MANAJEMEN LIMBAH B3 MEDIS DI RUMAH SAKIT RUJUKAN COVID-19 DI YOGYAKARTA SELAMA PANDEMI

Frisca Rahmadina, Rohani Angelia Nababan, Deni Pranowo

Sari


Abstract: The inadequate management of medical waste could have significant repercussions on the environment and public health. This study sought to assess the medical waste management procedures implemented in Yogyakarta's COVID-19 national referral hospitals during the pandemic. This study employed a descriptive research design with a qualitative approach. Data were gathered through interviews, observations, and the analysis of secondary sources. The findings were then juxtaposed with the regulations outlined in the Minister of Environment and Forestry's Regulation Number 56 of 2015 and the Guidelines for Waste Management in Referral Hospitals, Emergency Hospitals, and Health Centers Handling COVID-19 Patients. The research findings revealed that the referral hospitals had experienced a decline in medical waste sorting, storage, and transportation practices. Additionally, the incineration process employed an incinerator with the burner set at 1200°C, a procedure exclusively conducted by Hospital Y. The management of medical waste in these hospitals adhered to the relevant guidelines and regulations.

Keywords: Medical Waste, Infectious Waste, Waste Management, COVID-19


Teks Lengkap:

PDF

Referensi


Abor, P.A. (2013) ‘Managing healthcare waste in Ghana: A comparative study of public and private hospitals’, International Journal of Health Care Quality Assurance, 26(4), pp. 375–386. Available at: https://doi.org/10.1108/09526861311319591.

Amuah, E.E.Y. et al. (2022) ‘Are used face masks handled as infectious waste? Novel pollution driven by the COVID-19 pandemic’, Resources, Conservation and Recycling Advances, 13, p. 200062. Available at: https://doi.org/10.1016/j.rcradv.2021.200062.

Asante, B.O., Yanful, E. and Yaokumah, B.E. (2014) ‘Healthcare Waste Management; its Impact: A Case Study of the Greater Accra Region, Ghana.’, SSRN Electronic Journal, 3(3), pp. 106–112. Available at: https://doi.org/10.2139/ssrn.2410909.

Barua, U. and Hossain, D. (2021) ‘A review of the medical waste management system at Covid-19 situation in Bangladesh’, Journal of Material Cycles and Waste Management, 23(6), pp. 2087–2100. Available at: https://doi.org/10.1007/s10163-021-01291-8.

Das, A.K. et al. (2021) ‘COVID-19 pandemic and healthcare solid waste management strategy – A mini-review’, Science of the Total Environment, 778, p. 146220. Available at: https://doi.org/10.1016/j.scitotenv.2021.146220.

Ekanayake, A. et al. (2023) ‘Environmental challenges of COVID-19 pandemic: resilience and sustainability – A review’, Environmental Research, 216(P2), p. 114496. Available at: https://doi.org/10.1016/j.envres.2022.114496.

Goswami, M. et al. (2021) ‘Challenges and actions to the environmental management of Bio-Medical Waste during COVID-19 pandemic in India’, Heliyon, 7(3), p. e06313. Available at: https://doi.org/10.1016/j.heliyon.2021.e06313.

Haji, J.Y. et al. (2020) ‘The state of personal protective equipment practice in indian intensive care units amidst covid-19 pandemic: A nationwide survey’, Indian Journal of Critical Care Medicine, 24(9), pp. 809–816. Available at: https://doi.org/10.5005/jp-journals-10071-23550.

Haque, M.S. et al. (2021) ‘SARS-CoV-2 pandemic-induced PPE and single-use plastic waste generation scenario’, Waste Management and Research, 39(1_suppl), pp. 3–17. Available at: https://doi.org/10.1177/0734242X20980828.

Ismail, I.M.I. et al. (2022) ‘Temperature, humidity and outdoor air quality indicators influence COVID-19 spread rate and mortality in major cities of Saudi Arabia’, Environmental Research, 204(PB), p. 112071. Available at: https://doi.org/10.1016/j.envres.2021.112071.

Kemenkes (2017) Peraturan Menteri Kesehatan Republik Indonesia Nomor 27 Tahun 2017 Tentang Pedoman Pencegahan Dan Pengendalian Infeksi Di Fasilitas Pelayanan Kesehatan, Kementerian Kesehatan Republik Indonesia. Jakarta: Kementerian Kesehatan Republik Indonesia. Available at: http://hukor.kemkes.go.id/uploads/produk_hukum/PMK_No._27_ttg_Pedoman_Pencegahan_dan_Pengendalian_Infeksi_di_FASYANKES_.pdf.

