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A Gap Analysis in Selected Asian Countries, 3R Knowledge Hub ...

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100<br />

<strong>3R</strong> <strong>Gap</strong> <strong>Analysis</strong> and F<strong>in</strong>d<strong>in</strong>gs<br />

MSW composition <strong>in</strong> the Philipp<strong>in</strong>es<br />

Source: www.3rkh.net<br />

HEALTHCARE WASTE<br />

Hospitals generate about 10,000 tons of<br />

healthcare waste annually. There are about 3,670<br />

health care facilities <strong>in</strong> Metro Manila alone.<br />

Based on the recent surveys conducted, it is<br />

estimated that these healthcare facilities<br />

generate about 47 tons of waste per day. Given<br />

the current level of segregation, about 27 tons<br />

per day (about 56%), is considered <strong>in</strong>fectious or<br />

potentially <strong>in</strong>fectious.<br />

Of the 18 hospitals and cl<strong>in</strong>ics surveyed under a<br />

study by ADB, all of them are separat<strong>in</strong>g sharps<br />

such as syr<strong>in</strong>ges, scalpels and similar items,<br />

from the rest of the wastes. The syr<strong>in</strong>ges are<br />

usually placed <strong>in</strong> plastic conta<strong>in</strong>ers designed to<br />

hold sharps (safety boxes) or <strong>in</strong> other conta<strong>in</strong>ers<br />

such as hard plastic bottles, cans or plastic<br />

gallon conta<strong>in</strong>ers l<strong>in</strong>ed with plastic bags. Most<br />

of the sharps are given to a private contractor<br />

for treatment and disposal. The rest is buried at<br />

the site, disposed, <strong>in</strong>c<strong>in</strong>erated, or burned <strong>in</strong><br />

improvised combustion units.<br />

Healthcare Waste Generation <strong>in</strong> Metro Manila<br />

Type of Facility<br />

Accredited Hospitals<br />

Government<br />

Private<br />

Health Centers<br />

Medical Cl<strong>in</strong>ics<br />

Dental Cl<strong>in</strong>ics<br />

Veter<strong>in</strong>ary Cl<strong>in</strong>ics<br />

Pharmaceutical Labs<br />

Blood Banks<br />

Funeral Parlors<br />

Medical Schools<br />

Research Institutions<br />

Source: www.3rkh.net<br />

Non-<strong>in</strong>fectious<br />

Waste (kg/day)<br />

5,971<br />

3,996<br />

802<br />

2,580<br />

5,880<br />

372<br />

5,772<br />

204<br />

1,176<br />

132<br />

48<br />

Dis<strong>in</strong>fection of <strong>in</strong>fectious waste<br />

is carried-out <strong>in</strong> about 80% of the<br />

hospitals surveyed us<strong>in</strong>g either<br />

steam sterilization or chemical<br />

methods. Infectious wastes are<br />

stored <strong>in</strong> yellow plastic bags or<br />

<strong>in</strong> conta<strong>in</strong>ers that are properly<br />

labeled. Almost half of the<br />

<strong>in</strong>fectious wastes are given to a<br />

private contractor for treatment<br />

and disposal. The rest is buried<br />

at the site, disposed at a dumpsite, discharged<br />

<strong>in</strong>to a sewer, or <strong>in</strong>c<strong>in</strong>erated. All of the hospitals<br />

surveyed <strong>in</strong>dicated that they separate medical<br />

wastes from general wastes. Almost all (90%) of<br />

the hospitals practice color-cod<strong>in</strong>g <strong>in</strong> stor<strong>in</strong>g<br />

their wastes while the rest do otherwise. Only<br />

three of the hospitals surveyed have access to<br />

<strong>in</strong>c<strong>in</strong>eration, either on-site or off-site.<br />

The ADB study further <strong>in</strong>dicates that <strong>in</strong> dental<br />

cl<strong>in</strong>ics, veter<strong>in</strong>ary cl<strong>in</strong>ics, diagnostic and<br />

laboratory cl<strong>in</strong>ics, and mortuaries/funeral<br />

parlors, general wastes are typically stored <strong>in</strong><br />

plastic bags and disposed through open<br />

burn<strong>in</strong>g or collected by a municipal waste<br />

collector. Sharps are separated from other<br />

healthcare waste and are placed <strong>in</strong> plastic<br />

conta<strong>in</strong>ers, which are eventually taken to the<br />

municipality’s dumpsite. Infectious or<br />

potentially <strong>in</strong>fectious wastes are not dis<strong>in</strong>fected<br />

prior to disposal. Pharmaceutical wastes are<br />

directly flushed <strong>in</strong>to the sewer or disposed at<br />

the disposal site. Most healthcare wastes<br />

currently are separated from the general<br />

wastes, but often are mixed with other wastes<br />

dur<strong>in</strong>g disposal.<br />

Total<br />

(kg/day)<br />

6,850<br />

4,584<br />

1,203<br />

3,870<br />

1,960<br />

93<br />

1,443<br />

51<br />

196<br />

33<br />

12<br />

Infectious<br />

Waste (kg/day)<br />

12,821<br />

8.580<br />

2,005<br />

6,450<br />

7,840<br />

465<br />

7,215<br />

255<br />

1,372<br />

165<br />

60

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