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This is a full transcript of the online presentation. For the presentation itself, go here.

Presented by:
Edith Coulter, MPH
Environmental Administrator
Division of Environmental Health
Contact Number: 850-245-4444 Ext. 2335

Hello my name is Edith Coulter
 I’m an Environmental Health program consultant, with the Florida Department of Health. My responsibilities include the coordination for the management of biomedical waste in the state of Florida.

Environmental health staff at both the state and county levels in Florida have knowledge, training, and experience in the safe management of potentially infectious waste, and it is essential that they play a role in the preparation for any event that involves these special wastes. What is being done by environmental health and by environmental health partners?

We talked about the Department of Health responsibilities in our last presentation. Some additional responsibilities are covered in a Department of Health, Department of Environmental Protection memorandum of understanding that was mandated by the biomedical waste statute. The Department of Environmental Protection has responsibility for treatment of biomedical waste by incineration, and their responsibilities also include management of the final disposal of treated biomedical waste.

The Department of Health, Department of Environmental Protection memorandum of understanding addresses illegal disposal events. When there are illegal disposals of biomedical waste the Department of Health, thru the county health department, is the first responder to that situation to identify whether the items are indeed biomedical waste. The county health departments are equipped and trained to remediate small amounts of biomedical waste. If the amounts of illegally disposed biomedical waste are large and uncontained the county health department will enlist the resources from the Department of Environmental Protection to help them remediate the illegal disposal.

In times of higher threat the Department of Health can initiate a preparedness program to deal with biomedical waste. Again the Operation Vaccinate Florida is an example of a time when the environmental health coordinated management of sharps and non sharps during a heightened security procedure.

County health department’s staffs respond to complaints concerning biomedical waste. They are trained to identify and equipped to clean up small amounts of biomedical waste. Emergency situations that are beyond the scope of management by the county health departments are coordinated with the Department of Environmental Protections bureau of emergency response.

Let’s talk about what you can do to assist in response to events involving biomedical waste. First of all you can be sure you have resources you need to prepare you. Be sure you obtain Department of Health, Department of Environmental Protection flow chart, it’s found in the resource library and it’s a step by step description of remediation process for illegally disposed biomedical waste. Another excellent resource is a training video entitled “Management of Biomedical Waste” and this video is available from the Department of Health and it details compliance with the requirements for safe management of biomedical waste.

Be sure you understand the regulations. Read chapters 64e16 of the Florida Ministrative code and section 381.0098 of the Florida statutes. Know where and how you fit in with respect to these guidelines. Make sure that the generators in your area understand the importance of following biomedical waste regulations and make sure your area is performing its routine inspections for compliance.

Be sure you have a copy of the guidebook for Operation Vaccinate Florida. The policies in that guidebook exceed Florida standards for biomedical waste transport. If your area went to a higher level of service would your generator, transporters, and health staff be ready to respond? Get to know the generators and licensed transporters in your area in case they need to be called upon during a heightened period, for example like Vaccinate Florida.

In conclusion in terms of responding to events DOH and DEP have an agreement where DOH identifies the waste and remediate’s small amounts and enlists the services of DEP in large uncontained amounts. County health departments are the frontlines for any complaints about biomedical waste. A heightened level of security would require extra capacity beyond the routine capacity and it’s important to have the confidence that facilities in your area could sustain management in an event that required heightened security. Thank you for you time, I trust this information was helpful to you. Please let me know if I may answer any questions or provide more information.


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