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How are you managing Healthcare Waste? 
3 May 2004

Swaziland is number one amongst countries faced with the challenge of the HIV/Aids scourge in the world (Times of Swaziland, 19 March 2004).  Statistics by the UN Special Envoy on HIV/Aids in Africa indicate that the HIV infection in Swaziland has risen by almost ten times in just one decade, from 4% to 38.6% and continue to rise. This increase has not spared the economically active people. Programmes developed in response to this pandemic seem to be focusing on prevention, care and support, and impact mitigation. More often than not these programmes have not taken cognisance of the link between health care waste management and HIV/Aids. This month, the column will discuss environment and health issues in the context of Swaziland.

Home based care 
People are increasingly taking control of their lives and for those of relatives through self-medication and treatment. These include those infected by HIV/Aids, diabetics and others. As a result of the HIV/Aids scourge communities are provided with home-based care kits. Home care brings greater independence by allowing people to be cared for at home, but the downside is the problem of what to do with the infectious household health waste that is generated. Have you ever wondered how you manage waste generated through the use of the home care kit?

Infectious household health care waste
Infectious household health care waste is any waste that is generated as a result of health care activities in the home. It may include used bandages, disposable nappies, hypodermic needles, and expired drugs amongst other things. Waste may be contaminated with blood or other body fluids from people with infectious diseases such as HIV/Aids, hepatitis B and others. This is serious cause for concern. Caution is thus necessary when one handles any infectious wastes at home.

Study
A study by the World Health Organisation (WHO), (1996) revealed that more than 50 000 people die everyday from infectious diseases. One of the causes for the increase in infectious diseases is improper waste management. Body fluids, body secretions and blood products are the major constituents of medical waste that harbour viruses, bacteria and parasites that cause infection. This cautions against improper waste management practices. Taking responsibility for safe waste management and disposal is important and shows that you care about the health of others since potentially fatal diseases including HIV/Aids can be transmitted in contaminated waste.

Waste management
Improper health care waste management causes direct health impacts on the community, the careers and the environment. Health care waste should be properly disposed to avoid spread of infectious diseases. 

Watch this column for more information on health care waste management.


Yonge Nawe
Yonge Nawe
Environmental Action Group
Email: yonawe@realnet.co.sz
P O Box 2061
Mbabane
Swaziland
Tel: +268 404 7701
         +268 404 1394
Fax: +268 404 7701