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Solid Waste Management Solid Waste Management Coordinating Board Coordinating Board (SWMCB) Project (SWMCB) Project Healthcare Facilities Healthcare Facilities and Hazardous Waste and Hazardous Waste Fawzi Awad Ramsey County Environmental Health 651-773-4459 Fawzi.awad@co,ramsey.mn.us

Solid Waste Management Coordinating Board (SWMCB) Project Healthcare Facilities and Hazardous Waste Fawzi Awad Ramsey County Environmental Health 651-773-4459

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Page 1: Solid Waste Management Coordinating Board (SWMCB) Project Healthcare Facilities and Hazardous Waste Fawzi Awad Ramsey County Environmental Health 651-773-4459

Solid Waste Management Solid Waste Management Coordinating Board (SWMCB) Coordinating Board (SWMCB)

Project Project Healthcare Facilities and Healthcare Facilities and

Hazardous WasteHazardous Waste

Fawzi Awad

Ramsey County Environmental Health651-773-4459

Fawzi.awad@co,ramsey.mn.us

Page 2: Solid Waste Management Coordinating Board (SWMCB) Project Healthcare Facilities and Hazardous Waste Fawzi Awad Ramsey County Environmental Health 651-773-4459

The SWMCB MissionThe SWMCB Mission

The mission of the Solid Waste Management Coordinating Board (SWMCB), which serves the metropolitan counties of Anoka, Carver,

Dakota, Hennepin, Ramsey, and Washington, is to increase the efficiency and

environmental effectiveness of the region’s solid waste management system.

Page 3: Solid Waste Management Coordinating Board (SWMCB) Project Healthcare Facilities and Hazardous Waste Fawzi Awad Ramsey County Environmental Health 651-773-4459

How Regulation HappensHow Regulation Happens

The counties in the SWMCB region are the regulatory agencies.

The SWMCB provides a forum for counties to work together to achieve a consistent regulatory approach.

Page 4: Solid Waste Management Coordinating Board (SWMCB) Project Healthcare Facilities and Hazardous Waste Fawzi Awad Ramsey County Environmental Health 651-773-4459

Phases of the ProjectPhases of the Project

Phase I: Reach consensus among SWMCB metropolitan

counties and state regulatory agencies Phase II:

Develop a strategy for working with healthcare facilities and other stakeholders to achieve compliance.

Phase III: Develop and implement training and workshops.

Page 5: Solid Waste Management Coordinating Board (SWMCB) Project Healthcare Facilities and Hazardous Waste Fawzi Awad Ramsey County Environmental Health 651-773-4459

What’s the Problem?What’s the Problem?

US Hospitals and Health Care Facilities generate an estimated 2.7 million tons of waste / year

Regulations for disposing of hospital waste are confusing

Recent EPA crackdown on non-complyinghospitals

NEW YORK (11/26/03) The U.S. Environmental Protection Agency is seeking $64,349 in penalties from the owner and operator of Mountainside Hospital in Montclair, N.J. The EPA cited parent company Atlantic Health System Inc. for violating numerous hazardous waste management requirements under the Resource Conservation and Recovery Act.

Page 6: Solid Waste Management Coordinating Board (SWMCB) Project Healthcare Facilities and Hazardous Waste Fawzi Awad Ramsey County Environmental Health 651-773-4459

Type of Waste from Healthcare Type of Waste from Healthcare Facilities:Facilities:

Solid Waste

Infectious Waste

Radioactive Waste

Hazardous Waste

Page 7: Solid Waste Management Coordinating Board (SWMCB) Project Healthcare Facilities and Hazardous Waste Fawzi Awad Ramsey County Environmental Health 651-773-4459

Common Hazardous Wastes Common Hazardous Wastes Disposal PracticesDisposal Practices

Chemo Waste, Solvents, Lab Waste, Others

Hazardous Waste

Recycled in houseXylene,

Formaldehyde(+)

Disposed of as Hazardous

WasteBulk Chemo

Waste(+)

Discharged into Sewer

most of lab waste(-)

Disposed of as Infectious

WasteTrace Chemo

Waste(-)

Page 8: Solid Waste Management Coordinating Board (SWMCB) Project Healthcare Facilities and Hazardous Waste Fawzi Awad Ramsey County Environmental Health 651-773-4459

SWMCB ApproachSWMCB Approach

Get agencies to agree on standards and approach SWMCB Counties Metropolitan Council Environmental Services (MCES) MN Pollution Control Agency (MPCA) MN Technical Assistance Program (MnTAP)

Work with industry to inform and educate; also to collaborate on solutions

Provide support to industry to come into compliance

Page 9: Solid Waste Management Coordinating Board (SWMCB) Project Healthcare Facilities and Hazardous Waste Fawzi Awad Ramsey County Environmental Health 651-773-4459

Project AccomplishmentsProject Accomplishments

Unified approach to standards and enforcement on hazardous waste Fact sheets clarified requirements August 2003 deadline for chemo waste

compliance July 2005 deadline for full hazardous waste

compliance Tools Developed for Other Wastes

Fact Sheets, Assessment Tool, web site references

Training Delivered

Page 10: Solid Waste Management Coordinating Board (SWMCB) Project Healthcare Facilities and Hazardous Waste Fawzi Awad Ramsey County Environmental Health 651-773-4459

Training ProgramTraining Program

Collaboration with Industry: Hospitals Hosted Training United Hospital – 11/28 Fairview Ridges Hospital – 11/29 North Memorial Hospital – 11/31

Strong Response: 161 attendees Cost Effective Effort: SWMCB budgeted

$15,000; after Donations and Registration Fees, cost to SWMCB = $3,500

Page 11: Solid Waste Management Coordinating Board (SWMCB) Project Healthcare Facilities and Hazardous Waste Fawzi Awad Ramsey County Environmental Health 651-773-4459

Compliance StepsCompliance Steps

Training

Report Phase I wastes on

annual report

Report Phase II wastes on

annual report Full compliance

October

2003

January 2004

January 2005

July 2005

Page 12: Solid Waste Management Coordinating Board (SWMCB) Project Healthcare Facilities and Hazardous Waste Fawzi Awad Ramsey County Environmental Health 651-773-4459

2,05

3 10,9

87

16,1

57

110

39,5

19

344

2,29

8

71,4

68

571

-

4,96

3

456

38,1

31

2 -

44,1

23

-

10,000

20,000

30,000

40,000

50,000

60,000

70,000

80,000

90,000

100,000

Ramsey County Hospitals - 2004 & 2005 Total HW Volume in pounds

Total 2004

Total 2005

Page 13: Solid Waste Management Coordinating Board (SWMCB) Project Healthcare Facilities and Hazardous Waste Fawzi Awad Ramsey County Environmental Health 651-773-4459

Volume of Hazardous Waste Volume of Hazardous Waste Generated in 2005Generated in 2005

11,224

39,32956,135

364

118,801

844 7,513

234,210

-

50,000

100,000

150,000

200,000

250,000

Volume

Waste Streams

Metro Hospitals Total Volume (pounds) of Hazardous Waste Generated in 2005

Bulk Chemo

Pharmaceuticals

Lab Wastes/Stains

Mercury

Xylene/Alcohol

Controlled Substances

Dual Wastes

Total

Page 14: Solid Waste Management Coordinating Board (SWMCB) Project Healthcare Facilities and Hazardous Waste Fawzi Awad Ramsey County Environmental Health 651-773-4459