Department of Health Manila 2012 - WPRO

1 Department of HealthManila2012 Manual onHealthcare WasteManagementThird EditionManual on Healthcare Waste ManagementThird EditionDecember 2011 The preparation and publication of this document was made possible through the assistance of the United Nations Development Programme (UNDP) - Global Environment Facility (GEF) project, Demonstrating and Promoting Best Practices and Techniques for Reducing Health Care Waste to Avoid Environmental Releases of Dioxin and Mercury and the World Health document is published by the Department of Health - National Center for Health Facility Development (NCHFD), Bldg.

2 4, Department of Health , Tayuman St. cor. Rizal Avenue, Sta. Cruz, Manila , 1003 Philippines, for general distribution. All rights reserved. Subject to the acknowledgement of DOH-NCHFD, the Manual may be freely abstracted, reproduced or translated in part or in whole for non-commercial purposes only. If the entire work or substantial portions will be translated or reproduced, permission should be requested from the of the PhilippinesDepartment of HealthOFFICE OF THE SECRETARYM E S S A G E Access to affordable, quality and responsive healthcare services and facilities is the primary concern of all healthcare facilities and is one of the key strategic thrusts of the Aquino Administration Health Agenda: Achieving Universal Health Care for All Filipinos or Kalusugang Pangkalahatan, in order to ensure better Health for our countrymen.

3 The Department of Health launched numerous initiatives to implement this commitment, among which are our increased efforts towards patient safety, Malinis at Mabangong Ospital , Health Facility Enhancement Program and PhilHealth s Benchbook on performance improvement of Health services. Proper management of healthcare waste is a common thread in these efforts to attain high standards for provision of healthcare services. The revision of the 2004 2nd Edition Manual on Healthcare Waste Management is intended to make our guidelines, practices and techniques compliant with policies and legislations enacted in the last seven years and be at par with international best practices.

4 A national roadmap that defines our medium-term strategic directions and a training module to keep Health workers informed are two other complementary efforts of the Department to enhance national capacities in managing healthcare waste. Now, the challenge of each and every healthcare facility is to minimize, properly segregate, treat and dispose of the wastes it generates. As we worked together in completing this 3rd edition Manual on Healthcare Waste Management, let us continue our cooperation to prevent the spread of disease, occurrence of accidents and degradation of our environment. ENRIQUE T.

5 ONA, MD. FPCS, FACSS ecretary of HealthviiiMANUAL ON HEALTHCARE WASTE MANAGEMENT, THIRD EDITIONixMANUAL ON HEALTHCARE WASTE MANAGEMENT, THIRD EDITIONix PREFACE With the issuances of different laws and Administrative Orders and Implementing Rules and Regulations jointly by the Department of Health and the Department of Environment and Natural Resources, there is an urgent need to review and update the 2004 2nd Edition Healthcare Waste Management Manual of the DOH. Notwithstanding the major concerns on the proper handling of waste generated by Healthcare Facilities, the risks and threats caused by improper handling of wastes on human Health and the environment has been a continuing problem.

6 These considerations led to the preparation of the 3rd Edition Manual on Healthcare Waste Management, which is more comprehensive and user-friendly. The Manual is composed of four (4) main parts, each one subdivided into various chapters. It includes a General Description of Healthcare Waste Management (HCWM), Components of HCWM, Administrative Requirements, and copies of related laws and issuances and sample of forms to be used in the implementation of a Healthcare Waste Management program in the Healthcare Facility. While the 3rd edition Manual on HCWM has been designed to serve as guide for both hospital administrators and staff for application to the current situation, a review and updating may be essential after five (5) years or so.

7 Any proposal for revision shall be forwarded to the National Center for Health Facility Development for consideration. Ensuing amendments to the Manual shall be subject to the formal approval of the Secretary of Health . xMANUAL ON HEALTHCARE WASTE MANAGEMENT, THIRD EDITIONx ACKNOWLEDGMENT The Manual on Healthcare Waste Management, 3rd edition was made possible through the collaborative effort of government, the private sector and international development partners. We thank Our international development partners: Mr. Renaud Meyer, Country Director, United Nations Development Programme and Dr.

8 Soe Nyunt-U, World Health Organization Representative to the Philippines The head of the offices of the members of the Technical Working Group: Director Juan Miguel Cuna, Environmental Management Bureau, DENR; OIC-Assistant Secretary Enrique A. Tayag and Dr. Winston Go, Medical Center Chiefs, San Lazaro Hospital, Manila ; Sis. Normita L. Guevara, , Vice President for Health Services, San Juan De Dios Educational Foundation Inc. (Hospital), Pasay City; Dr. Ludgerio D. Torres and Dr. Manuel Chua Chiaco, Executive Directors, philippine Heart Center, Quezon City; Dr.

9 Edgardo V. Salud, Chief of Hospital, Quezon City General Hospital, Quezon City; Director Eduardo C. Janairo, MD and Director Lilibeth C. David, MD, National Center for Disease Prevention and Control - DOH; Director Juanito Taleon, MD, Center for Health Development - CALABARZON and Dr. Soe Nyunt-U, World Health Organization for allowing their staff to actively participate as members of the TWG that prepared this manual; The TWG members, HCWM stakeholders and resource persons whose names appear in the succeeding pages for participating in the meetings and consultations and for sharing their experience and knowledge; and San Lazaro Hospital, San Juan De Dios Educational Foundation, Inc (Hospital), and the University of the Philippines- National Institutes of Health for allowing us to take photographs of their institutions for use in this Manual.

10 XiMANUAL ON HEALTHCARE WASTE MANAGEMENT, THIRD EDITIONxi TECHNICAL WORKING GROUP Ms. Eleonorita Reyes Chair, Technical Working Group San Lazaro Hospital, Manila Engr. Aida Calma Co-Chair San Lazaro Hospital, Manila / UNDP-GEF Project, Philippines Members Engr. Elmer Benedictos Department of Health - National Center for Disease Prevention and Control Ms. Gilda Cirila Ramos San Juan De Dios Educational Foundation, Inc. (Hospital), Pasay City Engr. Bonifacio Magtibay World Health Organization-Philippines Ms. Ester Borja philippine Heart Center, Quezon City Engr. Jose Barzaga philippine Heart Center, Quezon City Engr.