Integrative Disciplinary Research | Online ISSN 3064-9870
REVIEWS   (Open Access)

Medical Waste Management: Enhancing Safety through Innovative Solutions

Tufael1*, Atiqur Rahman Sunny1

+ Author Affiliations

Journal of Primeasia 6(1) 1-8 https://doi.org/10.25163/primeasia.619819

Submitted: 02 June 2025  Revised: 20 July 2025  Published: 22 July 2025 

Abstract

Medical waste management has become a critical concern due to the potential health and environmental risks associated with improper disposal. The Medical Waste Tracking Act of 1988 was a pivotal regulatory response to incidents of medical waste exposure, establishing guidelines for the classification, segregation, and disposal of medical wastes. This legislation defines medical waste as any solid waste generated in the diagnosis, treatment, or immunization of humans and animals, and outlines stringent tracking and disposal protocols to prevent environmental contamination and public health hazards. Current management techniques include segregation of waste streams, plasma disinfection, and incineration, as well as emerging technologies that offer innovative solutions. Plasma disinfection processes utilize low-temperature plasma to treat medical waste while minimizing toxic emissions effectively. Incineration, though effective in reducing waste volume and pathogen load, poses challenges due to high operational costs and potential air pollution. Emerging technologies, such as on-site shredding combined with chemical disinfection, provide cost-effective and environmentally friendly alternatives that can be implemented in various healthcare settings, particularly in resource-limited regions. These methods reduce the volume of waste significantly, convert it into non-hazardous forms, and eliminate the need for long-distance transportation to treatment facilities. As the healthcare industry evolves, the adoption of advanced and sustainable waste management practices is imperative to ensure the protection of public health and the environment. This paper reviews current and emerging medical waste management techniques, highlighting their effectiveness and potential for wider adoption in global healthcare settings.

Keywords: Medical Waste Management, Hazardous Waste Disposal, Environmental Safety, Segregation and Disinfection, Innovative Technologies

References

Alhumoud, J. M., & Alhumoud, H. M. (2007). An analysis of trends related to hospital solid wastes management in Kuwait. Management of Environmental Quality: An International Journal, 18(5), 502-513.

 Birpinar, M. E., Bilgili, M. S., & Erdogan, T. (2008). Medical waste management in Turkey: A case study of Istanbul. Waste Management, 29(1), 445–448. https://doi.org/10.1016/j.wasman.2007.02.024

Chintis, V., Chintis, S., Vaidya, K., Ravikant, S., Patil, S., & Chintis, D. S. (2004). Bacterial population changes in hospital effluent treatment plant in central India. Water Research, 38(2), 441–447. https://doi.org/10.1016/j.watres.2003.10.026

Coronel, B., Durosellet, P., Behrt, H., Moskovtchenko, J. F., & Freney, J. (2002). In situ decontamination of medical wastes using oxidative agents: A 16-month study in a polyvalent intensive care unit. Journal of Hospital Infection, 50(3), 207–212. https://doi.org/10.1053/jhin.2002.1210

ElDorado County. (2010). Medical waste management act (MWMA). Retrieved from http://www.edcgov.us/Government/EMD/HazardousMaterials/MedicalWasteManagementAct.aspx

Hassan, M. M., Ahmed, S. A., Rahman, K. A., & Biswas, T. K. (2008). Pattern of medical waste management: Existing scenario in Dhaka City, Bangladesh. BMC Public Health, 8, 36. https://doi.org/10.1186/1471-2458-8-36

Innovative Environmental Products. (2010). Drug terminator. Retrieved from http://www.elastec.com/portableincinerators/drugterminator/

 Jang, Y. C., Lee, C., Yoon, O. S., & Kim, H. (2006). Medical waste management in Korea. Journal of Environmental Management, 80(2), 107–115. https://doi.org/10.1016/j.jenvman.2005.08.018

Jang, Y.-C., Lee, C., Yoon, O.-S., & Kim, H. (2006). Medical waste management in Korea. Journal of Environmental Management, 80(2), 107-115. https://doi.org/10.1016/j.jenvman.2005.08.018

Karamouz, M., Zahraie, B., Kerachian, R., Jaafarzadeh, N., & Mahjouri, N. (2007). Developing a master plan for hospital solid waste management: A case study. Waste Management, 27(5), 626–638. https://doi.org/10.1016/j.wasman.2006.03.008

LaGrega, M. D., Buckingham, P. L., & Evans, J. C. (2001). Hazardous waste management (2nd ed.). McGraw-Hill.

Lersner, W. (2007). The process and device for the disposal of medical waste (Canadian Patent No. 2079003). Retrieved from http://www.ecolotec.com/patents.html

Levendis, Y., Atal, A., Carlson, J., & Quintana, M. (2001). PAH and soot emissions from burning components of medical waste: Examination/surgical gloves and cotton pads. Chemosphere, 42(8), 775–783. https://doi.org/10.1016/S0045-6535(00)00259-3

Madhya Pradesh Pollution Control Board. (2010). Handling of bio-medical waste. Retrieved from http://www.mppcb.nic.in/Bio_Categories.htm

Middle East Health Care Intelligence. (2010). Dubai’s Clemenceau Medical Center amongst top ten best hospitals for medical tourism. Retrieved from http://biomedme.com/uae/dubais-clemenceau-medical-center-amongst-top-ten-best-hospitals-for-medical-tourism_6555.html

Muhlich, M., Scherrer, M., & Daschner, F. D. (2003). Comparison of infectious waste management in European hospitals. Journal of Hospital Infection, 55(4), 260–268. https://doi.org/10.1016/j.jhin.2003.08.017

Rutberg, G., Bratsev, N., Safronov, A., Surov, V., & Schegolev, V. (2002). The technology and execution of plasma chemical disinfection of hazardous medical waste. Plasma Science, IEEE Transactions, 30(4), 1445-1448.

 Sabour, R. M., Mohamedifard, A., & Kamalan, H. (2007). A mathematical model to predict the composition and generation of hospital wastes in Iran. Waste Management, 27(4), 584–587. https://doi.org/10.1016/j.wasman.2006.03.019

Silva, C. E., Hoppe, A. E., Ravanello, M. M., & Mello, N. (2005). Medical waste management in the south Brazil. Waste Management, 25(6), 600–605. https://doi.org/10.1016/j.wasman.2004.03.002

Soelberg, N. R., Rankin, R. A., Klingler, K. M., Lagle, C. W., & Byers, L. L. (2006). Eliminating medical waste liabilities through mobile maceration and disinfection. In WM’06 Conference (pp. 1-10). Tucson, AZ. Retrieved from http://www.inl.gov/technicalpublications/Documents/3394936.pdf

U.S. Congress, Office of Technology Assessment. (1988). Issues in medical waste management—Background paper. U.S. Government Printing Office.

U.S. Environmental Protection Agency. (2010). Medical waste tracking act of 1988. Retrieved from http://www.epa.gov/wastes/nonhaz/industrial/medical/tracking.htm

UAE Yellow Pages. (2010). Clinics and hospitals. Retrieved from http://www.yellowpages.ae/category/clinics-/

Waste Treatment Technology News. (2010). Environmental Protection Agency issues, draft dioxin assessment. Retrieved from https://www.epa.gov/wastes

WasteMed. (2010). Types of medical waste. Retrieved from http://www.wastemed.com/types.htm

World Health Organization. (2010). Waste management at medical centers. Retrieved from http://www.who.or.id/eng/contents/aceh/wsh/books/es/ES08CD.pdf

Full Text
Export Citation

View Dimensions


View Plumx



View Altmetric



0
Save
0
Citation
13
View
0
Share