I. Plans for site clearance, resettlement and support for infrastructure construction
I.3. The plan to support the construction of technical infrastructure
The project will only invest in the construction of infrastructure related to the project such as external roads and internal traffic systems in the area.
II. Các phương án xây dựng công trình.
Para-Clinical Departments
+ Basement: Area: 1500 m2. Layout: Parking
+ Floor 01: Area: 1500 m2: Emergency departments and Resuscitation Positive - Antitoxic:
No. Name Area
Emergency department 528
1 Hall 36
2 Admission office 45
3 First Aid Room 36
4 Temporary Emergency Room 135
5 Detox bath for patients 18
6 Wash, Pasteurize Room 18
7 Department head 18
8 On-call Room, Doctor Room 24
9 Nurse's room 24
10 Roles, training room 54
11 Clean store 24
12 Dirty store 48
13 Dressing room 48
No. Name Area Resuscitation Positive - Antitoxic 480
1 Waiting room 67,5
2 Active treatment room 112,5
3 Interventional procedure room 36
4 Engine room 36
5 Laboratory toxicology 24
6 Clean room, sterilization 24
7 Clean store 24
8 Dirty store 12
9 Department head 18
10 On-call Room, Doctor Room 24
11 Nurse's room 24
12 Roles, training room 54
13 Dressing room 24
+ Floor 02: Area: 1,500 m2: Department of microbiology, Biochemistry and Hematology - blood transfusion
Name Area (m²)
A. Department of microbiology 381
- Technical and Professional Park 135
1. Microbiological tests 70
2. Sterile rooms 9
3. Prepare the environment, sample 32
4. Room cleaning / sterilization 24
- Auxiliary area 246
5. Direct + receive / return results 36
6. Sampling room 36
7. General warehouse 36
8. Administrative office, training briefings 18
9. Department heads 36
10 staff rooms, faculty 36
11. Restrooms, dressing staff (male / female) 48
B. Biochemistry 440
Technical area 224
1. Biochemical tests 80
2. Preparation 36
3. Room cleaning / sterilization 36
4. Technical support 36
5. Chemical warehouse 36
Name Area (m²)
Ancillary area 216
6. Direct + receive / return results 36
7. Sampling room 18
8. Administrative office, training briefings 36
9. Department heads 18
10. Staff room 36
11. General warehouse 24
12. Restrooms, dressing staff (male / female) 48
C.Hematology - blood transfusion 458
Technical area 212
1. Hematology - blood transfusion 80
2. Blood storage room 36
3. The blood sample laboratory 36
4. Room cleaning / sterilization 36
5. Chemical warehouse 24
Ancillary area 246
6. Receive, receive / return results 36
7. Administrative office, training briefings 36
8. Department heads 18
9. Department of staff, faculty 36
10. General warehouse 36
11. Restrooms, dressing staff (male / female) 48
12. Patient toilet (male / female) 36
Hall + Common Hall 221
+ Floor 03: Area: 1,500 m²: Surgical resuscitation surgery
Name Area (m²)
Surgical resuscitation surgery 990
A. Aseptic Area 450
1. General surgery 72
2. Bacterial infection 72
3. Traumatic surgery 36
Emergency surgery 36
5. Permanent 36
6. Other specialized surgery 72
7. Wash your hands aseptically 81
8 sterile corridor 27
9. Supply of materials 18
B. Clean area 258
1. Injury (number of rooms equal to 50% of operating room) 120
Name Area (m²)
*)
2. Clean corridor 36
3. Room between surgery 24
4. Sick Room 12
5. Room disinfection 24
6. Disposal room 18
7. Equipment storage 24
C. Auxiliary area 282
1. Receive the patient 36
2. Provincial number (50% of operating room number) 48
Administrative, direct 24
4. Consultation, training 36
5. Change of clothes, hygiene (male / female separately) 48
6. Department heads 18
7. Doctor's office 36
8. Nursing room 36
Lobby + Common corridor 510
+ Floor 04: Area: 1,500 m²: Technical Diagnostic Techniques and Department probe function
Name Area (m²)
I.Technical Diagnostic Techniques 638
A. Common X-ray room 101
1. Machine location 38
- Studio 20
- Control room 18
2. Preparation area 63
- Chamber, indent 27
- Patient room 36
B. CT scanner 60
1. Machine location 42
- Studio 30
- Control room 12
