Module 7 Health Care Waste Management

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Module 7
This content is protected and may not be shared, uploaded, or distributed. All Rights Reserved. ©2021
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• All solid or liquid waste generated by any of the following activities:

• Diagnosis, Treatment and Immunizations of humans;
• Research Pertaining to diagnosis, treatment and immunization of humans;
• Research using laboratory animals geared towards improvement of human
health;
• Production and testing of biological products;
• Other activities performed by a health care facility that generates waste
1. Infectious waste
2. Pathological and Anatomical waste
3. Sharps
4. Chemical Waste
5. Pharmaceutical Waste
6. Radioactive Waste
7. Non-Hazardous or General Waste
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• Infectious Waste • Liquid wastes with infection ( blood,

urine, vomitus and other body
• All waste suspected to contain secretions
pathogens or toxins that may cause • Food wastes (liquid or solid) coming
disease to susceptible host and also from patients with highly infectious
includes discarded materials or diseases
equipment used for diagnosis,
treatment and management of
patient with infectious diseases
• Example:
• Discarded microbial cultures
• Solid waste with infections (
dressings, sputum cups, urine 5
containers and blood bags)
• Pathological and Anatomical Waste

• Refers to tissue sections and body fluids or organs derived from
biopsies, autopsies or surgical procedures sent to the laboratory for
examination
• Anatomical waste is a subgroup of pathological waste that refers to
recognizable body parts usually from amputation procedures
• Example
• Internal organs and tissues used for histopathological examination
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• Sharps
• Refers to waste items that can cause cuts, pricks or puncture
wounds
• Considered most dangerous health care waste cause both injury
and infection
• Examples:
• Syringes in phlebotomy
• Blood lancets
• Surgical knives
• Broken glasswares
• Chemical Waste
• Refers to discarded chemical(solid, liquid or gaseous) generated
during disinfection and sterilization procedures and also
includes waste with high content of heavy metals and their
derivatives
• Example:
• Laboratory Reagents
• X-ray film developing solutions
• Disinfectants and Soaking Solutions
• Used batteries
• Conc. Ammonia solutions
• Conc. Hydrogen Peroxide
• Chlorine
• Mercury from broken thermometers and sphygmomanometer
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• Chemicals are considered hazardous when they are:

• Toxic ( with health and environmental hazards)
• Corrosive ( Acid of pH < 2.0 and bases of pH >12.0)
• Flammable (with a flash point below 60°C)
• Reactive (explosive with water)
Chemical Waste Examples
Acids Acetic, Chromic, hydrochloric, nitric, sulfuric

Alcohols Ethanol, isopropanol, phenols
Aldehydes Formaldehyde, glutaraldehyde, ortho-pthalaldehyde
Bases Ammonium hydroxide, potassium hydroxide
Halogenated Calcium hypochlorite, chlorine dioxide, iodine solutions,
disinfectants iodophores, sodium dichloroisocyanurate, sodium hypochlorite
(bleach)
Halogenated Chloroform, methylene chloride, percholoethylene, refrigerants,10
solvents trichloroethylene
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Chemical Waste Examples

Metals Arsenic, cadmium, chromium, lead, mercury, silver
Non-Halogenated Acetone, acetonitrite, ethanol, ethyl acetate, formaldehyde,
solvents isopropanol, methanol, toluene, xylenes
Other Hydrogen peroxide, peroxyacetic acid, quaternary amines
disinfectants
Oxidizers Hydrogen peroxide, potassium dichromate, potassium
permanganate
Reducers Sodium bisulfite, sodium sulfite
Miscellaneous Anesthetic gases, asbestos, ethylene oxide, herbicides, waste oils 11
• Pharmaceutical Waste
• Refers to expired, spilt, and contaminated
pharmaceutical products, drugs, vaccines including
discarded items used in handling pharmaceuticals.
• Includes antineoplastic, cytotoxic and genotoxic
waste ( drugs used in oncology or radiotherapy and
biological fluids from patients treated with the said
drugs
• Examples:
• Empty drug vials
• Medicine bottles containers of cytotoxic drugs (including
materials used in preparation and administration)
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• Radioactive Waste
• Refers to waste exposed to radionuclides including radioactive
diagnostic materials or radiotherapeutic materials
• Examples
• Cobalt (Co 90)
• Technetium (99 Tc)
• Iodine ( 131 I)
• Iridium ( 192 Ir)
• Irradiated blood products
• All materials used by patients exposed to radionuclides within 48 hrss
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• Non- Hazardous or General Waste

