Abstract and news on study of bmwm in g.h. sirsa haryana-DR.JAIDEEP KUMAR MPH
PRACTICES OF BIO-MEDICAL WASTE MANAGEMENT IN A DISTRICT GOVT. HOSPITAL IN SIRSA, HARYANA (INDIA)Dr. Jaideep Kumar BAMS, MPH (Master in public health) , Panjab University, Chandigarh (INDIA).Abstract:Medical waste is now recognized as a major public health hazard. According to World HealthOrganization, each year half a million people globally die due to infections such as Hepatitis B,and C, HIV and hepatocellular cancer transmitted through unsafe healthcare practices. There isno information as to what component of this figure comprises healthcare workers. There are alsoalarming disclosures about used medical devices and other items getting recycled and repackedby unscrupulous traders in countries such as ours. This happens when the hospitals do not takeadequate steps to disinfect and mutilate the medical waste as required under the law. Despite thestatutory provision of Biomedical Waste Management, practice in Indian Hospitals has notachieved the desired standard even after ten years of enforcement of the law. Biomedical wastehas become a serious health hazard in many countries, including India. Careless andindiscriminate disposal of this waste by healthcare establishments and research institutions cancontribute to the spread of serious diseases such as hepatitis and AIDS (HIV) among those whohandle it and also among the general public. In view of this, the present study on Practices ofbio-medical waste management was carried out in a General Hospital Sirsa, a Govt. DistrictHospital of Haryana, in North India. This hospital is a 100 bedded hospital with latest facilities.The Institute has a work force of 15 doctors, 30 nurses,15 sweepers ,24 ward servants and othersupport staff. The study is based on interviews of the staff involved in the biomedical wastemanagement practices and observation of the biomedical waste management practices. Thepresent study pertains to the biomedical waste management practices at General Hospital. Thestudy shows that infectious and non-infectious wastes are dumped together within the hospitalpremises, resulting in a mixing of the two, some of which are then disposed of with municipalwaste at the dumping sites in the city. All types of wastes are collected in common bins placedinside and outside the Hospital. For disposal of this waste the hospital depends on the generosityof the Synergy waste management (P) ltd, whose employees generally collect it from the hospitaldaily excluding Sunday. The hospital does not have any treatment facility in working conditionfor infectious waste. The laboratory waste materials are disposed of directly into the municipal
sewer without proper disinfection of pathogens. The major part of bio-medical waste is depositedinside the hospital building in bins for further transportation to BMWM plant Hissar for disposal.The other small part of bio-medical waste was dumped with municipal waste outside the hospitalbuilding. Some parts of disposable plastic items are segregated by the rag pickers from themunicipal bins and dumps inside the hospital campus. The open dumping of the waste makes itfreely accessible to rag pickers who become exposed to serious health hazards due to injuries andinfections from sharps, needles, other types of material used when giving injections and otherBMW. The results of the study demonstrate the need for strict enforcement of legal provisionsand a better environmental management system for the disposal of biomedical waste in theGeneral Hospital Sirsa, Haryana(India).