India - Uttar Pradesh Health Systems Development Project : environmental assessment
Mitchell, Donald [editor]
This environmental assessment of the Uttar Pradesh Health Systems Development Project focuses mainly on the procedures for hospital waste disposal. Infectious and hazardous hospital waste will be carefully segregated at point of generation and collected in thick, non-corrosive plastic bags of specific colors. Waste containing bags will be transported to a well secured waste store using suitable metallic trolleys or wheel barrows. While non-infectious waste may be disposed of directly, all infectious and hazardous waste collected will be rendered non-infectious, non-reusable, less bulky, and aesthetically acceptable by undergoing one of the following techniques: chemical disinfection; shredding or mutilation of disposable syringes and needles, plastic IV and blood bags, catheters, rubber tuber gloves, etc. by needle and syringe destroyers and scissors; microwaving to destroy bacterial spores; incineration; or autoclaving. Treated, bio-degradable infectious waste and general waste may be dumped into an engineered landfill having these features: an impermeable layer of clay/stone masonry, a superstructure to prevent rainwater flooding, a secured mesh door, and stored earth to cover disposed waste. Biodegradable organic waste will be disposed of by deep burial without treatment. Biodegradable general waste from kitchens and wards will be disposed of by converting the waste into a useful compost or manure.
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