Mercury Free Health Care System Development in Nepal (Feasibility study , Piloting & Strategy development ) Ram Charitra Sah Executive Director /Environment Scientist Center for Public Health and Environmental Development (CEPHED), Nayabasti, Imadol-5, Lalitpur, Kathmandu, Nepal. Tel.Fax: 977-1-5201786 Email: [email protected]National Workshop on Health Care Waste Management and Mercury Free Health Care System in Nepal January 13 – 14, 2011 , Hotel Everest , New Baneshwar, Kathmandu
51
Embed
CEPHED`s Mercury Free Health Care System Development in Nepal · Atomic Weight: 200.59(2)g·mol−1 Density: 13.534 g·cm−3 Melting point:-38.83°C, Boiling point: 356.73°C, Mercury
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Mercury Free Health Care
System Development in Nepal (Feasibility study , Piloting & Strategy development )
Ram Charitra Sah
Executive Director /Environment Scientist
Center for Public Health and Environmental Development
National Workshop on Health Care Waste Management and Mercury Free Health Care System in Nepal
January 13 – 14, 2011 , Hotel Everest , New Baneshwar, Kathmandu
Center for Public Health and Environmental
Development
(CEPHED)
Goal: Improved environment management and public health.
Vision: Bridging people with science and technology for healthy living and environment safety.
Mission: Acts as bridging forum between people with science and technologies to made access to new scientific knowledge, technologies and safety measures of environment and public health sector through research, coordination, capacity building and policy dialogue.
Workıng area: Natural Resource Mgmt., Envıronment Cons., Chemical management, Environmental pollution, and Publıc Health etc.
Members/Partner Organization: SA Regional Hub, IPEN, HCWH, GAIA, Zero Mercury , CHE,
Contents of Presentation
� Mercury and Its Impacts
� Study and Results
� Orientation and Capacity building program
� Feasibility Study Mercury Free Health Care
� Mercury Free Health Care Strategy Devt.
� Conclusion and Recommendation
� Radio Jingle and Video Documentary
Mercury: 200Hg80
� Mercury is a chemical element that occurs in
nature and can be found almost everywhere in
the environment. Mercury is only metal which is
liquid at ordinary temperature; in fact it is liquid
at 298 Kelvin. Mercury is sometimes called
quicksilver because of its silvery-white
appearance. It is naturally occurring heavy,
odorless, lustrous liquid metal found in three
forms: metallic; inorganic and organic.
MERCURY (Hg)
Color: Silvery
Atomic Number: 80
Atomic Weight: 200.59(2) g·mol−1
Density: 13.534 g·cm−3
Melting point: - 38.83 °C,
Boiling point: 356.73 °C,
Mercury is Quick Silver
Impacts of Mercury
� Mercury is highly toxic in all its elemental, inorganic and organic forms.
� It readily absorbed through skin and reaches to the brain crossing over skin
and blood brain barrier.
� It may fatal if inhaled and harmful if absorbed through skin.
� It causes harmful effects to the nervous, digestive, respiratory, immune
systems, kidneys and lung damage.
� Exposure to it may result tremors, impaired vision and hearing, paralysis,
insomnia, emotional instability.
� It also causes developmental deficits during pregnancy and childhood
(WHO 2005).
� A drop of mercury enough to cause contamination of a ponds (>8 ha )
beyond expectable level of fish consumption.
Mercury Impact Episodes � The hazards of methylmercury poisoning in 1956 , Minamata, Japan. Ill, or died,
after eating the fish and shellfish in Minamata Bay. Some 35000 people affected.
More than half of whom have now died.
� Another modern mercury tragedy occurred in Iraq in 1971, when 6,500 people
were hospitalized and more than 400 died after eating wheat grain treated with a
methylmercury fungicide.
� Several serious incidents of mercury contamination occurred in Canada
soon after the Minamata and Nigata cases.
� A study of 180 dentists by researchers at the Glasgow Royal Infirmary in
Scotland found the dentists had up to four times the normal level of
mercury in their urine and nails and had more kidney disorders and
memory lapses than the general public.
� In a study involving 45 women dentists and 31 dental nurses, a positive
association was found between elevated mercury levels and incidence of
malformations and aborted pregnancies.
