The use of Geographic Information Systems Technologies for creation of regional medical waste management systems

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Abstract

Introduction. The annual growth of medical waste due necessitates a comprehensive approach to solving the issue of medical waste management. It is necessary to develop unified methodical strategies for the complex solution.

The objective of the study. To substantiate the hygienic efficiency of the thermal decontamination of class B and C medical waste based on geo-informational system (GIS) technologies in the Krasnoyarsk region for five consecutive years. 

Materials and methods. Medical institutions (MI) of the Krasnoyarsk region’s three macro districts were studied as class B and C waste sources. At the first stage, the composition of wastes by classes and their volumes were determined, and local technologies of thermal deactivation available in medical organizations were identified. The received information was subjected to statistical processing, stratified on electronic maps to apply GIS technologies further. 

Results. Based on statistical processing of data on medical class B and C waste generation in separate MO, the analysis of operating technologies capacity in 2014-2015 based on GIS-technology of spatial analysis, construction of optimal transport ways of waste delivery, area mapping in the three districts in the Krasnoyarsk region have been substantiated proposals to optimize medical waste management for five years.

Conclusion. To have an environmentally and epidemiologically safe system of handling class B and C waste in the region, it is necessary to create a comprehensive functional model based on GIS technology, taking into account the optimal combination of decentralized and centralized systems, regional features of the transport network, and the prospects of health care system development.

Contribution:
Mironenko O.V. — scientific guidance, concept and design of the study, editing, approval of the final version of the article, responsibility for the integrity of all parts of the article;
Lomtev A.Yu. — work with GIS technologies, mapping;
Fedorova E.A. — collection and processing of material, statistical processing, writing text;
Soprun L.A. — hygienic technology assessment, statistical processing;
Frolova N.M., Kopytenkova O.I., Levanchuk A.V. — concept and design of the study, editing;
Obukhov D.A. — statistical processing, editing.

Conflict of interest. The authors declare no conflict of interest.

Acknowledgement. The work was carried out on the basis of the contract of LLC "Institute of Design, Ecology and Hygiene" under the State contract No. 326/13 dated 06.03.2014.

Received: Jule 1, 2021 / Accepted: September 28, 2021 / Published: November 30, 2021

About the authors

Olga V. Mironenko

St. Petersburg State University; North-Western State Medical University named after I.I. Mechnikov

Author for correspondence.
Email: katerina.fedo@gmail.com
ORCID iD: 0000-0002-1484-8251

MD, PhD, DSci., Professor, North-Western State Medical University named after I.I. Mechnikov, Saint Petersburg, 191015, Russian Federation.

e-mail: katerina.fedo@gmail.com

Russian Federation

Andrey Yu. Lomtev

The Institute for Territory Development

Email: noemail@neicon.ru
Russian Federation

Ekaterina A. Fedorova

North-Western State Medical University named after I.I. Mechnikov

Email: noemail@neicon.ru
ORCID iD: 0000-0002-9233-7203
Russian Federation

Lidiya A. Soprun

St. Petersburg State University

Email: noemail@neicon.ru
ORCID iD: 0000-0001-8396-0418
Russian Federation

Nina M. Frolova

North-West Public Health Research Centre

Email: noemail@neicon.ru
ORCID iD: 0000-0001-6973-6479
Russian Federation

Olga I. Kopytenkova

St. Petersburg State University; The Institute for Territory Development; St. Petersburg State University of Railways of Emperor Alexander I

Email: noemail@neicon.ru
ORCID iD: 0000-0001-8412-5457
Russian Federation

Aleksandr V. Levanchuk

North-Western State Medical University named after I.I. Mechnikov; St. Petersburg State University of Railways of Emperor Alexander I

Email: noemail@neicon.ru
ORCID iD: 0000-0003-2062-7401
Russian Federation

Denis A. Obukhov

North-Western State Medical University named after I.I. Mechnikov

Email: noemail@neicon.ru
Russian Federation

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