2. Preparation area 18
- Room preparation 18
C. Ultrasound 90
- Ultrasound room 81
- Room preparation for interventional ultrasound 9
Magnetic Resonance (MRI) 66
1. Machine location 42
- Studio 30
- Control room 12
2, Reading room and image processing 24
3. Preparation room 18
E. Film processing and classification 18
Additional administrative area 291
1. Department of Registration of numbers, results 36
2. Patient toilet (male, female) 48
3. Wait for the screen, m2 / place / unit of diagnosis 24
Department heads 18
7. Equipment, equipment 24
8. Film store, chemicals 24
9. Restrooms, dressing staff (male / female
separately) 48
II. Department probe function 550
Waiting room 48
-Technical Department 502
1. Probe of digestive function (with sterile procedure
and preparation) 48
2. Prophylaxis of urinary function (with sterile
procedure and preparation) 48
3. Prophylaxis of cardiovascular function 36
4. Erode room 32
5. Electromechanical Chamber 36
6, cerebrovascular disease 32
7. Prophylaxis of respiratory function, basic
metabolic measurement and weighing 36
8. Prophylaxis of urinary tract function 36
9. Test your blood sugar and urine 36
10. Neurological probe 36
11. Allergy, immune 36
12. Administration department 54
13. Students practice 36
Lobby + reception hall 312
Floor 5: Area: 1,500 m²:
Name Area (m²)
Endoscopy 543,12
Name Area (m²)
Wash + Treatment 24
Home screening 336
Training department 24
Keep picking up 15,18
Administrative 15,18
P. preparation 13,2
Warehouse equipment 43,56
Dirty stacks 24
WC 24
Bath + change 24
Pharmacy 611
A. Production area 297
1. Steam room 66
- Bottled water 24
- Soak, wash 24
- Drying, steaming 18
2. Western medicine rooms 84
- Room with water 12
- Water dispenser 24
- Department of other drugs 18
- Testing laboratory 18
- The room is labeled 12
3. New drug stores, traditional medicine 66
- Room for fresh material 36
- Soaking, washing, rubbing 15
- Place drying, drying 15
4. Prevention of herbal medicine 81
- Grinding 15
- Practice packing, loading medicine 36
- Cooking kitchen, cooking high 15
- temporary storage facilities 15
B. Area for preservation and allocation 192
1. Counters 36
- Seat 12
- Counters 24
2. Drug stores 45
3. Warehouse - cold room 18
4. Medical tapes, medical instruments 45
5. Medical equipment store 36
6. Scrap warehouse 12
Name Area (m²)
C. Administrative and living rooms 122
1. Department heads 18
2. Statistics and accounting sections 24
3. Living room 32
4. Restrooms, dressing staff (male / female) 48
Reception hall + common hall 346
13. Students practice 36
Lobby + reception hall 312
Outpatient clinic
+ Basement: Area: 900 m²: Parking for staff and guests.
+ Floor 1: Area: 900 m²: Reception block + reception + reception + administrative department, details:
No. Name Area (m²)
1 Reception 138
1.2 Counters 30
1.2 Procedures - payment 36
1.3 Toilet area 48
1.4 Waiting, waiting for examination 24
3 Business department 435
- Medicine dispensary, drug store 18
- Drug store 18
- Department of diagnosis, quick assessment 276
- Record room of the clinic 24
- Clean store 21
- Department of equipment management 18
- Chemical storage 30
- Dirty stacks 30
4 Receiving department 51
4.1 Room to send clothes 9
4.2 Reception room 12
4.3 Stocking clothes 30
5 Administrative division 102
5.1 Chair of the department 18
5.2 Living room 24
5.3 Change employee clothes 12
5.4 Toilet 48
6 Hall welcome - common hall 174
+ Floor 02: Area: 900 m2: Pediatrics
No. Name Area (m²)
1 Pediatrics 96
2 Eye 480
- Clinic (bright part) 144
- Clinic (dark section) 144
- Treatment room 192
3 Hall welcome - common hall 324
+ Floor 03: Area: 900 m²: Dentomaxillofacial and Ear, nose and throat
No. Name Area (m²)
1 Dentomaxillofacial 414
- Clinic (1 chair) 120
- Minor surgery 120
- Orthopedic room 96
- Dental implant 30
- Washing steamer drying tool 48
2 Ear, nose and throat 78
- Clinic 30
- Treatment room 48
3 Hall welcome - common hall 408