Kemenkes (2020) Pedoman Pengelolaan Limbah Rumah Sakit Rujukan, Rumah Sakit Darurat, dan Puskesmas yang Menangani Pasien COVID-19. Jakarta: Kementerian Kesehatan Republik Indonesia. Available at: https://kesmas.kemkes.go.id/assets/upload/dir_519d41d8cd98f00/files/Pedoman-Pengelolaan-Limbah-Fasyankes-Covid-19_1571.pdf.

KLHK (2018) Peta Jalan (Roadmap) Pengelolaan Limbah B3 dari Fasilitas Pelayanan Kesehatan (Fasyankes), KemenLHK. Jakarta: Kementerian Lingkungan Hidup dan Kehutanan. Available at: https://www.persi.or.id/images/2017/manjang/roadmap_pengelolaan-lb3.pdf.

KLHK (2021) Limbah Medis Indonesia Masa Pandemi COVID-19, Kementerian Lingkungan Hidup dan Kehutanan. Available at: http://ppid.menlhk.go.id/berita/siaran-pers/6073/Limbah-Medis-Indonesia-Masa-Pandemi-COVID-19.

Kumar, A. and Samadder, S.R. (2017) ‘A review on technological options of waste to energy for effective management of municipal solid waste’, Waste Management, 69, pp. 407–422. Available at: https://doi.org/10.1016/j.wasman.2017.08.046.

Lan, D.Y. et al. (2022) ‘Repercussions of clinical waste co-incineration in municipal solid waste incinerator during COVID-19 pandemic’, Journal of Hazardous Materials, 423(PB), p. 127144. Available at: https://doi.org/10.1016/j.jhazmat.2021.127144.

Lemma, H. et al. (2022) ‘Infectious medical waste management during the COVID-19 pandemic in public hospitals of West Guji zone, southern Ethiopia’, Clinical Epidemiology and Global Health, 15(March), p. 101037. Available at: https://doi.org/10.1016/j.cegh.2022.101037.

Lescanne, E. et al. (2020) ‘Best practice recommendations: ENT consultations during the COVID-19 pandemic’, European Annals of Otorhinolaryngology, Head and Neck Diseases, 137(4), pp. 303–308. Available at: https://doi.org/10.1016/j.anorl.2020.05.007.

Maalouf, A. and Maalouf, H. (2021) ‘Impact of COVID-19 pandemic on medical waste management in Lebanon’, Waste Management and Research, 39(1_suppl), pp. 45–55. Available at: https://doi.org/10.1177/0734242X211003970.

Mahmoudnia, A. et al. (2022) ‘Increased personal protective equipment consumption during the COVID-19 pandemic: An emerging concern on the urban waste management and strategies to reduce the environmental impact’, Journal of Hazardous Materials Advances, 7(May), p. 100109. Available at: https://doi.org/10.1016/j.hazadv.2022.100109.

do Nascimento Beckert, A. and Barros, V.G. (2022) ‘Waste management, COVID-19 and occupational safety and health: Challenges, insights and evidence’, Science of the Total Environment, 831, p. 154862. Available at: https://doi.org/10.1016/j.scitotenv.2022.154862.

Nottmeyer, L. et al. (2023) ‘The association of COVID-19 incidence with temperature, humidity, and UV radiation – A global multi-city analysis’, Science of the Total Environment, 854(April 2022). Available at: https://doi.org/10.1016/j.scitotenv.2022.158636.

Oke, I.A. (2008) ‘Management of immunization solid wastes in Kano State, Nigeria’, Waste Management, 28(12), pp. 2512–2521. Available at: https://doi.org/10.1016/j.wasman.2007.11.008.

Pemda DIY (2021) Data Terkait COVID-19 di D.I. Yogyakarta, Pemerintah Provinsi Daerah Istimewa Yogyakarta. Available at: https://corona.jogjaprov.go.id/data-statistik (Accessed: 15 November 2021).

Peng, J. et al. (2020) ‘Medical waste management practice during the 2019-2020 novel coronavirus pandemic: Experience in a general hospital’, American Journal of Infection Control, 48(8), pp. 918–921. Available at: https://doi.org/10.1016/j.ajic.2020.05.035.

