Municipal Ordinance No.

03,S2011

"AN ORDINANCE REGULATING THE DISPOSAL AND MANAGEMENT OF HOSPITAL,CLINIC AND OTHER
RELATED MEDICAL INSTITUTIONS' WASTE MATERIALS WITHIN THE MUNICIPALITY OF BINMALEY,
PANGASINAN."

Introduced and sponsored by: SBM JEFFREY R. DELOS ANGELES

Co-sponsored by: SBM JOVITO F. CASTRO

EXPLANATORY NOTE

WHEREAS, the sanggunian has the moral duty to ensure public safety and promote public health;

WHEREAS, to avoid the indiscriminate dumping of infectious, potentially dangerous and radioactive
solid and liquid wastes without proper disinfection and appropriate safety measures, hence, the
outmost necessity and importance to adopt immediate appropriate legislative measures that will
improve and inhance the hospital management, collection and disposal of wastes, particularly the
infectious ones;

NOW THEREFORE, on motion of Councilor Jeffrey R. delos Angeles ang jointly seconded by Councilor
Jovito F. Castro, Vonnark V. Valerio and SKF President Harmielyn C.Cerezo.

SECTION 2. CLASSIFICATION OF HOSPITAL WASTE/GARBAGE

1. BIODEGRADABLE- any material that can reduce into finer particles (degraded ordecomposed) by
micobiological organisms or enzymes (synonymous with compostable);

2. NON-BIODEGRADABLE- anything that is not capable of decaying and not absorbed by the
environment such as cellphanes, plastics, rubbers and the like;

3. SHARPS- hospital/clinical instrument used in the operation and /or treatment of patients and
other related medical functions like needles, blades, scapels, nails, saws, glass, slides, etc;

4. CLINICAL WASTE- hospital/clinical waste which may be generated from medical, nursing, dental,
veterinary, laboratory, pharmaceutical or similar practice, inbestigation, treatment care, teaching or
research which by nature of its tixic, infectious or dangerous content may prove a hazard or may give
offensive unless previously rendered safe or innoffensive.Such waste includes human or animal
tissue or excretions, contaminated drugs, medicinal products, swabs and dressings, instruments,
disposable gloves, masks, gowns and similar materials and substances;

5. PATHOLOGICAL WASTE- type of hospital waste which include tissues, organs, body parts, human
fetuses from surgical operation, biopsy and autopsy.Also included are animal carcases, blood and
body fluids usually coming from patients services;

6. CHEMICAL WASTE- hospital waste usually generated from diagnosis, and experimental section,
research section, cleaning and disinfecting procedures which is classified as hazardous and non-
hazardous in forn of gas, solid and liquid chemicals;
7.RADIOACTIVE WASTE- hospital waste generated from nuclear medicine section, diagnostic and
therapeutic procedures and the paraphernalia used.This is in the form of solid, liquid and gas
contaminated with radio nuclides, exemplified by radio-iodine technetium 99 and indium in
particular; excretabof patients who underwent radio isotopic therapeutic application, needles and
syringes, test tubes and tap waste washing of such paraphernalia;

SECTION 3. STANDARD HOSPITAL WASTE/GARBAGE COLLECTION SYSTEM.

To ensure uniformity and safety, the hospital should provide four (4) kinds of trash bags which shall
be identified individually, to wit:

3.1. Black Trash Bag - for collection of non-infectious dry waste;

3.2. Green Trash Bag - for collection of Non-infectious wet waste;

3.3. Yellow Trash Bag - for collection of dry and wet waste;

-chemical waste and other potentially infectious waste;

-pathological waste;

-chemical waste;

-sharps contained in punctured-proof container covered with thick solution of lime;

3.4. Orange Trash Bag - witg trefoil sign - for collection of radio active waste which will be stored
in the hospital until rendered as inactive and/or disposed of in accordance with the prescribed rules
and regulations of the Philippines Nuclear Research Institute.(PNRI)

The hospitals are further required to match the color of the plastic bag to the color the storage
receptacle to facilitate efficient collection system.

SECTION 4. STANDARD STORAGE PROCEDURE

All collected hospital waste/garbage should be tightly closed, segregated according

to colors and handled/stored as follows:

1. Yellow trash bags should be placed in an enclosed area which should be secured with lock and key
to prevent encroacment of scavengers and stray animal;

2. Black and green trash bags may be disposed off through the municipality's collection and disposal
system;

3. Orange trash bag with trefoil sign should be placed in an enclosed interim storage of the hospital
which should be secured with lock and key to prevent encroachmebt of scavengers and stray animals
untilbthe radioactive waste became inactive or disposed off at the behest of the Philippine Nuclear
Research Institute;
 A central storage or transfer station shall be provided by the hospital and must conform with the
following site criteria;

1. It must be located as near as possible to the center of waste production on the collection
area which it serves;

2. It must be accessible to municipality' collection service;

3. It must be locatedb in a placed where the transfer operation could be done with minimum
public objection and in accordance with sanitation provision.

