pilot study on collection and disposal of used syringes & needles in epi jica china epi...
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Pilot Study on Collection and Disposal of Used Syringes & Needles
in EPI
JICA China EPI Strengthening Project
Nakae NOGUCHI
Makoto KOBAYASHI
Masamichi KINOMOTO
Chinese Center for Disease Control & Prevention
Yixing LI
Zhenxi ZHANG1
Way to Dispose Used Disposable Syringes & Needles at Village
• Collected to upper level :12.4%• Burned at village :92.8%• Reused :11.2%
(Multiple choice)
(Survey in 1999, at Shanxi and Shaanxi n=117)
Objective :To make a model
Place :10 counties in 5 provinces
Period :1 year + 1 year follow-up
Support from JICA Project
:Shredding machine, Fax machine
Part of Training budget,
Pilot Study on Collection and Disposal of Used Syringes & Needles in EPI
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2
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10
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● 74 ●3 ●
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● 5青海 Qinghai 3: 民和 Minhe 4: 楽都 Ledu
甘粛 Gansu 1: 酒泉 Jiuquan 2: 靖遠 Jingyuan 寧夏 Ningxia
5: 中衛 Zhongwei 6: 銀川 Yinchuan
陝西 Shaanxi 9: 眉 Mei 10: 乾 Qian
山西 Shanxi 7: 襄汾 Xiangfen 8: 楡次 Yuci
5
Pilot Counties
9
Guidance
• To collect and dispose used syringes• To conduct training of staff• To manage procurement and provision of
disposable syringes• To disinfect syringes at village and county levels• To record amount of syringes provided, used and
collected • To record needle stick• To record disinfection
Transportation
Villageby Village Doctor after EPI session
Townshipby County after EPI session before next session
County
7
Final Destination of the Waste
Syringes
County
Townshi
Prefecture
Needles
CountyTownship
Prefecture
Village
Disinfection / Sterilization
Conducted at Village 7/10
2 or more disinfections before disposal 8/10
Disposed without disinfection/Sterilization 1/10
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Yingchuan Prefecture Destruction Center
Collection → Disinfection → Segregation ↓
Destruction ↓ Drying ↓
Packaging.Drying
Disinfection Segregation
Result of Monitoring
System is functioning
• Segregation from other waste & garbage
• Usage of Bio-hazard Mark :6/10
• The waste is collected periodically
• Collection Rate :95-100%
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