up, i mean, the news, the medical waste is actually a huge environmental issue. and with the pandemic, personal protective equipment, or p p e waste has skyrocketed. i'm 50 i and you're watching the cost of everything . where today we're going to be examining what happens to all of the medical ways generated every year from hospitals, clinics, and now individuals wearing their p p. ah, the according to a recent study, the global medical waste management market is projected to beach $16000000000.00 by

2029. medical waste is the ways produced in any health care or diagnostic activity and can be hazardous or non hazardous due to the various contaminants it has come in contact with hospitals, research labs and nursing homes generate a high amount of medical waste. and depending on what type of waste it is, if it's infectious ways pathological waste, chemical, waste, sharp objects, pharmaceutical waste, or even radioactive waste, it is all treated differently. hospitals and health care facilities typically generate a lot of ways which can transmit infections, particularly h, i v, b and c, and tetanus to people who handle it or come in contact with it. the key components in waste management includes collection, transportation, storage, treatment, and recycling waste. is the 1st collected in various container sources and you often see different colored or labeled bins for collecting sharp objects. bio

hazard waste goes into another bin and gowns, gloves, and masks go and another. this segregation reduces the amount of waste that needs special handling and treatment. storage is also important for the segregated waste as storage and hospitals is generally between 12 to 24 hours before it is transported out. and it needs to be clearly labeled to show the ward where it's kept. so if needed, the waste can be traced back to its source. next, waste is transported for treatment, usually accompanied by and signed and dated for accountability. special vehicles must be used as to prevent access to and direct contact with the waste by the transportation operators scavengers. and the public drivers must also be trained in the procedure, in case there is an accidental spillage. finally, the way it is treated based on its category, the waste must be disposed of by incineration or plasma paralysis sanitary landfill,

or pit things like scalpels will undergo sterilization be gamma radiation or autoclave. now both incineration and plasma paralysis produce gas pollutants. and given all of this hospitals, they're paying a lot for proper waste management. $7000.00 tons of solid waste are generated in the us every day at a cost of $10000000000.00 per year. on average, it costs hospitals to, to $0.06 per pound for solid waste disposable. $0.30 to a $1.25 per pound for bio hazardous and infectious waste. and between $1.00 to $6.00 per pound for hazardous waste. the global medical waste management market experienced tremendous pressure during the cold in 1900 pandemic due to the high usage of p p u equipment. there is also a large amount of diagnostic test kits. disinfectants, chemicals,

and vaccine yield, all of which produce waste after one time usage. there's a large concern about the hazardous medical ways produced and the risks of contamination associated with waste management. according to the w h l over 10000 tons of extra medical waste has been generated in response to coven 19. over 9000000000 doses of cold vaccine have been administered globally, producing over a 145000 tons of additional medical waste in the form of syringe, needles, and safety boxes. over a 140000000 diagnostic test gets generated over 2600 tons of medical ways. and for more, let's bring in citation, then ha, associate director at talk 6 link in new delhi india. so saying how thank you so much for joining us. from the other part of the world, how much waste is generated from the coven 19 pandemic?

globally. it was, i chose, of, you know, challenge to all of us who were working on these issues. initially, we didn't know what was happening if it was quite overwhelming to see the kind of st. joe's being generated because none of us had any knowledge of this. and what is the level of infection and what is that? so there was a strong for team and then it was we were trying to find out what should be the political for this kind of base. that was one 1st. what should go away and how should we deal with it? it multiplied medicine in the nation stages, and that was in 20 i think 201922020 march or sometime in india we had the 1st is in january and slowly and gradually started to increase. so that was the 1st thing. but oh, but then global a did that. what is it is that it went up almost bible 10 types total to which

generation and what the one of the biggest, ah, constituents of this missed was or took last if you and was trying to, you know, they were locked on conditions. the people are staying at home, they wanted everything to be deceived, and sanitized condition. and all the kind of things that were agent hospitals were also to be sanitized condition. so there was too much of plasty which we sensitive amount of plastic which was being used in those days. so that was one 1st roster, and then with allies dirty plastic, but there were other kinds of list that has had to happen. like you know, b, p face mask face shield gloves are full diesels which one of different materials at different points of time. so all that started to happen a w h was on dieter. and then there were other things like, you know, i don't think it's then and then your vaccinations, the number of sim inches that the word used. so if you look at the spread or the

