1

JOINT DENR-DOH
ADMINISTRATIVE
ORDER 2005-02
Policies and Guidelines on effective and proper
handling, collection, transport, treatment, storage
and disposal of health care wastes.
 1 RA 8749
LEGAL
RA 6969
MANDATES 2

3 RA 9003

4 PD 856, Chapter 18 & its IRR

5 RA 9275

6 PD 1586

7 RA 4226
 OBJECTIVES 3

1 2 3

Provide guidelines to generators,
transporters & owners or operators
of TSD facilities of HCW on the
proper handling, collection,
transport, treatment, storage and
disposal
Clarify the jurisdiction, Harmonize efforts of the DENR
authority responsibilities of and DOH on proper health care
DENR-DOH with regard to waste management.
HCWM
SCOPE
These policies and
guidelines shall apply to
health care waste
generators, transporters
and owners or operators
of TSD and final
disposal facilities.
 DEFINITION OF TERMS
Health Care Waste
Health Care Wastes Generators
include all wastes generated as a result of the include health care facilities, institutions,
following: business establishments and other similar
health care services with activities or work
• Diagnosis, treatment, management and
processes that generate health care waste.
immunization of humans or animals;
• Research pertaining to the above activities; • Hospitals (Primary Care, Secondary Care
and Tertiary Care)
• Producing or testing of biological products;
• Infirmaries
and
• Waste originating from minor or scattered • Birthing homes
sources (i.e. dental, clinics. alternative • Drug Manufactures
medicine clinics, etc.)
• Mortuary and Autopsy Centers
• The categories of health care wastes are
enumerated in Annex "A".
CLINICS HCW
Medical, Ambulatory, Dialysis, GENERATORS
Health care center & dispensaries

Surgical, Alternative medicines

Dental, Veterinary
LABORATORIES AND RESEARCH
CENTERS
HCW
Medical and biomedical laboratories,
GENERATORS
Medical research centers,
Blood banks & blood collection services,
Dental prosthetic laboratories,
Nuclear medicine laboratories,
Biotechnology laboratories,
Animal research testing,
Drug testing laboratories,
HIV testing laboratories
INSTITUTIONS HCW
Drug rehabilitation center, GENERATORS
Training center for embalmers,
Med-tech intern training centers,
Schools of radiologic technology,
Medical schools,
Nursing homes,
Dental schools
 DEFINITION OF TERMS
Health Care Waste
Transporter
a person licensed by the
DENR Environmental
Management Bureau to
convey health care waste
through air, water or land.
TSD Facilities
facilities where
hazardous wastes are
stored, treated, recycled,
reprocessed and/or
disposed of, as
prescribed under DENR
A0 No. 2004-36, Chapter
6-2 (Categories of TSD
 ENVIRONMENTAL COMPLIANCE REQUIREMENT 10

1 2 3

HEALTH CARE WASTE HEALTH CARE TSD FACILITIES

GENERATORS WASTE
TRANSPORTERS
DOCUMENTARY REQUIREMENTS 11

HEALTH CARE WASTE GENERATORS

1 2

DENR-EMB DOH-BHFS
• ECC • LICENSES
• P/O • CERTIFICATE OF
• DISCHARGE PERMIT ACCREDITATION
• HAZARDOUS WASTE
GENERATOR’S
REGISTRATION
DOCUMENTARY REQUIREMENTS 12

HEALTH CARE WASTE TRANSPORTERS

1 Register with EMB C.O. as

healthcare waste transporter

2 Secure Transport Permit from

the DENR-EMB R.O.

3 Comply with the DENR

Manifest System

4 Comply with other

requirements specified in the
IRR of RA 6969.
 DOCUMENTARY
1 ECC REQUIREMENTS
2 Notice to Proceed TSD FACILITIES
3 Registration of TSD Facility

4 Technology Approval

5 Permit to Operate

6 Discharge Permit

7 Certificate of Product Registration

8
Certificate of Technical Evaluation
SPECIFIC CRITERIA, STANDARDS AND GUIDELINES 14

1 2 3 4

HANDLING, TREATMENT FINAL WASTE WASTEWATER

COLLECTION, DISPOSAL TREATMENT
STORAGE & SYSTEM & FACILITY
TRANSPORT FACILITIES
SPECIFIC CRITERIA, STANDARDS AND GUIDELINES 15

HANDLING,
COLLECTION, Handling, collection, storage and transport
STORAGE & of health care wastes shall be in accordance
TRANSPORT with the provisions of RA 8749, RA 6969,
and RA 9003, and the DOH Health Care
Waste Management Manual (Chapter 5)
SPECIFIC CRITERIA, STANDARDS AND GUIDELINES 16

