Sanpin hazardous waste. Medical waste: collection and disposal
Federal Service for Supervision of Rights Protection
consumers and human well-being
2.1.7. SOIL, CLEANING PLACES,
PRODUCTION AND CONSUMPTION WASTE,
SOIL SANITARY PROTECTION
Sanitary and epidemiological requirements
to medical waste management
SanPiN 2.1.7.2790-10
MOSCOW
2011
1. Developed by the Federal Service for Supervision of Consumer Rights Protection and Human Welfare (O.I. Aksenova, A.V. Bormashov, A.L. Mishina); Research Institute of Human Ecology and Hygiene environment them. A.N. Sysina RAMS (N.V. Rusakov, I.A. Kryatov, G.I. Korotkova, A.Yu. Orlov, V.A. Mironova, D.E. Kadyrov, N.Yu. Starodubova, O.V. Ushakova , L.V. Kitaeva, V.N. Frolov); OJSC Academy of Public Utilities named after. K.D. Pamfilova" (N.F. Abramov, V.N. Abramov); Federal State Institution “Research Institute of Disinfectology” of Rospotrebnadzor (L.G. Panteleeva, I.M. Abramova, L.S. Fedorova); GOU VPO MMA im. THEM. Sechenov (V.G. Akimkin); GOU DPO SPbMAPO Roszdrav (A.P. Shcherbo, O.V. Mironenko); Federal State Health Institution Federal Center for Hygiene and Epidemiology (T.D. Kuzkina, O.P. Chernyavskaya, E.F. Opochinsky); Office of Rospotrebnadzor in Moscow (N.N. Filatov, S.G. Fokin, E.P. Igonina, L.S. Mamontova, N.A. Radchenko); Federal State Institution “TsGiE in Moscow” (A.V. Ivanenko, I.A. Khrapunova, O.A. Gruzdeva, O.P. Bezsmertnaya); Perm State technical university(Ya.I. Vaisman, V.N. Korotaev); State Healthcare Institution “Kaluga Regional Bureau of Forensic Medicine (S.I. Lantsov); State Educational Institution of Higher Professional Education SPb State Medical Academy named after. I.I. Mechnikova (E.N. Kolosovskaya, G.B. Eremin, V.A. Nikonov); All-Russian public organization small and medium-sized enterprises “Support of Russia” (N.V. Ushakova).
2. Recommended for approval by the Commission on State Sanitary and Epidemiological Standards under Federal service on supervision in the field of consumer rights protection and human well-being (protocol dated October 14, 2010 No. 2).
3. Approved by the resolution of the Chief State Sanitary Doctor Russian Federation G.G. Onishchenko dated December 9, 2010 No. 163.
4. Registered with the Ministry of Justice of the Russian Federation on February 17, 2011, registration number 19871.
“State sanitary and epidemiological rules and regulations (hereinafter - sanitary rules) - regulatory legal acts establishing sanitary and epidemiological requirements (including criteria for the safety and (or) harmlessness of environmental factors for humans, hygienic and other standards), non-compliance with which creates a threat to human life or health, as well as the threat of the occurrence and spread of diseases "(Article 1).
“Compliance with sanitary rules is mandatory for citizens, individual entrepreneurs and legal entities” (Article 39).
“For violation of sanitary legislation, disciplinary, administrative and criminal liability is established in accordance with the legislation of the Russian Federation” (Article 55).
