National Norms and Standards relating to Environmental Health

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ContentsPageAcknowledgements 3Foreword by Minister of Health 4Preamble by Director-General 5Acronyms/abbreviations 6Policy and legislative context 7Defining terms 81. Introduction 91.1 Policy context 91.2 Legal context 92. Purpose of the norms and standards 103. Background and structure 104. The use of the norms and standards 105. Monitoring and enforcement 116. Chapter 1: Health surveillance of premises 127. Chapter 2: Port Health 788. Chapter 3: Health related water quality monitoring 899. Chapter 4: Waste management( General, Hazardousand health care risk waste) 11010. Chapter 5: Hazardous substances and chemicals management 135References 140Appendixes 142Appendix 1: A framework for designing water quality monitoring programmeAppendix 2: List of water related diseases most common in the Southern African regionDOH. Norms and standards for environmental health in South Africa Feb 2013 2
AcknowledgementsDrafting Team (National Department of Health)Aneliswa CeleBelinda MakhafolaMurdock RamathubaRamsook LoykisoonlalFlavia masekwamengPam NkabindeConsultative technical inputs (Water Quality Monitoring)Ms SL MudauMs J BurgessMr M AgenbagEthekwini Metropolitan MunicipalityNational Department of HealthNational Department of HealthNational Department of HealthNational Department of HealthNational Department of HealthNational Department of HealthTshwane University of Technology (TUT)Water Research Commission (WRC)Joe Qabe District MunicipalityWater Quality TeamConsultative technical inputs (health surveillance of premises)Poovendhree ReddyNelson Mandela Metropolitan UniversityDr JL BekkerTransvaal university of TechnologyEnvironmental Health Services Joe Qabe District MunicipalityEnvironmental Health ServicesEastern Cape Department of HealthDOH. Norms and standards for environmental health in South Africa Feb 2013 3
Page 1: No. 36849 GOVERNMENT GAZETTE, 20 SE
Page 5 and 6: Preamble by Director-GeneralThe Nat
Page 7 and 8: POLICY AND LEGISLATIVE FRAMEWORKThe
Page 9 and 10: 1. Introduction1.1 Policy contextOn
Page 11 and 12: 5. Monitoring and enforcing complia
Page 13 and 14: BACKGROUNDHealth surveillance of pr
Page 15 and 16: h) Adequate and potable water avail
Page 17 and 18: a) Entrance and exit control must b
Page 19 and 20: • Storage of unsafe, toxic, dange
Page 21 and 22: (i) For children between 0-24 month
Page 23 and 24: • The health certificate holder,
Page 25 and 26: a) Separate storage facilities must
Page 27 and 28: 2.4 Inspections should include an a
Page 29 and 30: g) Adequate facilities must be prov
Page 31 and 32: d) Corridors must be at least 1.8m
Page 33 and 34: 1. NORMS1.1 Schools to be operated
Page 35 and 36: • A cardiopulmonary mouthpiece pr
Page 37 and 38: a) All circumcisions must be conduc
Page 39 and 40: ) Toilets, wash hand basins and bat
Page 41 and 42: • Liquid soap;• First aid instr
Page 43 and 44: h) A daily record must be kept on t
Page 45 and 46: t) A separate room or area with sep
Page 47 and 48: h) An adequate number of purpose-ma
Page 49 and 50: c) Health care facilities should ha
Page 51 and 52: a) All facilities used in connectio
Page 53 and 54:
5. General hygiene requirementsa) T
Page 55 and 56:
1.1 The premises operated under a v
Page 57 and 58:
5. Environmental health should cond
Page 59 and 60:
d) The use of non-waterborne sanita
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so many kgs of manure is produced p
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a) On any residential premises, onl
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n) A rodent-proof storeroom must be
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d) Pets must be vaccinated against
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1.3 The premises in compliance with
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2.1 Environmental health inspection
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2.1 Environmental health inspection
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1) Responsibility of management1.1.
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that all possible health impacts of
Page 79 and 80:
BACKGROUNDThe Scope of Profession o
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a) An Integrated Disease Surveillan
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a) All food onboard must be stored
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3. Waste managementa) The managemen
Page 87 and 88:
c) Documents outlining prevention,
Page 89 and 90:
Chapter 3HEALTH RELATED WATER QUALI
Page 91 and 92:
d) The catchment (rivers, treatment
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f) Ensuring monitoring of effective
Page 95 and 96:
SECTION 4:WATER QUALITY MONITORING
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water world etc)1. In the event of
Page 99 and 100:
Step 2: if water is obtained from t
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• Of the time frame, if any, with
Page 103 and 104:
3. Household grey-water (generated
Page 105 and 106:
SECTION 14:MONITORING OF DRINKING W
Page 107 and 108:
contamination (e.g. from birds and
Page 109 and 110:
SECTION 21: COMPLIANCE ENFORCEMENT6
Page 111 and 112:
DEFINITION OF APPLICABLE TERMSThe f
Page 113 and 114:
BACKGROUNDWaste management is the c
Page 115 and 116:
• Provides municipal health servi
Page 117 and 118:
a) The premises used for recycling
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SECTION 4: COLLECTION OF GENERAL WA
Page 121 and 122:
SECTION 7: CLASSIFICATION, PACKAGIN
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• The spillage area shall be mark
Page 125 and 126:
• Elbow length heavy duty gloves,
Page 127 and 128:
anatomical waste anatomical • Hav
Page 129 and 130:
• Waste oxidizing substances and
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Sharps container 90 days Cool room
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Relationships between transboundary
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Chapter 5HAZARDOUS SUBSTANCES AND C
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3. The premises used in connection
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d) In addition, all hazardous subst
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4. Guidelines for Drinking Water Qu
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for conducting monitoring.7. Analyz
Page 145 and 146:
Bacterial infectionsCholeraCampylob
Page 147:
paralytic aspeticmeningitis. The re
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National Norms and Standards relating to Environmental Health

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