Investigating the effect of the outbreak of COVID-19 on the waste produced in hospitals of Mashhad University of Medical Sciences

Increased waste production during patient treatment emerges as a serious issue following infectious disease outbreaks. The current study aimed to investigate the effect of the COVID-19 outbreak on medical waste production in Mashhad, Iran.

In this study, 4 referral (R) and 2 non-referral (NR) hospitals were examined. The quantity and quality of waste produced before (2018-2019) and during COVID-19 (2019-2020) were extracted from hospital records and noted in standard medical waste management checklists. Also, the number of hospital visits due to COVID-19 was determined and entered into the study by referring to the Treatment Deputy of Mashhad University of Medical Sciences.

The results showed that the mean waste production was 449.50 ± 49.45 kg/day and 436.04 ± 107.55 kg/day in 2018-2019 (before COVID-19) and 2019-2020 (during the outbreak) in R1, respectively, 3000.26 ± 227.46 kg/day and 3279.72 ± 153.00 in R2, 544.53 ± 107.10 kg/day and 666.32 ± 156.68 in R3, and 476.72 ± 15.96 kg/day and 635.41 ± 54.88 kg/day in R4. Also, the mean waste production was 219.6 ± 36.90 and 199.06 ± 49.58 kg/day in NR1 and 112.1 ± 29.55 kg/day and 108.8±59.1 kg/day in NR2 before and during COVID-19, respectively. Field surveys showed that despite the increased amount of waste production, all waste management stages, such as collection, transfer, and disposal, are being implemented in accordance with the guidelines.

The results of this study showed that the medical waste production rate is related to the prevalence of diseases. Considering the importance of medical waste management, it requires careful and correct application of national and international guidelines.