Waste Management Sub-CoP
The Waste Management sub-community of practice (Waste Mgt sub-CoP) is a dedicated segment of the greater LabCoP. The Waste Mgt sub-CoP gathers country teams (made up of laboratorians, clinicians, and representatives from ministries of health and stakeholders (implementing partners, regulatory and technical agencies) to find concrete ways to improve and increase adoption and implementation of safer, practical, and sustainable methods/technologies for the disposal of waste generated by testing for COVID-19, HIV, tuberculosis (TB), malaria and other key diseases.
Safe health-care waste management is fundamental for the provision of quality, people-centered care, protecting patient and staff safety and safeguarding the environment. Diagnostic laboratories regularly generate hazardous or dangerous wastes which if improperly managed, can pose threats to human health, safety, and the environment. The scale up of diagnostic testing to meet global and regional targets has led to exponential growth of amount of both solid and liquid waste produced. HIV testing, for example, produces an estimated one million litres of effluent waste and two million kg for solid waste annually.
HIV viral load, early infant diagnosis and COVID-19 molecular diagnostic testing produces potentially hazardous chemical waste that contains guanidinium thiocyanate (GTC). When GTC comes in contact with an acid or oxidizer, such as bleach, it produces hydrogen cyanide gas. GTC is toxic to humans and animals. If untreated and poured down the drain can pollute waters and harm aquatic life. Proper storage, designation, treatment, and disposal of chemical waste and other types of waste can prevent serious consequences of catastrophic events or accidents. The scale up of community testing for many priority diseases including COVID-19 rapid testing poses a fresh challenge. For example, each COVID-19, HIV, hepatitis rapid test comes with of plastic packaging that ends up in the landfill. Considering billions of testing kits that have been purchased worldwide, tens of thousands of kg of plastic waste per billion tests are generated. Unfortunately, current waste management practices in most countries are suboptimal due to lack of adequate policy, lack of awareness, resources and poor adherence to standard practices.
Through targeted technical assistance, knowledge and experiences, south-to-south collaborations and many other LabCoP modalities, the Waste Mgt sub-CoP facilitates joint development, review, and strengthening of laboratory waste management systems, and safe and proper disposal of medical laboratory waste in member countries.
Current Activities
How to Join
A LabCoP country team may send a Letter of Intent to join the Waste Mgt Sub-CoP to Dr Collins Otieno Odhiambo, LabCoP Project Lead email.