A/HRC/18/31
Parties adopted a guidance paper on hazard characteristic H6.2 (infectious substances),
which is intended to assist in determining whether a given waste displays the characteristic
to a degree sufficient to render it hazardous.23
68.
In practice, the Basel Convention is rarely invoked to ensure the sound management
and disposal of hazardous medical waste, since this type of waste is mostly treated within
the country where it is generated.
B.
Stockholm Convention
69.
The Stockholm Convention seeks to protect human health and the environment from
the harmful impact of persistent organic pollutants. It was adopted on 22 May 2001 and
entered into force on 17 May 2004. As at 10 June 2011, 173 parties had adhered to the
Convention.
70.
Persistent organic pollutants (POPs) are highly hazardous chemical pollutants that
remain intact in the environment for long periods, become widely distributed throughout
the environment, accumulate in the fatty tissue of living organisms and are found at higher
concentrations at higher levels in the food chain. They can be divided into three categories:
(a) pesticides; (b) industrial chemicals; and (c) by-products. They are toxic to both humans
and wildlife. Specific effects of these pollutants can include cancer, damage to the nervous
system, reproductive disorders and disruption to the immune system.
71.
Article 5 of the Stockholm Convention requires parties to take all appropriate
measures to reduce the unintentional release of the chemicals listed in annex C, with the
goal of continuing minimization and, where feasible, their ultimate elimination. The annex
applies to dioxins and furans that are unintentionally formed and released from thermal
processes as a result of incomplete combustion or chemical reactions. Medical waste
incinerators are included in the list of industrial source categories that can result in
significant emissions of these chemicals into the environment. Open burning of waste,
including burning of landfill sites, is included in the list of other source categories that may
generate dioxins and furans.
72.
In 2007, at the third meeting of the Conference of the Parties to the Stockholm
Convention, participants adopted guidelines on the best available techniques and
provisional guidance on best environmental practices relevant to article 5 and annex C to
the Convention (decision SC-3/5). According to the guidelines, dioxin emission levels in
the air no higher than 0,1 ng/m3 are associated with best available techniques. Under
normal operating conditions, emissions lower than this level can be achieved with a welldesigned waste incineration plant equipped with appropriate air pollution control devices.
C.
World Health Organization
73.
WHO has elaborated a number of policy, management and advocacy tools to
minimize the risks that the improper management of health-care waste pose to health-care
workers, patients, waste handlers, the community at large and the environment, and to
facilitate the establishment and sustained maintenance of a sound system of health-care
waste management. These include a policy paper on safe health-care waste management
(2004)24 and core principles for achieving safe and sustainable management of health-care
waste (2007).25 WHO has also developed a handbook on the safe management of health-
23
24
25
16
See UNEP/CHW.7/33, decision VII/17.
World Health Organization, Safe health-care waste management (see footnote 5).
World Health Organization, WHO core principles (see footnote 8).
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