The most hazardous waste in the medical field, out of all the medical procedures, is chemotherapy waste. They may not be infections, but they are highly toxic and corrosive and therefore don’t usually present risk to the general population, These wastes may cause irreparable damage to natural resources if they are disposed of in an impropriety manner. Our Los Angeles chemotherapy waste disposal experts are here to offer you some guidance in case you get confused in all the terminology and regulations. RCRA Hazardous WasteThe Resource Conservation and Recovery Act (RCRA) was enacted by the EPA to mandate procedures for disposal of wastes that are considered hazardous. There exist 4 lists of substances that are specifically listed as hazardous under the RCRA: F-list (non-specific source wastes), K-list (source-specific wastes), and P-list and U-list (discarded chemical products). You will likely have to deal with P-list and U-list substances such as cyclophosphamide, daunomycin or melphalan when it comes to chemotherapy.Characteristic Hazardous Waste: A large organization such as the EPA may not always be able to put together and maintain the complete list of all hazardous substances on the planet. Because of this the EPA has narrowed down the characteristics of a typical hazardous substance. These characteristics include toxicity, ignitability, corrosivity and reactivity. You, as a medical waste generator, have responsibilities to identify these “characteristic hazardous wastes” and manage them accordingly. It is important all hazardous wastes to be separated, properly packaged and labeled, as well as disposed of in the black waste container per EPA’s mandate. Trace vs Bulk Chemotherapy WasteWhen we want to describe chemotherapy waste we usually face the words “trace” and “bulk” . These terms are widely used in the industry despite of the fact that these are not official EPA designations.Trace Chemotherapy WasteTrace chemotherapy waste usually includes vials, bags, IV tubes and other items that used to contain chemotherapy drugs, but now qualify as “RCRA empty.” A container that used to hold a P-listed substance is “RCRA empty” only after it’s triple-rinsed. When there is less than 3% of the former volume left you can use a container to hold a U-listed substance is “RCRA empty”. If you come across with the applicable criteria, then this waste can be considered trace waste and can be managed as regulated medical waste and disposed of in yellow containers. If not, it should be managed as hazardous waste.Bulk chemotherapy wasteBulk chemotherapy waste usually includes items that used to contain chemotherapy agents and that don’t qualify as “RCRA empty.” Other types of bulk waste include materials used to clean up chemo spills and visibly contaminated PPE. Keep in mind that the bags of chemotherapy drugs that were unused but are out of date aren’t usually hazardous waste. When a substance can no longer be reused, it becomes waste, and the drugs that are expired, can sometimes be returned to the manufacturer through a “take-back” program.Controlled SubstancesWhile chemotherapy patients are under your care, can be treated by powerful painkillers, such as morphine or hydrocodone. Find out whether these drugs are listed as controlled substances per one of the DEA’s schedules while disposing of these and other pharmaceutical wastage. While the DEA doesn’t specify any particular packaging to be used for collecting these controlled substances, it has specific regulations concerning to their disposal. If your facility regularly works with controlled substances, you are probably already registered with the DEA. Check with the agency or with your medical waste disposal provider if you have any questions about disposal procedures that may vary between DEA registrants and non-registrants.Have any other questions about chemotherapy waste disposal? Don’t waste time, contact GLYCON LLC (844) 494-8222 to speak with one of our chemotherapy waste removal experts. We serve Southern California ( Los Angeles, Santa Monica, Long Beach, Anaheim, Riverside, Irvine, Santa Ana, Santa Barbara, San Diego…). Original article published as: Title: Types of Chemotherapy Waste and Related Disposal Regulations Author: Glycon LLC Source: https://www.glyconllc.com/blog/types-of-chemotherapy-waste-and-related-disposal-regulations/ from Glycon LLC https://glyconllc1.blogspot.com/2020/01/types-of-chemotherapy-waste-and-related.html from https://glyconllc1.tumblr.com/post/190326873441
