(Luận Văn) Assessment Of Status Medical Waste Management And Treatment In Tuyen Quang General Hospital

THAI NGUYEN UNIVERSITY UNIVERSITY OF AGRICULTURE AND FORESTRY an lu VU LAN TRANG n va gh tn to TOPIC TITLE: ASSESSMENT OF STATUS MEDICAL WASTE MANAGEMENT p ie AND TREATMENTIN TUYEN QUANG GENERAL HOSPITAL d oa nl w BACHELOR THESIS oi m ll fu an v an lu Study Mode : Full- time nh : Bachelor in Environmental Science and Management Faculty : International Training and Development Center Batch : K42- Advance Education Program at Major z z @ om l.c gm an Lu n va Thai Nguyen, 23/ 01/2015 a th i c si Thai Nguyen University of Agriculture and Forestry Degree Program Bachelor of Environmental Sciences and Management Student Name Vu Lan Trang Student ID DTN1053100118 Thesis Title Assessment of status medical waste management and treatment in Tuyen Quang General Hospital an lu Supervisor Dr Nguyen Hung Quang n va gh tn to Abstract: Assessment and analyze the status of medical waste management in Tuyen p ie Quang General Hospital: Assess the classification, transportation, storage and w treatment of medical waste and wastewater generated in operation process of Tuyen d oa nl Quang General Hospital Analyze and propose solutions: Causing of existence in the management and treatment of medical waste in hospital Solutions to improve the v an lu management efficiency and treatment medical waste: Treating waste to improve the efficiency for medical waste management in Tuyen Quang General Hospital m ll fu an Keywords Medical waste; Hazardous medical waste; waste oi nh management; wastewater treatment system; Tuyen Quang; at z Date of submission 23/01/2015 @ 59 z Number of pages om l.c gm an Lu n va a th ii c si ACKNOWLEDGMENT With the consent of the Managing Board - Thai Nguyen University of Agriculture and Forestry, International Training and Development Center, the assistance and guidance of Dr Nguyen Hung Quang I conduct research with topic: "Assessment of status medical waste management and treatment in Tuyen Quang General Hospital" In order to complete this thesis, firstly I would like to sincerely thank the managing board of Thai Nguyen University of Agriculture and Forestry, International an lu Training and Development Center, thank teachers, who imparted to me the knowledge and skills during the time I study and practice at Thai Nguyen University of va n Agriculture and Forestry gh tn to Especially, I would like to sincerely thank the enthusiastic help of Dr Nguyen Hung Quang who guided me during the time of graduation exercises to p ie implementation and complete this thesis w I would like to thank the assistance of staffs who are working at Department of d oa nl Natural Resources and Environment of Tuyen Quang province, Environmental Protection Agency has helped me during internships time, impart practical experience for me I v an lu would like to thank staff and officers at Tuyen Quang General Hospital who created the fu an best conditions for me to completed this thesis m ll This is the first time I've implementation a thesis, due to knowledge of myself oi and the time are limited, certainly in my thesis was shortcomings and restrictions I nh hope to receive feedback, comments and additions to my thesis complete and found z z @ I would like to sincerely thank! at the exist shortcomings of myself Student om l.c gm Tuyen Quang, 23 rd January, 2015 an Lu n va Vũ Lan Trang a th iii c si TABLE OF CONTENTS LIST OF FIGURES LIST OF TABLES LIST OF ABBREVIATIONS PART I INTRODUCTION 1.1 Research rationale 1.2 Research’s objectives 1.3 Research questions and hypotheses lu an 1.4 Limitations n va 1.5 Definitions 2.1 Scientific base of the study 2.2 Theoretical base of the study p ie gh tn to PART II.LITERATURE REVIEW 2.2.1 Classification of the medical waste w 2.2.2 Harmful effects of medical waste 11 d oa nl 2.3 Current status of medical waste management in Vietnam 14 2.3.1 General situation 14 v an lu 2.3.2 The process of collecting, sorting and transporting waste in the health care fu an facilities 18 2.3.3 Measures and technologies to treat hazardous medical waste 19 m ll PART III METHODS 22 oi nh 3.1 Material 22 at 3.2 Methods 23 z z 3.3.1 Interview methodology in the field 23 @ 3.3.2 Methods of analysis, synthesis document 23 gm 3.2.3 The sampling method of wastewater 24 om l.c 3.2.4 Experimental and analysis methods in the laboratory 24 PART IV RESULTS 26 Lu 4.1 The overview of Tuyen Quang General Hospital 26 an n va 4.1.1 Functions and tasks 27 a th iv c si (Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital (Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital 4.2 Sources of waste and the methods to collect, classify and treat medical waste in Tuyen Quang General Hospital 30 4.2.1 Common Solid Waste 30 4.2.3 Hazardous waste 32 4.2.3 Wastewater 35 4.2.3 Gas emission 40 4.3 Assessment the preliminary way of medical waste 47 4.3.1 Domestic waste 47 4.3.2 Hazardous medical waste 48 lu an 4.3.3 Wastewater 49 n va 4.4 Assessment the quality of wastewater in Tuyen Quang General Hospital 50 4.4.2 Result of observational, analysis 51 4.5 Recommendation some solutions for collection and treatment activities of p ie gh tn to 4.4.1 Sources of wastewater 50 medical waste in Tuyen Quang General Hospital 53 w 4.5.1 Solution in the collection, storage and treatment of medical waste 53 d oa nl 4.5.2 Solutions for wastewater treatment system 54 4.5.3 Management mission 54 v an lu PART V DISCUSSION AND CONCLUSION 56 fu an 5.1 Discussion 56 m ll 5.1.1 Area and position of Tuyen Quang General Hospital 56 5.1.2 Status of waste management and treatment in