a- MEASLES AND RUBELLA (MR) CATCHUP CAMPAIGN WASTE MANAGEMENT

 39 % population of Punjab will be covered

 46.8 Million Children of 09 month to 15 years of ages will be vaccinated.
 A large quantity of waste (infectious and hazardous) will be generated
 46,800,000 (46.8 Million) Syringes will be used
 468,000 (0.468 Million) Safety boxes (100 syringes/safety box) will used
 4,680,000 (4.68 Million) vials will be used
 Needs to dispose the according to the “Standard Operating Procedures (SOPs) for EPI Waste
Collection & Environment Friendly Disposal

b- WM should be done by ensuring the following steps:

 Used vials and syringes must be collected safely by the Injector
 Used Syringes will be collected in EPI provided Safety Boxes. Filled safety boxes should be put
in yellow-colored bags and the bags must be tied/knotted when it is filled up to ¾.
 Used vials will be collected in color coded (red colored) bins/liners/shopper bags and the 3/4
filled bags must be tied/knotted
 The Injector/vaccinator will collect used vials from outreach points and brought to nearest
concerned Healthcare facility/UC level storage facility
 The Injector/vaccinator will collect safety boxes containing used syringes from outreach points
and brought to nearest concerned Healthcare facility/UC level storage facility
 In urban areas or the areas where transportation of safety boxes to yellow rooms is easy,
Syringes must be disposed through environment friendly incinerators. In these areas
Safety boxes containing used syringes should reach at yellow room
 Acknowledge of receiving and record of infectious waste (safety boxes containing used
syringes) shifted to yellow must be maintained
 Transportation of Safety boxes containing used syringes from yellow rooms to incinerator will
be done by Yellow Vehicles provided by Punjab Infection Control Program.
 In rural areas, where transportation of Safety boxes contained used syringes is not easy,
syringes should be disposed off through small scale incinerator/ brick kilns, if
available otherwise through burning/burial pits.
 Vials must be disposed in burial pits, where available in the districts. Design of the burning
and burial pit is attached.
 Based on waste burden during MR campaign, a separate burial pit is proposed for disposal of
waste to be generated during MR campaign.
 Pit must be closed with half ft soil layer before the pit is completely filled
 The UCMO and vaccinator under supervision of the health facility in-charge will ensure proper
disposal of empty/used vials and safety boxes through burialbrnin pits
 Daily waste generation and disposal record must be maintained by the Injector/vaccinator
 UC wise Daily waste generation and disposal report will be prepared by the UCMO and same
will be shared with Waste Management Focal Person for MR
 District wise Daily waste generation and disposal report must be prepared by district waste
management focal person for MR campaign and same will be shared with EPI on daily bases
 End of MR campaign (UC wise) waste generation and disposal report with disposal certificate
will be prepared by UCMO
 End of MR campaign (Tehsil/town wise) waste generation and disposal report with disposal
certificate will be prepared by ASV
  End of MR campaign (district wise) waste generation and disposal report with disposal
certificate will be prepared by the District Waste Management Focal Person and shared with
EPI after getting verification of DHO-PS.
 Non pilferage certificate will be prepared District Waste Management Focal Person and shared

with EPI after getting verification of DHO-PS.

Activities verse Responsibilities

Activities Responsibilities
Identification of central storage space facility UCMO
(s)-UC level
Provision of supplies (safety boxes, waste District Health Authorities
bins/collection bags) and mobility facility
Ensure segregation of waste in vaccination Injector/Vaccinator
points by using safety box for used syringes
and collection/bins bags for used vials
Record keeping of waste at vaccination points Vaccinator by using template “Daily
center/point wise waste generation/disposal
report”
Transportation of waste from vaccination points Injector/Vaccinator
to central storage facility
Transportation of waste from central storage 1.UCMO
facility to disposal facility: 2. ICP
1. Used vials and safety boxes contained used
syringes: Central storage facility to Burial
pits
2. Safety boxes contained Used Syringes-
Yellow room to incinerator (ICP)

1. Disposal of empty/used vials 1. Used vials and safety boxes: UCMO

2. Disposal of waste shifted at yellow rooms under supervision of the health facility
in-charge
2. Through incinerators
Daily district wise waste generation/disposal 1. Injector
report: 2. UCMO
1. Vaccination point wise 3. DDHO/ASV
2. UC WISE 4. DHO-PS, DSV & District WM Focal
3. Tehsil/town wise persons
4. District wise

Trickle down trainings District WM Focal persons

Submission of Non pilferage certificate: 1. Injector
1. Vaccination point wise 2. UCMO
2. UC WISE 3. DDHO/ASV
3. Tehsil/town wise 4. DHO-PS, DSV & District WM Focal
4. District wise persons

Detail of incinerators in Punjab

 Twenty-seven (27) incinerators have been installed by the Primary and Secondary Healthcare

Department, Government of Punjab in different districts of province Punjab.

