MZ/T 135-2019Technical regulation of hygiene for packing and transporting of corpse (English PDF)

4.1 Standard precautions

Standard precautions for contact with remains and their blood, body fluids, feces, damaged skin, mucous membranes, and articles contaminated with these substances the main prevention measures are.

a) Use personal protective equipment to avoid direct contact with the remains and their blood, body fluids, feces, damaged skin, mucous membranes.

b) disinfect and sanitize the remains.

c) Hygiene of the respiratory tract, avoid splashing, and prevent contamination by air droplets.

d) Hand hygiene. Wash hands immediately after touching contaminated materials.

e) Keep the environment clean and deal with pollutants in a timely manner.

4.2 Classification of remains

Received remains are classified according to the following methods.

a) According to the degree of harm of the infectious pathogen carried by the body, the body is divided into the type I body, the type II body and the type III body.

See Appendix A.

b) The type I remains specified in Appendix A shall be related to health and disease prevention and control institutions in accordance with the "People's Republic of China Infectious Disease Prevention and Control Law" After processing is required, the remains should be collected and transported by personnel for cremation and disposal nearby.

c) The personnel who collect and transport the remains shall disinfect the Type II and Type III remains specified in Appendix A.

d) Corrupted remains and dead bodies of unknown cause shall be disinfected as Class II remains.

6.1 Disinfectants and disinfection equipment

Those who collect and receive the remains should prepare disinfectants and disinfection equipment as follows.

6.1.1 Disinfectants

Remains and environment disinfection can choose chlorine, bromine, peroxide, aldehyde, iodine, biguanide, quaternary ammonium salt, alcohol, etc.

Disinfectant.

Note. Refer to "Disinfection Technical Specifications" and relevant requirements of WS/T 367.

6.1.2 Disinfection equipment

Can choose sprayer, ultraviolet disinfection lamp, vehicle disinfection and other disinfection equipment.

Note. Refer to "Disinfection Technical Specifications" and relevant requirements of WS/T 367.

6.2 Dead body bag

6.2.1 Classification of corpses

Bags can be divided into the following three categories.

a) Ordinary corpse bag (type III), used to collect type III remains, the common corpse bag is marked green;

b) Non-transmissive corpse (type II), used to collect type II corpses and corrupt corpses, of unknown death, non-transmissive corpses Bag identification is orange;

c) Special type corpse bag (type I), used to collect the remains of type I infectious diseases; due to other severe chemical poisoning or strong corrosive this type of corpse bag should be used for corpses, etc. The special corpse bag is marked in red.

6.2.2 Requirements for corpses

The requirements of the corpse bag are as follows.

a) The appearance color of the corpse bag should avoid to be consistent with the color of the identification plate;

b) The corpse bag should have certain antibacterial, sealing and anti-permeation functions;

c) The corpse bag should have sufficient load-bearing strength to prevent the bag body from being broken due to handling and temperature changes;

d) The packaging of the remains for cross-border transportation shall comply with SN/T 1212-2003, SN/T 1320-2010, SN/T 1334-2003, SN/T 1909-2007 Related requirements.

6.3 Health protection

Receiving and transporting personnel should have adequate personal hygiene protection, and gloves and mouths of different protection categories should be selected according to the type of remains before work.

Protective equipment such as hoods and protective clothing.

a) Standard protection. When collecting type III remains, the person collecting and transporting should choose disposable polyethylene gloves, medical masks, work clothes, etc.

Basic protective equipment

b) Strengthen the protection. When collecting type I and II remains, the collection and transportation personnel should use disposable medical rubber gloves and medical protective type Masks, protective clothing or gowns, protective caps, goggles (protective masks) and other protective equipment.

7.1 Collection of remains in different places

Receiving and transporting personnel shall collect the remains of different places according to the following requirements.

a) For the remains that have died in the hospital, medical personnel shall indicate the cause of the death of the remains and identify them according to the classification of the remains. Medical personnel are advised to Type III remains are disinfected, sanitized and labeled. If the medical staff did not deal with it, the transportation personnel should promptly ask the relevant personnel to understand the death Cause of death, disinfection and classification of the remains;

b) Remains of death at home. When receiving and transporting the remains, the personnel should ask the relevant personnel to understand the cause and time of death in detail.

Judge the remains for infectious diseases and make a classification and identification of the remains;

c) Remains that have died in other places. Remains collection and transportation personnel should understand the cause of death, the process of death, and check the body surface Signs and corruption phenomena, determine whether the remains are corrupt, the degree of corruption, and whether they are contagious, and make a good classification of the remains.