• Refers to waste that have not been in contact with communicable or
infectious agents, hazardous chemicals or radioactive substances and do
not pose a hazard
• Further classified: Recyclable Waste, Biodegradable waste and Non-
recyclable/ non-biodegradable waste
• Examples:
• Plastic bottles
• Used paper products
• Office waste
• Scrap wood
• Food waste from non-infectious patients
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1. The Montreal Protocol on Substances that Deplete the

Ozone Layer (1987)
• Adopted in Montreal, Canada on September 16, 1987 and came
into force as agreed upon January 1, 1989
• Sets the final objective of the protocol to eliminate ozone
depleting substances in the environment
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2. The Basel Convention on the Control of the transboundary

movements of Hazardous waste and their disposal (1989)
• Concerned with the transboundary movements of hazardous waste
• Countries that signed the Convention accepted the principle that only
legitimate transboundary shipments of hazardous waste are exported from
countries that lack the facilities or expertise to safely dispose certain waste
to other countries that have both facilities and expertise
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3. The United Nations Framework Convention on Climate

Change (1992)
• Legally non-binding pledge that by the year 2000, major
industrialized nations would voluntarily reduce their greenhouse
gas emissions to 1990 levels
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4. The Stockholm convention on persistent organic

pollutants (2001)
• Global treaty to protect human health and the environment from
persistent organic pollutants (POPs)
• POPs are chemicals that:
• Remain unchanged in the environment for long periods of time
• Accumulate in the fatty tissues of living organisms
• Toxic to both human and wildlife
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5. The ASEAN Framework Agreement on the Facilitation

of Goods in Transit (1998)
• A core instrument that provides nine high level protocols that set
out generic standards to be put into a place for the
implementation of an international transit system
• Specifically, the framework agreement includes Protocol 9 on
Dangerous Goods which provides provisions on the transport of
toxic and infectious substances
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Class 1 - Explosives Class 6 - Toxic and Infectious

Class 2 - Gases Substances
Class 3 - Flammable Liquids Class 7 - Radioactive Material
Class 4 - Flammable Solids Class 8 - Corrosives
Class 5 - Oxidizing Substances Class 9 - Miscellaneous
and Organic Peroxides Dangerous Goods
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1. Republic Act No. 4226 “Hospital Licensure Act” (1965)

• An act that requires the registration and licensure of all hospitals in
the country and mandates the DOH to provide guidelines for hospital
technical standards as to personnel, equipment and physical facilities
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a. DOH Administrative Order No. 70- Series of 2002 “ Revised

Rules and Regulations Governing the Registration, Licensure
and Operation of Hospitals and Other Health Facilities in the
Philippines
• Includes application or renewal of license, submission of plans and
other design requirements under the: Code of Sanitation of the
Philippines, National Plumbing Code of the Philippines, Revised
Fire Code of the Philippines and National Building Code of the
Philippines
• The Manuals on Hospital Waste Management and Health Facilities
Maintenance are also required for submission for verification by the
DOH- Bureau of Health Facilities and Services (BHFS)
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b. DOH Administrative Order No. 2005-0029 dated December

12,2005 “Amendment to A.O. No. 70 series of 2002 re: Revised
Rules and Regulations Governing the Registration, Licensure
and Operation of Hospitals and other Health Facilities in the
Philippines
• Requires HCF to submit a health care waste management Plan to
BHFS as one of its requirements for the issuance of license to
operate
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c. DOH Administrative Order No. 2007-0026 dated August 22, 2007 “