 Hence, 27 districts out of 36 have been covered.

 These incinerators were installed in two phases i.e., Phase-I (2018) and phase-II (2019).

 All the installed incinerators are functional

 All the installed incinerators are of two chambers (Primary &secondary chamber)

 These incinerators are designed for the capacity of 100 kg/hour or 5000-6000 Kg/shift (8-hour shift).

However due to local circumstances/factors, the actual capacity of an incinerator is 40-50kg/hour or

290-325 Kg/shift, based on working for 6.5 hours per day.

District wise details of Incinerators:

SR. NAME OF DISTRICT INCINERATOR LOCATION OF INCINRATOR
NO. INSTALLED
(YES/NO)
1. Attock Yes DHQ Hospital, Attock

2. Bahawalnagar Yes DHQ Hospital, Bahawalnagar

3. Bahawalpur Yes Civil Hospital, Bahawalpur

4. Bhakkar Yes DHQ Hospital, Bhakkar

5. Chakwal Yes CEO Office Complex, Chakwal

6. Chiniot Yes DHQ Hospital, Chiniot

7. Dera Ghazi Khan No ---

8. Faisalabad No ---

9. Gujranwala Yes BHU, Dogranwala, Gujranwala

10. Gujrat Yes Aziz Bhatti Teaching Hospital, Gujrat

11. Hafizabad Yes BHU Karriala, Hafizabad

12. Jhang Yes DHQ Hospital, Jhang

13. Jhelum Yes DHQ Hospital, Jhelum

14. Kasur Yes DHQ Hospital, Kasur

15. Khanewal Yes DHQ Hospital, Khanewa

16. Khushab Yes DHQ Hospital, Khushab

17. Lahore No ---

18. Layyah No ---

19. Lodhran No ---

20. Mandi Bahauddin Yes New DHQ Hospital,

Mandi Bahauddin
21. Mianwali No ---

22. Multan No ---

23. Muzaffargarh Yes DHQ Hospital, Muzaffargarh

24. Narowal Yes BHU, Pajowali, District Narowal

25. Nankana Sahib Yes DHQ Hospital, Nankana Sahib

26. Okara Yes South City Hospital

27. Pakpattan Yes THQ Hospital, Arifwala

28. Rahim Yar Khan No ---

29. Rajanpur Yes DHQ Hospital

30. Rawalpindi No ---

31. Sahiwal Yes THQ Hospital, Chichawatni

32. Sargodha Yes DHQ Hospital, Sargodha

33. Sheikhupura Yes RHC, Kharinwala

34. Sialkot Yes RHC Janke Cheema

35. Toba Tek Singh Yes DHQ Hospital, Toba Tek Singh

36. Vehari Yes DHQ Hospital, Vehari

INFECTIOUS WASTE MANAGEMENT IN THE DISTRICTS WHERE INCINERATORS NOT-INSTALLED

In those districts of Punjab (9-districts), where Incinerators have not been installed by the PSHD are
clubbed with other districts for safe disposal of waste. The detail of such districts and districts wherewith these
districts are linked is given in below:

SR. NAME OF DISTRICT NAME OF DISTRICT(S) CLUBBED

NO.
1. Dera Ghazi Khan Clubbed with the District Rajanpur

2. Faisalabad Clubbed with the Districts Nankana Sahib and Chiniot

3. Lahore Clubbed with the Districts Sialkt, Kasur and Gujranwala

4. Layyah Clubbed with the District Bhakkar

5. Lodhran Clubbed the Districts Vehari and Bahwalpur

6. Mianwali Clubbed with the District Khushab

7. Multan Clubbed with the Districts Khanewal and Sahiwal

(Chichawatni)
8. Rahim Yar Khan Clubbed with the District Bahawalpur

9. Rawalpindi Clubbed the Districts Attock, Chakwal and Jhelum

Detail of Yellow room at HCFs (Punjab)

