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Healthcare Waste Report - Environment Health

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MYANMAR 8<br />

MANAGEMENT OF<br />

HEALTHCARE WASTE<br />

<strong><strong>Health</strong>care</strong> wastes are unique forms of solid<br />

and liquid wastes generated in the diagnosis,<br />

treatment, prevention or research, of human<br />

and animal disease. Every year large amounts<br />

of hazardous wastes are produced by<br />

hospitals, clinics, dispensaries, private medical<br />

and dental clinics research and veterinary<br />

facilities. <strong><strong>Health</strong>care</strong> waste in Myanmar is<br />

classified as: general (non-hazardous) wastes,<br />

infectious (non-sharp) wastes, sharps, clinical<br />

and pharmaceutical wastes, and hazardous<br />

wastes, such as, cytotoxic drugs, radioactive<br />

substances, and pressurized containers as<br />

shown in Figure below.<br />

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

Pharmaceutical<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><br />

Cytotoxic<br />

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

Infectious<br />

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

Pressurized<br />

container<br />

General<br />

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

Pathological<br />

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

CHAPTER 3_COUNTRY ANALYSIS<br />

A study conducted in Yangon City on the solid<br />

waste generation, collection and disposal by<br />

Yangon City Development Council (YCDC)<br />

has revealed that the healthcare waste forms<br />

about 8% of the total waste. Based on<br />

informal interviews with the staff and site<br />

visits of the consultants and professionals, it is<br />

noted that the total generation rate of solid<br />

waste in Yangon is about 2,200 ton/day of<br />

which healthcare waste may be about 176<br />

tons/day (YCDC, 2001).<br />

<strong>Waste</strong> generated from hospitals includes both<br />

liquid and solid wastes. The liquid waste<br />

contains specimen of blood, pus, sputum,<br />

urine, stool, biopsy material and other body<br />

fluids. The solid waste contains plastic, glass,<br />

organics, dressings, cotton, wrapping, empty<br />

glass vials etc. Ironically, the general waste also<br />

includes disposable syringes, intravenous drip<br />

sets, catheter, connectors, infusion tubes,<br />

plastic accessories, urine bags, blood bags,<br />

organic waste, and paper waste etc. The nonrecyclable<br />

waste includes infected dressings,<br />

blood/pus stained dressings, laundry waste,<br />

and amputations etc.<br />

The current situation of healthcare waste<br />

management system in Yangoon General<br />

Hospital was established in 1899, over 100<br />

years back. The General Administrative<br />

Department of Yangon General Hospital has<br />

to deal with healthcare waste generated by<br />

each ward. Nearly 0.66 tons of both infectious<br />

and non-infectious wastes are collected every<br />

day of which infectious waste is about 0.44<br />

tons and is incinerated. Sharps waste accounts<br />

for 0.22 tons and is mostly dumped or deep<br />

buried.<br />

66

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