Current status of management of medical waste in medical institutions of Chongqing

ABSTRACT

OBJECTIVE: To understand the status of generation and management of medical waste in medical institutions of Chongqing. METHODS: By means of onsite investigation and questionnaire survey, the generation categories and current status of management of medical waste in 50 medical institutions were investigated from Oct 2021 to Apr 2022 the existing limitations and prominent problems in the whole-process management of medical waste were identified so as to enable the safe disposal of medical waste based on laws and regulations. RESULTS: The average pollutants generation coefficient of medical waste was 0.22-0.72 kg/bed.day among all the grades of hospitals, the average pollutant generation coefficient of medical waste was 0.28-2.30 kg/10 people among grass-root medical institutions. The management of medical waste was more standardized in tertiary hospitals. There were a variety of problems in management of medical waste in clinics and village clinics, such as nonstandard classification of medical waste, unreasonable site selection for temporary storage of medical waste, unsatisfactory transportation means and untimely collection and transportation of medical waste. The problems of chemical, pharmaceutical and pathological medical waste were more prominent. The costs of disposal of medical waste were not strictly implemented in accordance with standards. The packaging, storage, loading, handover and disinfection of COVID-19 medical waste have been carried out in accordance with regulations. CONCLUSION: It is necessary to further standardize the management of medical waste, explore and formulate the collection and transportation modes of medical waste in primary medical institutions, intensify the supervision of classification, collection, storage, transportation and disposal of medical waste, optimize and upgrade the medical waste management information system, and encourage subsidies for the disposal of medical waste in Chongqing medical waste disposal enterprises during the COVID-19 period.