Healthcare Waste: Difference between revisions

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[[Category:Tonnage & Waste Types]]
[[Category:Tonnage & Waste Types]]
[[Healthcare Waste]] is waste produced during human or animal healthcare, or related research activity, and covers both '''Clinical Waste''' and '''Offensive Waste''' as defined in the [[Controlled Waste (England and Wales) Regulations 2012]]<ref>[https://www.gov.uk/guidance/healthcare-waste-appropriate-measures-for-permitted-facilities/definition-of-healthcare-waste .GOV definition of Healthcare Waste]</ref> and further listed below. Helathcare Waste containing radioactive materials requirements compliance with specific guidance<ref>[https://www.gov.uk/government/collections/radioactive-substances-regulation-for-non-nuclear-sites The Radioactive Substances Regulation Guidance]</ref>.
[[Healthcare Waste]] is waste produced during human or animal healthcare, or related research activity, and covers both '''Clinical Waste''' and '''Offensive Waste''' as defined in the [[Controlled Waste (England and Wales) Regulations 2012]] <ref>[https://www.gov.uk/guidance/healthcare-waste-appropriate-measures-for-permitted-facilities/definition-of-healthcare-waste Definition of Healthcare Waste]</ref> and requires specific management measures. Healthcare Waste containing radioactive materials requirements compliance with specific guidance<ref>[https://www.gov.uk/government/collections/radioactive-substances-regulation-for-non-nuclear-sites The Radioactive Substances Regulation Guidance]</ref>.
[[File:Healthcare waste pic.jpg|280px|left|Picture of Healthcare Waste packaging from Herefordshire CGC report]]__TOC__
[[File:Healthcare waste pic.jpg|280px|left|Picture of Healthcare Waste packaging from Herefordshire CGC report]]__TOC__
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==Clinical Waste==
==Clinical Waste==
'''Clinical Waste''' is [[Healthcare Waste]] that:  
'''Clinical Waste''' is [[Healthcare Waste]] that:  
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*falls within [[EWC]] waste codes [[EWCChap18 | 18 01 04]], [[EWCChap18 | 18 02 03]] or [[EWCChap20 | 20 01 99]]
*falls within [[EWC]] waste codes [[EWCChap18 | 18 01 04]], [[EWCChap18 | 18 02 03]] or [[EWCChap20 | 20 01 99]]


==Types of Healthcare Waste - Packaging Colour==
==Management of Healthcare Waste==
The types of [[Healthcare Waste]] are grouped and designated by packaging colour (can be bag colour or lid colour), set out in high level guidance<ref>[https://assets.publishing.service.gov.uk/media/5f05a7fae90e0712d0206e88/Types_of_healthcare_waste_table.pdf Types of Healthcare Waste]</ref> updated and published by the [[EA]] in July 2020 for regulated facilities with an [[Environmental Permit]] to [[Treatment|treat]] or [[Waste Transfer Station |transfer Healthcare Waste]]<ref>[https://www.gov.uk/guidance/healthcare-waste-appropriate-measures-for-permitted-facilities Healthcare Waste:Appropriate Measures for Permitted Facilities]</ref>. These groupings are set out in a table in the guidance, captured below:
The management of Healthcare Wastes is set out in '''Healthcare Technical Memorandum 07-01 - Safe Management of Healthcare Waste'''<ref name=''Tech1''>[https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/167976/HTM_07-01_Final.pdf Link to pdf document]</ref> Which replaced the Safe Management of Healthcare Waste in 2013 <ref>Published in 2006, this removed the clinical waste classification system categorising into 5 types; A to E</ref>. Management of Healthcare Waste for regulated facilities with an environmental permit is the subject of guidance issued in June 2020 <ref>[https://www.gov.uk/guidance/healthcare-waste-appropriate-measures-for-permitted-facilities Healthcare Waste:Appropriate Measures for Permitted Facilities]</ref> by the [[EA]] which sets out appropriate measures in the following sections: 
 
* When appropriate measures apply
* Definition of Healthcare Waste (as set out in the table below)
* Managing healthcare wastes
* General management appropriate measures
* Waste pre-acceptance, acceptance and tracking appropriate measures
* Waste storage, segregation and handling appropriate measures
* Waste treatment appropriate measures (including assessment and validation requirements)
* Emissions control appropriate measures
* Emissions monitoring and limits appropriate measures
* Process efficiency appropriate measures
 
==Healthcare Waste - Packaging Colour and Appropriate Waste Management==
The types of [[Healthcare Waste]] are grouped and designated by packaging colour set out in the table below (can be bag colour or lid colour)<ref>[https://assets.publishing.service.gov.uk/media/5f05a7fae90e0712d0206e88/Types_of_healthcare_waste_table.pdf Types of Healthcare Waste]</ref> <ref name =''Tech1''/>:


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==Healthcare Waste Treatment==
==Treatment of Healthcare Waste==
Any treatment process must demonstrate that Clinical Waste is rendered safe'. This is by primary reference to the Healthcare Technical Memorandum 07-01 - Safe Management of Healthcare Waste<ref>[https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/167976/HTM_07-01_Final.pdf Link to pdf document]</ref>
With regard to the table above, it can be seen that there are options for '''incineration''' and '''alternative treatment'''. With regard to any treatment process, it must demonstrate that Healthcare Waste is 'rendered safe'. 'Rendered safe' means:
* demonstrates the ability to reduce the number of infectious organisms present in the waste to a level at which no additional precautions are needed to protect workers or the public against infection from the waste;
* destroys anatomical waste such that it is no longer generally recognisable;
* renders all '''Clinical Waste''' (including any equipment and sharps) unusable and unrecognisable as '''Clinical Waste''';
* destroys the component chemicals of chemical or medicinal and medicinally-contaminated waste.  
 
such treatments include:
* [[Autoclaving]]
* [[Microwaves]]
* [[Irradiation]]
* [[Chemical Treatment]]
* [[Dry Heat]]
* [[Physical/Mechanical Treatment]]
 
==References==
==References==
<references />
<references />

Revision as of 13:06, 29 January 2021

Healthcare Waste is waste produced during human or animal healthcare, or related research activity, and covers both Clinical Waste and Offensive Waste as defined in the Controlled Waste (England and Wales) Regulations 2012 [1] and requires specific management measures. Healthcare Waste containing radioactive materials requirements compliance with specific guidance[2].

Picture of Healthcare Waste packaging from Herefordshire CGC report
Picture of Healthcare Waste packaging from Herefordshire CGC report


Clinical Waste

Clinical Waste is Healthcare Waste that:

  • contains viable micro-organisms or their toxins which are known or reliably believed to cause disease in humans or other living organisms
  • contains or is contaminated with a medicine that contains a biologically active pharmaceutical agent
    • Medicine is a drug or other preparation for the treatment or prevention of disease
    • Cytotoxic and cytostatic medicine is medicine that possesses hazardous properties which are toxic, carcinogenic, mutagenic or toxic for reproduction.
  • is a sharp, or a body fluid, or other biological material (including human and animal tissue), containing or contaminated with a hazardous substance
    • A sharp is an item that could cause cuts or puncture wounds. This includes needles, hypodermic needles, scalpels and other blades, knives, infusion sets, saws, broken glass, and nails.
  • is waste of a similar nature from a non-healthcare activity

Offensive Waste

Offensive Waste is:

Management of Healthcare Waste

The management of Healthcare Wastes is set out in Healthcare Technical Memorandum 07-01 - Safe Management of Healthcare Waste[3] Which replaced the Safe Management of Healthcare Waste in 2013 [4]. Management of Healthcare Waste for regulated facilities with an environmental permit is the subject of guidance issued in June 2020 [5] by the EA which sets out appropriate measures in the following sections:

  • When appropriate measures apply
  • Definition of Healthcare Waste (as set out in the table below)
  • Managing healthcare wastes
  • General management appropriate measures
  • Waste pre-acceptance, acceptance and tracking appropriate measures
  • Waste storage, segregation and handling appropriate measures
  • Waste treatment appropriate measures (including assessment and validation requirements)
  • Emissions control appropriate measures
  • Emissions monitoring and limits appropriate measures
  • Process efficiency appropriate measures

Healthcare Waste - Packaging Colour and Appropriate Waste Management

The types of Healthcare Waste are grouped and designated by packaging colour set out in the table below (can be bag colour or lid colour)[6] Cite error: The opening <ref> tag is malformed or has a bad name:

