dr. dany obeid - lebanese sterilization network of potentially infectious health care waste

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