<strong>Health</strong> care facility<strong>Health</strong> care general waste<strong>Health</strong> care risk wasteIndustrial wasteLabora<strong>to</strong>ry wasteL<strong>and</strong>fill siteMajor genera<strong>to</strong>rMiscellaneous substancesMeans whole or part of a private or public institution, facility, building orplace, whether for profit or not, that is operated or designed <strong>to</strong> provideinpatient or outpatient treatment, diagnostic or therapeutic interventions,nursing, rehabilitation, palliative, convalescent, preventive or other healthcare services.Includes but not limited <strong>to</strong> human <strong>and</strong> ana<strong>to</strong>mical waste, infectious human<strong>and</strong> ana<strong>to</strong>mical waste, sharps, chemical waste, pharmaceutical waste<strong>and</strong> radioactive waste generated by health care professionals, health carefacilities <strong>and</strong> other non health care professionals such as tat<strong>to</strong>oists <strong>and</strong>taxidermists.Refers <strong>to</strong> infectious waste or which is suspected <strong>to</strong> contain pathogens;<strong>and</strong> which normally causes, or significantly contributes <strong>to</strong> the cause ofincreased morbidity or mortality of human beings.Refers <strong>to</strong> waste generated as a result of industrial activities such asmanufacturing, maintenance, fabricating, processing or dismantlingactivities, mining activities or the operation of power stations.Refers <strong>to</strong> human or animal specimen cultures from health care <strong>and</strong>pathological labora<strong>to</strong>ries; cultures <strong>and</strong> s<strong>to</strong>cks of infectious agents fromresearch <strong>and</strong> industrial labora<strong>to</strong>ries; wastes from the production ofbacteria, viruses, or the use of spores, discarded, live <strong>and</strong> attendedvaccines, <strong>and</strong> culture dishes <strong>and</strong> devices used <strong>to</strong> transfer, inoculate <strong>and</strong>mix cultures; <strong>and</strong> waste containing any microbiological specimens sent <strong>to</strong>a labora<strong>to</strong>ry for analysis.Has same meaning as waste disposal facilityMeans a genera<strong>to</strong>r that generates up <strong>to</strong> 20kg per day of health care riskwaste, including the container, calculated monthly as a daily average, butdoes not include domestic genera<strong>to</strong>r.Means substances that maybe difficult <strong>to</strong> classify according <strong>to</strong> definitionsin the SABS Code 0228.Nuisance Means nuisance as defined in the <strong>National</strong> <strong>Health</strong> Act 61 of 2003.Packaging groupMeans the group symbol that indicates the degree of danger/hazard ofthe primary property of a specific substance in accordance withinternationally recognized classifications (SANS 10228).PermittedPharmaceutical wastePathological wasteRadioactive wastemeans permitted by the Department of <strong>Environmental</strong> AffairsRefers <strong>to</strong> pharmaceutical products <strong>and</strong> medical chemicals that are nolonger usable in human or animal treatment, <strong>and</strong> that have becomeoutdated or contaminated or are no longer required; <strong>and</strong>items contaminated with cy<strong>to</strong><strong>to</strong>xic pharmaceuticalsRefers <strong>to</strong> diseased animals or animal parts infected with zoonoticdiseases; human <strong>and</strong> animal tissues, organs, body parts, blood, fluidblood products <strong>and</strong> body fluids; containers or equipment containing bloodthat is fluid or blood from animals known or suspected <strong>to</strong> be infected withany zoonotic disease; <strong>and</strong> human fetuses.means liquid, solid or gaseous materials that contain or contaminated, orare contaminated with, radio nuclidesWaste Means waste as defined in the NEMA Waste Act ..of 2009Subsidiary riskSubstance supplementing the danger risk of another substance asdefined in SANS Code 10228St<strong>and</strong>ardQualitative statements that describe what constitutes acceptable oradequate performance or resources or servicesUnited Nations Number Serial number that consists of four digits <strong>and</strong> that is assigned <strong>to</strong>dangerous goods by the United Nations Committee of Experts on theTransport of Dangerous Goods as defined in SANS Code 10228DOH. <strong>Norms</strong> <strong>and</strong> st<strong>and</strong>ards for environmental health in South Africa Feb 2013 112
BACKGROUNDWaste management is the control of generation, s<strong>to</strong>rage, collection, transfer <strong>and</strong> transport, processing<strong>and</strong> disposal of waste in a manner that is in accordance <strong>to</strong> the best principles of aesthetics, economics,engineering, conservation, public health <strong>and</strong> other environmental considerations (Tchobanoglous, et al,1993). In line with international trends <strong>and</strong> focus on new approaches <strong>to</strong> waste management, wasteminimization is considered <strong>to</strong> be the first element in waste management, before waste generation. At thenational waste summit held in Polokwane in September 2001, the Polokwane Declaration was adopted,which commits South Africa <strong>to</strong> a waste reduction of 50% in the amount of waste l<strong>and</strong>filled by 2012 <strong>and</strong> <strong>to</strong>zero waste by 2022.In 1998, waste generation in South Africa amounted <strong>to</strong> 533 million <strong>to</strong>n per annum (CSIR, 2009). Withrapid urbanization <strong>and</strong> migration that the South Africa is experiencing, more <strong>and</strong> more waste will begenerated if there is no effective <strong>and</strong> efficient management of waste. Poor waste management can resultin adverse effects such as infestation of pests, spread of diseases, l<strong>and</strong>, air <strong>and</strong> water pollution, <strong>and</strong>injuries <strong>to</strong> the health of the public <strong>and</strong> the environment. In terms of section 