Recent epidemic of acute haemorrhagic conjunctivitis in Calcutta.
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Biomedical subjects
Publications and source records attributed to R N Basu.
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To lessen overcrowding in the regular morning OPD and obtain better patient satisfaction, Evening Pay Clinic in a tertiary care hospital with daily OPD attendance between 1000 and 1200 patients was conceptualised. To elicit patients' response to the proposed system a survey with a structured questionnaire among 202 randomised sample of patients was conducted. Patient preference depended on distance of their home from the hospital as well as availability of suitable transport to reach the pay clinic and the likelihood of their being able to go back by the same evening after their encounter with the hospital was over. The majority of the patients preferred the proposed system as it promised quick and personalised service and the attendance by the doctors of their choice.
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Determination of quantity, quality and characteristics of the wastes of two hospitals located in the same sector of a class B city was undertaken to review the present dumping method of disposal. On an average 1,424.71 and 224.6 kgs. of five types of wastes as per the moisture content were found daily for seven days in these two hospitals of 1000 general beds, and 600 long stay beds for chest tuberculosis and other Cardiothoracic diseases respectively. The wastes of first hospital had higher combustibility due to its sprawling nature and activities for general patients than that of the second multistoreyed hospital treating special cases. A combustibility analysis of hospital wastes would help to decide whether to adopt incineration for disposal.
Experience from a large teaching hospital regarding hospital waste management is presented. The quantum of hospital waste generated is 0.775 kg. per patient per day. Out of this biomedical waste constitute only 6.27 per cent. Though all resources have been provided, a large implementation gap for waste management is seen because of attitudinal problem. A particular difficulty is experienced for disposal of green coconut shells. Incineration has been advocated as a viable method of disposal. Cost of incineration is Rs. 2.71 per patient per day.
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