It is generally accepted that excreta disposal is given less priority in emergencies than other humanitarian interventions such as health care, food and water supply. This is despite the fact that many of the most common diseases occuring in emergency situations are caused by inadequate sanitation facilities and poor hygeine practice. Many aid agencies are aware of these facts and wish to give greater emphasis to excreta disposal. In the past, however, they have often been hampered by a lack of experience and resources to support their field staff. This manual is designed for use by field-based technicians, engineers and non-technical staff responsible for sanitation planning, management and intervention in emergencies. This may include international personnel sent to an emergency, local, national and regional staff.
This is the second edition of the WHO handbook on the safe, sustainable and affordable management of health-care waste--commonly known as "the Blue Book". The original Blue Book was a comprehensive publication used widely in health-care centers and government agencies to assist in the adoption of national guidance. It also provided support to committed medical directors and managers to make improvements and presented practical information on waste-management techniques for medical staff and waste workers. It has been more than ten years since the first edition of the Blue Book. During the intervening period, the requirements on generators of health-care wastes have evolved and new methods have become available. Consequently, WHO recognized that it was an appropriate time to update the original text. The purpose of the second edition is to expand and update the practical information in the original Blue Book. The new Blue Book is designed to continue to be a source of impartial health-care information and guidance on safe waste-management practices. The editors' intention has been to keep the best of the original publication and supplement it with the latest relevant information. The audience for the Blue Book has expanded. Initially, the publication was intended for those directly involved in the creation and handling of health-care wastes: medical staff, health-care facility directors, ancillary health workers, infection-control officers and waste workers. This is no longer the situation. A wider range of people and organizations now have an active interest in the safe management of health-care wastes: regulators, policy-makers, development organizations, voluntary groups, environmental bodies, environmental health practitioners, advisers, researchers and students. They should also find the new Blue Book of benefit to their activities. Chapters 2 and 3 explain the various types of waste produced from health-care facilities, their typical characteristics and the hazards these wastes pose to patients, staff and the general environment. Chapters 4 and 5 introduce the guiding regulatory principles for developing local or national approaches to tackling health-care waste management and transposing these into practical plans for regions and individual health-care facilities. Specific methods and technologies are described for waste minimization, segregation and treatment of health-care wastes in Chapters 6, 7 and 8. These chapters introduce the basic features of each technology and the operational and environmental characteristics required to be achieved, followed by information on the potential advantages and disadvantages of each system. To reflect concerns about the difficulties of handling health-care wastewaters, Chapter 9 is an expanded chapter with new guidance on the various sources of wastewater and wastewater treatment options for places not connected to central sewerage systems. Further chapters address issues on economics (Chapter 10), occupational safety (Chapter 11), hygiene and infection control (Chapter 12), and staff training and public awareness (Chapter 13). A wider range of information has been incorporated into this edition of the Blue Book, with the addition of two new chapters on health-care waste management in emergencies (Chapter 14) and an overview of the emerging issues of pandemics, drug-resistant pathogens, climate change and technology advances in medical techniques that will have to be accommodated by health-care waste systems in the future (Chapter 15).
This book is based on a public-health approach to the provision of water and sanitation in emergencies: an approach that is information-based and people-based. It emphasizes the need for a coordinated and phased response, which adapts to meet constantly changing needs.
Aimed at practitioners, policymakers and researchers, this volume distills knowledge of environmental health during an emergency or disaster. It draws on results from the International Decade for Natural Disaster Reduction and experience with sustainable development between the two Earth Summits.
This book describes a practical solution to the lack of basic sanitation facilities in the form of a 'Sanplat': a specially designed concrete platform which can be installed easily in rural latrines to improve sanitation and safety, built using locally available materials and skills; affordable and appropriate to the needs of rural communities.
Volume 4 of the Guidelines for the safe use of wastewater, excreta and greywater provides information on the assessment and management of risks associated with microbial hazards. It explains requirements to promote the safe use of excreta and greywater in agriculture, including minimum procedures and specific health-based targets, and how those requirements are intended to be used. This volume also describes the approaches used in deriving the guidelines, including health-based targets, and includes a substantive revision of approaches to ensuring microbial safety
The approach of Water, Sanitation and Hygiene in Humanitarian Contexts is straightforward and practical, with little theory - the focus being on improving professional practice in the midst of humanitarian suffering; written for those whose everyday work involves humanitarian response to WASH needs in emergencies and disasters.
