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This is the second edition of the WHO handbook on the safe, sustainable and affordable management of health-care waste--commonly known as "the Blue Book". The original Blue Book was a comprehensive publication used widely in health-care centers and government agencies to assist in the adoption of national guidance. It also provided support to committed medical directors and managers to make improvements and presented practical information on waste-management techniques for medical staff and waste workers. It has been more than ten years since the first edition of the Blue Book. During the intervening period, the requirements on generators of health-care wastes have evolved and new methods have become available. Consequently, WHO recognized that it was an appropriate time to update the original text. The purpose of the second edition is to expand and update the practical information in the original Blue Book. The new Blue Book is designed to continue to be a source of impartial health-care information and guidance on safe waste-management practices. The editors' intention has been to keep the best of the original publication and supplement it with the latest relevant information. The audience for the Blue Book has expanded. Initially, the publication was intended for those directly involved in the creation and handling of health-care wastes: medical staff, health-care facility directors, ancillary health workers, infection-control officers and waste workers. This is no longer the situation. A wider range of people and organizations now have an active interest in the safe management of health-care wastes: regulators, policy-makers, development organizations, voluntary groups, environmental bodies, environmental health practitioners, advisers, researchers and students. They should also find the new Blue Book of benefit to their activities. Chapters 2 and 3 explain the various types of waste produced from health-care facilities, their typical characteristics and the hazards these wastes pose to patients, staff and the general environment. Chapters 4 and 5 introduce the guiding regulatory principles for developing local or national approaches to tackling health-care waste management and transposing these into practical plans for regions and individual health-care facilities. Specific methods and technologies are described for waste minimization, segregation and treatment of health-care wastes in Chapters 6, 7 and 8. These chapters introduce the basic features of each technology and the operational and environmental characteristics required to be achieved, followed by information on the potential advantages and disadvantages of each system. To reflect concerns about the difficulties of handling health-care wastewaters, Chapter 9 is an expanded chapter with new guidance on the various sources of wastewater and wastewater treatment options for places not connected to central sewerage systems. Further chapters address issues on economics (Chapter 10), occupational safety (Chapter 11), hygiene and infection control (Chapter 12), and staff training and public awareness (Chapter 13). A wider range of information has been incorporated into this edition of the Blue Book, with the addition of two new chapters on health-care waste management in emergencies (Chapter 14) and an overview of the emerging issues of pandemics, drug-resistant pathogens, climate change and technology advances in medical techniques that will have to be accommodated by health-care waste systems in the future (Chapter 15).
Issues associated with biohazardous waste have come into sharp focus in recent years due to public concern over AIDS and the medical waste wash-ups along U.S. beaches and coastal communities in 1988. This comprehensive volume covers all important areas of biohazardous waste management, from regulation to collection to disposal. Promoting safe, sensible, and ecologically sound solutions throughout, this book Discusses risk assessment in terms of human health, persistence of pathogens in the environment, and how these relate to methods of waste disposal Deals with questions of policy and environmental regulations that include workplace health and safety and public health issues Reviews the medical industry's standards and guidelines for dealing with its waste stream and how they fit in with the EPA's program of medical waste tracking Details specific waste management strategies for both major facilities and home healthcare Examines the available technologies for dealing with biohazardous waste, particularly incineration and steam sterilization Reviews the many alternative treatment technologies, including specifics of newly developed systems and procedures for evaluating their effectiveness and safety Lists resources and contacts to help keep up with new technologies and management techniques, and includes appendices with federal and state OSHA contacts and state medical waste contacts Provides many illustrations to highlight the text For professionals in public health, medicine, and waste management; regulatory officials at all levels of government; and environmental scientists and engineers, this volume brings the field of biohazardous waste up-to-date while serving as an excellent guide and reference to some of the more compelling issues of our time.
The annual cost of medical care in the U niled States is rapidly approaching a trillion dollars. Without doubt, much of the rise in costs is due to our health industry's concentration on high technology remediation and risk avoidance measures. From recent public discussions it is becoming in creasingly evident that to contain the costs and at the same time extend the benefits of health care without national bankruptcy will necessitate much greater attention to preventative medicine. The total cost of waste disposal by our health industry is well over a billion dollars. It is rising rapidly as we increasingly rely on high technol ogy remediation measures. Here, too, in the opinion of the authors of this work, it would be prudent to give much greater attention to preventative approaches. Incineration technology has largely been developed for disposing mu nicipal solid waste (MSW) and hazardous waste (HW). As a result of the multibillion dollar funding for the Resource Conservation and Recovery Act (RCRA), most experts believe that pollution control is the key to minimizing toxic emissions from incinerators. This view is now beginning to take hold in medical waste (MW) incineration as well. However, the authors contributing to this book have concluded that precombustion measures can be most effective in reducing the toxic products of medical waste incineration.
Everyday, thousands of hospitals around the country produce thousands of tons of infectious waste. The disposal of this waste is considered one of America's primary environmental problems. Drawing on the author's 20 years of experience as an administrator, department director, and staff consultant, Infectious Waste Management offers an insider's approach to medical waste management. This reference includes information on how to manage medical waste practically. It gives simple, effective procedures on how to a establish or revitalize a waste management program. Written in a friendly, understandable style, the book covers everything from working with administration to provide necessary resources to getting employees to work effectively. It describes cost-containing guidelines and establishing regulatory compliance. This invaluable guide discusses proper department procedures and methods to monitor systems. The book contains "education modules" or short education tools which can be used to convey important task-oriented information to staff. The book is divided into three sections according to the intended audience. Text in the first section is directed toward hospital administrators and members of the infection control and safety committees. The second is primarily for department directors and focuses on writing infectious waste management procedures for the departments of environmental services and maintenance. This section also addresses the essential functions of program monitoring and waste tracking or manifesting. The third part is for people responsible for educating staff. Together, these sections present an effective, full-staff approach to infectious waste management. The book has a number of appendices, which restate important points made throughout the book and provide sample policies, procedures, letters, memos, reference cards, and other management or education tools that will prove helpful.
Biosafety in the Laboratory is a concise set of practical guidelines for handling and disposing of biohazardous material. The consensus of top experts in laboratory safety, this volume provides the information needed for immediate improvement of safety practices. It discusses high- and low-risk biological agents (including the highest-risk materials handled in labs today), presents the "seven basic rules of biosafety," addresses special issues such as the shipping of dangerous materials, covers waste disposal in detail, offers a checklist for administering laboratory safetyâ€"and more.
Healthcare facilities, medical laboratories and biomedical research facilities generate large amounts of biomedical waste. Poor management of the waste can cause serious health and environmental hazards. This book aims to cover the latest technologies and innovations for sustainable management. It covers bioremediation processes, plastic waste recycling, and metal recovery. It also discusses waste monetization, such as conversion into energy.
Introduction Twentieth century is a century of the greatest phenomenon in terms of growth and development of human existence at an accelerated rate of change. Intellect and technology could contribute to the immense change in terms of materialistic wellbeing, economic growth, education, healthcare etc. At the same time, the same phenomenon could contribute to over exploitation of resources, pollution, population explosion, ecological imbalance, conflict and warfare with sophisticated technology, disease and distress. Healthcare is an important area of human care. The very process of modern healthcare is also ridden with risk and unhealthy practices. One of this is Bio Medical Waste generation in treatment of human beings; apart from other species. This Bio Medical Waste generation warrants proper Bio Medical Waste management.