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Critical review of medical waste legislation in Spain

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  • Insa, E.
  • Zamorano, M.
  • López, R.

Abstract

Medical waste is potentially dangerous since it may contain pathogenic agents. As a result, medical waste management requires that institutions take decisions, and implement a wide range of measures in order to reduce health risks. In this respect, many European countries have enacted legislation and good practice guidelines to define, classify, and treat medical waste. In reference to Spain, even though no specific national law has as yet been passed to regulate medical waste management, 13 of its regional governments have adopted regulations concerning medical waste management to guarantee health and environment protection. This paper presents the results of a study of the regional legislation in Spain. In our research, certain differences were detected regarding the criteria used for sorting, collection, storage, transport, treatment, and disposal practices. It was found that these differences in waste management criteria could have health implications as well as environmental and economic consequences, both inside and outside healthcare installations. The paper also proposes a set of general criteria upon which medical waste management should be based. Effective medical waste management should include the following: (i) a clear definition of medical waste and of the scope of legislation concerning it; (ii) basic principles to promote the reduction of the amount of waste generated at a source; (iii) a homogeneous classification of this waste; (iv) the implementation of environment-friendly waste treatment technologies.

Suggested Citation

  • Insa, E. & Zamorano, M. & López, R., 2010. "Critical review of medical waste legislation in Spain," Resources, Conservation & Recycling, Elsevier, vol. 54(12), pages 1048-1059.
  • Handle: RePEc:eee:recore:v:54:y:2010:i:12:p:1048-1059
    DOI: 10.1016/j.resconrec.2010.06.005
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    References listed on IDEAS

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    1. Tudor, T.L. & Barr, S.W. & Gilg, A.W., 2007. "Linking intended behaviour and actions: A case study of healthcare waste management in the Cornwall NHS," Resources, Conservation & Recycling, Elsevier, vol. 51(1), pages 1-23.
    2. Woolridge, Anne C. & Phillips, Paul S. & Denman, Anthony R., 2008. "Developing a methodology for the systematic analysis of radioactive healthcare waste generation in an acute hospital in the UK," Resources, Conservation & Recycling, Elsevier, vol. 52(10), pages 1198-1208.
    3. Popescu, S. & Misawa, T. & Ohtsu, Y. & Fujita, H. & Sanematsu, S., 2008. "New microwave reactor for paper-based waste neutralization," Resources, Conservation & Recycling, Elsevier, vol. 52(4), pages 671-677.
    4. Tudor, Terry L., 2007. "Towards the development of a standardised measurement unit for healthcare waste generation," Resources, Conservation & Recycling, Elsevier, vol. 50(3), pages 319-333.
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    Cited by:

    1. Çelik, Sefa & Peker, İskender & Gök-Kısa, A. Cansu & Büyüközkan, Gülçin, 2023. "Multi-criteria evaluation of medical waste management process under intuitionistic fuzzy environment: A case study on hospitals in Turkey," Socio-Economic Planning Sciences, Elsevier, vol. 86(C).
    2. Bujak, Janusz Wojciech, 2015. "Production of waste energy and heat in hospital facilities," Energy, Elsevier, vol. 91(C), pages 350-362.
    3. Georgios Giakoumakis & Dorothea Politi & Dimitrios Sidiras, 2021. "Medical Waste Treatment Technologies for Energy, Fuels, and Materials Production: A Review," Energies, MDPI, vol. 14(23), pages 1-30, December.
    4. Xuan Luo & Wenzhu Liao, 2022. "Collaborative Reverse Logistics Network for Infectious Medical Waste Management during the COVID-19 Outbreak," IJERPH, MDPI, vol. 19(15), pages 1-28, August.

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