7.2 Develop a disinfection and sanitation treatment plan

Develop different disinfection and sanitation treatment schemes based on the causes of death of the remains to be collected and transported.

7.3 Disinfection of remains

7.3.1 Disinfection of Class I and II Remains

Disinfection of Class I remains in accordance with 5.1.1.5 in GB 19193-2015; Disinfection of Class II remains in accordance with GB 19193-2015

5.2.1.8 Implementation.

7.3.2 Disinfection of Type III Remains

For disinfection of type III remains, spray disinfection should be performed according to the method in Table 1. The spray disinfection method refers to SN/T 1212-2003 and is implemented according to the following procedure Shi.

a) Personnel collecting and transporting corpses should perform operations on the upwind to ensure personal protection and hygiene.

b) During spray disinfection, adjust the nozzle of the sprayer to adjust the spray droplets to the finest;

c) Spraying should be performed from top to bottom and from left to right in parallel at a uniform speed;

d) Ensure uniform drug distribution and sufficient disinfection time during spray disinfection.

Table 1 Method for disinfection of type III remains

Remarks on action time of disinfectant concentration 75% ethanol 1 min ~ 5 min Select spray method. peroxyacetic acid 2000 mg/L 5 min ~ 10 min Chlorine dioxide 100 mg/L ~ 250 mg/L 5 min ~ 10 min Other legal and effective disinfection products

7.3.3 Remains contaminated with blood or body fluids

Any remains contaminated by blood or body fluids should use a chlorine-containing disinfectant containing 1000 mg/L to 2000 mg/L of available chlorine or other legal Effective disinfection product spray disinfection, spray the disinfectant evenly on the surface of the body, spray disinfection method is implemented according to 7.3.2.

7.3.4 Disinfection of external wounds

If there is trauma on the surface of the body, a chlorine-containing disinfectant containing 1000 mg/L to 2000 mg/L of effective chlorine or other legally effective Disinfect product spray wounds.

7.4 Collection of remains

7.4.1 The corpse receiving staff shall select different types of corpse bags according to different causes of death of the corpses.

7.4.2 Put the sterilized remains in the corpse bag and mark them.

7.4.3 After collecting Type I and Type II remains, the outer surface of the corpse bag shall be disinfected by spraying in accordance with 7.3.2.

7.5 Remains transportation

7.5.1 Move the corpse in the corpse bag into the funeral cabinet of the funeral car; or put the corpse in the corpse bag into a disposable toilet paper coffin, Move into a funeral car. When carrying the corpse, it should be lifted and placed gently, without dragging, pulling, throwing, falling, or overlapping the corpse.

7.5.2 After the body is handed over, the UV lamp, the vehicle-mounted disinfection device or the biguanide and quaternary ammonium salt that are less corrosive to the metal should be turned on.

Disinfectant disinfects the funeral vehicle.

7.6 Waste and environment

7.6.1 Residual waste, clothing removed from the body, and packaging, which cannot be reused after disinfection, should be incinerated.

7.6.2 After harvesting, disinfect the environment around the remains with 1% peroxyacetic acid or other legally effective disinfection products.

7.7 Staff

7.7.1 The masks, gloves, protective clothing, etc. taken off by the personnel who collect and transport the remains should be disinfected and should not be reused.

Should be incinerated.

7.7.2 Operators can disinfect hands with quick-drying hand disinfectants or other legal and effective disinfection products suitable for skin disinfection.

Appendix A

(Normative appendix) Classification of remains

Table A.1 shows the classification of the remains.

Table A.1 Classification of remains

Classification of dead body types of infectious pathogens Type I remains Plague, cholera, infectious atypical pneumonia, pulmonary anthrax in anthrax, high human infections Sick bird flu and prions.

Type II remains

AIDS, viral hepatitis, polio, measles, epidemic hemorrhagic fever, rabies Disease, Japanese encephalitis, dengue fever, anthrax, bacterial and amoebic dysentery, lungs Tuberculosis, typhoid and paratyphoid, epidemic cerebrospinal meningitis, pertussis, diphtheria, newborn Tetanus, scarlet fever, brucellosis, gonorrhea, syphilis, leptospirosis, malaria, Influenza, mumps, acute hemorrhagic conjunctivitis, leprosy, epidemic and endemic typhus, melanosis, hydatid disease, except cholera, bacterial and amoebic Infectious diarrhea other than dysentery, typhoid and paratyphoid.

Remains of type III Remains except for the above-mentioned infectious diseases of types I and II.

a Corrupted remains and dead bodies of unknown cause are treated as Class II remains.

references

[1] GB 27953-2011 Sanitary requirements for disinfectants