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Some pharmaceuticals are toxic as well . Health service waste gives rise to controversy regarding its importance for human, animal and environmental health (Nascimento et al., 2009). Occurrences of clinically relevant bacteria in piles of health service waste in a sanitary landfill and their antimicrobial susceptibility profile have been previously studied by Nascimento et al., 2009. Nascimento et al., 2009 reported that aliquots of leachate from health care waste in Brazil contained pathogenic strains of Staphylococcus sp, Gram-negative rods of the Enterobacteriaceae family and non-fermenters. Bacterial resistance to all the antimicrobials tested was observed in all microbial groups, including resistance to more than one drug. This makes it possible to suggest that viable bacteria in health service waste represent risks to human and animal health. Furthermore, occurrences of multi-resistant strains support the hypothesis that health service waste acts as a reservoir for resistance markers, with an environmental impact. The lack of regional legislation concerning segregation, treatment and final disposal of waste may expose different populations to risks of transmission of infectious diseases associated with multi-resistant microorganisms. It was further observed that open dump sites are not even engineered or treated, thus expose the entire public to risks of infection. Ogbonna reported that except for the oil company clinics such as the SPDC, all the other hospitals sampled do not have any unit or department responsible for waste management “mickey mouse with gucci symbol bedding set”

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