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Healthcare Waste Report - Environment Health

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CONCLUSION<br />

Evidently, healthcare waste management is a<br />

subject of concern among all developing<br />

member countries of the TWGSHW. Though<br />

some countries are ambitious about taking<br />

healthcare waste management progressively,<br />

they either lack knowledge, strategies,<br />

legislations, budgets or a mix of all. As<br />

mentioned in the earlier sections of this<br />

report, some simple management practices,<br />

presented in this chapter, when directly<br />

replicated with little modification to suit the<br />

local needs, can yield striking results. For<br />

example, the waste segregation at source and<br />

recycling initiatives of Hospital Lam Wah Ee,<br />

Malaysia provides an easily replicable model<br />

for any hospital of similar scale in any Asian<br />

country, given the commonality in waste<br />

composition and generation. Conversely, the<br />

recycling of used syringes in a hospital at<br />

Pakistan turns out to be a red alert for an<br />

inattentive case of healthcare waste disposal.<br />

Technical difficulties in treatment are assumed<br />

to be complicated and deliberated to be the<br />

foremost obstacle in healthcare waste disposal.<br />

Real time examples where changes in<br />

collection and segregation of the waste have<br />

enormously reduced the amount of waste<br />

requiring ultimate treatment. A mere change<br />

in the practice with little or no investment<br />

could eventually result in a significant<br />

reduction in the final treatment cost, for<br />

example the case of hospitals in Europe<br />

provided earlier.<br />

<strong><strong>Health</strong>care</strong> waste management experiences in<br />

India, such as the Biomedical <strong>Waste</strong><br />

Management Rules, biomedical waste<br />

management in the national capital Delhi and<br />

the training programme offered by IGNOU<br />

are all inspiring and open avenues for further<br />

regional collaboration and knowledge<br />

exchange.<br />

Knowing very well, that the developing<br />

TWGSHW member countries are often faced<br />

with budget limitations, guidelines from IFC<br />

have been provided to present a picture of<br />

how investment agencies look at financing<br />

healthcare and healthcare waste management<br />

projects.<br />

In essence, this chapter has been structured to<br />

provide a bird’s eye view of healthcare waste<br />

happenings, not only in the region but across<br />

the world. The spirit of the chapter lies in<br />

understanding the factors that determine<br />

successful healthcare waste management<br />

through the few examples provided and<br />

replicating them in a national/local context<br />

without much reliance on external resources.<br />

CHAPTER 4_GLOBAL EXPERIENCES AND LESSONS TO LEARN<br />

122

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