Revised Rules and Regulations Governing the Licensure and
Regulation of Clinical Laboratories in the Philippines”
• Requires written procedures for the proper disposal of health care waste and
other hazardous substances and required written policy guidelines on
biosafety and biosecurity
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2. Republic Act No. 6969 “An Act to Control Substances

and Hazardous and Nuclear Waste” (1990)
• Requires the registration of waste generators, waste transporters
and operators of toxic and hazardous waste facilities with the EMB
• The waste generators are required to ensure that their hazardous
wastes are properly collected, transported, treated and disposed in
a sanitary landfill
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a. DENR Administrative Order No. 36- Series of 2004

“Revising DENR Administrative Order 29-Series of
2002, to Further Strengthen the Implementation of
R.A 6969 and Prescribing the Use of the Procedural
Manual”
• Procedural Manual requires a comprehensive documentation on the legal
and technical requirements of hazardous waste management
• The Manual does not include provisions regarding the management of
nuclear waste and composed of ten sections that discuss:
1. Classification of hazardous wastes
2. Waste generators
3. Waste Transporters
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• (Continuation )
4. Storage and labelling
5. Treatment, Storage and Disposal (TSD) Facilities
6. Manifest system
7. Monitoring
8. Prohibited Acts
9. Schedule of fees
10. Import of recyclable materials containing hazardous substances
and export of hazardous waste
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b. DOH- DENR Joint Administrative Order No. 02 series of

2005 dated August 24, 2005 “ Policies and Guidelines on
Effective and Proper Handling, Collection, Transport,
Treatment, Storage and Disposal of HCW”
• Aims to:
• Provide guidelines to generators, transporters, and operators/owners
of TSD Facilities on the proper handling, collection, transport,
storage, treatment and disposal of Health Care Wastes (HCW)
• Clarify jurisdiction, authority and responsibility of DENR and DOH
regard to health care waste management (HCWM)
• Harmonize the efforts of DENR and DOH on HCWM
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c. DOH Administrative Order 2007-0014 “ Guidelines on the Issuance of

Certificate of Product Registration for Equipment or Devices Used for
Treating Sharps, Pathological and Infectious Waste”
• Requires the manufacturers, importers, and distributors including generators of
HCW that sell and/or use equipment and devices treating sharps, pathological and
infectious waste to secure a Certificate of Product Registration (CPR) from DOH
through the Bureau of Health Devices and Technology
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3. Republic Act No. 8749 “ The Philippine Clean Air Act

of 1999)
• Prohibits the incineration of bio-medical waste effective July 17,
2003
• Promotes the use of state-of-the-art, environmentally-sound and
safe non-burn technologies for handling, thermal destruction,
utilization and disposal of sorted, unrecycled, biomedical and
hazardous wastes
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4. Republic Act No. 9003 “Ecological Solid Waste

Management Act of 2000”
• Mandates the segregation of solid wastes at the sources including
households and institutions like hospitals by using a separate
container for each type of waste
5. Republic Act No. 9275 “ The Philippine Clean Water
Act of 2004”
• Pursues a policy of economic growth in a manner consistent with
the protection, preservation and revival of the quality of the
country’s fresh, brackish and marine waters
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6. Presidential Decree 813 (1975) and Executive Order

927 (1983) “ Strengthening the Functions of Laguna
Lake Development Authority (LLDA)”
• Further strengthens the power and functions of LLDA to
include environmental protection and jurisdiction over
surface waters of the Laguna Lake basin
• Through E.O 927, LLDA is empowered to issue permits for
the use of the surface waters within Laguna de Bay
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7. Presidential Decree 856 “ The Code on Sanitation of the

Philippines- Chapter XVII on Sewage Collection and
Excreta Disposal” (1998)
• Requires the approval of DOH in term of the following:
a) Constructions of any type of toilet in every house and
community which may be allowed for a group of small
houses of light material or temporary in nature
b) Plans of individual sewage or sewage system and the sub-
surface absorption system or other treatment
c) Location of any toilet or sewage disposal system in relation
to a source of water supply
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• Requires the approval of DOH in term of the following: (Continuation..)

