Cholera prevention and control

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Health Care Waste Management TechNet Tunisia,
December 2008 Yves Chartier Water,
Sanitation, Hygiene and Health Dpt. of Public
Health and Environment WHO Geneva

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Are we concerned?
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WHO is at Risk?

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Where Are we?

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Yves C
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Support provided as today

• 72 GAVI countries
• 7 Global Environmental Health countries
• In Steps
• National Steering Committee and Working Group
  (ministries,
• potential donors, partners, civil society)
• National assessment leading to recommendations
  (RAT CAT)
• Definition of national plans, regulatory
  framework
• mobilization of resources
• Implementation leading to success stories or
  lesson learned for
• replication in other settings and countries

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Resource mobilization

• A financial
• WHO Core Principles
• GAVI country applications
• Global funds
• Donors
• Foundations such as Gates and Melinda foundation

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Resource mobilization

• Safe health care waste management has a cost

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Resource mobilization

• B players in the HCWM world
• WHO country office sometimes overloaded
• Partners and necessary networking
• Consultants / Experts
• Academics / Research
• Ministries low level staff, recognition,
  capacity building.

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Support provided - Suppliers

• Technology inventory done by Health Care Without
  Harm at
• http//www.noharm.org/details.cfm?ID1514typedoc
  ument
• or www.noharm.org. 
• WHO Health Care Waste Web Site
• http//www.healthcarewaste.org/en/technicals.html?
  search

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Recent developments on-going research

• 1 - Waste Disposal Unit

IT Power India
Head OfficePuducherryNo. 6 8, Romain
Rolland Street, Puducherry - 605 001, INDIATel
91-413-234 2488 / 222 7811 Fax [phone]
2776 / 234 0723
http//www.itpi.co.in/Contact_IT_Power/Contact_IT_
Power_India.htm
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Recent developments on-going research

• 2 Global Environment Facility Hospital in
  Tanzania

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Recent developments on-going research

• 3 Govt of AP and PATHs work in Andhra Pradesh

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Recent developments on-going research

• 4 Sharp Blaster

A dry-heat, low-temperature needle
decontamination unit, the Sharpsblaster
decontaminates needles by heating them to 160-200
degrees C for 100-150 minutes. Measuring
35x50x48cm the device is small enough to be
portable and can sit on a table. Its processing
capacity means it has application in areas
generating moderate quantities of solid clinical
waste.
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Recent developments on-going research

• 5 Needle Remover and safety

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Recent developments on-going research

• 6 - Recycling

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Challenge Pneumococcal vaccine

• Paper
• Glass
• Rubber
• Plastic

Yves C
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MANAGEMENT OF WASTE FROM INJECTION ACTIVITIES
1. DISPOSAL OF THE WHOLE SYRINGE
2. SEPARATION OF NEEDLES AND PLASTIC SYRINGES
2a. Disposal of Needles

2b. Disposal of Plastic Syringes
Several countries are currently managing
needles and syringes according to this procedure.
However, pilot projects are being carried out to
allow a validation from WHO regarding the ease of
use and safety of needles removers which may
carry a risk of needle stick injuries.
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Reseach and tool for Implementation

• Planned for the coming months a study on safe
  health care waste management and its
• Cost effectiveness
• Health impact
• Environmental impact (if feasible)
• Monitoring tool

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To build and promote capacity building

• Indira Gandhi National Open University distance
  learning
• programme
• WHO Teacher's Guide
• Current update of Safe Management of wastes
• from Health Care Activities

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Yves C
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WHO / HCWM Web Site http//www.healthcarewaste.or
g/en/115_overview.html

• HCWM (11 pages covering intro, news, basic
  info, risks, risk
• reduction, waste steps, categories,
  emergencies, agreement,
• spillages, policy)
• Search tools
• 144 documents on health care waste
• 29 links to organizations web sites
• Country information
• 4 country case studies
• 61 technical systems
• Lexicon
• Management
• Training
• Regulatory
• Technologies
• Costing
• Contacts

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Think positive! This is a real challenge, maybe
one of the most complex in health care, but we
can feel changes and progresses in managing waste

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Thank you!
Yves C