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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).
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.
Provides a comprehensive view of the waste disposal options currently available.
Cover -- Half title -- Title Page -- Copyright Page -- Preface -- Acknowledgment -- Contents -- SECTION I: INTRODUCTION -- 1. The Search for a Successful Waste Management Strategy -- 2. Regulations and Standards for Infectious and Medical Waste Management -- SECTION II: INFECTIOUS WASTE MANAGEMENT -- 3. Identification of Infectious Waste -- 4. Handling, Storage, and Transport of Infectious Waste -- 5. Treatment Considerations and Options -- 6. Steam Sterilization of Infectious Waste -- 7. Incineration of Infectious Waste -- 8. Other Treatment Technologies -- 9. Disposal of Treated Waste -- 10. Minimizing Infectious Waste -- SECTION Ill: MANAGEMENT OF OTHER MEDICAL WASTE -- 11. Antineoplastic Drugs and Other Chemical Wastes -- 12. Managing Low-Level Radioactive Waste -- 13. Wastes with Multiple Hazards -- SECTION IV: KEEPING YOUR SYSTEM GOING -- 14. Occupational Safety for Waste Management -- 15. Preparing for Hazardous Material Emergencies -- 16. Training Staff and Waste Handlers -- 17. Completing the Process: Essential Components of Effective Waste Management -- APPENDICES -- Appendix A: A Guide to the Medical Waste Tracking Regulations -- Appendix B: U.S. EPA and State Hazardous Waste Contacts -- Appendix C: Infectious Waste Management Audit -- Index
Incineration has been used widely for waste disposal, including household, hazardous, and medical wasteâ€"but there is increasing public concern over the benefits of combusting the waste versus the health risk from pollutants emitted during combustion. Waste Incineration and Public Health informs the emerging debate with the most up-to-date information available on incineration, pollution, and human healthâ€"along with expert conclusions and recommendations for further research and improvement of such areas as risk communication. The committee provides details on: Processes involved in incineration and how contaminants are released. Environmental dynamics of contaminants and routes of human exposure. Tools and approaches for assessing possible human health effects. Scientific concerns pertinent to future regulatory actions. The book also examines some of the social, psychological, and economic factors that affect the communities where incineration takes place and addresses the problem of uncertainty and variation in predicting the health effects of incineration processes.
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.
This volume updates and combines two National Academy Press bestsellers--Prudent Practices for Handling Hazardous Chemicals in Laboratories and Prudent Practices for Disposal of Chemicals from Laboratories--which have served for more than a decade as leading sources of chemical safety guidelines for the laboratory. Developed by experts from academia and industry, with specialties in such areas as chemical sciences, pollution prevention, and laboratory safety, Prudent Practices for Safety in Laboratories provides step-by-step planning procedures for handling, storage, and disposal of chemicals. The volume explores the current culture of laboratory safety and provides an updated guide to federal regulations. Organized around a recommended workflow protocol for experiments, the book offers prudent practices designed to promote safety and it includes practical information on assessing hazards, managing chemicals, disposing of wastes, and more. Prudent Practices for Safety in Laboratories is essential reading for people working with laboratory chemicals: research chemists, technicians, safety officers, chemistry educators, and students.
Environmental Treatment Technologies for Municipal, Industrial and Medical Wastes will provide the reader with a simple and clear path to analyze the full range of options to manage/treat any solid, hazardous, or medical waste problems/issues at hand. This book aims to disseminate information on available remediation treatment technologies to developing and developed countries. It also includes adequate information on all available treatment technologies for different types and categories of waste (hazardous, non-hazardous municipal solid waste, and medical waste). The technologies are grouped into the following categories: Containment technology; Soil washing; Thermal treatment; Vapor extraction; Bioremediation including Phytoremediation; Plasma/Incineration; Other Physical/Chemical treatments. It enlightens the effect of emissions during remediation activities on climate change and suggests measures to identify and control such emissions. It also covers the application of remote sensing technologies with examples and the impending issues of proper disinfection and disposal of COVID-19 related waste pertaining to the current pandemic. It is intended for almost anyone — ranging from college students and early career professionals interested in environmental pollution control, to graduate students, researchers and experienced professionals. This book will: cover several recent developments on various treatment technologies, including in situ applications and their emission/migration control methods including remote sensing technologies; deal with municipal solid waste, their treatment/disposal methods, recycling, and reuse in addition to the hazardous and medical waste management program; assist civil/environmental engineering students and local community organizations in evaluating the impact of an industry and its associated waste produced on-site; and cover how best to treat/manage the waste to arrive at a safe operation without impacting human health and the local environment.