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Healthcare Waste Report - Environment Health

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CAMBODIA 1<br />

MANAGEMENT OF<br />

HEALTHCARE WASTE<br />

<strong>Waste</strong> generated by healthcare<br />

institutions is broadly classified into<br />

two categories:<br />

• General waste (non-hazardous<br />

waste)<br />

• Medical waste (hazardous waste).<br />

Medical waste is further classified into<br />

infectious waste, pathological waste,<br />

sharps, pharmaceutical waste,<br />

genotoxic waste, chemical waste,<br />

pressurized containers and radioactive<br />

waste as shown in the Figure on the<br />

right.<br />

A study on healthcare waste<br />

management was conducted by the<br />

Cambodia <strong>Environment</strong> Association during<br />

April-May 2003. Supported by the Japan<br />

International Cooperation Agency (JICA), the<br />

survey was conducted in 41 medical<br />

institutions in Phnom Penh covering four<br />

major categories of healthcare institutions<br />

including 12 hospitals, 14 polyclinics, 9 clinics,<br />

and 6 health centers.<br />

This study estimates a total healthcare waste<br />

generation of about 306 kg/day. Table (right)<br />

presents waste generation rates for the<br />

different types of healthcare facilities studied.<br />

CHAPTER 3_COUNTRY ANALYSIS<br />

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

Pathological<br />

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

Infectious<br />

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

Radioactive<br />

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

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

Pressurized<br />

container<br />

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

Type of healthcare<br />

facilities<br />

Chemical<br />

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

Sharps<br />

Pharmaceutical<br />

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

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

Number<br />

of bed<br />

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

waste<br />

generated<br />

(kg/day)<br />

Hospital 2,593 259<br />

Polyclinic 329 16<br />

Clinic 100 6<br />

<strong><strong>Health</strong>care</strong> Centre 92 25<br />

Total 3,114 306<br />

20

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