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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 />

26

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