Some healthcare waste presents hazardousness characteristics and requires specific procedures to ensure the safety management. Waste segregation is an important action to control the risks of each type of waste. Healthcare waste indicators also may improve the waste management system. The aim of this article was to evaluate the healthcare waste management in a Brazilian university hospital, as well as the waste indicators, quantifying and qualifying the waste generation. Weighing of wastes occurred by sampling occurred sampling of seven consecutive days or daily, between 2011 and 2017. General wastes represent more than 55.6% of the total generated, followed by infectious, sharps and chemicals wastes, respectively, 39.1%, 2.9% and 2.4%. The generation rate in 2017 was 4.09 kg bed−1 day−1, including all types of wastes. Non-dangerous wastes represented around 93.3%, including infectious wastes with low potential risks, while dangerous was represented by high infectious risk (1.4%), chemicals (2.4%) and sharps (2.9%). Healthcare waste indicators may favour the risk identification and improve the waste management system, in particular when involving hazardous wastes. Failures in healthcare waste segregation could represent, in addition to the health risks, unnecessary expenses.
AbdullaFAbu QdaisHRabiA (2008) Site investigation on medical waste management practices in Northern Jordan. Waste Management28: 450–458.
2.
ABRELPE – Associação Brasileira de Empresas de Limpeza Pública e Resíduos Especiais (2015) Panorama dos resíduos sólidos no Brasil [Brazilian solid waste panorama]. São Paulo: ABRELPE.
3.
Abu QdaisHARabiAAbdullaF (2007) Characteristics of the medical waste generated at the Jordanian hospitals. Clean Technologies and Environmental Policy9: 147–152.
4.
AduanSABragaFSZandonadeEet al. (2014) Avaliação dos resíduos de serviços de saúde do Grupo A em hospitais de Vitória (ES), Brasil [Evaluation of healthcare wastes service of group A in the hospitals of Vitória (ES), Brazil]. Engenharia Sanitária e Ambiental19: 413–420.
5.
AliMWangWChaudhryNet al. (2017) Hospital waste management in developing countries: A mini review. Waste Management & Research35(6): 581–592.
6.
AlvesSBSouzaACSTippleAFVet al. (2014) The reality of waste management in primary health care units in Brazil. Waste Management & Research32: 40–47.
7.
AnanthAPPrashanthiniVVisvanathanC (2010) Healthcare waste management in Asia. Waste Management30: 154–61.
8.
AndreSCSVeigaTBTakayanaguiAMM (2016) Geração de Resíduos de Serviços de Saúde em hospitais do município de Ribeirão Preto (SP), Brasil [Generation of Medical Waste in hospitals in the city of Ribeirão Preto (SP), Brazil]. Engenharia Sanitária e Ambiental21: 123–130.
9.
AskarianMHeidarpoorPAssadianO (2010) A total quality management approach to healthcare waste management in Namazi Hospital, Iran. Waste Management30: 2321–2326.
10.
AskarianMVakiliMKabirG (2004) Results of a hospital waste survey in private hospitals in Fars province, Iran. Waste Management24: 347–352.
11.
BarbosaFCLMolMPG (2018) Proposal of indicators for healthcare waste management: Case of a Brazilian public institution. Waste Management & Research36(10): 934–941.
12.
BazrafshanEMohammadiLKord MostafapoorFet al. (2014) Dental solid waste characterization and management in Iran: A case study of Sistan and Baluchestan Province. Waste Management and Research32: 157–164.
13.
BeloHorizontePrefeituraMunicipal (2011) Manual de Regulamento Orientador para a Construção dos Indicadores de Monitoramento, Avaliação e Controle de Plano de Gerenciamento de Resíduos de Serviços de Saúde de Belo Horizonte – MG [Guideline manual for indicators for monitoring, evaluation and control of healthcare waste management plan (HCWMP)]. Belo Horizonte, COPAGRESS.
14.
Brasil (2018) Ministério da Saúde. Agência Nacional de Vigilância Sanitária – ANVISA [Legislation of Ministry of Health: National Health Surveillance Agency]. Resolução da Diretoria Colegiada n° 222, mar2018.
15.
ChauhanASinghA (2016) Healthcare waste management: A state-of-the-art literature review. International Journal of Environment and Waste Management11: 1–6.
16.
ChengYWSungFCYangYet al. (2009) Medical waste production at hospitals and associated factors. Waste Management29: 440–444.
17.
Da SilvaCEHoppeAERavanelloMMet al. (2005) Medical wastes management in the south of Brazil. Waste Management25: 600–605.
18.
DiasGLSarturiFCamponogaraSet al. (2017) Análise da taxa de geração de resíduos de serviços de saúde em um hospital universitário [Analysis of the medical waste generation rate in a university hospital]. Revista de Pesquisa: Cuidado é Fundamental Online9: 92–98.
19.
European Union (2015) European Union Waste Legislation. Legislative changes concerning the list of waste and hazardousness properties (applicable from 1 June 2015). Available at: http://ec.europa.eu/environment/waste/legislation/a.htm (accessed 5 October 2016).
20.
