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2012 | 21 | 4 |

Tytuł artykułu

Medical waste management in Poland – the legal issues

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
This paper discusses the issue of medical waste, which is highly significant from the perspective of environmental protection. It describes the waste classification criteria, the methods of its collection, and neutralization. They are based on the legislation, including above all the Waste Act of 27 April 2001. The priority goal of the Act is to ensure that human health and life are protected. The Act was drawn up as a transposition of European directives. Analyzing the current legislation in force, the paper notes that the Polish legislature in the amendment to the Act of 2005 allowed medical infectious waste, posing an epidemiological threat, to be neutralized exclusively by means of incineration, excluding the possibility of using alternative methods. Thus the legislature expressed the view that only this method, despite its numerous disadvantages, is the most appropriate one for biohazardous waste. Moreover, due to the new provision of the Act, the expenses borne by hospitals to set up the infrastructure for alternative neutralization methods have proved to be unnecessary investments. The appropriate supervision over infectious medical waste management from the perspective of environmental protection, epidemiology, and occupational safety is a vital element in the development of a medical waste management system, but economic factors also should be taken into account.

Wydawca

-

Rocznik

Tom

21

Numer

4

Opis fizyczny

p.1113-1118,ref.

Twórcy

  • Department of Nursing, Medical University of Gdansk, Do Studzienki Str.38, 80-227 Gdansk, Poland
autor

Bibliografia

  • 1. Waste Act of 27 April 2001 (consolidated text: Journal of Laws of 2010, No. 185, it. 1243) [In Polish].
  • 2. Regulation of the Minister of Health of 30 July 2010 on specific procedures of medical waste management (Journal of Laws No. 139, it. 940) [In Polish].
  • 3. GAUTAM V., THAPAR R., SHARMA M. Biomedical waste management: Incineration vs. environmental safety, Indian Journal of Medical Microbiology, 28, (3), 191, 2010.
  • 4. TONG A.Y.C., PEAKE B.M., BRAUND R. Disposal practices for unused medications around the world, Environ. Int., 37,(1), 292, 2011.
  • 5. BROŃSKA K. Medical waste, 1st ed.; Forum sp. z o.o.: Poznań, pp. 10-13, 2008 [In Polish].
  • 6. SINGH K.K., JUWARKAR A., SINGH A.K., TOMAR A. Air, Water and Soil Pollution, 1st ed.; DelhiKalyani Publ.: New Delhi, pp. 396-423, 2007.
  • 7. Regulation of the Minister of Health of 23 December 2002 on the types of medical and veterinary waste whose recovery is forbidden (Journal of Laws No. 8, it. 103) [In Polish].
  • 8. JIN J., LI X., CHI Y., YAN J. Heavy metals stabilization in medical waste incinerator fly ash using alkaline assisted supercritical water technology, Waste Manage. Res., 28, (12), 1133,2010.
  • 9. GUO Y., WANG W., QIAO W., WAN X., YE T., LU H. Characterization of heavy metals in fly ash from hazardous waste incinerators, J. Univ. Sci. Technol. B., 28, (1), 17, 2006.
  • 10. ZHAO L., ZHANG F.S., CHEN M., LIU Z., WU D.B. Typical pollutants in bottom ashes from a typical medical waste incinerator, J. Hazard. Mater., 173, (1-3), 181, 2010.
  • 11. VALAVANIDIS A., ILLIOPOULOS N„ FIOTAKIS K„ GOTSIS G. Metal leachability, heavy metals, polycyclic aromatic hydrocarbons and polychlorinated biphenyls in fly and bottom ashes of medical waste incineration facility, Waste Manage. Res., 26, (3), 247, 2008.
  • 12. Directive 2000/76/EC of the European Parliament and of the Council of 4 December 2000 on the incineration of waste (OJ L 332, 28.12.2000, pp. 91-111).
  • 13. VERONESI P., LEONELLI C., MOSCATO U., CAPPI A., FIGURELLI O. Non-incineration microwaves assisted sterilization of medical waste, J. Microwave Power E. E., 40, (4), 211,2007.
  • 14. ZHAO W., VAN DER VOET E., HUPPES G., ZHANG Y. Comparative life cycle assessments of incineration and nonincineration treatments for medical waste, International Journal of Life Cycle Assessment, 14, (2), 2009.
  • 15. MUSZYŃSKI Z. The issue of hospital waste neutralization, Therapy, 7, (3), 19-23, 1999 [In Polish].
  • 16. TORLIŃSKA-MAĆKOWIAK K. Assessment of medical waste management in the health care system in Poznań, a doctoral dissertation, Poznań, 124-137, 2006 [In Polish].
  • 17. LEE B.K., ELLENBECKER M.J., MOURE-ERSASO R.Alternatives for treatment and disposal cost reduction of regulated medical wastes, Waste Manage., 24, (2), 143, 2004.
  • 18. SUDER S. Classification, collection and recycling of hospital waste exemplified by German experience, in: Conference Materials, Medical Waste Neutralization and Recycling, ed. Abrys: Poznań, 1997 [In Polish].
  • 19. Regulation of the Minister of Health of 23 December 2002 on the acceptable methods and conditions of medical and veterinary waste neutralization (Journal of Laws No. 8, it. 104 as amended) [In Polish].
  • 20. Directive 2008/98/EC of the European Parliament and of the Council of 19 November 2008 on waste and repealing certain Directives (OJ L 312, 22.11.2008, pp. 3-30).
  • 21. BUJAK J. Experimental study of the lower heating value of medical waste, Pol. J. Environ. Stud., 19, (6), 1151, 2010.
  • 22. ZHOU F., LIU Y., GUO H.-C., WANG L.-J. Optimal selection method of technologies of medical wastes treatment, Environmental Science, 27, (6), 1252, 2006.
  • 23. MC DERMOTT-LEW R., FAZZINI C. Identifying the key personnel in a nurse-initiated hospital waste reduction program, Nursing Administration Quarterly, 34, (4), 306, 2010.

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Bibliografia

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