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Hiring a medical waste removal company is a serious decision for a medical facility.You need to take into account all the details to pick a company that will efficiently service you facility. The stakes are higher, because it’s not just your lawn you have to worry about—it’s the reputation of your organization and potential fines for non-compliance. In order to be helpful for you to make the right choice, here are a few things you should look for when choosing your Southern California medical waste removal provider.ExperienceAs in every industry first it must be taken into account the experience. A company that has been around for a while has had a chance to fine-tune their operations and has trustworthy workers who have proven themselves on the job. Glycon having over 5 years of experience. By keeping up their quality and good reputation they continue to provide excellent customer service., that is why they still exist as a business company.PartnershipThere is nothing wrong from your waste management company when their truck shows up to collect your medical waste, but you could be getting so much more out of this relationship if your waste management company truly cared about you. At GLYCON, we not only consider ourselves to be your service provider but your partner as well .We are always ready to answer your questions. We are always happy with pleasure to help with EPA forms. We are your partner in achieving the most affordable compliance with medical waste regulations.AccessibilityMedical waste management often requires quite a bit of back-and-forth between you and your Los Angeles medical waste removal company. It doesn’t matter you need help with your bi-annual EPA report on controlled hazardous substances, or simply want to change your collection schedule, you shouldn’t have to call and leave multiple messages only to have someone call you back 3 days later. Be convinced that the waste management company you hire is committed to customer service and has trained employees who handles customer communication.Now If you are sure what to look for, you can be more confident when you are call different companies for quotes. Be sure to meet with your final candidate in person and visit their facility before you close the deal—you’ll be able to see how professional, organized and efficient the company is. Interested in getting a quote from GLYCON or want to learn more about us? Feel free to give us a call at (844) 494-8222. We serve all of Southern California ( Los Angeles, Santa Monica, Long Beach, Anaheim, Riverside, Irvine, Santa Ana, Santa Barbara, San Diego and Glendale medical waste disposal…) Original article published as: Title: What to Look For in a Medical Waste Removal Company Author: Glycon LLC Source: https://www.glyconllc.com/blog/what-to-look-for-in-a-medical-waste-removal-company/ from Glycon LLC https://glyconllc1.blogspot.com/2020/01/what-to-look-for-in-medical-waste.html from https://glyconllc1.tumblr.com/post/190309450246 Do you want to start a dental practice? Or maybe you’ve already had one for years. Are your medical waste disposal procedures are still in compliance? Then you’ve come to the right place. Today, Glycon, a Southern California and Glendale medical waste disposal specialist, is here to discuss the types of waste and disposal protocols applicable to dental practices. Regulated Medical Waste RemovalAlways remember that only regulated medical waste requires special treatment and proper disposal. Not all waste generated by your dental practice will be regulated or even medical. For instance, when a patient wraps a bubble gum in a tissue before his appointment and throws it into trash, that’s not medical waste. In the same way, a cotton ball that you dropped on the floor by accident may be medical waste, but it’s not regulated.Typically, medical waste is regulated when it’s contaminated with blood, saliva or other potentially infectious bodily fluids. So, a cotton ball will become regulated medical waste if it’s soaked with blood. There are also varieties of hazardous and pathological waste your practice may produce that require specific disposal procedures as well. Types of Regulated Medical Waste in Dental PracticesSharps WasteNeedles, scalpels, blades orthodontic wires (in some states), dental probes and scalers, glass etc.Bio-hazardous wasteBlood-saturated swabs, cotton balls, gauze, etc.Pathological wasteExtracted teeth (in some states), tissue and bone fragmentsHazardous wasteDental amalgam (including chair-side amalgam traps, amalgam filling materials and residues, amalgam capsules and extracted teeth that contain amalgam), lead foil, x-ray film, certain disinfectants, adhesives and processing chemicals.How to Dispose of Regulated Medical WasteThe specific ways of disposal of the above regulated medical waste will depend on the type of waste, whether it’s solid, liquid, hazardous or sharp. All waste needs to be properly collected at the point of generation and securely bagged according to the OSHA, CDC and EPA regulations. Certain dental instruments may be considered reusable and can be sterilized through on-site autoclave, or transported to a third-party facility for sterilization. Single-use instruments and other types of regulated medical waste will need to be disposed of through a registered medical waste removal company such as Glycon.Getting Started with Your Dental PracticeIf you want to open your own dental practice and don’t have much experience with medical waste removal, you can explore the following resources:
