Upload
hudhaib-al-allatti
View
387
Download
2
Tags:
Embed Size (px)
Citation preview
Lebanese SterilizPotentially InfectiousPotentially Infectious
creation and man
Dr DanDr DanFourth Kuwait
Octo
zation Network of s Health Care Waste: s Health Care Waste: nagement system.
ny El-Obeidny El Obeid waste management
ober 2011
1
Out
1. Introduction2. The Lebanese Steriliz
network Lebanese for3. Non Governmental or
aec 4. Conclusions
tline
zation r PIHCWrganization
2
IntroduIntroduuction uction
3
Introd
Five treatment centers coverin Eighttons of PIHCW collected a More than 7,000 people traine Creation of a steering commit Creation of a steering commit
stakeholders in the issue of hos integration of a specialized cours
Nursing awareness campaigns for the ge R and D unit Law amendments
duction
ng the countryand processed every day
ed in the management of PIHCWtee composed of key tee composed of key spital wastese on PIHCW in the curriculum of
eneral public and in schools
4
international and prin
Stockholm ConventioBasel ConventionPolluter Pays Principley pPrecautionary PrincipDuty of Care PrincipleDuty of Care PrincipleProximity Principle
agreements nciples
on
epleee
5
national
Public health and environ
The decree 13389-2004 The decree 13389-2004
The accreditation system fof Health in 2000.
EthicsEthics
context
ment
for hospitals of the Ministry
6
hospitals res
Reduce PIHW genecontamination of otsorting at the sourceg
Ensure the processinEnsure the processin
Prevent other hazarthe environment [ ahuman health
sponsibilities
ration [ <10% ] by preventing ther types of waste using e.
ng of their PIHCW ng of their PIHCW.
rdous HCW causing pollution oair, water, soil ] or harm to
7
NCINERATION[ T ≥ 800ºC ]
PIHCW treatme
Toxic emission to air if no c
NCINERATION[ T ≥ 800ºC ]
CHEMICAL DESINFECTION
May introduce strong cheenvironment
MICROWAVE DESINFECTION
Expensive
AUTOCLAVING COUPLED TO SHAUTOCLAVING COUPLED TO SH
nt techniques
control devices
micals into the
HREDDING [ Tº ≤ 200ºC ]8
HREDDING [ Tº ≤ 200ºC ]
PIHCW trtechn
AUTOCLAVING COUPLED TO SH
techn
Environmentally friendlyLow investment and operatingLow investment and operatingcostsProper sterilization in 40 minutepVolume reduction of 80%
U i bl d t Unrecognizable ground waste assimilated to domestic waste
reatment niques
HREDDING [ Tº ≤ 200ºC ]
niques
g
[ ]
g
es
9
who must t
care facilities are intended to treat pp it is virtually impossible to return the t
produced by the establishment, only...
the control is difficult, because the sacollects, (treats), maintains and man
Only a service pthe Pcollects, (treats), maintains and man
reat PIHCW?
people and not to treat wastep pransaction by treating only waste y one solution: the economy of scale
ame organization that produces, sorts, nages
provider can treatPIHCWnages ...
10
who must t
chronic economic crisis: challenge tg[upward trend of prices of private se
the awareness and training in reducW t t d d th th Only a non luWaste generated, and thus the expeprofit provider ...
Western experience: they are public
Only a non luprovider recog
tilit p y p
share ... utility can
reat PIHCW?
to persevere and make a profit ... p pector]ing the amount of Infectious Medical
t d b fit i i t t f ucrative service ected benefits, is against nature for a
c-interest NGOs that have the market
ucrative service nized as a public t t PIHCW treat PIHCW
11
who must t
how to justify a multitude of investmeti L b d ti f DASRentire Lebanese production of DASR
how many provider could invest in eremaining profitable and efficient ...
Only a non luprovider recogg p
what to do in case of failure of machnetwork, even in the presence of wilthe diffic lt of s ccessf l coordinati
provider recogutility,Working
t k the difficulty of successful coordinaticompeting ...
network, ca
reat PIHCW?
ents by several providers, so that the RI i 0 4% f lid t RI is - 0.4% of solid waste ...essential quality equipment, while ?
ucrative service nized as a public hine? without a unified national lingness to cooperate, no one ignores ion bet een se eral parties
nized as a public g on a national
t t PIHCWion between several parties an treat PIHCW
12
who must t•cost Control, Economy of scale
•g
•competition Control•ensuring Public funding
inappropriate assignment zone
g•a•e
= monopole of a profit-making company
failure zone
= several profit-making companies
= s
treat DASRI?
lobal & national solutionslobal & national solutionsawareness and trainingensuring Quality Service
performance performance zonezone
==
financial blockade zone
several non profit-making organizations
13
The Lebanesenetwork Leban
e Sterilization nese for PIHCW
14
Arcencie
HôtelHôtel--DieuDieu
ZghartaZgharta
el centers
ZahléZahlé
JisrJisr el el WatiWati
16
Seminars and trainings
18
Awareness campaigns
Non Governmenaental organization ec
20
a
a non-lucrative Leb
created in 1985 witperson in need of h
recognized as a puprovider since 199
ec
banese organization
th and for any yhelp
ublic utility service 5
21
Environment program’s mispreservation and developm
natural resourcesnatural resources
ssion is :ment of
22
iConc
Five treatment centers Eight tons of PIHCW co
every day ( ≈ 0.55$/kilo More than 7,000 peoplMore than 7,000 peopl
management of PIHCW Creation of a steering c Creation of a steering c
of key stakeholders in twastewaste
iclusions
covering the countryollected and processed o)le trained in the le trained in the Wcommittee composed committee composed the issue of hospital
23
C ti f t i
Conc Creation of a steering com
stakeholders in the issue o integration of a specialized integration of a specialized
curriculum of Nursing awareness campaigns for thp g
schools research and development
h d thazardous waste presentation of proposed a
Trainings and capacity bu Trainings and capacity bucountries
Research regarding differe Research regarding differe
itt d f k
clusionsmmittee composed of key f hospital waste course on PIHCW in the course on PIHCW in the
he general public and in g p
t of solutions for other types of
amendment of lawsuilding in different Arabic uilding in different Arabic
ent HCWent HCW24
We shall never stop ouWe shall never stop ou
we are commitwe are commit
to Participate in the deto Participate in the de
ur journey ur journey
ttedtted
velopment velopment
25