2011-03-23-世界卫生组织-Annual_Meeting_of_the_Safe_Injection_Global_Network_2010_66页_1mb

SIGN 2010 Meeting Summary

Event: Annual Meeting of the Safe Injection Global Network (SIGN)
Date: November 9–11, 2010
Location: Intercontinental Dubai Festival City Hotel, Dubai, UAE

Key Outcomes: 43 Consensus Recommendations

The meeting addressed 5 plenary sessions and 3 parallel breakout sessions, focusing on disease burden from unsafe injections, cost-effectiveness of safety strategies, injection safety and MDGs, global/regional initiatives, country-specific implementations, and patient/community involvement.

1. Disease Burden:

Unsafe injections contributed to 340,000 HIV infections, 15 million HBV infections, and 1 million HCV infections in 2008. Reuse of syringes was highlighted as a major risk, especially in low-resource settings.

• Action: Countries should immunize healthcare workers and use auto-disable syringes.
• Recommendation: WHO should finalize updated disease burden data and promote standardized guidelines.

2. Cost-Effectiveness:

Introducing reuse prevention syringes is cost-saving globally, with incremental cost-effectiveness ratios below $0.02 per disability-adjusted life year (DALY) gained.

• Action: UNICEF and GAVI should support procurement of safer devices.
• Recommendation: Establish local manufacturing in high-volume markets to reduce costs.

3. MDG Contribution:

Injection safety interventions can reduce maternal mortality, child under-five mortality, and HIV transmission.

• Action: Integrate injection safety into maternal and child health services.
• Recommendation: WHO regional offices hold annual injection safety meetings.

4. Global Initiatives:

• EU Directive: Mandates workplace safety for healthcare sharps, banning recapping and requiring safer devices.
• UNICEF/GAVI: Promote reusable syringes and data-driven procurement.

5. Country Initiatives:

• Pakistan/Nepal: Strengthened national strategies but face challenges in enforcement and funding.
• UAE: Advanced blood donation policies and healthcare waste management.

6. Patient/Community Involvement:

Behavioral change campaigns reduced injection demand in Nigeria; education on risks and alternatives proved effective.

• Recommendation: Use school-based programs and community leaders for awareness.

7. Healthcare Waste Management:

• UAE/Dhaka: Implement autoclave validation and segregated waste systems.
• Recommendation: Allocate funding for HCWM and integrate with injection safety programs.

Meeting Recommendations (Top Priorities):

1. Immunize healthcare workers against bloodborne pathogens.
2. Accelerate adoption of reuse prevention syringes.
3. Enhance community awareness and behavioral change programs.

The meeting emphasized collaboration between governments, WHO, and partners to achieve universal injection safety by 2020.