An excellent Guidance Note on the packaging and transport of waste from suspect and confirmed cases of the Ebola Virus is published by The Health Protection Surveillance Centre (HPSC), Ireland’s specialist agency for the surveillance of communicable diseases.

http://www.hpsc.ie/A-Z/Vectorborne/ViralHaemorrhagicFever/Assessingapossiblecase/File,14932,en.pdf

 

 

 

 

The Environment Agency (England) have launched their consultation on the hazardous waste guidance document WM2. The deadline for responses is 3rd February 2015 and the consultation is now open.

The consultation can be found by following this link: https://consult.environment-agency.gov.uk/portal/ho/waste/tech/guidance

Remember, that WM2 guidance has been in part hopelessly flawed and correcting even the worst of these errors is an uphill task, in circumstances where the might of the Environment Agency turns to prevent any admission of fault on their part.  Do have a look at the WM2 revision and respond accordingly, in the hope that your views will be taken into consideration.

Of course, Environment Agency ideology will be much in evidence and changing that will be an even greater struggle. So, don’t hold your breath for any change based on this consultation!

 

On September 30, a US administrative law judge upheld seven citations and $186,000 in fines for a uniform laundry service that exposed workers to hazards from bloodborne pathogens and lead. Read the article to learn where the company went wrong and how you can avoid making the same mistakes.

The initial inspection took place in 2011 in response to a complaint. OSHA inspectors found that workers at the facility picked up and sorted dirty lab coats and other laundry from customers who regularly drew and/or tested blood. The workers were exposed to lab coats and laundry potentially contaminated with blood or improperly disposed contaminated needles or syringes mixed in with the laundry. In spite of this exposure, the company failed to train its employees in OSHA’s bloodborne pathogens standard and to provide Hepatitis B vaccinations to drivers and loading-dock workers.

In the September 2014 ruling, the judge determined that the majority of the company’s employees neither received the Hepatitis B vaccine nor signed the form declining the vaccine. In some cases, employees were not given the option to receive the vaccine for months or years after beginning work at the facility.

The judge also determined that the company did not comply with OSHA standards requiring the use of biohazard bags.

more at: http://safety.blr.com/workplace-safety-news/safety-administration/OSHA-and-state-safety-compliance-enforcement/Judge-upholds-six-figure-fines-for-bloodborne-path/?source=RSA&effort=6

 

Regrettably, this case is unlikely to set any state or national legal precedent. Nor is it likely to prompt for similar proceedings in the UK and Europe where specific bloodborne pathogens legislation does not exist but where existing health and safety legislation would suffice.

The analogy between laundry workers and waste handlers is obvious, and we know only too well that improperly packaged clinical wastes are responsible for blood exposure of ancillary and support staff and of waste handlers. Does the law, guided by regulators from HSE and EA, really care?

 

 

Ebola waste is a huge problem, but fortunately the heat resistance of Ebola virus is not particularly great. Autoclave treatment would suffice, and of course incineration. Added to this is the newer small-scale Pyropure pyrolysis system that can be used close to the point of production thus limiting any potential for inadvertent spread of infection.

It seems that the US is making a bit of a meal of planning for Ebola waste management, but with so many government agencies and individual states setting their own standards, its perhaps not unexpected. Despite this, no doubt all will work well, and those managing Ebola waste will remain safe.

Of course, public opinion can sway matters.

“US states refuse to take incinerated Ebola waste with fear – not science – blamed for leaving ashes in limbo a month after items belonging to Thomas Duncan were burned.

“It took a crew 38 hours to clear out the Dallas apartment where a Liberian man was staying before he was diagnosed with Ebola in September. Workers in protective suits piled shoes, carpets, mattresses, bed sheets and clothes into 140 55-gallon drums. Only a few items were salvaged: a computer hard drive, legal documents, family photos, an old Bible belonging to Thomas Duncan’s grandmother.

“The drums were packed, decontaminated and then carted away by Cleaning Guys environmental services employees.
The contents were incinerated. But nearly a month later, the ashes sit in limbo at a facility in Port Arthur, Texas, according to Veolia North America, the company that owns the facility, as Louisiana officials fight to keep it out of a landfill there.

“While the federal Centres for Disease Control and Prevention says incinerated Ebola waste poses no danger, Louisiana officials have asked a judge to block the waste of Mr Duncan from entering the state, saying they wanted to determine for themselves that it was not dangerous. A hearing is scheduled for November 5.

