Former KHMH CEO comments on Incinerator and X-Ray Machine

We asked former CEO of KHMH, Dr. Alavro Rosado, about the hospital incinerator which had been shutdown in his tenure but since re-opened and which area residents complain has been causing air pollution. He told us that while he has no idea why the hospital recommenced using the incinerator, it was shut down in his time because a more viable alternative had been found.

Dr. Alavro Rosado – Former CEO of KHMH: 
vlcsnap-2013-06-03-19h26m14s235When it goes to the incinerator, I have never heard about a close system, but maybe KHMH has gotten to the stage, where they are in the future that I have not even read about. To the best of my knowledge, the incinerator is a regular incinerator that is used anywhere else and I have passed there and I still see it around and it emits the fuse into the air. I stopped the practice, because the incinerators were giving trouble, the technicians we had were not following the proper maintenance procedures and the Belize Waste Control people had offered to incinerate for us at a cost that was less than what we were actually paying when we did it on the grounds itself. So we gave out a contract to Belize Waste Control, which was based both on medical concerns and financial concerns. My understanding is that now it has gone back; I don’t know why.

He added that there had been complaints from the neigborhood schools about the pollution.

Dr. Alavro Rosado – Former CEO of KHMH:
vlcsnap-2013-06-03-22h09m22s98I don’t know that I would want to follow up this incinerator thing, because what you hear is hearsay. I have not been there to see fumes being… and studied wind patterns and that short of thing but I think they need to study it, because it was a problem over there. We were having complaints come from the schools, particularly Belize Elementary School; they complained when we used to burn our waste and that was also one of the reasons – because it was a health hazard and a health risk for the students who were around there. So it was based on medical and financial concerns that we changed the practice. Why they did it now? I don’t know.

Reporter:
They say they burn it at night, so it doesn’t do any harm.

Dr. Alavro Rosado – Former CEO of KHMH:
Well I think smoke still comes out at night; I think people still breathe the air, but again, like I said, I don’t know what’s going on there.

PLUS News has contacted Caribbean Shores area representative Hon. Santino Castillo and he replied via text message: “I have already received [the petition letter] and will present my concerns to Cabinet about it next Tuesday (that is, tomorrow), in support of my constituents.” As for the issue of a portable x-ray machine which we understand was rented out by the hospital and classified as a possible source of infection though not in the Enterobacter case, Dr. Rosado says that as long as the machine is properly sterilized it should not be a problem.

Dr. Alavro Rosado – Former CEO of KHMH: 
First of all with the X-Ray machine, I don’t think that I would see it as a big problem for an X-Ray machine to be used in other areas.  What would be the big problem would be protocols and policies.  Anything entering NICU, man, animal, or machine, must be properly sterilized before they’re allowed entry.
I don’t know that the hospital can afford a machine for every unit.  So I’m saying I don’t see that as a problem, [it’s] the sterilization.
You say if it’s an emergency, whatever the emergency is, you have [to sterilize].
I am not an expert in that area, but I can tell you that the experts that I had would be able to do that very, very fast. We have chemical sterilization, and heat sterilization.  It would probably be chemical. At least some steps would have been made to ensure the machine was not dirty, if you want to put it that way.

The Ministry of Health has committed to seeking more machines for the hospital.

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