quantum of ah, hospital equipments and that we're used to industries, is phenomenally the large or this, is that about 200 for a clear that about, 08000000 tons of offer, you know, least were generated groups. and is there a way to make waste management more efficient and eco friendly or is waste this kind of waste inevitably a by product of the medical industry. it's hard to see that it can be made you go friendly, but yes, there are is of reducing beast or treating race and making it more, you know, you can handle it better so that it doesn't go out into the oceans or it doesn't got into it. but the fact remains that you will have infectious waste generation for costs, i think is hard to say at least from our experience of working on this that up by

year. so. and so you will not have an infectious face, actual hospital, or they're all be treated at dispos talk within the hospital settings. perhaps that can be possible. but what experience me bring to the table in developing economies is that hospitalized can be matched if can get it deuced. and that's what i said. my opening statement was that only about 15 percent of the hospital waste is actually affected. and if i give you a figure, ah, it varies from country to country also piece cherish. ah, if you ask me about india, who is generational? but bit is about point 8. kitty's or intended graphs 7 to 800 maps on an average from primary healthcare facilities to look at ashley hook and facility it and video . but i'm giving an average data about 7 to 800 graphs. if you go to the data from

united states or go for data from you, i did from canada, it goes up to 8 pages, permit faster difference. so again, the question comes up is how do you minimize me? so if we can safely gateways at the point of generation, like we do in our country, we have a put upon of separating wrist at the point of childish so much of the plastic, much of the glass that we generate, we decontaminated and we bring it back into the supply chain, again, our plastics, b shredded. we make balance of it and we bring it back into plastic receipts. so that is a way to deal with in an environmental a some condition and be be contaminated either chemically or with thermal processes . there's an o o protocols which have been laid out by that of neutral so, and there are other kinds of other governments also another vi. those such as shoots were given out his book. and what do you think the trend as moving forward

as surgical enhancements become cheaper and more readily available? he does making there was, which is also a way forward for a human kind that who need cheaper medical facilities to for people, especially in countries like ours, where there are so many poor people who can get medical treatment because they can't afford it. so imagine, you know, it, all poor people get medical help, which is available to them and which is cheap and affordable. it is a big, you know, big boom for many people in countries like ours. so i look forward to our cheaper chemical. i saw a cheaper medical facilities at a treatment possibilities. yes, it is going to generate some feast it william big based. but it is also important to understand that as me progress as a societies and communities in our nations, we relate to find a way to deal with best. waste is a big problem,

not only emitted restaurant infectious waste, all kinds of this as a problem. but we cannot have tuition where because medical ah, teeth when the chamber of even compromise on waste management or just because of it is going to go up. it is going to look not in very significant way because our, i, it'll go up such to some extent, but we should be able to manage it. i think we already mistesia where we have to know out and be have the technology. and only it requires some amount of push and political aptitude to deal with this kind of fist. and how do you think the medical industry compares with other industries in terms of waste generator? but one of the primary difference that you have between all kinds of a book, i would say industrial waste, other than household is industrialist. and this waste, which is from the law, from the industry. our port are in many ways hazardous,

many of his hazardous. i'm not saying that all august is hazardous, but the similarities that we'll term hazardous. the biggest difference is that hospitals is a large part of it, or a small on done, but the most dangerous part of it is infectious. it is likely to cause infection to another human being ought to other living beings. not that one difference that i can immediately suggest, or in the case of industry raised, you again have a protocol or other kinds of as to managing those beast and are so you can recover the lotto face today because we're talking about. so glad you thought to learn how to create some great car. so a lot of fleas from the industrial sector to we been sector or automobile at the end of his life can be not brought back into different confidence. the hospital least also in multiple ways. can be recycled and we used other them doors

which you will have to insulate. that is no call. you cannot do anything beyond that. so you will have to does pull that off in a manner and it does not cause any environmental home or human health. so that is the big difference between both bought are hazardous books, have a problem both need to be managed, but a lot of fears to the industrialized are in a process phase, can be recovered today. and we'll have to find ways to deal with that. mr. can be brought back that that's what that will thing. but so greg army, in this case also a lot of plastic and glass and metric can be brought back and put back into the process of supply chain and into material chain materials. those can be put back to that. thank you so much for your time. the test by stick around as, as more to discuss about the non hazardous waste an impact in the waste management

market. after the break, we'll discuss how operating rooms contribute to the huge amount, a medical waste and compare the amount of bio waste generated from plastic surgery versus other surgical procedures. don't go away ah ah with

ah, okay. and government has been killing its own people and on bass ideas. it's amazing the admission not being covered in western media and hasn't been covered for the last 8 years. i'm here for 5 minutes and then i'm told the 1st 5 people they found it was 5 decapitated heads up in a quarterly request on demand. a boy fos. cathartic it. can you use me? no fiber to say keep these on your father? no kid. the v v. inflammation war. almost all the independent journalists pointed out that nato and the u. s. were directly responsible for initiating the military conflict and ukraine, all casualties of it as long as we want the war to continue. we will fight that more using ukrainians as proxies and we will fight it to the last ukrainian

