With the number of cases of Hepatitis E coming down, the attendant publicity
and also the sanitation drive will begin to wind down.

I am quite concerned about the utter disregard the medical profession has
with regard to the safe disposal of biomedical waste.As everyone is aware
contaminated needles and syringes and even body parts are being disposed off
in a negligent fashion in municipal garbage bins. Needlestick injury can
lead to Hepatitis B and HIV (AIDS) infection. It is quite possible that what
the cat (or dog) brings in could be the placenta from your wife's recent
delivery!!

Though the Goa government  has come out with a notification to this regard
-The biomedical waste -(Management & Handling) rules 1998 wef 1st Jan 2003,
very little has been done to implement this rule. The IMA -Indian Medical
Association and the Goa Association of Private Nursing homes have typically
washed their hands off the issue putting the onus of collection of this
hazardous waste and its disposal onto the government. The Government on its
part seems clueless about deep burying /incineration. The GMC incinerator is
overburdened and is non functional being more of a pollutant. Hospicio and
Asilo have incinerators which are non functional. While the PMC aka CGP has
a scheme whereby the hospital waste is collected by a private collector and
dumped in Curca violating all the rules about its safe disposal. While all
the parties wrangle and point fingers, we are setting ourselves up for an
Hep B epidemic on a major scale that will dwarf the malaria, and Hep E
incidents. It is pointless to project Goa as a health tourism destination or
any other tourist destination when our basic infrastructure is in shambles.

If the numero uno state is so negligent in handling its medical waste then
what about neighbouring (ghatti) Karnataka? Take Belgaum -taluka HQ and just
across the border for instance. The district is as large as Goa with the
population of Belgaum town alone being 6-7 lakhs. All the hospitals right
from the 400 bedded KLES Hospital,the 200 bedded government civil hospital
and all the private nursing homes have a medical waste disposal system in
place. The remarkable thing is that the system is largely privately run with
minimal supervision from the Karnataka Pollution Board.

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