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

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36<br />

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

Healthcare facilities without <strong>in</strong>c<strong>in</strong>erators send<br />

their wastes to hospitals, with on-site<br />

<strong>in</strong>c<strong>in</strong>erators for burn<strong>in</strong>g. However, it has been<br />

<strong>in</strong>dicated that on-site <strong>in</strong>c<strong>in</strong>erators treat a<br />

relatively small amount of waste. The survey<br />

reports that approximately 350 kg of medical<br />

waste is burned each day by <strong>in</strong>c<strong>in</strong>erators. The<br />

ash or residues result<strong>in</strong>g from the <strong>in</strong>c<strong>in</strong>eration<br />

process are partially disposed at dumpsites<br />

located <strong>in</strong> the vic<strong>in</strong>ity of the <strong>in</strong>c<strong>in</strong>erators; the rest<br />

is collected by the PSBK Company and is<br />

disposed at the open dumpsite.<br />

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

The medical waste generated by hospitals,<br />

polycl<strong>in</strong>ics, cl<strong>in</strong>ics, and health centers <strong>in</strong> Phnom<br />

Penh City are not adequately managed. Most<br />

facilities have not been equipped properly for<br />

the treatment of the medical waste. The amount<br />

of medical waste burned by on-site <strong>in</strong>c<strong>in</strong>erators<br />

with<strong>in</strong> public hospitals is much less than that<br />

disposed at the open dumpsite. Primary<br />

collection and transportation is carried out by<br />

untra<strong>in</strong>ed workers of each facility, while<br />

secondary collection is carried out by the PSBK<br />

Company.<br />

It has been demonstrated that relevant issues<br />

giv<strong>in</strong>g rise to the improper management of<br />

medical waste are:<br />

• Jurisdictions for medical waste management<br />

have not been developed, or are rarely wellestablished<br />

and clear<br />

• A well-structured organization for the<br />

management of the medical waste has not<br />

been set up<br />

• The technology required to manage the<br />

medical waste is not available due to the<br />

limitation of f<strong>in</strong>ancial support<br />

• Human resources <strong>in</strong> the field of solid waste<br />

management are <strong>in</strong>sufficient<br />

E-WASTE<br />

Like <strong>in</strong> any other develop<strong>in</strong>g country e-waste<br />

management is a major issue <strong>in</strong> Cambodia too.<br />

However, the economic status of the country<br />

attracts more of import<strong>in</strong>g / dump<strong>in</strong>g issues<br />

rather than locally orig<strong>in</strong>ated e-wastes.<br />

Cambodia is starved of electricity supplies and<br />

hence people <strong>in</strong> rural areas thrive on storage<br />

batteries as means for an electricity source. In<br />

this context, Lead Acid Batteries play an<br />

important role <strong>in</strong> power<strong>in</strong>g the economy.<br />

Various measures have been taken at the local<br />

and national level for the appropriate treatment<br />

of the used lead acid batteries.<br />

As the name implies, these batteries consists of<br />

hazardous materials that often result as wastes<br />

demand<strong>in</strong>g environmentally safe recycl<strong>in</strong>g and<br />

disposal. Used Lead Acid Batteries (ULAB) are<br />

common <strong>in</strong> Cambodia and are either imported<br />

from neighbor<strong>in</strong>g countries as whole units or are<br />

assembled with<strong>in</strong> the country.<br />

ULAB recycl<strong>in</strong>g enterprises are common <strong>in</strong><br />

Battambang Prov<strong>in</strong>ce and are usually built on a<br />

plot of land. The ULAB break<strong>in</strong>g operation is<br />

manual. The lead bear<strong>in</strong>g waste is placed on the<br />

ground near the smelt<strong>in</strong>g furnace. The battery<br />

cases are sent to the mill<strong>in</strong>g mach<strong>in</strong>e and the<br />

rema<strong>in</strong>ders, such as the plate separators, are put<br />

<strong>in</strong>to a pile for <strong>in</strong>c<strong>in</strong>eration. The lead bear<strong>in</strong>g<br />

waste is melted <strong>in</strong> the open and without any form<br />

of ventilation or extraction us<strong>in</strong>g a small crude<br />

melt<strong>in</strong>g furnace made from a length of metal tube<br />

about 1 m and 0.4 m <strong>in</strong> diameter. Charcoal is<br />

added to the leaded scrap as it is charged to the<br />

melt<strong>in</strong>g furnace <strong>in</strong> order to encourage reduction<br />

of some of the battery paste (lead oxide) to<br />

produce metallic lead (lead bullion).<br />

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

Recently, the melt<strong>in</strong>g operation was temporarily<br />

shutdown due to compla<strong>in</strong>ts from people liv<strong>in</strong>g<br />

and work<strong>in</strong>g close to the operation. Follow<strong>in</strong>g<br />

this, the melt<strong>in</strong>g furnace was relocated to a small<br />

empty elevated plot of land surrounded by vast<br />

rice fields. The lead output and the operat<strong>in</strong>g<br />

procedures are the same, but the battery break<strong>in</strong>g<br />

process is still carried out at the first smelt<strong>in</strong>g<br />

site.<br />

In order for the laws and other related<br />

regulations to be effective and followed by people<br />

throughout the country the follow<strong>in</strong>g action must<br />

take place:<br />

• The Basel Convention Guidel<strong>in</strong>es on ULAB<br />

should be translated and dissem<strong>in</strong>ated<br />

• MoE should promote Environmental Laws and<br />

Regulations.<br />

• MoE should dissem<strong>in</strong>ate the Laws and<br />

Regulations <strong>in</strong> cooperation with other<br />

concerned m<strong>in</strong>istries.<br />

• The MoE should establish guidel<strong>in</strong>es on ULAB<br />

and expla<strong>in</strong> the adverse effects on human<br />

health and environment if they are not<br />

managed properly.

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