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Healthcare Waste Report - Environment Health

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Points to Ponder for Safe <strong><strong>Health</strong>care</strong> <strong>Waste</strong> Disposal<br />

Design & Construction<br />

Are there facilities in place for segregating healthcare waste at the point of generation?<br />

Are there sufficient waste containers of the right sort and design in the right places?<br />

Are there appropriate treatment and disposal facilities in place for the quantity and nature of<br />

healthcare waste produced?<br />

Is there a specific wastedisposal zone with the necessary features?<br />

Operation & Maintenance<br />

Are the segregation facilities used effectively?<br />

Are waste containers emptied, cleaned and replaced or disposed of frequently?<br />

Are the treatment and disposal facilities correctly operated and maintained?<br />

Are waste-related injuries along the waste management chain correctly reported and acted on?<br />

Is the wastedisposal zone operated so as to prevent contamination?<br />

Source: WHO, 2008a<br />

Reuse potential<br />

In most of the developing countries, the sale<br />

of used sharps and plastics is profitable.<br />

Hence, there is a potential for illegal reuse of<br />

used sharps which cause a risk to the entire<br />

community.<br />

Unfortunately, the most of the economically<br />

developing countries experience a mixture of<br />

constraints to manage the healthcare waste<br />

satisfactorily. Usually, few individuals of the<br />

healthcare facilities are familiar with the<br />

procedures required for appropriate waste<br />

management. Hence, it is the responsibility of<br />

national governments to develop a framework<br />

for the controlled disposal of healthcare waste<br />

and to ensure that healthcare centers share the<br />

responsibility to manage wastes appropriately.<br />

This requires a national strategy involving the<br />

concerned ministry and other stakeholders.<br />

Further, creating national action plans,<br />

developing national healthcare waste<br />

management guidelines and building capacity<br />

at the national level are important activities<br />

which can help to minimize risks posed by<br />

healthcare waste to the environment and<br />

public.<br />

CHAPTER 1_INTRODUCTION<br />

FOCUS OF THE REPORT<br />

In developing Asian countries, the importance<br />

and urgency for action on healthcare waste<br />

management has not been duly recognized.<br />

<strong><strong>Health</strong>care</strong> waste is yet another waste stream<br />

and has to be advocated for attention among<br />

various other pressing issues.<br />

In this context, the primary objective of this<br />

report is to present and discuss the current<br />

situation of healthcare waste management in<br />

the TWGSHW member countries. A parallel<br />

objective of the report is to understand both<br />

sides of the issue and to bring to limelight the<br />

good practices and banish the bad practices.<br />

Finally the report places evidence-based<br />

recommendations for the betterment of<br />

healthcare waste management, not only in the<br />

member countries of the TWGSHW but in a<br />

regional context.<br />

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