+ Floor 04: Area: 900 m²: Internal examination and Foreign visit
No. Name Area (m²)
1 Internal examination 132
- Clinic 96
- First Aid Room 36
2 Foreign visit 432
- Clinic 96
- Foreign tricks 240
- Preparing instruments 96
3 Hall welcome - common hall 336
+ Floor 05: Area: 900 m²: Department of Physiotherapy - Rehabilitation
No. Name Area (m²)
Department of Physiotherapy - Rehabilitation 752
1 Phototherapy room 153
- Infrared treatment 27
- Venereal treatment 18
- Electrical treatment 63
- Treatment with other machines 45
No. Name Area (m²)
2 Room heat treatment 45
- Bunch of paraffin, wormwood 27
- Burning 18
5 Administration - reception 78
- Doctor of Science 18
- Administration 24
- Staff and storage of cloth 18
- Restrooms, dressing staff 18
- Seat
6 Photovoltaic treatment room 30
- Nursing workplace 12
- Treatment room 18
Room with heat treatment 42
- Nursing workplace 12
- The paraffin bundle 18
- Fire department 12
7 Gym and exercise room 160
- Training room 70
- Massage room 18
- changing rooms and storage 12
- Exercise yard 60
8 Hydrotherapy department 84
- Bathing, soaking 48
- Mud bath 36
9 Place of treatment 160
- Accommodation is located, m2 / seat 80
- Place in the sitting position, m2 / seat 40
- Accommodation after treatment or exercise, m2 / seat 40
10 Reception hall + common hall 148
Infectious Disease + Inpatient Treatment 1 + Floor 1,2: Area: 900 m2:Internal treatment plan
No. Name Area (m²)
INTERNAL TREATMENT PLAN
Obstetrics 714
1 Clean area 108
1.1 Pregnancy clinic 18
1.2 Birth room 45
1.3 Prematural toilet 9
1.4 Room after abortion 36
2 Birth area 132
1.1 Aseptic 87
- Hand wash, change clothes 9
- Delivery of sterile 24
- Delivery of pathology 36
- Prevent abortion, set the ring 18
1.2 Bacterial zone 45
- Prematural toilet 9
- Stick to bacteria 36
3 Logistics area 45
3.1 Clean store 21
3.2 Washing, steaming, drying, preparation tools 9
3.3 Damage to the dirty table 15
4 Postpartum 180
4.1 Maternity room for caesarean section 72
4.2 Maternity ward 72
4.3 Room for pregnant women infected 36
5 Gynecological treatment area 120
5.1 Gynecology 54
5.2 Trial room 66
- Drugstore 24
- Fireplace 24
- Steam room, washing, preparation tools 18
6 Birth control room plan birth 24
7 Laboratory 24
8 Department of postpartum 81
10 Corridor + reception hall 186
+ Floor 3,4: Area: 900 m2: Pediatric
No. Name Area (m²)
Pediatric 639
1 Treatment room 150
2 Living room 258
2.1 Milk phase 18
2.2 Breast-feeding 30
2.3 Prepare rice and eat 36
2.4 Playground 36
2.5 Take a shower 24
2.6 Urine 12
2.7 wash 24
2.8 Clean store 36
No. Name Area (m²)
2.9 Collection of dirty things 42
3 Baby sitting 231
3.1 Infant Room 120
- Newborn baby months 60
- Neonatal ward 60
3.2 Additional rooms 111
- Bathroom wash 12
- Wash basin 12
- Milk phase 9
- On duty midwife 12
- Breastfeeding 15
- Reception of the hospital 12
- Clean store 18
- Dirt collectors 21
4 Corridor + reception area 261
Infectious Disease + Inpatient Treatment 2 + Floor 1: Area: 900 m2: Internal Medicine
No. Name Area (m²)
Internal Medicine 864
1 General (6 rooms) 216
2 Cardiopulmonary bypass (6 rooms) 216
3 Gastrointestinal (6 rooms) 216
4 Musculoskeletal joints (6 rooms) 216
5 Corridor + reception area 36
+ Floor 02: Area: 900 m2:
No. Name Area (m²)
I.2 Surgery 648
1 General outlook 216
2 Neurological 216
3 Gastrointestinal 216
5 Corridor + reception area 36
+ Floor 03: Area: 900 m2:
No. Name Area (m²)
Eye check 93
1 Eye clinic 45
- Bright part 24
No. Name Area (m²)
- Dark section 21
2 Treatment room 48
- Seat change, small drug treatment 30
- Drying, drying, tools 18
Facial teeth 203
1 Clinic 45
2 Paolo dentures 45
3 Treatment room 75
4 Drying tool drying area 18
5 X-ray room 20
I.7 Infectious diseases
1 Treatment room 120
2 Living room 53
1.1 Eating utensils, sterilizing utensils 12
1 Clean store 8
2 Recovery of dirt and preliminary purge 9
3 Toilet 24
- Corridor + reception area 308
Note: The detailed list of equipment is shown in the Appendix.
