Global household infectious waste management strategies: a systematic review

Leila Mohammadinia, Khadijeh Raei, Fathollah Gholami-Borujeni
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Abstract

Infectious waste management is a major environmental and public health challenge worldwide. Household infectious wastes are often mixed with other waste, collected, and disposed of without taking measures to reduce risks. With the emergence of the COVID-19 virus in early December 2019, there have been concerns about the dangers of infectious waste generated in healthcare facilities and homes. Therefore, this review was conducted with the aim of investigating the methods of household infectious waste management in different countries/regions and evaluating the factors affecting the management of household infectious waste. In this study, we conducted a systematic literature search in four electronic databases (PubMed, Web of Science, Scopus, and ProQuest) to answer the research questions. This process was based on the new version of PRISMA guidelines. In total, 52 documents out of 6742 were selected and evaluated. The review of studies based on content analysis led to the emergence of 12 main themes, 36 sub-themes, and 112 codes. The main topics included education and culture, management measures, legal social support, economic support, technology, control and evaluation, waste generation, classification and collection, temporary storage, transportation, processing and recycling, and safe disposal. The factors affecting household infectious waste management identified in this research can serve as a basis for future studies. It is also suitable for providing a comprehensive guide to the management of household infectious waste.

Graphical abstract

Abstract Image

全球家庭感染性废物管理战略:系统回顾
传染性废物管理是全球面临的一项重大环境和公共卫生挑战。家庭感染性废物通常与其他废物混合、收集和处置,而没有采取降低风险的措施。随着 2019 年 12 月初 COVID-19 病毒的出现,人们开始关注医疗机构和家庭中产生的传染性废物的危险性。因此,本综述旨在调查不同国家/地区的家庭感染性废物管理方法,并评估影响家庭感染性废物管理的因素。在本研究中,我们在四个电子数据库(PubMed、Web of Science、Scopus 和 ProQuest)中进行了系统的文献检索,以回答研究问题。这一过程基于新版的 PRISMA 指南。共从 6742 篇文献中筛选出 52 篇进行评估。基于内容分析的研究综述产生了 12 个主题、36 个子主题和 112 个代码。主要专题包括教育和文化、管理措施、法律社会支持、经济支持、技术、控制和评估、废物产生、分类和收集、临时储存、运输、处理和回收以及安全处置。本研究确定的影响家庭感染性废物管理的因素可作为今后研究的基础。它也适合为家庭感染性废物的管理提供全面的指导。
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