an official journal of: published by:
an official journal of: published by:
Editor in Chief: RAFFAELLO COSSU

HOSPITAL WASTE – LEGISLATIVE FRAMEWORK AND MANAGEMENT DIFFERENTIATIONS IN AUSTRIA, BELGIUM, GERMANY AND GREECE

  • Susanne N. Mahnik - Department for Environmental Management and Hazardous Goods Management, VAMED-KMB, Austria
  • Marc Hoffmann - Department of Environmental Protection, University Hospital Jena, Germany
  • Norbert Fraeyman - Faculty of Medicine and Health Sciences, Ghent University, Belgium
  • Dimitrios Komilis - Department of Environmental Engineering, Democritus University of Thrace, Greece

Access restricted to subscribed members only

Released under All rights reserved

Copyright: © 2023 CISA Publisher


Abstract

In this paper, the differences regarding hospital waste management, specifically regarding the legal and technical situation and the definition of hazardous hospital waste in four member states (Austria, Belgium, Germany and Greece) are presented. All countries follow the legal guidelines of the European Union, but the technical situation, especially the possibilities for thermal waste disposal in incineration plants are different. Also, the definition and categories of hazardous medical wastes is different in the aforementioned four EU member states. The annual production amounts of medical waste in selected countries are presented, as well as criteria that lead to their classification as hazardous medical waste.

Keywords


Editorial History

  • Received: 04 May 2023
  • Revised: 06 Dec 2023
  • Accepted: 12 Dec 2023
  • Available online: 31 Dec 2023

References

Abfallwirtschaftsgesetz 2002. https://www.ris.bka.gv.at/GeltendeFassung.wxe?Abfrage=Bundesnormen&Gesetzesnummer=20002086

BRUDALEX 13/1/2017. https://document.environnement.brussels/opac_css/elecfile/IF_Dechets_BRUDALEX_FR

Büchner, F.; Hoffman, M.; Dobermann, H.D.; Edel, B.; Lehmann, Th.; Kipp, F. 2021. Do closed waste containers lead to less air contamination than opened? A clinical case study at Jena University Hospital, Germany. Waste Management 136, 11-17.
DOI 10.1016/j.wasman.2021.09.031

Bundesabfallwirtschaftsplan 2023. https://www.bmk.gv.at/themen/

klima_umwelt/abfall/aws/bundes_awp/bawp2023.html

Code of good practice, 2014 (https://publicaties.vlaanderen.be/view-file/16289)

Datenbank des Statistischen Bundesamtes, 2022. https://www-genesis.destatis.de/genesis/online?operation=previous&levelindex=0&step=0&titel=Statistik+%28Tabellen%29&levelid=1678879796635&acceptscookies=false#abreadcrumb

Decree 23/3/1994. http://www.ejustice.just.fgov.be/cgi_loi/change_lg.pl?language=nl&la=N&cn=2016120133&table_name=wet

Decree 30/6/1994. http://environnement.wallonie.be/legis/legdecw8.htm or http://environnement.wallonie.be/legis/dechets/degen019.htm

Directive 2008/98/EC of the European Parliament and of the Council. https://eur-lex.europa.eu/legal-content/EN/TXT/HTML/?uri=CELEX:32008L0098&rid=9)

European Waste Catalogue 2000/532/EC. https://eur-lex.europa.eu/eli/dec/2000/532/oj

Fraeyman N., Van Braeckel E., Verhasselt B., De Waegemaeker P., Mahnik S., Hoffmann M., Gemmel P., Eeckloo K. and Mortier E., 2022. Solid medical hospital waste in times of corona: increased volume but no increased biohazard risk. Detritus 19, 94-103.
DOI 10.31025/2611-4135/2022.15197

Hellenic Circular 119061/23-12-2013 of the Hellenic Ministry of Health “Management of Hazardous Medical Waste from Healthcare Facilities” (in Greek)

Hellenic Circular 29960/3800/15-6-2012 of the Hellenic Ministry of Environment, Energy and Climate Change “Typical categories of healthcare wastes – Typical methods to manage health care wastes – Clarifications over certain requirements of the HCMD 146153/2012”, (in Greek)

Hellenic Common Ministerial Decision 146163/2012 (Official Government Gazzette 1537 B’ 8-5-2012) “Measures and Terms for the Management of Wastes from healthcare facilities “ (in Greek)

Hellenic Common Ministerial Decision 41848/1848/2017 (Official Government Gazzette 3469 B’ 16-10-2017) “Modification of the ministerial decision 146163/2012 – Measures and Terms for the management of waste from healthcare facilities” (in Greek)

Hellenic Common Ministerial Decision 62952/5384/2016 (Official Government Gazzette 4326 B’ 30-12-2016) “Approval of the National Plan for the Management of Hazardous Waste according to article 31 of Hellenic Law 4342/2015” (in Greek)

LAGA M18, 2021. https://www.laga-online.de/documents/laga-m-18_stand_2021-06-23_1626849905.pdf. or https://www.rki.de/DE/Content/Infekt/Krankenhaushygiene/Kommission/Downloads/LAGA-Rili.pdf

López-Portillo, M. P., Martínez-Jiménez, G., Ropero-Moriones, E., & Saavedra-Serrano, M. C. (2021). Waste treatments in the European Union: A comparative analysis across its member states. Heliyon, 7(12), 11.
DOI 10.1016/j.heliyon.2021.e08645

Mühlich, M., Scherrer, M., & Daschner, F. D. (2003). Comparison of infectious waste management in European hospitals. Journal of Hospital Infection, 55(4), 260-268.
DOI 10.1016/j.jhin.2003.08.017

ÖNORM S2104. Waste from Medical institutions, Austrian Standards International, 2020

Ranjbari, M., Esfandabadi, Z. S., Shevchenko, T., Chassagnon-Haned, N., Peng, W. X., Tabatabaei, M., & Aghbashlo, M. (2022). Mapping healthcare waste management research: Past evolution, current challenges, and future perspectives towards a circular economy transition. Journal of Hazardous Materials, 422, 18.
DOI 10.1016/j.jhazmat.2021.126724

Robert Koch Institut 2017. https://www.rki.de/DE/Content/Infekt/Krankenhaushygiene/Desinfektionsmittel/Desinfektionsmittellist/Desinfektionsmittelliste_node.html

Umweltbundesamt, 2015. https://www.umweltbundesamt.de/en/topics/waste-resources/waste-disposal/thermal-treatment#thermal-treatment-of-municipal-waste-

VLAREMA, 2012. Flemisch Law on waste. https://codex.opendata.api.vlaanderen.be/api/WetgevingDocument/1021756