hospital 56 oi nh 5.1.3 Results of the environmental research 57 at 5.2 Conclusion 58 z z REFERENCES 60 @ om l.c gm an Lu n va a th v c si (Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital (Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital LIST OF FIGURES Figure 4.1.Organization chart of Tuyen Quang General Hospital 29 Figure 4.2 Hazardous medical waste generating trendy in 2013-2014 .34 Figure 4.3 Treatment technology of wastewater 37 Figure 4.4 Preliminary way of domestic waste 48 Figure 4.5 Preliminary way of Hazardous medical waste 49 Figure 4.6 Preliminary way of wastewater 50 an lu n va p ie gh tn to d oa nl w oi m ll fu an v an lu nh at z z @ om l.c gm an Lu n va a th c si (Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital (Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital LIST OF TABLES Table2.1 Some examples of infection due to contact with medical waste Microorganism category of pathogenic and procedure infection 12 Table 2.2.Waste arising under the beds in Vietnam in 2012 .15 Table 2.3 Distribution of medical waste by type of urban 16 Table 2.4 Comparison of medical waste generated in Vietnam with some neighboring countries in 2012 .17 Table 3.1 Notation of sampling locations 22 an lu Table 4.1 List of hazardous waste generated an average of 01 month .32 at Tuyen Quang General Hospital 32 va n Table 4.2 Reality amount of hazardous medical waste in Tuyen Quang General gh tn to Hospitals 33 Table 4.3 Time existence of some microorganisms 42 p ie Table 4.4 Results of the wastewater target analysis of Tuyen Quang General Hospital .51 d oa nl w oi m ll fu an v an lu nh at z z @ om l.c gm an Lu n va a th c si (Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital + Holding short-term training courses, seminars about new technologies for staff in charge of environmental matters Receiving and integrating the global scientific knowledge for the hospitals an lu n va p ie gh tn to d oa nl w oi m ll fu an v an lu nh at z z @ om l.c gm an Lu n va a th c 55 si (Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital (Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital PART V DISCUSSION AND CONCLUSION 5.1 Discussion 5.1.1 Area and position of Tuyen Quang General Hospital Tuyen Quang General Hospital is provincial hospital grade II with the total area approximate 48.284 m2, the scale 500 beds Ensuring the hygiene standards about surface area/bed (96.5m2) Hospital located at 44 Le Duan Street, Tan Ha ward, Tuyen Quang city an lu where is far from city center 2,000 m to the North Position of Tuyen Quang General Hospital n va shows that it has specific effect to economic – society of Tan Ha ward, as well as Tuyen gh tn to Quang city In social terms,Tuyen Quang General Hospital has wide effect in province because annual examination and treatment for the thousands turn of people Quality of p ie service, whole-hearted of staffs, doctors in hospital to patients and relatives people will have a w positive impact on society, citizens are believed which is contribute to social stability in the d oa nl province However, the hospital is located in detrimental position to residential areas Around v an lu is concentrated population So if medical waste is not well management, the ability affect to fu an residential areas is unavoidable oi m ll 5.1.2 Status of waste management and treatment in hospital nh a Status of waste management at z Domestic waste is collected by sanitary team of Tuyen Quang Environmental z @ Services and Urban Management One member Co., Ltd which has responsible for om l.c gm collect and taken to treat Particularly, medical waste is collected by sanitation teams of hospital from Lu an departments/chambers and transport to gathering place to sort, then it is treated at n va incinerators in campus of hospital a th c 56 si (Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital (Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital Hospital has implemented the collection and classification of waste at source However, we can unavoidable mistakes in classify activity from that can be increase costs for hazardous waste treatment, increase the risk of environmental pollution due to cross-contamination between the types of waste, on the other hand, increases the risk of injury to people who are collect and transport So there should be a specific assignment, reasonable in the waste management to attach people to their an lu responsibilities and also facilitates for control and supervision are conveniently n va Gathering place is meets the sanitation standards: closed, roofed, there is no gh tn to water from gathering place seeping outside b The situation of waste treatment p ie w - Liquid Waste: Wastewater is preliminary treated through the underground septic d oa nl system of the hospital before being led to treat at the wastewater treatment system of Tuyen Quang General Hospital and Tuyen Quang Tuberculosis and Lung Disease Hospital The v an lu biochemical indicators standards before discharged into the sewer system of city fu an m ll - Solid medical waste: Hospital treated whole volume of all clinical waste by oi incinerators Ashes of incinerators system is chemical inverted and buried in campus nh at of hospital z z 5.1.3 Results of the environmental research @ gm
Before through wastewater treatment system l.c om Wastewater pre-treatment of hospital have BOD, COD exceeds the B allowed limit an Lu The indicators pH, PO43-, NO3- are in the range of permissible limits n va a th c 57 si (Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital (Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital
