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Modelling safe medical waste management in large metropilitan areas: the Moscow experience

Abstract

The increasing level of medical waste generation jeopardizes sanitaryepidemiological and ecological wellbeing of metropilitan areas and urges new aproaches.  The article presents an innovative medical waste management system for the Moscow region, that ensures the safety of staff, patients and the general public.

About the Authors

V. G. Akimkin
I.M. Sechenov First MSMU; Scientific and Research Institute for Epidemiology; Scientific and Research Institute for Disinfectology
Russian Federation

Vasiliy G. Akimkin - Corresponding Member of the Russian Academy of Sciences, Doctor of Medical Science, Professor, Head of Desinfectology Department, I.M. Sechenov First MSMU; Leading Researcher with Scientific and Research Institute for Epidemiology; Deputy Director for Science, Scientific and Research Institute for Disinfectology.

18, Nauchnyi proezd, Moscow, 117246

Tel.: +7 (495) 332-01-50



E. A. Zudinova
Autonomous Noncommercial Organization of Additional Professional Education Training Center TT-EXPERT
Russian Federation

Director, Autonomous Noncommercial Organization of Additional Professional Education Training Center TT-EXPERT.



T. V. Timofeeva
LLC TT-Standart
Russian Federation

Doctor of Medical Science, LLC TT-Standart, Director.



References

1. Akashkina L.V., Akimkin V.G., Balakayeva A.V. et al. The waste management system improvement in Moscow South-Eastern Administrative District (in the framework of 2006–2007 pilot project). ANO of APE TC TT-EXPERT. Moscow; 2012: 79. Eng. – Dep. VINITI 25.05.2012. Number 241 – V2012 (in Russian).

2. Scherbo A.P., Mironenko O.V. Medical waste management. St. Petersburg: MAPS: Company COSTA; 2008: 324 (in Russian).

3. Stetsyura I.S. Nosomial infections prevention Moscow health facilities. Hi+Med. High technologies in medicine. 2014. May; 4. Available at: http://www.himedtech.ru/articles/?SECTION_ID=181&ELEMENT_ID=1705 (accessed March 15, 2016) (in Russian).

4. Rusakov N.V., Akimkin V.G. (eds). Safe medical waste management in the Russian Federation. M.: Science World; 2013: 286 (in Russian).

5. Akimkin V.G., Timofeeva T.V., Mamontova L.S. et al. The trends in medical waste amount and volume in metropolitan areas in the Russian Federation. Disinfection case. 2015; 1: 17–25 (in Russian).

6. Akimkin V.G., Timofeeva T.V., Mamontova L.S., Zudinova E.A. The dynamics of medical waste amount and volume in metropolitan areas in the Russian Federation. Epidemiology and Infectious Diseases. Topical issues. 2014; 5: 4–10 (in Russian).

7. The list of health care organizations. Annex to the Order of the Ministry of Health of the Russian Federation dated August 6, 2013. № 529n (in Russian).

8. Akimkin V.G., Zudinova E.A., Timofeeva T.V. et al. Medical waste generation standards as an important component of the sanitary-hygienic and epidemiological wellbeing in the regions of the Russian Federation. Medical alphabet 23/2014. Epidemiology and Hygiene. 2014; 4: 33–42 (in Russian).

9. Akimkin V.G., Zudinova E.A., Igonina E.P. et al. The standards of medical waste generation and their practical value for the policies of A, B and C class waste amount and volume accounting in the medical facilities in metropolitan areas (the example of Moscow). Epidemiology and vaccinal. 2014; 6 (76): 62–67 (in Russian).

10. The order of the Moscow Government dated 30 may 2006 № 916-RP «About carrying out experiment on implementation of complex of measures on handling of medical waste from medical institutions located on the territory of South-Eastern administrative district of Moscow». Vestnik of Mayor and Government of Moscow. 2006; June 28; 36 (in Russian).

11. The Moscow Government resolution dated 23.12.2008 № 1191-PP «On approval of the city target program on improvement of in hospital dangerous waste management system in the medical institutions of the Health Department of the City of Moscow, 2009–2011». Available at: https://www.mos.ru/documents/index.php?id_4=112313 (accessed August 24, 2016) (in Russian).

12. The Moscow Government resolution dated 04.10.2011, № 461-PP «On approval of the State programme of Moscow for the medium term (2012–2020) «Development of health of the city of Moscow (Capital health)»». Vestnik of Mayor and Government of Moscow. 2011; October 18; 59 (in Russian).

13. Zudinova E.A., Igonina E.P., Timofeeva T.V. et al. Methodological and epidemiological basics of medical waste management system operation, optimal for the metropolitan areas in the Russian Federation (the example of the city of Moscow. Polyclinic. 2014; 6: 48–53 (in Russian).


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ISSN 2218-7332 (Print)
ISSN 2658-3348 (Online)