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  3. Saturday, 26 October 2002
POST 00514E : CONTAMINATION STUDY OF NEEDLE REMOVERS Follow-up on Post 00509E, 00510E and 00512E 26 October 2002 _____________________________________________________________ Anthony Battersby (mailto:[log in to unmask]) comments on Janet Vail's response (post 00512E) and Anil Varshney (mailto:[log in to unmask]) on Mary Catlin's contribution (post 00510E). _____________________________________________________________ The reply from Janet Vail is very disturbing especially for those who have much field experience. She makes no attempt to address the points which have been raised, does not appear to take any note of them and implies "trust us we know what we are doing". Well sorry folks, we don't, unless you provide data that shows that the points raised are solved. I note that the objective is not to make the process of administering an injection safer for the person giving the injection. The naivety of the penultimate paragraph is really shocking. For example, in 20 years of working in many countries including ones like Israel and UK, I have never seen a "protected waste pit" which was actually protected. Anthony __________________________________________________________ Thanks for the information and very valued opinion. I am in FULL AGREEMENT with you. When providing healthcare services, it is essential that there is more emphasis on quality and attention to patient / beneficiary and minimal devices as possible, specially in the field situation. We must not forget that the health staff carrying out immunization has also to carry out many other tasks. Furthermore the simplest method is to burn at the site of use; after giving an injection, drop the syringe with needle and all other material in a metal container like bucket and burn the entire waste at the end of session ( AD syringes just require a matchstick and no smoke or smell is there when it burns) As regard to removing needles by defanging, the device may not be carried by the staff at the outreach site where 70% of immunizations take place in the developing world and may not be used as it is time consuming. In relation to safety boxes, I have witnessed in most places where it is used that the user keeps filling it up and pile these for disposal, which is for collection by higher level or burning at higher level. This is impractical and adds to hazards while burning 6-10 syringes at the site of use and then bury the remains seem a more practical approach. A question may be raised regarding the smoke and other toxic gases generation. Well this is negligible compared to thousands of cigarettes burning or other burning in the area. Finally how easy would it be for repair and service in remote areas and can the system sustain the cost? All the points are very relevant and need to be considered. There are many more critical issues related to injection safety that should be looked at from points raised by Mary Catlin. Regards Dr Anil Varshney ----------------------------------------------------------------------------- CONTRIBUTIONS: Contributions to: or use your reply button! The TechNet21 e-Forum welcomes new subscribers who are involved in immunization services. SUBCRIBE: To subscribe, send an e-mail to: Leave the SUBJECT area BLANK, do not type anything. In the body text, just write: Subscribe TECHNET21E Surname Name Do not use any accents in your name and surname. UNSUBSCRIBE: To unsubscribe, send an e-mail to: Leave the SUBJECT area BLANK, do not type anything. In the body text, just write: Unsubscribe TECHNET21E ------------------------------------------------------------------------------ ARCHIVES Archives of posted messages classified by month starting with 1 January 2000 are accessible to all TechNet21 subscribers at the following site : http://listes.ulaval.ca/listserv/archives/technet21e.html Archives for postings prior to January 2000 can be found at the following site : http://www.who.int/vaccines-access/Vaccines/Vaccine_Cold_Chain/Technet Or by request to the Moderator at mailto:[log in to unmask] ------------------------------------------------------------------------------ Archives for files (documents) are under revision to clean old documents and drafts that are already replaced with new ones, and will be made available soon at a specific site. ------------------------------------------------------------------------------ The World Health Organization and UNICEF support TechNet21. The TechNet21 e-Forum is a communication/information tool for generation of ideas on how to improve immunization services. It is moderated by Claude Letarte and is hosted in cooperation with the Centre de coopération internationale en santé et développement, Québec, Canada (http://www.ccisd.org) -----------------------------------------------------------------------------


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