death. that's what's happened in dom boss this whole time. this is, these aren't objects, these are people. and so that's why i do what i do. that's why i'm here. the welcome back to the cost of everything. the non hazardous waste segment is expected to account for the largest share of the global medical waste management market and then pager, a factor contributing to the segments. large market share is the increased surgical procedures globally. globally, 310000000 major surgeries are performed each year with 50000000 in the u. s. and 20000000 in europe. the most common surgery performed is a c section as they had become 500 percent more common over the last generation. plastic surgery is also on the rise increasing by 55 percent with acetic surgery

and liposuction being the most popular facial plastic surgery treatments. as of dramatically, with an estimated 1400000 procedures done in the past year, a 40 percent from the year prior photoshop instagram filters and people spending more time on zoom and tick tock has distorted people's view of their faces and 79 percent of facial plastic surgeons identify patients seeking procedures for improved appearance on video conferencing or social media. surgeons have cited that we've moved static image filters to a more zoom. this morphia being the major motivator as it continues to impact the way we view ourselves and present to our peers. operating rooms contribute a huge amount of medical waste. the bio waste is then transported to the waste treatment facilities and incinerated. the incineration process alone produces a huge amount of emissions. one kilogram of clinical waste produces roughly 3

kilograms of carbon dioxide. and the single patient hospital bed produces point $87.00 pounds of waste per day, across a $100000.00 hospital beds. that would be over 235000 kilograms, a seals to produced a day. now for more or less bring in against kish, send her associate director at toxic link in new delhi india. now, so tish, how much does it cost hospitals to get rid of this bio waste? and how is it then disposed of in india to buy maybe conveys management in a hospital is largely done on the better strength. so each bed is a cost to the hospital for biomedical waste generation is concerned and his treatment disorders cancer. so it varies from a state to state, from region to region, have been in the country like india, but around average i said that is about 7 to each of these but the but it,

so if you had a 100 bedded hospital, you'd be spending about 7 to 800 indian rubies. and that comes to about just about $10.00 or gonzalez trying to do a dollars booty for a 100 bit hospital. so it goes up, people up to 300 for under 5 on it, but it hospital, it keeps going up or you know, it could be in that region for about 7 to 10 rupees, but it, but a bit. so it is calculated and those traps and there are other ways of calculation are low, but roughly i would say that this is the benchmark for calculation of face of monetary expenditure on risk management. so how much ways can a hospital actually recycle, given the nature of bio waste and risk of contamination? isn't infectious waste. and i live to clarify here that all the least that the generated from hospital is not infectious is just about 15 to 20 percent of the

least, which is infectious. so if you can segregate your best at that point of generation, then you reduce your quantum off infectious face to trish. so this is a point that b follow quite ah, strictly in india about segregation of pleased at the point of generation. like when i see that non infectious wheezed, like when you get a newspaper in the hospital or somebody gives you a few hours or you have something else or you get some bring some of you know, food item or something within the hospital or, you know, somebody has obama, it doesn't become infectious just because it is within the hospital. these agenda lease. but what becomes infectious is which is not bandages or are, you know, sewage is, are, are kind of equipments. you know, we are moving or ivy tubes, ivy watkins, the could become infection. so that is a kind of his doctor, quite

a separate kind of brutal on for his management. so what is the aunt of hospital risk that can be recycled or it can be processed? i think most of the plastic, wrist and glass feast, which agenda entered in the hospital. if it is decontaminated through a process, then it can be the cycle so about, i would say about 20 percent of the wrist is recyclable. if we can decontaminated and leaves it. and i, there are countries that lack proper maya waste management protocols. and one of the hospitals can't afford to have those protocols and equipment in place. so in, in, in, in, in countries like ours are in the region. you know, the healthcare system is operating on 2 planes. it is both in the central public, a health, and also in the private sector, both public and private sector soccer, him in for cities. most countries are in the public, a public sphere. i think the money is to be put in by the government. it is public

and so money is put in by the governments for everything that includes waste management, also in the private sector where the private sector, though individual, a hospital from audra, sal orders would have to take him through his management. so these are 2 separate areas from the funding comes to hospitals for chris management also. ah, so it has to be the cost of his management has to be internalized in the process of treatment or the cost of treatment for what you're providing to patients. book wouldn't bookcases, so unless you have that sufficient amount of funds allocated with these things to waste management, it can become a challenge. and many cases when we started out initially, even in india, we had a challenge of our having the funds availability for this matter. and because in poorer countries are developing on him, his you find that he'll get it. so is her issue is, is a challenge for most comments. so adding additional kind of budgets to providing

