Oct 28, 2013 ... According to British Standard. BS OHSAS 18001: 2007, BS OHSAS 18002: 2008
and BS 18004: 2008 ... in FRANCE. 35. Quantity treated.
CLINICAL WASTE TREATMENT The Hong Kong Experience
SEMINAR ‐ Clinical Waste Management October 28, 2013 Hong Kong Productivity Council (HKPC) Biomedical Division of HKIE
Ing. Karel Haubourdin VES HK Veolia Environnement ‐ Communications Dpt, Editions
REGULATORY FRAMEWORK 1. WASTE DISPOSAL (CLINICAL WASTE) (GENERAL) REGULATION Chapter : 354 O Gazette Number : L.N. 83 of 2010 / L.N. 95 of 2011 Date Enactment : August 1, 2011
2. WASTE DISPOSAL (CHARGE for DISPOSAL of CLINICAL WASTE) REGULATION Chapter : 354 P Gazette Number : L.N. 84 of 2010 / L.N. 95 of 2011 Date Enactment : August 1, 2011
CLINICAL WASTE CONTROL SCHEME 9 Statutory LICENSING FRAMEWORK for clinical waste collectors and treatment facility operators 9 Mandatory collection by licensed collectors for delivery to licensed treatment facility 9 CODES of PRACTICE for proper Clinical waste handling 9 Consignment note (TRIP TICKET) system to track Clinical waste from “cradle to grave” 9 Chemical Waste Treatment Centre (CWTC) = designated facility to treat Clinical waste and levy a disposal charge
2
LICENSING FRAMEWORK Currently 6 licensed CLINICAL WASTE COLLECTORS As published on EPD website: 1. Asia Medical Ltd. 2. Fai In Environmental Service Ltd 3. Kam Ming E.P. Engineering Co. Ltd. 4. Magic Lead Ltd. 5. Waihong Environmental Services Ltd 6. Waylung Waste Services Ltd.
3
CODES of PRACTICE for the MANAGEMENT of CLINICAL WASTE For MAJOR CLINICAL WASTE PRODUCERS and COLLECTORS For SMALL CLINICAL WASTE PRODUCERS ION T I N I F DE
DUTY of CARE
SEGREGATION LABELING PACKAGING
CW T N E M E G A M AN PLAN
TRAINING S A FE T Y
EMERGENCY RESPONSE HANDLING STORAGE
COLLECTION TRANSPORT RECORD KEEPING 4
CLINICAL WASTE – DEFINITION
GROUP 3 Human and Animal tissues, organs and body parts
YELLOW BAG ‐ SKIP
NON‐GROUP 3 Group 1 – SHARPS (1) ¾ Group 2 – LAB WASTE ¾ Group 4 – INFECTIOUS MATERIALS ¾ Group 5 – DRESSINGS ¾ Group 6 – OTHERS ¾
RED BAG ‐ SKIP (1) Sharps boxes : yellow /
white and yellow
5
CLINICAL WASTE – TRIP TICKET TRACK RECORD of CW movement from producer till treatment
PRODUCE R
COLLECTION POINT
LICENSED COLLECTOR
RECEPTION for TREATMENT 6
CLINICAL WASTE TREATMENT FACILITY CWTC – Tsing Yi
CW Reception and Storage Building
Hazardous waste incineration facility 7
CLINICAL WASTE TREATMENT FACILITY CWTC – Tsing Yi SCOPE of SERVICES 9 RECEPTION of CW 9 TREATMENT of CW by INCINERATION 9 TEMPORARY (cooled) STORAGE of CW 9 TRANSFER of Non‐Group 3 CW to LANDFILL 9 SUPPLY and MAINTENANCE of CW TRANSIT SKIPS for use by CW COLLECTORS 9 CLEANING and DECONTAMINATION of TRANSIT SKIPS (in‐ and external) and CW COLLECTION TRUCKS (external) 9 PROVISION of CW INSPECTION ROOM 9 EMERGENCY RESPONSE 9 TRANSIT SKIP TRACKING SYSTEM 9 CUSTOMER SERVICE ‐ TRAINING
8
SKIPS for CLINICAL WASTE COLLECTION RED for Non‐group 3 CW Available : 1,000
YELLOW for Group 3 CW Available: 100
SKIP TRACKING – BAR CODE SYSTEM 9
SKIPS for CLINICAL WASTE COLLECTION
STRAP CLOSED during TRANSPORT and HANDLING
10
CLINICAL WASTE RECEPTION From 09h00 till 21h00 – 365 days/year
Average: 20 deliveries/day (weekdays) 5,600 kg in 115 skips/day
11
CLINICAL WASTE RECEPTION RADIOACTIVITY SCANNERS
Skip SCALE DISINFECTION MATS 12
INTERNAL TRANSFER CW RECEPTION and STORAGE BUILDING
INCINERATOR FACILITY
13
CLINICAL WASTE TREATMENT ROTARY KILN INCINERATOR with SECONDARY COMBUSTION CHAMBER
Supplementary Environmental Impact Assessment
MINIMUM TEMPERATURE: Rotary kiln: 980oC Secondary Combustion Chamber: 1,100oC DIRECT TRANSFER of CW from SKIPS into ROTARY KILN World’s most stringent emission limits Continuous Emission Monitoring Study of ALTERNATIVE TECHNOLOGIES 14
CLINICAL WASTE TREATMENT INCINERATOR UPGRADE – 2010 9 NEW SEMI‐DRY FLUE GAS TREATMENT 9 ADDITIONAL DRY FLUE GAS TREATMENT SYSTEM Dry reagent injection – LAB LOOP® Reactor Reagent recirculation More stringent emission limits 9 MERCURY REMOVAL and CONTINUOUS MONITORING 9 DUAL SOLID WASTE FEED SYSTEM 9 DESIGN CAPACITY for CLINICAL WASTE 1 ton / hour – 11 ton / day Complaint to: Guidance Note on the Best Practicable Means for Pathological Waste Incinerators ‐ BPM 24(08) 15
SKIP CLEANING and DISINFECTION FULL AUTOMATIC INTERNAL and EXTERNAL CHEMICAL DISINFECTION HIGH WATER PRESSURE RINSING at MODERATE TEMPERATURE
SEGREGATED EFFLUENT COLLECTION and PRE‐ TREATMENT 16
TEMPORARY STORAGE PROVISIONS NON‐GROUP 3 CW MAX TEMPERATURE: 25oC
