India and China, tackling the problem of health care waste
Par Yang Zhou
Posté le: 23/03/2015 14:45
In india,health care wastes are not be well dealt with, some of these wastes are through simply on the dumps,worse, even children are active as ragpickers who earn money by picking the rubbish. This years, the Delhi Government proposed before the National Green Tribunal*four sites across the city for disposal of biomedical waste, which would be a positive progresse in the management of health care waste in India.
Health care waste is waste from medical premises,including, for example,paper, soiled dressings, sponges, body tissue, waste ampoules, disposable masks, sharps, disposable syringes, drapes, catheters, drainage sets, colostomy bags, surgical gloves and sweepings from hospital. Contaminated glassware, plastics, specimen container, specimen slides, and organs. Cartons, crates, packing material, metal containers, food container, solution bottles, pharmaceutical bottles, waste from public and patients' rooms, waste food material, waste from x-ray department,etc.
Health care waste is potentially dangerous because it can transmit disease. The disposal of Health care waste is always a problem.if Health care waste is not well dealt with, it would be hazardous to people at the work place, cleaners, waste handlers, and the general public.Some of these wastes are highly toxic and can cause HIV, Hepatitis-B, Hepatitis-C and a number of other diseases. If the plastic material mixed with the waste is burned, gases that can cause cancer are emitted. Due to the waste’s infectious and hazardous character,health care waste management is an imperative environmental and public safety issue,especially in developing countries.
In China, the average of health care waste in a Chinese hospital could be 1 kg/bed/day (according to a study in a second-tier city in China ).Chinese government published their national regulations and standards for health care waste management in 2003. To investigate the current status of health care waste management at different levels of health care facilities after the implementation of these regulations.Also, some developed countries export illegally the health care waste to the developing country.For example, in china, the government banned some factories who made the toys by using health care wastes from some developed countries.
For solving the problem of health care waste in developing countries, it is not enough with the national regulation, also, it is necessary to improve occupational safety for cleaning personnel by the regular training programs and sufficient provision of protective measures.
Financing and administrative monitoring by local authorities is needed to improve handling practices and the implementation of off-site centralized disposal in primary health care centers.
*The National Green Tribunal: It has been established on 18.10.2010 under the National Green Tribunal Act 2010 for effective and expeditious disposal of cases relating to environmental protection and conservation of forests and other natural resources including enforcement of any legal right relating to environment and giving relief and compensation for damages to persons and property and for matters connected therewith or incidental thereto. It is a specialized body equipped with the necessary expertise to handle environmental disputes involving multi-disciplinary issues.