4. Location must meet local requirements such as zoning service;

5. When transfer station is not feasible within the hospital compound, an arrangement with
collection service must be provided in transferring/disposing hospital waste to disposal site.

SECTION 5. HOSPITAL WASTE/GARBAGE DISPOSAL SYSTEM

All hospitals/clinics shall be required to provide their own colored trash bags fir waste
collection.They shall also be required to provide their own means of disposal by using any of the
applicable disposal system described below, or public and environmental health.

1. Hospital Enclosed Burning Pit. With a smoke stock and located about 50 to 100 meters from the
hospital facilities. This is ideal for hospital with open spaces and away from nearby buildings. (This
wind direction is studied. The location of the pit must be at place where the wind blows the smoke
away from the hospital facilities.) The ashes of left-over burnt materials are thrown in public
dumpsite. This will handle hospital waste in yellow trash bag.

2. Ground Pit. This is a dug up ground hole about 2 meters deep and 1 meter wide located at a safe
distance from the hospital facilities.This is used to dump contaminated wastes described under
hospital waste 3, 4, & 5. This will covered by lime and by 10 cm. soil periodically or daily depending
on the volume of such waste. When this pit is filled up to 10 cm. from the ground level and labeled as
to the date, to be identified and to keet close and non-usable for at least 4 months after which this
pit can be reused again, the hospital availing of this method should at least have 3 to 4 such pits for
rotational schedule. The lime powder are made to a thick solution before actual application.

3. Sewage Disposal System. For urine and fecal materials in cases of typhoid, infectious diarrehea,
poliomyelitis and infectious hepatitis the technic for handling is dependent upon available sewage
disposal facilities. In hospitals, where there is no treated sewerage system or properly functioning
septic tank, feces should be broken up and emptied into a covered can containing (add one and one
a haft ounces of phenol or creosol type disenfectant to one quart of water.) The mixture should
stand for one hour before being emptied ibto hopper or toilet. If the hospital wastes enter a treated
sewerage system or with properly functioning septic tank, bed pans may be emptied into hoppers or
toilets preliminary treatment. Incinerator which is occasionally employed is an absolute safeguard.

However, in consideration of the economic inplication of providing individually by each

hospital their owb disposal system, groups of hospitals may jointly establish a disposal system that
can service adequentely the beed for disposal facilities. Networking of available facilities is likewise
encouraged.
SECTION 6. FUNDING SOURCE

All hospitals, clinics or entities shall be required to earmark specific amount necessary for the
implementation of this Ordinance.

SECTION 7. SPECIAL GARBAGE FEE FOR INFECTIOUS AND HAZARDOUS WASTES.

All hospitals, clinics or other similar institutions shall continue to be charged with the usual
garbage fees ralated to general waste based on existing Ordinance. However, the fees for infectious
and hazardous wastes are as follows:

A minimum monthly fee of THREE HUNDRED PESOS ( P 300.00) shall be charged from each
hospital or entity and for clinics, a minimum monthly of One Hundred Pesos (P 100.00) , plus addition
fee of Fifty Pesos (P 50.00) per cubic meter of garbage generatedbin excess of 5 cubic meters.

The afore-said special garbage fee shall be paid with the first five days of each month and in
case of default, the payer shall be subject to a surcharge of 10% for each month of deliquency or
fraction therefore after the due date until the amount was fully paid.

All revenues collected shall accure to Special Fund to be used for maintenance and operating
expences on hospital waste management, collection abd disposal and other improvement therefore.

SECTION 8. PENALTIES

Violationof any provisions, rules and guidelines embodied in this Ordinance shall be punished
by a fine of not less than P 200.00, nor more than P 2,000.00, or imprisonmentof not less than 10
days, nor more than six months, or both such fine and imprisonment at the discretion of the Court.

If the violator is corporation, firm, or other entity, the President, Director, Manager, or
persons responsible for its operation shall be criminally liable therefore.

SECTION 9. REGULAR INSPECTION

All concerned hospitals, entities and other institutions shall be strictly required to provide
their own particular or joint waste disposal system, subject to regular inspection by Municipal Health
Officer or his duly authorized representative, who shall ensure that thebprovisions of this Ordinance
are faithfully and strictly implemented and enforced.

SECTION 10. SEPARABILITY CLAUSE.

If, for any reason or reasons, any part or provision of this Ordinance shall be heldvto be
unconstitutional or invalid, other parts or privisions hereof which are not affected thereby shall
continue to be in full force and effect.

SECTION 11. REPEALING CLAUSE.

All ordinances, rules and regulations which are inconsistent with may any provision or
provisions of this Ordinance are hereby repealed or modified accordingly.
SECTION 12. EFFECTIVITY CLAUSE.

This Ordinance shall take effect ten (10) days after its publication in a newspaper of local
circulation in the Province of Pangasinan.

ENACTED.June 21, 2011 at Binmaley, Pangasinan.