特集名 | [特集1]透析医療と医療廃棄物 -- その処理の現状と今後の取り組み | |
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題名 | 在宅医療からの医療廃棄物の処理 (3) 在宅透析医療における廃棄物処理の実情 2. CAPD : 地方部 | |
発刊年月 | 2008年 05月 | |
著者 | 吉野 保之 | 三樹会吉野三宅ステーションクリニック |
【 要旨 】 | 2000年に山陰地方の在宅透析患者197名にCAPD廃棄物処理についてのアンケートを行った.島根県では,全域で家庭ゴミとして回収されていた.鳥取県では,家庭ゴミとして回収されていないという回答が45.8 %で医療機関と自治体職員が対応していた.排液パッグ・キット類は可燃ゴミ回収が主であるが,島根県では非可燃ゴミの回収が鳥取県より多かった.排液処理の場所はトイレが76.9 %でもっとも多かった.島根県では溝,畑,川への処理が23.6 %にみられた.廃棄については,「量が多く頻回の排出が大変」「ゴミ袋代金が高い」などの意見があった. 廃棄物処理の対応は地域で異なった.鳥取県では自治体と医療機関が回収しているが,医療機関への回収は患者の負担が大きい.しかし,自治体は回収者の安全を第一としており,関係者は地域社会における医療廃棄物への理解を得るよう一層の努力が必要である. |
Theme | Dialysis Therapy and Medical Waste | |
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Title | Current situation of home care medical waste : CAPD in local region | |
Author | Yasuyuki Yoshino | Yoshino Miyake Station Clinic |
[ Summary ] | 197 residents of the San-in region were asked to participate in a CAPD waste disposal survey. The results indicated that CAPD waste was collected at all districts within Shimane, while 45 % of this waste was not collected in Tottori, with the rest being collected by medical institutions and local officials. Drainage bags and kits are usually collected as flammable garbage, but 23 to 46 % of these items were classified as non-flammable garbage in Shimane. 71 to 83 % of drainage fluid was disposed of in toilets. In Shimane, 23 % was disposed of in ditches, fields or rivers. Comments on waste disposal included complaints about the high volume of waste and the frequency of emissions or discharges, as well as high garbage bag costs. In conclusion, there were diiferent ways of disposing of medical wastes in various communities. In Tottori, medical waste was collected by local officials and medical institutions, but it is hard for patients to take waste to proper locations for disposal. According to local governments, however, the most important consideration is the safety of waste collection workers. Therefore, concerned individuals require greater efforts to encourage them to better understand medical waste. |