Recommendations for dealing with waste contaminated with Ebola virus: a Hazard Analysis of Critical Control Points approach

• DOI: 10.2471/blt.15.163931
• Publication Date: 2016-05-31T07:21:46Z
• Authors: Kelly L Edmunds; Samira Abd Elrahman; Diana J Bell; Julii Brainard; Samir Dervisevic; Tsimbiri P Fedha; Roger Few; Guy Howard; Iain Lake; Peter Maes; Joseph Matofari; Harvey Minnigh; Ahmed A Mohamedani; Maggie Montgomery; Sarah Morter; Edward Muchiri; Lutendo S Mudau; Benedict M Mutua; Julius M Ndambuki; Katherine Pond; Mark D Sobsey; Mike van der Es; Mark Zeitoun; Paul R Hunter
• Keywords: 03 medical and health sciences; 0302 clinical medicine; Research; 610; Humans; 910; Hemorrhagic Fever, Ebola; Medical Waste Disposal; Ebolavirus; 620

Objective To assess, within communities experiencing Ebola virus outbreaks, the risks associated with disposal of human waste and to generate recommendations for mitigating such risks.Methods A team expertise in Hazard Analysis Critical Control Points framework identified products from care individuals disease constructed, tested confirmed flow diagrams showing creation products.After listing potential hazards each step diagram, conducted a hazard analysis, determined critical control points made mitigate transmission at point.Findings The collection, transportation, cleaning shared use blood-soiled fomites latrines contaminated blood or bloodied faeces appeared be particularly high levels risk transmission.More moderate were collection transportation material bodily fluids other than blood, soiled fluids, contamination environment during blood-contaminated waste. ConclusionThe waste-related could reduced by full personal protective equipment, appropriate hand hygiene an disinfectant after careful cleaning.Use facilitate rapid responses outbreaks emerging infectious disease.