“The unresolved fate of the ashes highlights the problem American hospitals and communities could face in disposing of their own Ebola waste.Hospitals routinely deal with hazardous medical waste, sealing, transporting and disposing of vials of HIV-infected blood or boxes of used syringes.

“But Ebola waste is more problematic because of the intense fear of the virus and the sheer amount of the waste, which could include patients’ clothes, their mattresses and scores of protective outfits worn and discarded by medical workers.

Read more at: http://www.telegraph.co.uk/news/worldnews/11202825/US-states-refuse-to-take-incinerated-Ebola-waste.html

 

 

 

Nobody would disagree with the sentiment that UK doctors have and ‘ethical duty’ to prevent waste. All that is missing is the reality of lean practice and waste minimisation.

“Doctors have an ethical duty to prevent waste in the NHS, argues a report by the Academy of Medical Royal Colleges.

Its authors point to potential savings of nearly £2bn. Examples include better use of medication, tests, hospital beds and operating theatres.

The British Medical Association said doctors were ideally placed to identify savings, but patients must come first.

The health secretary said he was determined to tackle avoidable waste in healthcare.

The report is based on the premise that one doctor’s waste is another patient’s delay, and may even mean treatment is withheld.

The authors argue it is better to develop a culture of finding the best way to do something, and then do it right across the health service.

There are 16 examples of changes to clinical practice which have saved money and benefited patients.

They include medication reviews to prevent adverse drug reactions, which account for 6% of all hospital admissions. The report says eradicating this problem would save £466m.

It also suggests more than £200m could be saved by stopping unnecessary scans.

Other recommendations include:

  • Prescribing lower-cost statins, which could save £85m
  • Reducing unnecessary face-to-face contact between patients and healthcare professionals by using technology such as e-mail and Skype
  • Cutting the number of X-rays for lumbar spine or knee problems, which could save £221m
  • More frequent consultant ward visits to ensure patients can be discharged promptly

The report does not provide a definitive total of potential savings, but indicates what a change in culture – where doctors resolve to eradicate waste – could potentially deliver.

http://www.bbc.co.uk/news/health-29920025

 

All well and good, and nobody would argue against what has been a particularly hot topic in America for the last 2 – 3 years. The UK report simply echoes the US situation.

And there is no reason whatsoever why this waste reduction should not extend to a reduction in material waste, and while we are at it an improvement in waste segregation at source and so on. But that is perhaps not quite so newsworthy.

What is particularly surprising about this report is the number of column inches it has gained in just a few days. BBC and other TV news services, radio, and national newspapers have all carried the report. But for those working hard to achieve some improvement in the far less ‘sexy’ healthcare waste reduction, source segregation, sharps and waste safety etc, support is so hard to find.

Perhaps we just don’t have the PR support of The Academy of Medical Royal Colleges?

Whatever the answer, this most recent publicity can do nothing but help overall. Quite how much remains to be seen.

 

 

 

Hospitals worldwide are be unprepared to safely dispose of the infectious waste generated by any Ebola virus disease patient to arrive unannounced in the country, potentially putting the wider community at risk, biosafety experts said.

In the US, waste management companies are refusing to haul away the soiled sheets and virus-spattered protective gear associated with treating the disease, citing federal guidelines that require Ebola-related waste to be handled in special packaging by people with hazardous materials training, infectious disease and biosafety experts told Reuters.

Many US hospitals are unaware of the regulatory snafu, which experts say could threaten their ability to treat any person who develops Ebola in the US after coming from an infected region. It can take as long as 21 days to develop Ebola symptoms after exposure.

The issue created problems for Emory University Hospital in Atlanta, the first institution to care for Ebola patients here. As Emory was treating two US missionaries who were evacuated from West Africa in August, their waste hauler, Stericycle , initially refused to handle it. Stericycle declined comment.

Ebola symptoms can include copious amounts of vomiting and diarrhoea, and nurses and doctors at Emory donned full hazmat suits to protect themselves. Bags of waste quickly began to pile up.

Ebola has become a global problem. Clinical waste from Ebola cases, of which there will be many more, and from those secondary and suspect cases arising worldwide, will generate massive amounts of high risk waste.

That waste must be treated. But by whom, and where?

Individual hospitals will have no capacity for suitable on-site treatment, apart perhaps from taking the waste to the local hospital laboratory and autoclaving it there. However, those autoclaves would not necessarily be suitable for waste processing, not performance tested to the same degree as required by the Environment Agency, and not licensed for waste processing.

A red bag for these wastes will not offer any additional protection!

Local treatment undertaken as close as possible to the patient facility will reduce risk of any incident.

