The GEF Project
Together with the World Health Organization and the United Nations Development Program, Health Care Without Harm is implementing a Global Environment Facility funded initiative.
The project is titled "Demonstrating and Promoting Best Techniques and Practices for Reducing Health Care Waste to Avoid Environmental Releases of Dioxins and Mercury." It has been developed primarily under the GEF mandate to assist developing countries in meeting the objectives of the Stockholm Convention on Persistent Organic Pollutants.
The $10 million project will demonstrate dioxin and mercury-free medicine within model health care facilities. It is set to begin its implementation phase in eight participating countries: Argentina, India, Latvia, Lebanon, the Philippines, Senegal, Tanzania and Vietnam.
The project's overall objective is to reduce environmental releases of dioxins and mercury by promoting best techniques and practices for reducing and managing health care waste.
We will meet this objective through the following components which each participating country will implement in collaboration with national governments, participating NGOs, professional associations, universities, hospitals and clinics.
- Developing model urban and rural hospitals that demonstrate approaches to eliminate dioxin and mercury
- Establishing national training and education programs on health care waste management to serve respective countries and the regions in which they sit
- Assuring that new management practices and systems piloted by the project are nationally documented, promoted, disseminated, replicated, and institutionalized
- Collaborating with Stockholm Convention National Implementation Plan preparation process
- Disseminating and replicating project results regionally and globally
We are also collaborating with University of Dar es Salaam in Tanzania to build and test low-cost, small- to medium-size non-incineration technologies for use in developing countries. The technologies will be manufactured using local resources and a range of energy sources including solar energy. The goal of the GEF project is to promote and replicate these technologies in other countries.
- Best Environmental Practices and Alternative Technologies for Medical Waste Management (pdf) Discusses impacts of medical waste incineration and alternatives for the developing world
- Best Practices in Health Care Waste Management: Examples from Four Philippine Hospitals
- British Society for Ecological Medicine Report: Health Effects of Waste Incinerators (pdf)
- Contamination of Chicken Eggs near the Queen Mary's Hospital, Lucknow Medical Waste Incinerator in Uttar Pradesh (India) by Dioxins, PCBs and Hexachlorobenzene
- Eleven Recommendations for Improving Health Care Waste Management (pdf)
- For Proper Disposal: A Global Inventory of Alternative Medical Waste Treatment Technologies (pdf)
- Health Care Waste Assessment Project: A Partnership Between the Local Government Unit of Baguio, Tertiary Hospitals in Baguio City and Health Care Without Harm-Southeast Asia (pdf)
- Health Care Waste Assessment Tools (pdf)
- Global Alliance for Incinerator Alternatives (GAIA) website
- Global Environment Facility (GEF) Project
- Global Environment Facility website
- Ground Work: Community Action to Reduce the Harm Caused by Health Care Waste and Incineration in South Africa
- ICN Position Statement: Medical Waste, Role of Nurses and Nursing (pdf)
- Greenpeace Report: Incineration and Human Health: State of Knowledge of the Impacts of Waste Incinerators on Human Health (pdf)
- Non-Incineration Medical Waste Treatment Technologies in Europe (2004 version, pdf)
- Preventing Needlestick Injuries among Healthcare Workers: A WHO-ICN Collaboration (pdf)
- Tanzania's project to replace an incinerator with a safer, non-burn waste treatment system (pdf)
- Testing a Waste Treament Autoclave at a Hospital in Tanzania: A Technical Brief (pdf)
- Stockholm Convention on Persistent Organic Pollutants website
- Toxics Link Training Manual Understanding and Simplifying Bio-Medical Waste Management (pdf)
- WHO Aide-Memoire for a Strategy to Protect Health Workers from Infection with Bloodborne Viruses (pdf)
- WHO Assessment of Small-Scale Incinerators for Health Care Waste (pdf)
- WHO Core Principles for Achieving Safe and Sustainable Management of Health-Care Waste (pdf)
- WHO Expanded Costing Analysis Tools (ECAT) for Health Care Waste Management
- WHO Safe Health-Care Waste Management Policy Paper (pdf)
- WHO Safe Management of Wastes from Healthcare Activities