d) Discharge of untreated effluent from septic tanks and/or sewage
treatment plants to bodies of water
e) Manufacture of Septic Tanks
f) Method of disposal of sludge from septic tanks or other treatment
plants
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a. Rules and Regulations Governing the Collection,

Handling, Treatment and Disposal of Domestic Sludge and
Septage (2004), a “Supplement to IRR of the Chapter XVII
on Sewage Collection and Disposal and Excreta Disposal
and Drainage of 1998”
• Require individuals, firms, public and private operators, owners and
administrators engaged in desludging, collection , handling and
transport, treatment and disposal of domestic sewage treatment
plants/ facilities and septage from house septic tanks to secure
environmental sanitation clearances from DOH
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b. Chapter XVIII of P.D 856 “ The Code of Sanitation of the

Philippines” on Refuse Disposal (1998)
• Require cities and municipalities to provide an adequate and
efficient system of collecting, transporting and disposing refuse in
their areas of jurisdiction
• Also require occupants of buildings, institution such as hospitals and
residences to provide sufficient number of receptacles for refuse
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c. Operation Manual on the Rules and Regulations

Governing Domestic Sludge and Septage (June 2008)
• Provides detailed procedures and forms which need to comply with
the IRR governing the collection, handling, transport, treatment, and
disposal of domestic sludge and septage
• Designed to guide private and public service providers as well as
government regulators towards effective sludge and septage
management program in the country
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d. A.O 2010-0033 “Revised Implementing Rules and

Regulations of P.D 856 Code on Sanitation of the
Philippines, Chapter XXI on Disposal of Dead Persons”
(December 2010)
• Implemented a new restriction on open viewing of remains when the
individual’s death was caused by certain communicable disease
• Explicitly States, “The remains shall be placed in a plastic cadaver
bag or other durable airtight container at the point of death and a
biohazard tag attached, provided that, this container shall not be
opened for viewing or any other purpose prior to burial or cremation
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8. Presidential Decree 984 “ Providing for the Revision of

R.A 3931, Commonly known as the Pollution Control
Law and for Other Purposes” (1976)
• Governs the discharge of potentially polluting substances to air and
water
• Provides basis for the DENR regulations on water pollution through
its IRR, DENR A.O Nos 34 and 35
• The IRR for air emission was initially set by DENR A.O No 14 but
was later replaced by Clean Air Act of 1999 (R.A 8749)
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a. DENR Administrative Order No. 34 series of 1990 “Revised

Water Usage and Classification/ Water Quality Criteria
Amending Sections No. 68 and 69, Chapter III of the 1978
National Pollution Control Commission (NPC now EMB)
Rules and Regulations”
• Classified bodied of water according to their designated uses and did
not preclude use of the bodies of water for other purposes that are
lower than the classification provided that such use does not
prejudice quality required for such waters
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b. DENR Administrative Order No. 35 series of 1990 “

Effluent Regulations”
• Lists their effluent regulations for the different levels of pollutants
according to their water category/class
c. DENR Administrative Order No. 26 series of 1992
“Amending Memorandum Circular No. 2 series of 1981:
Appointment/ Designation of Pollution Control Officers”
• Requires the appointment/ designation of a Pollution Control Officer
(PCO) and lists the qualifications, reporting requirements and duties
and responsibilities of accredited PCOs.
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9. Presidential Decree No. 1586 “Environmental Impact

Statement (EIS) System” (1978)
• Requires projects like construction of new hospital building or
expansion of existing hospitals to secure an Environmental
Compliance Commitment (formerly Environmental Compliance)
Certificate (ECC) prior to the construction and operation of the
facility
• An ECC is required for the installation and operation of HCW
treatment like pyrolysis, autoclave, microwave and other treatment
technology including landfills
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10. Executive Order No. 301 “Establishing a Green

Procurement Program for All Departments, Bureaus,
Offices and Agencies of the Executive Branch of
Government” (2004)
• Aims to provide:
a) Promote the culture of making environmentally informed decisions in
the government especially in the purchase and use of different products
b) Include environmental criteria in public tenders whenever possible and
practicable
c) Establish the specifications and requirements for products or services to
be considered environmentally advantageous
d) Develop incentive programs for suppliers of environmentally
advantageous products or services
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11. DOH Administrative Order No. 2008-0021 dated July 30,

