MEDICAL WASTE MANAGEMENT: IDEOLOGY, HYGIENE AND THE ENVIRONMENT

The paper presents a modern Russian and foreign approach to the problem of collection, removal, decontamination and elimination of medical waste. It was emphasized that owing to moral, social and mental reasons its danger is underreacted or regarded as a strictly "medical problem" in total isolation from the need of its solution it in the environmental way. The analysis of the contradictions of two legislative bases in the field of medical waste management - health and environmental was carried out. At present legislative requirements don't allow medical organizations to work in full compliance with the federal environmental laws. The experience of wastes classification formation from medical organizations has been presented as well as the scientific research of appropriate technologies of secure disposal and management of medical waste in different countries, the dynamics of the law and the population mentality. On the data basis of intensification of this waste category accumulation the faults and risks in the waste management system have been shown as well as the weakness of the national legislation. The concept on medical waste management in the country in the interests of public health preservation and environmental safety was conceived on the ground of long experience of the authors. The ways of optimization of environmental and sanitary legislation have been proposed.

medical waste, accumulation, fault, risks, degree of system centralization, concept of effective management