If you have any questions, do not hesitate to call us (844) 494-8222 to speak with one of our Regulated medical waste removal experts. Original article published as: Title: Regulated Medical Waste Removal in Dental Offices Author: Glycon LLC Source: https://www.glyconllc.com/blog/regulated-medical-waste-removal-dental-offices/ from Glycon LLC https://glyconllc1.blogspot.com/2020/01/regulated-medical-waste-removal-in.html from https://glyconllc1.tumblr.com/post/190065012256 You will never know the amount of the medical waste produced by your facility. Glycon pays a great attention to it; we keep an eye on these numbers every day. When it comes to Southern California especially Glendale medical waste disposal services, we have clients whose waste output is in pounds, as well as those who produce waste in tonnes. As you already know, medical waste is a big responsibility, both in a legal and financial sense. As it is impossible to avoid it altogether, there might be a few things your facility could do to decrease the amount of medical waste you produce. Is All Waste Medical Waste?Do you have red bio-hazard containers placed in your hospital’s hallways? Have you ever checked what’s inside? Your staff should know what they are for, but your visitors might not think twice about throwing an empty soda can into a container marked “bio hazard.” Green, blue, red - recycling comes in many colors, right? This misuse of designated containers could be generating extra “medical” waste that shouldn’t be there. And it’s not like you could sort the contents before you hand the container over to your medical waste removal company. Once it’s in, it’s in.What you can do to fix this
Check if all Medical Waste is RegulatedIf you need to properly dispose of medical waste through a qualified vendor like GLYCON LLC, this is only true for regulated medical waste. Not all medical waste produced by your facility is regulated. A piece of waste becomes regulated when it contains blood or other bodily fluids that can potentially spread blood borne pathogens. Regulated medical waste (RMW) includes such things as:
You need to check with your local laws to determine what is considered regulated medical waste in your state. Generally, waste from regular patient visits, such as bed liners, device packaging, test strips or medication containers are not considered regulated . If you teach your employers how to identify regulated medical waste, you can greatly reduce your waste output. You can also remove medical waste containers from places where regulated waste is unlikely, such as patient exam rooms. This way your nurses won’t be tempted to use them for unrelated items. Reuse ItemsThere exist several types of medical waste , which although are labeled as single-use, can be disinfected and reused. Adjust with your local regulations to ne sure which items are permitted to be reused. Something as simple as reusing your sharps containers can make your red bag a few pounds lighter. It may not only reduce the amount of medical waste, it may also help you save by not having to purchase replacements.These three simple tips can greatly help you cut down the amount of medical waste created by your facility. Segregation of medical waste and proper container placement will have a positive influence on your waste reduction initiative. However, after all is said and done, it’s up to your employees to either support or compromise your efforts. This is the reason why proper training of both current staff and new hires can’t be underestimated. At the same time, it doesn’t matter whether you are a small quantity generator or a large quantity generator, GLYCON can safely dispose of your medical waste while following all applicable rules and regulations. Contact usat (844) 494-8222 for medical waste management services in Southern California ( Los Angeles, Santa Monica, Long Beach, Anaheim, Riverside, Irvine, Santa Ana, Santa Barbara, San Diego…). Original article published as: Title: 3 Tips for Reducing Medical Waste Author: Glycon LLC Source: https://www.glyconllc.com/blog/3-tips-for-reducing-medical-waste/ from Glycon LLC https://glyconllc1.blogspot.com/2020/01/3-tips-for-reducing-medical-waste.html from https://glyconllc1.tumblr.com/post/190065012086 Part of the responsibilities that come along with being in charge of a medical facility is making sure your waste is disposed of properly. In most cases, you will need professional help. However you can’t trust any old medical waste service provider. Check Your Medical Waste Service Provider ReliabilityWhen you choose a medical waste company the first thing you have to take into account is their reliability. Try to find out whether they have a good feedback? Do they have testimonials to back it up? Always remember that you are responsible for all of your waste until it is destroyed – even after it has left your facility. For this reason, it is too important to choose a trustworthy medical waste removal company.Peace of MindYou can be confident that your waste is handled in an appropriate way. You don’t have to worry about being fined or worse. Glycon, with a decade of combined experience and excellent customer