turkey and hungry don't follow that they will be criticized and they are not a full allies anymore. so this shows that we are talking about double standards about it misuse of the world. democracy ah, the philippines chief residential legal council has suggested overturning the countries ban on nuclear weapons. calling at the most unwanted provision of the constitution. in the modern world to day, small country can protect itself against the super powers. if they have nuclear weapon, if we can afford it, we should also have nuclear weapons. so or people will not be tremble. the bone let alone made a poppy of slave of other countries. manila is constitution adopts and pursues a nuke free policy, and it signed the nuclear weapons ban treaty in 2017. the agreement prohibits the development, testing, production, acquisition, or possession as an stockpiling of nuclear weapons. at the same time,

the philippines has several u. s. military bases on its territory and is in the middle of a territorial dispute with china. over the spartley islands, we spoke cheer, political activists were not a reyes. who says that the philippines does not have the capacity for developing these weapons. and that help will likely come from its long term ally, the u. s. raising tensions in the region. i think it's a very dangerous proposition right now, especially considering with tensions in the region. the ongoing quad sneaks here in this part of the world. sturgeon, the proposition was not mean having the philippine government made its own nuclear weapons because we don't have the capacity to produce such my suspicion is that it wouldn't be the us. we should be positioning in nuclear weapons in the philippines. once the constitutional ban is removed and this will

result in greater attentions and could potentially trigger a newly with arms race between the u. s. and china. once that happens, the philippines should look after its own interest. it shouldn't sheet to align itself with the interest of the american station because our national interest is not the same as the us. we have an outstanding being issue in china relation to the west philippine sea. we hope to be able to resolve that to get to a matic and political means, certainly not through the u. s. b s. u. s. troops on our shores because i think that the only agra made the problem and will not lead to any meaningful resolution that has been official to the philippines people. that's all for now. be sure to check out our

t dot com for all the latest breaking news and updates. we'll see right back here at the top of the hour. ah, 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 dollars by 2029. medical waste is the waste 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 in another. this segregation reduces the amount of waste that needs special handling and treatment. storage is also important for the segregated waste 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 waste is treated based on his category. the waste must be disposed of by incineration or plasma pyrolysis sanitary landfill,

or pit things like scalpels will undergo sterilization via gamma radiation or autoclave. now both consideration 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 coven, 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 meals, 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 coal 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 waste. and for more, let's bring in citation, then ha, associate director at talk 6 link in new delhi india. so then 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 by choose of, you know,

challenge to all of us for, we're working on these issues. initially we didn't know what was happening, it was quite overwhelming to see the kind of a history of being generated because none of us had any knowledge of disbanding. what is the level of infection? and so there was a strong for team and then it was we were trying to find that was 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 metaphor in the initial 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 mableton types, the 2 wishing mission and while the one of the biggest, ah,

constituents of this waste was also classed. prison if you and was trying to, you know, they were locked on conditions. the people are staying at home, they wanted everything to be received and sanitized condition and you know, all the kind of things that religion hospital were also to be sanitized condition. so there was too much of blasting, which will exits of amount of plastic which was being used in those days. so that was one 1st foster and then with allies to requesting. but there were other kinds of list that had to happen. like you know, p p e face mask face shield gloves are full babies old, which one of the 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 than a, than your vaccinations to number of sim inches than the word used. so if you look

at the sprint or the quantum off, ah hospital recoupment and that we're used to industries, is phenomenally the lodge. are they say that about $200.00 for ugly that about oh, each 1000000 tons of fall offer, you know, least one of 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 get made you go friendly, but yes, there are days of reducing based or treating race and making it more, you know, you can handle it better so that it doesn't go out into the ocean. so it doesn't god anyway, but the fact remains that you will have infectious 1st generation from phosphates, i think is hard to say at least from our experience of working on this that um by

your slowing. so you would not have any infectious face cap natural hospital, or they're all be treated at dispos, talked within the hospital sentence. perhaps that can be possible. but what experience we bring to the table in developing economies is that hospital wrist can be matched. it can be reduced 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, oh, it varies from country to country or so peace 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 a tertiary hook and facility. it can vary, but i'm giving an average data about $7.00 to $800.00 graphs. if i go to the data from united states or go for data from united from canada,

it goes up to 8 pages per bit faster demise me. so if we can save the gate or like we do in our country, we have a portable 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, we shred it, 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 per to god's 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 orchestra. and what do you think the trend as moving forward as surgical enhancements become cheaper and more readily available? he does, maybe there was also a way forward for

a human kind that he need cheaper medical facilities to for people, especially in countries like almost where there are so many poor people who can get medical treatment because they can't afford it. so imagine, you know, if 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 of the feast it william big based. but it is also important to understand that as me progress as a society is and communities in our nations, we relate to find we have to deal with best wishes a big problem, not only medical based on infectious waste. all kinds of this is a problem. but we cannot have a situation where because medical treatment is cheaper,

