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Pilot Study on Collection and Disposal of Used Syringes & Needles in EPI

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 ZHANG. 1.

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Pilot Study on Collection and Disposal of Used Syringes & Needles in EPI

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  1. 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 ZHANG 1

  2. 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 Shaanxin=117)

  3. Pilot Study on Collection and Disposal of Used Syringes & Needles in EPI 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, 4

  4. Pilot Counties 甘粛Gansu 1:酒泉Jiuquan 2:靖遠Jingyuan 寧夏Ningxia 5:中衛Zhongwei 6:銀川Yinchuan ● 1 ● 6 ● 5 ● 8 青海Qinghai 3:民和Minhe 4:楽都Ledu 4 ● 3 ● ● 2 ● 7 山西Shanxi 7:襄汾Xiangfen 8:楡次Yuci 10 ● 9 ● 陝西Shaanxi 9:眉Mei 10:乾Qian 5

  5. 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

  6. Transportation Village by Village Doctor after EPI session Township by County after EPI session before next session County 7

  7. Final Destination of the Waste

  8. Disinfection / Sterilization Conducted at Village 7/10 2 or more disinfections before disposal 8/10 Disposed without disinfection/Sterilization 1/10

  9. Final Disposal of the Waste Recycling 1/10 Store for Recycling 6/10 Incineration/Burning 3/10 10

  10. Yingchuan Prefecture Destruction Center Collection → Disinfection → Segregation 　↓ Destruction 　　　　　　　　　　　　　　　　　　　　　　　　　　　　↓ Drying 　　　　　　　　　　　　　　　　　　　　　　　　　　　　↓ Packaging Disinfection Segregation Drying 11 .

  11. 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%

  12. Discussion • Work load of EPI staff • Disinfection and Segregation • Traders for recycling • Vehicle • Container • Start of GAVI Project

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