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WASTE MANAGEMENT

HEALTH CARE WASTES LAW

Information to Medical Office Employees

GENERAL OBJECTIVES

Knowledge of angolan laws about health care wastes


management;
Identification, classification of wastes and proceed to
segregation, storage and delivery complying with the laws;
Identify the waste management operations related with
the final destiny of each waste;
Understand the importance of keeping a organized folder
of registers.

INTRODUCTION

Paper Packing
1 to 4 months

Newspaper
1 to 2 months
Plastic bags and cups
200 a 450 years

Aluminium can
100 to 500 years

Napkin 3 months
Batteries
more than 500 years
Gum 5 years

INTRODUCTION
LAW OF HOSPITAL WASTES
Decreto-Presidencial n. 160/2014, 18 de Junho
.

REGULATION
ON
MEDICAL
WASTE
MANAGEMENT AND HEALTH SERVICES

Aims to establish rules governing the management of medical


waste and health services.

Applies

to Institutions:

Producers of hospital wastes and health services, related to


human health, animal and cientific research.

Home care services, fieldwork, clinical analysis labs, funeral


shops, forensic services, drug stores and pharmacy services,
health schools, acupuncture services and tattoo laboratories.

ARTICLE 3. - DEFINITIONS

Final deposition of wastes in Health Services:

final destiny to give to wastes in prepared soil, acordlingly


with technical criteria and adequate operational.

Chemical Desinfection: chemical treatment. The


wastes are
germicides.

mixed

with

desinfection

solutions

and

Desinfection: process of treatment alternative to


incineration, that permits the destiny of general wastes
for public health e environment.

Transfer Station of Waste Health Services:

unit with exclusive facilities with environmental permit,


to execute transfer of waste generated in the health
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services.

ARTICLE 3. - DEFINITIONS

Body fluids: liquids originating from the bodies of

people or animals: pleural, bile, semen, blood, saliva,


amniotic fluid.

Hospital Waste Management and Health Services:

procedures to minimize the production of waste


generated and to provide a safe destination efficiently
for the protection of workers, protection of public
health, natural resources and the environment.

ARTICLE 3. - DEFINITIONS

Operations Medical Waste Treatment and


Health Services: includes incineration, disinfection
(chemical, thermal and microwave) and autoclaving;
Sharps materials or Scarification: objects and
instruments containing corners, edges and sharp
rigid protuberances capable of cutting or perforate;
Radioactive material: any material or substance

which emits ionizing radiation;

ARTICLE 3. - DEFINITIONS

Hazardous Biological Waste: waste containing


biological agents, organisms and fragments with
genetic information and that represent potential
risk to human health and to environment in
general.
Segregation: separation of waste at the time and
place where they are produced, according to the
physical, chemical, biological, physical condition
and the risks involved.
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ARTICLE 3. - DEFINITIONS

Leftover samples: remnants of blood, feces,


urine, sweat, tears, milk, colostrum, sperm, saliva,
nasal, vaginal and penis secretions, hair and nails
that remain in the collection tube after removal of
the material needed to conduct a research.
Self Clave Sterilization: physical treatment of
contaminated hospital waste to eliminate or
reduce to levels not harmful potential pathogens,
by contacting the material with water vapor at
high temperatures through circles of compression
and decompression.

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ARTICLE 4. - CLASSIFICATION OF MEDICAL


WASTES

GROUP A General Wastes


GROUP B Infectious Wastes
GROUP C Sharps and Scarification Wastes
GROUP D Chemical Wastes
GROUP E Radioactive Wastes
(ver anexo I)

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ARTICLE 4. - MEDICAL WASTES CLASSIFICATION


GROUP A General Wastes:
Are those who have no biological, chemical or
radiological health or environmental risk, and may be
treated as municipal waste.

Examples:
Use toilet paper, diapers, sanitary napkins, disposable garments,
material used in antisepsis, serum and other similar equipment are
not included in Group B. Transfused bags and empty common food
scraps and preparation of food.
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ARTICLE 4. - MEDICAL WASTES CLASSIFICATION


GROUP B Infectious Wastes
Are residues with possible presence of biological agents
by their characteristics higher virulence or high
pathogens concentration such as (bacteria, viruses,
parasites and fungi) may present a risk of infection
when on display.

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ARTICLE 4. - MEDICAL WASTES CLASSIFICATION


GROUP C Sharps and Scarification Wastes
All sharp or pointed tools that can cut or prick who
handles such as: any type of needle, scalps, razors,
scalpels, scalps, glass ampoules, drills, files, diamond
tips, spatulas, capillaries, micropipettes, broken glass
of utensils, blood collection tubes and petri dishes and
other similar.

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ARTICLE 4. - MEDICAL WASTES CLASSIFICATION


GROUP D Chemical Wastes
Are those that contain chemicals substances that
represent risks to public health or the
environment.

GROUP E Radioactive Wastes


Radioactive or contaminated with radionuclides
from clinics laboratories, nuclear medicine and
radiation therapy services, leftover materials
contaminated with radioactive materials that
result from the use of radiotherapy and radiology
equipment.

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ARTICLE 6. - RESPONSABILITY

Wastes production units are responsible for the final


disposal of medical waste and health services until sending
them to licensed treatment units.
Each health unit that produces waste must develop a plan
for medical waste management and health services, before
the beginning of its activity.
The plan must be submitted to the Ministries of
Environment and Health for the purpose of advice and
consent.
Should be available a copy of Medical Wastes Plan on
medical facilities for autorities inspections.

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ARTICLE 6. - RESPONSABILITY

The plan must meet the technical criteria,


environmental legislation, standards for collection
and transportation of local urban cleaning services,
as well as the rules and guidelines contained in
other legislation.
Producing units can shift responsibility for medical
waste management and health services companies
duly licensed to do so, by a written contract.
The producing units should available the
equipment appropriated for sort, collection and
temporary storage of medical wastes.
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ARTICLE 7. SORTING

Medical wastes must be sorted at the palces


where are produced, and should be done
according its hazardous characteristics and class.
Liquids effluents before sent to sewage should be
seen if respect environmental laws and sewage
treatment plan rules.

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ARTICLE 8. SEGREGATION

Medical wastes

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A transferncia de responsabilidade de gesto dos


resduos hospitalares e de servios de sade para
as empresas de gesto objecto de contrato
escrito.

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WASTE MANAGEMENT OPERATIONS


Best solution

Prevention and
Reduction

Prevention of quantity
and variety of wastes
Prevention of wastess
harmfulness

Preparation for
Reuse
Recycling
Other types of
valorization
Elimination
Worst solution

Organic Composting
Incineration with energy
recovery
Co-incineration
Landfill
Incineration

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