Yellow Room
Sr. # District Hospital Name
Availability
1 DHQ Attock Present
2 THQ Hassan Abdal Present
3 THQ Fateh Jhang Present
Attock
4 THQ Pindigheb Present
5 THQ Jand Present
6 THQ Hazro Present
7 DHQ Bahawalnagar Present
8 THQ Minchanabad Present
9 Bahawalnagar THQ Chishtian Present
10 THQ Haroonabad Present
11 THQ Fort Abbas Present
12 THQ Yazman Present
13 THQ Hasilpur Present
Civil Hospital - Bahawalpur
14 Bahawalpur Present
(Incineration Site)
15 THQ Ahmedpur East Present
16 THQ Khairpur Present
17 DHQ Bhakkar Present
18 THQ Mankera Present
Bhakkar
19 THQ Darya Khan Present
20 THQ Kallur Kot Present
21 DHQ Chakwal Present
22 THQ Talagang Present
23 THQ Kalarkahar Present
Chakwal
24 THQ Talagang City Present
25 Incineration Site Present
26 THQ Choa Saidan Shah Present
27 DHQ Chiniot Present
28 Chiniot THQ Lalian Present
29 THQ Bhowana Present
30 THQ kot chutta Present
DG Khan
31 THQ Taunsa Present
32 THQ Samundari Present
33 THQ Jaranwala Present
34 Faisalabad THQ Jhumra Present
35 THQ Tandlianwala Present
Govt. General Hospital Samanabad
36 Present
Faisalabad
37 THQ Kunjah Present
38 THQ Dinga Present
40 Gujrat THQ Lala Musa Present
41 THQ Kharian Present
42 THQ Sarai Alamgir Present
43 THQ Wazirabad Present
44 BHU Dogranwala Present
Gurjanwala
45 THQ Naushera Virkan Present
46 THQ Kamokee Present
47 DHQ Hafizabad Present
48 Trauma Center Hafizabad Present
Hafizabad
49 BHU Karyala Present
50 THQ Pindi Bhattiyan Present
51 DHQ Jehlum Present
52 Jehlum THQ Sohawa GT Road Present
53 THQ Pind Dadan Khan Present
54 DHQ Jhang Present
55 THQ Shorkot Present
Jhang
56 THQ Ahmedpur Sial Present
57 THQ Athara Hazari Present
58 DHQ Kasur Present
59 THQ Chunia Present
Kasur
60 THQ Patoki Present
61 THQ Roshan Bheela Present
62 DHQ Khanewal Present
63 THQ Jahaniya Present
Khanewal
64 THQ Kabirwala Present
65 THQ Mian Channu Present
66 DHQ Joharabad Present
67 THQ Khushab Present
68 THQ Noorpur Thal Present
69 Incinerator site Present
70 Khushab THQ Quaidabad Present
71 THQ Naushehra Present
75 Mian Meer Hospital Present
Infectious Diseases Hospital - Bilal
76 Present
Ganj
77 DHQ Layyah Present
78 THQ Karor Present
80 THQ Kot Saltan Present
81 Layyah THQ Thal Present
THQ Fateh Pur Lal e Son ,Trauma
82 Present
centre
83 THQ Chawk Azam Present
84 DHQ Lodhran Present
86 Lodhran THQ Karor Pakka Present
87 THQ Dunyapur Present
88 Old DHQ M B Din Present
90 THQ Phalia Present
M B Din
91 Incineration Site Present
92 THQ Malakwal Present
93 DHQ Mianwali Present
95 THQ Issa Khel Present
Mianwali
96 THQ Kalabagh Present
97 THQ Piplan Present
98 DHQ Shahbaz Sharif Multan Present
99 Civil Hospital Campus Multan Present
Multan
102 THQ Shujabada Present
103 THQ Jalalpur Present
104 DHQ Muzafargarh Present
105 Incineration site Present
106 THQ Alipur Present
Muzafargarh
107 THQ Jatoi Present
108 THQ Chawk Sarwar Shaheed Present
109 THQ Kot Addu Present
110 DHQ Nankana Sahib Present
111 Nankana THQ Shahkot Present
112 Sahib THQ Sangla Hill Present
113 DHQ Narowal Present
114 Narowal PHU Pejowali Present
115 THQ Shakargarh Present
116 DHQ North Present
117 Additional DHQ Okara - South Present
Okara
118 THQ Deepalpur Present
119 THQ Haveli Lakha Present
120 DHQ Pakpattan Present
Pakpattan
121 THQ Arifwala Present
122 THQ Liaqatpur Present
123 Rahim Yar THQ Khanpur Present
124 Khan Govt.Eye Hospital Khanpur Present
125 THQ Sadiqabad Present
126 DHQ Rajanpur Present
128 THQ Jampur Present
Rajanpur
129 THQ Rojhan Present
130 Civil Hospital Shahwali Rojhan Present
131 THQ Kotli Satiyan Present
132 THQ Texila Present
133 THQ Gujar Khan Present
134 Rawalpindi THQ Kahuta Present
135 Wah General Hospital Present
136 THQ Murree Present
137 THQ Kallar Syedan Present
138 Sahiwal THQ Chichawatni Present
139 THQ Bhagtanwala Present
140 THQ Shahpur Sadar Present
141 THQ Sahiwal Present
142 THQ Kot Momin Present
143 Sargodha Incinerator site Present
144 THQ Bhera Present
145 THQ Bhalwal Present
146 THQ Silanwali Present
147 THQ 90 S/B Present
148 DHQ Sheikhupura Present
149 Children Complex Present
150 RHC Kharianwala Present
151 Sheikhupura THQ Ferozwala Present
152 THQ Muridke Present
153 THQ Sharaqpur Present
154 THQ Safdarabad Present
155 THQ Kotli Loharan Present
156 RHC Jaamke Cheema Present
Sialkot
157 THQ Daska Present
159 THQ Sambrial Present
160 DHQ Toba Tek Singh Present
161 Toba Tek THQ Pirmahal Present
162 Singh THQ Kamalia Present
163 THQ Gojra Present
164 DHQ Veharhi Present
165 Vehari THQ Mailsi Present
166 THQ Burewala Present
 MR CATCHUP CAMPAIGN-2021
DAILY SITE WISE WASTE GENERATION/DISPOSAL REPORT
UC Name & no.
Date Total Number of Total Number of vials Total Number of safety Signature:
Syringes boxes Inector
Issued Used Disposed Issued Used Disposed Issued Used Disposed