service assures you that we are an efficient and professional Glendale medical waste disposal service provider. Original article published as: Title: Can You Trust Your Medical Waste Service Provider? Author: Glycon LLC Source: https://www.glyconllc.com/blog/can-you-trust-your-medical-waste-service-provider/ from Glycon LLC https://glyconllc1.blogspot.com/2019/12/can-you-trust-your-medical-waste.html from https://glyconllc1.tumblr.com/post/189954304976 When we talk about biomedical waste and hazardous waste, the majority of people only think about hospitals. Although they are considered the main source of most medical waste, Other facilities such as the veterinary clinics also creates biomedical waste that needs to be handled and disposed in a proper manner.The following things must be to taken into consideration if you assist in managing a vet clinic.Know Where To Place Your Sharps And Other Regulated Medical WasteWhen pets visit the vet office, logically they can’t exactly tell the doctor about the symptoms they are complaining of as humans will. This means the vet will have to run more tests than usual to determine why Fido is not acting like himself. Therefore, in the result of more tests more syringes and needles will be needed. Besides tests, many people bring their pet in annually for routine vaccinations. And although many vets try to give as few shots as possible, the needles add up.Needles (sharps) must be placed in a safe, designated sharps bin as it is done in hospitals. Besides needles, anything which is contaminated with blood must also be thrown away in a designated place such as a red bag. With Glycon, all of our services include bio-hazard bags and bio-hazard boxes. And if you wonder what goes where, just contact us to get all the answer to your questions. When we speak about medical waste, where it is disposed. whether it is regulated or not, everyone working at the veterinary clinic and office must be properly trained and educated about what goes where. For instance, one must certainly know that it is not the best idea to use a cutely painted milk jug and to throw away used needle. Besides causing harm to a worker or animal in the clinic, it will cause your clinic a hefty fine. If you use such methods for disposing medical waste, it could cost your clinic too expensive. And in extreme cases, a vet could be shut down. Working with a medical waste disposal company like Glycon can both assist you to create a safer environment, and it can also help prevent costly fines. Glycon Can Help You Manage Your Medical Waste DisposalAt Glycon, we realize the trouble caused by ever-changing rules and regulations. If you cooperate with us, you can insure yourself with everything and get rid of any kind of troubles and headache as you get a team that does the research, the training, and everything in between.Call us at (844) 494-8222 to and learn more about our flexible pick-up options for medical waste disposal in Los Angeles and surrounding SoCal Areas. Original article published as: Title: HOW TO MANAGE BIOMEDICAL WASTE IN A VETERINARY OFFICE Author: Glycon LLC Source: https://www.glyconllc.com/blog/manage-biomedical-waste-veterinary-office/ from Glycon LLC https://glyconllc1.blogspot.com/2019/12/how-to-manage-biomedical-waste-in.html from https://glyconllc1.tumblr.com/post/189954024956 The plastic red medical waste containers and red medical waste disposal bags which can be found in the exam rooms of the family doctor, vet clinic, or dentist office are NOT just for decoration. These red bags are typically designed and provided to hold biomedical waste and to help in time of the disposal process. The red coloring also helps bring attention to the people working in the facilities and it easily warns them that the bags and containers are “special” and have to be treated with “special” care and attention. Separate Your Medical Waste To Save Money And Your BusinessWhile disposing of medical waste, it is forbidden to mix them, with the other rubbish you have. It is forbidden both by law and there exist also hefty fines enforced for being non-compliant. There exist fines for improper medical waste disposal .In fact, not separating your medical waste in a right way is one of the most common infractions and carries a steep fine.Only bio-hazardous waste should be placed in red bags or red containers. Bio-hazardous waste is the solid or liquid medical waste and is contaminated with blood or other infectious material. Red medical waste containers and red medical bags must be moved away from general trash bins. In doing so the chance of medical waste being thrown in the regular trash can will be decreased and vice versa. It can save you both from getting a high priced fine, and also cut down on the amount of non-medical waste going in the red bags and bins and ultimately not to waste your money money. Choose The Right Red Medical Waste Containers From The BeginningAs to medical waste, there isn’t a “one size fits all” container. In fact, there are a few things to think and carry out when deciding on medical waste containers.
