Biomedical waste management in Ayurveda hospitals – current practices and future prospectives

摘要

Biomedical waste management is an integral part of traditional and contemporary system of health care. The paper focuses on the identification and classification of biomedical wastes in Ayurvedic hospitals, current practices of its management in Ayurveda hospitals and its future prospective. Databases like PubMed (1975–2017 Feb), Scopus (1960–2017), AYUSH Portal, DOAJ, DHARA and Google scholar were searched. We used the medical subject headings ‘biomedical waste’ and ‘health care waste’ for identification and classification. The terms ‘biomedical waste management’, ‘health care waste management’ alone and combined with ‘Ayurveda’ or ‘Ayurvedic’ for current practices and recent advances in the treatment of these wastes were used. We made a humble attempt to categorize the biomedical wastes from Ayurvedic hospitals as the available data about its grouping is very scarce. Proper biomedical waste management is the mainstay of hospital cleanliness, hospital hygiene and maintenance activities. Current disposal techniques adopted for Ayurveda biomedical wastes are – sewage/drains, incineration and land fill. But these methods are having some merits as well as demerits. Our review has identified a number of interesting areas for future research such as the logical application of bioremediation techniques in biomedical waste management and the usage of effective micro-organisms and solar energy in waste disposal.