The Phenomenon of Medical Waste Recycling in Indonesia: Contact Time and Chlorine Dose as a Disinfectant with the Bio-Indicator Bacillus subtilis and Bacillus stearothermophilus

• Autorzy: Fikri Elanda , Kurniati Iis , Wartiniyati , Prijanto Teguh Budi , Pujiono , Syarief Osman , Khair Amar Sharaf Eldin

Identyfikatory

DOI

10.12911/22998993/133965

• Języki publikacji: EN

Abstrakty

EN

Efforts that have been done to manage the Hazardous and Toxic waste into non-Hazardous and Toxic waste are done by emptying, shredding, washing, and rinsing at least 3 times and disinfecting using chlorine. This is in accordance with the Indonesian Regulation of Ministry of Health No. 27 of 2017, which has stated that surface cleaning is permitted to use 0.05% chlorine during the process. Furthermore, in the Indonesian Regulation of the Ministry of Environment and Forestry No.56 of 2015, the chemical disinfection process is permitted to use an additional 3–6% sodium hypochlorite (NaOCl). However, there are still differences in dosage and it has not been mentioned regarding the immersion period during the disinfection process on both of the regulations. The purpose of this study was to determine the difference in contact time and the dose of chlorine as a disinfectant on the number of Bacillus subtilis and Bacillus stearothermophilus in the medical waste recycling process. The research design used in this study was a Randomized Factorial Design with experimental research type. A total of 104 recyclable medical waste samples were taken, using 3 treatments and 6 repetitions. The average temperature of the chlorine solution at the contact time of 15 minutes, 30 minutes, and 45 minutes was 24.34 °C; 24,53 °C; and 24,54 °C respectively, while the average pH of the chlorine solution at the contact time of 15 minutes, 30 minutes, and 45 minutes was 8.344; 8,375; and 8,461 respectively. The results showed that there was no difference in the duration of contact and the dose of chlorine as a disinfectant in the medical waste recycling process with a p-value of 0.377. The percentage reduction in the number of Bacillus subtilis and Bacillus stearothermophilus before and after treatment was 99.99% based on 4 positive controls. The findings in this study were the duration of contact time and the effective dose used in the recycling process of medical waste, which was at a dosage of 0.03% with 45 minutes of contact time. The government needs to conduct a re-assessment regarding the recommended ideal dosage in the surface disinfection process so that it would not cause a potential risk to humans or the environment.

Słowa kluczowe

EN

recycling; medical waste; dosage; duration of contact; chlorine; disinfection

• Wydawca: Polskie Towarzystwo Inżynierii Ekologicznej ; Lublin University of Technology
• Czasopismo: Journal of Ecological Engineering
• Rocznik: 2021
• Tom: Vol. 22, nr 4
• Strony: 47--58
• Opis fizyczny: Bibliogr. 36 poz., rys., tab.

Twórcy

autor

Fikri Elanda

• Doctorate Program of Environmental Studies, Diponegoro University, Semarang, Indonesia
• Department of Environmental Health, Bandung Health Polytechnic, North Cimahi, Indonesia

• https://orcid.org/0000-0001-7196-6011

autor

Kurniati Iis

• Medical Laboratory Technology, Bandung Health Polytechnic, Bandung

autor

Wartiniyati

• Health Polytechnic of Jakarta II, Jakarta

autor

Prijanto Teguh Budi

• Department of Environmental Health, Bandung Health Polytechnic, North Cimahi, Indonesia

autor

Pujiono

• Department of Environmental Health, Bandung Health Polytechnic, North Cimahi, Indonesia

autor

Syarief Osman

• Department of Health Nutrition, Bandung Health Polytechnic, North Cimahi, Indonesia

