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  3. Thursday, 12 April 2007
POST 01077E : WASTE MANAGEMENT REPORT 12 April 2007 ____________________________________ Carib Nelson ( from PATH is sending the following report. ____________________________________ At the following link is a report on a successful non-incineration system for management of injection waste at the service delivery level that has been established in Andhra Pradesh State in India. (200K) The Partnership Project in Andhra Pradesh -- a collaborative effort between the Government of Andhra Pradesh and PATH –- was designed to strengthen immunization systems, with improvements to injection safety as a major goal. A critical element of this work was introduction and scale up of a practical system for sharps waste management. The sharps management system included reducing the number of injections given, needle removal, syringe disinfection, and collection of syringe plastic for recycling. Impacts of the project included: * Stimulus to create a national injection safety policy. * 85 percent reduction in the number of injectable medications procured by the state government's procurement agency, resulting in hundreds of millions fewer injections and greatly reduced medical waste. * A comprehensive system of sharps waste management at Andhra Pradesh's PHCs and subcenters. * Training 30,000 medical officers, supervisors, and health workers in injection safety and proper management of sharps waste. * Establishing needlestick reporting mechanisms at the PHC and subcenter levels. * Effective use of needle removers, which lowered the incidence of syringe reuse among curative injections, reduced reported needlestick injuries, prevented the burning of hundreds of thousands of syringe-filled safety boxes, and enabled safe recycling of thousands of kilograms of plastic syringe barrels. * Replicating the sharps waste management system in HIV testing centers and the private sector. The project is now fully sustained by the government of Andhra Pradesh and is being expanded to other states of India. At the direct hyperlink above is the complete report on the sharps waste management aspects of the project. A broader report describing the complete immunization strengthening activities and result of the project is available at: For more information about the project contact: Dr. Satish Kaipilyawar ( ______________________________________________________________________________ All members of the TechNet21 e-Forum are invited to send comments on any posting or to use the forum to raise a new discussion or request technical information in relation to immunization services. The comments made in this forum are the sole responsibility of the writers and do not in any way mean that they are endorsed by any of the organizations and agencies to which the authors may belong. ______________________________________________________________________________ Visit the TECHNET21 Website at You will find instructions to subscribe, a direct access to archives, links to reference documents and other features. ______________________________________________________________________________ To UNSUBSCRIBE, send a message to : Leave the subject area BLANK In the message body, write unsubscribe TECHNET21E ______________________________________________________________________________ The World Health Organization and UNICEF support TechNet21. The TechNet21 e-Forum is a communication/information tool for generation of ideas on how to improve immunization services. It is moderated by Claude Letarte and is hosted in cooperation with the Centre de coopération internationale en santé et développement, Québec, Canada ( ______________________________________________________________________________

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