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Biomedical waste carted to CTFs

Posted Sep 22 2008 10:57am

Biomedical waste carted to CTFs

Ramya Kannan

CHENNAI: On Tuesday, all biomedical wastes generated in 90 per cent of public health care institutions in Tamil Nadu found their way to private common treatment facilities (CTF).
The wastes of all the 15 medical colleges in the State, 270 government hospitals and over 100 30-bed PHCs were picked up from a single collection point at each of these centres by representatives from private CTFs who carted it off for appropriate disposal.
So far, the hospitals were disposing of their own wastes in deep pits within the campus or handing them over to the local civic authority for disposal. “With this, we have fallen in line with the Central Bio Medical Waste Rules. We have conformed to all quality requirements,” said PWC Davidar, project director, Tamil Nadu Health Systems Project (TNHSP). The TNHSP has worked out a system of payment for the entire State with nine private common treatment facilities who won through a competitive bidding process. They will be paid per kg of weight they remove to treat, instead of the existing per-bed rate. The rates vary between Rs. 20 to Rs. 40 per kg, the cost getting higher with remote locations.
The final “handover” has taken place only after a series of preparatory measures were rolled out to ensure that the transition would be smooth, he added. This included training over 41,000 hospital staff all over the State, circulating training manuals and providing colour-coded bins to all hospitals.
Discussions were also held with the Tamil Nadu State AIDS Control Programme and hospitals implementing the Revised National Tuberculosis Programme before evolving a standardised method of waste disposal. “We have also clarified the rules and ensured that there is no grey area in implementation,” he added.
The process was clearly outlined for the hospital workers. Biomedical waste would have to be segregated and disposed of in colour-coded bins provided to them. These bins would then be collected from all units in the hospital and moved to a central point from where it would then be removed by the CTF personnel.
J.Mohanasundaram, Dean, Stanley Medical College, said the formal handover was effected in the hospital on Tuesday when representatives from Tamil Nadu Waste Management took over from Chennai Corporation the job of disposing of medical wastes of the hospital.
Mr.Davidar said, “We are waiting to see how this works out for the first year before we roll it out in centres that have low volume of medical wastes. So far, we are not sure if it will work out to be profitable for the government and/or the private agencies.”
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