*(India) Walk past any GVMC* [civic body that governs the city of Visakhapatnam, India] garbage dump at Ramnagar, Maharanipeta or the areas around King George Hospital (KGH) and you can be sure to spot used syringes, saline bottles or bandages strewn around dustbins. Rag-pickers and GVMC staff rummage through these bins and stray animals litter the hazardous biomedical waste on the roads – an open invitation to HIV, Hepatitis and other infections.
Though biomedical waste should be properly segregated and then incinerated in a separate plant at Kappulupada on the city’s outskirts, in reality the norms are often flouted blatantly and hazardous waste is dumped in regular garbage bins, jeopardising the health of denizens.
To blame are the ignorance and apathy of hospital staff and those collecting the waste as they don’t segregate it properly in respective colour-coded disposal bins. As per norms, biomedical waste should be segregated at the hospital itself and put into colour-coded bins or bags. Black bags are meant for throwing remnants of food, red bags for plastic disposables such as catheter, gloves and IV fluid bottles, while yellow bags are meant for disposing human waste including used dressing pads, plaster, and needles and so on. Also needle tips need to be destroyed in needle cutters and hubs disposed of in red covers.
Commenting on the improper segregation, a senior surgeon from King George Hospital (KGH), said, “Even though the paramedics, ward-boys and staff are trained, they callously dump the waste in any bin that’s close at hand, irrespective of colour codes. There’s neither proper supervision nor any disciplinary action being taken for these acts of omission,” he said.
The lack of timely availability of colour-coded bags, especially the frequently used yellow and black bags, also poses another problem. “The bags collected from various wards are overfilled and their mouths are not tied properly. Stray dogs cause a spillage while searching food,” pointed out another senior doctor.
There are also allegations that used saline bottles are sold and syringes and needles not destroyed before being disposed. “Sometimes, hospital workers sell used saline bottles outside for Rs 50-Rs 100 and these are recycled or reused, putting public health at risk. Needles are also disposed of without breaking them in needle cutters exposing rag-pickers, GVMC sanitation staff and even our garbage collectors to the risk of HIV and other dangerous ailments if they come in contact with them. Furthermore, disposal he vehicles that carry the uncovered biomedical waste litter them on the road….
Biomedical waste should be segregated at the hospital itself and put into colour-coded bins or bags, treated and incinerated in a separate plant at Kappulupada on the city’s outskirts.