Direct contact Blood borne disease Ex: Hep A, Hep B, AIDS through needle stick injuries Vector borne disease Ex: malaria, yellow fever, sleeping sickness Water borne disease Ex: Typhoid, Colera, HepA Air borne disease Ex: TB
All heathcare facilities need a clean water supply!
Recent assessment reveal that many need new boreholes installed down to the groundwater in the aquifer, costing approximately $8,000. Other clinics need repairs to the existing borehole, costing approximately $1-3,000.
Almost one third of the healthcare facilities reported not always having a water supply. Rainwater is free and relatively good water quality. Catching rain “free-falling” is usually better than from a roof yet there is no one right way, only what works best for your clinic at this time. Rainwater Catchment
Simply roll out a sheet of plastic - cleaner surface area than most roofs !
Improvised water storage bin - constructed from local materials
INCINERATION for disposal of highly hazardous waste is not the best “environmentally friendly” technology, but is appropriate for Liberia at this time. Use of functional, high-temperature structures is recommended by the MoH EPI.
General waste (non-risk) including uncontaminated waste similar to domestic waste (paper, plastic wrappings, food waste); may represent about 80% of the total waste production from healthcare facilities.
Wastes thought to contain low concentrations of infectious agents, such as disease causing bacteria, viruses, parasites, and fungi, that could spread the disease.
Examples; tissues, swabs, wound dressings, bandages; materials or equipment that have been in contact with infected patients; blood stained cloth, human excretions such as pus, feces and vomit from patients without highly infectious diseases; wash water.
Example of a Sanitary Pit, unlined for large amounts of general waste - leaching into ground and decomposition will occur. For small amounts of general waste without plastics, a composting bin can be used. A lined sanitary pit would be with thick plastic, or bricks on bottom & sides of pit, for hazardous waste if incinerator is not available. Additions of lime or ash will inhibit decomposition.
Lining of pits; clay, brick, cement, thick plastic
Bottom of pits; gravel, stone, sand, brick
Covers; types will vary depending on local goods
Additions to decomposition process; wood chips, wood ash, lime
Fencing; local materials
Expired Pharmaceuticals at JFK Hospital – one of four containers. Note: NDS receives all expired drugs.
Sanitary Waste Pit Organic Pit Incinerator Glass & Ash Pit - x - x – x – x – x – x – x – x – x – x – x – x – x – x – x – x – x – x – x – x – x – x – x – x – x – x – x - Xx-x-x-x x-x-x-x- Waste zone w/fence Highly Hazardous Waste General Waste Hazardous Waste Glass Green Bin Red Bin Yellow Bin Black Bin