The construction lists must meet the standards and regulations on construction design. Details are shown during the design phase of the building permit.
III. Implementation plan.
1. Management and exploitation plan.
Phuong Dong International Joint Stock Company has legal status and
capacity, joint stock company with 100% capital contribution, operating under the Enterprise Law.
Have own seal and account. Phuong Dong General Hospital - Orient
International Resort is a medical facility providing accommodation services for residential areas of Bach Lieu province and neighboring provinces and both domestic and foreign visitors.
Regarding the organizational structure and arrangement of labor, the executive management capacity of the Board of Management: Operating in the form of a joint stock company, the highest decision-making power is the General Meeting of Shareholders under the control of the Inspection Committee. followed by the Board of Directors and assign the tasks to the direct leaders of the company such as the General Director, the Deputy General Directors in charge of each section and the professional sections.
2. Tasks.
a / Medical examination.
+ Emergency, medical examination and health care as required.
+ To receive all cases, the patients from outside to the hospital directly, or from the district and commune to move up for emergency, medical examination and treatment outpatient. Resolves all most illnesses in the province that the hospital is responsible for, including surgical, obstetric, rectal, burn, facial, and maxillofacial diseases.
+ Organizing periodical health checks and forensic assessment when the law enforcement agencies request and issue health certificates according to the State's regulations.
+ Functional repetition.
+ Move to the upper level when the hospital is not able to solve.
+ Provide high-quality resort accommodation.
b / Training.
+ The hospital is a practical facility for the training of middle-level health workers for the province
+ Coordinate training for staffs of hospitals in district and commune medical centers and regularly examine and hire top experts in the sector to invigorate the staff of the hospital.
c / Scientific and medical research. To organize research and cooperate in the study of the ministerial-level and grassroots scientific subjects in the field of healthcare.
+ Research on community epidemic in primary health care.
+ To study and apply advanced technologies from major hospitals and specialized hospitals in order to raise the capacity of hospitals.
d / Prevention.
Coordinate with preventive medicine units to regularly carry out disease prevention, epidemic prevention and environmental protection tasks. Implement and guide the implementation of environmental sanitation, waste water treatment, waste treatment, hospital waste.
e / International cooperation in medicine.
Cooperate with organizations and individuals in the country in accordance with state regulations to constantly develop hospitals.
f / Economic management in hospitals.
+ Make independent economic accounting, pay taxes according to regulations.
+ Expenses for medical examination and treatment according to the common regulations of the State.
+ Signing contracts with health insurance organizations at home and abroad.
+ Free medical examination and treatment with subjects prescribed by the State.
IV. Segment implementation and implementation schedule, project management.
- Production starting from the first quarter of 2018 is divided into 2 phases:
Phase 1 (2018): Construction of resort and auxiliary areas.
Phase 2 (2019): Building the General Hospital Items.
- The investor directly manages and exploits the project.
CHAPTER V. ENVIRONMENTAL IMPACT ASSESSMENT - ANTI-FIRE PREVENTION AND DEFENSE SECURITY SOLUTIONS I. Environmental Impact Assessment.
I.1. General introduction.
The purpose of the environmental impact assessment of the "Eastern Hospital of Oriental Hospitals" is to evaluate the positive and negative factors affecting the environment in the hospital. The International Orientation and Neighborhood, in order to develop solutions to reduce pollution to improve the quality of the environment, to limit the risks to the environment and the disease itself. when the project is implemented, meets the requirements of environmental standards.
I.2. Environmental regulations and guidelines.
