By Sanitation and Health WHO Department of Water
The target of this publication is to supply counsel for choosing the main applicable recommendations for adequately handling strong waste generated at basic overall healthiness care centres in constructing international locations. the most instrument of this consultant includes six decision-trees aimed toward helping the consumer in deciding on acceptable waste administration tools. The advisor takes into account the main proper neighborhood stipulations, the protection of staff and of most of the people in addition to of environmental standards. This advisor can also be used to guage latest practices regarding health-care waste administration. extra particular assets of data on dealing with and garage practices, technical techniques for remedy and disposal of wastes, education and private defense, and review of a country's state of affairs also are provided.
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Additional resources for Management of Solid Health-care Waste at Primary Health Care Centres: A Decision-making Guide
Golueke, C. K. S. S. Technology for International Environmental Solutions, 1998. 11. , Hospital-acquired Infections: Guidelines for Control, Government of India, Ministry of Health and Family Welfare, Nirman Bhawan, New Delhi, India, 1992. 12. 2, 1999. 13. World Health Organization (WHO), “Wastes from Health-care Activities”, Fact Sheet No. 253, October 2000. 14. World Health Organization (WHO), “Findings on the assessment of small-scale incinerators for health care waste”, WHO 2004. 15. World Health Organization (WHO), “Health-care Waste Management”, policy paper, August 2004.
Some types require a source of electrical power (needle burner) and their wide application in developing countries is limited, particularly in remote areas. Additionally, these burning devices must be regularly maintained and operated carefully. Needles can also be removed from the syringe just after the injection by small manually operated devices. The mutilated syringe needs to be disinfected prior to disposal with communal waste. org. Shredding. Shredders cut sharps into small pieces. This technology requires a worker skilled in the operation and maintenance of sometimes heavy-duty, rotating equipment.
Open dumps have no controls over access of unauthorized persons or environmental pollutions. PHC waste should never be disposed in open dumps. A variety of controlled land disposal options are available to PHC waste. The alternatives range from small pits to a modern sanitary landfill (which is a central facility). These alternatives have improved controls and site security. , 1998. Examples of disposal pit designs for sharps and for organic wastes are presented in Figures E-1 and E-2. 42 Cap Loading W aste Figure E1.