RUSSIAN FEDERATION
RESOLUTION
9.12.2010 Moscow No. 163
On approval of SanPiN 2.1.7.2790-10
"Sanitary and epidemiological
application requirements
with medical waste"
52-FZ “On the sanitary and epidemiological welfare of the population” (Collected Legislation of the Russian Federation, 1999, No. 14, Art. 1650; 2002, No. 1 (Part 1), Art. 2; 2003, No. 2, Art. 167; No. 27 (Part 1), Article 2700; 2004, No. 35, Article 3607; 2005, No. 19, Article 1752; 2006, No. 1, Article 10; No. 52 (Part 1), Article 5498; 2007, No. 1 (Part 1), Article 21; No. 1 (Part 1), Article 29; No. 27, Article 3213; No. 46, Article 5554; No. 49, Article 6070; 2008, No. 24, Article 2801; No. 29 (Part 1), Article 3418; No. 30 (Part 2), Article 3616; No. 44, Article 4984; No. 52 (Part 1), Article 6223; 2009 , No. 1, Article 17; 2010, No. 40, Article 4969) and the Decree of the Government of the Russian Federation dated July 24, 2000 No. “On approval of the Regulations on the State Sanitary and Epidemiological Service of the Russian Federation and the Regulations on State Sanitary and Epidemiological Standardization” (Meeting Legislation of the Russian Federation, 2000, No. 31, Article 3295; 2004, No. 8, Article 663; No. 47, Article 4666; 2005, No. 39, Article 3953)
I DECIDE:
Approve sanitary and epidemiological rules and regulations SanPiN 2.1.7.2790-10 “Sanitary and epidemiological requirements for the management of medical waste” (appendix).
G.G. Onishchenko
CHIEF STATE SANITARY DOCTOR
RUSSIAN FEDERATION
RESOLUTION
4.03.2011 Moscow No. 18
“Rules for collection, storage and disposal of waste
medical and preventive institutions"
In accordance with the Federal Law of March 30, 1999 No. 52-FZ “On the sanitary and epidemiological welfare of the population” (Collected Legislation of the Russian Federation, 1999, No. 14, Art. 1650; 2002, No. 1 (Part 1), Art. 2; 2003, No. 2, Article 167; No. 27 (Part 1), Article 2700; 2004, No. 35, Article 3607; 2005, No. 19, Article 1752; 2006, No. 1, Article 10; No. 52 (Part 1), Article 5498; 2007, No. 1 (Part 1), Article 21; No. 1 (Part 1), Article 29; No. 27, Article 3213; No. 46, Article 5554; No. 49, Article 6070; 2008, No. 24, Article 2801; No. 29 (Part 1), Article 3418; No. 30 (Part 2), Article 3616; No. 44, Article 4984; No. 52 ( Part 1), Article 6223; 2009, No. 1, Article 17; 2010, No. 40, Article 4969; 2011, No. 1, Article 6) and Decree of the Government of the Russian Federation dated July 24, 2000 No. “On approval of the Regulations on the state sanitary and epidemiological service of the Russian Federation and the Regulations on state sanitary and epidemiological regulation" (Collected Legislation of the Russian Federation, 2000, No. 31, Art. 3295; 2004, No. 8, Art. 663; No. 47, Art. 4666; 2005, No. 39, Art. 3953)
I DECIDE:
Since the introduction of sanitary and epidemiological rules and regulations SanPiN 2.1.7.2790-10 “Sanitary and epidemiological requirements for the management of medical waste”, approved by the Decree of the Chief State Sanitary Doctor of December 9, 2010 No. 163 and registered by the Ministry of Justice of Russia on February 17, 2011, registration number 19871 , consider the sanitary rules and norms SanPiN 2.1.7.728-99 “Rules for the collection, storage and disposal of waste from medical institutions”, approved by the Decree of the Chief State Sanitary Doctor No. 2 of January 22, 1999, as no longer in force, as amended by the Decree of the Chief State Sanitary Doctor dated March 16, 2009 No. 15 “On approval of SanPiN 2.1.7.2527-09 “Changes 1 to sanitary rules and SanPiN 2.1.7.728-99 “Rules for the collection, storage and disposal of waste from medical institutions.”
G.G. Onishchenko
Application
2.1.7. SOIL, CLEANING PLACES, PRODUCTION AND CONSUMPTION WASTE, SOIL SANITARY PROTECTION
Sanitary and epidemiological requirements for the management of medical waste
Sanitary and epidemiological rules and regulations
SanPiN 2.1.7.2790-10
. Scope and general provisions
1.1. Sanitary and epidemiological rules and regulations (hereinafter referred to as sanitary rules) have been developed in accordance with the legislation of the Russian Federation.