Bags are convenient since they do not provide a complete seal. This cannot reliably be addressed by double bagging which merely offers two incomplete seals. The outside surfaces must be treated with disinfectant making handling more difficult. Run-off should be contained as this may be contaminated, irrespective of concerns regarding chemical residues.

Rigid waste containers might offer leakproof seals but not all such ‘leakproof’ waste bins can actually deliver this, though at least they are easier to handle and would generally remain upright, reducing the risk of spillage.

Undeniably, local treatment will reduce the risk of exposure. Those handling wastes must be properly protected by suitable PPE which in this case necessitates far more than a pair of gloves and a high viz tabard.

Few local waste treatment units exist. The Pyropure pyrolysis device looks promising, and small freestanding autoclaves might be installed but if patient numbers increase and waste outputs grow, capacity may be limited. An approved treatment option is required and overall the Pyropure device looks like a winner, if approval for this purpose is confirmed and the company can ramp up manufacture, installation and testing to met expected demand.

Treatment residues must be separated from untreated waste to avoid unintended release of untreated wastes, and for this the Pyropure device would win hands down. But whichever process is applied there will be some residues. These should be completely safe, but I might anticipate some hesitation to accept these residues for onward disposal – similar concerns arose during the foot and mouth outbreaks though with the sight of all those carcasses burned in open pits put this into context and soon resolved the matter.

CDC and others are close to issuing guidelines for safe disposal of Ebola waste and it would not be surprising if these were adopted worldwide. That’s fine, but there will be significant compromise and therefore lesser standards of safety if the necessary resources are not available locally.

 

 

The Environment Agency has issued its Regulatory Position Statement 160, “The sterilisation and cleaning of waste medical instruments containing metal for recovery”

Further useful information is available on the gov.uk website, though since this concatenation of separate websites under a common banner it seems near impossible to find what you need.

 

Choice framework for local policy and procedures (CFPP) 01-01: guidance about the management and decontamination of reusable medical devices

 

 

 

 

 

 

 

Tissue waste disposal is a perennial problem. Incineration is the obvious though not only solution, but it is the problem of prior packaging, segregation and waste handling that creates some, perhaps most, of the problems.

Now a Dutch man has found a solution, at least for him. He had an above knee amputation decided not only to retain his amputated leg, but to make it into a lamp.

Presumably he was unsatisfied with the outcome, or perhaps in it just for the money.  Whatever the circumstances, he has decided now to offer the leg lamp for sale.

Will it cost an arm and a leg?

 

 

Needle with drop of bloodOn the Clinical Waste Discussion Forum we have often reported on needle finds in a diversity of locations. Parks and gardens, playgrounds, car parks, alleyways and beaches etc are commonly affected locations. Though we will continue to report those which we believe carry some particular interest or learning point there are so many of these, occurring daily, that it no longer becomes newsworthy unless these happen to involve your own locality.

So now, it becomes not where, but how many?

And to kick things off, how about the Birmingham park from where volunteers picked up no less than 700 needles!

More than 700 needles have been found during a community clean-up of a Birmingham park.

Empty bottles of methadone were also found among the narcotics gear at Highgate Park by volunteers who spent ten weeks clearing the grounds to “restore some pride” to the neighbourhood.

The abundance of dangerous drugs paraphernalia prompted one exasperated visitor, called ‘Neil’, to leave a note to addicts pleading with them to stop.”

http://www.birminghammail.co.uk/news/midlands-news/700-needles-found-highgate-park-7804084

Read the rest of this entry »

Health Technical Memorandum (HTM) 07-01 is a guide for those involved in the management and disposal of healthcare waste.

Several emails have been received from people struggling to find this document on any of the original web sites that were carrying it – Department of Health, Environment Agency etc, since the UK government completed the brining together of its various department websites under a single gov.uk brand.

Further confusion arises from the different versions form England, Wales Northern Ireland and Scotland, each coming to you with its own ‘bloat’ so make sure you have a fast and reliable network connection!

For the record, download the English version here,

…the Welsh version here,

…the Northern Ireland version here,

…and Scotland here

 

All absolutely free!

 

 

 

HCWH Releases New Global Inventory of Healthcare Waste Management Technology Suppliers

To aid in the procurement of appropriate technologies, Health Care Without Harm first published an inventory of non-incineration healthcare waste treatment technologies in 2007. The new version has been fully updated and provides listings of suppliers from one hundred and six countries, from Albania to Zimbabwe. Many of the suppliers also ship globally. As well as the most widely applied technologies, such as autoclaves, the listing covers several different steam and heat based technologies, such as microwaves and frictional heating, and chemical based technologies like ozone disinfection, and alkaline hydrolysis, which can safely destroy pathological wastes and laboratory cultures. For the first time, it also includes new categories such as needle or syringe destroyers, which can prevent many of the needle stick injuries which happen during the disposal of syringes.

