Clinical waste management in Barisal is going on without any scientific management, proper license and training and often piled on city roadsides posing risks of environmental and health hazards. More than 800 Kg. clinical wastages per day created from two public hospitals and more than 50 private hospital, clinics, laboratories, health care and diagnostic centers of Barisal city. These clinical wastages included used bandages, syringe and needles, amputated parts of human body, stool, urine, blood, coughs and other items examined in laboratories, used saline, plastic and glass bottles of medicine and ingredients used for medical services and several other disposable and non-disposable items. All of these items usually contaminated with germs or health hazarding components and needs to be destroyed and burnt in insinuators after collected in proper way in a dumping ground, Kaiser Ahmed, Deputy Director in-charge of the divisional office of the Directorate of Environment, said. Those who are involved in the work including the clinical waste collectors should have proper training by the concerned authorities, he added. It also needs proper carrying systems and licenses from the proper authority with dresses, transports, establishments and equipments for this kind of risky job, and violation of these procedures may cause long-term serious health and environmental crisis in the locality, said DD of environmental directorate. Sources said 'Prodipon', a NGO working in clinical wastage management sector of the city since 2000 under a project of Bangladesh environment management scheme collecting and removing clinical wastages from different types of health service establishments of Barisal city They collect clinical wastages of the city with the help of other 40 organizations, dumping the wastages at the Natun Moylakhola of Kawnia area in the city, and burning those in an insinuator after making disinfections, claimed Ranajit Dutta, president of Prodipon. However, DD of Environmental Directorate alleged that clinical wastage collectors of the city have no license, proper training, dresses, transports, establishments and equipments for these kinds of risky jobs. The system followed and equipment used by Prodipon for disinfection and insinuations are not standard and up to the mark and notice given in this connection to Prodipon yet not replied, he acknowledged. Ranajit Dutta, President of Prodipon, however, expressed his ignorance about any notice from the environment directorate, and compulsion for taking license from environmental directorate and training about this work. President of Prodipon said they collect clinical wastes with the help of 40 organizations, which disinfect and burn the waste and then dump it at Natun Moylakhola of Kawnia area in the city. To ensure disposal of hazardous waste in a hygienic way, the Directorate of Health Services will ask private clinics and labs to ensure safe waste management, said director of health of Barisal division. The directorate is also formulating a law and a set of guidelines for clinics, hospitals, diagnostic centers and private practitioners making them responsible for their waste. In the law, there will have a provision for tough punishment for those who will be failed to dispose off their hazardous medical waste in a hygienic way, the health director further said. Dr M Mosaddek Hossain, director of Barisal Shere Bangla Medical College Hospital and Dr. Mizanur Rahman, resident medical officer of Barisal Sadar Hospital, said that due to lack of fund and manpower they failed to operate waste management and disposal systems in other institutions and taking helps from 'Prodipon' for this job. We informed higher authority for allocation of funds to operate scientific waste management systems and plants, but yet not get any result, they added. The Barisal City Corporation will ask all clinics, hospitals and diagnostic centers to dispose off their hazardous waste in a hygienic way and refrain from selling off plastic waste illegally, Jahangir Molla, health and sanitation officer of Barisal City Corporation, said. Awlad Hossain Dilu, ward commissioner in charge of Mayor,said citizen as well as BCC authorities always emphasized on strong monitoring and compulsion of creating proper scientific waste management systems by the health related organizations before giving them license and permission to run their business.