Total
 MR CATCHUP CAMPAIGN-2021
DAILY UC WISE WASTE GENERATION/DISPOSAL REPORT
UC Name & no.
Date Total Number of Total Number of vials Total Number of safety Signature:
Syringes boxes UCMO
Issued Used Disposed Issued Used Disposed Issued Used Disposed

Total
 MR CATCHUP CAMPAIGN-2021
DAILY DISTRICT WISE WASTE GENERATION/DISPOSAL REPORT
District
Date Total Number of Total Number of vials Total Number of safety Signature:
Syringes boxes District Waste
Management
Issued Used Disposed Issued Used Disposed Issued Used Disposed
Focal Person
 END OF MR CATCHUP CAMPAIGN-2021
WASTE GENERATION/DISPOSAL REPORT
(District wise)
Name of District:

Total Number of Syringes Total Number of vials Total Number of safety

boxes
Issued Used Remaining Disposed Issued Used Remaining Disposed Issued Used Remaining Disposed
(Issued- (Issued- (Issued-
used) used) used)

Disposal Certificate: This is to certify that all Syringes, Safety boxes and Vials
used during MR Catchup campaign are disposed of as per the Guidelines/SOPs
issued by EPI.

Designation Signature Date

District WM Focal Person

DSV

DHO-PS
 END OF MR CATCHUP CAMPAIGN-2021
WASTE GENERATION/DISPOSAL REPORT
(Tehsil/Town wise)
Name of Tehsil/Town:

Total Number of Syringes Total Number of vials Total Number of safety

boxes
Issued Used Remaining Disposed Issued Used Remaining Disposed Issued Used Remaining Disposed
(Issued- (Issued- (Issued-
used) used) used)

Disposal Certificate: This is to certify that all Syringes, Safety boxes and Vials
used during MR Catchup campaign are disposed of as per the Guidelines/SOPs
issued by EPI.

Designation Signature Date

ASV

DDHO
 END OF MR CATCHUP CAMPAIGN-2021
WASTE GENERATION/DISPOSAL REPORT
(UC wise)
Name & No. of UC:

Total Number of Syringes Total Number of vials Total Number of safety

boxes
Issued Used Remaining Disposed Issued Used Remaining Disposed Issued Used Remaining Disposed
(Issued- (Issued- (Issued-
used) used) used)

Disposal Certificate: This is to certify that all Syringes, Safety boxes and Vials
used during MR Catchup campaign are disposed of as per the Guidelines/SOPs
issued by EPI.

Designation Signature Date

Injector

UCMO

Health facility Incharge

 Acknowledgement/Receiving of Safety Boxes shifted at Yellow
Room

Location of Yellow Room/ Health Facility Name:

Date UC Name & No. of Safety Shifted By: Received By:

no. Boxes/Weighing of Name/Designation/Signature Shifted By
Waste /Signature

Non Pilferage Certificate

1. UC Wise

2. Tehsil/town wise

3. District wise