The following rules and guidelines are used for reference:
- The Law on Environmental Protection No. 52/2005 / QH11 was passed by the National Assembly of the Socialist Republic of Vietnam, XI, 8th session in November 2005;
- Decree No. 80/2006 / ND-CP dated August 09, 2006 of the Government detailing and guiding the implementation of a number of articles of the Law on Environmental Protection;
Decree No. 21/2008 / ND-CP dated February 28, 2008, amending and supplementing a number of articles of the Government's Decree No. 80/2006 / ND-CP of August 9, 2006, on detailing and guiding the implementation of a number of articles of the Law on Environmental Protection; Decree No. 29/2011 / ND-CP dated 18 April 2011 of the Government on the Regulation on Strategic Environmental Assessment The environmental impact assessment; environmental Protection commitments;
- Circular No. 26/2011 / TT-BTNMT dated July 18, 2011 of the Ministry of Natural Resources and Environment detailing a number of articles of Decree No. 29/2011 / ND-CP dated 18 April 2011 the regulations on strategic environmental assessment, environmental impact assessment, environmental protection commitments;
- Decision No. 35 / QD-BKHCNMT dated June 25, 2002 of the Minister of Science, Technology and Environment on the promulgation of the list of Vietnam standards on compulsory environment;
- Decision No. 23/2006 / QD-BTNMT dated 26/12/2006 on the promulgation of the list of hazardous waste attached to the list of hazardous wastes;
- Environmental standards promulgated by Ministry of Science, Technology and Environment 1995, 2001 & 2005;
- Decision No. 22/2006 / QD-BTNMT dated December 18, 2006 of the Ministry of Natural Resources and Environment on compulsory application of 05 Vietnamese Standards on Environment and abolishing the application of a number of norms Decision No. 35/2002 / QD-BKHCNMT of June 25, 2002 of the Minister of Science, Technology and Environment.
II.1. Impact during the construction phase.
Dust pollution caused by transportation of construction materials: During ground leveling and during construction works; Dust arising from the transport of sand, stone, soil, cement, steel, building materials, decorative materials ..., in addition dust can be released from the pile of materials, sand dust generated from these activities will affect the people around the project area. - Dust from the sanding process after painting the wall: The paint dust will be generated during the sanding of the surface after painting and will be diffused into the wind that pollutes the environment. However, the surface sanding process has been painted only in a short time and the process is shielded so this effect is negligible, affecting directly to the health of workers at the site. .
- Contamination of construction waste water and domestic waste water:
In the excavation of the foundation, the pile of sand and especially the oil leakage from the construction machine to pollute the water source to a certain extent;
Domestic waste water is generated from the activities of construction workers on the site. The composition of domestic wastewater mainly consists of:
+ Suspended solids (SS);
+ Organic substances (COD, BOD);
+ Nutrition (N, P ...);
+ Microorganisms (viruses, bacteria, fungi ...).
Estimated number of workers at the construction site is about 150 people. If construction workers are allowed to bathe at the site and the maximum water consumption is 80 liters / person / day, the daily effluent volume will be about 12 m3 / day. Without pollutant control measures, pollutant load will be about 12 kgCOD / day (maximum discharge load is about 80 gCOD / person / day).
In the case of construction sites 1.5 - 2.0 years, the septic tanks, toilets for women and bathrooms shall be arranged to minimize pollution load.
- Construction solid waste and daily life:
Solid waste of daily life
If construction workers are allowed to organize food and drink at the construction site and with a maximum emission level of 0.20 kg / person / day, the total volume of solid waste generated at the project area in the construction phase is 30 kg / day. In particular, the organic content (for food waste only) accounts for 60-70% of the total volume of waste, ie about 18 to 21 kg / day. The remaining components are mainly cans, food packaging ... all garbage will be collapsed on daily delivery to city environmental sanitation company to handle.
Construction waste
Construction waste includes cement packaging, scrap steel, stone bricks ... If not collected, will affect the environment and urban beauty. Construction waste will be regularly cleaned up in the work of industrial hygiene.
Waste oil
+ Waste oil and grease shall be classified as hazardous waste according to the regulations on hazardous waste management (Code: A3020, Basel code:
Y8).
+ Waste oil from the maintenance and repair of means of transport and construction in the project area is unavoidable.