Colour of Packaging: Orange
Appropriate healthcare waste management activities Storage, alternative treatment or incineration
Waste types and List of Waste (LoW) code(s) Infectious waste, not contaminated with chemicals or medicines
human healthcare (may contain sharps) - 18 01 03*
animal healthcare (may contain sharps) - 18 02 02*
municipal, separately collected fractions, not from healthcare or research-related sources (may contain sharps) - 20 01 99
commercial, separately collected fractions of absorbents, wiping cloths and protective clothing contaminated by infectious substances - 15 02 02
Colour of Packaging: Yellow
Appropriate healthcare waste management activities Storage and incineration
Waste types and List of Waste (LoW) code(s) Infectious waste, contaminated with chemicals:
human healthcare - 18 01 03* and 18 01 06* or 18 01 07
animal healthcare - 18 02 02* and 18 02 05* or 18 02 06
Infectious waste, medicinally contaminated (not cytotoxic or cytostatic):
human healthcare (may contain sharps) - 18 01 03* and 18 01 09
animal healthcare (may contain sharps) - 18 02 02* and 18 02 08
Colour of Packaging: Red
Appropriate healthcare waste management activities Storage and incineration
Waste types and List of Waste (LoW) code(s) Infectious anatomical waste, chemically preserved:
Human healthcare – 18 01 03* and 18 01 06* or 18 01 07
Animal healthcare – 18 02 02* and 18 02 05* or 18 02 06
Infectious anatomical waste, not chemically preserved:
Human healthcare – 18 01 03*
Animal healthcare – 18 02 02*
Non-infectious anatomical waste, chemically preserved:
Human healthcare - 18 01 02 and 18 01 06* or 18 01 07
Animal healthcare - 18 02 03 and 18 02 05* or 18 02 06
Non-infectious anatomical waste, not chemically preserved:
Human healthcare - 18 01 02
Animal healthcare - 18 02 03
Colour of Packaging: Purple
Appropriate healthcare waste management activities Storage and incineration
Waste types and List of Waste (LoW) code(s) Cytotoxic and cytostatic medicines:
Human healthcare – 18 01 08*
Animal healthcare – 18 02 07*
Infectious waste, contaminated with cytotoxic and cytostatic medicines:
Human healthcare (may contain sharps) - 18 01 03* and 18 01 08* or 20 01 31*
Animal healthcare (may contain sharps) - 18 02 02* and 18 02 07* or 20 01 31*
Colour of Packaging: Blue
Appropriate healthcare waste management activities Storage and incineration
Waste types and List of Waste (LoW) code(s) Other waste medicines, excluding cytotoxic and cytostatic medicines 18 01 09, 18 02 08 or 20 01 32
Colour of Packaging: Black and Yellow ('tiger bags')
Appropriate healthcare waste management activities Storage, incineration or landfill. Compaction, where specifically permitted.
Waste types and List of Waste (LoW) code(s) Non-infectious offensive waste:
Human healthcare – 18 01 04
Animal healthcare – 18 02 03
Municipal, separately collected fractions of absorbents, wiping cloths and protective clothing 15 02 03 not contaminated by infectious substances
Colour of Packaging: Not Specified
Appropriate healthcare waste management activities Storage, incineration or landfill. Compaction, where specifically permitted.
Waste types and List of Waste (LoW) code(s) Non-infectious offensive waste:
Human healthcare – 18 01 04
Animal healthcare – 18 02 03
Municipal, separately collected fractions of absorbents, wiping cloths and protective clothing 15 02 03 not contaminated by infectious substances

Treatment of Healthcare Waste

With regard to the table above, it can be seen that there are options for incineration and alternative treatment. With regard to any treatment process, it must demonstrate that Healthcare Waste is 'rendered safe'. 'Rendered safe' means:

  • demonstrates the ability to reduce the number of infectious organisms present in the waste to a level at which no additional precautions are needed to protect workers or the public against infection from the waste;
  • destroys anatomical waste such that it is no longer generally recognisable;
  • renders all Clinical Waste (including any equipment and sharps) unusable and unrecognisable as Clinical Waste;
  • destroys the component chemicals of chemical or medicinal and medicinally-contaminated waste.

such treatments include:

References