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

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F<strong>in</strong>d<strong>in</strong>gs<br />

There is a need to develop a coherent and<br />

consistent approach to healthcare waste<br />

management. It is important to f<strong>in</strong>d a suitable<br />

mix of technology, operational responsibility,<br />

and f<strong>in</strong>ance that is appropriate for the different<br />

regions and situations <strong>in</strong> Vietnam. Inc<strong>in</strong>eration<br />

is the most popular treatment method,<br />

although the potential risk of air pollution,<br />

<strong>in</strong>clud<strong>in</strong>g diox<strong>in</strong> and furan emissions, is well<br />

known. Other methods such as steam and<br />

microwave sterilization are under<br />

consideration as practical applications.<br />

Vietnam has built about 40 modern medical<br />

waste <strong>in</strong>c<strong>in</strong>erators s<strong>in</strong>ce 1997, rais<strong>in</strong>g its total<br />

capacity for <strong>in</strong>c<strong>in</strong>eration of hazardous<br />

healthcare wastes by roughly 50% to 28,840 kg/<br />

day by 2002. Unfortunately, exist<strong>in</strong>g<br />

<strong>in</strong>c<strong>in</strong>eration <strong>in</strong>frastructure is underused and<br />

poorly treated hazardous healthcare waste<br />

poses high risk. Most of the <strong>in</strong>ternational and<br />

local <strong>in</strong>vestments on <strong>in</strong>c<strong>in</strong>eration have focused<br />

Seraph<strong>in</strong>’s recycl<strong>in</strong>g factory<br />

on equipment, while hospitals are left to<br />

f<strong>in</strong>ance the operat<strong>in</strong>g costs of <strong>in</strong>c<strong>in</strong>eration<br />

(tra<strong>in</strong><strong>in</strong>g, fuel, personnel) from their exist<strong>in</strong>g<br />

budgets. S<strong>in</strong>ce hospitals do not have sufficient<br />

f<strong>in</strong>ancial resources to operate <strong>in</strong>c<strong>in</strong>erators,<br />

hazardous healthcare waste is often not<br />

properly treated, and is mixed with general<br />

medical waste disposal. In contrast, the new<br />

Cau Dien <strong>in</strong>c<strong>in</strong>erator, which is centralized and<br />

properly operated, helped <strong>in</strong>crease the rate of<br />

hazardous healthcare waste treatment <strong>in</strong> Hanoi<br />

from 33% <strong>in</strong> 2003 to more than 90% <strong>in</strong> 2004.<br />

Waste recycl<strong>in</strong>g has been a major <strong>in</strong>come<br />

source for many communities <strong>in</strong> Vietnam.<br />

However, none of the <strong>3R</strong> pr<strong>in</strong>ciples seems to<br />

have been applied <strong>in</strong> the healthcare waste<br />

sector. With the recent hue and cry on<br />

<strong>in</strong>c<strong>in</strong>eration of healthcare waste and with ever<strong>in</strong>creas<strong>in</strong>g<br />

waste quantities it is essential that<br />

appropriate strategies be formulated to both<br />

avoid waste-production and to <strong>in</strong>crease<br />

recycl<strong>in</strong>g rates.<br />

Prelim<strong>in</strong>ary Sort<strong>in</strong>g Compost<strong>in</strong>g Recyled plastic products<br />

Seraph<strong>in</strong> recycl<strong>in</strong>g technology focuses on recycl<strong>in</strong>g plastic waste, compost<strong>in</strong>g from organic<br />

waste and energy recovery. Its scope of bus<strong>in</strong>ess lies <strong>in</strong> R&D <strong>in</strong> solid waste recycl<strong>in</strong>g<br />

technology, <strong>in</strong>vestment and operat<strong>in</strong>g solid waste recycl<strong>in</strong>g plants and transfer of Seraph<strong>in</strong>’s<br />

recycl<strong>in</strong>g technology.<br />

Its major activities <strong>in</strong> chronological order:<br />

• 2003: Transferred technology for Hue recycl<strong>in</strong>g factory (municipal waste)– capacity of 100<br />

tons/day<br />

• 2004: Built its 1 st l<strong>in</strong>e recycl<strong>in</strong>g factory <strong>in</strong> V<strong>in</strong>h with a capacity of 150 tons/day (us<strong>in</strong>g<br />

landfilled organic MSW to make compost)<br />

• 2005: Built its 2 nd l<strong>in</strong>e <strong>in</strong> recycl<strong>in</strong>g factory <strong>in</strong> V<strong>in</strong>h - capacity of 150 tons/day (waste sort<strong>in</strong>g,<br />

recycl<strong>in</strong>g plastic waste and compost<strong>in</strong>g and from municipal waste)<br />

• 2006: Built Son Tay recycl<strong>in</strong>g factory - capacity of 200 tons/day (waste sort<strong>in</strong>g and<br />

compost<strong>in</strong>g from municipal waste)<br />

Tetra Pak-<br />

Seraph<strong>in</strong><br />

cooperation<br />

Sort<strong>in</strong>g M<strong>in</strong>i pulper Al and PE residue Paper fiber<br />

Chapter 3: Country <strong>Analysis</strong><br />

125

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