DIDACTIC communication « infection control »

24/02/21

Management of waste at infectious risk in the COVID 19 context

During the COVID 19 pandemic, it is essential to determine the appropriate channel for the disposal of healthcare waste generated in the COVID 19 and non-COVID 19 sectors. Whether in healthcare facilities, in medical and social institutions, in doctors’ offices, or with patients at home, many questions arise: such as how to dispose of DASRI, PPE, surgical masks, clothing, incontinence products, single-use bedding in contact with COVID 19 patients or in the non COVID 19 sector?

All these questions can find a clear answer in the notice published last November by the High Council of Public Health.

Summary table relating to the management of health care waste (DAS) and other waste during the Covid epidemic19

production place Methods of waste disposal Source for recommendations
Sharp Perforations PPE caregivers and patients protection for incontinent adults cleaning single-use linen and PPE of cleaning personnel
health establishment PPE PPE worn in contact with Codiv-19 cases: hazardous waste. PPE worn in contact with non Covid-19 patients: household waste Covid-19 : hazardous waste. Residents without symptom Covid-19 : household waste in double bag after 24H storage confirmed COVID 19 room : hazardous waste sector. In other cases : household waste in double bag after 24H storage SF2H Notice january 28 2020 SF2H Notice february 7  2020 HCSP Notice february 18 2020 HCSP Notice March 19 2020 HCSP Notice April 8 2020 SF2H Notice April 5 2020 (wipes)
Medico-social facilities with a hazardous waste program and more particularly the nursing homes hazardous waste PPE* worn in COVID 19 contact : hazardous waste PPE* worn in contact with non Covid-19 patients: household waste (HW) in double bag after 24H storage *applies to PPE worn by caregivers but also those worn by people visiting residents in nursing homes and cleaning equipment Covid-19 : hazardous waste. Residents without symptoms Covid-19: household waste in double bag after 24H storage confirmed Covid-19 room confirmed: hazardous waste sector. In the other cases : household waste in double bag after 24H storage Provision of the doctrine established for ES HCSP Notices April 8, 2020MININING 2020-85
EMS does not previously have a hazardous waste program (specialized reception center: MAS, etc.). hazardous waste household waste in double bag after 24H storage household waste in double bag after 24H storage household waste in double bag after 24H storage Transposition of the doctrine for patients at home
LHP (liberal health professional) hazardous waste household waste in double bag after 24H storage Not applicable Not applicable HCSP Notice March 19 2020
Centre de consultation dédiés Covid-19 hazardous waste household waste in double bag after 24H storage Not applicable Not applicable Transposition of the LHP doctrine
At home hazardous waste (LHP branch which intervenes at home) household waste in double bag after 24H storage household waste in double bag after 24H storage household waste in double bag after 24H storage (except HAD : ES protocols) HCSP Notice March 19  2020, HCSP Notice April 8 2020
Place of isolation dedicated to the isolation of patients (hotels, …) hazardous waste (LHP branch which intervenes) household waste in double bag after 24H storage HCSP Notice of March 19 HCSP Notice of April 8, 2020 HCSP Notice of April 24, 2020HCSP Letter of May 4, 2020