Pilot Study on Collection and Disposal of Used Syringes & Needles
in EPI
JICA China EPI Strengthening ProjectNakae NOGUCHIMakoto KOBAYASHIMasamichi KINOMOTO
Chinese Center for Disease Control & Prevention Yixing LIZhenxi ZHANG
1
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)
村衛生室裏の川に投棄された使用後ディスポ注射器Used disposable syringes thrown beside a river behind a village clinic
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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● 1
10
● 8● 7
4 ●3 ●
● 6● 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
Final Disposal of the Waste
Recycling 1/10
Store for Recycling 6/10
Incineration/Burning 3/10
10
11
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%
Discussion
• Work load of EPI staff• Disinfection and Segregation• Traders for recycling• Vehicle• Container• Start of GAVI Project