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新冠疫情产生的医疗废物——澳大利亚管理与环境影响的系统综述

Medical Waste from COVID-19 Pandemic-A Systematic Review of Management and Environmental Impacts in Australia.

作者信息

Andeobu Lynda, Wibowo Santoso, Grandhi Srimannarayana

机构信息

School of Engineering and Technology, Central Queensland University, Melbourne 3000, Australia.

出版信息

Int J Environ Res Public Health. 2022 Jan 26;19(3):1381. doi: 10.3390/ijerph19031381.

Abstract

The coronavirus (COVID-19) pandemic has created a global medical emergency. The unforeseen occurrence of a pandemic of this magnitude has resulted in overwhelming levels of medical waste and raises questions about management and disposal practices, and environmental impacts. The amount of medical waste generated from COVID-19 since the outbreak is estimated to be 2.6 million tons/day worldwide. In Australia, heaps of single-use gowns, facemasks/face shields, aprons, gloves, goggles, sanitizers, sharps, and syringes are disposed everyday as a result of the pandemic. Moreover, the establishment of new home/hotel quarantine facilities and isolation/quarantine centres in various Australian states and territories have increased the risks of transmission among people in these facilities and the likelihoods of general waste becoming contaminated with medical waste. This warrants the need to examine management and disposal practices implemented to reduce the transmission and spread of the virus. This study reviews the various management and disposal practices adopted in Australia for dealing with medical waste from the COVID-19 pandemic and their impacts on public health and the environment. To achieve the aims of this study, prior studies from 2019-2021 from various databases are collected and analysed. The study focuses on generation of medical waste from COVID-19, management and disposal methods, current problems/challenges and environmental and public health impacts. Considering the enormous risks involved and the significance of appropriate handling and disposal of medical waste from COVID-19, this study provides insights on short and long term responses towards managing COVID-19 waste in Australia. The study contributes to Australia's efforts against the transmission and spread of COVID-19 and provides recommendations for the development of workable and sustainable strategies for mitigating similar pandemics in the future.

摘要

冠状病毒(COVID-19)大流行已造成全球医疗紧急情况。如此规模的大流行的意外发生导致了大量医疗废物的产生,并引发了有关管理和处置做法以及环境影响的问题。自疫情爆发以来,全球范围内因COVID-19产生的医疗废物估计为每天260万吨。在澳大利亚,由于疫情,每天都有大量一次性防护服、口罩/面罩、围裙、手套、护目镜、消毒剂、锐器和注射器被处置。此外,澳大利亚各洲和领地新建的家庭/酒店隔离设施以及隔离/检疫中心增加了这些设施内人员之间传播病毒的风险,以及普通废物被医疗废物污染的可能性。这就有必要审视为减少病毒传播和扩散而实施的管理和处置做法。本研究回顾了澳大利亚为应对COVID-19大流行产生的医疗废物所采取的各种管理和处置做法及其对公众健康和环境的影响。为实现本研究的目标,收集并分析了2019 - 2021年来自各种数据库的先前研究。该研究聚焦于COVID-19医疗废物的产生、管理和处置方法、当前问题/挑战以及对环境和公众健康的影响。鉴于其中涉及的巨大风险以及妥善处理和处置COVID-19医疗废物的重要性,本研究提供了关于澳大利亚管理COVID-19废物的短期和长期应对措施的见解。该研究有助于澳大利亚抗击COVID-19的传播和扩散,并为制定可行且可持续的战略以减轻未来类似大流行提供建议。

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