Management of “SHARPS” Wastes in Manila Hospitals (Part 3) Off -Site Management of Hazardous Healthcare Wastes in Six Tertiary Hospitals in South Manila, Philippines

@#<p style="text-align: justify;"><strong>OBJECTIVE:</strong> The aim of this study was to determine if the collection, treatment and final disposal of hospital hazardous wastes conform to the rules and regulations and standards set by the Philippine Government and the World Health Organization (WHO). <br /><strong>METHODS:</strong> Three private and three government tertiary hospitals located in South Manila were randomly chosen and the companies that provides them with hospital waste disposal services were asked to participate in the study to validate their conformity to the national and international hazardous waste disposal standards. Validation was done through the use of observer checklists and photographs.<br /><strong>RESULTS:</strong> Results of the study showed that there were four companies who services 6 selected hospitals included in the study. All of these conformed to the standards of the World Health Organization, and to rules and regulations as set by the Philippine government. All of the companies conformed as to standards for Legal Permits, Off-site Transport, Personal Protective Devices and Off-Site Waste Disposal.<br /><strong>CONCLUSION:</strong> All of the companies servicing the 6 selected hospitals conformed to the standards set by WHO and the Philippine government.</p>

Análisis de la situación actual del crematorio del Hospital Capitán Roberto Rodríguez Fernández de Morón: propuesta para una futura reubicación del mismo / Analysis of the crematorium current situation from Capitán Roberto Rodríguez Fernández Hospital in Morón: proposal for a future relocation

En los últimos años, se ha incrementado a nivel mundial la preocupación por los procesos que comprenden la realización de incineración y pirólisis, por su generación al medio de contaminantes globales como son las dioxinas y el mercurio, de los que se desconocen los daños que pueden provocar las combinaciones de estos químicos. Esto ha conducido el cierre de numerosos incineradores. Se hizo un análisis de la localización del incinerador (crematorio) que se encuentra en un área dentro del hospital, entidad ubicada al Este de la ciudad de Morón, para ello se aplicó la identificación de las presiones, estados, impactos y respuestas ó Matriz EPIR. Se llega a la conclusión de que el crematorio del hospital de Morón desde su puesta en funcionamiento ha ocasionado innumerables problemas al medio ambiente y a la salud de la población circundante por su incorrecta ubicación y proyecto constructivo, al no cumplir las normas de bioseguridad vigentes, se propone reubicar el incinerador (crematorio), en un área fuera del perímetro urbano, acorde con la dirección predominante de los vientos alisios y nortes.

In recent years, it has increased a worldwide concern by processes comprising the incineration and pyrolysis, by its generation to the environment of polluting global such as dioxins and mercury; that damage that can lead the combinations of these chemicals are unknown. This has led to the closure of many incinerators. A location analysis of the incinerator (crematorium) was carried out which is located in an area within the hospital, entity located to the east of Moron city, for this it was applied the womb of pressure, state, impact, answer (PEIR). It reach to the conclusion that crematorium of Morón hospital since its functioning has caused numerous problems to the environment and to the population health by its incorrectly location and construction project, at not meet existing biosecurity standards. It is proposed to relocate the incinerator (crematorium), in an area outside the urban perimeter, in line with the predominant direction of the alisius and Northern winds.

Knowledge on hospital wastes and hospital waste management at six general hospitals at provincal level

The results of the interview of 203 staffs in 6 hospitals – 3 hospitals with treatment of wastes (Phu Tho, Quang Ngai, Dong Thap), 3 hospital without treatment of wastes (Yen Bai, Quang Nam, Can Tho) about knowledge on hospital wastes and hospital waste management injury rate caused by sharp wastes among the interviewed staffs show: Medical staffs in both two groups have poor understanding about the impacts of hospital wastes, and hospital waste management (classification, collection, transport and treatment wastes). The injuries rate in the staffs that interviewed is 20.0%, and there is no significant difference beteen two groups.