24 of the Constitution of RSA,“everyone has a right <strong>to</strong> an environment that is not harmful <strong>to</strong> their health or well-being; <strong>and</strong> <strong>to</strong> have theenvironment protected, for the benefit of present <strong>and</strong> future generations, through reasonable legislative<strong>and</strong> other measures”.There are different role players in the management of waste, <strong>and</strong> that include, national, provincial <strong>and</strong>local governments, recycling companies, NGOs interested in waste management, conservation <strong>and</strong> theenvironment, as well as the community. Waste management is also an environmental health function asdefined in the <strong>National</strong> <strong>Health</strong> Act 61 of 2003. as a municipal health service. The scope of profession forenvironmental health, promulgated under the Professions Act, 1974 Act 56 of 1974 advocates for thefollowing environmental health activities with respect <strong>to</strong> waste management:a) Ensuring proper effuse s<strong>to</strong>rage, collection, transportation, transfer <strong>and</strong> processing, materials recovery<strong>and</strong> final disposal;b) Ensuring proper management of liquid waste including sewage <strong>and</strong> industrial effluents;c) Sampling <strong>and</strong> analyzing waste or waste products such as sewage or refuse;d) Investigating <strong>and</strong> inspecting any activity <strong>relating</strong> <strong>to</strong> the waste stream or any product resulting therefrom;e) Advocating proper sanitation;f) Controlling the h<strong>and</strong>ling <strong>and</strong> disposal of diseased animal tissue;g) Ensuring safe usage of treated sewage sludge <strong>and</strong> ensuring that reclaimed waste is safe for health;h) Ensuring waste management including auditing waste management systems <strong>and</strong> adherence <strong>to</strong> the‘cradle <strong>to</strong> grave’ approach.In terms of section 21 of the <strong>National</strong> <strong>Health</strong> Act, 2003, Act 61 of 2003, it is the function of the nationaldepartment of health Direc<strong>to</strong>r General, <strong>to</strong> issue <strong>and</strong> promote adherence <strong>to</strong>, norms <strong>and</strong> st<strong>and</strong>ards onhealth matters, including; environmental health conditions that constitute a health hazard. Therefore, thisset of norms <strong>and</strong> st<strong>and</strong>ards for waste management are hereby developed in fulfillment of the mentionedlegislative m<strong>and</strong>ate.The purpose of the waste norms <strong>and</strong> st<strong>and</strong>ards are <strong>to</strong>:a) Protect the health of the public <strong>and</strong> the environment <strong>and</strong> ecological degradation;b) Provide reasonable waste management system’s measures that should be controlled <strong>and</strong> moni<strong>to</strong>redby <strong>Environmental</strong> <strong>Health</strong> Practitioners;c) Promote the reduce, reuse, recycling <strong>and</strong> recovery of waste; <strong>and</strong>d) Promote <strong>and</strong> ensure effective management of waste from ‘cradle <strong>to</strong> grave’.2. SCOPE OF APPLICABILITYThis set of norms <strong>and</strong> st<strong>and</strong>ards applies <strong>to</strong>• Waste genera<strong>to</strong>rs;• Waste h<strong>and</strong>lers;• Waste collec<strong>to</strong>rs;• Waste transporters; <strong>and</strong>DOH. <strong>Norms</strong> <strong>and</strong> st<strong>and</strong>ards for environmental health in South Africa Feb 2013 113
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No. 36849 GOVERNMENT GAZETTE, 20 SE
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AcknowledgementsDrafting Team (Nati
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Preamble by Director-GeneralThe Nat
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POLICY AND LEGISLATIVE FRAMEWORKThe
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1. Introduction1.1 Policy contextOn
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5. Monitoring and enforcing complia
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BACKGROUNDHealth surveillance of pr
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h) Adequate and potable water avail
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a) Entrance and exit control must b
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• Storage of unsafe, toxic, dange
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(i) For children between 0-24 month
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• The health certificate holder,
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a) Separate storage facilities must
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2.4 Inspections should include an a
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g) Adequate facilities must be prov
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d) Corridors must be at least 1.8m
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1. NORMS1.1 Schools to be operated
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• A cardiopulmonary mouthpiece pr
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a) All circumcisions must be conduc
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) Toilets, wash hand basins and bat
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h) A daily record must be kept on t
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t) A separate room or area with sep
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h) An adequate number of purpose-ma
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c) Health care facilities should ha
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a) All facilities used in connectio
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1.1 The premises operated under a v
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5. Environmental health should cond
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d) The use of non-waterborne sanita
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