POST 00514E : CONTAMINATION STUDY OF NEEDLE REMOVERS
Follow-up on Post 00509E, 00510E and 00512E
26 October 2002
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Anthony Battersby (mailto:[log in to unmask]) comments on Janet Vail's
response (post 00512E) and Anil Varshney (mailto:[log in to unmask]) on
Mary Catlin's contribution (post 00510E).
_____________________________________________________________
The reply from Janet Vail is very disturbing especially for those who have
much field experience. She makes no attempt to address the points which
have been raised, does not appear to take any note of them and implies
"trust us we know what we are doing". Well sorry folks, we don't, unless
you provide data that shows that the points raised are solved.
I note that the objective is not to make the process of administering an
injection safer for the person giving the injection. The naivety of the
penultimate paragraph is really shocking. For example, in 20 years of
working in many countries including ones like Israel and UK, I have never
seen a "protected waste pit" which was actually protected.
Anthony
__________________________________________________________
Thanks for the information and very valued opinion.
I am in FULL AGREEMENT with you. When providing healthcare services, it is
essential that there is more emphasis on quality and attention to patient /
beneficiary and minimal devices as possible, specially in the field situation.
We must not forget that the health staff carrying out immunization has also
to carry out many other tasks. Furthermore the simplest method is to burn
at the site of use; after giving an injection, drop the syringe with needle
and all other material in a metal container like bucket and burn the entire
waste at the end of session ( AD syringes just require a matchstick and no
smoke or smell is there when it burns)
As regard to removing needles by defanging, the device may not be carried
by the staff at the outreach site where 70% of immunizations take place in
the developing world and may not be used as it is time consuming.
In relation to safety boxes, I have witnessed in most places where it is
used that the user keeps filling it up and pile these for disposal, which
is for collection by higher level or burning at higher level. This is
impractical and adds to hazards while burning 6-10 syringes at the site of
use and then bury the remains seem a more practical approach.
A question may be raised regarding the smoke and other toxic gases
generation. Well this is negligible compared to thousands of cigarettes
burning or other burning in the area.
Finally how easy would it be for repair and service in remote areas and can
the system sustain the cost?
All the points are very relevant and need to be considered. There are many
more critical issues related to injection safety that should be looked at
from points raised by Mary Catlin.
Regards
Dr Anil Varshney
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