autor

Khair Amar Sharaf Eldin

• Omdurman Islamic University, Geography Department, Omdurman City, Sudan

Bibliografia

• 1. Adisasmito, W. 2009. Hospital environmental management system. Raja Grafindo Persada, Jakarta.
• 2. Akter, N., Trankler, J. 2003. An analysis of possible scenarios of medical waste management in Bangladesh. Management of environment quality. An International Journal, 14(2), 242–255.
• 3. Akum, F. A. 2014. An assessment of medical waste management in bawku presbyterian hospital of the upper East Region of Ghana. Merit Research Journal of Environmental Science and Toxicology, 2(2), 27–38.
• 4. Al-Khatib, I. A. 2013. Problems of management of medical solid waste at primary health care centres in the Palestinian Territory and their remedial measures. Eastern Mediterranean Health Journal, 19(3), 152-158.
• 5. Ali, M., Wenping W., Nawaz C., Yong G. 2017. Hospital waste management in developing countries: A mini review. Waste Management and Research, 35(6), 581–592.
• 6. Almuneef, M., Memish, Z. A. 2003. Effective medical waste management: It can be done. American Journal of Infection Control, 31(3), 188–192.
• 7. Anam, H. 2004. The effect of water storage time against residual chlorine in water distribution at PDAM Giri Menang Mataram. Ph.D. Thesis, Polekkes Kemenkes Mataram.
• 8. Arikunto, S. 2010. Research procedure: a practical approach. Rineke Cipta, Jakarta.
• 9. Aziz, T., Dwi Y.P., Lola R. 2013. The effect of the addition of alum Al2(SO4)3 and chlorine Ca(OCl)2 on the physical and chemical characteristics of Lambidaro River water. Jurnal Teknik Kimia, 3(19), 55-65.
• 10. Bokhoree, C., Y. Beeharry., T. Makoondlall-Chadee, T. Doobah., N. Soomary. 2014. Assessment of environmental and health risks associated with the management of medical waste in mauritius. Procedia Social and Behavioral Sciences. 9, 36–41.
• 11. Budiyono., Sumardiono. 2013). Water treatment engineering. Graha Ilmu, Yogyakarta.
• 12. Busyairi, M., Dewi, Y.P., Widodo, D.I. 2016. Effectiveness of chlorine in chlorination process on decreasing coliform bacteria from wastewater at X Hospital Samarinda. Journal of Humans and the Environment. 23 (2), 156-162.
• 13. Chartier, Y., Jorge E., Ute P., Annette P., Philip., Ruth S., William T., Susan W., Raki Z. 2014. Safe management of wastes from health-care activities. WHO, Geneva.
• 14. Cheng, Y. W., Li, K., Sung F. C. 2010. Medical waste generation in selected clinical facilities in Taiwan. Waste Management. 30(8), 1690–1695.
• 15. Emilia, A. U., Julius, N. F., Gabriel, G. 2015. Solid medical waste management in Africa. African Journal of Environmental Science and Technology, 9(3), 244–254.
• 16. Gunawan, H. 2019. Implementation of hazardous waste management from health service facilities (seminar and workshop on medical hazardous waste management). Environmental office of Banten province, Indonesia.
• 17. Gupta, S., Boojh, R. 2006. Report: Biomedical waste management practices at Balrampur Hospital, Lucknow, India. Waste Management and Research, 24(6), 584–591.
• 18. Handayani, K., Sugeng A. 2015. Measurement of residual chlorine levels before and after swimming pool water use at Water Park Surya Yudha, Banjarnegara Regency. Keslingmas 35(1), 57-59.
• 19. Hamid, A. et al. 2013. Striving for scientific management of medical waste. International Journal of Development and Sustainability. 2(3), 1858– 1866.
• 20. Joko. T. 2010. Drinking Water Supply System Production Unit. Graha Ilmu, Yogyakarta.
• 21. Manga, V. E., Osric T.F., Linus A.M., Ryan W. 2011. Health care waste management in Cameroon : A case study from the Southwestern Region. Resources, Conservation and Recycling, 57, 108–116.
• 22. Mantzaras, G., Voudrias, E. A. 2017. An optimization model for collection, haul, transfer, treatment and disposal of infectious medical waste: Application to a Greek region. Waste Management. 69, 518–534.
• 23. MenKLHK RI. 2015. Regulation of the Minister of Environment and Forestry of the Republic of Indonesia No P.56 / MENLHK-Setjen / 2015 concerning Procedures and Technical Requirements for Management of Hazardous and Toxic Waste from Health Facilities.
• 24. Notoatmodjo, S. 2014. Health Methodology. Rineka Cipta, Jakarta.
• 25. Ojuolape, O. T., Afon, A. O. 2016. Solid waste characterization in private health institutions : empirica; evidence from ibadan metropolis. Management Research and Practice, 8(1), 50–60.
• 26. Omar, D., Nurshahida, S., Karuppannan, S.A.L. 2012. Clinical waste management in District Hospitals of Tumpat , Batu Pahat and Taiping. Procedia Social and Behavioral Sciences. 68, 134–145.
• 27. Republic of Indonesia Government Regulation No. 101 of 2014. Concerning Management of Hazardous and Toxic Waste.
• 28. Regulation of the Minister of Environment of the Republic of Indonesia No. 14 of 2013 concerning Symbols and Labels of Hazardous and Toxic Waste Materials.
• 29. Riyanto. 2013. Hazardous and Toxic Waste. Deepublish, Yogyakarta.
• 30. Rohim, M. 2006. Analysis of implementation simple chlorination method to bacteriological quality of PMA Water. Experimental study in Boawae Flores NTT Region. Ph.D. Thesis, Diponegoro University, Semarang.
• 31. Sabri, L., Hastono, S. P. 2014. Health Statistics. PT Raja Grafindo Perkasa, Jakarta.
• 32. Sari, D.R. 2018. Factors related to the presence of residual chlorine in the cileng water supply distribution network of PDAM Lawu Tirta Magetan. Ph.D. Thesis, Stikes Bhakti Husada, Madiun.
• 33. Sinta S.S. 2020. Hazardous waste handling (COVID-19), capacity analysis and alternative solutions, Bappenas Webinar and the ITB Environmental Engineering Alumni Association 28 April 2020. Ministry of Environment and Forestry, Jakarta.
• 34. Sugiyono. 2010. Quantitative research methods, qualitative, and R & D. Alfabeta, Bandung.
• 35. Sumampouw, O.J. 2015. Dictate of environmental pollution. Researchgate, Manado.
• 36. Wulandari, P., Kusnoputranto, H. 2015. Medical waste management and minimization efforts at public hospital. case study: public hospital in East Jakarta, Indonesia. Jurnal Kesehatan Masyarakat (Journal of Public Health), 9(2), 77–84.

Uwagi

Opracowanie rekordu ze środków MNiSW, umowa Nr 461252 w ramach programu "Społeczna odpowiedzialność nauki" - moduł: Popularyzacja nauki i promocja sportu (2021).