Slide1: HEALTH CARE WASTE MANAGEMENT by: ENGR. REX L. LABADIA


Slide2: Hazards of Health Care Waste Exposure to hazardous health-care waste can result in disease or injury. Hazardous nature of health-care waste: It contains infectious and pathological agents; It is genotoxic; It contains toxic or hazardous chemicals or pharmaceuticals; It is radioactive; It contains sharps.


Slide3: All individuals exposed to hazardous health-care waste are potentially at risk. Medical doctors, nurses, health-care auxiliaries, and hospital maintenance personnel; Patient’s in health-care establishments or receiving home care; Visitors to health-care establishments; Workers in support services allied to health-care establishments, such as laundries, waste handling, and transportation Workers in waste disposal facilities (such as landfills or incinerators), including scavengers. Persons at Risk


Slide4: Public Health Impact of Health Care Waste 1. Impacts of infectious waste & sharps HIV, AIDS Hepatitis B & C Streptococcal bacteraemia & endocarditis 2. Impacts of chemical & pharmaceutical waste Respiratory & dermal diseases 3. Impacts of genotoxic waste Fetal loss 4. Impacts of radioactive waste Carcinogenic


Slide5: A. Definition Health Care Waste includes all the waste generated by health care establishments. Hospital Clinics (medical, veterinary, dental, maternity and lying-in) Laboratories Dialysis Mortuary/autopsy Nursing homes Animal research & testing Blood Banks Research Institutions Drug Manufacturers Educational Institutions


Slide6: B. Categories of Health Care Waste General Waste Pathological Waste Radioactive Waste Chemical Waste Infectious Waste Sharps Pharmaceutical Waste Aerosol and Pressurized Containers


Slide7: HCW Generators: Distribution of Health Care Waste (Average) in Developing Countries (WHO, ) 80% - General Health Care Waste 15% - Pathological & Infectious Waste 1% - Sharps Waste 3% - Chemical or Pharmaceutical Waste Less than 1% - Special Waste (Radioactive or Cytostatic Waste, Pressurized containers, Broken Thermometers, used batteries Metro Manila (ADB 2003) Infectious = .39 kg/bed/day Non-infectious = .34 kg/bed/day


REPUBLIC ACT No. 8749: REPUBLIC ACT No. 8749 “An Act Providing For A Comprehensive Air Pollution Control Policy and For Other Purposes” Sec. 20. “BAN ON INCINERATION” “Incineration is hereby defined as the burning of municipal, bio-medical and hazardous wastes, which process emits poisonous and toxic fumes”


REPUBLIC ACT No. 9003: REPUBLIC ACT No. 9003 “Ecological Solid Waste Management Act of 2003” Section 2(d) “Ensure the proper segregation, collection, transport, storage, treatment and disposal of solid waste through the formulation and adoption of the best environmental practices in ecological waste management excluding incineration”


Slide11: PRESIDENTIAL DECREE 856 (CODE ON SANITATION OF THE PHILIPPINES) “PROVIDING GUIDELINES ON THE IMPLEMENTATION OF WASTE MANAGEMENT IN ALL LOCAL GOVERNMENT UNITS. IT ALSO PROVIDED EMBALMING PROCEDURES AND PROPER CARE OF DISEASE PERSONS PRIOR TO FINAL BURIAL”.


Slide12: REPUBLIC ACT NO. 4226 THE HOSPITAL LICENSURE ACT “REQUIRING THE LICENSURE OF ALL HOSPITALS IN THE PHILIPPINES AND MANDATING THE DOH TO PROVIDE GUIDELINES AND TECHNICAL STANDARDS AS TO PERSONNEL, EQUIPMENT & PHYSICAL FACILITIES FOR HOSPITALS, CLINICS, LYING-INS, AND SIMILAR ESTABLISHMENTS”.


Slide13: HEALTH CARE WASTE MANAGEMENT


Slide14: WASTE SEGREGATION Type of Waste green - biodegradable black - non-bio, non-infectious yellow - infectious orange - nuclear red - sharps


Slide15: 1a. Non-Infectious wet waste; kitchen waste; (left over)


Slide16: 1b. Non-Infectious Dry waste; recyclable paper, cartons, cans , bottles


Slide17: 2. Aerosol and Pressurized Container e.g. Oxygen tank & Aerosol can


Slide18: 3. Infectious Waste


Slide19: NON-BURN TECHNOLOGIES Low-heat Autoclave Microwave High-heat Pyrolysis Chemical Disinfection Ca, MgOH (lime) Na hypochlorite (bleach) Chlorine based


Slide21: 4. Chemical Waste e.g. Discarded Solid & Liquid Chemical


Slide22: 5. Sharp (needles, blades)


Slide23: 6. Pharmaceutical Waste (Expired)


Slide24: 7. Radioactive Waste


Slide25: 8. Pathological Waste (like tissues, organs, etc.)


Slide26: ADMINISTRATIVE REQUIREMENTS: Organization Creation of HEALTCARE WASTE MGT, COMMITTEE Chief of Hospital/HC Facility/Medical Director – Chair Heads of Departments – Housekeeping, Maintenance, Motorpool Infection Control Officer Chief Pharmacist Radiation Officer Senior Nursing Staff HC Facility Engineer Financial Controller Health Educator/Information Officer Waste Management Officer


Slide27: B. Functions of HCWM Committee 1. Policy formalizing commitment 2. Plan formulation 3. Monitoring and Evaluation C. HCWM Plan 1. Assessment of waste generation and HCWM system 2. Design : Generation  segregation  storage  treatment  disposal 3. Training 4. Monitoring and Evaluation ADMINISTRATIVE REQUIREMENTS:


Slide28: OCCUPATIONAL HEALTH AND SAFETY Personal Protective Equipment Personal Hygiene Immunization Safe use of cytotoxic drugs EMERGENCY RESPONSE COMMUNICATION AND TRAINING


Slide29: DREAM big! Focus on the POSITIVE…… There’s always something better !