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Healthcare Waste Report - Environment Health

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Collection, Storage and<br />

Transportation<br />

top, above and right: Containers for<br />

healthcare waste collection<br />

The same study indicates that about 37<br />

institutions separate their medical waste from<br />

the general waste while the remaining four do<br />

not. Few medical institutions use a standard<br />

system with containers or colored bags with<br />

labels, and different types of labeled<br />

containers, while many use other types, such<br />

as, plastic water bottles, plastic bags, etc. Daily<br />

in-house collection of waste is reported to be<br />

carried out in nearly 83% of the medical<br />

institutions. Two medical institutions in<br />

Phnom Penh City collect their medical wastes<br />

more than once per day by a private waste<br />

collecting company and transport them to a<br />

final disposal site.<br />

In-house collection system is carried out daily<br />

adopting a system implemented by the<br />

medical institutions themselves. <strong>Waste</strong>s at the<br />

origin are mostly collected in small plastic<br />

color coded bins marked with the respective<br />

symbols. Workers collect daily primary bins or<br />

containers of medical waste, which is mixed<br />

with other solid wastes to store them in<br />

medium-sized containers or in the places<br />

within the premises of the facilities. Some of<br />

the primary bins or containers used for<br />

general and medical wastes have not been<br />

labeled and covered or locked. Figure above<br />

shows the commonly used containers for<br />

collection of healthcare waste in the studied<br />

Cambodian hospitals.<br />

Large hospitals and health centers generally<br />

have dedicated places for the storage of wastes<br />

while polyclinics and clinics use containers.<br />

<strong>Waste</strong> storage yards are generally open and<br />

prone to storm water runoff during rains. The<br />

study reports that only two hospitals had cold<br />

room facilities to store pathological waste. A<br />

private waste collecting company is authorized<br />

to collect solid waste in Phnom Penh City.<br />

This company has been contracted by 40<br />

medical institutions to collect their wastes and<br />

transport them to the final disposal site, while<br />

one hospital utilizes the service of Phnom<br />

Penh <strong>Waste</strong> Management (PPWM).<br />

21 HEALTHCARE WASTE IN ASIA: INTUITIONS & INSIGHTS

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