1. STATUS OF BIOMEDICAL AND HEALTHCARE FACILITY WASTE
BUTI MATHEBULA
DEAT
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2. INTRODUCTION DISPOSAL INCINERATION MANAGEMENT BY GENERATORS
ILLEGAL DUMPING
SLAVENGERS
RECYCLERS
PUBLIC SECURITY AND ORDER
INCINERATION
SECONDARY POLLUTION
HUMAN HEALTH
ENVIRONMENT
MANAGEMENT BY GENERATORS
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3. BIOMEDICAL AND HEALTH CARE WASTE
Healthcare: Medical activities such as diagnosis, monitoring, treatment, prevention of disease or alleviation of handicap in humans or animals, including related re­search, performed under the supervision of a medical practitioner or veterinary surgeon or another person authorised by virtue of their professional qualifications
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4. BIOMEDICAL & HCW
Biomedical and Healthcare Waste: The solid or liquid waste arising from healthcare (including collected gaseous waste).
Hazardous Healthcare Waste:
Infectious healthcare waste
Chemical, toxic or pharmaceutical waste including cytotoxic drugs (anti­neoplastics)
Sharps (e.g. needles, scalpels)
Radioactive waste
Other hazardous waste
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5. BIOMEDICAL & HCW Infectious Healthcare Waste:
Discarded materials or equipment contaminated with blood and its derivatives, other body fluids or excreta from infected patients with hazardous communicable diseases
Contaminated waste from patients known to have blood borne infections undergoing haemodialysis
Laboratory waste incl. dishes and devices used to transfer, inoculate and mix cultures of infectious agents and infected animals from laboratories).
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6. INFECTIOUS Biological Healthcare Waste: Sharps:
All body parts and other anatomical waste including blood and biological fluids and pathological waste that are recognisable by the public or the healthcare staff and that demand, for ethical reasons, special disposal requirements.
Sharps:
All biomedical and healthcare waste with sharps or pointed parts able to cause an injury or an invasion of the skin barrier in the human body. Sharps from infected patients with hazardous communicable diseases, isolated wards, or other pointed parts contaminated with above mentioned laboratory waste must be categorised as infectious waste.
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7. TYPES OF HAZARDS
HAZARD CHARECTARISTICS CAN HAVE THE FOLLOWING PROPERTIES:
it contains infectious agents, incl. contaminated sharps;
it is cyto or genotoxic;
it contains toxic or hazardous chemicals or pharmaceuticals;
it is radioactive;
contains sharps.
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8. PERSONS AT RISK The main groups at risk are the following:
Doctors, nurses, ambulance staff and hospital sweepers;
Patients in healthcare establishments or under home care;
Workers in support services to healthcare establishments, such as laundries, waste handling and transportation, and waste disposal facilities including incinerators; other persons separating and recovering materials from waste.
Inappropriate and/or inadvertent end users such as slavengers and customers in Secondary markets for re-use
Home care including home dialysis,
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9. HAZARDS INFECTIUOS WASTE SHARPS CHEMICALS PHARMACEUTICAL WASTE
CYTOTOXIC WASTE
RADIO ACTIVE WASTE
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10. SOURCE IDENTIFICATION
LARGE SOURCES
University hospitals and clinics
General hospitals
Maternity hospitals and clinics
Abbotoirs
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11. MEDIUM SOURCE Medical centres Medical laboratories Out-patient clinics
Medical research facilities
Mortuary/autopsy facilities
Animal hospitals
Farm and equine centres
Blood banks and transfusion centres
Hospices & Emergency services
Abortion clinics 
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12. SMALL SOURCES General medical practitioners
Tattooists & Convalescent homes
Acupuncturists
Nursing and remedial homes
Veterinary Practitioners
Medical consulting rooms
Pharmacies & Dental Practitioners
Cosmetic piercers
Animal boarding and hunt kennels
Zoo, safari parks, …
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13. PROBLEMS IDENTIFIED generation and minimisation;
source separation and segregation;
identification and classification;
handling and storage;
packaging and labelling
transportation inside and outside of healthcare establishments;
treatment;
disposal of residues (including emissions);
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14. PROBLEMS IDENTIFIED
occupational health and safety; public and environmental health;
stakeholder and community awareness and education;
research and development into improved technologies and environmentally friendly practices.
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15. SA SITUATION HEALTH CARE FACILITY INCINERATION TREATMENT/NO TREATMENT
DISPOSAL
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16. SOLUTIONS legislatory framework Regulatory framework
Standards and norms
APPA review
Regulatory framework
Health Act
ECA
Manifest System
Co-governance & Bilaterals
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17. EXPECTATIONS DEAT DoH STANDARDS AND NORMS MINIMISATION SORTING
CAPACITY BUILDING
STORAGE AND TRANSPORTATION
PACKGING AND LABELLING
RECYCLING
TREATMENT OPTIONS
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18. EXPECTATIONS DoH NDA DoL DoT DTI CAPACITY BUILDING AND TRAINING
REGISTRATION OF GENERATORS
WASTE MANAGEMENT AUDITS
NDA
DoL
DoT
DTI
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19. WAY FOWARD DEAT &DoH PILOT PROJECTS Desk top study
Existing treatment options
Assesment of management techniques
Waste audits
Registration mechanism of generators
Capacity building needs
Treatment options
Product substitution
Product stewardship
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20. CONCLUSIONS NP NW/MPU EC Constraints Thank You Manpower
Budget(Estimated at R3m) for entire pilot project country wide
Thank You
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