財團法人環境資源研究發展基金會 Institute of Environment and Resources - 99年度「推動醫療廢棄物管理輔導計畫」

中文摘要:
  本計畫之目標為推動醫療廢棄物管理輔導,在宣導醫療廢棄物管理工作方面,編製及寄送宣導海報25,000份至全國醫療院所、清除處理機構以及醫師公會,維護及更新醫療廢棄物管理資訊網頁,辦理10場次法規政策說明會。在輔導醫院及處理機構落實法規方面,本計畫掌握全國醫療廢棄物處理量能,研擬醫療機構及處理/再利用機構廢棄物管理持續改善規範,以及進行醫療廢棄物滅菌處理設施效能測試10座次。在推動含汞廢棄物管理方面,輔導5家醫院落實含汞廢棄物分類,建立汞洩漏處理能力,並測試可攜式X-光螢光分析儀(XRF)篩檢含汞廢棄物,於技術面與經濟面具可行性,值得持續研究。在推動醫療機構含氯塑膠廢棄物再利用方面,建立306項國內含氯醫療器材替代產品建議採購清單,建議我國推動含氯醫材材質標示,應與國外標示系統接軌,以及輔導2家醫院辦理含氯塑膠醫療廢棄物滅菌後材質回收再利用措施,提具環境績效評估。在居家醫療廢棄物管理措施方面,參考歐美日經驗,研提我國居家醫療廢棄物管理制度與清理方式,居家廢針及廢藥品應結合醫院或社區藥局辦理用藥諮詢及回收服務;調查並估算居家廢針約282公噸/年,產生因子為2公斤/人,居家腹膜透析廢棄物約2,468公噸/年,產生因子為617公斤/人,及居家廢藥品最大可能回收量為210公噸/年,產生因子為21公斤/站。

英文摘要:
This project is to promote medical wastes management and on-site consultation. For promoting medical waste management, we printed 25,000 posters and sent to the hospitals, clinics, clearance and disposal organizations and medical associations, updated the information of EPA’s medical waste management website, and held 10 meeings of medical regulations and policies. For assisting the hospitals and treatment institutions in compliane with the regulations, we analyzed the medical waste treatment capacity in Taiwan, drew up a guideline about improve waste management for medical institutions, treatment/recycling institutions, and evaluated the sterilization efficacy for ten medical waste autoclaves. For promoting mercury-containing waste management, we held on-site consultation in 5 hospitals to implement mercury waste classification, and to establish the Standard Operating Procedure (SOP) of mercury spills. We also tested a Field Portable X-ray Fluorescent Analyzer (FP-XRF) for scanning mercury-containing waste and evaluated technical and economic feasibility, and it is worth to for further research. For promoting the sterilization and recycling of chlorined-plastics medical waste, we investigated and established the recommendation purchase list of 306 alternative medical devices, suggested the chlorined-medical device material labeling should be operated in coordination with other countries, and held on-site consultation in two hospitals and reported the environmental performance evaluation. For home medical waste management, we proposed home medical waste management and the cleanup system and investigated the home medical waste type, quantity and disposal situation in Taiwan, including needle, peritoneal dialysis waste, and pharmaceuticals. We estimated household needle wastes about 282 ton/yr, peritoneal dialysis wastes about 2,468 ton/yr, and the maximum possible recycling pharmaceutical wastes about 210 ton /yr.