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首页> 外文会议>International Conference on Solid Waste Technology and Management; 20050403-06; Philadelphia,PA(US) >A National Approach to Clinical Waste Management
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A National Approach to Clinical Waste Management

机译：一种全国性的临床废物管理方法

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Clinical waste in Malaysia was handled in a similar manner as any other solid waste within the hospital before 1997. This practice together with the lack of adequate disposal sites resulted in various unfortunate incidents, such as abuse of needles by drug addicts and scavenging of body parts by stray dogs. Such incidents and increasing concerns about HIV spurred the Malaysian Ministry of Health and the Department of Environment to have clinical waste regulated under the Environmental Quality (Scheduled Wastes) Regulations 1989. The Ministry of Health also developed Guidelines on the Management of Clinical Waste and Other Related Wastes. However lack of resources and infrastructure were identified as impediments for full compliance with Malaysia's Environmental Quality (Scheduled Wastes) Regulations and international standards on good management practices for clinical waste. Hence a decision was taken in 1993 to privatise this service for the Ministry's 127 hospitals and institutions throughout the country. This unprecedented move, while providing a solution to the problem of managing clinical waste, presented a whole new set of challenges. These include among others project viability and sustainability as well as maintaining quality of service in the face of commercial pressures. This paper will describe how the concept of a national approach became a reality with a comprehensive clinical waste management service that has now become a showcase for the region, This paper will also describe how the problems encountered have been overcome through a unique combination of cooperation and partnerships, monitoring and enforcement as well as competition including the incidental benefits gained through this concept.
机译：在1997年之前，马来西亚的临床废物的处理方式与医院内其他固体废物的处理方式类似。这种做法加上缺乏足够的处置场所，导致了各种不幸的事件，例如吸毒者滥用针头和清除身体部位由流浪狗。此类事件和对艾滋病毒的日益关注促使马来西亚卫生部和环境部根据1989年《环境质量（计划废物）条例》对临床废物进行了管制。卫生部还制定了《临床废物及其他相关废物管理指南》。浪费。但是，缺乏资源和基础设施被认为是完全遵守马来西亚的《环境质量（计划废物）条例》和有关临床废物良好管理规范的国际标准的障碍。因此，1993年决定将该部在全国的127家医院和机构的服务私有化。这项史无前例的举措为解决医疗废物管理问题提供了解决方案，但同时也带来了一系列全新的挑战。其中包括项目可行性和可持续性，以及面对商业压力保持服务质量。本文将描述如何通过全面的临床废物管理服务将国家方法的概念变为现实，该服务现已成为该地区的展示之地。本文还将描述如何通过独特的合作与合作来克服所遇到的问题。伙伴关系，监控和执行以及竞争，包括通过此概念获得的附带收益。

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