Pharmaceutical Wastes Management and the Presence of Pharmaceuticals in the Environment of Health Facilities in Lagos State, Nigeria
Abstract:
Environments
continuously receive mixtures of drugs on a global scale. The most popular uses
of drugs include human medicine as tools for the treatment or prevention of
various diseases, veterinary drugs or husbandry growth promoters with
applications on many different aspects of agriculture. Objectives
of this study are to identify the major methods
used in PWM in the health facilities in Lagos state, Nigeria and to identify
the presence of pharmaceutical in the environment. This
study comprised 376 respondents of which 68.4% were females. Most frequent age
range was 31 – 40 years, (42.3%). 43.4% have been in service between 1-5 years.
34% work in general hospitals while 8.0% work in comprehensive health centers. Majority
(37.5%) dispose pharmaceutical wastes in medical waste bin. Unused drugs are
mostly returned directly to the supplier (40.4%) while expired drugs are mostly
returned to manufacturers (41.2%). Most facilities dispose wastes in biohazard
bags (red, 19.95%, yellow and black, 19.68%). 0.634ug/L of amoxillin trihydrate
was detected in waste water and 6.791ug/g in sludge. 0.203ug/L of Clavlnic acid
was present in tap water, 0.264ug/L of Ciprofloxacin Hydrochloride was found in
waste water and 6.353ug/g in sludge. Diclofenac was 0.409ug/L in waste-water.
Paracetamol concentration was 0.00379ug/L in tap water, 0.01196g/L in waste
water and 0.55768ug/L in sludge. It is concluded that the presence
of pharmaceutical wastes in tap water, waste water and sludge in hospital
environments is connected with waste management methods. Awareness and training
are necessary to avoid environmental pollution of pharmaceutical wastes.
Keywords: Wastes,
drugs, Pharmaceutical Waste management, Healthcare workers, Environments,
hazards.
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