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for the adequate operation and maintenance of any on-site waste-treatment
equipment and is responsible for the staff involved in waste treatment, en-
suring that: staff receive training in the principles of waste disposal and are
aware of their responsibilities under the hospital waste-management plan;
staff operating on-site waste-treatment facilities are trained in their opera-
tion and maintenance.

8.8 FINANCIAL ASPECTS OF HEALTH-CARE WASTE
MANAGEMENT
▪ Direct costs of supplies and materials used for collection, transport, stor-
age, treatment, disposal, decontamination, and cleaning
▪ Training costs (labor and material)
▪ Costs of operation and maintenance of on-site treatment facilities
▪ Costs for contractor services.

8.9 NATIONAL PLANS FOR HEALTH-CARE WASTE
MANAGEMENT
8.9.1 Purpose of a National Management Plan
A national management plan will permit health-care waste management
options to be optimized on a national scale. A national survey of health-care
waste will provide the relevant agency with a basis for identifying actions
on a district, regional, and national basis, taking into account conditions,
needs, and possibilities at each level. An appropriate, safe, and cost-effective
strategy will be concerned principally with treatment, recycling, transport,
and disposal options.

8.9.2 Treatment Alternatives

Action plan for the development of a national program
Step 1: Establish policy commitment and responsibility for health-care
waste management
Step 2: Conduct a national survey of health-care waste practices
Step 3: Develop national guidelines
Step 4: Develop a policy on regional and cooperative methods of health-
care waste treatment
Step 5: Legislation: regulations and standards for health-care waste
management
Step 6: Institute a national training program