Markku Seuri, FIOH, INFECTIOUS DISEASES IN WASTE MANAGEMENT Tartu
Markku Seuri, FIOH, WASTE infectious waste from hospitals etc sharps waste solid community waste –collecting –dumping ground –treatment waste-water treatment
Markku Seuri, FIOH, GENERAL ASPECTS microbes found depend on the processes exposure to a certain microbe in waste-water depend on the prevalence of that disease
Markku Seuri, FIOH, INFECTIOUS WASTE cultures human or animal pathological waste contaminated material sharps free flowing waste
Markku Seuri, FIOH, LIMITING THE HAZARDS OF INFECTIOUS WASTE policy –written –approved –based on present knowledge guidelines –written and simple instructions training
Markku Seuri, FIOH, SOLID COMMUNITY WASTE proper handling of waste (sharps) at home good containers, easy to collect no-touch handling of the waste personal hygiene (smoking, eating, drinking, clothing) at the dump site; preventing the dust tetanus vaccination
Markku Seuri, FIOH, WASTE-WATER TREATMENT PLANTS waste-water contains many pathogenic microbes, which are common in that particular community: –hepatitis A –hepatitis C –Salmonella spp –intestinal parasites waste-water treatment plant workers report more gastrointestinal tract symptoms than controls
Markku Seuri, FIOH, EPIDEMIOLOGY OF WASTE- WATER TREATMENT PLANT WORKERS waste-water treatment plant workers seem to have more hepatitis A –depends on the task they do not experience any increased risk of clinical disease
Markku Seuri, FIOH, WASTE-WATER TREATMENT AND SALMONELLA Salmonella spp can be found in waste- water in our study they waste-water treatment plant workers had less antibodies against salmonella than blood donors and reported less salmonellosis than food processing plant workers could salmonella exposure by inhalation prevent gastrointestinal salmonellosis?
Markku Seuri, FIOH, WASTE-WATER TREATMENT PLANT GI-SYMPTOMS in several studies more gi-symptoms –habitual stomach pain –loose or watery stools –varying bowel habits cause is probably some virus more among the young workers (?) not related to any later disease
Markku Seuri, FIOH, SIMPLE PRINCIPLES FOR WASTE WORK avoid cuts avoid dust, do not let the waste dry use protective proper protective device in some cases exclusion of some workers may be considered: –immunocompromised –workers with asthma –workers with allergic rhinitis, conjunctivitis – dermatitis remember tetanus vaccination