Healthcare Waste Report - Environment Health
Healthcare Waste Report - Environment Health
Healthcare Waste Report - Environment Health
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CHINA 2<br />
MANAGEMENT OF<br />
HEALTHCARE WASTE<br />
<strong><strong>Health</strong>care</strong> waste in China, according to the<br />
Regulations on the Management of Medical<br />
<strong>Waste</strong>, are those waste generated during<br />
medical treatment, disease prevention, health<br />
protection and other related activities in<br />
healthcare institutions, which are directly or<br />
indirectly infectious, toxic and harmful.<br />
<strong><strong>Health</strong>care</strong> waste in China is divided into five<br />
broad categories: infectious waste, pathological<br />
waste, sharps, pharmaceutical waste and<br />
chemical waste as presented in the Figure<br />
below.<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 />
Chemical<br />
<strong>Waste</strong><br />
<strong><strong>Health</strong>care</strong> <strong>Waste</strong><br />
Sharps<br />
Pharmaceutical<br />
<strong>Waste</strong><br />
CHAPTER 3_COUNTRY ANALYSIS<br />
Composition of <strong><strong>Health</strong>care</strong><br />
<strong>Waste</strong> in Dongguan City<br />
Glassware<br />
18%<br />
Food Residues<br />
10%<br />
Others<br />
18%<br />
Infectious waste<br />
2%<br />
Dressing<br />
12%<br />
Sludge of wastewater treatment<br />
6%<br />
Disposables<br />
23%<br />
Laboratory <strong>Waste</strong><br />
6%<br />
Surgery <strong>Waste</strong><br />
5%<br />
A study by World <strong>Health</strong> Organization<br />
(WHO) estimates a waste generation rate of<br />
about 1.8-2.2kg/bed in which about 80%<br />
waste is comparable to non-risk, general<br />
domestic waste and about 20% (or 0.36-<br />
0.44kg/bed) is healthcare waste requiring<br />
special attention. Another survey made by<br />
State <strong>Environment</strong>al Protection<br />
Administration (SEPA) for a project titled<br />
“<strong>Environment</strong>ally Sustainable Management<br />
of Medical <strong>Waste</strong>s in China” indicates a<br />
healthcare waste generation rate of 0.37kg/<br />
bed in 2005, very close to the result reported<br />
by the WHO. The same report (UNIDO,<br />
2007) indicates that the Eastern part of China<br />
has the highest level of healthcare waste<br />
generation approximately 0.50kg, while the<br />
Centre has a moderate level of 0.3kg and the<br />
West with the lowest of 0.29kg, indicating the<br />
relationship with the economic development<br />
level of the regions. The composition of<br />
healthcare waste varies regionally. Figure<br />
above shows the composition of HCW in<br />
Dongguan City from the result of a survey<br />
conducted from 2000 to 2002. Disposables<br />
mentioned in the above Figure refer to<br />
abandoned items like syringes.<br />
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