2008 “Gradual Phaseout of Mercury in all Philippine
Health Care Facilities and Institutions”
• Requires all HCF to gradually phaseout the use of mercury-containing
devices and equipment
• Initial targets of the phaseout are mercury thermometers and
sphygmomanometers in HCF
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a. Department Memorandum No. 2011-0145 “ Guidelines for

Temporary Storage of Mercury Waste in HCF in
Accordance with AO No. 0021 s.2008 on the Gradual
Phaseout of Mercury in All Philippine Health Care
Facilities and Institutions”
• Provides the detailed guidelines on the temporary storage of
mercury-containing devices and the management of mercury spills to
enhance patient safety measures in HCF, to protect health care
workers from potential hazards from mercury exposures and to
minimize the accumulation of mercury in the environment
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12. DOH Administrative Order No. 2008-0023 dated

July 30, 2008 “National Policy on Patient Safety”
• Requires the establishment and maintenance of a culture of
patient safety in HCF as the responsibility of its leader
• HCF shall ensure that an enabling mechanism/ strategy is in
place to ensure patient safety
• The key priority areas in patient safety include ( but not limited
to):
• Proper patient identification
• Assurance of blood safety
• Safe clinical and surgical procedures
• Provision and maintenance of safe quality drugs and technology
• Strengthening infection control standards
• Maintenance of the environment of care standards
• Energy and waste management standards 47
13. DOH “ Manual on Health Care Waste Management” in

2011 (Revising the 2007 Health Care Waste Management
Manual)
• Serves as a reference for HCF administrators in the implementation
of an effective and efficient waste management program
• The requirement for doing such are provided in the manual by listing
the standards of performance, defining the mandatory requirements,
providing new concepts and citing examples and tools
• The manual is designed to be used by all workers within the HCF
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14. PhilHealth Benchbook for Quality Assurance in Health

Care (2006)
• Includes health care waste management as one of its parameters in
quality assurance of healthcare
15. BFAD Memorandum Circular No. s1994 “ Inventory, Proper
Disposal and/or Destruction of Vials or Bottles” and BFAD
Bureau Circular No 16, s1999 “Ammending BFAD MC No.
22 dated September 8, 1994, Regarding Inventory, Proper
Disposal and/or Destruction of Vials or Bottles
• Released to prevent the proliferation of adulterated, misbranded, and
counterfeit drugs brought about by recycling of used pharmaceutical
bottles and vials
• Contain guidelines on the proper inventory and destruction of bottles and
vials 49
50
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Reserved. ©2021
• Most Important Step: Waste Minimization

using an approach known as Green
Procurement Policy
• Green Procurement Policy involves 2
aspects:
• Waste prevention
• Waste reduction
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http://www.wpro.who.int/philippines/publications/health_care_waste_management_manual_3rd_ed.pdf
• Safely reusing, recycling and recovering wastes are collectively

termed as Resource Development
• Reusing- refers to either finding a new application for a used material or
using the same product for the same application repeatedly however,
safety and efficiency should be considered when using medical items
and devices
• Recycling- refers to the processing of used materials into new products
• Recovery- defined in two ways: 1. energy, recovery whereby waste is
converted to fuel for generating electricity or for direct heating of
premises and 2. as term used to encompass three subsets of waste
recovery: recycling, composting and energy recovery
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Reserved. ©2021
• For waste that cannot be safely reused, recycled or recovered, the end of
pipe approach is implemented
• End of Pipe approach involves 2 aspects:
• Waste Treatment- process of changing the biological and chemical
characteristics of waste to minimize its potential to cause harm
• Waste Disposal- refers to discharging, depositing, or releasing any
health care waste into air, land or water.
! Not all type of wastes require treatment
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• HCF are tasked to ensure that generated wastes are properly and
safely managed
• HCW must be segregated, collected, stored and transported while
considering risk and occupational safety and compliance with
existing laws, policies and guidelines
• Segregation- process of separating different types of waste at the
point of generation until their final disposal
• Color coding- to make it easier for personnel in a HCF to put
waste in correct bins and maintain segregation during collection,
storage, transport, treatment and disposal
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Type of Waste Specifications

