EXECUTIVE SUMMARY STACK EMISSION TESTING OF TWO (2) DOH INCINERATORS. The World Health Organization has contracted Calrecovery, Inc. to conduct stack emission testing of DOH incinerators. The incinerators sites are located at Dr. Paulino J. Garcia Memorial Medical Center in Cabanatuan City and Batangas Regional Hospital in Batangas City. Findings. ‘The following are the major findings and conclusions of the stack emission testing: 1. There are substantial difference in concentrations of pollutants emitted between steady state operation and when the charging door is opened to load more medical wasie.-{See-Annex A) 2. The two incinerators emitted substantial concentration of_particulates, HCL, dioxins and furans. (See Annex 8). 3. The emissions from PUGMRMC incinerator were generally oreater than those from the Batangas Regional Hospital incinerator. (See Annex B). Conclusions /‘Aec omnia Jobe? Calrecovery has identified several recommend: ns, as follows: 4. Discarded metallic items should not be incinerated because they uneccessarily contribute to the concentrations of heavy metals in incinerator feedstock. 2. The incinerator charging doors should not be opened anymore than absolutely necessary. 3. Exploration of potential modifications in operating conditions to minimize the length of time of exposure of organic compounds. 4. Investigate the sources and materials that are contributing to the concentration of chlorine in the medical waste.MEMORANE ZARITA M. GALON, Mi, ARIGH AL SIGNET THRE Crisella G. Abesamis, MD, EPSP Director 1V itional Center for Health Facility Development This Department FROM Arch. Ma. Rebecca M. Penafiel, CLSO 1V Director tl National Center for Health Facility Developrneat his Department DATE July 12, 2002 Enclosed isa copy of the Final xeport conceining the slack Emission T alors #9 Paulino J. Garcia Memorial Research and sting of the Ovo (2) medical waste incin Medical Center, Cabanatuan City and Batangas Regional Hespital, Uatangas City. The Final report was received at NCHED last Wednesday (July 10, 2002), late afternoon, WHO and in close CALRecovery performed the work under contract to th cooperation with the Department of Health The purpose of the testing program was to determine the emissions from the incinerators and the backyround ambient concentrations of particulates matter, HCL, HIP, metals, diowins/furans, sulfur dioxide, nitrogen oxides, carbon monoxide and total hydrocarbons, Emission and simbient air testing look place at Cabanatuan City on March 22 23, 2002 and at Batangas City-on March 25 - 26, 2002. A one (2) page summary of the report is also allached for the findings and conclusion. A detailed summary of the results of the ambient air quality vrted on page 8. From the results, 7 parameters exeveutedt ulates, HCL, Barium, ns. Based on the and results of the Incinerator Emission Testings, « contingency plan for the problem should be prepared and stack gas emission monitoring, are 0} the standards in (he Philippine Clean Air Act. These are, partis lead (for Cabanatuan only), phosphorus, zine and dioxins/fura FindingURGENT ACTIVITIES HWE: shoulal meet a scon as possible Lo work gn the following, proposal or the conlingeney plan 1. ‘Te source fund: to buy an autoclave for one (1) hospital as a pilot. An autoclave with a capital cost of PLOO M to 730-0 M. 2, Far adtlitional autoclave units, thru private sector participation, review by two Q) companies offering GOT and commercial With stratepically grouped hospite he prope partnership 1 Review the proposal of Enviro Services, Ine. for the operations of the microwave disinfection units. 1 "To munimize the use the 18 unoperational microwave disinfection units installed in DOM hospitals. Upaates as of July 12, 2002 1. Meoting, done by Dit, Criseia!s G, Abesamis with the CCPSP staff (Mr aio ‘Marangan) regarding — submission of project proposal, for sre eatwe technology. Due to urgency, even a concept paper will be fceplable lor submission neat week to include (he (we (2) available prapasals (lem A2) Meeting done by Dir, Abesamis with the yroup of Dt. Des Narva regarding, proposed contingency plan, While NCHED will be responsible for the availabilily . of alternative technologies (autoclaving and arerowaver at least d sites - one for Mindanao, one in Visayas aid Uwe iY wan). the alfice of Dr. Narvaez. should be responsible to make sure ef the availability of sanitary landfill or equivalent disposal sites