1.2. These sanitary rules establish mandatory sanitary and epidemiological requirements for the handling (collection, temporary storage, decontamination, rendering harmless, transportation) of waste generated in organizations during the implementation of medical and/or pharmaceutical activities, performance of therapeutic, diagnostic and health procedures (hereinafter referred to as medical waste ), as well as to the placement, equipment and operation of the site for handling medical waste, the sanitary and anti-epidemic regime of work when handling medical waste.
1.3. These sanitary rules are intended for citizens, individual entrepreneurs and legal entities whose activities are related to the management of medical waste.
1.4. Control (supervision) over compliance with these sanitary rules is carried out by bodies exercising control and supervision functions in the field of ensuring the sanitary and epidemiological well-being of the population in accordance with the legislation of the Russian Federation.
. Classification medical waste
2.1. Medical waste depending on the degree of its epidemiological, toxicological and radiation hazard, as well as negative impact The habitat is divided into five hazard classes (table):
Class A - epidemiologically without hazardous waste, close in composition to solids household waste(hereinafter - MSW).
Class B - epidemiologically hazardous waste.
Class IN - extremely epidemiologically hazardous waste.
Class G - toxicologically hazardous waste of hazard classes 1 - 4.
Class D - radioactive waste.
Table 1
|
Characteristics of morphological composition |
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Class A (epidemiologically safe waste, composition close to solid waste) |
Waste that does not come into contact with biological fluids of patients or infectious patients. Stationery, packaging, furniture, equipment that have lost their consumer properties. Estimates for cleaning the area, etc. Food waste central catering units, as well as all departments of the organization carrying out medical and/or pharmaceutical activities, except for infectious diseases, incl. phthisiatric |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Class B (epidemiologically hazardous waste) |
Infectious and potentially infectious waste. Materials and instruments, objects contaminated with blood and/or other biological fluids. Pathological and anatomical waste. Organic surgical waste (organs, tissues, etc.). Food waste from infectious diseases departments. Waste from microbiological, clinical diagnostic laboratories, pharmaceutical, immunobiological industries working with microorganisms of the 3rd - 4th pathogenicity groups. Biological waste vivariums. Live vaccines not suitable for use |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Class B (extremely epidemiologically hazardous waste) |
Materials that have been in contact with patients with infectious diseases that may lead to emergency situations in the field of sanitary and epidemiological well-being of the population and require measures for sanitary protection of the territory. Waste from laboratories, pharmaceutical and immunobiological industries working with microorganisms of pathogenicity groups 1 - 2. Waste from treatment and diagnostic departments of phthisiatric hospitals (dispensaries), contaminated with the sputum of patients, waste from microbiological laboratories working with tuberculosis pathogens |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Class G (toxicologically hazardous waste 1 - 4 classes * hazard) |
Medicinal (including cytostatics), diagnostic, disinfectants that should not be used. Waste from the operation of equipment, transport, lighting systems and others |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Class D Radioactive waste |
All types of waste, in any state of aggregation, in which the content of radionuclides exceeds the permissible levels established by radiation safety standards |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Appendix 4
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Federal Service for Supervision of Rights Protection
consumers and human well-being
2.1.7. SOIL, CLEANING PLACES,
PRODUCTION AND CONSUMPTION WASTE,
SOIL SANITARY PROTECTION