HabibullahJAhmadKKhanMA (2011) Managing the healthcare solid waste in selected Districts of Punjab. Pakistan. Pakistan Journal of Medical Sciences26: 795–799.
21.
HamodaHMEl‑TomiHNBahamnQY (2005) Variations in hospital waste quantities and generation rates. Journal of Environmental Science and Health40: 467–476.
22.
HayleeyesusSFCherineteW (2016) Healthcare Waste Generation and Management in Public Healthcare Facilities in Adama, Ethiopia. Ethiopia. Journal of Health & Pollution6(10) - June 2016.
23.
JohnsonKMGonzálezMLDueñasLet al. (2013) Improving waste segregation while reducing costs in a tertiary care hospital in a lower-middle-income country in Central America. Waste Management & Research31: 733–738.
24.
KarakaY (2002) Management of clinical wastes. In: Appropriate Environmental and Solid Waste Management and Technologies for Developing Countries, vol. 1, ISWA 2002, Istanbul, pp.303–312.
25.
KomilisDFoukiAPapadopoulosD (2012) Hazardous medical waste generation rates of different categories of health-care facilities. Waste Management32: 1434–1441.
26.
KoolivandAMahviAHAlipoorVet al. (2012) Investigating composition and production rate of healthcare waste and associated management practices in Bandar Abbass, Iran. Waste Management & Research30: 601–606.
27.
LongeEO (2012) Healthcare waste management status in Lagos State, Nigeria: A case study from selected healthcare facilities in Ikorodu and Lagos metropolis. Waste Management & Research30: 562–571.
28.
MohreeR (2005) Medical wastes characterization in healthcare institutions in Mauritius. Waste Management25: 575–581.
29.
MoreiraAMMGuntherWMR (2013) Assessment of medical waste management at a primary health-care center in São Paulo, Brazil. Waste Management33: 162–167.
30.
NabizadehRKoolivandAJafariAJet al. (2012) Composition and production rate of dental solid waste and associated management practices in Hamadan, Iran. Waste Management & Research30: 619–624.
31.
OyekaleASOyekaleTO (2017) Healthcare waste management practices and safety indicators in Nigeria. BMC Public Health17: 740.
32.
Pan American Health Organization (1997) Guia para o manejo interno de resíduos sólidos em estabelecimentos de saúde [Internal guide for solid waste management in health facilities]. Brasília: OPAS.
33.
PatilADShedkarA (2001) Health care waste management in India. Journal of Environmental Management63: 211–220.
34.
PatwaryMAO’HareWTStreetGet al. (2009) Quantitative assessment of medical waste generation in the capital city of Bangladesh. Waste Management29: 2392–2397.
35.
RibeiroABJúniorRP (2012) Método de obter a geração de resíduos de serviços de saúde para monitorar a execução do plano de gerenciamento de resíduos em um hospital [Method to obtain the healthcare waste generation in order to monitor the fulfillment of waste management plan in a hospital]. Revista AIDIS de Ingeniería y Ciencias Ambientales: Investigación, desarrollo y práctica5: 11–27.
36.
SanidaGKaragiannidisAMavidouFet al. (2010) Assessing generated quantities of infectious medical wastes: a case study for a health region administration in Central Macedonia, Greece. Waste Management30: 532–538.
37.
ShineeEGombojavENishimuraAet al. (2008) Healthcare waste management in the capital city of Mongolia. Waste Management28: 435–441.
38.
SisinnoCLSMoreiraJC (2005) Ecoeficiência: um instrumento para a redução da geração de resíduos e desperdícios em estabelecimentos de saúde [Ecoefficiency: A tool to reduce solid waste production and waste of materials in health care units]. Cadernos de Saúde Pública21: 1893–1900.
39.
TaghipourHMosaferiM (2009) Characterization of medical waste from hospitals in Tabriz, Iran. Science of the Total Environmental407: 1527–1535.
40.
TakayanaguiAMM (2004) Risco ambiental e o gerenciamento de resíduos nos espaços de um serviço de saúde no Canadá: um estudo de caso [Environmental risk and waste management in a university hospital in Canada: A case study]. Thesis, Universidade de São Paulo, Ribeirão Preto.
41.
TudorTLTownendWKCheesemanCRet al. (2009) An overview of arisings and large-scale treatment technologies for healthcare waste in the United Kingdom. Waste Management & Research27: 374–383.
42.
TudorTLWoolridgeACBatesMPet al. (2008) Utilizing a ‘systems’ approach to improve the management of waste from healthcare facilities: Best practice case studies from England and Wales. Waste Management & Research26: 233–240.
43.
VaccariMTudorTPerteghellaA (2018) Costs associated with the management of waste from healthcare facilities: An analysis at national and site level. Waste Management & Research36: 39–47.
44.
VieiraCDCarvalhoMARCussiolNAMet al. (2009) Composition analysis of dental solid waste in Brazil. Waste Management29: 1388–1391.
45.
WoolridgeACPhillipsPSDenmanAR (2008) Developing a methodology for the systematic analysis of radioactive healthcare waste generation in an acute hospital in the UK. Resources, Conservation and Recycling52: 1198–1208.
