Objective. – This work aims to contribute to the improvement of the management of waste arising from care activities involving infectious risks, which is currently a real health and environmental concern, especially in diffuse medium.
Workers and methods. – This is a descriptive, exploratory and cross-sectional study was carried during 2011 in the Gharb region in Morocco. A census of medical analysis laboratories in the city of Kenitra with an anonymised questionnaire. Other methods have been used such as interviews with those responsible for the medical laboratories.
Results. – The participation rate in the survey was 83.33%. Almost 80% of the laboratories sorting the sharp waste and soft infectious waste, while only 50% use special containers for this waste. Only 25% meet the standard for disposal and collection time. Approximately 70% of the sharp waste discharged separately, while the soft infectious waste is mixed with household waste to 70% of laboratories. Almost 62.5% of medical laboratories eliminate the infectious waste by a single contribution to the recycling center which generates mismanagement disposal of infectious waste. While 37.5% eliminates this waste through a collection company and 66.7% of them have an agreement with a company to collect and only 33.3% were satisfied with the management of these companies.
Conclusion. – The management system of solid and liquid infectious and highly infectious waste is a major concern for health staff and people. This study supported the need reminders of information for health professionals on the management rules through continuing education, personal sensitization and the implementation of an adequate organizational plan based on the use of well-adapted approaches, regular assessment and coordination between those responsible.

Objective. – This study aims to participate to the improvement of the management of waste arising from care activities involving infectious risks, which is currently a real health and environmental concern, especially in the collection, storage, transportation and disposal of this type of waste.
Workers and methods. – This is a descriptive, exploratory and cross-sectional study was carried during 2011 in the regional hospital EL IDRISSI of the Gharb region in Morocco on 170 health-care workers form 275, with anonymous questionnaire. Other methods have been used such as grids observations and interviews with the managers of waste arising from care activities involving infectious risks.
Results. – The frequency of the internal collection is an essential role in the proper movement of procedures for the management of infectious and highly infectious waste especially for storage time, this frequency is well respected in the hospital studied, 78.8% of nursing staff report that infectious waste is collected once a day. Approximately 11% of these buildings are identified and separated, the rest were inside the services. No local intermediate storage satisfied the standards of hygiene and safety; the Storage rooms are 49.64% treatment rooms, toilets 32.12%. The establishment has a local central storage. However local compliance with regulatory standards is not respected in its entirety. Only 41.9% of nursing personnel know how to handle potentially infectious waste to his hospital, among them 23.9% et 19.4%, respectively, know the exact mode of treatment used in the hospital of the waste care activities infectious risks soft and of the sharp objects.
Conclusion. – The management system of solid and liquid infectious and highly infectious waste is a major concern for health staff and people. The lack of organization and human and financial resources make the challenge of the application of the national policy on the management of infectious waste particularly difficult for the hospital studied. This study supported the implementation of an adequate organizational plan based on regular assessment and coordination between those responsible.