Trends in Waste Production at a Community Hospital during the COVID-19 Pandemic.

INTRODUCTION:As of September 2021, the COVID-19 pandemic has led to 42,500,000 cases and 680,000 deaths in the United States. In Rhode Island, there have been 170,000 cases and 2,820 deaths. Investigating resource utilization and waste production during disease outbreaks can inform efforts at disaster preparedness. The purpose of this study was to examine trends in waste production during the COVID-19 pandemic. METHODS:This is a descriptive study examining trends in waste production during the COVID-19 pandemic. The study was conducted at a suburban community hospital in Rhode Island. Data was collected on regulated medical waste (RMW) and linen use from October 2019-July 2021. Adjusted patient days (APD) values were calculated using hospital census and revenue data. Total weight and weight/APD were calculated for each month of the study period. Data was then compared with overall COVID-19 cases and hospitalizations in Rhode Island. This data was gathered from the Rhode Island Department of Health (RIDOH) COVID Response Data Hub. RESULTS:Regulated Medical Waste (RMW) by total weight was lowest in April 2020, when the hospital census and adjusted patient days (APD) were at their lowest. In contrast, linen use remained largely consistent with pre-pandemic levels during the initial months of the pandemic despite a decrease in hospital census. The highest linen weight/APD value (23.32 lbs/APD) was in April 2020. Both RMW and linen use (weight/APD) decreased during the study period. Linen use was highest during months with increased COVID-19 cases and hospitalizations. CONCLUSIONS:This study examined trends in waste production at a community hospital during the COVID-19 pandemic. Linen use was highest during months of increased COVID-19 cases and hospitalizations, while RMW production decreased. There was a particular increase in linen use in April 2020, when the pandemic was in its initial phases.