Pilot Study on Collection and Disposal of Used Syringes & Needles

in EPI

JICA China EPI Strengthening Project

Nakae NOGUCHI

Makoto KOBAYASHI

Masamichi KINOMOTO

Chinese Center for Disease Control & Prevention

Yixing LI

Zhenxi ZHANG1

Way to Dispose Used Disposable Syringes & Needles at Village

• Collected to upper level :12.4%• Burned at village :92.8%• Reused :11.2%

(Multiple choice)

(Survey in 1999, at Shanxi and Shaanxi 　 n=117)

村衛生室裏の川に投棄された使用後ディスポ注射器Used disposable syringes thrown beside a river behind a village clinic

Objective :To make a model 　

Place :10 counties in 5 provinces

Period :1 year + 1 year follow-up

Support from JICA Project

:Shredding machine, Fax machine

Part of Training budget,

Pilot Study on Collection and Disposal of Used Syringes & Needles in EPI

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10

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● 74 ●3 ●

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● 5青海 Qinghai 3: 民和 Minhe 4: 楽都 Ledu

甘粛 Gansu 1: 酒泉 Jiuquan 2: 靖遠 Jingyuan 寧夏 Ningxia

5: 中衛 Zhongwei 6: 銀川 Yinchuan

陝西 Shaanxi 9: 眉 Mei 10: 乾 Qian

山西 Shanxi 7: 襄汾 Xiangfen 8: 楡次 Yuci

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Pilot Counties

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Guidance

• To collect and dispose used syringes• To conduct training of staff• To manage procurement and provision of

disposable syringes• To disinfect syringes at village and county levels• To record amount of syringes provided, used and

collected • To record needle stick• To record disinfection

Transportation

Villageby Village Doctor after EPI session

Townshipby County after EPI session before next session

County

　 7

Final Destination of the Waste

Syringes

County

Townshi

Prefecture

Needles

CountyTownship

Prefecture

Village

Disinfection / Sterilization

Conducted at Village 7/10

2 or more disinfections before disposal 8/10

Disposed without disinfection/Sterilization 1/10

Final Disposal of the Waste

Recycling 1/10

Store for Recycling 6/10

Incineration/Burning 3/10

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Yingchuan Prefecture Destruction Center

Collection → Disinfection → Segregation 　↓

　　　 Destruction　　　　　　　　　　　　　　　　　　　　　　　　　　　　↓ 　Drying　　　　　　　　　　　　　　　　　　　　　　　　　　　　↓

Packaging.Drying

Disinfection Segregation

Result of Monitoring

System is functioning

• Segregation from other waste & garbage

• Usage of Bio-hazard Mark :6/10

• The waste is collected periodically

• Collection Rate :95-100%

Discussion

• Work load of EPI staff

• Disinfection and Segregation

• Traders for recycling

• Vehicle

• Container

• Start of GAVI Project