TREATMENT 1. Facilities shall consider technologies and

processes used in health care waste treatment
such as (1) thermal, (2)chemical, (3) irradiation,
(4) biological processes, (5) encapsulation, and
(6) inertization, as outlined in the DOH Health
Care Waste Management Manual and subject to
compliance with the provisions of RA 8749, RA
6969, and RA 9003.
 SPECIFIC CRITERIA, STANDARDS AND GUIDELINES 17

TREATMENT 2. Autoclave, microwave and hydroclave facilities

shall use microbiological test to determine the
treatment efficiency of the units. The results of
the microbiological test shall be recorded and
reported to DENR under RA 6969 and RA 9003.
3. Health care waste generators and TSD facilities
shall observe a level of microbial inactivation of
6logl0 reduction or greater than most resistant
microorganism of concern in a given process.
 SPECIFIC CRITERIA, STANDARDS AND GUIDELINES 18

TREATMENT 4. Treated wastes and inert residues from TSD facilities

must be disposed in controlled disposal or sanitary landfill
facilities duly licensed by the DENR to handle the same.
5. Inertization is a suitable treatment for pharmaceutical
wastes while encapsulation and other immobilization
techniques are treatment methods considered for sharps,
chemicals and pharmaceutical wastes and should
therefore be placed in final disposal facilities indicated
under the subsequent Section.
 SPECIFIC CRITERIA, STANDARDS AND GUIDELINES 19

2 3

FINAL WASTE FINAL WASTE

DISPOSAL DISPOSAL
SYSTEM & SYSTEM &
FACILITIES FACILITIES
Controlled Sanitary Safe Burial Concrete
Dump Landfill on Vault
Facility Facility Healthcare (Sharps &
Facility Syringes)
Premises
SPECIFIC CRITERIA, STANDARDS AND GUIDELINES 20

WASTEWATER Healthcare facilities shall have their own

TREATMENT Wastewater Treatment Facilities (WTF) or
FACILITY maybe connected into a sewage treatment
plant. However, facilities with laboratories
shall be required to pre-treat their
wastewater prior to discharge into a sewage
treatment plant.
ROLES AND RESPONSIBILITIES 21

☻Formulate policies, standards and guidelines

☻Oversee compliance by GENERATORS, TRANSPORTERS, TSD
FACILITY and FINAL DISPOSAL FACILITY OPERATORS
☻Conduct regular sampling and monitoring of wastewater in
HEALTH CARE and TSD FACILITIES
☻Require TSD facility operators the result of microbiological
tests on HCW treated using autoclave, etc. prior to the
renewal of their Permits
☻Provide TA and advocacy programs on HCWM
☻Notify DOH on cases of NC or NOV issued to HCF, institutions,
DENR- establishments licensed by DOH
EMB
ROLES AND RESPONSIBILITIES 22

☻Regulate all hospitals and other health facilities

☻Formulate policies, standards, guidelines, systems and
procedures on the management of health care waste
☻Develop training programs and corresponding modules on
health care waste management
☻Provide TA in the preparation of HCWM plan as requirement
for licensing and renewal
☻Evaluate DOH hospitals’ compliance with proper HCWM
program
☻Notify DENR on cases of NC or NOV issued to HCF,
institutions and business establishments
 ROLES AND RESPONSIBILITIES 23

☻Advocate health care waste management [HCWM] practices

to the LCE, key leaders and other stakeholders
☻Monitor health care waste management practices in all
hospitals and other health care facilities
☻Provide TA on HCWM through:
☺ Training
☺ Advisory on the preparation of HCWM plans as a requirement for
licensing or the renewal thereof
☺ Dissemination of policies, guidelines and information
☺ Monitoring and validation of the implementation of HCWM
☺ Ensure compliance by health care waste generators with all pertinent
REGIONAL OFFICE laws, rules and regulations on HCWM.
 DOH LICENSING REQUIREMENT 24

• Hospitals and Other Health Facilities

- Policies and procedure on waste disposal
segregation of waste, proper labeling and coding, management of temporary storage
areas prior to hauling
- Presence of MSDS in the Laboratory
- Management plan, policies and procedure addressing disposal of hazardous materials and
biological waste.
- Licenses/ permits/ clearances from pertinent regulatory agencies ,i.e elevator permit,
generator permit and discharge permit from DENR, if applicable
- Contract/ MOA with service providers waste handlers or disposal contractors (if applicable)
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THANK YOU