Center publishes guidelines for safe waste disposal of syringe

As the COVID-19 vaccination program will soon start in India, the Union Ministry of Health has promised “One needle, one syringe, only once” and has prepared guidelines for safer disposal of used injections.

The Center in accordance with its COVID-19 vaccine guidelines has directed states to ensure safe injection practices during the largest vaccination program to be held in India.

The government’s strategy is “One needle, one syringe, just once”. Health experts believe it will likely create a large amount of injectable waste during a vaccination program.

The National Government Vaccine Management Expert Group for COVID-19 (NEGVAC) has recommended that priority populations be specifically vaccinated. It includes: (i) Approximately Rs 1 crore, health workers (HCW) health care providers and medical workers, (ii) Rs 2 crore frontline workers (FLW), which includes persons of state and central police, armed forces, domestic guards, civilian defense volunteers and disaster management, urban workers, (iii) about Rs 27 crore prioritized Age Group population over 50 years and persons under 50 years with associated co-morals.

According to the document, a safe injection is one that does not harm the recipient, does not expose the Health Workers (CS) to avoidable risks and does not result in waste, dangerous to the community and environment.

“Wash your hands with soap before and after the vaccination session and clean with 70% alcohol sanitizer or wash your hands with soap and water after vaccination of each beneficiary. Cover any small cuts on the skin of the service provider. Avoid giving injections. at the injection site where there is a local skin lesion, cut or dermatitis “, the government document highlights.

It said, “Always use auto-disabling (AD) injectors during the COVID-19 vaccination campaign. These injectors prevent a person’s transmission to blood of pathogens. Use a new sterile packaged AD syringe for each injection for each beneficiary,” it noted adding , that you do not use AD injectors that have damaged a package or exceeded the manufacturer’s expiration date. Do not fill syringes and do not attempt to redo the needle, as this practice can cause needle wounds. “

“Immediately after injecting the beneficiary, the AD syringe should be cut from the hub (plastic part at the base of a needle) with the hub knife and cut part of the syringe placed into the red bag. Do not place the syringes on the table or on a tray after, ”the document further added.

“For safe disposal of injection waste, the government said it cut the hub of the AD injector immediately after administering the injection with the hub knife. Cutting needles will be collected in the protective knife container of the hub knife,” “it mentioned.

“Separate and keep the plastic part of the cut syringes in the red bag. While plastic wrap and the syringe cap should be treated as municipal general waste, the use of a knife knife should be done correctly, keep a used cotton swab in a yellow bag after administration of the injection, ”it said.

In addition, the used, unused, partially used vaccine vials should be returned to the cold chain point according to existing adverse events following immunization guidelines (AEFI) for proper disposal, they said.

“Carry the separated immunization waste generated during diffusion sessions and deliver these to the PHC for further disposal. Wash the nasal cutters properly with sodium hypochlorite before reuse. Inspect broken vials in the blue container for puncture,” the document said.

The document also stressed that all vials (used / empty, unused and partially used) must be returned by Alternate Vaccine Delivery (AVD) to the vaccine distribution / ILR point, maintaining an inverse cold chain. A completed and signed calculator must also be returned with a vaccine carrier. Most importantly, the government advised the states to ensure that unsealed vials should be returned and properly marked and stored immediately at the correct temperature.

“On the next day, these marked vials must be delivered and used first to ensure that all used / empty COVID-19 vaccine vials at the end of the session are stored in a separate zip-pouch bag to return to ILR point,” the document said.

“Always keep a used COVID-19 vaccine bottle returned from the field separately contained in a zippered bag / box with a suitable cold chain until the next session or 48 hours that ever before (according to the existing AEFI guidelines),” it said.

This story was published by a wireless agency with no modifications to the text. Only the headline was changed.

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