BHRIKUTI RAI
Kathmandu, Nepal
As hospitals go, Nepal's oldest hospital makes the news for all the wrong reasons: corruption, mismanagement and filth. However, Bir Hospital is becoming a model for recycling hospital waste not only for other hospitals in Nepal but around the world
Pic: Bikram Rai |
Each year hospitals in Nepal generate more than 365 tons of medical waste with most of it thrown into municipal garbage dumps: syringes, plastic, bandages and even some human body parts.
In the absence of proper storage, disposal facilities and sterilisation instruments like autoclave and incinerators, Bir Hospital was dumping 323 kg of infectious waste into the public garbage system every day. Not surprisingly, waste had become a major source of infection among patients and staff exposed to the polluted environment.
Last year, the Health Care Waste Management Program was launched with Healthcare Foundation-Nepal (HECAF). Today, Bir is quickly becoming a pioneer in the field of hospital waste management as the hospital now segregates waste at the source significantly reducing the toxicity. The waste is then thoroughly disinfected and passed along for recycling and reuse. "We have been following non-incineration techniques to manage medical waste because of the risks associated with burning them," says Mahesh Nakarmi, director of the Health Waste Management Program.