title: [Evaluation of the impact of a hemodialysis center on environment and local ecology].
abstract: The prevalence of chronic kidney disease continues to increase worldwide, especially in our country with a consequent increase in patients requiring renal replacement therapy by hemodialysis, either temporarily or for life in the absence of a solid draft kidney transplant in the future. However, hemodialysis and peritoneal dialysis treatment are very expensive, very demanding in resources such as water and electricity and generate a large amount of waste. The objective of our work is to put the item in the environmental aspects of dialysis and its impact on the environment. This is a descriptive cross-sectional study conducted in the department of nephrology dialysis. Our hemodialysis center has 13 generators with a private water treatment (mono osmosis). Our annual water consumption for a single hemodialysis generator for 10hours per day and 6days per week is estimated at 93.6m(3). The production volume of water discharged from the reverse osmosis system (concentrate rejected) is 12m(3)/day (66% of the volume of water treated by reverse osmosis) with physico-chemical and bacteriological parameters remaining in the standards of WHO/FAO irrigation potential. The living water treatment as well as our 13 generators need more than 156 KW/day for work. The waste generated is about 23.5 tons/year, classified as high risk because of the high rates of hepatitis C in our center (48%) and severity of bacterial flora that we have identified in the post-generator dialysate thrown directly into sewers. Our natural resources are valuable especially that we are among the world exposed to water shortages in the near future (Haut-Commissariat des eaux et forêts et à la désertification du Maroc, 2009), which leads us to develop new programs to recycle waste and rejected in order to concentrate the reuse in various areas (irrigation, watering, sanitation, sterilization of surgical instruments), and to encourage the use of solar energy especially in a sunny country like ours.
authors.affiliation: Service de néphrologie-hémodialyse, université Cadi Ayyad. CHU Mohammed VI, Marrakech, Maroc. Electronic address: mar1.jabrane007@gmail.com.
authors.forename: Marouane
authors.initials: M
authors.lastname: Jabrane
authors.forename: Wafaa
authors.initials: W
authors.lastname: Fadili
authors.forename: Bouchra
authors.initials: B
authors.lastname: Kennou
authors.forename: Asmaa
authors.initials: A
authors.lastname: Labaali
authors.forename: Karima
authors.initials: K
authors.lastname: Zahlane
authors.forename: Inass
authors.initials: I
authors.lastname: Laouad
mesh_terms: D000554:Ambulatory Care Facilities; D003430:Cross-Sectional Studies; D017753:Ecosystem; D004777:Environment; D006801:Humans; D006435:Renal Dialysis; D014865:Waste Disposal, Fluid; D014881:Water Supply
keywords: Eaux usées; Ecology; Energy; Environment; Environnement; Hemodialysis Units; Hospital; Unités d’hémodialyse de l’hôpital; Waste water; Écologie; Énergie