the of century and not without reason are compared to the holocaust just 2 decades later after the massacre in nam may be a hitler's assault unit put on the same brown colonial uniform which puts the world into the chasm of the 2nd world war i'm rick sanchez, and i'm here to play with you, whatever you do, you do not watch my new show. seriously. why watch something that's so different. my little opinions that you won't get anywhere else work of it please. or do you have the state department, the cia weapons makers, multi $1000000000.00 corporations, choose your facts for you, go ahead. i change and whatever you do. don't watch my show, stay mainstream, because i'm probably going to make you uncomfortable. my show is called direct impact, but again, you probably don't wanna watch it because it might just change. and dwayne thing

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 because the 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 clinic 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 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 and another. this segregation reduces the amount of waste that need special handling and treatment. storage is also important for the segregated waste

as storage in hospitals is generally between 12 to 24 hours before it is transported out. and it needs to be clearly label 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 an 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 a category, the waste must be disposed of by incineration or plasma paralysis sanitary landfill, or pit things like scalpels will undergo sterilization via 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, a solid waste are generated in the us every day at a cost of $10000000000.00 per year. on average, it cost 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 yield, all of which produce waste after one time usage. there's a large concern about the hazardous medical waste 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 toxics link in new delhi, india. so st. hi, thank you so much for joining us from the other part of the world. how much waste is generated from the covey. 19 pandemic, globally. it was, i chose off. oh, challenge to all of us we were working on these issues. initially, we didn't know what was happening, it was quite overwhelming to see the kind of waste which was being generated

because none of us had any knowledge of this pandemic and what the level of infection, what is that isn't? so there was a shock kind of thing and then he was, we were trying to find out was, should be the political for this kind of at least that was one 1st. what should go away and how should we deal with it? in multiply metaphor in the nation stages that was in 20 i think 2019 to 20, 20 march or sometime in india, we had the 1st case in january and slowly and gradually started to increase. so that was the 1st thing, but oh, but the global di, that research is that it went up almost bible 10 types total to which generation and what the, one of the biggest constituents of this waste was or took last if you one, was trying to in on they were logged 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 were eating 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 dirty plastic. but there were other kinds of list that had to happen. like you know, p p e face mask face shield gloves are full debuse so which one of the materials and different points of time. so all that started to have a w h was on dieter. and then there were other things like, you know, i just think it's then and then your vaccinations, the number of sim inches that the word used. so if you look at the spread on the quantum off, ah, hospital recoupment and that we're used in those days, is phenomenally, the lodge. are this, is that about 200 for ugly that about, ah,

eat 1000000 dance 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 be made you go friendly, but yes, there are, is of deducing based or treating race and making it more, you know, you can handle it better so that it doesn't go out into the oceans, will it doesn't got into it. but the fact remains that you will have infectious face generation for phosphates, acting as hard to say, at least from our experience of working on this that up by year. so. and so you would not have an infectious face cap natural hospital, or they're all be treated at dispos talk within the hospital set. it's perhaps that can be possible. but what experience me 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 bid is about point 8. kitty's or intended graphs 7 to 800 maps on an average from primary healthcare facilities to look at our sri. her can 50, it can vary, but i'm giving an average data about 7 to 800 graphs. if a good to the data from united states or to go for data from you, i did from canada, it goes up to 8 pages per bit faster difference. so again, the question comes up is how you minimize me. so if we can safely gateways at the point of generation,

like we do in our country where the port upon of separating waste and the point of childish so much of the plastic, much of the glass that we generated, we decontaminated and we bring it back into the supply chain again, our plastics, we shred it, we make balance out of him and we bring it back into plastic receipts. so that is a way to deal with in an environmental a some condition and be decontaminated either chemically or with internal processes . there's an all o protocols which have been laid out by the got neutral so, and there are other kinds of other governments on. so another value such as shoots were given out, destroyed. and what do you think the trend is moving forward as surgical enhancements become cheaper and more readily available? he does make dinner was, which is also a we have forward for a human kind that who 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, 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 as i think cheaper medical facilities are a treatment possibilities. yes, it is going to generate some feast it william based. but it is also important to understand that as me progress as a societies and communities in our nations, we will need to find a way to deal with best waste is a big problem, not only medical based on infectious waste, all kinds of pieces of problem. but we cannot have a situation where because medical or treat when it cheaper, we will compromise on risk 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 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? look, 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, are from the him, industry are port are in many ways hazardous. many of his hazardous, i'm not saying that all i'll waste is hazardous, but the similarities then we'll terminate hazardous. the biggest difference is that hospital, which is a large part of it or a small aunt on,

