Lebanese Steriliz zation Network ofPotentially Infectious Health Care Waste:                     s  creation and man   nag...
Out                       tline1.   Introduction2.   The Lebanese Steriliz                         zation     network Leba...
Introduction      uction      u               3
Introd                                 duction   Five treatment centers coverin the country                              ...
international agreements         and prin                nciplesStockholm Conventio                  onBasel ConventionPol...
national contextPublic health and environmentThe decree 13389-2004The accreditation system f hospitals of the Ministry    ...
hospitals res              sponsibilitiesReduce PIHW generation [ <10% ] by preventingcontamination of ot ther types of wa...
PIHCW treatment techniquesNCINERATION[ T ≥ 800ºC ]       Toxic emission to air if no c                                   c...
PIHCW tr                          reatment                      techn                          niquesAUTOCLAVING COUPLED T...
who must treat PIHCW?   care facilities are intended to treat p p and not to treat waste                                 ...
who must treat PIHCW?   chronic economic crisis: challenge t persevere and make a p                                     g...
who must treat PIHCW?   how to justify a multitude of investme                                         ents by several pr...
who must t                 treat DASRI? •cost Control, Economy of scale •competition Control •ensuring Public funding     ...
The Lebanese Sterilization             enetwork Leban            nese for PIHCW                              14
Arcencie centers                    el                                     ZahléHôtel-Hôtel-Dieu                      Jisr...
16
Seminars and trainings
18
Awareness campaigns
Non Governmen organization            ntal           ae            ec                             20
aeca non-lucrative Leb                  banese organizationcreated in 1985 wit and for any                  th          yp...
 Environment program’s mis                          ssion is :preservation and developm ment of  natural resources       ...
Conc                    clusions Five treatment centers covering the country   i                             i Eight ton...
Conc                         clusions C  Creation of a steering com itt       ti   f    t   i      mmittee composed of ke...
We shall never stop ou journey                      ur       we are commit                   ttedto Participate in the dev...
Upcoming SlideShare
Loading in …5
×

Dr. Dany Obeid - Lebanese Sterilization Network of Potentially Infectious Health Care Waste

574 views

Published on

Published in: Health & Medicine, Business
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
574
On SlideShare
0
From Embeds
0
Number of Embeds
2
Actions
Shares
0
Downloads
9
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Dr. Dany Obeid - Lebanese Sterilization Network of Potentially Infectious Health Care Waste

