A/HRC/18/31
principles of international environmental law, such as the precautionary and the
“polluter pays” principles, should be taken into account when drafting such
legislation.
85.
A law on health-care waste management should, as a minimum:
(a)
Provide a clear definition of health-care waste and its categories;
(b)
Define clearly the duties and responsibilities of each actor involved in the
health-care waste management process;
(c)
Identify the national authority
implementation of the law and its enforcement;
(d)
responsible
for
overseeing the
Impose appropriate penalties for contravention.
86.
In addition to legislation, States should develop, in accordance with WHO
recommendations, a national policy outlining the rationale of safe health-care waste
management and its objectives, and a comprehensive strategy identifying the steps to
be taken to achieve those objectives. States should also develop technical guidelines for
the implementation of the law.34 This legal package should specify approved methods
of treatment and disposal for different waste categories; identify safe practices for the
minimization, segregation, collection, storage and transport of medical waste; and
outline the responsibilities of public health authorities, the national environmental
protection body, managers of health-care facilities and managers of private or public
waste-disposal agencies.
C.
Occupational health and safety
87.
The Special Rapporteur recommends that States strengthen their legal
framework on hospital hygiene and occupational health and safety, and provide
adequate human, technical and financial resources to national authorities responsible
for its enforcement. He also recommends that health authorities organize educational
programmes and training opportunities to raise awareness about health, safety and
environmental protection issues relating to medical waste management.
88.
In view of the fact that persons working within and outside health-care
establishments often receive limited information and training opportunities on the
occupational risks to which they are exposed and on the correct procedures for
handling waste in a safe manner, the Special Rapporteur urges relevant national
health authorities to include waste management in the curricula of future medical
practitioners and nurses, to provide appropriate information on the occupational
risks to which medical and paramedical staff may be exposed, and to organize
training opportunities on safe health-care waste management for staff handling
medical waste.
89.
The Special Rapporteur calls on health-care establishments to take all
appropriate measures to improve health and safety conditions for those handling
medical waste in and outside health-care establishments. Such measures should
include:
(a)
Access to information on the specific occupational risks to which
different categories of workers are exposed, and the safety measures to minimize such
risks;
(b)
The provision of appropriate personal protective equipment for persons
handling hazardous health-care waste;
34
World Health Organization, Health-care waste management (see footnote 32).
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