Conclusions
The management of IW by PTSs was started
with sources (hospital and health care center) through
the incinerator. They have no standard guide line for
work and transport. The policy of managed the IW were
not clear. The problem started with the separated,
handling, storage and stocked still has developed. The
PTS should develop and provide standard equipments
and vehicle with rule by MoPH and train the PTS
worker before working was necessary. Recommendation for hospital; they could be
built policy and planning for practice and control
examine and evaluation system for reduce the number
of IW. For the official they could be increase more
knowledge for IWM and well quality check for PTS
before make a permit for example the driver and the
license permit from hospital or MoPH. For the hospital
IWM , the control measure of IW dispersion should be
undertaken, same as clean technology to reduce the
volume of the IW which is the way of reduction for the
expenditure of IW disposal. The monitoring and control
sector for the IW disposal standards should be set up to
take responsibility of the prevention of infectious
disease from disposal process in the PTS and another
organization that going to have the IW disposal service.
For the PTS, should provide the IFW know-how of the
standards of environmental sanitation. For the National
policy and could be build scope of transport, clearly IW
manifest system, including the development of official
and organization for set standard for working or
procedure.