  1. 1. Lebanese Steriliz zation Network ofPotentially Infectious Health Care Waste: s creation and man nagement system. Dr Dan El-Obeid ny El Obeid Fourth Kuwait waste management Octo ober 2011 1
  2. 2. Out tline1. Introduction2. The Lebanese Steriliz zation network Lebanese for PIHCW r3. Non Governmental or rganization aec4. Conclusions 2
  3. 3. Introduction uction u 3
  4. 4. Introd duction Five treatment centers coverin the country ng Eighttons of PIHCW collected a and processed every day More than 7,000 people traine in the management of PIHCW ed Creation of a steering committee composed of key stakeholders in the issue of hos spital waste  integration of a specialized cours on PIHCW in the curriculum of se Nursing  awareness campaigns for the ge eneral public and in schools  R and D unit  Law amendments 4
  5. 5. international agreements and prin nciplesStockholm Conventio onBasel ConventionPolluter Pays Principle y pePrecautionary Princip pleDuty of Care Principle eProximity Principle 5
  6. 6. national contextPublic health and environmentThe decree 13389-2004The accreditation system f hospitals of the Ministry forof Health in 2000.Ethics 6
  7. 7. hospitals res sponsibilitiesReduce PIHW generation [ <10% ] by preventingcontamination of ot ther types of waste usingsorting at the source g e.Ensure the processin of their PIHCW ng PIHCW.Prevent other hazar rdous HCW causing pollution othe environment [ a water, soil ] or harm to air,human health 7
  8. 8. PIHCW treatment techniquesNCINERATION[ T ≥ 800ºC ] Toxic emission to air if no c control devicesCHEMICAL DESINFECTION May introduce strong chemicals into the environmentMICROWAVE DESINFECTION ExpensiveAUTOCLAVING COUPLED TO SH HREDDING [ Tº ≤ 200ºC ] 8
  9. 9. PIHCW tr reatment techn niquesAUTOCLAVING COUPLED TO SH HREDDING [ Tº ≤ 200ºC ] Environmentally friendly Low investment and operating g costs Proper sterilization in 40 minute p es Volume reduction of 80% Unrecognizable ground waste U i bl d t assimilated to domestic waste 9
  10. 10. who must treat PIHCW? care facilities are intended to treat p p and not to treat waste people it is virtually impossible to return the transaction by treating only waste produced by the establishment, only one solution: the economy of scale y ... Only a service p provider can treat the control is difficult, because the sa organization that produces, sorts, ame the P collects, (treats), maintains and manPIHCW nages ... 10
  11. 11. who must treat PIHCW? chronic economic crisis: challenge t persevere and make a p g to p profit ... [upward trend of prices of private se ector] the awareness and training in reducing the amount of Infectious Medical Waste Only a non lu d th th ucrative service W t generated, and thus the expe t d benefits, iis against nature for a t d ected b fit i t t f provider recognized as a public profit provider ... Western experience: they are p c-interest NGOs that have the market p y public share ... utility can t tilit treat PIHCW t 11
  12. 12. who must treat PIHCW? how to justify a multitude of investme ents by several providers, so that the entire L b ti Lebanese production of DASR iis - 0 4% of solid waste ... d ti f RI 0.4% f lid t Only a non lu ucrative service how many provider could invest in e essential quality equipment, while provider recognized as a public remaining profitable and efficient ...? gp what to do in case of failure of mach hine? without a unified national utility,Working on a national g network, even in the presence of willingness to cooperate, no one ignores difficulty successful k ca t network, an treat PIHCW t t the diffic lt of s ccessf l coordinatiion bet een se eral parties between several competing ... 12
  13. 13. who must t treat DASRI? •cost Control, Economy of scale •competition Control •ensuring Public funding •global & national solutions g inappropriate •a awareness and training assignment zone •e ensuring Quality Service performance zone= monopole of a profit- making company = financial blockade failure zone zone= several profit-making =s several non profit-making companies organizations 13
  14. 14. The Lebanese Sterilization enetwork Leban nese for PIHCW 14
  15. 15. Arcencie centers el ZahléHôtel-Hôtel-Dieu Jisr el WatiZgharta
  16. 16. 16
  17. 17. Seminars and trainings
  18. 18. 18
  19. 19. Awareness campaigns
  20. 20. Non Governmen organization ntal ae ec 20
  21. 21. aeca non-lucrative Leb banese organizationcreated in 1985 wit and for any th yperson in need of h helprecognized as a pu ublic utility serviceprovider since 1995 21
  22. 22.  Environment program’s mis ssion is :preservation and developm ment of natural resources 22
  23. 23. Conc clusions Five treatment centers covering the country i i Eight tons of PIHCW coollected and processed every day ( ≈ 0.55$/kilo o) More than 7,000 peopl trained in the le management of PIHCW W Creation of a steering committee composed c of key stakeholders in t the issue of hospital waste 23
  24. 24. Conc clusions C Creation of a steering com itt ti f t i mmittee composed of key d fk stakeholders in the issue of hospital waste  integration of a specialized course on PIHCW in the curriculum of Nursing  awareness campaigns for th general public and in p g he g p schools  research and development of solutions for other types of t hazardous waste h d t  presentation of proposed a amendment of laws Trainings and capacity bu uilding in different Arabic countries Research regarding differe HCW ent 24
  25. 25. We shall never stop ou journey ur we are commit ttedto Participate in the development 25

×