Sanitary and epidemiological requirements
to medical waste management
SanPiN 2.1.7.2790-10
MOSCOW
2011
1. Developed by the Federal Service for Supervision of Consumer Rights Protection and Human Welfare (O.I. Aksenova, A.V. Bormashov, A.L. Mishina); Research Institute of Human Ecology and Environmental Hygiene named after. A.N. Sysina RAMS (N.V. Rusakov, I.A. Kryatov, G.I. Korotkova, A.Yu. Orlov, V.A. Mironova, D.E. Kadyrov, N.Yu. Starodubova, O.V. Ushakova , L.V. Kitaeva, V.N. Frolov); OJSC Academy of Public Utilities named after. K.D. Pamfilova" (N.F. Abramov, V.N. Abramov); Federal State Institution “Research Institute of Disinfectology” of Rospotrebnadzor (L.G. Panteleeva, I.M. Abramova, L.S. Fedorova); GOU VPO MMA im. THEM. Sechenov (V.G. Akimkin); GOU DPO SPbMAPO Roszdrav (A.P. Shcherbo, O.V. Mironenko); Federal State Health Institution Federal Center for Hygiene and Epidemiology (T.D. Kuzkina, O.P. Chernyavskaya, E.F. Opochinsky); Office of Rospotrebnadzor in Moscow (N.N. Filatov, S.G. Fokin, E.P. Igonina, L.S. Mamontova, N.A. Radchenko); Federal State Institution “TsGiE in Moscow” (A.V. Ivanenko, I.A. Khrapunova, O.A. Gruzdeva, O.P. Bezsmertnaya); Perm State Technical University (Ya.I. Vaisman, V.N. Korotaev); State Healthcare Institution “Kaluga Regional Bureau of Forensic Medicine (S.I. Lantsov); State Educational Institution of Higher Professional Education SPb State Medical Academy named after. I.I. Mechnikova (E.N. Kolosovskaya, G.B. Eremin, V.A. Nikonov); All-Russian public organization of small and medium-sized businesses “Support of Russia” (N.V. Ushakova).
2. Recommended for approval by the Commission on State Sanitary and Epidemiological Standards under the Federal Service for Surveillance in the Sphere of Consumer Rights Protection and Human Welfare (Minutes dated October 14, 2010 No. 2).
3. Approved by the resolution of the Chief State Sanitary Doctor of the Russian Federation G.G. Onishchenko dated December 9, 2010 No. 163.
4. Registered with the Ministry of Justice of the Russian Federation on February 17, 2011, registration number 19871.
“State sanitary and epidemiological rules and regulations (hereinafter referred to as sanitary rules) - regulatory legal acts establishing sanitary and epidemiological requirements (including criteria for the safety and (or) harmlessness of environmental factors for humans, hygienic and other standards), non-compliance with which creates threat to human life or health, as well as the threat of the occurrence and spread of diseases” (Article 1).
“Compliance with sanitary rules is mandatory for citizens, individual entrepreneurs and legal entities” (Article 39).
“For violation of sanitary legislation, disciplinary, administrative and criminal liability is established in accordance with the legislation of the Russian Federation” (Article 55).
RUSSIAN FEDERATION
RESOLUTION
9.12.2010 Moscow No. 163
On approval of SanPiN 2.1.7.2790-10
"Sanitary and epidemiological
application requirements
with medical waste"
52-FZ “On the sanitary and epidemiological welfare of the population” (Collected Legislation of the Russian Federation, 1999, No. 14, Art. 1650; 2002, No. 1 (Part 1), Art. 2; 2003, No. 2, Art. 167; No. 27 (Part 1), Article 2700; 2004, No. 35, Article 3607; 2005, No. 19, Article 1752; 2006, No. 1, Article 10; No. 52 (Part 1), Article 5498; 2007, No. 1 (Part 1), Article 21; No. 1 (Part 1), Article 29; No. 27, Article 3213; No. 46, Article 5554; No. 49, Article 6070; 2008, No. 24, Article 2801; No. 29 (Part 1), Article 3418; No. 30 (Part 2), Article 3616; No. 44, Article 4984; No. 52 (Part 1), Article 6223; 2009 , No. 1, Article 17; 2010, No. 40, Article 4969) and the Decree of the Government of the Russian Federation dated July 24, 2000 No. “On approval of the Regulations on the State Sanitary and Epidemiological Service of the Russian Federation and the Regulations on State Sanitary and Epidemiological Standardization” (Meeting Legislation of the Russian Federation, 2000, No. 31, Article 3295; 2004, No. 8, Article 663; No. 47, Article 4666; 2005, No. 39, Article 3953)
I DECIDE:
Approve sanitary and epidemiological rules and regulations SanPiN 2.1.7.2790-10 “Sanitary and epidemiological requirements for the management of medical waste” (appendix).
