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Strategies in Waste  Management in low income countries Prof Shaheen Mehtar Academic Unit for IPC Tygerberg Hospital & SUN
Principles of Waste Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Segregation of waste (WHO) Own choice Office/ paper waste Non medical waste, kitchen Clinical waste infectious Sharps infectious Blood and body fluids colour Item landfill landfill Incinerate/ decontaminate incinerate incinerate destination
Situation in Industrial Countries ,[object Object],[object Object],[object Object],[object Object]
Cost of waste management in industrialized countries ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Recycling   of waste to generate heat
Waste disposal in Developing Countries ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Waste disposal in Developing Countries ,[object Object],[object Object],[object Object]
Cost of waste management in developing countries ,[object Object],[object Object],[object Object],[object Object],[object Object]
George Hospital (200 bedded) monthly cost of private contractor 8 n/s injuries reported 22351.07 August 22671.64 July 47319.85 June 43326.26 May 38344.05 April 17822.59 March Cost in Rands
Waste Disposal– whose responsibility is it? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Dumping of clinical waste
Ward Waste
Waste on the ward
Syringe found in laundry basket ,[object Object],[object Object],[object Object]
Source segregation ,[object Object],[object Object],[object Object],[object Object]
Non segregation of waste
Poorly organised waste sites
Sharps containers ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Unsafe sharps containers
Private Contractors ,[object Object],[object Object],[object Object],[object Object]
Pharmacy Waste ,[object Object],[object Object],[object Object],[object Object],[object Object]
Public Safety  ,[object Object],[object Object],[object Object]
Community involvement in clean up
Summary ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Strategies in Waste Management in low income countries