

The paper shows that the hospitals under study do not organize training courses on hospital waste management and the hazards associated with them. There is a need to establish a detailed database regarding the quantity and quality of the waste generated by the various hospitals.

This paper systematically assesses the obstacles in the existing hospital solid waste management system in all governmental hospitals in Kuwait. Subsequently, recommendations and improvements are suggested.

Management of hazardous waste is a big challenge to a common biomedical waste treatment facility (CBWTF) because of variations in the amount of different kinds of waste collected and treated from various health-care facilities (HCFs). Hence, prediction of health-care waste (HCW) will be very helpful for the CBWTF in allocation of resources, transportation, storage and disposal of medical waste (MW). This study aims to focus on the current MW handling and disposal practices at CBWTF in Uttarakhand, India. The study also models the seasonal variation in the HCW quantities collected and treated in CBWTF at Uttarakhand (India).

Data were collected for two years (2013 and 2014) from CBWTF, and polynomial regression models were used to represent the complex nonlinear relationship among the variables.

The fixed trends in the waste generated in two years represent the seasonal variations and illness patterns. The load of approximately 527 kg/day biomedical waste, including all the three categories (red, yellow and blue), was estimated at CBWTF at Uttarakhand, India. The composition of the total waste was calculated as: yellow category (327 kg/day, 62.23 per cent), red category (190 kg/day, 36.66 per cent) and blue category (10 kg/day, 1.44 per cent). CBWTF needs to run an incinerator for 3.30 h, autoclaving machine for 4 h and shredder for 20 min daily as per the calculated load.

This study is focused on only one CBWTF in Uttarakhand, so the model needs to be validated considering other facilities.

The model will help the CBWTF to plan its capacity and allocate resources.

Infectious waste coming out from HCFs can be managed in a proper way.

This study is the first of its kind conducted for CBWTF, Uttarakhand, India.

Hospital solid waste may cause serious health hazards and impair the quality of life of the community through transmission of diseases and injury if not properly managed. Therefore, the purpose of this paper is to examine solid waste management practice (SWMP) in Obafemi Awolowo University Teaching Hospital Complex.

Primary data were collected for this study through interview and questionnaire administration. Systematic sampling technique was used to select 60 students, 13 staffs, 43 cleaners, 8 contractors, and a management staff for questionnaire administration. Data obtained were analyzed using frequency distribution, pictorial analysis, and factor analysis.

Findings established that solid wastes components generated in the hospital were not segregated in line with the directive of the World Health Organization. The study further established that the factors influencing SWMP accounted for 79.9 percent variance in the following proportion: available storage and collection facilities (30.94 percent), number of patients’ factors (17.86 percent), transportation factor (15.39 percent), human and material resource factors (8.33 percent), and disposal (7.36 percent).

The study therefore concludes that the effectiveness of SWMPs depends on the facilities and equipment, human resources capacity, and frequency of waste collection and disposal.

A direct correlation exists between waste disposal, disease spread and public health. This article systematically reviewed healthcare waste and its implication for public health. This review identified and described the associations and impact of waste disposal on public health.

This paper systematically reviewed the literature on waste disposal and its implications for public health by searching Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA), PubMed, Web of Science, Scopus and ScienceDirect databases. Of a total of 1,583 studies, 59 articles were selected and reviewed.

The review revealed the spread of infectious diseases and environmental degradation as the most typical implications of improper waste disposal to public health. The impact of waste includes infectious diseases such as cholera, Hepatitis B, respiratory problems, food and metal poisoning, skin infections, and bacteremia, and environmental degradation such as land, water, and air pollution, flooding, drainage obstruction, climate change, and harm to marine and wildlife.

Infectious diseases such as cholera, hepatitis B, respiratory problems, food and metal poisoning, skin infections, bacteremia and environmental degradation such as land, water, and air pollution, flooding, drainage obstruction, climate change, and harm to marine and wildlife are some of the public impacts of improper waste disposal.

Healthcare industry waste is a significant waste that can harm the environment and public health if not properly collected, stored, treated, managed and disposed of. There is a need for knowledge and skills applicable to proper healthcare waste disposal and management. Policies must be developed to implement appropriate waste management to prevent public health threats.

Nowadays healthcare waste (HCW) has become a big challenge for the hospital management, especially, in developing countries like India. Like other developing countries, Indian healthcare waste disposal (HCWD) industry is also fragmented, as some hospitals are having their own in-house waste treatment facilities and others are outsourcing the process to government authorized Common Biomedical Waste Treatment Facilities. Literature also lacks the quantitative studies in selecting the HCWD strategy and, hence, the purpose of this paper is to identify and prioritize the factors, which affect the selection of HCWD strategy and to propose the model to select the HCWD strategy and to apply the proposed model to select the HCWD strategy in Uttarakhand, Northern State of India.

Grey theory-based analytic hierarchy process approach has been applied to evaluate the HCWD options and select the appropriate strategy for the healthcare facilities (HCFs).

From the literature, six criteria have been used to evaluate the HCWD strategies: “access to expertise,” “overdependence,” “transportation & risk associated,” “Government rules,” “environmental factors,” and “economic factors.” “Outsourcing” strategic option (0.61) got the higher desirability index than “in-house treatment” (0.39).