we will 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 it'll go up such to some extent. but we should be able to manage it. i think we already mistesia where we have that know out and be have the technology. and only it requires some amount of bush 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? what one of the primary difference that you have between all kinds of a book. i would say industrial waste, other than houses misunderstood waste and this waste, which is from the, are from the him industry are port are in many ways hazardous. many ms. hazardous. i'm not saying that all our waste is hazardous,

but the similarities that water me, hazardous. the biggest difference is that hospital, which is a large part of it or a small quantum, 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. thus, one difference that i can immediately suggest, or in the case of industry raised, you again have a protocol or other kinds of is to managing those beast and are so you can recover the lot of face today because we're talking about. so glad you got to learn how to clear some great car. so a lot of fleas from the industrial sector not only been sector or automobile at the end of his life, can be not brought back into different competence. the hospital least also in michael is can be recycled and used other them doors which will have to insulate that is no cold. you cannot do anything beyond that. so you will have to

just pull that off in a manner that it does not cause any environmental home or human health. so that is the big difference between both bought our hazardous book type of problem. both need to be managed, but a lot of wisdom the industrialized are process ways can be recovered today, and you'll have to find ways to deal with that mr. can be brought back. that's what the will thing you want. so click on in this case, also a lot of plastic and glass and metal can be brought back and put back into the process of supply chain and into material chain. material tools can be put back to that. thank you so much for your time to touch base, stick around as, as more to discuss about the non hazardous waste and its 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 procedure. don't go away ah, look forward to talking to you all. that technology should work for people. a robot must obey the orders given by human beings, except where such order that conflict with the 1st law show your identification. we should be very careful about artificial intelligence. at the point, obviously is to great trust rather than fear a various job with artificial intelligence. real summoning with a robot must protect its own existence with

for this is the ancient lake of by called more specifically, the island of poland, also known as the heart of by called, straight away. you can feel something mystical to your place of traditions. an amazing mix of cultures and peoples, but what makes this place so appealing? we're going to speak to some of the most prominent locals of all home and uncover some of the secrets. 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. then pager factor contributing to the segment large market share is the increased surgical procedures globally. global a 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 have 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 is, are 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 dis 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 again citation then her associate director at talk 6 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, the biomedical waste management in a hospital is largely done on the better strength. so each bed is

a cost to the hospital. ah, as far as biomedical waste generation is concerned, and his treatment and his fullest concern, so it varies from his teeth, twisted from region to region. evan in a country like india, but on average, i can see that is about 7 to 8, rubies. 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 gonzales tend to do a $1.44 bit at hospital. so it goes up before up to 304 and 5 and admitted hospital it keeps going up. or, you know, it could be in that region of about $7.00 to $10.00 rupees, but it, but a bit. so it is calculator than those traps. and there are other ways of calculation are low, but roughly i would say that this of the benchmark for calculation of face of monetary expenditure on waste 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 declaring fi 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 wrist 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 waste, 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. you know, somebody has a bummer. it doesn't become infectious just because it is within the hospital. these are generally released. but what becomes infectious is which is no bandages

or, or syringes, or i'll kind of equipment that, oh, your middle r i v tubes, i mean buttons, they could become infection. so that is a kind of fist that requires a separate kind of protocol for his management. so what is the quantity of hospital risk that can be recycled or it can be read 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 by 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 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 health care system is operating on 2 planes. it is both in the central public,

a health and pulse, and 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 publican, 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 or hospital or from audra, sal owners 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 risk management has to be internalized in the process of treatment or the cost of treatment for what you're providing to patients. but 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 initiative and in india, we had a challenge of our having the funds availability for wis madigan. because in poorer countries are dom blood here on him is you find that his get it. so is our issue is, is a challenge for most comments. so adding additional kind of budgets to providing a safe disposal of treatment to dispose of healthcare waste. it becomes an additional cost, but now we're, we're bit of time was spent reserve understood the cost of for in action can be higher than the cost of action. so there was started putting money on france for safe treatment and disposal of medical based on infectious race. so you'll find a lot of changes happening in the last term. i would say at last decade 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 printer was we are yet to have looked this infrastructure. so they essentially, in the my, on experience has it been essentially set it out along with the normal household garbage on. household waste has been generated or commercial risk. want to be calling different countries and they try and take it to the landfill and do some segregation there and burden it in some rigid or that's dangerous from 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 impacted because of such mismanagement. so, you know,

there are impacts to healthcare while goes to have the providers to doctors, to nurses, to patients instead because they are compromise their immunocompromised when they come to the hospital for seeking treatment. and when they're in are in bed. patients were in there, it with it patients with an admitted into the hospital. they are likely to cause a catch medi infections. so these are multiple kinds of impacts that you have because of improper mismatch. 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 effect. not only those diagnosed with lungs or breathing issues, but all life. and in properly disposed 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 mismanaged 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 room 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 wraps could then be melted down and reused in manufacturing of soda bottles and other various plastic items. i'm christy i. thanks for watching on. let's see you back here next time on the cost of everything. mm ah. when i was showing wrong, i just don't, i mean you have to figure out this thing because the attitude and engagement equals the trail. when so many find themselves worlds apart, we choose to look for common ground with

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