Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 104.1 - MANAGEMENT AND DISPOSAL OF INFECTIOUS WASTE › Subchapter 1 - GENERAL PROVISIONS › Section 11-104.1-2 - Definitions

Current through June, 2024
As used in this chapter:
"Animal waste" means materials including carcasses, body
					 parts, body fluids, blood, or bedding originating from:
(1) Animals known to be contaminated with infectious
					 zoonotic organisms; or
(2) Animals inoculated during research. "Authorized
					 disposal site" means the location, other than the site of generation, where
					 final treatment, processing, or the deposit of solid waste occurs as permitted
					 in accordance with chapter 11-58.1 Solid Waste Management Control
					 regulations.
"Autoclaving" means rendering sterile by exposing to steam
					 at prescribed temperatures under prescribed pressure for appropriate time
					 periods using Bacillus spp. spore kill time as a guide in accordance with
					 current Clinical Laboratory Standards Institute waste management
					 guidelines.
"Blood, blood products, and other body fluids" means all
					 waste blood and blood products such as serum, plasma, and other blood
					 components, and all body fluids. It includes items saturated or dripping with
					 blood or with body fluids and those caked with dried blood or with dried body
					 fluids.
"Body fluids" means semen, vaginal secretions,
					 cerebrospinal, synovial, pleural, peritoneal, and amniotic fluid. It does not
					 mean nasal secretions, sputum, tears, urine, and vomitus unless they contain
					 visible blood.
"CDC" means Centers for Disease Control and Prevention,
					 United States Department of Health and Human Services.
"CLSI" means Clinical Laboratory Standards
					 Institute.
"Community" means a group of people living in the same
					 locality under the same government.
"Contaminated sharps" means all sharp items, including but
					 not limited to hypodermic needles, syringes, Pasteur pipettes, scalpel blades,
					 lancets, capillary tubes, slides, and broken glass which have been used in the
					 diagnosis, treatment or immunization of human beings or animals in research
					 pertaining thereto, or in the production, use or testing of biologicals.
"Cultures and stocks of infectious agents" includes
					 cultures and stocks of infectious agents from medical, clinical, and
					 pathological laboratories, research and industrial laboratories, as well as
					 wastes from the production of biologicals, discarded live and attenuated
					 vaccines, culture dishes and devices used to transfer, inoculate, or mix
					 cultures, and glassware which has contained infectious agents.
"Department" means the department of health, State of
					 Hawaii.
"Disinfect" means to render inactive virtually all
					 recognizable pathogenic microorganisms but not necessarily all microbial forms
					 (e.g., bacterial endospores).
"Embalm" means to inject arterially or into a cavity a
					 fluid or other agent of sufficient strength and quantity to accomplish a
					 thorough disinfection and preservation of a dead human body.
"EPA" means the United States Environmental Protection
					 Agency.
"Facility" means a building within which infectious waste
					 is generated.
"Foreign bodies" means objects or articles introduced into
					 the human body that require removal in a health care setting (i.e., toys,
					 coins, metal, plastic, etc.).
"Generator" means any person who, or entity that,
					 produces, or causes to be produced, infectious waste including, but not limited
					 to, hospitals, clinics, laboratories, health care facilities, physicians,
					 dentists, veterinarians, and podiatrists.
"HRS" means Hawaii Revised Statutes.
"Human pathological waste" means all tissue, organs
					 (including placenta, tonsils, and gall bladder), and body parts, including
					 fetal remains, appendages, and amputated limbs (other than teeth and the
					 contiguous structures of bone and gums, and body-fluids) , that are removed
					 during surgery, autopsy, or other medical procedure, or specimens of body
					 fluids and their containers, and discarded material saturated with body fluids
					 other than urine. This waste shall not include urine or fecal materials
					 submitted for other than diagnosis of infectious disease. All human
					 pathological waste, except corpses or dead human bodies, shall be considered
					 infectious waste and shall be subject to this chapter.
"Incineration" means a process by which waste undergoes
					 complete combustion and becomes carbonized or mineralized sterile ash under a
					 permit issued pursuant to chapters 11-60.1, Air Pollution Control, and 11-58.1
					 Solid Waste Management Control.
"Infectious isolation waste" means biological waste and
					 discarded material contaminated with blood, body fluids, excretions, exudates,
					 or secretions from a patient or patients with diseases considered communicable
					 and requiring isolation as defined by the current CDC's guidelines for
					 environmental infection control in health care facilities, Morbidity and
					 Morality Weekly Report at
www.cdc.gov/
.
"Infectious waste" means any waste which may contain
					 pathogens capable of causing an infectious disease and shall include, but not
					 be limited to, waste categorized in section
					 11-104.1-4.
"OSHA" means Occupational Safety and Health
					 Administration, United States Department of Labor.
"Point of generation" means the location at which
					 infectious waste is produced.
"Sterilization" means the use of physical or chemical
					 procedures, including but not limited to autoclave, microwave, vitrification,
					 and pyrolysis, to destroy all microbial life including highly resistant
					 bacterial endospores.
"Storage" means the holding of infectious or treated
					 infectious waste which is awaiting treatment, transport, or disposal, in such a
					 manner as not to constitute disposal of the waste as required under section
					 11-104.1-32.
"Transport" means to move infectious waste and treated
					 infectious waste from the point of generation to any intermediate point inside
					 or outside the facility and finally to the point of disposal.
"Transporter" means any person who, or entity that,
					 transports infectious waste or treated infectious waste.
"Treated" or "fixed" means to be exposed to any method,
					 technique, or process which changes the character of the waste so as to render
					 such waste noninfectious.
"Treated infectious waste" means infectious waste which
					 has been incinerated, sterilized, or chemically disinfected by methods
					 delineated in section
					 11-104.1-21.
"Treatment byproduct" means the substance or remains of
					 infectious waste that has been incinerated, sterilized, or chemically
					 disinfected by methods delineated in section
					 11-104.1-21.
"Waste" means any material which is discarded, or is meant
					 to be discarded.