Ruth Stringer, International Science and Policy Coordinator for Health Care Without Harm said “Procuring the right technology can be a very time consuming task, and not everyone who is tasked with purchasing is aware of the variety of alternative technologies available. We have worked hard to include as many suppliers as possible to make this task easier for those looking for alternative medical waste treatment technologies.”

New companies enter this dynamic market all the time, and existing ones updating their products periodically. To make sure that the inventory is as up to date as possible, Health Care Without Harm is also working on an online database, which will be released later this year.

  • The Global Inventory of Alternative Healthcare Waste Treatment Technologies can be downloaded from here.
  • Suppliers wishing to provide new information to be incorporated into the forthcoming online database can write to: medwastealternatives@hcwh.org

 

HCWH, clinical waste, Blenkharn Environmental, autoclave, incinerator, ozone treatment, pyrolysis, clinical waste discussion forum, clinical waste disposal, development, healthcare waste, medical waste, needle disposal, pharmaceutical waste, sharps disposal, syringe disposal, waste management, waste regulation, waste treatment

 

 

ApplauseIn a generous act of compassion Hampshire based technology developer, PyroPure, is to donate one of its on-site medical waste pyrolysis systems to West Africa in a bid to help stop the spread of the Ebola – particularly amongst health professionals treating victims of the deadly virus.

The company’s latest move follows a World Health Organisation (WHO) report that found that the devastation is much worse that initially feared.

In a recent statement the WHO said that “the numbers of reported cases and deaths vastly underestimate the magnitude of the outbreak” and that “the outbreak is expected to continue for some time”.

PyroPure’s system features a 100 litre chamber, which is enough for around two regular bin bags of waste. To treat the waste it uses both pyrolysis, in which the waste is heated in the absence of oxygen and gasification where the waste is processed in the presence of very little oxygen.

According to Andrew Hamilton, chief executive of PyroPure, the chamber up to around 500°C – 600°C and all the organic waste vaporises, primarily into CO. That gas is then put through a catalytic converter, which at around 400°C converts the CO and other tars and polluting gases into clean CO2.

The system is said to be capable of transforming 6kg to 12kg of any type of organic waste into a handful of residue, while recovering energy in form of heat and safely sterilising the waste.

The move to send one of its machines to West Africa follows the recent call from Peter Selkirk, the company’s executive chairman, for UK hospitals to rethink their approach to hazardous waste disposal in the wake of the outbreak. (See WMW Story)

“Whilst our gesture only represents a small part of a huge operation we hope that the contribution goes some way to halt the outbreak,” Selkirk.

PyroPure said that it is currently assembling an in-house team who will travel out to West Africa to install the system and train health practitioners responsible for handling hazardous and potentially infectious medical waste.

Well done, Pyropure

 

 

 

 

 

WyboneAt best, hospitals are rather soulless places. With stark design, neutral – or is that bland? – colour schemes, and limited furnishings further justified now to aid infection prevention, even a few brief days in hospital can be soul destroying for adults.

For children, this is ever more so and must surely contribute to, in some cases, a significant additional psychological burden adding to that caused by separation from Mum, Dad and friends, and the distress of all those horrible smells, sights and sounds, the medicines and other treatments.

Improved visiting arrangements for children’s wards may matters a little easier, and in the newer build hospitals designers and planners have recognised the need for a more friendly environment and do brighten up the environment. Regrettably, others seem to rely solely upon the same tired adhesive prints of Disney carton characters stuck to walls and doors. It may distract a 3 year old, at least for a few minutes, but older children derive no comfort from this.

And then, whatever the approach to environment design and furnishings, it becomes necessary to plonk one or more healthcare waste sack holders in that environment. Can there appearance be improved?

Wybone have a solution to this with their zoo animal bin stickers. Nice idea, assuming that the stickers are sufficiently robust to survive daily cleaning without deterioration and peeling at the corners.

The stickers look attractive, and would work equally well on any existing sack holders without the additional cost of buying an entire set of new bins. Its a clever idea, and do note that the main image colour reflects the sack designation of green, orange, yellow or black in order not to detract from the visual prompt for source segregation. Read the rest of this entry »

The problem of bio-medical waste management has been felt globally with the rise in deadly infections. The main hindrance to sound health care waste management programme is lack of training and suitable skills, lack of resource allocation and lack of proper equipment.

