Management of Solid Medical Waste on One of the Covid19 Referral Hospitals in Surabaya, East Java

Rani Ayu Wardani, R. Azizah

= http://dx.doi.org/10.20473/jkl.v12i1si.2020.38-44
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Abstract


Introduction: e Covid19 virus has an outer lipid sheath that is not tolerant towards disinfectants, but this virus can quickly infect humans with a fairly high mortality rate. The increasing Covid19 patients directly proportional the amount of solid medical waste production in hospitals. This study aims to identify the health protocol in solid medical waste management in one of the Covid19 patient referral hospitals in Surabaya, East Java. Method: We used descriptive observational research with secondary data for the data compiling method. The obtained data were then compared with the 2020 Guidebook on Waste Management in Referral Hospitals, Emergency Hospitals, and Public Health Centers that Handles Covid19 Patients, issued by the Ministry of Health of the Republic of Indonesia. Result and Discussion: Research results showed that the management of all solid medical waste yielded from the Covid19 Special Isolation Room is directly infectious, went through the incineration process using an incinerator with the primary burner set at 800o C and the secondary burner set at minus 1.000o C. The usage of Personal Protective Equipment (PPE) by medical waste trolley carriers was inappropriate. The officers only used surgical masks, head caps, gloves, shirt, and work shoes, without using any apron. Conclusion: Health protocol for medical waste management in one of the Covid19 patient referral hospitals in Surabaya, East Java has been implemented, but the usage of PPE by medical waste trolley carriers was still inappropriate.


Keywords


COVID-19, COVID-19 referral hospitals; solid medical waste

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References


Topcuoglu N. Public Health Emergency of International Concern: Coronavirus Disease 2019 (Covid19). Open Dent J. 2020;14(1):71–72. https://doi.org/10.2174/1874210602014010071

Eurosurveillance editorial team. Note from the editors: World Health Organization Declares Novel Coronavirus (2019-Ncov) Sixth Public Health Emergency of International Concern. Euro Surveill. 2020;25(5):1-2. https://doi.org/10.2807/1560-7917.

ES.2020.25.5.200131e

Chaudhry R, Dranitsaris G, Mubashir T, BartoszkoJ, Riazi S. A Country Level Analysis Measuring the Impact of Government Actions , Country Preparedness and Socioeconomic Factors On

Covid19 Mortality and Related Health Outcomes. E Clinical Medicine. 2020;25(7):1-8. https://doi.org/10.1016/j.eclinm.2020.100464

Nghiem LD, Morgan B, Donner E, Short MD. The Covid19 Pandemic: Considerations for the Waste and Wastewater Services Sector. Case Studies in Chemical and Environmental Engineering. 2020;20(4):1–13. https://doi.org/10.1016/j.

cscee.2020.100006

Qu G, Li X, Hu L, Jiang G. An Imperative Need for Research on the Role of Environmental Factors in Transmission of Novel Coronavirus (Covid19). Environmental Science and Technology. 2020;54(7):3730–3732. https://doi.org/10.1021/ acs.est.0c01102

Kampf G, Todt D, Pfaender S, Steinmann E. Persistence of Coronaviruses On Inanimate Surfaces and Their Inactivation With Biocidal Agents. Journal of Hospital Infection. 2020;104(3):246–251. https://doi.org/10.1016/j.jhin.2020.01.022

Center for Disease Control and Prevention. Coronavirus Disease 2019 (Covid19) Cases in the U.S. Atlanta: Center for Disease Control and Prevention; 2020 https://www.cdc.gov/coronavirus/2019-ncov/cases-updates/cases-inus.html

Task Force for the Acceleration of Coronavirus Handling. Distribution Map. Jakarta: Task Force for the Acceleration of Coronavirus Handling; 2020. https://covid19.go.id/Peta-Sebaran

Ministry of Health Republic Indonesia. Regulation of Ministry of Health Republic Indonesia. No.3/ MENKES/2020 about Hospital Classification and Licensing. Jakarta: Ministry of Health Republic Indonesia; 2020

