Thursday, 6 October 2011

Improper disposal of medical waste causing more diseases

Cure without care leading to complications for society when proper disposal of medical waste do not exist.

A boy working in private hospital is throwing hospital waste in open ground, scavengers are picking hospital waste to sell it. Hospital waste including drips are being filled in sack for shift it to major city.
In the absence of systematic approach to medical waste disposal, non-formation of a waste management teams in hospitals, waste produced by the medical care centers has not been disposed off properly, posing greater threat than the original diseases itself adding economical burden over poor in the time of inflation.

According to Shahid Lutfi who is Master in environmental engineering from USA, presently working with various organizations including as a consultant of World Bank on environment, told this scribe that there is four types of hospital waste, sharp which in include disposable needles, syringes, saws, blades, broken glasses, nails or any other

item that could cause a cut; another pathological which include tissues, organs, body parts, human flesh, fetuses, blood and body fluids; third one is pharmaceuticals which contain drugs and chemicals that are returned from wards, spilled, outdated, contaminated, and last one is radioactive which include solids, liquids and gaseous waste contaminated with radioactive substances used in diagnosis and treatment of diseases like toxic goiter.


Under the Pakistan Environmental Protection Act 1997, hospital waste is hazardous waste; those responsible for its improper dispose off can be prosecuted he added.


Ali Akbar Rahimoo an environmentalist of Umerkot district said that hospitals in Umerkot district do not have incinerators for burning medical waste, therefore spread of diseases is on the rise. He said that medical waste contaminate the environment, the land, air and water resources. Its improper disposal poses threat to the employees working in the hospital, people of the area and scavengers.

It is pertinent to mention here that scavengers, driven by extreme poverty and ignorant of the risks, sort and handle the infected materials at community waste sites. They pick up anything worth reselling, and syringes and infusion and blood bags are their favourite items. Scavengers and sanitary workers at healthcare facilities also sell this waste to junk dealers. The plastic-ware industry is the biggest buyer of used syringes, infusion and blood bags. Many drug addicts also reuse the syringes that can cause AIDS and other dangerous and contagious diseases. Plastic recycling factories and pharmaceutical has also encouraged this illegal practice, as they are purchasing infectious medical waste items like syringes, urine bladders bags, glucose drips and glass vials (injection bottles) in collaboration of hospitals and sanitary workers.

A medical practitioner shared on the condition of anonymity that when waste containing plastics are burnt, Dioxin is produced, which can cause Cancer, birth defects, decreased psychomotor ability, hearing defects, cognitive defects and behavioral alternations in infants. Added that flies, dogs and cats become carrier, they sit are lick the uncovered piles of rotting garbage. This promotes mechanical transmissions of fatal diseases like Diarrhea, Dysentery, Typhoid, Hepatitis and Cholera and other diseases. One of the most dangerous hospital wastes that often gets mixed with municipal waste are used syringes. These usually harbor and spread lethal diseases by pricking waste workers or cracking open and releasing bacteria. In Pakistan hospital waste is not safely disposed of. Hospital waste is either dumped at community waste sites, 'kachra kundis', or sold directly to junk dealers.


Medical Superintendent Taluka hospital Umerkot confessed that no hospital waste management committee exist in any hospital of Umerkot whether it government or private. He added that there is no incinerator and funds for proper disposal of hospital waste. He also confessed that sanitary staff sells syringes and drips to junk dealers.Sanitary workers told that they sell syringes 45 per kg and 2 rupee per drip.

Manzoor Hassan Bhatti a social activist deplored that hospital waste not only pollute the environment, under ground water resources, but spread of disease through it force the affected people to spend whatever they in shape of cash, livestock to save their health, making people economically weak, he suggested that hospital staff should dispose off the syringes properly, by cutting the needles of the syringes with the help of a cutter, so that the needle ca not be reused.

Incineration has been the treatment method of choice for medical waste for two important reasons. First, incineration has always been thought to be the best method of eliminating any infectious organisms that are present in medical waste. Second, incineration has been economical for hospitals because it substantially reduces the volume to be disposed of in a landfill. Most important of all, the authorities must crack down on the trade in recycled syringes and impose stiff penalties on those who profit from these deadly practices.

This is hard need to collect data in respect of hospitals, clinics, maternity homes, laboratories and other healthcare centres so that those involved in the illegal practice of dumping hazardous waste in the open could be brought to a book.