  OBJECTIVE

This course has been developed to create basic awareness about health care waste management practices and prepare the learners with required skills for efficiently managing health care waste and safe guard themselves and the community against adverse health impact of health care waste.

  POTENTIAL CAREERS

After the completion of the course, jobs can be found in Hospitals, Waste Management Recycling Organizations and Government Agencies. Students could work as Hospital Administrator, Environment Regulator, Manager, Superintendent etc.

 

Please check very carefully and consider the academic accreditation of any course before enrolment.

 

http://www.distancelearning.edu.in/course-detail.php?tid=0&pid=13&cid=677&ctype=3&pg=Diploma&fn=Management

 

 

 

The U.S. Court of Appeals for the Ninth Circuit will hear the Pharmaceutical Research and Manufacturers Association of America (PhRMA), Generic Pharmaceutical Association (GPhA), and Biotechnology Industry Organization (BIO) appeal of the district court ruling in favor of Alameda County’s Safe Drug Disposal ordinance, which requires pharmaceutical companies to design, fund, and operate a medicine collection program.

This hearing will be the fifth of five cases on the docket (http://1.usa.gov/1jgZYR8) starting at 9am tomorrow, Friday, July 11th and can be viewed here: http://1.usa.gov/1zrUrvO>.

The hearing will be recorded and can be downloaded after noon, Saturday, July 12th at: http://www.ca9.uscourts.gov/media/view_video.php?pk_vid=0000006491 Search for the case number: 13-16833.

Check the links above for live streaming and later a recording of the hearing.

 

The NHS has unveiled plans to cut up to £300m worth of medicines waste from its budgets.

Hurrah.

Overprescribing is the problem. Too quick with the pen to write a script, sometimes for the wrong drug or incorrect dose, and then too often the prescription is repeated, over and over.

Each time the NHS gets sight of its drug budget and estimates wastage, every time the adverse effects of prescribed drugs reaches the top of the agenda, every time  disposal costs become an issue the realisation dawns. The NHS is prescribing too many and too much drugs.

Almost inevitably, it is described as the patients’ fault, having the temerity to demand a prescription for some minor symptom, or daring to ask for a repeat prescription.

But wait. Who controls the issue of a prescription? Blaming the patient for the consequences of bad prescribing by GPs and hospital doctors is simply absurd, though may be a good headline maker and demonstrate some action toward remedying the problem.

This latest NHS approach can be found here:

Medicines Optimisation Prototype Dashboard

It seeks to do the same as previously, though using more words and a bit of IT support. But it is still patient focussed. The patient is the problem in the eyes of those who have constructed this latest approach, but barely a word about insisting that the prescriber smartens up their act.

As we have noted previously on the Clinical Waste Discussion Forum, it seems bound to fail as all previous attempts have failed to make a dent. And at what additional cost?

see also Reducing antibiotic resistance – better prescribing for less waste

see also High cost of island healthcare waste disposal

see also Cutting medicines waste through prescription control

see also NHS Isle of Wight drug waste reduction

and more generally http://www.ianblenkharn.com/?s=prescribing

 

 

 

A courier delivery van disguised as a meals on wheels vehicle has been exposed as cover for Chinese traditional medicine peddlers, who used it to collect human placentas from hospitals whilst pretending to deliver meals to patients.

The placentas were taken from hospital by crooked medics who sold them to the traditional medicine men when they turned up in the food delivery service van.

The valuable medical waste, which was packaged up in meals on wheels styrofoam boxes, was seized at a highway toll station near in the city of Ji’an in eastern China.

According to officials, the driver of the mini van where the placentas were loaded said that he was delivering a special seafood service for hospital patients.

But a routine search soon turned up the bloodied bags containing the remnants of human birthing procedures.

“It was disgusting,” said one officer. “They buy this stuff illegally from people working in hospitals. They then send it off to remote workshops where it is dried and ground down into all sorts of medicines designed to make one strong, potent, wealthy – you name it.”

The Chinese Ministry of Health declared years ago that human placentas must be designated as medical waste and destroyed. It is forbidden for any organisation or individual person to trade in human placentas including transporting them.

But such is the hunger for traditional medicine that the laws are flouted across the country and it is estimated thousands of placentas are illegally sold and processed every week.

The minibus driver was fined for carrying his illegal cargo and is currently co-operating with police attempting to track down the gang.

 

 

 

 

The Sion police probing into the case of medical waste seized on Thursday will be questioning the owners and staff of SMS Logistics that have been given the contract to dispose the hazardous refuge by the BMC. The cops will also write to the civic body, asking it to take action against contractors flouting rules.

