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PVC is a plastic polymer common in hospitals and healthcare due to its many medical and non-medical uses. PVC is a concern to public health throughout the lifecycle. Of primary concern, are dioxin and phthalate emissions. Dioxins are formed during the manufacture, disposal, incineration, and burning of PVC. DEHP is a phthalate used to plasticize or soften PVC products, which can leach from PVC medical devices. Both toxins are harmful to public health but can be especially harmful to the most vulnerable of patients such as infants, pregnant women or lactating mothers.
Types of products that may contain PVC:*
gloves
total parenteral nutrition
wall coverings
blood bags
umbilical vessel catheters
plastic foods wrap
enteral administration sets
urinary drainage catheters
office furniture and supplies
enteral feeding tubes
wound/drainage systems
supplies
IV administration sets
flooring
cable and wire coatings
IV bags, IV tubing
pipes
PICC lines
carpet backing
*This list is not exhaustive
Types of devices that contain DEHP:*
IV bags
adhesives
tubing
lubricants
umbilical artery catheters
inks
lotions
infusion tubing
Cosmetics
enteral feeding products
Flexible PVC building materials and interior finishes
nasogastric tubes
Some hospitals have already implemented PVC and/or DEHP-free purchasing policies by purchasing safe alternatives to plastic such as those manufactured with polyethylene, polypropylene, polyurethane, silicone or ethylene vinyl acetate content or multi-layer laminate plastics. Click on the links and resources below to learn more about making your hospital PVC and DEHP-free.
Additional Resources:
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