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新冠疫情期间的生物医疗废物与固体废物管理:国家与国际情况及指南综述

Biomedical Waste and Solid Waste Management in the Time of COVID-19: A Comprehensive Review of the National and International Scenario and Guidelines.

作者信息

Capoor Malini R, Parida Annapurna

机构信息

Department of Microbiology and Biomedical Waste Unit, Vardhman Mahavir Medical College and Safdarjung Hospital Delhi, New Delhi, India.

出版信息

J Lab Physicians. 2021 Jun;13(2):175-182. doi: 10.1055/s-0041-1729132. Epub 2021 Jun 28.

Abstract

Biomedical waste generated during the diagnosis, isolation, and treatment of coronavirus disease 2019 (COVID-19) patients can also be the source of new infections; hence, it needs special consideration. Previous guidelines for the management of biomedical waste need to be revisited as the majority of COVID-19 patients remain asymptomatic and reside in community. Personal protective equipment (PPE) like masks, hazmat suits, gloves, and visors are now being used by the public also. Thus, the general household waste and disposables now make an exponential increase in the waste that can be considered an environmental hazard. In this article, the authors have tried to present the problems arising from COVID-19 waste and the recommendations put forth by competent authorities both nationally and internationally on COVID-19 waste management. Furthermore, in all the guidelines, it is crucial that the COVID-19 waste management follows environmentally sound principles and practices of biomedical waste management, with safe work and infection-control practices. Segregation of COVID-19 waste at source, awareness, and precautions at all steps of the waste-cycle are the only way ahead in this crisis.

摘要

2019冠状病毒病(COVID-19)患者在诊断、隔离和治疗期间产生的生物医学废物也可能成为新感染的源头;因此,需要特别加以考虑。由于大多数COVID-19患者无症状且居住在社区,以往的生物医学废物管理指南需要重新审视。口罩、防护服、手套和面罩等个人防护装备(PPE)现在公众也在使用。因此,一般家庭垃圾和一次性用品现在使可被视为环境危害的垃圾呈指数级增长。在本文中,作者试图阐述COVID-19废物产生的问题以及国家和国际主管当局就COVID-19废物管理提出的建议。此外,在所有指南中,至关重要的是,COVID-19废物管理要遵循生物医学废物管理的环境健全原则和做法,并采用安全工作和感染控制措施。在源头对COVID-19废物进行分类、提高认识以及在废物处理周期的各个环节采取预防措施是应对这场危机的唯一出路。

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