a safe disposal of treatment, a disposal of healthcare, which it becomes an additional to us. but now we'll, we'll get out of time. was fundraiser. understood, the cost offer in action can be higher than the cost of action. so there were started putting money or funds for safe treatment and disposal look medical based on infectious race. so you'll find a lot of changes happening in the last term. i would say at last, begin and a half or more than that. things have improved much beyond what we, there are about 10 to 15 years back. and what will happen if we were to be disposed of improperly? are there countries that do this and given many countries which are here to develop this protocols, we are yet to develop this infrastructure. so they essentially in the my own experience has it there essentially set it out along with the normal household garbage on. household waste has been generated or commercial risk,

what we call in different countries, and they try and take it to the landfill and do some segregation there and bought it in some rigid or that's dangerous for many aspects because of climate change issues. an infection to people who are handling this way so that can be very, very vigorous. so there are multiple, you know, impacts at multiple levels to different socio economic kind of groups which exist in any society or people or the law down live around landfill areas. are poor people, most wonderful kinds of people in the society are more impact because of such mismanagement. so, you know, there are impacts to healthcare while goes to have the providers to doctors, to nurses, to patient because they are compromise their immunocompromised when they come to the hospital for seeking treatment. and when they're in are in, in bed. patients were in there, it with

a visions with admitted into the hospital. they are likely to cause a catch mid infections. so these are multiple kinds of impacts that you have because of improper dispatch. thank you so much for coming on saturday. while the big winner of all of this is the waste management industry, as they experience increased business and volume from the ways generated. the biggest loser of all of this is the environment. unfortunately, even as ways disposed of properly, whether incinerated or buried, it's still contribute to pollution. as toxic fumes are generated from incineration and landfills can contaminate ground waters. this contaminated groundwater can make their way into river ways and present danger to aquatic wildlife and agricultural irrigation systems. air pollutants generated by incineration size can spread airborne particles that affect not only those diagnosed with lungs are breathing issues, but all life and improperly dispos biomedical ways that ends up in landfills has

the potential to transfer to stray rodents and birds, which can then spread parasites and infection through animal populations. unfortunately, in low income countries, over 90 percent of waste is mismanage and is either openly dumped or burned. so while education protocol remains an uphill battle for developing nations, we must continue to find new ways to mitigate the accumulation of bio waste. the world health organization and some private research companies have been working hard to find more efficient ways to recycle medical waste. things like we formulating sterilized blue raps for operating rooms that do not contain lead. in the past, these raps contained lead and was thus difficult to sterilize, so the wraps were one time use and thrown away. by removing the lead, the blue raps could then be melted down and reused in manufacturing of soda bottles and other various plastic items. i'm christy, i thanks for watching and let's see

a back here next time on the cost of everything for ah, a wrong one. i just don't know. i mean you have to figure out this thing because they have to get an engagement equals the trail. when so many find themselves worlds apart, we choose to look for common ground operation . the aerodynamic began shortly after well war 2 and lasted almost 3 decades. it wasn't a major effort to try and split the ukraine off from the soviet union, u. s. intelligence, together with hypnos,

executioners drained hundreds of saboteurs to be deployed in the soviet union. this focused on the east of bundle, so we'll have started with today's security service of ukraine use is not only the statistic message, but also the ideology of the nationalist a, [000:00:00;00] with the information. oh, most, all the independent journalists who pointed out that nato and the u. s were directly responsible for initiating the military conflict in ukraine. our

casualties of it. we are all enemies to which i don't have a possibility to go safely. so there is no way for me to go back to the traits are real and own. i also have already load last few friends under wary about circumstances. i have daughters abroad. i have family abroad and it's the sacrifice and i was ready to do it. i had this in my heart. ah, my mother is a journalist and she's a good journalist. she understands that i have to do what i have to do. but yes, i miss my daughters. i miss my family, but i tried to stay tough. what yesterday cause was sheila cut off

marana meta at the sub will the floor it all over. when you thought it or were you could go this a bit of dallas, e jordan i least got order. got it. bravo, awesome. talk full on. would you please stop me? come to live. she was up at no one mirror. a criminal investigation against julian assange was initiated in 2010 his website. wikileaks provided evidence of things that are well known by no. u. s. military shoot civilians. people are tortured and killed, and cia prisons, politicians take bribes from military corporations and thousands of war crimes are on the conscience of the connective west. ah, we still do have the right ahead of us and my journalism doesn't have