Don’t Forget About SharpsIt doesn’t matter that sharps are small, much damage can be caused by them if not disposed of in a right way. They can also rack up fines if anyone, including employees, gets stuck. The sharps which have already been used must be put into a container that cannot easily be punctured and preferably in such a container which was made of regulated plastic containers, One should also empty or change out his/her container unless it is full. If not doing so, it will increase the chances of employees getting stuck. Sharps should also be closed or locked in a sharps container before being placed in a red bag.At Glycon LLC, we understand that it can be a daunting task to control your medical waste. Call us for all you Los Angeles medical waste disposal needs. Original article published as: Title: 3 Tips On Managing Red Medical Waste Containers Author: Glycon LLC Source: https://www.glyconllc.com/blog/3-tips-on-managing-red-medical-waste-bags-red-medical-waste-containers/ from Glycon LLC https://glyconllc1.blogspot.com/2019/12/3-tips-on-managing-red-medical-waste.html from https://glyconllc1.tumblr.com/post/189810966691 A dental office is an active place. Patients are going in and out of exam rooms. Dentists, hygienists, and assistants are moving throughout. This ‘hustle -rustle’ can pose a problem for many dental offices when planning proper medical waste management. For example, in order to organize an easy going disposal, containers need to be close by while also out of the reach of patients, especially children. Learn how Glycon biomedical waste company can help with biomedical waste management solutions.SharpsAs all of us know many people are very much afraid of going to the dentist due to their fear of needles. Sharps are used on a regular basis in dental offices for a variety of reasons. Many times needles are used for local anesthetic purposes or to draw blood from a patient who may be undergoing oral surgery.In order to avoid potential risks in connection with sharps, they should always be placed in a clearly labeled sharps container. Glycon provides red bio-hazard puncture resistant and leak proof sharps containers. It helps to keep your staff safe, and also prevents accidents, protects your patients, and helps make the overall medical waste pickup and removal without any difficulties. Blood Soaked ProductsThere are many dental treatments resulting in blood soaked products such as gauze. Blood soaked gauze is a bio-hazardous material that may also be considered a blood-borne pathological waste product. In either cases, blood soaked products should be thrown away in a specially determined place such as leak proof and puncture resistant red bio-hazard bag or a clearly marked bio-hazard container.Taking into consideration the volume of your business activity Glycon will surely help you decide what size red waste bags and containers you will need. This will help your practice stay compliant and save money for a very long period of time. Mercury Amalgams, Silver Waste, Lead WasteAs mercury amalgams contain mercury, they must never be thrown in the trash, down the drain, or in a red medical waste container. Actually, there exist specific regulations surrounding the disposal of this highly toxic element such as using amalgam separators to catch as much mercury as possible.Besides mercury, there are some dental practices which have to worry about silver waste. In case if your practice hasn’t been able to upgrade to digital x-ray technology, then chances are high that silver fixer is still being used. Silver fixer should never be washed down the drain. Silver waste product can be collected and disposed of by a professional biomedical waste company such as Glycon. Chemicals And Sterilization ProductsMost of the chemicals and sterilization products used in facilities such as dentist offices can be harmful to the environment, your staff, and your patients. As some chemicals are hazardous, try to learn as much as possible and follow all federal guidelines and regulations. In case of having questions concerning to the types of chemicals which you use in your practice and to finding our how to dispose of them properly, don’t waste your time, hurry to call Glycon. Our professional team is here to help when you need it.Let Glycon Create Biomedical Waste Solutions For Your PracticeGlycon specializes in Los Angeles medical waste disposal but we service all of Southern and Central CA. Whether you are a dental or doctors office in Southern we can assist you in drawing up a biomedical waste plan that will save you time, money, and a little sanity when dealing with state and federal regulated medical waste disposal. Original article published as: Title: 4 TYPES OF DENTAL WASTE THAT NEED BIOMEDICAL WASTE MANAGEMENT Author: Glycon LLC Source: https://www.glyconllc.com/blog/4-types-of-dental-waste-that-need-biomedical-waste-management/ from Glycon LLC https://glyconllc1.blogspot.com/2019/12/4-types-of-dental-waste-that-need.html from https://glyconllc1.tumblr.com/post/189810966526 The number of senior assisted living and nursing homes has been greatly increasing over the last few years. Nursing homes are not quite hospitals, however they offer a few types of healthcare treatments to insure the happy and healthy standard of living of their residents. So there exist a lot of rules and regulations to follow when it is spoken about the medical waste produced. If you throw it away in the trash it will not reduce it. 1. Create A Medical Waste Management ProgramPeople are out at risk in case if hazardous biomedical waste is not disposed of in a right way. Hence, it is necessary to create a medical waste program which would comply with federal and state regulations.In addition to keeping your senior residents and staff safe, a great medical waste program can also save money. All the members of the staff must know exactly what is allowed to throw away in regular trash cans, what can be recycled, and what medical waste goes into what containers. If you separate and manage your overall medical waste in a proper manner, you can save your assisted living or nursing home facility money. 