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Safe Management of Wastes From Health-Care Activities

Safe Management of Wastes From Health-Care Activities

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Published by Rodolfo
The waste produced in the course of health-care activities, from contaminated needles to radioactive isotopes, carries a greater potential for causing infection and injury than any other type of waste, and inadequate or inappropriate management is likely to have serious public health consequences and deleterious effects on the environment. This handbook - the result of extensive international consultation and collaboration - provides comprehensive guidance on safe, efficient, and environmentally sound methods for the handling and disposal of health-care wastes.

The various categories of waste are clearly defined and the particular hazards that each poses are described. Considerable prominence is given to the careful planning that is essential for the success of waste management; workable means of minimizing waste production are outlined and the role of reuse and recycling of waste is discussed. Most of the text, however, is devoted to the collection, segregation, storage, transport, and disposal of wastes. Details of containers for each category of waste, labelling of waste packages, and storage conditions are provided, and the various technologies for treatment of waste and disposal of final residues are discussed at length. Advice is given on occupational safety for all personnel involved with waste handling, and a separate chapter is devoted to the closely related topic of hospital hygiene and infection control.

The handbook pays particular attention to basic processes and technologies that are not only safe-but also affordable, sustainable, and culturally appropriate. For health-care settings in which resources are severely limited there is a separate chapter on minimal programmes; this summarizes all the simplest and least costly techniques that can be employed for the safe management of health-care wastes.

The guide is aimed at public health managers and policy-makers,, hospital managers, environmental health professionals, and all administrators with an interest in and responsibility for waste management. Its scope is such that it will find application in developing and developed countries alike.
The waste produced in the course of health-care activities, from contaminated needles to radioactive isotopes, carries a greater potential for causing infection and injury than any other type of waste, and inadequate or inappropriate management is likely to have serious public health consequences and deleterious effects on the environment. This handbook - the result of extensive international consultation and collaboration - provides comprehensive guidance on safe, efficient, and environmentally sound methods for the handling and disposal of health-care wastes.

The various categories of waste are clearly defined and the particular hazards that each poses are described. Considerable prominence is given to the careful planning that is essential for the success of waste management; workable means of minimizing waste production are outlined and the role of reuse and recycling of waste is discussed. Most of the text, however, is devoted to the collection, segregation, storage, transport, and disposal of wastes. Details of containers for each category of waste, labelling of waste packages, and storage conditions are provided, and the various technologies for treatment of waste and disposal of final residues are discussed at length. Advice is given on occupational safety for all personnel involved with waste handling, and a separate chapter is devoted to the closely related topic of hospital hygiene and infection control.

The handbook pays particular attention to basic processes and technologies that are not only safe-but also affordable, sustainable, and culturally appropriate. For health-care settings in which resources are severely limited there is a separate chapter on minimal programmes; this summarizes all the simplest and least costly techniques that can be employed for the safe management of health-care wastes.

The guide is aimed at public health managers and policy-makers,, hospital managers, environmental health professionals, and all administrators with an interest in and responsibility for waste management. Its scope is such that it will find application in developing and developed countries alike.

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Published by: Rodolfo on Aug 28, 2009
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05/11/2014

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In order to develop a waste management plan, the waste management
team needs to make an assessment of all waste generated in the hospital.
The WMO should be responsible for coordinating such a survey and for
analysing the results.

The waste should be categorized according to the classification system
specified in the national guidelines (or as described in this handbook if
no such guidelines are available). The survey should determine the aver-
age daily quantity of waste in each category generated by each hospital
department. Special care should be taken to assess the likelihood of peak
production—the occasional generation of extraordinary quantities of
wastes. For example, the impact of epidemics and other emergencies that
affect the quantities of waste generated should be estimated. Account
should also be taken of potential slack periods or other unusual circum-
stances that may cause significant variations in waste quantities. Survey
results should include an assessment of any future changes in hospital
designation, departmental growth, or the establishment of new depart-
ments. Table 5.1 shows a sample sheet for the daily assessment of waste,
by waste category, for each waste collection point.

Data from the waste production survey should form the basis on which
an appropriate waste management plan can be developed.

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