STATUS OF BIOMEDICAL AND HEALTHCARE FACILITY WASTE BUTI MATHEBULA DEAT 12/28/2018
INTRODUCTION DISPOSAL INCINERATION MANAGEMENT BY GENERATORS ILLEGAL DUMPING SLAVENGERS RECYCLERS PUBLIC SECURITY AND ORDER INCINERATION SECONDARY POLLUTION HUMAN HEALTH ENVIRONMENT MANAGEMENT BY GENERATORS 12/28/2018
BIOMEDICAL AND HEALTH CARE WASTE Healthcare: Medical activities such as diagnosis, monitoring, treatment, prevention of disease or alleviation of handicap in humans or animals, including related research, performed under the supervision of a medical practitioner or veterinary surgeon or another person authorised by virtue of their professional qualifications 12/28/2018
BIOMEDICAL & HCW Biomedical and Healthcare Waste: The solid or liquid waste arising from healthcare (including collected gaseous waste). Hazardous Healthcare Waste: Infectious healthcare waste Chemical, toxic or pharmaceutical waste including cytotoxic drugs (antineoplastics) Sharps (e.g. needles, scalpels) Radioactive waste Other hazardous waste 12/28/2018
BIOMEDICAL & HCW Infectious Healthcare Waste: Discarded materials or equipment contaminated with blood and its derivatives, other body fluids or excreta from infected patients with hazardous communicable diseases Contaminated waste from patients known to have blood borne infections undergoing haemodialysis Laboratory waste incl. dishes and devices used to transfer, inoculate and mix cultures of infectious agents and infected animals from laboratories). 12/28/2018
INFECTIOUS Biological Healthcare Waste: Sharps: All body parts and other anatomical waste including blood and biological fluids and pathological waste that are recognisable by the public or the healthcare staff and that demand, for ethical reasons, special disposal requirements. Sharps: All biomedical and healthcare waste with sharps or pointed parts able to cause an injury or an invasion of the skin barrier in the human body. Sharps from infected patients with hazardous communicable diseases, isolated wards, or other pointed parts contaminated with above mentioned laboratory waste must be categorised as infectious waste. 12/28/2018
TYPES OF HAZARDS HAZARD CHARECTARISTICS CAN HAVE THE FOLLOWING PROPERTIES: it contains infectious agents, incl. contaminated sharps; it is cyto or genotoxic; it contains toxic or hazardous chemicals or pharmaceuticals; it is radioactive; contains sharps. 12/28/2018
PERSONS AT RISK The main groups at risk are the following: Doctors, nurses, ambulance staff and hospital sweepers; Patients in healthcare establishments or under home care; Workers in support services to healthcare establishments, such as laundries, waste handling and transportation, and waste disposal facilities including incinerators; other persons separating and recovering materials from waste. Inappropriate and/or inadvertent end users such as slavengers and customers in Secondary markets for re-use Home care including home dialysis, 12/28/2018
HAZARDS INFECTIUOS WASTE SHARPS CHEMICALS PHARMACEUTICAL WASTE CYTOTOXIC WASTE RADIO ACTIVE WASTE 12/28/2018
SOURCE IDENTIFICATION LARGE SOURCES University hospitals and clinics General hospitals Maternity hospitals and clinics Abbotoirs 12/28/2018
MEDIUM SOURCE Medical centres Medical laboratories Out-patient clinics Medical research facilities Mortuary/autopsy facilities Animal hospitals Farm and equine centres Blood banks and transfusion centres Hospices & Emergency services Abortion clinics 12/28/2018
SMALL SOURCES General medical practitioners Tattooists & Convalescent homes Acupuncturists Nursing and remedial homes Veterinary Practitioners Medical consulting rooms Pharmacies & Dental Practitioners Cosmetic piercers Animal boarding and hunt kennels Zoo, safari parks, … 12/28/2018
PROBLEMS IDENTIFIED generation and minimisation; source separation and segregation; identification and classification; handling and storage; packaging and labelling transportation inside and outside of healthcare establishments; treatment; disposal of residues (including emissions); 12/28/2018
PROBLEMS IDENTIFIED occupational health and safety; public and environmental health; stakeholder and community awareness and education; research and development into improved technologies and environmentally friendly practices. 12/28/2018
SA SITUATION HEALTH CARE FACILITY INCINERATION TREATMENT/NO TREATMENT DISPOSAL 12/28/2018
SOLUTIONS legislatory framework Regulatory framework Standards and norms APPA review Regulatory framework Health Act ECA Manifest System Co-governance & Bilaterals 12/28/2018
EXPECTATIONS DEAT DoH STANDARDS AND NORMS MINIMISATION SORTING CAPACITY BUILDING STORAGE AND TRANSPORTATION PACKGING AND LABELLING RECYCLING TREATMENT OPTIONS 12/28/2018
EXPECTATIONS DoH NDA DoL DoT DTI CAPACITY BUILDING AND TRAINING REGISTRATION OF GENERATORS WASTE MANAGEMENT AUDITS NDA DoL DoT DTI 12/28/2018
WAY FOWARD DEAT &DoH PILOT PROJECTS Desk top study Existing treatment options Assesment of management techniques Waste audits Registration mechanism of generators Capacity building needs Treatment options Product substitution Product stewardship 12/28/2018
CONCLUSIONS NP NW/MPU EC Constraints Thank You Manpower Budget(Estimated at R3m) for entire pilot project country wide Thank You 12/28/2018