Rajagukguk, J.R. (2020) ‘B3-Medical waste management Fas Yankes Bogor district health office in 2018’, IOP Conference Series: Materials Science and Engineering, 725(1), pp. 1–18. Available at: https://doi.org/10.1088/1757-899X/725/1/012083.

Ronca, S.E. et al. (2021) ‘SARS-CoV-2 Viability on 16 Common Indoor Surface Finish Materials’, Health Environments Research and Design Journal, 14(3), pp. 49–64. Available at: https://doi.org/10.1177/1937586721991535.

Sarmento, P. et al. (2022) ‘Impact of COVID-19 lockdown measures on waste production behavior in Lisbon’, Waste Management, 138(December 2021), pp. 189–198. Available at: https://doi.org/10.1016/j.wasman.2021.12.002.

Shammi, M., Behal, A. and Tareq, S.M. (2021) ‘The Escalating Biomedical Waste Management to Control the Environmental Transmission of COVID-19 Pandemic: A Perspective from Two South Asian Countries’, Environmental Science and Technology, 55(7), pp. 4087–4093. Available at: https://doi.org/10.1021/acs.est.0c05117.

Thind, P.S. et al. (2021) ‘Compromising situation of India’s bio-medical waste incineration units during pandemic outbreak of COVID-19: Associated environmental-health impacts and mitigation measures’, Environmental Pollution, 276, p. 116621. Available at: https://doi.org/10.1016/j.envpol.2021.116621.

UNEP (2020) ‘Practical Guideline For The Handling, Storage And Disposal Of Covid-19 Infected Wastes, Including Personnel Protective Equipment’, United Nations Environment Programme [Preprint]. Available at: https://doi.org/10.1056/nejmc2004973.

Wardani, R.A. and Azizah, R. (2020) ‘Management of Solid Medical Waste on One of the Covid19 Referral Hospitals in Surabaya, East Java’, Jurnal Kesehatan Lingkungan, 12(1si), p. 38. Available at: https://doi.org/10.20473/jkl.v12i1si.2020.38-44.

Wei, W. et al. (2020) ‘Radiotherapy workflow and protection procedures during the Coronavirus Disease 2019 (COVID-19) outbreak: Experience of the Hubei Cancer Hospital in Wuhan, China’, Radiotherapy and Oncology, 148, pp. 203–210. Available at: https://doi.org/10.1016/j.radonc.2020.03.029.

Wei, Y. et al. (2022) ‘A narrative review on the role of temperature and humidity in COVID-19: Transmission, persistence, and epidemiological evidence’, Eco-Environment and Health, 1(2), pp. 73–85. Available at: https://doi.org/10.1016/j.eehl.2022.04.006.

WHO (1999) Safe management of wastes from healthcare activities. Geneva: World Health Organization. Available at: https://apps.who.int/iris/bitstream/handle/10665/85349/9789241548564_eng.pdf;jsessionid=F71EB36144209A7A420E60348ACF112C?sequence=1.

WHO (2020) ‘Water, sanitation, hygiene, and waste management for SARS-CoV-2, the virus that causes COVID-19’, Interim guidance, (29 July), pp. 1–11. Available at: https://www.who.int/publications/i/item/water-sanitation-hygiene-and-waste-management-for-the-covid-19-virus-interim-guidance.

Windfeld, E.S. and Brooks, M.S.L. (2015) ‘Medical waste management - A review’, Journal of Environmental Management, 163, pp. 98–108. Available at: https://doi.org/10.1016/j.jenvman.2015.08.013.

Yu, H. et al. (2020) ‘Reverse Logistics Network Design for Effective Management of Medical Waste in Epidemic Outbreak: Insights from the Coronavirus Disease 2019 (COVID-19) in Wuhan’, SSRN Electronic Journal, 17. Available at: https://doi.org/10.2139/ssrn.3538063.

Zand, A.D., Heir, A.V. and Khodaei, H. (2022) ‘A survey of Knowledge, attitudes, and practices of Tehran residents regarding solid waste management in the COVID-19 era’, Journal of Hazardous Materials Advances, 8(15), p. 100203. Available at: https://doi.org/10.1016/j.hazadv.2022.100203.




DOI: https://doi.org/10.33559/eoj.v7i1.2758

Refbacks

  • Saat ini tidak ada refbacks.


Jumlah Kunjungan

Negara Pengunjung

Flag Counter

Lisensi Creative Commons
Ciptaan disebarluaskan di bawah Lisensi Creative Commons Atribusi 4.0 Internasional.