May 1, 2008
9:30 a.m. - 4:30 p.m. Video of workshop would be available shortly. Presenters
Dr. Lahbib Chibani, PhD Civil/Environmental Engineering, Senior Vice President, Sadat International
Dr. Jorge Emmanuel, PhD Chemical Engineering, President EERG Introduction and Opening Remarks
Sandra Cointreau, Solid Waste Management Advisor, World Bank Urban Anchor
Allan Rotman, Lead Technical Specialist, World Bank Institute Sharps, cultures, stocks, pharmaceuticals, spent X-rays, chemotherapy materials, blood, bandaging, body parts, food and other materials that were used with patients in high-infection condition. How are they segregated, handled, stored, treated and disposed. This workshop provided an overview of the waste challenges presented and approaches considered best available practice. Within the World Bank, some projects have addressed national policy reform on health care waste management, and others that have helped health care facilities join together to enable economies-of-scale and technical capacity sufficient to provide safe segregation and treatment. With adequate regulation, a budget line for public hospitals that ear-marks waste management, and a commitment to address the issue, the management systems are clear and straightforward for easy replication. The materials presented herein provide a list of steps that any city and country can follow in improving their management of health care wastes.
Health care waste management is an important safeguards issue on many types of Bank projects. For new sanitary landfills, which normally would not accept the infectious or hazardous health care wastes, resolving the management of these wastes needs consideration. For HIV/AIDS projects and others controlling infectious disease outbreaks, the management of disposable syringe needles is a significant issue. Malaria projects include packaging from the pesticide infused bed nets. For HPAI bird flu containment projects that also improve laboratory capacity for testing and monitoring, disposal of cultures is a safeguards issue. If any of the outbreak projects were to include human cases, projects would have the added issue of how to contain the wastes from the infectious disease ward handling these patients.
Presentations
Overview of Health Care Waste Management
Topic 1: Roles and Responsibilities
Topic 2: Technical Guidelines, Characteristics, Regulations
Topic 3: Collection, Segregation, Transport, Treatment and Disposal Methods
Topic 4: Handling, Sanitary Protection, Sanitary and Safety Measures (for medical staff and individuals in contact with medical waste), Public Awareness
Topic 5: Rapid Assessment
Topic 6: Costing Tool
Background material
Rapid Assessment Tool
Expanded Costing Analysis Tool (ECAT) Aside from the basic guidance presented above, the consultants have recommended the following links be reviewed for more detailed information: WHO fact sheet on health care waste management, and direction to detailed WHO guidance:
http://www.who.int/mediacentre/factsheets/fs281/en/
WHO Policy Paper on “Safe health care waste management”, August 2004:
http://www.who.int/water_sanitation_health/medicalwaste/hcwmpolicy/en/
WHO core principles for achieving safe and sustainable management of health-care waste, October 2007:
http://www.who.int/water_sanitation_health/medicalwaste/hcwprinciples/en/index.html/
WHO Better Health Care Waste Management. An Integral Component of Health Investment
EMRO Nonserial Publication. Rushbrook, P., Zghondi, R.
Hard cover web link:
http://www.who.int/bookorders/anglais/detart1.jsp?sesslan=1&codlan=1&codcol=46&codcch=31
Soft electronic web link:
http://www.who.int/water_sanitation_health/medicalwaste/betterhcwm/en/index.html
French version:
http://www.who.int/water_sanitation_health/medicalwaste/betterhcwmfr/fr/
Guidelines on best available techniques and provisional guidance on best environmental practices, to be posted on the Stockholm Convention website:
http://www.pops.int/
Reference document on the best available techniques for waste incineration: BAT reference document (BREF), European Commission, 2008; available in the European IPCC Bureau website:
http://www.eippcb.jrc.es/pages/FActivities.htm/
Global Inventory of Alternative Treatment Technologies (2007), “Non-Incineration Medical Waste Treatment Technologies” (2001) and “Non-Incineration Medical Waste Treatment Technologies in Europe”(2004), HCWH, available in:
http://www.noharm.org/
GEF Medical Waste Project:
http://www.gefmedwaste.org/
“Assessment of Small-Scale Incinerators for Health Care Waste,” 21 January 2004:
http://uqconnect.net/signfiles/Files/WHOIncinerationReportFeb2004.pdf/ |
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