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Manual for Male Circumcision under Local Anaesthesia

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<strong>Male</strong> circumcision <strong>under</strong> local anaesthesia<br />

Version 3.1 (Dec09)<br />

When disposing of the sharps container:<br />

Step 1. Wear heavy-duty utility gloves.<br />

Step 2. Cap, plug, or tape the opening of the container tightly closed.<br />

Make sure that no sharp items are sticking out of the container.<br />

Step 3. Dispose of the sharps container by burning, encapsulating, or<br />

burying it.<br />

Step 4. Remove utility gloves.<br />

Step 5. Wash hands and dry them with a clean cloth or towel or allow<br />

to air-dry.<br />

Burning waste containers<br />

Burning destroys the waste and kills any microorganisms, and is the<br />

best method of disposing of contaminated waste. It reduces the bulk<br />

volume of waste and also ensures that items cannot be scavenged<br />

and reused.<br />

Encapsulating waste containers<br />

Encapsulation is the easiest way to safely dispose of sharps<br />

containers. When the container is three-quarters full, pour cement<br />

(mortar), plastic foam, clay or other similar material into the container<br />

until it is completely full. After the material has hardened, seal the<br />

container and dispose of it in a landfill or bury it.<br />

.<br />

Burying waste<br />

In health care facilities with limited resources, burial of waste (such<br />

as excised <strong>for</strong>eskins) near the facility may be the only practical<br />

option <strong>for</strong> waste disposal. To limit health risks and environmental<br />

pollution, some basic rules should be followed:<br />

• Restrict access to the disposal site. Build a fence around the<br />

site to keep animals and children away.<br />

• Line the burial site with a material of low permeability (e.g.,<br />

clay), if available.<br />

• Select a site at least 50 meters away from any water source<br />

to prevent contamination of the water table.<br />

• Ensure that the site has proper drainage, is located downhill<br />

from any wells, is free of standing water, and is not in an area<br />

that floods.<br />

Prevention of Infection Chapter 8-15

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