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 as one difference that i can immediately suggest. and 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 to you talk to learn how to clear some grant clarity. so a lot of lee is 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 electrical ways can be recycled and we used other them doors which we'll have to insulate. that is no goal. you cannot do anything beyond that. so you will have to dispose of talking to man that does not cause any environmental or human. so

that is the big difference between both both talk has a does both have a problem. both need to be managed, but a lot of ways to the industrialized are process ways can be covered today. and you have to find ways to deal with that. mr. can be brought back. that's what the economy, in this case also a lot of plastic glass and metric can be brought back and put back into the process of supply chain and into a chain which it can be put back back. thank you so much for your time to test the stick around. as there's 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 procedures. don't go away

in the west. it's called a marriage of convenience, but for russia and china, their relationship is strategic. and an alternative to the west, so called rules based order with the west refuses to recognize the russians in the chinese practice. and it's called multi polarity. this is the engine lake by called more specifically, the island of holland, 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 phone and uncover some of the secrets but they really are not going to go. we use and i made it failed,

but ideally chaslek knowledge was focus more of neat and clean. so keep, i keep them up a credit of course that getting either the information. now you all know me as i was on the medi medicare press 4, you can throw this up here, but i think a call when you try to get a better pricing model. now the key for table transit watson's in a book, you know, please send me that think i think when i tell him on a day gabe was saying 5, you'll pay off gold and i j a may do math class. i did. so genia a kind of the game while it's immanuel good for the kids are, but i was on the way to wait 54 by 5 in your

cheerios. i was on my shaw vanda capital 2 children. i spoke with elyssa shantell, assuming in the modem, which we think will 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. 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 have become 500 percent more common over the last generation.

plastic surgery is also on the rise increasing by 55 percent with esthetic 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 produce a day. now for more or less bring in against tish, then ha, associate director at toxics 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 buying maybe conveys management in the hospital is largely done on the better strength. so each bed is a cost to the hospital as far as biomedical waste generation is concerned and history, mental disorders concern. so it varies from a state to state,

from region to region, have been in the country like india. but on average, i said that is about servant to eat rubies, but the but it, so if you had a 100 bid at hospital, you'd be spending about $7.00 to $800.00 indian bees. and that comes to about just about $10.00 on good volunteering to do it. dollars. 4400 bit hospital. so it goes up people up to $300.00 for under a 5 minute bit. at hospital it keeps going up or you know, it could be in that region for about 7 to 10 rupees, but a but a bit. so it is calculated in those terms and there are other ways of calculation or 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 poised 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 not bandages or are, you know, sewage is, are all kind of equipments. you know, we are moving r i v tubes ivy buttons, they could become infection. so that is

a kind of fist that requires a separate final protocol for his management. so what is the quantity of hospital risk that can be recycled or it can be processed? i think most of the plastic waste 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 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 also in the private sector, both public and private sector soccer,

healthcare facilities. 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 risk management. also in the private sector where the private sector, though individual or hospital from audra, sal owners will have to take care of the risk 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 in to the raised 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 when in india, we had a challenge of our having the funds availability for this matter. and because in

poorer countries are developing on is you find that healthcare itself is our issue, is it's a challenge for most governments. 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 get out of time. most of entries are understood. the cost of fir inaction can be higher than the cost of action. so they were started putting money, or france 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 decade and a half or more than that. things have improved much beyond what we there are about 10 to guineas back. and what will happen if ways were to be disposed of improperly? are there countries that do this? and given many countries, which are here to develop this bridge to cause we have yet to have looked as infrastructure. so they essentially, in the my own experience,

has it there sensually, set it out along with the normal household garbage or household waste has been generated or commercial risk. want to be gone in different countries and they try and take it to the landfill and do some segregation there and burden it in some rigid 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 dangerous. so there are multiple, you know, impacts at multiple levels to different socioeconomic kind of groups which exist in any society or people at the lower 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 bed. patients were in there, it with patients with 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 satish. while the big winner of all of this is the waste management industry, as they experience increased business and volume from the waste 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 and 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 reformulating 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 and manufacturer 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 with ah ah ah

ah, i am, my name is frank, i'm a retired from philadelphia. got in the movement in any age, 13 or 14. we were violent towards those people because we believed that were in this race were here 1st. and this is our country being part of that movement. i got your sense of power. when i felt powerless, you got attention when i felt invisible, him accepted when i felt a level of life after hey, is an organization that was founded by for skinheads in the on the white supremacists in the u. s. in canada. and they found each other and they knew that they wanted to help other guys get out is 2 parts to getting out of a violent extremist group. the 1st part is disengagement, which is where you leave the social group. and then the next part is d. radicalization work belief systems audiology are removed. it was very impactful.

when someone finally came along with no fear, no judgement, you heard my story did nothing to challenge it. validate with ah hello and welcome to cross stock were all things are considered. i'm peter lavelle in the west. it's called a marriage of convenience, but for russia and china, their relationship is strategic and an alternative to the west so called the rules based order with the west refuses to recognize the russians and the chinese practiced. and it's called multi polarity with.