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Aim: Waste, including waste from electrical and electronic equipment, has been increasing for many years. This pilot study aims to describe hospital waste management in three European countries (including collection, disposal and recycling). Subject and methods: The survey was carried out in eight hospitals, two in Rome (Italy), three in Dresden (Germany) and three in Belgrade (Serbia). A questionnaire was used to gain more knowledge about hospital waste management, especially regarding electrical and electronic equipment. Results: The survey results show that treatment of electrical and electronic equipment is a difficult and expensive task in all studied hospitals and countries. Only one half of the hospitals have a standardised procedure for waste treatment. While one eighth has a procedure for some equipment, 37.5% do not have one; and whereas one quarter do not have an office of waste management, a waste register is available in 62.5% of the hospitals. Conclusion: Either waste management procedures differ between the eight studied hospitals and countries, or there is no (prescribed) waste management procedure at all. With regard to the two facts, common regulations are necessary to manage waste disposal and treatment in European countries and hospitals. [ABSTRACT FROM AUTHOR]