1. HOSPITAL WASTE MANAGEMENTPROJECT TRAINING FOR SCAVANGERS AND SANITARY WORKERS By: Alamgeer Memon Project Manager Mashriq Foundation Hyderabad 30 th March 2010

2. Mashriq Foundation Mashriq Foundation is an NPO and has a multi-dimensional focus on Environment and community health activities. Mashriq Foundation is an NPO and has a multi-dimensional focus on Environment and community health activities. Based in Hyderabad, Mashriq Foundation is currently executing following two projects 1. Hospital Waste Management (HWM) Project at 4 Taluka hospitals of Hyderabad District with collaboration of UNDP GEF SGP: 2. Hospital Waste Management (HWM) Project at DHQ Hospital Sanghar with collaboration of BP Pakistan:

3. How We conceived this project

4. Disposal Movie

5. Disposal

6. Disposal

7. Disposal

8. Disposal End …..

9. Carriers

10. Project Nexus Burning of HW – dioxin formation Burning of HW – dioxin formation Exposure of hepatitis B & C through needle pricks Exposure of hepatitis B & C through needle pricks Contamination of Water canals Contamination of Water canals

11. Hospital Waste Types:

12. Color coding of Waste Bins Yellow colored waste bins for Risk/infectious waste Yellow colored waste bins for Risk/infectious waste Blue colored waste bins for Non-risk waste Blue colored waste bins for Non-risk waste Black colored dust bins for Garbage (fruits/food) Black colored dust bins for Garbage (fruits/food)

16. BLUE COLORED WASTE BINS: BLUE COLORED WASTE BINS: (NON-RISK WASTE) (NON-RISK WASTE) Paper and cardboard, packing materials, empty bottles, used vials, used drips after cutting the drip sets and their needles etc. Paper and cardboard, packing materials, empty bottles, used vials, used drips after cutting the drip sets and their needles etc. RED COLORED WASTE BINS: RED COLORED WASTE BINS: (RISK WASTE) (RISK WASTE) Infectious waste like blood soiled materials of all types, soiled used dressings/bandages, human blood and tissues/body parts from surgical OTs and Labor rooms, waste generated during minor procedures in OPD, body fluids of the patients, contaminated syringes and drip sets, I/V canulas, used catheters, NG tubes, removed stitches, used swabs, soiled or used protective equipments i.e. gloves and masks, waste generated during clinical examination, expired medicines & injections, spoiled pharmaceutical products, needles, sharps, broken glass pieces or any other thing that can puncture, chemical and radioactive waste from laboratories and radiology department, waste after procedure of dialysis, waste generated from ENT and Dental surgery departments during procedures etc. Infectious waste like blood soiled materials of all types, soiled used dressings/bandages, human blood and tissues/body parts from surgical OTs and Labor rooms, waste generated during minor procedures in OPD, body fluids of the patients, contaminated syringes and drip sets, I/V canulas, used catheters, NG tubes, removed stitches, used swabs, soiled or used protective equipments i.e. gloves and masks, waste generated during clinical examination, expired medicines & injections, spoiled pharmaceutical products, needles, sharps, broken glass pieces or any other thing that can puncture, chemical and radioactive waste from laboratories and radiology department, waste after procedure of dialysis, waste generated from ENT and Dental surgery departments during procedures etc.

17. Collection & Transportation Collection will be on daily basis from specific color coded waste bins Collection will be on daily basis from specific color coded waste bins Risk waste from Red-bins and non risk waste from Blue- bins placed at bed side, will be collected separately in the LARGE bins of same color scheme Risk waste from Red-bins and non risk waste from Blue- bins placed at bed side, will be collected separately in the LARGE bins of same color scheme Transportation of waste from wards to Central Storage Facility will be done by covered drums Transportation of waste from wards to Central Storage Facility will be done by covered drums

18. Waste Transport

19. HW Disposal: Incineration for Risk/ Infectious waste Incineration for Risk/ Infectious waste Land filling for Non-risk waste Land filling for Non-risk waste Packing papers, plastic bags, empty bottles and other pharmaceutical waste of non-infectious type back to supplier Packing papers, plastic bags, empty bottles and other pharmaceutical waste of non-infectious type back to supplier

20. Story of Incinerator

23. Incinerator Process

24. HWM – Good and Bad practices

25. Syringe Cutter

26. Good and Bad practices

28. HWM – Good and Bad practices

30. Injection Safety

31. Waste not to be Incinerated Pressurized gas containers Pressurized gas containers Large amounts of reactive chemical waste Large amounts of reactive chemical waste Radioactive waste Radioactive waste Silver salts or radiographic waste Silver salts or radiographic waste Halogenated plastics (e.g. PVC) Halogenated plastics (e.g. PVC) Mercury or cadmium Mercury or cadmium Ampoules of heavy metals Ampoules of heavy metals

32. Screening & Vaccination of staff We recognize high importance of Screening and Vaccination of Hepatitis B & C, for hospital staff We recognize high importance of Screening and Vaccination of Hepatitis B & C, for hospital staff Sanitary staff and waste handlers could be primary carriers for Hepatitis B & C Sanitary staff and waste handlers could be primary carriers for Hepatitis B & C Other categories in service providers shall also be included Other categories in service providers shall also be included