The proposed methodology can be used by the researchers and experts in the field to evaluate the strategic options and select the appropriate strategy.

The HCFs and other generators of HCW can select the alternative, whether they should treat the infectious waste in-house or they should go for outsourcing.

In the field of HCW management, this is the first study of its kind, which helps to evaluate and select the HCWD strategies. The proposed model has been applied in Uttarakhand, Northern State of India to make the comparison between “in-house” and “outsource” strategies.

The management of public health risks is a key focus for the European Union. One of the key factors that has been shown to pose a public health risk is that of the management of needles from healthcare facilities. The paper aims to discuss this issue.

Using audits of two case study hospitals based in northern Italy, this study sought to examine the key factors that resulted in needle stick injuries amongst staff and suggest measures to minimise these risks.

The number of needle stick injuries was influenced by various key factors including the time period during the year, the length of time employed, the location within the site, staff category and working hours.

Suggestions for overcoming the risk factors, including redesigning working patterns, staff training and awareness building, and the use of safety-engineered devices are outlined.

This study examined the incidence of needle stick injuries amongst healthcare staff in two Italian hospitals, which was lower than in other countries due to various factors, including recapping of needles not being allowed, the introduction of self-retractable needles and awareness campaigns about the correct disposal procedures of potentially infectious waste.

Because medical waste may present potential hazards to employees, waste handlers and the general public, all facilities generating this form of waste should develop and implement a medical waste management strategy. This strategy should be prepared after conducting a survey to determine the types and estimated amounts of medical waste generated by the facility. The strategy should address medical waste handling, including segregation, packaging, in‐house transport and storage. The management plan must also prescribe appropriate treatment procedures for contaminated waste, and designate proper methods for final disposal of medical wastes and treatment residues. Finally, the facility must ensure the implementation and monitoring of this strategy.

Contemporary literature reveals that, to date, the poultry livestock sector has not received sufficient research attention. This particular industry suffers from unstructured supply chain practices, lack of awareness of the implications of the sustainability concept and failure to recycle poultry wastes. The current research thus attempts to develop an integrated supply chain model in the context of poultry industry in Bangladesh. The study considers both sustainability and supply chain issues in order to incorporate them in the poultry supply chain. By placing the forward and reverse supply chains in a single framework, existing problems can be resolved to gain economic, social and environmental benefits, which will be more sustainable than the present practices.

The theoretical underpinning of this research is ‘sustainability’ and the ‘supply chain processes’ in order to examine possible improvements in the poultry production process along with waste management. The research adopts the positivist paradigm and ‘design science’ methods with the support of system dynamics (SD) and the case study methods. Initially, a mental model is developed followed by the causal loop diagram based on in-depth interviews, focus group discussions and observation techniques. The causal model helps to understand the linkages between the associated variables for each issue. Finally, the causal loop diagram is transformed into a stock and flow (quantitative) model, which is a prerequisite for SD-based simulation modelling. A decision support system (DSS) is then developed to analyse the complex decision-making process along the supply chains.

The findings reveal that integration of the supply chain can bring economic, social and environmental sustainability along with a structured production process. It is also observed that the poultry industry can apply the model outcomes in the real-life practices with minor adjustments. This present research has both theoretical and practical implications. The proposed model’s unique characteristics in mitigating the existing problems are supported by the sustainability and supply chain theories. As for practical implications, the poultry industry in Bangladesh can follow the proposed supply chain structure (as par the research model) and test various policies via simulation prior to its application. Positive outcomes of the simulation study may provide enough confidence to implement the desired changes within the industry and their supply chain networks.

A measurement campaign was carried out for assessing the waste flow in a pilot hospital of a region in central Italy, with the purpose of having a complete overview of the waste stream and of the personnel behavior in managing and handling waste flow both internally and in outsourcing. The main aim of the work was to provide instruction for decreasing waste quantities, improving segregation and decreasing costs and environmental risks. Moreover an analysis of the effectiveness of outsourcing the waste management service in terms of cost reduction and efficiency improvements and of the limits has been performed.

A self‐assessment model was proposed for evaluating waste generation patterns, quantities and sources and identifying anomalies. The research team comprised the hospital administrator, the head physician and charge nurse of each hospital ward, the administrative in charge of the waste management documents, the head of the hospital pharmacy, the responsible for the external outsourcing company in charge of waste collection and disposal, and the research team of Università Politecnica delle Marche. The data were obtained through the questionnaires elaborated by the group and submitted to a selected sample of personnel; they were asked to provide information on waste management practices (generation, collection, segregation, cleaning, storage) and quantities.

Anomalous behaviors were identified in the high amount of solid waste going into the medical waste stream; corrective actions have been proposed and their effectiveness has been monitored after implementation. The measures allowed a reduction of medical waste from 13 to 15 percent in two analyzed wards with a significant reduction of waste management costs.

This work has been requested and supported by the management of the healthcare structure analyzed, and represents a first step in the implementation of a policy that considers waste management as one of the fundamental processes for the proper functioning of the hospital.