Yu H, Sun X, Solvang WD, Zhao X. Reverse Logistics Network Design for Effective Management of Medical Waste in Epidemic Outbreaks : Insights from the Coronavirus Disease 2019 ( Covid19) Outbreak in Wuhan (China). International

Journal of Environmental Research and Public Health. 2020;17(3):2–15. https://doi.org/10.3390/ijerph17051770

Saadat S, Rawtani D, Hussain CM. Environmental Perspective of Covid19. Science of the Total Environment. 2020;728(2):1–6. https://doi.org/10.1016/j.scitotenv.2020.138870

Ed O, Ym A. Covid19 and Challenges of Management of Infectious Medical Waste in Nigeria: A Case of Taraba State. International Journal ofWaste Resources. 2020;10(3):1–5. https://doi.org/10.35248/2252-5211.20.10.381

Mayer F, Bhandari R, Gäth S. Critical Review On Life Cycle Assessment of Conventional and Innovative Waste to Energy Technologies. Science of the Total Environment. 2019;672(4):708–721. https://doi.org/10.1016/j.scitotenv.2019.03.449

Rahman MM, Bodrud-Doza M, Griffiths MD, Mamun MA. Biomedical Waste Amid Covid19: Perspectives from Bangladesh. The Lancet Global. 2020;8(10):e1262. http://dx.doi.org/10.1016/S2214-109X(20)30349-1

Peng J, Wu X, Wang R, Li C, Zhang Q, Wei D. Medical Waste Management Practice During the 2019-2020 Novel Coronavirus Pandemic:Experience In A General Hospital. American Journal

of Infection Control. 2020;48(8):918–921. https://doi.org/10.1016/j.ajic.2020.05.035

Roberts KP, Stringfellow A, Williams I. Rubbish is Piling Up and Recycling has Stalled – Waste Systems Must Adapt. The Conversation. 2020;1.https://theconversation.com/rubbish

Ali M, Wang W, Chaudhry N, Geng Y. Hospital Waste Management In Developing Countries : A Mini Review. Waste Management & Research. 2017;6(1):1–12. https://doi.org/10.1177/0734242X17691344

Ministry of Environment and Forestry of Republic

Indonesia. Regulation of Ministry of Environment and Forestry Republic Indonesia No. 56/MENLHK/2015 about Procedures for Technical Requirements for Management of Hazardous and

Toxic Waste from Health Service Facilities. Jakarta: Ministry of Environment and Forestry Republic Indonesia; 2015

Bhave PP, Kulkarni BN. Effect Of Active And Passive Aeration On Composting of Household Biodegradable Wastes: A Decentralized Approach. International Journal of Recycling of Organic Waste in Agriculture. 2019;8(3):335–344. https://doi.org/10.1007/s40093-019-00306-7

Mengistu T, Gebrekidan H, Kibret K, Woldetsadik K, Shimelis B, Yadav H. Comparative Effectiveness of Different Composting Methods On the Stabilization,Maturation and Sanitization of Municipal Organic Solid Wastes and Dried Faecal Sludge Mixtures. Environ Syst Res. 2018;6(5):1-16. https://doi.org/10.1186/s40068-017-0079-4research

Desai SN, Shah MA. Decentralized Solid Waste Management in Urban Areas: A Review. Int J Curr Eng Technol. 2018;8(10):21–23. https://doi.org/10.14741/ijcet.v8i01.108820

Klemeš JJ, Fan Y Van, Tan RR, Jiang P. Minimising the Present and Future Plastic Waste, Energy and Environmental Footprints Related to Covid19. Renew Sustain Energy Rev. 2020;127(2):1–7.https://doi.org/10.1016/j.rser.2020.109883

Ministry of Health Republic Indonesia. Health Care Facilities Medical Waste Management Policy During the Covid19 Pandemic. Jakarta: Ministry of Healt Republic Indonesia; 2020.

