Accessibility and consumption of alcoholic drinks in Metro Manila colleges and universities

OBJECTIVE: Alcohol consumption of university students in Metro Manila was determined and compared to other countries in the region and in the West.METHODS: A survey of students from ten randomly selected public and private universities in Metro Manila was done.RESULTS: A total of 2,930 students participated, 46.1% from public schools and 58.9% were female. Of the total students, 81.6% had drank an alcoholic drink in their lifetime; and 15.6% drank beer, 22.5% drank wine and 11.4% drank distilled spirits before they were 13 years old. For the past 30 days, 30.2% drank beer, 30.8% distilled spirit and 18.7% wine; 16.9%, 7.4% and 19.7% binged on beer, wine and distilled spirits, respectively; and 29.1% got drunk. Five percent of the students had drank inside their school. Of those who drove any motorized vehicle, 28.9% drove when they had drank and of those who use prohibited drugs, 66.7% mixed the two. Thirty one percent said they tried to quit drinking in the past 12 months and 7.5% admitted they have a drinking problem.CONCLUSION: Alcohol consumption of Metro Manila students approximates those of other countries. For policy and monitoring purposes, it is recommended that this survey be done regularly with a nationwide scope and compare this with other countries for best practices.

Management of “SHARPS” Wastes in Manila Hospitals (Part 3) Off -Site Management of Hazardous Healthcare Wastes in Six Tertiary Hospitals in South Manila, Philippines

@#<p style="text-align: justify;"><strong>OBJECTIVE:</strong> The aim of this study was to determine if the collection, treatment and final disposal of hospital hazardous wastes conform to the rules and regulations and standards set by the Philippine Government and the World Health Organization (WHO). <br /><strong>METHODS:</strong> Three private and three government tertiary hospitals located in South Manila were randomly chosen and the companies that provides them with hospital waste disposal services were asked to participate in the study to validate their conformity to the national and international hazardous waste disposal standards. Validation was done through the use of observer checklists and photographs.<br /><strong>RESULTS:</strong> Results of the study showed that there were four companies who services 6 selected hospitals included in the study. All of these conformed to the standards of the World Health Organization, and to rules and regulations as set by the Philippine government. All of the companies conformed as to standards for Legal Permits, Off-site Transport, Personal Protective Devices and Off-Site Waste Disposal.<br /><strong>CONCLUSION:</strong> All of the companies servicing the 6 selected hospitals conformed to the standards set by WHO and the Philippine government.</p>

Management of sharps waste in Manila hospitals (part 2) awareness of hospital employees on the principles of healthcare waste management in six tertiary bay area hospitals in South Manila, Philippines

OBJECTIVE: This paper evaluated the personnel of three public and three private hospitals in the Metro Manila area in terms of their knowledge of the (1) Hospital Waste Committee at their hospital and (2) the general guidelines of segregation and handling of hospital wastes. METHODS: Convenience sampling was used. Nurses, medical technologists, and janitorial staff present at three private and three public tertiary hospitals in south Manila during respective data collection visits were given a self-administered questionnaire. RESULTS: The majority of those included in the study had correct knowledge regarding the Waste Management Committee of their particular hospital but did not have enough knowledge regarding general waste management, particularly sharps waste management. The medical technologists and nurses in both private and public hospitals had about the same knowledge and awareness regarding hospital policies and sharps waste management; however, there were differences between the knowledge and awareness of private and government hospital janitorial staff. Two of the perceived problems in waste management of the hospitals were (1) the general lack of knowledge regarding waste management, specifically sharps waste and (2)the lack of hospital support in terms of provision of proper waste disposals. CONCLUSION: Workers involved in sharps waste management-in tertiary hospitals had enough knowledge regarding the Waste Management Committee, but the respondents did not have enough knowledge regarding waste management in general and sharps waste management in particular. Problems perceived by respondents are: lack of knowledge regarding waste management and lack of hospital support.

Management of "SHARPS" wastes in Manila hospitals (Part 1)

BACKGROUND: Sharps waste is a special kind of health care waste that needs to undergo certain processes before its final disposal. These processes are guided by international policies, national laws and memoranda, the implementation of which is under the jurisdiction of certain agencies. OBJECTIVES: This study was designed to document the health care sector's adherence to proper waste management practices, especially for hazardous sharps waste. It specifically documented the adherence to government regulations of six tertiary hospitals in the Manila and Pasay City areas. The study was undertaken to identify if these six hospitals adhere to the guidelines set by the World Health Organization as adapted by the Department of Health (DOH) and Department of Environment and Natural Resources (DENR). The first specific objective is to document if these hospitals are complying with the documentary requirements of such regulations as required by law. The second specific objective is to document the presence of facilities and resources in the hospital that will ensure proper implementation of regulations regarding sharps waste disposal. METHODS: The study was conducted in six tertiary hospitals, three of which are government/public and three are private hospitals. An observation checklist was constructed to identify in a detailed manner if the said hospitals were adhering to the standards set by the government. This checklist was validated by photographs for documentation. Specific areas, people and equipment of interest were earmarked for observation. Nurses stations and the laboratory for example, were singled out due to the high volume of sharps waste produced and temporarily stored in these areas. Chart reviews were also done to check if permits and policies were in place to oversee proper hospital waste management. Results. The study showed that all six hospitals were not strictly adhering to all the prescribed requirements by the Department of Environment and Natural Resources and the Department of Health. CONCLUSION: Even with rules and policies in place, it has been documented that all of the study hospitals have not been adhering to documentary requirements. Furthermore, the facilities and resources needed for waste management in the hospital are not available. Recommendation: The responsible agencies should closely monitor the sharps waste management practices of hospitals to ensure safety and protect the health of health care workers, patients, their companions and visitors.