Management of hazardous medical waste in Croatia

Journal Article · Tue Jul 01 04:00:00 EDT 2008 · Waste Management

DOI:https://doi.org/10.1016/j.wasman.2007.01.021· OSTI ID:21153963

Marinkovic, Natalija ^[1]; Vitale, Ksenija; Holcer, Natasa Janev; Dzakula, Aleksandar ^[2]; Pavic, Tomo ^[3]

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1. Medical School University of Zagreb, Department for Chemistry and Biochemistry, Salata 3b, 10 000 Zagreb (Croatia)
2. 'Andrija Stampar' School of Public Health, Medical School University of Zagreb, Rockefellerova 4, 10 000 Zagreb (Croatia)
3. Ministry of Health and Social Welfare, Ksaver 200, 10 000 Zagreb (Croatia)

This article provides a review of hazardous medical waste production and its management in Croatia. Even though Croatian regulations define all steps in the waste management chain, implementation of those steps is one of the country's greatest issues. Improper practice is evident from the point of waste production to final disposal. The biggest producers of hazardous medical waste are hospitals that do not implement existing legislation, due to the lack of education and funds. Information on quantities, type and flow of medical waste are inadequate, as is sanitary control. We propose an integrated approach to medical waste management based on a hierarchical structure from the point of generation to its disposal. Priority is given to the reduction of the amounts and potential for harm. Where this is not possible, management includes reduction by sorting and separating, pretreatment on site, safe transportation, final treatment and sanitary disposal. Preferred methods should be the least harmful for human health and the environment. Integrated medical waste management could greatly reduce quantities and consequently financial strains. Landfilling is the predominant route of disposal in Croatia, although the authors believe that incineration is the most appropriate method. In a country such as Croatia, a number of small incinerators would be the most economical solution.

• OSTI ID: 21153963
• Journal Information: Waste Management, Journal Name: Waste Management Journal Issue: 6 Vol. 28; ISSN WAMAE2; ISSN 0956-053X
• Country of Publication: United States
• Language: English

Related Subjects

12 MANAGEMENT OF RADIOACTIVE AND NON-RADIOACTIVE WASTES FROM NUCLEAR FACILITIES
COMBUSTION
INCINERATORS
POLLUTION REGULATIONS
PUBLIC HEALTH
REVIEWS
WASTE MANAGEMENT
WASTES