� In Nepal , Chronic headache from dental amalgam, mercury poisoning
from breakage of thermometer, death in case of mercury use to abort
pregnancy etc has been already happened.
185 Reported Mercury Poisoning Cases in
Nepal
CEPHED INITIATIVES� Sector wise study and inventory
� Production of IEC materials and Dissemination
� Development of Mercury Spill toolkit and distribution and
Demonstration.
� Awareness raising and Capacity building (5 R/20 Districts
and many health care facilities)
� Feasibility study for mercury free health care system
� Strategy development for Mercury free health care system
� Piloting Mercury Free Health care service delivery from
Propkar Maternity and Stupa Community Hospital. Soon
start with Kanti Children Hospital
0
20
40
60
80
100
120
140
160
2005/6 20006/7 2007/8
22
12
150Kilograms
Physical Years
Import of Mercury (Kg)
Thermometer and Hg contains
Pressure Measuring Equipment in 2006/7 : 8165 unit
Articles Mercury
Contains
Fever
Thermometer
0.5 grams
Laboratory
Thermometer
5 grams
Industrial
Thermometer
5 grams
Thermostat 3 grams
Sphygmomanome
ter
20 – 60
grams
Mercury Spillage
Articles Mercury Contains
Compact
Fluorescent Lamp
1-25 mg
Fluorescent U-
Tubes
3-12 mg
Linear Fluorescent
Lamps
3-12 mg
Mercury Vapour
Lamps
25-225 mg (75-
1500Watt)
Question to the Importer, Promoter, Distributor, Marketing
and Advertising Agencies :
1. How much Mercury does your Products Contains ?
2. What is your plan for management of these products at
the end of life?
3. What are the basis of Claiming CFL as Environmental
Friendly ?
???..
Mercury in Tube light & CFL
Equipment Types and Thermometer
Breakage (Per year)
� Kanti Children , Annual purchasing =900 +
� Stupa Community Hospital =144
� Propkar Maternity and Women's
Hospital=333
� Bir Hospital =1200
Spill collection/handling,
breakage management.
S.No. DistrictName of
Hospital
Spill
Collected/
Handled
Breakage
management
Frequency
of
Cleaning
Health
hazards
1 Norvic kept in dustbin incineration skin burn
2
Paropakar
Maternity do not know kept in dustbin 2 times a day not known
3 Lalitpur Sarvanga do not knowkept in separate
container 2 times a day
Health
problem
4 B & B
kept in sharp
bucket incineration 3 times a day cancer
5 BhaktapurKorea-Nepal
Friendship By paper incineration 6/6 hours
tissue
damage
6 Bhaktapur By paper kept in dustbin 2 times a day cancer
Selected 20 Dental Hospitals & ClinicsFacilities Locations No. of site
Shine and Smile Dental Clinic Bhaktapur 5 in BhaktpurPuja Dental Clinic Bhaktapur
R.T Dental Clinic Bhaktapur
Himalaya Dental Clinic Bhaktapur
Advanced Oral Dental Hospital Bhaktapur
Oral Dental Clinic Thimi3 in Thimi
Arniko Dental Clinic Thimi
Korea Nepal Friendship Hospital Thimi
Baneshwor Dental Clinic Kathmandu
6 in Kathmandu
Om Dental Clinic Kathmandu
Samaj Dental Clinic Kathmandu
Helping Hands Community Dental Hospital Kathmandu
Himal Dental Hospital Kathmandu
Om Shai Dental Clinic Kathmandu
Lagankhel Polyclinic Lalitpur 4 in Lalitpur
Suresh Dental Clinic Lalitpur
Satdobato Dental Clinic Lalitpur
Lagankhel Dental Clinic Lalitpur
Jaya Dassheel Dental Clinic Kritipur 2 in Kritipur
Community Dental Clinic Kritipur
Doctor Assistant WM Others Thermometer Barometer Sphy.
Shine and Smile Dental Clinic 3 1 1 1 yes no no 15 60
Puja Dental Clinic 1 2 _ _ no no no 6 25
R.T Dental Clinic 3 1 1 _ no no no 30 125
Himalaya Dental Clinic 4 2 _ 2 yes yes yes 10 40
Advanced Oral Dental Hospital 2 1 _ _ no no no 35 140