Regulated Medical Waste

​Monkeypox

• ​West African Clade Monkeypox Virus Waste Management - Provide waste management guidance based on information provided by the Centers for Disease Control and Prevention (CDC) and the U.S. Department of Transportation (DOT).​
  

COVID 

• Household Cleaning and Disinfecting Measures for COVID-19 – Guidance for cleaning and disinfecting of households where persons with COVID-19 reside.
  
• Mitigating SARS-COV-2 Virus Risks​ Associated with Vehicle Usage – Guidance on mitigating risks associated with transporting personnel or cargo potentially capable of transmitting the Severe Acute Respiratory Syndrome- Coronavirus 2 (SARS-CoV-2). Includes information on risk mitigation prior to and during transportation, as well as post-transportation cleaning and disinfection.
  
• OCONUS Disposal Guidance for Ellume OTC COVID-19 Home Test Kit Used for Screening Unvaccinated Personnel Returning to the Workplace – ​Recommendations for disposal of the over-the-counter (OTC) Ellume Coronavirus Disease 2019 (COVID-19) Home Test kit.
  
• Cleaning and Disinfecting Buildings and Areas Previously Occupied by Coronavirus 2019 (COVID-19) Positive Personnel – ​Provides information to military personnel assigned on final cleaning and disinfection of buildings that housed COVID-19 patients.  Also provides information on commercial disinfection devices and professional cleaning services.
  
• Use of Ozone Generators Against COVID-19 – ​Provides informatio​n on the usefulness and limitations of ozone generators used for air and surface disinfection and to provide guidance on the safe use of these devices.
  
• Use of Electrostatic Sprayers (Foggers) with EPA-Registered Disinfects in Response to COVID-19 – ​Provides information on portable electrostatic sprayers (foggers) to disinfect surfaces.
  
• CONUS Disposal Guidance for OTC COVID-19 Self-Test Kits Used for Screening Unvaccinated Personnel Returning to the Workplace – Disposal guidance for wastes generated from over-the-counter COVID-19 self-test kits used for workplace screenin​g of unvaccinated personnel on continental U.S. installations. 
• OCONUS Disposal Guidance for OTC COVID-19 Self-Test Kits Used for Screening Unvaccinated Personnel Returning to the Workplace​ - Disposal guidance for wastes generated from over-the-counter COVID-19 self-test kits used for workplace screen​ing of unvaccinated personnel on military installations that are located outside the continental U.S.

Laboratory and Medical Care 

• Human Placenta Release​​ (CAC required)– ​​Guidance to Medical Treatment Facilities for releasing human placenta to patients following childbirth.​
  
• Waste Classification for BOTOX® (OnabotulinumtoxinA)​ – Waste classification and disposal guidance for vials and syringes containing or having contained Botox.​
• Cord Blood Donation – Guidance for the collection, packaging, and shipping of donated maternal cord blood following birth for stem ​cell research or medical use. 
• Disposing Laboratory Plastic Pipettes and Tips – Disposal guidance for used laboratory plastic pipettes and tips when in contact with either infectious or chemicals agents.
• Handling of Human Remains from Natural Disasters – Description of the potential health hazards from handling human remains resulting from trauma due to natural disasters (not infectious disease), and guidance for protecting workers through the use of PPE, equipment disinfection, vaccinations, and training.

Dental Facilities 

• Disposal of Extracted Teeth with Amalgam Restorations (Fillings) – Disposal guidance for teeth that contain amalgam fillings and were extracted during dental procedures. Guidance is based on results of an APHC sampling study examining hazardous properties of fillings of extracted teeth, including mercury content.

​Sharps

• Flyer – Sharps Disposal - General information for disposing of household medical sharps/syringes. Contains useful links for more information.​
• Management of Used Sharps​ – Regulated medical waste disposal guidance of used sharps (e.g., needles, scalpels, syringes) generated in a medical treatment facility.​​​​​
• ​ Waste Management of Medical Sharps Used on Children in Child Development Facilities – Provides regulatory information and disposal guidance for sharps/syringes when administered to children in military Child Development Facilities.

Ebola Virus Disease 

• Controlled Monitoring Site Waste Management - Guidance for collecting and managing waste generated at controlled monitoring sites, i.e., areas designated for isolation and monitoring of personnel returning from areas affected by Ebola Virus Disease. 
• Decontamination of Equipment Used in the Area of Operations Impacted by Ebola Virus Disease – Guidance for the decontamination of DOD equipment used in geographic areas affected by Ebola Virus Disease, including selection of PPE, disinfection chemicals, and decontamination methods. 
• Disinfection and Disposal of Household Goods Belonging to Patients Infected with Ebola Virus Disease – Guidance for disinfection and/or disposal of household goods and structural interiors of on-post housing used by personnel infected with the Ebola Virus Disease. 
• Terminal Cleaning for Ebola Virus Disease Contaminated Patient Care Areas – Information on final cleaning and disinfection of a room after the patient is discharged.

Other 

• ​Management of Medicinal Leeches from Leech Therapy​ - Guidance for disposing of medicinal leeches that were used in patient leech therapy.
  
• Release of Amputated Limbs​ - Guidance to medical treatment facilities for releasing amputated limbs to patients when requested.
  
• Release of Anatomical Specimens​ - Guid​ance to medical treatment facilities for releasing anatomical specimens to patients when requested.​​
  
• Single-Use Device Reprocessing Best Management Practices for Medical Treatment Facilities​  (CAC required)–​ Provides best management practices for the reprocessing of single Use Medical Devices (SUDs) in a Medical Treatment Facility. Includes a discussion on precious metal containing SUDS and contractual language to ensure proper waste managemen.
• Cleaning Refrigerated M​ILVANs after Mortuary Use – Guidance for the cleaning and decontamination of Military-Owned Demountable Containers (MILVANs) used during emergencies to temporarily hold human remains or items contaminated with blood or other potentially infectious materials and are now being returned for use with field food service units. Guidance includes discussion of PPE, disinfection chemicals, and decontamination procedures.
• Trauma Scene Cleanup – Information on trauma scene (e.g., accident, suicide, or crime scene) waste generated on a military installation including responsibilities, clean-up procedures, and waste disposal. 
  
• Material of Trade Exception – Regulated Medical Waste. Information on transporting regulated medical waste under the U.S. Department of Transportation’s Material of Trade exception.​​
• Smallpox Vaccine – Waste Management and Vaccine Transport Considerations​- Provides general guidance for the classification, management, transportation, and disposal of wastes from smallpox vaccination events.
  
  

​MEDCOM/DHA Resources 

• MEDCOM Regulation 40-35: Management of Regulated Medical Waste – Provides guidance and regulatory requirements to MEDCOM facilities on the management of regulated medical waste. 
• DHA Procedural Instruction 6050.01, Medical Logistics (MEDLOG) Regulated Medical Waste (RMW) Management​ – Provides guidance and regulatory requirements to DHA facilities on the management of regulated medical waste.

Federal Resources 

• Centers for Disease Control and Prevention​ – ​Provides information and tools to protect the health and prevent disease and injury of people and communities. 
• U.S. EPA​ – ​Provides information on history of regulating medical waste, first at the federal level and now by each state. Includes discussion of treatment and disposal methods for medical waste. 
  
• Occupational Safety and Health Administration​ – ​Ensures safe and healthful working conditions for workers by setting and enforcing standards such as the Bloodborne Pathogens Standard under 29 CFR 1910.1030.

Other Resource 

• World Health Organization​ – ​​Provides information, guidance and tools for use especially during global health emergencies/outbreaks.​