Ministry of Health Republic Indonesia. Guidelines for Waste Management for Referral Hospitals, Emergency Hospitals and Health Care Facilities Handling Covid19 Patients. Jakarta: Ministry of Health Republic Indonesia; 2020. https://kesmas.kemkes.go.id

Awodele O, Adewoye AA, Oparah AC. Assessment of Medical Waste Management In Seven Hospitals In Lagos, Nigeria. BMC Public Health. 2016;16(269):1–11. http://dx.doi.org/10.1186/

s12889-016-2916-1

World Health Organization. Safe Management Of Wastes from Health‑Care Activities: A Summary. Genava: World Health Organization; 2017. https://apps.who.int/iris/bitstream/handle

World Health Organization. Water, Sanitation, Hygiene, and Waste Management for SARSCoV-2, the Virus that Causes Covid19. Geneva: World Health Organization;2020 https://www.who.int/

Kalogiannidou K, Nikolakopoulou E, Komilis D. Generation and Composition of Waste from Medical Histopathology Laboratories. Waste Manag. 2018;79(6):435–442. https://doi.org/10.1016/j.wasman.2018.08.012

Rhee SW. Management of Used Personal Protective Equipment and Wastes Related to Covid19 In South Korea. Waste Manag Res. 2020;38(8):820–824. https://doi.org/10.1177/0734242X20933

Ministry of Health Republic Indonesia. Regulation of Ministry of Health Republic Indonesia. No. 27/ MENKES/2017 about Guidelines for Infection Prevention and Control in Health Care Facilities. Jakarta: Ministry of Health Republic Indonesia; 2017

Maulana M, Kusnanto H, Suwarni A. Medical Solid Waste Treatment, Hazardous and Toxic Waste Treatment in Yogyakarta City Private Hospital. In: The 5th Urecol Proceeding. 2017. p. 184–190. http://lpp.uad.ac.id/wp-content/uploads/2017/05/24.-muchsin-184-190.pdf

Wang J, Shen J, Ye D, Yan X, Zhang Y, Yang W, et al. Disinfection Technology of Hospital Wastes and Wastewater: Suggestions for Disinfection Strategy During Coronavirus Disease 2019 (Covid19) Pandemic In China. Environ Pollut. 2020;262(4):1-26. https://doi.org/10.1016/j.envpol.2020.114665

Cheng C, Thompson RG. Application of Boolean Logic and GIS for Determining Suitable Locations for Temporary Disaster Waste Management Sites. Int J Disaster Risk Reduct. 2016;20(10):78-92.http://dx.doi.org/10.1016/j.ijdrr.2016.10.011

Kristanto GA, Koven W. Estimating Greenhouse Gas Emissions from Municipal Solid Waste Management In Depok, Indonesia. City Environ Interact. 2019;4(2):1-8. https://doi.org/10.1016/j.cacint.2020.100027

Kumar A, Samadder SR. A Review On Technological Options of Waste to Energy for Effective Management of Municipal Solid Waste. Waste Manag. 2017;69(8):407–422. https://doi.org/10.1016/j.wasman.2017.08.046

Ghodrat M, Rashidi M, Samali B. Life Cycle Assessments of Incineration Treatment for Sharp Medical Waste. Miner Met Mater Ser. 2017;14(2):131–143. https://doi.org/10.1007/978-

-319-52192-3_14

Zhang F, Cao C, Li C, Liu Y, Huisingh D. A Systematic Review of Recent Developments In Disaster Waste Management. J Clean Prod. 2019;235(6):822–840.

https://doi.org/10.1016/j.jclepro.2019.06.229

Yadav P, Samadder SR. A Critical Review of the Life Cycle Assessment Studies On Solid Waste Management In Asian Countries. J Clean Prod. 2018;185(2):492–515. https://doi.org/10.1016/j.jclepro.2018.02.298

Windfeld ES, Brooks MSL. Medical Waste Management - A review. J Environ Manage. 2015;163(8):98–108. http://dx.doi.org/10.1016/j.jenvman.2015.08.013

Kulkarni BN. Environmental Sustainability Assessment of Land Disposal of Municipal Solid Waste Generated In Indian Cities – A Review.Environ Dev. 2020;33(12):1-13.


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