Teenage boy found hanged

Teenage boy found hanged

By Our Correspondent
UMERKOT, Oct 6: A flood-affected boy was found hanged in a jungle near Janhero camp on Thursday.

Sixteen-year-old Sagram, son of Ramchand Bheel, was hanged by a tree near the relief camp.

His brother Sawan told police that area people had told him that the naked body of Sagram was hanging in a tree. He went there and found the brother dead. Police took the body to the district headquarter hospital for autopsy.

He alleged that Sagram had been killed after an assault because his trousers were lying on the ground near the body. Footsteps of three persons were visible near the body, he added.

The victim recently migrated from the village of Syed Buland Shah with his family to the camp

200,000 wait for aid in Umerkot

200,000 wait for aid in Umerkot
By A.B. Arisar
September 10, 2011

UMERKOT, Sept 9: More than 200,000 rain victims who have taken shelter in government buildings and on sand dunes are waiting for relief goods and tents but there is no government functionary to take care of their needs.

The unabated heavy rains have flooded the entire district of Umerkot, caused thousands of houses to collapse, displaced 400,000 people and led to breaches in almost all canals, minrs and distributaries.

Most displaced people took shelter in government buildings or on high ground like roads, sand dunes, forts and banks of canals.

According to an estimate, more than 250,000 people are still living in the open and looking towards government for food, water, shelter, medicines.

Over 20,000 people were stranded in the villages of union councils Talhi, Nabisar road, Fazal Bhambhro and of them 3,000 have been rescued through boats but many are still missing.

Water level in Nara canal rose in the wake of continuous rains and water was released into old Dhoro in order to save Umerkot, Chhore and other areas.

As a result Dhoro developed four breaches and inundated more than 20 villages, including villages of Choudhry Shah Nawaz, Mithu Maher and Natha Singh.

Khalid Kumbhar, a social activist busy in rescue work in Kunri taluka, told Dawn that more than 100,000 people had taken
shelter on sand dunes and banks of canals near Nohto and they were hungry.

Sources said that two men drowned near Haido village when they were trying to go across a flooded area with the help of an inflated tube but unfortunately the tube burst and both drowned. Another body was found near Kunri.

The rain victims who were migrating to safe places along with their livestock have to pay three times high fares because the government has not made any arrangements to shift them.

Officials of revenue, irrigation and roads departments are missing from the district.

Our Sanghar correspondent adds: Inhabitants of many villages have taken shelter in government schools in the wake of large scale destruction in Sanghar after heavy rainfall.

Over 75 per cent government schools have been converted into relief camps where rain hit people are facing acute shortage of relief goods

Fresh surge of rainwater tears through Shahdadpur dyke

By Housh Mohammad Mangi and A.B. Arisar


October 3, 2011
SANGHAR/UMERKOT: A dyke built around Shahdadpur to protect the town from flood developed a breach late on Saturday night and inundated several areas in the town, while a fresh wave of rainwater from Sanghar spread panic in Umerkot district.

People left their homes and took shelter at elevated places. The breach was plugged on Sunday by local people with the help of policemen and municipal workers.

Meanwhile, eight people died of gastroenteritis in Shahdadpur, Shahpur Chakar and Maqsoodo Rind on Sunday.

A boy drowned in rainwater accumulated in Azad Khaskheli village and an old man died in the outpatient department set up at the gate of Sanghar civil hospital.

In Umerkot, a fresh surge of water from Sanghar scared people in Pithoro taluka, which is still lying submerged.

The oncoming water was blocked at different places, particularly near Bacha bund, to protect the Umerkot-Mirpurkhas road but the flow of water continued and may hit the road any time.

Meanwhile, a heavy surge from Nawabshah inundated Sanghar district and crossed Perumal. It is now moving towards Khahi and Pithoro talukas.

MNAs Pir Aftab Hussain Shah Jilani and Nawab Yousuf Talpur, federal adviser Faqir Jadam Mangrio, provincial minister Syed Ali Mardan Shah and MPA Nawab Taimur Talpur held a meeting with irrigation officials and growers and discussed ways of draining out water and removing encroachment from drains.

Farmers complained that influential people had blocked the flow of water in drains.

The legislators formed a technical committee comprising irrigation officials and provided six excavators to remove encroachments and clear natural drains to allow water to flow into the Old Dhoro drain for onward flow to Rann of Kachh.

They said that if anyone resisted removal of encroachments the army would be called to handle the situation.