China - Health Reform Program for Results Project : environmental assessment : Environmental and social systems assessment (English)

The development objective of the Health Reform Program for Results Project of China ”) is to improve the quality of healthcare services and the efficiency of the healthcare delivery systems in Anhui and Fujian provinces. Some of the negative impacts are... See More + The development objective of the Health Reform Program for Results Project of China ”) is to improve the quality of healthcare services and the efficiency of the healthcare delivery systems in Anhui and Fujian provinces. Some of the negative impacts are includes : (i) dust, noise, non-hazardous solid waste, wastewater, and social disturbance such as traffic safety and congestion, and construction safety concerns; (ii) social disturbance, including influx of workers, traffic safety and congestion, construction safety; (iii) medical solid waste management within healthcare facilities; (iv) radiation leakage, handling of radiation contaminated wastes; (v) exposure to Infections or Diseases; (vi) exposure to Hazardous Materials and Waste; Some of the mitigation measures are includes : (i) water spray, dust-net, site-fencing, vehicle cleaning; use of low-noise equipment and prohibition of construction during nighttime, construction site settling tanks and effluent discharge municipal sewers, and collection and transportation of general solid waste in a timely manner; (ii) given the limited scale of construction activities, no significant flux of labor is anticipated during construction; (iii) In healthcare facilities, medical waste is collected and packaged by medical workers, and temporarily stored at designated places; (iv) The flow and composition of the medical wastewater should be monitored regularly based on the reformed capacity and service scope of the hospitals to ensure that the medical wastewater be collected and treated on site to the effluent quality standard applicable; (v) radiation contaminated wastes, specific requirements on collection, separation, storage, packaging, transport, and final disposal are in place; (vi) air emissions can be mitigated effectively by low-NOx burner, Flue gas desulfurization (FGD) technology and dust removal process to meet Chinese standards; (vii) The total amount and composition of the medical solid waste in each city are envisaged to remain largely unchanged, so the designed capacity of the disposal facilities is capable of accommodating the medical solid waste collected; (viii) contractors are allowed to handle the materials and wastes, and that test centers, imaging centers, and sterilized and supply centers are existing at the county level hospitals and only will be expanded in capacity, due diligence review by the local health bureau or sanitation supervision department which are responsible for routine check of the performance of the occupational health system within HCF will effectively address this concern.  See Less -