Traffic police blew the lid off an organized racket concerning hospital medical waste, sparking health concerns. During a nakabandi [road block] at Sion, the traffic police intercepted a tempo containing medical waste that the driver planned to resell instead of disposing. The driver, Mujahid Shaikh, 40, and his cleaner, Inayat Khan, 27, have been arrested. Both are Mankhurd residents.

Officials from the Matunga traffic division had conducted a nakabandi at BA Road in Sion on Thursday. “We came across a tempo smelling off antibiotics and stopped it on suspicion. The tempo was carrying a board which said that it was an ‘on-duty BMC’ vehicle, which it wasn’t. The tempo was carrying discarded gloves, syringes, bags, bottles etc. The driver admitted that he had purchased the medical waste, at the rate of Rs 15 per kg, from a company contacted by a south Mumbai-based hospital for disposal,” said senior inspector Sujata Patil, Matunga traffic division.

Around 5pm, the two accused and the tempo were handed over to the Sion police. “We will investigate if the hospital was aware of the racket,” said an official from Sion police.

Sion police have registered a case under sections 171 (wearing garb or carrying token used by public servant with fraudulent intent), 275 (sale of adulterated drugs), 336 (act endangering life or personal safety of others), 420 (cheating), of IPC. They will be produced before a magistrate court on Friday.

 

 

A doctor accused of dumping confidential information about his patients in his neighbour’s bin in Tunbridge Wells is waiting for his fate to be decided by a jury.

The doctor, who runs the Wells Medical Centre in London Road, is accused of throwing away of sheets of personal data, containing details of medical treatment and phone numbers, as well as medical waste such as syringes boxes and latex gloves, in his neighbour’s bin on two occasions.

He pleaded not guilty to failing in his duty to transfer commercial waste to an authorised waste carrier and to create and retain a waste transfer note on March 1 and June 14 last year, as well as failing to provide waste documents on March 17 following notice served by the waste regulation authority.

Read more: http://www.courier.co.uk/Jury-Tunbridge-Wells-doctor-dumped-patients-info/story-21193109-detail/story.html#ixzz33sZD4zxU

Using sharps containers to dispose sharp waste is emerging as a standard practice in various healthcare institutions. These containers are used for disposing off the sharp wastes, like needles etc immediately after their use in order to prevent injuries. According to a new report by RNCOS, “Indian Medical Sharp Container Market Assessment and Forecast 2018″, with the growing number of healthcare establishments in India, coupled with increasing awareness regarding disposing the sharp waste in the right manner, the demand for medical sharp containers is increasing in the country.

According to our report, sharp wastes are generated from hospitals, diagnostics centres, nursing homes, and other healthcare institutions. These wastes pose risk of causing health hazards to humans and spread infectious diseases such as HIV and Hepatitis B. Over the past few years, the awareness related to risks involved with sharp waste is increasing in India; hence, providing the required boost to the growth of sharp container market. Further, the government of India has made it mandatory to follow the ‘Bio-Medical Waste (Management and Handling) Rules’, in which all the healthcare institutions are legally bound to use the bio-medical waste containers for waste disposals. Thus, the medical sharp containers market in India is witnessing growth.

Our recent market research report on Indian Medical Sharp Container covers the current and future market forecast of sharp container, their demand in application areas (hospitals and pathology labs), along with their regional demand analysis. It further depicts the macro & demographic indicators, industry drivers and trends to provide a clear picture about the growth prospects of the market. Besides, the report also covers the tax structure and government regulation levied on sharp containers. The challenges hampering the growth of the market have also been highlighted in the report. Further, the market strategies that should be adopted have also been outlined. A brief overview of the market from the point of view of manufacturer, covering details of supply chain management, pricing and fast moving containers have also been covered in the report. Additionally, it includes business overview and a snapshot of capacity-wise price range of major manufacturers’ sharp containers in India.

http://www.menafn.com/c3b4e64e-7706-4798-a302-a11eeb88ee0e/Increasing-Usage-of-Medical-Sharp-Containers-in-India?src=main

This is good news, but does not tell the entire story.

What happens to filled sharps bins? Are they being treated/destroyed and put safely beyond use, or quietly disappearing to find their way back into re-use?

News of increasing sharps bin use is heart warming but without certain destruction to put used sharps safely beyond re-use the task is incomplete and lives remain at great risk.

Blenkharn Environmental has worked hard for many years, to identify and improve the safe handling and storage of clinical wastes, in the community, in hospitals, and by waste contractors.

