Untreated therapeutic squanders are collecting at landfills in seven divisional urban communities, presenting genuine risk to general wellbeing.
These divisional urban communities, barring the capital, have around 1,380 medicinal services foundations – open and private – which produce more than 20 tons of restorative squanders each day.
Despite the fact that there have been numerous reports on a similar situation in Dhaka city, the other divisional urban areas have frequently gotten away examination in such manner.
Be that as it may, the image there is likewise very disturbing.
With no thorough authority information on therapeutic squanders accessible, The Daily Star has gotten the surmised figure subsequent to conversing with common specialists, city enterprise authorities and outsiders.
The Daily Star journalists have discovered a disturbing picture of therapeutic waste administration – from gathering and arranging squanders at the essential sources (medical clinics and centers) to dumping at assigned landfills in Chattogram, Rajshahi, Barishal, Khulna, Rangpur, Sylhet and Mymensingh.
In these urban communities, there are assigned containers for unsafe medicinal waste in pretty much every human services office, yet the social insurance experts scarcely pursue the technique with respect to legitimate transfer of restorative squanders.
As indicated by specialists, medicinal waste isn’t care for different squanders and it can taint through the skin, just as through inward breath or ingestion.
They said HIV, and Hepatitis B and C present the most serious hazard from such waste. Plus, anti-toxin safe germs (superbugs) and different perilous germs can spread from restorative waste.
“Regularly, we watch general wellbeing dangers [cholera, typhoid or else] and we examine just sewerage, not about therapeutic waste. Be that as it may, it might be sourced from medicinal waste,” said Prof Ahmed Abu Saleh, director of microbiology office at Bangabandhu Sheik Mujib Medical University.
“Medicinal waste administration circumstance is at a helpless stage as it has been disregarded throughout the years,” he included.
Wellbeing Division Services Secretary Md Ashadul Islam disclosed to The Daily Star, “We are attempting to set up another improvement venture plan (DPP) under which there would be nearby waste administration in all area level emergency clinics and restorative school grounds.”
He included they didn’t have the position to oversee squander outside of these.
The DPP is at the arranging stage and it would require some investment as like as some other undertaking.
THE MEDICAL WASTELAND
At present, every one of the landfills in the seven city enterprises are arranged either on low-lying wetlands or streams, and at certain focuses squanders are really being dumped by the roadside.
In Sylhet, therapeutic squanders are being dumped in Parairchak zone, neighboring a haor. In Barishal, they are being dumped in Puranpara landfill on the bank of Sapanial Khal, a seven-km long channel that streams into the Sandhya River.
Left untreated, the germs therapeutic waste harbors effectively spread through waterbodies, in the long run defiling the natural pecking order. Specialists esteem this training to be “amazingly perilous”.
A divisional position, involved the divisional chief of Directorate General of Health Services as president, an agent of the separate city company as part, and a delegate of the Department of Environment (DoE) as part secretary, should care for the restorative waste administration.
This is as indicated by the Medical Waste (Management and Processing) Rules 2008, an approach that is only on paper.
All things considered, the power it requests, be that as it may, has not been framed in any of the divisional central station.
Without a council, individual divisional city companies facilitate a waste administration bargain between the social insurance foundation authority and an outsider.
So also, squander authorities from city organizations or an authorized outsider convey those restorative waste into the landfills and dump it without it being cleaned.
The entire exercise is an unmistakable infringement of the medicinal waste administration rules, which states “therapeutic waste can’t be blended in with some other squanders at any stage – while inside clinics, while being gathered, while shipping.” The principles likewise express that the squanders ought to be handled independently dependent on characterization.
An authorized outsider would gather medicinal squanders to treat and arrange those inside an “isolated, limit checked and ensured site” inside a landfill, it included.
An outsider is an individual or an association, including a NGO, which has a month to month contract with an emergency clinic or facility to deal with their therapeutic squanders.
Shockingly, be it an outsider or the city organization concerned, or some other body, no one sanitizes the restorative squanders before dumping in the landfills.
The nation has just one single therapeutic waste treatment plant, which is situated in Dhaka.
Therefore, most therapeutic squanders end up in landfills.
“This is preposterous. Having outsider doesn’t bode well when you are arranging a wide range of therapeutic squanders together with different squanders, even in the wake of gathering independently,” Dr M Maksudur Rahman, teacher of topography and condition at DU, disclosed to The Daily Star.
