ATHISA Group, working on Healthcare Waste Management from 1990, has long and strong expertise in this field, providing services like Medical Waste Training, Container supply, Transport of Medical Waste and Final Treatment with Non-burning Technologies.

1. 25 YEARS OF HEALTHCARE
WASTE MANAGMENT SERVICES …
Serving over 66 million people
in 4 countries,
445 hospitals,
and more than 150,000 beds.

2. I. OUR EXPERIENCE
II. OUR MANAGEMENT
III. TRAINING AND EDUCATION
IV. OUR FORTÉ: INNOVATIONS
V. INTERNATIONAL PROJECTION
EXPERIENCE IN HEALTHCARE WASTE MANAGEMENT AND TREATMENT - www.athisa.es/residuos 2

3. COUNTRY YEAR
HOSPITALS
SERVED
PEOPLE
SERVED
TREATMENT
PLANTS
TREATED
WASTES (IN
KILOS)
CONTAINERS
USED
COURSES
GIVEN
SPAIN 1992-PRESENT 150-210 30,000,000 12 225,000,000 32,000,000 300
PORTUGAL 1998 -2009 120 7,000,000 4 90,000,000 12,000,000, 100
MOROCCO
2004 -
PRESENT 80 25,500,000 7 26,000,000 3,200,000 56
TURKEY
2008 -
PRESENT 35 4.000.000 4 14,000,000 1,840,000 30
I. OUR EXPERIENCE
EXPERIENCE IN HEALTHCARE WASTE MANAGEMENT AND TREATMENT - www.athisa.es/residuos 3

4. SPAIN
ANDALUSIA – 20.0000 BEDS
ATARFE (GRANADA), 1993 - 2.500mT/year
CORIA DEL RIO (SEVILLE), 2000 – Transfer plant
GUILLENA (SEVILLE), 2007 – Transfer plant
ALCALA DE GUADAIRA (SEVILLE), 2007 - 2.500mT/year
CASTILLA LA MANCHA – 6.000 BEDS
ALCÁZAR DE SAN JUAN, 1998 - 2.500mT/year
VALENCIA - 12.000 BEDS
VAL’ D ÙXO, - 2.500mT/year
MADRID – 22.000 BEDS
HUMANES DE MADRID, 1998 - 2.500mT/year
SAN SEBASTIAN DE LOS REYES, 1998 - 2.500mT/year
CASTILLA-LEÓN – 9.000 BEDS
BURGOS, 1998 – 800mT/year
CATALONIA – 34.000 BEDS
SAN CUGAT DEL VALLES, 1996 - 2.500mT/year
CANARY ISLANDS– 5.000 BEDS
SANTA CRUZ DE TENERIFE – CANARY ISLANDS
103.000 BEDS
20.000.000 Kg/year
I. OUR EXPEREINCE: Distribution of Plants
4EXPERIENCE IN HEALTHCARE WASTE MANAGEMENT AND TREATMENT - www.athisa.es/residuos

5. SPAIN
I. OUR EXPERIENCE – Treatment plants
5
Granada, 1993
Burgos, 1996
Madrid, 1998
Barcelona, 1996
Tenerife 2012
Seville 2009
Valencia, 1999
EXPERIENCE IN HEALTHCARE WASTE MANAGEMENT AND TREATMENT - www.athisa.es/residuos

6. I. OUR EXPERIENCE – Most representative hospitals
6
103.000 Beds
20.000.000 Kg/year
MAIN HOSPITALS
Hospital Virgen Del Rocio
Hospital Virgen De Las Nieves
Hospital Carlos Haya
6
MAIN HOSPITALS
Hospital Gregorio Marañon
Hospital La Paz
Hospital 12 De Octubre
Hospital Clinico Universitario
MAIN HOSPITALS
Hospital Virgen De La Luz
Hospital General De Guadaljara
MAIN HOSPITALS
Hospital La Fe
Hospital Universitario Dr. Pesset
MAIN HOSPITALS
Hospital Clinic
Hospital D´valle Hebron
Hospital De Bellvitge MAIN HOSPITALS
Hospital Nuestra Señora De Candelaria
Hospital Materno Insular
Hospital Universitario De Canarias.
SPAIN
EXPERIENCE IN HEALTHCARE WASTE MANAGEMENT AND TREATMENT - www.athisa.es/residuos

