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Difference in Circumstances: Third World Countries have limited Resources andother operational constraints along with peculiar circumstances making itimpossible to replicate the exact models of HCWM of developed nations.3.
Questionable Compliance: New patterns of HCWM e.g. reduction andsegregation of hazardous waste necessitate change in the attitude of the people,which is a big undertaking in a society of relatively low literacy rate withlongstanding ignorant practices.Thus,In PAKISTAN we need to:-1.
Benefit from the research and experiences of developed countries withcustomization of methods to fit in our environment.2.
Study HCWM practices in developing countries. In this respect the closestcountry with similar environment is India.In INDIA:-
The country is updating the system of HCWM.
They have started alternative techniques like CHEMICAL DISINFECTIONand AUTOCLAVING.
PVC and other plastics are not incinerated and only body parts are incinerated.
Central Facilities have been developed in many cities. These cater for manyhospitals and are located outside the cities. These have INCINERATOR,AUTOCLAVES, SHREDDERS and EFFLUENT TREATMENT PLANTS.
SEGREGATION with color coding is being adhered to. They are using fourcolors for incinerator, autoclave, recyclable and common waste respectivelywith separate system for sharps. *Pictures of St. Stephens Hospital Delhi.
They are considering MERCURY free environment.
The hospitals are establishing EFFLUENT TREATMENT PLANTS.This Book is going to fill the gap of reference material locally written on the subject andwill be useful to individuals (doctors & Allied personnel) as well as institutions.