There is an outsider specialist organization in these seven divisional base camp, aside from in Barishal, where Prodipan, a NGO, halted its exercises in 2006 following two years of activity.
Of the staying outsider suppliers, none has the necessary foundation to manage therapeutic squanders. As indicated by the suppliers, the set-up is excessively expensive.
Crystal Bangladesh Foundation (PBF) began its activity in Sylhet and Rangpur from the earliest starting point of this current month.
“Dislike that PBF can oversee only it. To begin with, we need waste isolated from the emergency clinic. There is an absence of training among the human services experts for different reasons,” Istiak Mahfuz, area organizer of Prism in Rangpur, revealed to The Daily Star.
“At the point when you are serving more than twofold your ability, at that point it is extreme for everyone to oversee squander appropriately,” he included.
He likewise said that medicinal waste administration was exorbitant and innovation arranged, assessing that even the most essential set-up would require more than Tk 2 crore.
The wellbeing master said just 50 emergency clinics and centers out of 153 have marked agreement with Prism in Sylhet, while the number is 100 out of 210 social insurance offices in Rangpur.
In Chattogram, Chattogram Seba Sangstha gathers waste and dumps those into a different spot of the dumping ground of city enterprise at Halishahar.
The association has no standard course of action to sanitize therapeutic squanders. They procedure squanders through a manual method. They serve 60 percent of the absolute 270 emergency clinics and facilities in the city.
While visiting, our journalists saw that different sorts of medicinal squanders are frequently blended in with different squanders.
Nobo Waste Management Service Ltd handles 41 percent restorative squanders of 220 medical clinics and centers in Mymensingh while Prodipan handles 115 social insurance offices out of 220 in Khulna.
In Rajshahi, there is no outsider to treat restorative waste. Crystal has as of late reached an accord however is yet to begin its activities there.
Nobody KNOWS THE RULES
The present treatment of restorative waste is in direct infringement of the Medical Waste (Management and Processing) Rules 2008, which states “medicinal squanders couldn’t be blended in with different squanders at any stage – while delivering inside emergency clinics, while gathering from emergency clinics, while shipping, and would be handled independently dependent on grouping”.
Moreover, numerous city organization authorities are not by any means mindful of the standards.
Truth be told, since the principles were made, very little has been done in such manner, with those concerned calling them defective, which should be investigated. Every one of these years, no amendment has been finished.
Authorities concerned state the legislature doesn’t have a standard framework yet to manage medicinal waste, and the waste principles can’t be actualized until the imperfections are remedied.
“We have a great deal of activities,” Dr Sattyakam Chakraborty, line executive (clinic administration the executives) of the DGHS, revealed to The Daily Star as of late.
DoE authorities affirmed that they “haven’t been capable” to uphold the 2008 guidelines “for different reasons.”
They likewise recognized that there was no “authority” in any divisional base camp.
“We haven’t gone outside Dhaka for requirement of the guidelines yet. In Dhaka, we go for authorization when we get charges,” Begum Rubina Ferdoushi, chief (checking and requirement) disclosed to The Daily Star.
“Actually, it is hard to take a shot at the premise of the present guideline. We [DoE] are attempting to refresh it with the goal that it would be practical up to the root level [upazila],” she included.
Ziaul Haque, a chief of the DoE and furthermore one of the officials dealing with refreshing the therapeutic waste guidelines, revealed to The Daily Star, “There are various inconsistencies in the 2008 standards. It isn’t clear where might be the workplace of the power or under which association (DoE, DGHS or city company) the outsider would be given a permit.
Plus, a solitary association needs to get three sorts of licenses for gathering, moving and arranging medicinal waste; it’s not practical. We would begin to alter the guidelines soon.”
He said each emergency clinic and facility must acquire two testaments – the area endorsement and the natural leeway authentication – from the DoE.
The last incorporates a statement, which requires restorative offices to have an agreement with their separate city organization for squander the board.
“We simply observe whether the emergency clinics and centers have contracts with separate city enterprise or not,” said Ziaul Haque.
Approached who might be considered answerable for directing medicinal waste administration, Ziaul stated, “City enterprises are liable for a wide range of waste administration, while the DoE is liable for observing [the management]. It’s an unavoidable issue whether they are doing it appropriately or not.”
Emdadul Hoq, appointee secretary of the LGD service, revealed to The Dail