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Healthcare Waste Report - Environment Health

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Classification of <strong><strong>Health</strong>care</strong> <strong>Waste</strong><br />

General<br />

<strong>Waste</strong><br />

Infectious<br />

<strong>Waste</strong><br />

Chemical<br />

<strong>Waste</strong><br />

Sharps<br />

<strong><strong>Health</strong>care</strong> <strong>Waste</strong><br />

Clinical <strong>Waste</strong><br />

Clinical <strong>Waste</strong><br />

Radioactive<br />

<strong>Waste</strong><br />

<strong><strong>Health</strong>care</strong> <strong>Waste</strong> Generation<br />

Type of hospital<br />

Central General<br />

Hospital<br />

Provincial General<br />

Hospital<br />

Provincial<br />

Specialty Hospital<br />

Compressed<br />

Containers<br />

Anatomical<br />

<strong>Waste</strong><br />

Pharmaceutical<br />

<strong>Waste</strong><br />

Average number<br />

of bed<br />

Rate of general<br />

waste (kg/bed/day)<br />

Figure (left) presents the classification of<br />

healthcare waste.<br />

A secondary estimate indicates that about<br />

60,000 tons per annum of healthcare waste<br />

are generated in Vietnam. The main sources<br />

of hospital waste generation are from medical<br />

examination and treatment, domestic wastes<br />

generated by patients, their relatives and<br />

medical personnel, and common activities in<br />

hospitals such as kitchen wastes and garden<br />

wastes etc.Table below presents some of the<br />

results obtained during a survey for the<br />

National Master Plan on <strong><strong>Health</strong>care</strong> Solid<br />

<strong>Waste</strong> Management in 2002. The Table<br />

presents the average generation of healthcare<br />

solid waste in the various categories of<br />

hospitals.<br />

The daily generation of hazardous waste from<br />

hospitals is estimated at about 50 – 75 tons<br />

comprising about 22% of healthcare waste.<br />

The average bulk density of the healthcare<br />

waste is 150 kg/m 3 with water content of<br />

almost 40% and calorific value of 2150 kcal/<br />

kg. The healthcare waste composition from<br />

different regions in Vietnam as in 1988 is<br />

shown in Figure (top right).<br />

Hazardous<br />

healthcare waste<br />

(kg/day)<br />

95 HEALTHCARE WASTE IN ASIA: INTUITIONS & INSIGHTS<br />

Rate of hazardous<br />

healthcare solid<br />

waste (kg/bed/day)<br />

600 0.85-1 175 0.3<br />

325 0.7-1 85 0.25<br />

125 0.8-0.95 25 0.15-0.25<br />

District Hospital 75 0.6-0.85 15 0.15<br />

Branch Hospital 65 0.6-0.85 5 0.15<br />

Policlinic 5 0.7-0.9

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