Infectious Waste BIN
Strong leak-proof bin with cover labelled “infectious” with
biohazard symbol
LINER
Infectious Yellow plastic that can withstand autoclaving with 0.009mm
waste thickness and labelled “Infectious Waste” with a tag indicating
source and weight of waste and date of collection; may or may not
have a biohazard symbol
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Pathological and Anatomical BIN
Wastes Strong leak-proof bin with cover labelled
“Pathological/Anatomical Waste” with biohazard symbol
LINER
Yellow plastic that can withstand autoclaving with 0.009mm
thickness and labelled “Pathological/Anatomical Waste” with a
Pathological
Waste
tag indicating source and weight of waste and date of collection.
Biohazard symbol is optional
Sharps BIN
Puncture-proof container with wide mouth and cover labelled
“Sharps”
Sharps
LINER
Not applicable
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Chemical Waste BIN
Labelled “Chemical Waste”; For Liquid Waste, inside the bin is
a disposal bottle made of amber-colored glass with at least 4
liters capacity that is strong, chemical-resistant and leak proof
LINER
Chemical
Waste Yellow with black band plastic with 0.009mm thickness and
labelled “Chemical Waste” with a tag indicating source and
weight of waste and date of collection
Pharmaceutical Waste BIN

Strong leak-proof bin with cover labelled “Pharmaceutical
Waste” for expired drugs and drug containers and “Cytotoxic
Waste” for cytotoxic, genotoxic and anti-neoplastic waste
Pharmaceutical
LINER
Waste Yellow with black band plastic with 0.009mm thickness and
labelled “Pharmaceutical Waste” with a tag indicating source 57
and weight of waste and date of collection

Radioactive Waste BIN
Radiation proof repositories, leak-proof and lead-lined container
labelled with the name of radionuclide and date of deposition
with radioactive symbol
LINER
Co 90
May 25, 2016 Orange plastic with 0.009mm thickness and labelled
“Radioactive” with a tag indicating name of radionuclide and
date of collection
General Waste BIN

Optional recycle symbol for recyclable non-hazardous waste;
varying sizes depending on the volume of waste
LINER
Black or colorless plastic for non-biodegradable and green for
biodegradable with a thickness of 0.009mm with a tag
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indicating source, weight of waste and date of collection
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Reserved. ©2021
1. Highly infectious waste must be disinfected at source

2. Anatomical Waste including recognizable body parts, placenta waste and organs
should be disposed through safe burial or cremation
3. Pathological waste must be refrigerated if not collected or treated within 24
hours
4. Sharps must be shredded or crushed before they are transported to the landfill
5. Chemical and pharmaceutical wastes shall be segregated and collected
separately
6. Radioactive waste has to be decayed to background radiation levels
7. All waste bins must be properly covered to prevent cross contamination
8. Aerosol containers can be collected with the general waste 59
Recycle symbol Biohazard symbol Corrosive
Old Radiation Symbol New Radiation Symbol Explosive symbol

Ionizing Radiation Sign
Cytotoxic Symbol Infectious Symbol Reactive Symbol
Infectious
Flammable Liquid Symbol Flammable Solid Symbol Poison/ Toxic Symbol

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• Proper Waste Treatment to ensure that HCW do not pose harm

to people and environment
• HCW can be decontaminated either by sterilization and
disinfection
• Sterilization kills all microorganism while Disinfection reduces
the level of microorganisms present in the material
61
• Pyrolysis- thermal decomposition of HCW in the absence of

supplied molecular oxygen in the destruction chamber where waste
is converted to gaseous, liquid or solid form.
• Autoclave- use of steam sterilization using pressure and heat (
121°C in 15 psi for 15 to 30 mins)
• Microwave- typically incorporates type of size reduction device
(100°C or 237°F for at least 30 minutes)
• Chemical disinfection- chemical like sodium hypochlorite,
hydrogen peroxide, peroxyactetic acid and heated alkali are added
to HCW to kill or inactivate present pathogens ( generates
62
chemical wastes from used chemical disinfectants)
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• Biological Process- uses enzyme mixture to decontaminate

