Disposal of plastic insulin syringes and needles.
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In order to reduce the risk of nosocomial infection during endoscopic procedures, a simple, safe and economical technique for disposal of contaminated guide-wires, tubes and catheters is described. A disposable glove, everted over a coiled wire or other endoscopic accessory, creates a pouch which then contains the contaminated object to be discarded. This everted glove-pouch technique prevents dispersal of secretions into the endoscopic environment and provides a convenient means for disposal of these otherwise awkward endoscopic accessories.
The results of a seven year chemical water investigation of tube samples from the region of the Halbenrain Waste Disposal Plant reveal fluctuations in chloride, oxygen content, total, hardness, conductivity, potassium permanganate and potassium. A direct relationship between the fluctuations of values and influence on groundwater through disposal plant seeping water could not be established. Further investigations will be continued on a more extensive scale.
The recent incidents of floating debris, garbage, wood, and medical waste on our nation's beaches have focused public attention on waste management problems. The handling and disposal of solid waste remains a major unresolved national dilemma. Increased use of disposables by all consumers, including the medical profession, and the increasing costs of solid waste disposal options have aggravated the solid waste situation. Medical waste found on beaches in the summer of 1988 could have been generated by a number of sources, including illegal dumping; sewer overflow; storm water runoff; illegal drug users; and inadequate handling of solid waste at landfills and coastal transfer facilities, which receive waste from doctors' offices, laboratories, and even legitimate home users of syringes. As officials from New Jersey have determined, the beach garbage is no mystery. It's coming from you and me. In response to the perceived medical waste disposal problem, various state and federal agencies have adopted rules to regulate and control the disposal of medical waste. This article outlines the more significant rules that apply to medical waste.
In this publication an overview is made of both the fundamental and practical approaches laid down in the 'WHO Guidelines on the hygienic disposal and rendering of dead animals and animal wastes to protect human and animal health'. It describes methods that can be used both in developed and developing countries for the hygienic disposal and rendering of contaminated animal materials. In view of the various veterinary-hygienic measures that might be taken a distinction is made between low-risk materials (for instance slaughter offal of healthy animals) and high-risk materials (for instance animals that died because of infectious diseases). The hygienic disposal of low-risk materials is usually done by sterilisation in autoclaves or by cooking, so that proteins and fat may be re-used, mostly in the form of animal feed components. High-risk materials should at the least be sterilised or otherwise be burnt. Attention is also paid to the hygiene in rendering plants, particularly concerning the avoidance of cross-contamination from raw to decontaminated materials. Finally aspects of environmental hygiene are discussed and attention is paid to the protection of the personnel that is involved in the hygienic disposal and rendering of dead animals and animal wastes.
To determine the pattern of sharps utilization and disposal in British Columbia physicians' offices, a questionnaire was mailed to all office-based physicians belonging to the British Columbia Medical Association (BCMA). 1,167 physicians (25%) responded. Over 166,000 sharps per month were used by responding physicians, a per physician use of 95 per month. 67% of physicians used a specific plastic container for sharps disposal and 22% used a recycled container. 40% of the used containers were returned to a hospital or laboratory for disposal; 29% contracted out to a waste removal company, 18% placed with regular office garbage and 4% taken directly to a landfill or incinerator. Most offices (64%) had access to an autoclave or chemclave but few physicians (2%) sterilized their sharps waste prior to disposal. The recommended options for discarding used sharps containers in the office setting are: return to a hospital or laboratory for processing with their infectious waste; removal by a waste disposal service; or sterilization followed by disposal with regular garbage.
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Recently, nurses and health professionals have been recognized as advocates on the health and environmental issues related to disposable diaper use. In this article, the history of an education project on diapering alternatives and the processes used to affect policy proactively are reviewed. Lessons from this effort to influence institutional and environmental policy are useful as health care professionals become increasingly involved in policy decisions in community and work settings.
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ASEGRA is an industrial area in Granada (Spain) with important waste management problems. In order to properly manage and control waste production in industry, one must know the quantity, type, and composition of industrial wastes, as well as the management practices of the companies involved. In our study, questionnaires were used to collect data regarding methods of waste management used in 170 of the 230 businesses in the area of study. The majority of these companies in ASEGRA are small or medium-size, and belong to the service sector, transport, and distribution. This was naturally a conditioning factor in both the type and management of the wastes generated. It was observed that paper and cardboard, plastic, wood, and metals were the most common types of waste, mainly generated from packaging (49% of the total volume), as well as material used in containers and for wrapping products. Serious problems were observed in the management of these wastes. In most cases they were disposed of by dumping, and very rarely did businesses resort to reuse, recycling or valorization. Smaller companies encountered greater difficulties when it came to effective waste management. The most frequent solution for the disposal of wastes in the area was dumping.