I D A A Warmadewanthi, Welly Herumurti : Management of Medical Waste: On Site Handling and Disposal In Surabaya City (Case Study: Eastern and Western District)
I D A A Warmadewanthi ST, MT, Ph.D
Welly Herumurti S.T., M.Sc.
Based on the regulation of PP RI no 85 Tahun 1999 jo PP RI no 18 Tahun 1999 about Hazardous Waste Management, medical waste must be managed properly. Mostly, the big hospitals have already had an incinerator as a treatment process for their medical waste. However for small hospital, clinic, medical laboratory and others medical facilities, should transport their waste into other facility that has an incinerator. This study was investigated the management of medical waste from medium and small health care activities, such as health center (PUSKESMAS), assists health center (PUSKESMAS PEMBATU), Medical Laboratory and Clinics around Surabaya City. Eastern and Western District were chosen as a location of study, because these areas were denser than other region in Surabaya. Total about 105 questioners were used to investigate the generation, the treatment process and the management of medical waste in each facility. Based on this data, other questioners were distributed to other facility that reused, recovery or treated the medical waste from generator. This method was developed to describe the mapping for transportation, treatment and recycle of medical waste from small and medium medical facility. To analysis the generation and characteristics of waste, the experimental data was taken from 19 medical facilities. The medical of waste was collected and separated to determine the quantity and the characteristic of the waste during operational time in a week. Mostly, the medical waste from each facility, such as PUSKESMAS, Medical Laboratory and Clinics were transported to other facilities that have an incinerator. However, the transportation was not managed well. The transportation was not periodically, only based on the capacity of the container in each medical facility. No labeling and symbols was used in the separation of waste in Medical Laboratory and Clinic. The generation and characteristic of medical waste was depending on the medical facility and amount of patient every day. The biggest hazardous waste composition in health centre, assist health centre, and clinic is infectious waste. The biggest hazardous waste composition in medical laboratories is sharply objects. Mapping area showed that the transportation of waste has a similar pattern and some transportation was crossed of the administration area.