debris. The management plan should establishrecordkeeping systems and personnel trainingprograms, and should incorporate the minimallyacceptable management standards for Navy MTFs andDTFs (as contained in BUMEDINST 6280.1,Management of Infectious Waste).INFECTIOUS WASTEInfectious waste is liquid or solid waste containingpathogens in sufficient numbers and of sufficientvirulence to cause infectious disease in susceptiblehosts exposed to the waste. Several examples are:sharps (needles, scalpel blades),microbiology waste (cultures, stocks containingmicrobes),pathological waste (human tissue, body parts),liquid waste (blood, cerebrospinal fluid), andmedical waste from isolation rooms.TREATMENT AND DISPOSAL METHODSFOR INFECTIOUS WASTESeveral steps should be used in the treatment anddisposal of infectious waste. These steps include theidentification of waste; segregation, sorting, packaging,2-38Types of Infectious Waste Methods of TreatmentMethods of DisposalMicrobiological Steam sterilization1Chemical disinfection2Incineration3Sanitary landfillPathological5Incineration3 & 4CremationSanitary landfillBurial6Bulk blood and otherpotentially infectiousliquidsGelatinization6Sanitary sewer7Sanitary landfill8Sharps in sharps containers Steam sterilizationIncinerationSanitary landfillSanitary landfill1For effective sterilization, the temperature must be maintained at 121E C (250E F) for at least 90 minutes, at 15 poundsper square inch of gauge pressure. Bacillus stearothermophilus spore strips must be used weekly to test the sterilizationprocess.2Chemical disinfection is most appropriate for liquids.3Ash remaining after incineration may go directly to the sanitary landfill, unless state or local regulations requiretesting the ash for characteristics of hazardous waste.4Disposal of placentas by grinding with subsequent discharge to a sanitary sewer is acceptable unless prohibited bycounty or local laws/regulations.5Burial or cremation is acceptable.6Must be further treated by steam sterilization or incineration.7Discharge to a sanitary sewer is acceptable unless prohibited by county or local laws/regulations.8Must be treated by steam sterilization or incineration before landfill disposal.Table 2–2.—Treatment and Disposal Methods for Infectious Waste
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