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Medical Waste vs. Infectious Waste


Env-Sw 904 Regulates Infectious Waste handling and disposal Often referred to Infectious Wastes , ... and Definitions Disposal of Solid Waste from Medical ... – PowerPoint PPT presentation

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Title: Medical Waste vs. Infectious Waste

Medical Waste vs. Infectious Waste
  • Presented to
  • NH Hospital Association
  • Presented by
  • Jeffrey S. Murray. P.E.
  • CMA Engineers, Inc.
  • Northern New England Chapter of SWANA

What is SWANA You May Ask?
  • Solid Waste Association of North America
  • Leading Professional Solid Waste Organization
  • Our Mission is to Educate, Innovate, Communicate
  • Over 7500 Members
  • 45 Chapters
  • Northern New England Chapter 85 members

Regulations and Definitions
  • NH Env-Sw 103.28 defines Infectious Waste as
    any waste because of its infectious nature may
    cause or significantly contribute to an increase
    in mortality or an increase in serious
    irreversible or incapacitating reversible
    illness or pose a substantial present or
    potential hazard to human health or the
    environment when improperly treated, stored,
    transported, disposed of or otherwise managed.
  • Env-Sw 904 Regulates Infectious Waste handling
    and disposal
  • Often referred to Infectious Wastes ,
    Biomedical, Biohazardous, Potentially Infectious,
    Healthcare and Regulated Waste
  • Has infections or potentially infectious
    properties of concern to solid waste personnel

Regulations and Definitions
  • Env-Sw 904
  • Applicable wastes
  • Cultures and stocks
  • Pathological wastes
  • Waste human blood and products of blood
  • Sharps
  • (Household Sharps are starting to be regulated
    in the US)
  • Body parts or wastes in contact with infectious
  • Collection, Storage and Transfer
  • Processing and Treatment
  • Disposal
  • No disposal in a landfill unless 4 log 10
  • Transportation
  • Testing

Regulations and Definitions
  • USDOT Regulates Transportation of Infectious
    Wastes 49 CFR Parts 171-180
  • Containers must be labeled according to OSHA
    Bloodborne Pathogen Standard and with
    International Biohazard Symbol
  • OSHA in 29 CZFR 1910.1030 recommend that all
    human blood and certain body fluids be treated as
    if known to be infectious
  • Mid to Late 1980s highly publicized incidents
    involving improper disposal
  • Very few documented exposures of individuals
    associated with those events
  • Raised public awareness and passage of local,
    state and federal regulations
  • USEPA Clean Air Act and 1997 Emission Guidelines
    resulted in a number of medical waste
    incinerators to close
  • Driving up disposal/treatment costs
  • Spurring the Development of Alternative
  • Infectious Waste Generators Implementing Measures
    to Reduce Volumes

Disposal of Solid Waste from Medical Facilities
  • Potential for Accidental Improper Disposal
  • Perceived Infectious Nature of Materials
  • What Procedures are In-Place to Manage Infectious
  • Who will clean up
  • What controls are in place to segregate materials
    and prevent exposure
  • What disposal procedures should be used
  • PPE
  • Containment
  • Transport
  • Treatment
  • Recordkeeping

Accidents Do Happen Is Your Facility Prepared?
Red Labels Raise Red Flags
Has this been Exposed to Infectious Waste?
What is in this bag?
Keys to a Successful Partnership
  • Training of Hospital Personnel for Proper
  • Regular Education Programs for Facility Personnel
  • Non-infectious wastes
  • Infectious wastes
  • Pathways for exposure
  • How to deal with infectious waste
  • Contingency Plan In-Place
  • Contractor On-Board for Removal
  • Spill Containment
  • Stay in Periodic Contact with Hauler/Facility

Successful Partnership
  • Be Responsive
  • Understand Facility, State and Local Permit and
    Operating Requirements
  • Is Treated Waste Acceptable
  • What are its characteristics
  • Recordkeeping
  • Understand their liability
  • Workers Health
  • Potential for Vector Transport

Any Questions?
  • Contact Info
  • Jeffrey Murray, P.E.
  • CMA Engineers, Inc.
  • (603) 431-6196