2. Train All Staff On Safe Medical Waste DisposalYou have the opportunity to have a perfect medical waste program, but it is in vain if you cannot get your staff on board. Many nursing homes and other medical facilities do not manage to dispose of medical waste in a proper way because of the absence of training.3. Properly Store Your Medical WastePart of a facility’s medical waste plan is to know sorting of medical waste into disposal container. Every day a nursing home uses items that is considered medical waste such as needles, syringes, bandages, gloves, and other items that may contain bodily fluid which may be infectious.Glycon will provide you with the proper red medical waste disposal bags and red plastic containers for you to dispose of medical waste. Knowing properly to store your medical waste, will not only make it easier for pick-up and transport, it will also help you save your facility money. 4. Properly Store Your Pharmaceutical WasteA huge number of pharmaceutical waste is created by nursing homes and senior living facilities.At Glycon, we intend to safely and properly remove and dispose of expired and unused medications so as to keep your clinic or business compliant. When you pour medications down the sink, they get into the ground water. When medications are thrown away in the trash, pills may cause major damage if consumed. In order to avoid those incidents we work with those who have unwanted, expired, and unused pharmaceuticals to properly transport and dispose of the medications. Let Glycon Help You With Medical Waste Management In Your Assisted Living FacilityCombining a medical waste program isn’t difficult, and by working with Glycon, this process will become even easier. With great pleasure we will help your staff learn the proper techniques to disposing of the many types of waste produced in your senior living facility every day. By doing so you will be able to keep your business according to the rules and regulations surrounding regulated medical waste and in some cases, can save your facility money in a long term.Give Glycon a call today at (844) 494-8222 and find out more about our medical waste disposal Los Angeles services or fill out the form on our Quick Quote page. Remember, Glycon services span coast to coast to encompass the entire lower 48 states from Southern California and everywhere in between. Original article published as: Title: GUIDE TO IMPROVING YOUR MEDICAL WASTE MANAGEMENT IN A NURSING HOME Author: Glycon LLC Source: https://www.glyconllc.com/blog/guide-to-improving-your-medical-waste-management-in-a-nursing-home/ from Glycon LLC https://glyconllc1.blogspot.com/2019/12/guide-to-improving-your-medical-waste.html from https://glyconllc1.tumblr.com/post/189810561481 The practices and procedures for proper medical waste disposal got great attention in 2014 due to the spread and fear of the highly contagious Ebola virus in the U.S. The disposal of medical waste in a right manner plays a significant role in preventing mass outbreaks, and you have to develop and maintain your own protocols in case your medical organization faces Ebola or other high-level threat. Ebola Waste Disposal ChallengesHealthcare facilities apply a lot of methods so as to dispose of hazardous medical waste, among them are: autoclaving, thermal or microwave systems, chemical treatment or disinfection, as well as deep landfill burial through your medical waste removal partner.When we speak about Ebola and other Category A infectious substances, the total amount of the created waste is a big challenge. Both personal protective equipment and cleaning/disinfecting waste or patient care waste must be properly bagged and disposed of. Not only is this a time-consuming task that often requires buddy-system supervision, but it can also be expensive. Future Solutions for Ebola Waste DisposalHealthcare organizations must be trained and prepared for any future outbreaks, and new solutions are offered to assist combat the costs and increase medical waste disposal effectiveness. Experts in the field offer the wide use of pathogen-killing agents like sunlight, UV rays, gamma rays, autoclaves and incinerators, together portable medical waste treatment units, to help abolish viruses and prevent the spread of these deadly diseases in a proper and effective way.Glycon LLC specializes in Los Angeles medical waste disposal. If you have questions about our services please do not hesitate to call us. We are here to help you make wise waste management decisions. Original article published as: Title: Infographic: Medical Waste Disposal & Dangerous Viruses Author: Glycon LLC Source: https://www.glyconllc.com/blog/infographic-medical-waste-disposal-dangerous-viruses/ from Glycon LLC https://glyconllc1.blogspot.com/2019/12/medical-waste-disposal-dangerous-viruses.html from https://glyconllc1.tumblr.com/post/189757866491 |