Republic of the Philippines

MUNICIPALITY OF BINMALEY
Province of Pangasinan

OFFICE OF THE SANGGUNIANG BAYAN

Municipal Ordinance No. 3 S-2011

"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 enhance 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 or
decomposed) by microbiological organisms or enzymes (synonymous with
compostable);
2. NON-BIODEGRADABLE- anything that is not capable of decaying and not absorbed
by the environment such as cellophanes, 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, scalpels, 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, investigation,
treatment care, teaching or research which by nature of its toxic, 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 carcasses, 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 form 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; excreta of 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 - wit trefoil sign - for collection of radioactive 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 encroachment 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 encroachment of
scavengers and stray animals until the 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 located 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 keep 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 diarrhea, poliomyelitis and infectious hepatitis the technique 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 disinfectant to one quart of water.) The mixture should stand for one hour
before being emptied into 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 implication of providing individually

by each hospital their own disposal system, groups of hospitals may jointly establish a
disposal system that can service adequately the bead 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 related 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
generated bin 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 delinquency or fraction therefore after the due date until the amount was fully
paid.

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

SECTION 8. PENALTIES

Violation of 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
imprisonment of 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 the provisions 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
held to be unconstitutional or invalid, other parts or previsions 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.