+ The amount of waste oil generated in the project area depends on the following factors:
o Number of means of transport and mechanical construction on the site;
o Cycle of oil change and maintenance of machinery.
o The amount of lubricant discharged during a change of lubricant / maintenance.
+ Results of investigations of waste oil in the area of Ho Chi Minh City showed that:
o The amount of lubricant discharged from the vehicle and mechanized construction on average 7 liters / time instead
o Oil change interval and maintenance: 3 to 6 months on average, depending on the intensity of the vehicle.
o Based on this, the estimated amount of grease generated at the site is about 12 - 23 liters per day.
Noise in the construction phase is mainly due to the operation of means of transport and construction such as bulldozers, rollers, tractors, scraper ... The noise level will be reduced by the distance, noise level from
source 1m and the maximum noise level of the vehicles and construction is shown in the following table:
TT
Vehicles Noise level from
source 1m (dBA)
Noise level from source 20m (dBA)
Noise level from source 50m (dBA)
Approx Medium
1 Bulldozers 93.0 67.0 59.0
2 Rollers 72.0 á 74.0 73.0 47.0 39.0
3 Tractor 77.0 á 96.0 86.5 60.5 52.5
4 Scraper 80.0 á 93.0 86.5 60.5 52.5
5 Truck 82.0 á 94.0 88.0 62.0 54.0
6 Concrete mixers 75.0 á 88.0 81.5 55.5 47.5
7 Compressor 75.0 á 87.0 81.0 55.0 47.0
VNS 5949-1998 (6 á 18h) 50 á 75 dBA
The maximum noise level due to the operation of the means of transport and construction is located at a distance of 20 meters within the limits of TCVN 5949-1998. However, the noise will significantly affect the surrounding population if these activities are implemented after 22 hours.
II.2. Key impacts during operation.
Impact of medical waste
As a rule, waste at hospitals and health centers will be as follows:
Infectious waste:
- Sharp waste (type A): Waste that can cause cuts or punctures, which can be contaminated, including: needle and syringe tip, sharp knife blade, surgical blade, saws, syringes, fragments of glass and other sharp objects used in medical activities.
- Non-sharp infectious waste (type B): Waste is infiltrated with blood, the body's bioavailability and waste arising from the isolation chamber.
- Highly contagious waste (type C): Waste is generated in the laboratories such as: clinical specimens and containers, infected specimens.
- Surgical wastes (type D): Including tissues, organs and organs of human body; fetus, fetus and laboratory animals.
Chemical wastes:
- Overdue, inferior pharmaceutical products are no longer usable.
- Hazardous chemicals used in medicine
- Cellular toxins, including the capsules of bottles, vials, cytotoxic drugs and secretions from patients treated with chemotherapy.
- Waste containing heavy metals: mercury (from thermometer, broken mercury vial, dental waste), cadmium (Cd) (from batteries, batteries), lead Lead or coated material used only in radiographs from radiology departments.
Radioactive waste:
- Radioactive wastes: These include radioactive solid, liquid and gaseous wastes arising from the activities of diagnosis, treatment, research and production.
- List of radioactive drugs and marking compounds used in diagnosis and treatment issued in conjunction with the Minister of Health's Decision No. 33/2006 / QD-BYT dated October 24, 2006.
Pressure vessel:
Contain oxygen cylinders, CO2, gas cylinders, aerosol cylinders.
These flammable, explosive when burned.
General waste:
General wastes are wastes that do not contain infectious, hazardous, radioactive, inflammable or explosive elements, including:
- Domestic wastes are generated from disease rooms (excluding isolation rooms).
- Waste arising from medical activities such as glass bottles, serum bottles, plastic materials, and bundles of broken bones. These wastes are not contaminated by blood, biological fluids or harmful chemicals.
- Waste arising from administrative work: paper, newspapers, documents, packaging materials, cardboard boxes, plastic bags and film bags.
- External wastes: leaves and rubbish from outdoor areas.
+ Impact due to medical wastewater
On average, each day, the amount of waste water incurred on a bed is 750 liters. Hospital effluents include pathogenic microorganisms, drugs, radioactive elements, and other toxic chemicals. The contaminants arising from the hospital are mainly cancer treatment chemicals, antibiotics, halogen compounds, ... Along with these pollutants, pathogenic microorganisms in NTBV cause severe pollution to the natural environment, especially for species and receiving sources. Waste water quality in some hospitals as shown in the following table: