injection safety ipv global workshop march 25, 2014
TRANSCRIPT
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Injection Safety
IPV Global Workshop
March 25, 2014
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Outline
Background IPV Injection Equipment Waste Disposal
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Injection Use Worldwide
95% are for therapeutic purposes 5% are immunization injections 1% are used for injectable contraceptives 1% are of blood and blood products
> WHO estimates 50% of injections in developing countries are unsafe….
www/who/int/mediacentre/factsheets/fs231/en. Oct 2006
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Safe injection
No harm
“Immunization injections are only safe when the correct vaccine is properly administered with a sterile injection device that is disposed safely”
WHO recommended policy
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Unsafe practicesPre-filling syringe with vaccineRe-capping needleRe-using needles and/or syringesImproper waste disposal
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Factors that contribute to disease transmission
Overuse of therapeutic injections Shortage injection equipment Poor waste disposal practices Re- use of syringes and needles
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Inactivated Polio Vaccine 1 dose
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Administration of IPV
Delivered intramuscular (IM) Delivered subcutaneous (SC) Requires syringe and needle Mono dose Multi dose
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Safe Injection Equipment
All countries should be using only auto-disable syringes or syringes with re-use prevention feature.
Auto-disable syringes and safety boxes should be supplied in adequate quantities for campaigns and routine immunization services
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Sterile Injection Device A-D (auto-disable) needle and syringe--locks
plunger after one use
Internal mechanism blocks plunger once it is fully pressed.
LOCK !Injection stroke
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Sterile Injection Devices
GOOD: Disposable needle and syringeWithout recapping needleWithout re-using needle and syringe
BEST: Syringes with re-use or needle stick prevention features
Re-use by HCW’s or patients Needle related injuries and infections
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Needle Free Devices
Jet-Injectors Used for Smallpox EradicationCross contamination concernHuman and animal testing for new devices
Aerosol administrationMeasles vaccine—clinical trials in Mexico
Influenza vaccine
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Hub Cutter Syringe hub cutter
Destroys needle and syringe to prevent reuseReduces volume of waste
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K ey initiativesK ey initiatives
1 hub cutter = 5 safety
boxes
Reduces medical
sharps waste by 80 fold.
BD HUB CUTTER Safety Box Hub CutterCapacity 100 500 needlesVolume (Liter) 5 0.3
For 500 needles# of device 5.0 1.0 Total Sharps Volume (L) 25.0 0.30 80x
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Safe Disposal
“The collection, storage and subsequent destruction of all syringes and needles to avoid any accidents”
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Safety Boxes:
Sharps containers used for the disposal of safe and convenient disposal of syringes, needles and other sharps.
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Waste Disposal
Permanent Incineration
Burning• In a metal drum• Open pit
Burial• Encapsulation
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Incinerator
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Metal Drum
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Open Shallow Pit
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Deep Open Pit
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Waste DisposalBurial
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ResourcesGuiding principles to ensure injection
device security—WHO 2003http://www.who.int/injection_safety/WHOGuidPr
inciplesInjEquipFinal.pdf
Aide memoire and checklist for injection safety—WHO 2003(
http://www.who.int/vaccines-documents/DocsPDF04/www775.pdf)
Safe Injection Global Network (SIGN)http://www.who.int/injection_safety/sign/en/