This document outlines an environmental mitigation and monitoring plan for improving water and sanitation at healthcare clinics in Liberia. It discusses strategies for providing clean water such as installing new boreholes, repairing existing boreholes, and exploring rainwater catchment alternatives. It also addresses sanitation needs like installing latrines and waste water treatment ponds. The document details best practices for healthcare waste management, including segregating different types of waste and appropriate disposal methods like incineration. It provides guidance on setting up waste management zones with dedicated pits and bins for different waste streams to protect the environment and public health.
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Heathcare Waste_Liberia
1. Environmental Mitigation & Monitoring Plan HCW_Water & Sanitation Improvements for RBHS Healthcare Clinics [email_address] RBHS
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3. Direct contact Blood borne disease Ex: Hep A, Hep B, AIDS through needle stick injuries Vector borne disease Ex: malaria, yellow fever, sleeping sickness Water borne disease Ex: Typhoid, Colera, HepA Air borne disease Ex: TB
11. Almost one third of the healthcare facilities reported not always having a water supply. Rainwater is free and relatively good water quality. Catching rain “free-falling” is usually better than from a roof yet there is no one right way, only what works best for your clinic at this time. Rainwater Catchment
12. Simply roll out a sheet of plastic - cleaner surface area than most roofs !
16. Ahh the many choices ! for more information visit www. hesperian.org Latrines
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18. Waste water treatment pond with reeds filtering and cleaning the water. Provides viable habitat for wildlife and esthetic view for people. Brocks Hill Visitor Center
25. INCINERATION for disposal of highly hazardous waste is not the best “environmentally friendly” technology, but is appropriate for Liberia at this time. Use of functional, high-temperature structures is recommended by the MoH EPI.
38. Example of a Sanitary Pit, unlined for large amounts of general waste - leaching into ground and decomposition will occur. For small amounts of general waste without plastics, a composting bin can be used. A lined sanitary pit would be with thick plastic, or bricks on bottom & sides of pit, for hazardous waste if incinerator is not available. Additions of lime or ash will inhibit decomposition.
42. Recipe: Cement 1 part Lime 1 part Sand 4 parts Water 1/3 to ½ full Encapsulation in a 55 –gallon drum of ashes, needles from incinerator and crushed glass. --------- ¾ full of treated h.h. waste
45. Sanitary Waste Pit Organic Pit Incinerator Glass & Ash Pit - x - x – x – x – x – x – x – x – x – x – x – x – x – x – x – x – x – x – x – x – x – x – x – x – x – x – x - Xx-x-x-x x-x-x-x- Waste zone w/fence Highly Hazardous Waste General Waste Hazardous Waste Glass Green Bin Red Bin Yellow Bin Black Bin