ANALYSIS OF POST-USE HYPODERMIC NEEDLE MEDICAL WASTE

2,34

MB

DISPOSAL

100

stron

5234

ID

Georgia Institute of Technology

2004

rok

TABLE OF CONTENTS

ACKNOWLEDGMENTS iv

LIST OF TABLES . ix

LIST OF FIGURES xi

SUMMARY xii

CHAPTER 1 1

1.1 Problem Description 1

1.2 Research Goals 3

1.3 Summary . 4

CHAPTER 2 6

2.1 Previous Cost Models of Injection Equipment 6

2.2 Injection Equipment Details 9

2.2.1 Use of Injection Equipment 9

2.2.2 Types of Injection Equipment 10

2.2.2.1 Sterilizable Needles and Syringes . 10

2.2.2.2 Disposable Needles and Syringes 10

2.2.2.3 Auto-Disable Needles and Syringes 11

2.2.3 Current Flow of Used Injection Equipment . 12

2.2.4 Recommended Flow of Used Injection Equipment . 14

2.3 Summary . 16

CHAPTER 3 18

3.1 Cost Model 18

3.1.1 Overall Model. 18

3.1.2 Technological and Economic Costs . 19

3.1.3 Burden of Disease 22

3.1.4 Urban versus Rural. 23

3.1.5 Needle Composition . 25

3.2 Summary . 25

CHAPTER 4 27

4.1 Experimental Data. 27

4.2 Rural versus Urban 41

4.3 Traditional versus Plastic Needles 42

4.4 Sensitivity Analysis. 42

4.5 Summary . 43

CHAPTER 5 44

5.1 Model Description. 44

5.2 Assumptions and Justifications . 45

5.3 Results of Analysis 48

5.4 Discussion of Results 52

5.5 Sensitivity Analysis. 55

5.6 Fractional Cost Estimates 58

5.7 Summary . 61

CHAPTER 6 62

6.1 Conclusions . 62

6.2 Recommendations . 64

APPENDIX . 66

REFERENCES 86