7. PORTUGAL
PLANTS IN PORTUGAL:
ESTARREJA (AVEIRO), 1998
BRAGA, 2008 – 2.500 mT/year
BARREIRO (LISBOA), 1996 – 7.500 mT/year
BEJA, 2004 – 2.500 mT/year
I. OUR EXPERIENCE: Portuguese plants
20.000 BEDS
16.000.000 Kg/year
7
Lisbon, 1996
Braga, 2008
Beja,2004
EXPERIENCE IN HEALTHCARE WASTE MANAGEMENT AND TREATMENT - www.athisa.es/residuos

8. MOST REPRESENTATIVE HOSPITALS - SERVIÇO NACIONAL DE
SAÚDE:
Hospital Santa María
Hospital da Luz
Hospital Sao Francisco Javier
Hospital Sao Antonio (Porto)
Hospital da Cruz Vermelha
Hospital Amadora Sintra
Hospital Santa Luzia de Elvas
Hospital Militar Principal
Hospital Curyy Cabral
I. OUR EXPEREINCE – Most representative hospitals
20.000 BEDS
16.000.000 Kg/year
8
PORTUGAL
EXPERIENCE IN HEALTHCARE WASTE MANAGEMENT AND TREATMENT - www.athisa.es/residuos

9. EXPERIENCIA EN LA GESTION Y TRATAMIENTO DE RESIDUOS BIOSANITARIOS - www.athisa.es/residuos
I. OUR EXPERIENCE: Installed plants
PLANTS OWNED BY THE COMPANY:
TETOUAN, 2004 - 2.500mT/year - 16.000 beds
BOUSKOURA, 2002 – 2500 mT/year – 46.000 beds
INTRACENTRAL PLANTS OWNED BY THE MOROCCAN MINISTRY
OF PUBLIC HEALTH:
TETOUAN 2, 2006 – 150 mT/year – 250 beds
TANGIERS, 2008 – 150 mT/year – 300 beds
SETTAT, 2008 – 150 mT/year – 250 beds
AGADIR, 2009 – 150 mT/year – 300 beds
16.000 Beds
5.600.000 Kg/year
9
MOROCCO

10. MOROCCO
I. OUR EXPERIENCE – Most representative hospitals
Main Hospitals.
CHU (University Hospital Centers)
CHU Rabat Ibn Sina.
CHU Casablanca Ibn Roch
CHU Marrakech Mohamed VI
CHP Tangier
CHP Tetuoan
Hospital Mohamed V Casablanca
16.000 BEDS
5.600.000 Kg/year
10EXPERIENCE IN HEALTHCARE WASTE MANAGEMENT AND TREATMENT - www.athisa.es/residuos

11. I. OUR EXPERIENCE – Installed Plants
SAMSUN, 2007 – 2.500 mT / year
ERZURUM, 2008– 2.500 mT / year
KUSADASI, 2010 – 1.700 mT / year
AKASARAY, 2011 – 1.700 Tm/año
TREATMENT PLANTS,
“TURN-KEY”:
11
Year Agency Name of Project
1 2010 Europaid Supply and commissioning of the machinery for a treatment plant in
Kusadasi/Turkey.
2 2008 KFW Bank Supply and installation of a healthcare waste treatment facility in Erzurum/Turkey
3 2007 KFW Bank Supply and installation of a healthcare waste treatment facility in Samsun/Turkey.
TURKEY
EXPERIENCE IN HEALTHCARE WASTE MANAGEMENT AND TREATMENT - www.athisa.es/residuos

12. I. OUR EXPERIENCE – Installed Plants
TREATMENT PLANTS
“TURN-KEY”:
12
Year Agency
1 2010 Europaid Support to Syrian´s solid waste and Medical Waste Management in areas
affected by the influx of Iraqi Refuegees (Suspended)
SYRIA
EXPERIENCE IN HEALTHCARE WASTE MANAGEMENT AND TREATMENT - www.athisa.es/residuos

