This is a descriptive study carried out in the 31 Health Units (HU) of
Unified Health System (SUS) that administer vaccines in Palmas, Tocantins - Brazil,
in order to compare the professional practices of vaccination waste disposal with the
federal technical regulation that refers to the health waste management, with emphasis
on RCD 306/2004 of ANVISA and resolution 358/2005 of the National Environment
Council, in addition to the Brazilian Association of Technical Standards (ABNT)
regulations. It was also sought to identify actions taken in the HU that minimize the
generation of vaccination residues and that expose the environment and workers to
contamination risks. The data were collected from June to November of 2016 through
direct observation using a road map composed of different phases of waste
management, and then analyzed using descriptive statistics. When comparing the
practices carried out with the legislation recommendations and ABNT regulations
regarding health service residues, it was observed that in all health units there were
flaws related to the management of vaccination residues, and intraestablishment were
predominant. Such a reality can expose workers, users and the environment to
contamination risk. It is necessary to review the vaccination waste management
practices that are carried out in public health units in Palmas-TO, as well as to train
vaccination room professionals on the subject.
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