Few others seem to bother, as this was always an issue far from the oversight of regulators and far too expensive to do properly. But in recent years, CQC has identified though its inspections many failures in clinical waste handling and storage in healthcare premises. This includes unsafe handling and storage of wastes, and poor hygiene standards that results in blood splashes on waste containers – all issues previously identified in our research and available from our Publications page.

These issues have become an easy target, perhaps rightly so as they are indicative of systemic hygiene failures and unsafe practises.

The latest to fall foul of these inspections is Lewisham Hospital. There will soon be many more as this provides an easy target for regulators. Many failures overlap with the requirements of the Environment Agency and HSE, both of whom have conscientiously sat on their hands for years and instead chosen the easy pickings of the clinical waste management companies.

Unfortunately, the consequences of those failures must now be overturned, and it will take time. It is some years since the second and most recent clinical waste survey. Perhaps it is time to do it all again? If we do, the results will appear here on the Clinical Waste Discussion Forum.

see also Clinical waste errors at West Middlesex Hospital

see also Clinical waste errors at West Middlesex Hospital

see also Plastic surgery clinic falls foul of regulator

 

 

 

An Oregon waste-to-energy facility has cuts ties with “aborted-baby hauler” Stericycle.  The US waste-to-energy facility has been forced by the county in which it operates to cut ties with a Canadian provider of biomedical waste after the story broke globally last month that some of that waste allegedly includes the remains of babies destroyed by abortion in B.C. facilities.

The Marion County Board of Commissioners moved to cancel the county’s contract with biomedical waste-hauler Stericycle, despite the company that owns and operates the waste‐to‐energy facility claiming that aborted babies are not being burned for electricity. Read the rest of this entry »

International Expert on Healthcare Waste Management Issues

This vacancy will based in Kazakhstan. The individual must have a mid-level experience in healthcare waste treatment. Excellent writing English skills are essential. Knowledge of Russian would be an asset. The successful candidate will prepare recommendations on analysis of current situation on healthcare wastes prepared by the national expert, and recommendations on its improvement. S/he will review of international experience in healthcare waste management and monitoring. The incumbent will prepare recommendations on adapting best available technology for use in Kazakhstan.

more at https://www.devex.com/en/jobs/international-expert-on-healthcare-waste-management-issues-44516/secure?mem=ua&src=job

 

 

 

 

 

 

Not for the first time, inspectors have found evidence of poor hygiene and safety practice at Ninewells hospital.

In its entirety that need not concern us, but one section of the Healthcare Environment Inspectorate (HEI) report, abstracted by a local newspaper report, reveals:

Inspectors found there was “poor compliance” with procedures for managing sharp objects such as needles, with bins for them contaminated with blood on the outside. Two were overfilled and the HEI said NHS Tayside must address the problem to cut the risk of injury and infection to patients, staff and visitors.

In all, inspectors found 4 sharps bins in use having blood splashed on their external surfaces. But that ins not surprising. Blood on the outside of sharps bins, and in the vicinity where they stand is to be anticipated. It requires care in use, and effective cleaning of the area around, underneath and behind the sharps bins, but not of the bins themselves.

To do any more would itself be hazardous and should be avoided. But to change a large sharps bin after one use, when a splash of blood appears around its neck or on some other surface, is equally wrong. How to prevent, avoid, or reduce this soiling is the important question. Likewise inspectors, and cleaners too, must look around the sharps bin, as splashes appearing on the bin itself inevitably point to contamination of the wider area, with blood and with pharmaceutical residues.

We at Blenkharn Environmental and at the Clinical Waste Discussion Forum have been banging on about this for several years, including this issue in our research and teaching, in our audits and inspections, and in publication (below). It is a common and widespread problem to which their is no immediate and easy resolution.

 

Blenkharn JI. Blood splashes around sharps bins: hygiene failures in the clinical environment? International Journal of Hospital Environment and Hygiene Management 2012;1:1-9

 

 

 

 

 

 

 

 

 

 

An RCN guidance document entitled “The management of waste from health, social and personal care” is now available for download from https://www.rcn.org.uk/__data/assets/pdf_file/0008/571427/004187.pdf

 

 

 

 

Download the Chartered Institution of Wastes Management (CIWM) publication “An Introductory Guide to Healthcare Waste Management in England & Wales”

 

http://www.ciwm-journal.co.uk/documents

 

 

 

 

tablets and capsulesThe evidence is now sufficiently strong as to be almost incontrovertible, save for a spirited rear-guard action by the vested interests of the big pharmaceutical companies who have a record of non-disclosure, that Tamiflu and other antivirals have limited protective benefit in the event of epidemic influenza, swine flu etc, and for treatment of affected persons are little better than a couple of paracetamol.