13. 13
Since its origins, Athisa has organized and given training courses for the health staff
and non-health staff in nearly 400 national and international hospitals on best
practices for Healthcare Waste management (HWM).
In Spain, Portugal and Morocco, Athisa has launched the setting up of the Healthcare
Waste Management services in most hospitals and Healthcare establishments. In
Turkey, Athisa has organized two trainning courses known as TAMPEP I y TAMEP II.
SPAIN
Trainning for
More than
100 Hospitals
PORTUGAL
Training for
more than 50
Hospitals
MOROCCO
Training for
more than 40
Hospitals
TURKEY
Training for 200
Hospitals
II. IN-HOSPITAL MANAGEMENT. TRAINING
EXPERIENCE IN HEALTHCARE WASTE MANAGEMENT AND TREATMENT - www.athisa.es/residuos

14. 14
“TAMEP I”
Plenary Hall
Granada City Council
Conference at the
Chamber of Commerce in Granada
Visit to the plant of Beja (Portugal)Master class at the Faculty of Science
in Granada
II. IN-HOSPITAL MANAGEMENT. TRAINING COURSES
EXPERIENCE IN HEALTHCARE WASTE MANAGEMENT AND TREATMENT - www.athisa.es/residuos

15. 15
Inaugural conference of the course in charge of Mr. Joan Clos Matheu,
the Spanish ambassador in Turkey
Introduction Speech of the course given by Mr.
Sr. José Luis Alarcón, President of Grupo Athisa
President of Grupo Athisa, Representatives of Athisa Turkey
And Turkish Authorities after the closing ceremony
“TAMEP II”
II. IN-HOSPITAL MANAGEMENT. TRAINING COURSES
EXPERIENCE IN HEALTHCARE WASTE MANAGEMENT AND TREATMENT - www.athisa.es/residuos

16. 16
Athisa Group Publications on Healthcare Waste Management
in 3 different languages:
II. IN-HOSPITAL MANAGEMENT: PUBLICATIONS
EXPERIENCE IN HEALTHCARE WASTE MANAGEMENT AND TREATMENT - www.athisa.es/residuos

17. III. OUR FORTÉ: SPIRIT OF INNOVATION
1992: Creation of the business line: Integral Management of
Healthcare Waste (Spain), based on a strategic contribution, vía
R&D+I (The reusable containers)
17EXPERIENCE IN HEALTHCARE WASTE MANAGEMENT AND TREATMENT - www.athisa.es/residuos

18. III. OUR FORTÉ: SPIRIT OF INNOVATION
REUSABLE CONTAINERS
18EXPERIENCE IN HEALTHCARE WASTE MANAGEMENT AND TREATMENT - www.athisa.es/residuos

19. III. OUR FORTÉ: SPIRIT OF INNOVATION
1999: R&D+I contribution: Automatic machine to wash containers.
Planta de Lisboa (Portugal) / Lisbon Plant (Portugal)
19EXPERIENCE IN HEALTHCARE WASTE MANAGEMENT AND TREATMENT - www.athisa.es/residuos

20. III. OUR FORTÉ: SPIRIT OF INNOVATION
2007-2008: R&D+I contribution: Eureka Project Spain-Portugal-
Morocco
Design and development of a system to inactivate organic molecules (MIMO)
20EXPERIENCE IN HEALTHCARE WASTE MANAGEMENT AND TREATMENT - www.athisa.es/residuos

21. MIMO SYSTEM
III. OUR FORTÉ: SPIRIT OF INNOVATION
21EXPERIENCE IN HEALTHCARE WASTE MANAGEMENT AND TREATMENT - www.athisa.es/residuos

22. IV. OUR FUTURE: INTERNATIONAL PROJECTION
“ATHISIZED” Countries
Countries targeted by ATHISA for the period 2014-2015
Active Commercialization countries
2014: INTERNATIONALISATION PROCESS – «MIMO PROJECT WORLDWIDE»
22EXPERIENCE IN HEALTHCARE WASTE MANAGEMENT AND TREATMENT - www.athisa.es/residuos