2019冠状病毒病与尼日利亚传染性医疗废物管理的挑战:以塔拉巴州为例

Oruonye Ed, Ahmed Ay
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引用次数: 15

摘要

covid-19大流行的爆发和传播使人们意识到,在每个国家,医院废物管理过程是多么重要。尼日利亚covid-19感染人数的增加已经给该国的医疗系统带来了越来越大的压力。冠状病毒具有高度传染性,因此需要制定复杂而特殊的协议来处理和管理产生的传染性医疗废物,例如隔离(垃圾箱、袋子等),并提供适当的储存和处置设施。在尼日利亚,遏制冠状病毒爆发和传播的所有努力都是为了建立检测、隔离和治疗中心/设施。关于如何处理和安全处置因疾病管理而产生的传染性废物,很少或根本没有提及。本研究以塔拉巴州为例,考察了2019冠状病毒病以及尼日利亚传染性医疗废物管理面临的挑战。该研究使用了访谈和网上的二手材料来生成研究中使用的数据。研究结果表明,医疗废物已扩散到医院以外。研究结果显示,州首府Jalingo在大都市没有任何官方批准的垃圾场。此外,该国的三级保健设施目前没有适当的安全处理传染性医疗废物的设施。其他挑战包括围绕covid-19大流行现实的各种神话,传染性医疗废物指南执行不力以及政府缺乏政治意愿。根据调查结果,该研究建议有效执行关于安全处置传染性废物的指导方针,所有废物收集工人都使用ppe,并在每家医院设立环境部门处理所有传染性医疗废物。
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Covid-19 and Challenges of Management of Infectious Medical Waste in Nigeria: A Case of Taraba State
The outbreak and spread of covid-19 pandemic has triggered awareness in people about how vital the hospital waste management process in every single country can be. The increasing number of covid-19 infection in Nigeria is already putting increasing pressure on the healthcare systems in the country. The highly infectious nature of the coronavirus would require a complex and special protocol of handling and managing the infectious medical waste generated such as confinement (bins, bags etc.) and availability of proper storage and disposal facilities. In Nigeria, all efforts towards containing the outbreak and spread of the corona virus is directed towards establishing testing, isolation and treatment centres/facilities. Little or nothing is said about the handling and safe disposal of infectious waste generated from the management of the disease. This study has examined covid-19 and the challenges of management of infectious medical waste in Nigeria using the case of Taraba state. The study used interview and secondary materials online to generate data used in the study. The study findings reveal that the medical waste is spread out beyond hospitals. Findings from the study reveals that Jalingo the state capital has no any officially approved dumpsite in the metropolis. Also the tertiary healthcare facilities in the State has no proper safe disposal facilities of infectious medical waste at the moment. Other challenges include the various myths surrounding the reality of the covid-19 pandemic, poor enforcement of infectious medical waste guidelines and lack of political will on the part of the government. Based on the findings, the study recommends effective enforcement of the guidelines on the safe disposal of infectious, use of PPEs by all waste collection workers and creation of environmental department in every hospital to handle all infectious medical waste.
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