PROBLEM ISSUES DURING HANDLING OF MEDICAL WASTE IN UKRAINE

Authors

  • D. M. Brezytska National University of Ostroh Academy, Ostroh, Ukraine
  • I. V. Guschuk National University of Ostroh Academy, Ostroh, Ukraine

DOI:

https://doi.org/10.11603/1681-2786.2019.3.10591

Keywords:

medical waste, environment, health, risks, strategy

Abstract

Рurpose: analysis of the problems that arise in the treatment of medical waste and identification of basic hygiene approaches with safe handling.

Materials and Methods. In the research process, the following methods were used: descriptive, medical-statistical, bibliographic, epidemiological, sanitary-hygienic.

Results and Discussion. The analysis of the problems arising in the handling of medical waste (MW) is carried out and the basic hygienic approaches for their safe handling are identified. At present, in our country there is no perfect legislative base in resolving this issue. Medical waste has a different degree of epidemiological and environmental safety, depending on its composition and degree of contamination with biological, chemical and radioactive agents. Wastes and by-products of their decomposition cause and harm not only the environment, but also the life and health of the population. The main risks were identified when handling waste from medical institutions: infectious, chemical, radiation, as well as the risks associated with waste disposal. At the moment, the only way to overcome these problems is to implement the National Strategy for Waste Management in Ukraine until 2030. "This is the first strategic document at the state level that defines the policy for managing all types of waste until 2030. The strategy defines the main directions of state regulation in the field of waste management in the coming decade, taking into account European approaches to waste management, based on the provisions of the EU Directive.

Conclusions. The main tasks that currently arise in the management of the MW to create the basis for the implementation of proven methods and technologies for medical waste management with their subsequent disposal, to improve waste management standards in order to reduce environmental pollution. Implementation and compliance with these requirements will not only solve the problem of handling MW, but will also contribute to improving the environmental situation in the country.

Author Biographies

D. M. Brezytska, National University of Ostroh Academy, Ostroh, Ukraine

Brezytska Danusia - SI «O.M. Marzieiev Institute for Public Health, National Academy of Medical Sciences of Ukraine», Kyiv, Ukraine, postgraduate, National University of Ostroh Academy, Head of Public Health Department, teacher, doctor, Ostroh, Ukraine

I. V. Guschuk, National University of Ostroh Academy, Ostroh, Ukraine

Igor GUSCHUK (Ihor Hushchuk) - National University of Ostroh Academy Head of Public Health Department/ Associate Professor, PhD (Medicine)

References

(1989). Bazelska konventsiia pro kontrol za transkordonnym perevezenniam nebezpechnykh vidkhodiv ta yikh vydalennia [Basel Convention on the Control of Transboundary Movements of Hazardous Wastes and their Disposal]. Retrieved from: https://zakon.rada.gov.ua/laws/show/995_022 [in Ukrainian].

Hushchuk, I.V. (2016). Pravove rehuliuvannia ta formuvannia stratehii upravlinnia medychnymy vidkhodamy [Legal regulation and formation of strategy of management of medical waste]. Zbirka materialiv Natsionalnoho forumu "Povodzhennia z vidkhodamy v Ukraini: zakonodavstvo, ekonomika, tekhnolohii" – Collection of Materials of the National Forum on Waste Management in Ukraine: Legislation, Economics, Technologies. (pp. 20-22). Kyiv [in Ukrainian].

(2015). Derzhavni sanitarno-protyepidemichni pravyla i normy shchodo povodzhennia z medychnymy vidkhodamy. Nakaz MOZ Ukrainy vid 08.06.2015r. №325 [State sanitary – anti-epidemic rules and norms concerning medical waste management. Order of the Ministry of Health of Ukraine from 08.06.2015 No. 325]. [in Ukrainian].

(1999). Dyrektyvy Rady № 1999/31/YES vid 26 kvitnia 1999 r. "Pro zakhoronennia vidkhodiv" iz zminamy i dopovnennia­my, vnesenymy Rehlamentom (YES) 1882/2003. [Council Directive 1999/31 / EC of 26 April 1999 on the disposal of waste, as amended by Regulation (EC) 1882/2003]. [in Ukrainian].

(2016). Natsionalna stratehiia povodzhennia z vidkhodamy dlia Ukrainy, Consortium Resources and Waste Advisory Group Limited (Konsultatyvna hrupa konsortsiumu z vykorystannia resursiv ta utylizatsii vidkhodiv) [National Waste Management Strategy for Ukraine, Consortium Resources and Waste Advisory Group Limited]. Velykobrytaniia y COWI A/S, – UK and COWI A/S Denmark, Kyiv, (pp. 28-29, 60-62). Retrieved from: https://eco.kiev.ua/assets/files/Osnovna-chastina.pdf

(2008). Ramkova Dyrektyva № 2008/98/YES Yevropeiskoho parlamentu ta Rady vid 19 lystopada 2008r. "Pro vidkhody ta skasuvannia okremykh Dyrektyv" [Framework Directive 2008/98 / EC of the European Parliament and of the Council of 19 November 2008. "On waste and repeal of individual Directives"]. [in Ukrainian].

(2017). Rozporiadzhennia Kabinetu Ministriv Ukrainy "Pro skhvalennia Natsionalnoi stratehii upravlinnia vidkhodamy v Ukraini do 2030 roku" vid 8 lystopada 2017 r. № 820-r. [The Decree of the Cabinet of Ministers of Ukraine "On approval of the National Waste Management Strategy in Ukraine until 2030" of November 8, 2017 No. 820-p.]. Retrieved from: https://zakon.rada.gov.ua/laws/show/820- [in Ukrainian].

Aydyn, Salmanov (2015). Medychni vidkhody: rekomendatsii VOOZ [Medical Waste: WHO Recommendations]. Zhurnal holovnoi medychnoi sestry – Chief Nurse Jornal, 4, 16-18 [in Ukrainian].

Downloads

Published

2019-11-15

How to Cite

Brezytska, D. M. ., & Guschuk, I. V. (2019). PROBLEM ISSUES DURING HANDLING OF MEDICAL WASTE IN UKRAINE. Bulletin of Social Hygiene and Health Protection Organization of Ukraine, (3), 44–50. https://doi.org/10.11603/1681-2786.2019.3.10591

Issue

No. 3 (2019)

Section

Organization of medical care

License

Authors who publish in this journal agree to the following terms:

1. The authors reserve the right to authorship of the work and pass the journal right of first publication of this work is licensed under a Creative Commons Attribution License, which allows others to freely distribute the work published with reference to the authors of the original work and the first publication of this magazine.

 2. Authors are entitled to enter into a separate agreement on additional non-exclusive distribution of work in the form in which it was published in the magazine (eg work place in the electronic repository institution or publish monographs in part), provided that the reference to the first publication of this magazine.

3. Policy magazine allows and encourages authors placement on the Internet (eg, in storage facilities or on personal websites) manuscript of how to submit the manuscript to the editor and during his editorial processing, since it contributes to productive scientific discussion and positive impact on the efficiency and dynamics of citing published work (see. The Effect of Open Access).