Introduction As of September 2021, the COVID-19 pandemic has led to 42,500,000 cases and 680,000 deaths in the United States. In Rhode Island, there have been 170,000 cases and 2,820 deaths. Investigating resource utilization and waste production during disease outbreaks can inform efforts at disaster preparedness. The purpose of this study was to examine trends in waste production during the COVID-19 pandemic. Methods This is a descriptive study examining trends in waste production during the COVID-19 pandemic. The study was conducted at a suburban community hospital in Rhode Island. Data was collected on regulated medical waste (RMW) and linen use from October 2019-July 2021. Adjusted patient days (APD) values were calculated using hospital census and revenue data. Total weight and weight/APD were calculated for each month of the study period. Data was then compared with overall COVID-19 cases and hospitalizations in Rhode Island. This data was gathered from the Rhode Island Department of Health (RIDOH) COVID Response Data Hub. Results Regulated Medical Waste (RMW) by total weight was lowest in April 2020, when the hospital census and adjusted patient days (APD) were at their lowest. In contrast, linen use remained largely consistent with pre-pandemic levels during the initial months of the pandemic despite a decrease in hospital census. The highest linen weight/APD value (23.32 lbs/APD) was in April 2020. Both RMW and linen use (weight/APD) decreased during the study period. Linen use was highest during months with increased COVID-19 cases and hospitalizations. Conclusions This study examined trends in waste production at a community hospital during the COVID-19 pandemic. Linen use was highest during months of increased COVID-19 cases and hospitalizations, while RMW production decreased. There was a particular increase in linen use in April 2020, when the pandemic was in its initial phases.
BACKGROUND: Children with COVID-19 usually present with mild symptoms. We characterize visits with respect to symptoms and testing in the outpatient setting. METHODS: A retrospective chart review of sick visits in a pediatric academic primary care clinic April-August 2020. We included possible COVID-19 cases, or persons under investigation (PUIs), recording symptoms, positive contacts, and COVID-19 testing. Descriptive statistics and Chi-square or Fisher's exact tests for comparisons were used. RESULTS: 32% (476/1,474) of sick visits were PUIs;20% were telehealth. Symptoms most commonly reported were fever, congestion/rhinorrhea and cough. 76% of PUIs were tested for COVID-19. Only presence of COVID-19 contacts and loss of taste/smell were significantly associated with positive tests (p<0.001). CONCLUSION: Nearly a third of sick visits in an academic pediatric practice were seen for possible COVID-19 symptoms and most were tested. The majority with and without COVID-19 had fever, congestion and/or cough. Our findings suggest low thresholds for testing in children.
A retrospective review of 384 patients who had undergone rubber band ligation for hemorrhoidal disease by one surgeon from 1988 to 1993 is presented. The primary indications for treatment were rectal bleeding and prolapse. Eighty-nine percent of the patients were improved following treatment. In selected patients, rubber band ligation is an acceptable alternative to surgical hemorrhoidectomy.