After through wastewater treatment Generally, after wastewater through wastewater treatment system, indicators in the range of B permissible limits Comparing the quality of wastewater before and after through treatment system we see the quality of wastewater after treatment is satisfied the standards when it discharged into the sewage system of the city Even when untreated, quality of an lu wastewater has satisfied biochemical indicators I think probably in hospital, n va wastewater is pretreatment in the departments/ chambers and through the underground gh tn to septic system before flowing into the wastewater treatment system So clearly the hospital strictly implemented wastewater treatment from the departments/chambers p ie will limit the risk of pollution to the environment w 5.2 Conclusion d oa nl During internships time, based on analysis of hospital operation process, v an lu collecting data, investigating of pollution sources I have the following conclusion: fu an Tuyen Quang General Hospital is located in a convenient area to medical examination m ll and treatment for people in province and contiguous provinces Tuyen Quang General oi nh Hospital is in a safe area for not being effected by flood in the wet season at z 100% solid waste of the hospital is collected and sorted at sources before being z @ gm taken to storage area by sanitary staffs, the path to transport are specified separately, om l.c avoid passing through areas of patient health care and other clean areas, go the way after hospital and put into storage place Hazardous medical waste is treated by Lu an incineration methods whereby incinerator has the capacity to process 35kg/hour n va (built in 2003) and incinerator has capacity to process 40kg/hour (built in 2011) a th c 58 si (Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital (Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital Domestic waste of the Hospital is contracted with Tuyen Quang Environmental Services and Urban Management -One member Co., Ltd cleaned up and collected and taken to treat at Nhu Khe landfill with frequency times/ day, at am and pm Wastewater of hospital is treated by wastewater treatment system located inside Tuyen Quang Tuberculosis and Lung Diseases Hospital next to Tuyen Quang General Hospital with capacity approximate 330m3/day After treated, wastewater will reach an lu following standard before joining the sewer system of the city: n va - Indicator BOD5 decreased to 26mg/l Environmental protection measures being applied by hospital ensure that p ie gh tn to - Indicator COD decreased to 35mg/l w operation and business of Tuyen Quang General Hospital will take no effect to d oa nl surrounding environment oi m ll fu an v an lu nh at z z @ om l.c gm an Lu n va a th c 59 si (Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital (Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital REFERENCES Environmental Technical Institute (2006) Technical of wastewater treatment Hanoi Frank, L.C (1973) Handbook on hospital solid waste management Techno Publishing co Jenny, A., & Mansoor, A (2000) Risk from healthcare waste to the poor Well, USA Ha Noi Environmental Science and Technology Department (1996) Report on the situation of hospital waste quality Hanoi an lu n va LaGrega, M D., Buckingham, P L., & Evans, J C (2010) Hazardous waste management Waveland Press gh tn to Lee, C C., & Huffman, G L (1996) Medical waste management/incineration Journal of Hazardous Materials, 48(1), 1-30 p ie Lien, H.T (2009) Research about the status a number of factors related to the w management of medical waste in Thai Nguyen Central hospitals Master Thesis, d oa nl University of Medicine and Pharmacy Thai Nguyen v an lu MONRE (2005) The situation and treatment solutions pollution in hospitals Journal fu an of Environmental Protection, No.3/2005 Hanoi m ll MOH (2007) Regulation about Medical waste management of the Ministry of Health issued oi Decide No 43/2007/Decide - 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(1999) Safe management of wastes from health-care activities World Health Organization Tao, T.D (2002) Assessment of status the management and influence of medical waste of Phu Tho General Hospital to the surrounding environment" Master Thesis, Military Medical Institute Hanoi an lu Thuy, T.T., Khue, L.N., & Khoa, N.T (2002) Strengthening management and n va treatment of medical waste in Vietnam, some urgent issues of medical care task gh tn to Medical Publishing House Hanoi Tuyen Quang General Hospital (2006) Explanation for the operational principle of p ie wastewater treatment system of Tuyen Quang General Hospital Tuyen Quang w d oa nl Tuyen Quang General Hospital (2013) Survey about management work the medical waste in hospital Tuyen Quang v an lu Tuyen Quang General Hospital (2013) Report on the Infection control activity of fu an hospital Tuyen Quang m ll Tuyen Quang General Hospital (2014) Report on the management of hazardous oi nh waste the Quater I - II/2014 Tuyen Quang at z Tuyen Quang General Hospital ( 2014) Report on the present and technology z @ demand for medical waste treatment Tuyen Quang gm Tuyen Quang.Vietnamese Government om hospital l.c Tuyen Quang General Hospital (2014) Report on the Infection control activity of (2007) Decree an Lu No.59/2007/Decree – Vietnamese Government dated April 09th, 2007 The n va a th c 61 si (Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital (Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital(Luận.văn).assessment.of.status.medical.waste.management.and.treatment.in.tuyen.quang.general.hospital