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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 coordination for the management of biomedical waste in the state of Florida.

Biomedical waste management in the state of Florida has very specific regulations and documentation requirements. Precise adherence will be critical in any preparedness state or event involving potentially infectious waste. The guidelines are meant to begin the process of specifically planning for heightened events in your area. The operative word here being planning. Don’t wait until an event occurs, plan ahead to ensure you’re prepared.

What can you do to make your prepared? Be familiar with the community locations for biomedical waste in your area. Make a list of the key partners in these fields. Make a list of the generators, the hospitals, the laboratories. Make a list of any storage facilities that are permitted by the department. Make a list of transporters that are registered with the department. Make a list of the treatment facilities that may be permitted by health or Department of Environmental Protection

Asses the preparedness levels in your area. On a daily basis each of these facilities must have a biomedical waste operating plan. That plan details procedures for their management of biomedical waste, from the minute it’s generated to the time it’s disposed. It includes a requirement for a contingency plan in the event that the transporters or the treatment facilities that are identified in the normal operating plan are unable to provide services. The Department of Health has developed a model plan for any facilities that do not have one. It’s important to ensue that all of the facilities in your area have staff that have a working knowledge of their plan including a contingency plan.

You need to ask yourself the question: Can the facilities in my area go to a higher security arrangement if it becomes necessary? In a bioterrorism event can they handle additional amounts of biomedical waste that might be generated? Is local law enforcement available to ensure heightened levels of security thru transport of potentially infectious material? Do facilities have a copy of Operation Vaccinate Florida guidelines? Can they follow it again or can they modify it to meet another situation that may be similar? If the generators in your area where required to go to a heightened level would they be able to accommodate the maximum amount of biomedical waste that might be generated? What about the transporters? Would their transport capacity allow them to meet the needs during such an event? What about the treatment, storage and treatment facilities? Can they handle the maximum capacity and get it treated and disposed of?

It’s important to communicate with state environmental health now to help you and your facility with their plans. It’s important that you’re available to any facilities in your area to provide assistance to them if they need it.

Biomedical waste transporters are a key partner in events of increased capacity. You need to check with the transporters in your area and see which ones are willing to transport biomedical waste when it involves something that they perceive as something more dangerous, for example the smallpox vaccine. Find out which ones are willing to transport higher risk materials. Contact the transporters in your area, and identify those that are willing to assist, and find out if they’re going to require some sort of special packaging so those materials are on hand prior to an event.

In conclusion, just remember biomedical waste does not present a treat of infection if existing regulations are followed. But you need to also ensure that there are provisions to handle additional capacity and you need to ensure that there are conditions that will allow for additional security should there be a heightened security event. 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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