Nearly all the healthcare facilities studied promote segregation of Group A wastes, especially sharp wastes. However, not much attention is given to the other types of wastes, which are usually managed without a perspective for recycling and are collected through the municipal
collection system. The involvement of society is making possible the establishment of a medical waste management policy, especially for the final stages in the flow of the wastes. The medical waste managementsituation in the region, while far from ideal, is better than in other parts of Brazil. To ensure improvement and continuity in the management practices, healthcare
institutions should develop clear plans and policies for the proper management and disposal of wastes. They need to be integrated into routine employee training,continuing education, and management evaluation processes for systems and personnel. It is important to point
out that all cities in the study area promote the final disposal of the domestic wastes in open dumpsites, representing serious sanitary, environmental and social problems.
Nearly all the healthcare facilities studied promote segregation of Group A wastes, especially sharp wastes. However, not much attention is given to the other types of wastes, which are usually managed without a perspective for recycling and are collected through the municipalcollection system. The involvement of society is making possible the establishment of a medical waste management policy, especially for the final stages in the flow of the wastes. The medical waste managementsituation in the region, while far from ideal, is better than in other parts of Brazil. To ensure improvement and continuity in the management practices, healthcareinstitutions should develop clear plans and policies for the proper management and disposal of wastes. They need to be integrated into routine employee training,continuing education, and management evaluation processes for systems and personnel. It is important to pointout that all cities in the study area promote the final disposal of the domestic wastes in open dumpsites, representing serious sanitary, environmental and social problems.
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