• Encapsulation- involves the filling of containers with waste,
adding and immobilizing material and sealing the containers
• Inertization- suitable for pharmaceutical waste that involves the
mixing of waste with cement and other substances before disposal
• After treatment, HCW are usually disposed in landfills. Landfills
is an engineered site designed to keep waste isolated from
environment
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REFERENCES:
Principles of Medical Laboratory Science 1 by Petrona A. Benitez
C B, Sudeep. (2016). Hospital Waste Management. 10.13140/RG.2.2.32787.48160.
65
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shared, uploaded, or distributed. All Rights

• All solid or liquid waste generated by any of the following activities:

• Infectious Waste • Liquid wastes with infection ( blood,

• Pathological and Anatomical Waste

• Chemicals are considered hazardous when they are:

Chemical Waste Examples

Acids Acetic, Chromic, hydrochloric, nitric, sulfuric

Chemical Waste Examples

• Non- Hazardous or General Waste

1. The Montreal Protocol on Substances that Deplete the

2. The Basel Convention on the Control of the transboundary

3. The United Nations Framework Convention on Climate

4. The Stockholm convention on persistent organic

5. The ASEAN Framework Agreement on the Facilitation

Class 1 - Explosives Class 6 - Toxic and Infectious

1. Republic Act No. 4226 “Hospital Licensure Act” (1965)

a. DOH Administrative Order No. 70- Series of 2002 “ Revised

b. DOH Administrative Order No. 2005-0029 dated December

c. DOH Administrative Order No. 2007-0026 dated August 22, 2007 “

2. Republic Act No. 6969 “An Act to Control Substances

a. DENR Administrative Order No. 36- Series of 2004

b. DOH- DENR Joint Administrative Order No. 02 series of

c. DOH Administrative Order 2007-0014 “ Guidelines on the Issuance of

3. Republic Act No. 8749 “ The Philippine Clean Air Act

4. Republic Act No. 9003 “Ecological Solid Waste

6. Presidential Decree 813 (1975) and Executive Order

7. Presidential Decree 856 “ The Code on Sanitation of the

• Requires the approval of DOH in term of the following: (Continuation..)

a. Rules and Regulations Governing the Collection,

b. Chapter XVIII of P.D 856 “ The Code of Sanitation of the

c. Operation Manual on the Rules and Regulations

d. A.O 2010-0033 “Revised Implementing Rules and

8. Presidential Decree 984 “ Providing for the Revision of

a. DENR Administrative Order No. 34 series of 1990 “Revised

b. DENR Administrative Order No. 35 series of 1990 “

9. Presidential Decree No. 1586 “Environmental Impact

10. Executive Order No. 301 “Establishing a Green

11. DOH Administrative Order No. 2008-0021 dated July 30,

a. Department Memorandum No. 2011-0145 “ Guidelines for

12. DOH Administrative Order No. 2008-0023 dated

13. DOH “ Manual on Health Care Waste Management” in

14. PhilHealth Benchbook for Quality Assurance in Health

• Most Important Step: Waste Minimization

• Safely reusing, recycling and recovering wastes are collectively

Type of Waste Specifications

Type of Waste Specifications

Type of Waste Specifications

Pharmaceutical Waste BIN

and weight of waste and date of collection

Type of Waste Specifications

General Waste BIN

1. Highly infectious waste must be disinfected at source

Recycle symbol Biohazard symbol Corrosive

Old Radiation Symbol New Radiation Symbol Explosive symbol

Cytotoxic Symbol Infectious Symbol Reactive Symbol

Flammable Liquid Symbol Flammable Solid Symbol Poison/ Toxic Symbol

• Proper Waste Treatment to ensure that HCW do not pose harm

• Pyrolysis- thermal decomposition of HCW in the absence of