Many hundreds of millions of pounds of taxpayers have been wasted on Tamiflu stockpiles. Yet more money will now be spent on disposal.

 

 

 

The news media today are headlining the dramatic rise of drug abuse and needle sharing in gyms and sports clubs across the UK, and proposals by NICE to install needle exchange programs within the gym to prevent spread of bloodborne virus disease.

NICE have updated their draft guidelines and slowly, PHE staff will be including high street gyms in their scope of operation while existing needle exchange schemes, often voluntary or charity-funded, will expand to include some gyms in their sphere of operation.

Steroid abuse is rife in gyms. Needle finds in the toilets of even the shiny brand-name gyms has been a problem for cleaners and maintenance staff but has been hushed up to avoid sullying the healthy reputation of the gymnasium. Any help will be invaluable, though ultimately if these pumped up idiots stopped taking illegal and unregulated steroid products their health would be better still. However, , it happens and this new publicity can help if it followed rapidly be those needle exchange schemes and not suppressed by the gym owners, keen to maintain their clean image.

Though there are crime issues involved in the illegal manufacture, distribution and supply of these anabolic steroids and other injectables used as tanning enhancers, safety and protection of public health is ever more important.

Nonetheless, the abuse of injectable drugs is now rife and initiatives such as needle exchange schemes are essential in order to stop the spread of bloodborne virus disease.

This suggests that sharps bins and subsequent disposal should be appropriate for pharmaceutical waste disposal, though colour coding of sharps bins, with the exception of purple-lidded bins for cytotoxics, seems to have fallen largely into disarray.

 

see also http://www.ianblenkharn.com/?p=6438
see also Further drug abuse in sports and gymnasia
see also Muscle bound sharps users

…and so on!

Indeed, if you search this site for the word GYM you will find much more. Looking back through the archive files you will find much more, going way back to late 2006 when the Clinical Waste Discussion Forum first raised this observation which has subsequently grown massively, to become something of a global health issue.

 

 

 

In an interesting approach to regulation and more generally the US move away from high temperature incineration of clinical and related wastes, Utah has given final approval to a measure blocking facilities burning infectious medical waste from being built within two miles of existing neighbourhoods.

The Environment Agency, as least its healthcare waste ‘specialist advisers’, have for some years seemed enamoured with US regulation and standards, and have been generally happy to follow suit. They have also demonstrated an unhealthy and scientifically unsubstantiated preference to high temperature incineration which left a suspicious cloud of smoke over their entire operation.

This is a plausible approach for the largely unpopulated wilds of Utah. To adopt this latest US bill would be entirely unworkable on the small island that is the UK.

Let’s prove that the we in the UK can think for ourselves, and lead in the EU with a mixed approach to management of this multi-fraction waste stream, to protect the environment and encourage development in energy and resource recovery through heat capture and materials recovery from all waste treatments. And let’s stop the deposit of sanitary/offensive wastes into sanitary landfill when far better alternatives exist.

 

 

Sales Consultant – Clinical Waste

An establJobsished name in the Clinical Waste market are looking to grow their business in the forthcoming years, they have a settled team that manage specific geographic locations. One area that they require a Field Sales Consultant is the Derby, Nottingham and  Stafford area

About the Client:

A multi-service business with a strong name in the Clinical Waste market, our client has their own transfer station which is a major selling point or their client base. The business is looking to invest heavily in their sales function over the coming years  and one of the most important things for them to do is to source an experienced sales person to join their settled team in the Midlands

About the Role:

* Selling Clinical Waste solutions to clients across the Midlands
* Potential clients would include – Hospitals, Doctors Surgeries, Dentists & Nursing Homes
* The role is heavily road-based, covering a large patch across the West Midlands
* You will have telesales support however this role will require focus on sourcing new business opportunities

About the Candidate:

* Prior experience in the Clinical Waste industry would be hugely beneficial
* If you have experience of selling products or services into the Healthcare Sector that would be ideal
* It is essential that you have B2B sales experience
* This role comes with a large patch, it is essential that you have excellent organisational skills

Points of Appeal:

* £25,000 – £30,000 Basic Salary
* £40k year one OTE, increasing over time
* Telesales support & clients to manage
* Large Patch to manage

Details of job reference 24674111 at http://www.reed.co.uk/jobs/sales-consultant-clinical-waste/24674111

 

Good luck