INTERNATIONAL CONGRESS ON ADVANCED RESEARCH AND APPLICATIONS, Sivas, Türkiye, 1 - 02 Aralık 2023, ss.435-443
ABSTRACT
With the increase in industrialization due to rapid
urbanization, major waste problems are experienced in our world. Wastes cause
soil pollution, underground and surface water pollution, damage to vegetation,
and air pollution as a result of fires and explosions. While wastes can be
divided into many groups, wastes can generally be classified as hazardous and
non-hazardous wastes
The
types of waste that cause more environmental pollution and the most pollution
due to their polluting properties are hazardous wastes. Hazardous waste;
carcinogenic, toxic, explosive, flammable, corrosive, irritating, etc. They are
defined as wastes that pose a risk to human health and the environment due to
their properties
Medical
waste; There are disposal methods such as Microwave/Steam sterilization method,
Electro-thermal deactivation method, Plasma arc reduction method, Prolytic
Gasification Method, Electron Beam Sterilization Method, Incineration. Although
sterilization methods are mostly used in our country, medical waste is disposed
of by burning in waste incineration facilities in Ankara, İstanbul and İzmit.
Although there are medical waste sterilization facilities in 65 provinces,
medical waste generated in provinces with low population can be disposed of by
being transported to the nearest province with a sterilization facility, with
the decision of the Local Environmental Board of that province
Medical
waste; According to the Medical Waste Control Regulation, the fee to be applied
for the collection, transportation, sterilization and disposal of medical waste
is determined by the local environmental board (LEB). In the same regulation,
“Provided that it complies with the provisions of this Regulation, the medical
waste disposal fee, which will be the basis for collection, transportation, sterilization
and disposal expenses, is determined and announced every year by the local
environmental board of the province where the medical waste is generated and
notified to the Ministry. "In determining the medical waste disposal fee,
the transportation distance of the generated waste to the sterilization and/or
disposal facility and the costs of sterilization and/or disposal are taken into
consideration." In line with the provision, each province determines the
medical waste fee by LEB decision
In
the LEB meetings held to determine the medical waste fee in the provinces,
there are major problems in determining the fee. Disputes arise because
sterilization facility businesses do not clearly report their costs to the LEB
secretariat in a complete and understandable manner. At this stage, setting the
medical waste fee too low will cause the sterilization facility operator to
suffer, or setting it too high will cause damage to public resources.
In
this study, a medical waste disposal cost analysis was made by developing a
method for municipal profit and rental fees, fuel, natural gas, water,
depreciation, personnel (salary, insurance, food) and other expenses of the
medical waste sterilization facility. With this developed cost analysis method,
a more accurate and reliable medical waste disposal fee will be determined and
businesses/individuals working in this sector will not be victimized and waste
of public resources will be prevented.
Key Words: Medical waste, Medical waste disposal, Medical waste
disposal fee