Self-reported occupational blood exposure among paramedics in Poland: a pilot study

Introduction. Paramedics are at risk of occupational blood exposure, increased by the immediacy of provided treatment. However, the issue has not been acknowledged to date by any research in Europe. Methods. This research aimed at assessing occupational blood exposure among paramedics in Poland. Respondents represented 21 Polish medical institutions. Their participation was voluntary and anonymous. Paramedics were provided with a self-directed job-specific questionnaire adapted to Polish conditions from an original US version. Results. 118 paramedics participated in the study from institutions constituting the National Emergency Medical System in Poland; including ambulance crews, Helicopter Emergency Medical Services and emergency department employees. Occupational exposure was reported by 18.64% of respondents and the main route of exposure was needlestick events. Conclusions. There is a further need to improve education among paramedics concerning the threat of being infected with blood-borne pathogens through all existing routes. Our findings point to the problem as being hidden and considered a shameful issue.     

医疗废物高温蒸汽处理工艺的二次污染控制——以孝感市医疗废物处置中心为例

以孝感市医疗废物处置中心为例,介绍了高温蒸汽处理过程的二次污染控制工艺。结果表明:采用生物脱臭处理工艺,废气中的恶臭污染物可以达到《恶臭污染排放控制标准》(GB 14554—1993)相应排放速率限值要求;采用生化和物化相结合的废水处理工艺,出水水质可以满足《污水综合排放标准》(GB 8978—1996)的二级排放标准要求。     

关于对黑龙江省部分地区医疗废物管理情况的调研分析研究

为解决医疗废物的污染问题,对医疗废物的收集、运输和处置情况进行了调研。利用现场视察和座谈会的形式,收集医疗废物收集、运输和处置情况的资料。提出了可行性处置措施,利于环境保护,利于医疗废物收集体系的完善和收集、处置、运行机制的合理社会配置,使医疗废物得到安全有效的处置。医疗废物应以＂就近集中处置＂的原则,交由医疗废物处置机构处置,利于地方环保部门监管,使医疗废物及时得到无害化处理。     

Evaluation of the available air pollution control technologies for achievement of the MACT requirements in the newly implemented new source performance standards (NSPS) and emission guidelines (EG) for hospital and medical/infectious waste incinerators

After many years of research and debate, in August of 1997 the United States Environmental Protection Agency (EPA) issued New Source Performance Standards (NSPS) and Emission Guidelines (EG) for medical/infectious waste incinerators in the United States. These new emissions and operational standards establish considerably more restrictive limitations on air emissions for medical/infectious waste incinerators and will undoubtedly have a significant impact on the over 2300 hospitals presently operating an incinerator on-site. This paper will explore the options available to these facilities, and those facilities which may be considering installation of an incinerator, relative to achieving compliance with the NSPS and EG for medical/infectious waste incinerators.     

浅谈医疗危险固体废弃物的安全处置

在抗击非典疫情的关键时期 ,如何对医疗废物的安全处置 ,防止疫情扩大 ,非常重要     

医用多功能防护服研究与发展

简要回顾了医用防护服的起源和发展历史,分析了国内外医用防护服的现状,论述了医用防护服的发展趋势。笔者通过大量调研和分析认为:对纺织材料、功能整理、织物复合和服装结构工艺进行系统研究设计,选用聚四氟乙烯复合膜和超微细熔喷材料作为隔离层,在保证隔离病毒的前提下,能有效排汗透湿,改善了医用防护服的舒适性;对涤纶织物进行拒水、抗静电、抗菌、阻燃等功能整理,解决了面料的协同增效和耐久性难题;根据抗“非典”防护服的要求,采用高性能隔离层材料,应用科学的合理工艺手段可以达到医用多功能防护服的要求。总后军需装备研究所,采用了一种新型独特的复合方法制成的PTFE复合膜层压织物,其具有集隔离病毒、透湿、拒水、抑菌、抗静电、阻燃、防血液渗透等多种功能于一体的特点,PTFE复合膜防护服可经多次机洗和消毒,能够适应不同寒、热环境使用。     

Differences in urban and rural accident characteristics and medical service utilization for traffic fatalities in less-motorized societies

Introduction

Fatalities from traffic accidents in less-motorized societies are an important global issue. We aimed to characterize the geographic differences of fatalities in such societies to facilitate the development of targeted interventions.

Method

This study linked police reports, hospital data, and vital registration data from Taiwan with special reference to accident factors in pre-hospital deaths and medical care in hospital deaths.

Results

A higher percentage of pre-hospital deaths were observed following rural as compared to urban traffic accidents. The deaths due to rural accidents can be attributed to lower use of restraints (i.e., helmets or seat belts), lower percentage of motorcyclists, and more highway accidents. A higher percentage of victims in rural accidents were transported to distant medical centers rather than to local hospitals.

Conclusion

Specific interventions, such as intelligent emergency medical systems, campaigns for helmets and seat belt usage, enforcement of helmets and seat belt use, and speed control measures should be targeted to rural areas.

Impact on industry

Cooperation between the vehicle industry and emergency medical providers in rural traffic accident rescue teams may decrease the numbers of deaths in these regions.     

加强管理，实现医疗废弃物无害化

分析了福州医疗废物的现状和现行处置方式中存在的问题，提出了加强管理，实现医疗废弃物无害化处置的措施。     

Medical supplies management in the cholera epidemic in Somalia 1985

In March/April 1985 a cholera epidemic of explosive speed affected a population of 45,000 newly arrived refugees in the town of Hargeysa in the North-West region of Somalia. Seven hundred and sixty one people were killed by the disease within ten days. Great efforts were made on regional, national and international levels in order to reduce mortality and to control the spread of the disease, and large amounts of relief supplies were immediately flown into the country from various aid organizations and governments. This paper describes the supplies management during the operation, with an emphasis on the mobilization of supplies from abroad and from the capital into the emergency area. Recommendations are offered for the organization of medical supplies during cholera outbreaks. The author worked during the epidemic as co-ordinating secretary for relief supplies in Mogadishu.     

灾害中的医疗救护及灾害医学

本文根据国内外的先进经验,结合我国的实际情况对灾害医学的慨念、特点、工作性质和范围进行了探讨,并结合我国灾害医学的现状提出相应的对策。