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Solid waste (SW) management at government health centers (GHCS) is necessary to reduce pollution, especially in the rural areas. although, the government health centers have guidelines to control and manage solid waste, some areas are weakly regulated and poorly managed. government health centers in the countryside are far from waste management and disposal technology. This paper reports on the solid waste management at six government health centers along the Southern andaman coast of Thailand and aimed to study the types and quantities of waste storage, collection, transportation, and disposal. The results found that solid waste was separated into non-hazardous waste (NHW, general and domestic waste) and hazardous waste (hW, infectious waste and hazardous waste). The percentages of domestic waste and general waste were 90% and 10%, respectively. The percentages of infectious waste and hazardous waste were 91% and 9%, respectively. moreover, the rates of general and domestic waste from all government health centers were 0.01 and 0.04–1.30 kg/person/day, respectively. The average rates of hazardous waste and infectious waste produced were 0.02 kg/person/day and 0.01–0.09 kg/person/day, respectively. Non-hazardous waste was kept in black or translucent plastic bags inside plastic or stainless-steel or rubber bins. hazardous waste was usually put in black plastic bags inside a plastic bin and sometimes no plastic bag was used. Infectious waste was kept in red plastic bags inside plastic or stainless-steel bins. Infectious sharp waste was put in yellow or red sharps bins or puncture proof containers without covers. expired drugs were put in plastic baskets without bags. On-site waste collection was performed by staff personnel at each government health center and off-site disposal of non-hazardous waste was collected by employees of sub-administrative organizations that moved waste for disposal by municipal truck to open dumps. hazardous waste including infectious waste and expired drugs was transported from a district hospital by pickup truck. Infectious waste was later sent for incineration and expired drugs were returned to the suppliers. The transport workers wore unsuitable clothes. although the waste materials were basically controlled and managed by the guidelines, handling of the waste was incorrect and ineffective. Therefore, solid waste management from top-down needs to strictly practice the guidelines according to the laws for a better environment.
management, solid waste, government, health center.
[1] Mohamed, L.F., Ebrahim, S.A. & Thukair Al, A.A., Hazardous healthcare waste management in the Kingdom of Bahrain. Waste Management, 29(8), pp. 2404–2409, 2009. https://doi.org/10.1016/j.wasman.2009.02.015
[2] Elevate health center to health promotion hospitals, Thai Health Promotion Foundation. Online, http://www.thaihealth.or.th (accessed 14 June 2018).
[3] Safe management of waste from health-care activities. Online, http://apps.who.int/iris/ bitstream/handle/10665/85349/9789241548564_eng.pdf;jsessionid=A74F6584BC09D 92A5ADF7CF5FB36A386?sequence=1 (accessed 12 June 2018).
[4] Management of solid health-care waste at primary health-care centers: a decisionmaking guide. Online, http://www.who.int/water_sanitation_health/publications/manhcwm.pdf, (accessed 12 June 2018).
[5] Diaz, L.F., Eggerth, L.L., Enkhtsetseg, Sh. & Savage, G.M., Characteristic of healthcare wastes. Waste management, 28(7), pp. 1219–1226, 2008.
[6] Puangmanee, S. & Jearani, M., Solid waste management from a primary care unit. Proceedings of the 7th National Conference, pp. 19–20, 2018.
[7] Puangmanee, S. & Jearani, M., Health care waste management: a case study of Healthpromoting hospitals. WIT Transactions on Ecology and the Environment, Vol 231, WIT Press, 2018.
[8] Nemathaga, F., Maringa, S. & Chimuka, L., Hospital solid waste management practices in Limpopo Province, South Africa: A case study of two hospitals. Waste Management, 28(7), pp. 1236–1245, 2008. https://doi.org/10.1016/j.wasman.2007.03.033 56 S. Puangmanee & M. Jearanai, Int. J. Sus. Dev. Plann. Vol. 15, No. 1 (2020)
[9] Manga, Veronica E., Forton, O.T., Mofor, L.A. & Woodard, R. Health care waste management in Cameroon: A case study from the Southwestern Region. Resources, Conservation and Recycling, 57, pp. 108–116, 2011. https://doi.org/10.1016/j.resconrec.2011.10.002
[10] Mmereki, D., Baldwin, A., Li, B. & Liu, M. Health care waste management in Botswana: storage, collection, treatment and disposal system. Journal of Material Cycles Waste Management, 19(1), pp. 351–365, 2017. https://doi.org/10.1007/s10163-015-0429-0
[11] Patil, A.D. & Shekdar, A.V., Health-care waste management in India. Journal of Environmental Management, 63(2), pp. 211–220, 2001. https://doi.org/10.1006/ jema.2001.0453
[12] Al-Khatib, I. & Sato, C., Solid health care waste management status at health care center in the West Bank-Palestinian Territory. Waste Management, 29, pp. 2398–2403, 2009. https://doi.org/10.1016/j.wasman.2009.03.014
[13] Abah, S.O. & Ohimain, E.I., Health care waste management in Nigeria: A case study. Journal of Public Health and Epidemiology, 3(3), pp. 99–110, 2011.
[14] Ministerial Regulation General Waste Management B.E. 2560. Online, http://laws.anamai.moph.go.th/main.php?filename=2RLaws, 2017 (accessed 14 June 2018).
[15] Diaz, L.F., Savage, G.M. & Eggert, L.L., Alternatives for the treatment and disposal of healthcare wastes in developing countries. Waste Management, 25, pp. 626–637, 2005. https://doi.org/10.1016/j.wasman.2005.01.005
[16] Eggen, T. Moeder, M. & Arukwe, A., Municipal landfill leachates: a significant source for new and emerging pollutants. Science of Total Environment, 408(21), pp. 5147–5157, 2010. https://doi.org/10.1016/j.scitotenv.2010.07.049
[17] Ministerial Regulation Disposal of Infectious B.E. 2545. Online, http://laws.anamai. moph.go.th/main.php?filename=2RLaws, 2002 (accessed 14 June 2018).
[18] Prem Ananth, A., Prashanthini, V. & Visvanathan, C., Healthcare waste management in Asia. Healthcare waste management in Asia. Waste management, 30(1), pp. 154–161, 2010. https://doi.org/10.1016/j.wasman.2009.07.018
[19] Phangnga Provincial Public Health Office, Village Information and Responsibilities of Public Health Facilities. Online, http://www.pngo.moph.go.th/pngo/index.php/12- 2016-12-19-08-16-31/64-information-health-phangnga-5 (accessed 12 January 2017).