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Wasted Medical Supplies
The United States generates over two million tons of wasted medical supplies each year. Facilities do not use many of these supplies such as unexpired medical supplies and equipment. People even throw away completely usable, albeit expired medical supplies. This surplus exists because of hospital cleaning policies, infection prevention guidelines and changes in vendors. Additionally, because equipment must always be ready, replacements are always in order. As such, in the U.K., medical facilities replace equipment before the old versions are out of commission. Waste ranges from medicine to operating gowns, all the way to hospital beds and wheelchairs. Beyond consumables like medicine and one-time supplies like syringes, the need to replace before equipment is sub-optimal leaves a margin for waste on big-ticket items like MRIs.

Many hospitals have dumped their garbage from the reception and operating rooms along with usable medical surplus into incinerators. Although this burning is a source of many pollutants, it is still common practice in many developing countries.

This issue of medical supply waste intertwines deeply with a lack of access to medical equipment in the developing world. While developed countries live in a world of sterile excess, developing countries and remote villages with little access to suitable equipment to meet their needs suffer.

How Does this Waste Relate to Poverty?

People view access to the level of health care service in the developed world as the standard rather than a privilege. In places of poverty like Kivu, Democratic Republic of Congo, facilities are in desperate need of supplies and equipment to treat patients in their region.

Inadequate provisions leave patients on the floor or in out-of-date hospital beds paired with another patient. In the DRC, rape is a common weapon of war. The U.N. Human Rights Security Council passed a resolution that described the problem as “a tactic of war to humiliate, dominate, instill fear in, disperse and/or forcibly relocate civilian members of a community or ethnic group.” Many of the patients at the doorstep of Burhinyi Central Hospital are suffering from rape-related ailments. Some examples are HIV/AIDS, fistulas, bladder and intestinal damage and infections. Without the necessary equipment to handle such cases, impoverished areas, which are already more prone to injury and disease, deteriorate.

How Can it be Fixed?

Again, the issue of wasted medical supplies id deeply connected to poverty. In fact, they are complementary. The solution lies in moving the surplus from areas of excess to people in need. This reduces the waste in developed countries by giving supplies to hospitals that need them. Therefore, one can convert wasted medical supplies to usable surplus.

There are many NGOs like Medshare and Supplies Over Seas (SOS) that follow this process. These nonprofits operate based on collecting, sorting and sending the usable medical surplus to hospitals in need.

SOS has a container shipment program that sends cargo containers filled with medical supplies. These containers would have otherwise ended up in the landfill. A typical container contains six to eight tons. Its medical contents value conservatively at $150,000-$350,000. Since 2014, SOS has shipped containers to 20 countries in need.

A volunteer at Medshare outlined her experience working with surplus medical supplies, saying that, “It was shocking how much waste there actually was. Warehouses full of totally usable stuff all ready to be thrown away.” She added, “[she] sorted through things like syringes and gauze packets which were all put into huge containers for hospitals that need it. It feels like a difference is being made.”

Stop Wasting and Start Donating

Wasted medical supplies and impoverished areas without access to proper medical equipment are issues that people can resolve simultaneously by salvaging usable supplies and equipment that were ready to go to landfill and sending them to communities in need. Regarding medical waste and poverty, the best solutions occur when those who have more give to those who have less.

– Andrew Yang
Photo: Flickr

Vida-USA

Vida USA, a nonprofit organization based in the Bay Area of California, brings health aid to Latin America. Volunteers for Inter-American Development Assistance (Vida USA) was founded in 1991 in response to a cholera outbreak traveling from Peru to North America.

In Pamplona Alto, Peru, 40,000 people live in shacks with no running water, toilets or sewage systems. Contaminated dirt roads, where children play with broken toys, are common. These children need vaccinations to enroll in school, but medical supplies and health care are very scarce.

Vida USA collects a surplus of medical supplies from Bay Area hospitals, medical clinics and individual volunteers at its warehouse in Emeryville, California. The medical equipment and medicine are then shipped overseas and used to provide free services for people living in poverty.

“What Vida does is we bring all the supplies and equipment they need on an ongoing basis,” said Vida-USA executive director, Adam See.

The mission of Vida USA is to help provide health aid to Latin America by sending medical supplies to its most vulnerable communities. The organization provides assistance to health institutions, which supports those in need. The non-profit organization accumulates tons of unused, viable medical supplies headed for local landfills and uses them to supply health aid to Latin America.

Another initiative revolves around the HIV virus that “[infects] children in Latin America at an alarming rate,” according to Vida. Many children are infected by their own mother’s breast milk. Milagro de Vida is a program created by Vida USA to provide infant formula to mothers with HIV and educate high school students about HIV causes and effects.

Through its program Puente de Vida, Vida USA organizes groups of volunteer doctors to provide free medical consultations, basic nutrition and pre-natal care, monthly and follow-up visits to address the primary health care needs of communities throughout Peru. The organization’s various programs clearly demonstrate its commitment to creating well-rounded health infrastructure in Peru.

Since 1991, Vida USA has worked with 1,200 health care facilities and social service programs shipping 200 containers, which are worth over $225 million in Latin America, throughout Peru.

Jackie Venuti

Photo: Flickr