References to occupational exposures
Information on the hazards associated with the handling of hazardous medical waste, access to
training opportunities on the safety procedures to minimize hazards, and proper personal
protective equipment were noted to constitute essential preconditions for the enjoyment of the
right to safe and healthy conditions of work. In many health-care establishments around the
world, the lack of adequate waste management plans to ensure the safe and environmentally
sound segregation, collection, transport, treatment and disposal of medical waste continue to
expose a significant number of people from a wide range of occupations to the risk of injury and
illness.
The report notes that 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.
In most developing countries and economies in transition, the lack of adequate technical resources
for the safe and sound management of health-care waste, the limited funding for health-care waste
management and the inadequate awareness of the direct and indirect risks posed by health-care
waste constitute the main obstacles to the development of a comprehensive regulatory framework
on health-care waste management and to its effective implementation.
The former Special Rapporteur recommended 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.
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 former Special
Rapporteur urged 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.
The former Special Rapporteur called 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; (c) Access, on a voluntary basis, to vaccination
against such common infectious diseases as tetanus and hepatitis; (d) The organization of training
opportunities and safety workshops designed for and targeting different categories of hospital
personnel (such as medical doctors, nurses, hospital cleaners and waste handlers); (e) Regular
Challenges faced by workers
A/HRC/39/48
34
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