G.G. Onishchenko
CHIEF STATE SANITARY DOCTOR
RUSSIAN FEDERATION
RESOLUTION
4.03.2011 Moscow No. 18
“Rules for collection, storage and disposal of waste
medical and preventive institutions"
In accordance with the Federal Law of March 30, 1999 No. 52-FZ “On the sanitary and epidemiological welfare of the population” (Collected Legislation of the Russian Federation, 1999, No. 14, Art. 1650; 2002, No. 1 (Part 1), Art. 2; 2003, No. 2, Article 167; No. 27 (Part 1), Article 2700; 2004, No. 35, Article 3607; 2005, No. 19, Article 1752; 2006, No. 1, Article 10; No. 52 (Part 1), Article 5498; 2007, No. 1 (Part 1), Article 21; No. 1 (Part 1), Article 29; No. 27, Article 3213; No. 46, Article 5554; No. 49, Article 6070; 2008, No. 24, Article 2801; No. 29 (Part 1), Article 3418; No. 30 (Part 2), Article 3616; No. 44, Article 4984; No. 52 ( Part 1), Article 6223; 2009, No. 1, Article 17; 2010, No. 40, Article 4969; 2011, No. 1, Article 6) and Decree of the Government of the Russian Federation dated July 24, 2000 No. “On approval of the Regulations on the state sanitary and epidemiological service of the Russian Federation and the Regulations on state sanitary and epidemiological regulation" (Collected Legislation of the Russian Federation, 2000, No. 31, Art. 3295; 2004, No. 8, Art. 663; No. 47, Art. 4666; 2005, No. 39, Art. 3953)
I DECIDE:
Since the introduction of sanitary and epidemiological rules and regulations SanPiN 2.1.7.2790-10 “Sanitary and epidemiological requirements for the management of medical waste”, approved by the Decree of the Chief State Sanitary Doctor of December 9, 2010 No. 163 and registered by the Ministry of Justice of Russia on February 17, 2011, registration number 19871 , consider the sanitary rules and norms of SanPiN 2.1.7.728-99 “Rules for the collection, storage and disposal of waste from medical institutions”, approved by the Decree of the Chief State Sanitary Doctor No. 2 of January 22, 1999, as no longer in force, as amended by the Decree of the Chief State Sanitary Doctor dated March 16, 2009 No. 15 “On approval of SanPiN 2.1.7.2527-09 “Changes 1 to sanitary rules and norms SanPiN 2.1.7.728-99 “Rules for the collection, storage and disposal of waste from medical institutions.”
G.G. Onishchenko
Application
2.1.7. SOIL, CLEANING PLACES, PRODUCTION AND CONSUMPTION WASTE, SOIL SANITARY PROTECTION
Sanitary and epidemiological requirements for the management of medical waste
Sanitary and epidemiological rules and regulations
SanPiN 2.1.7.2790-10
. Scope and general provisions
1.1. Sanitary and epidemiological rules and regulations (hereinafter referred to as sanitary rules) have been developed in accordance with the legislation of the Russian Federation.
1.2. These sanitary rules establish mandatory sanitary and epidemiological requirements for the handling (collection, temporary storage, decontamination, rendering harmless, transportation) of waste generated in organizations during the implementation of medical and/or pharmaceutical activities, performance of therapeutic, diagnostic and health procedures (hereinafter referred to as medical waste ), as well as to the placement, equipment and operation of the site for handling medical waste, the sanitary and anti-epidemic regime of work when handling medical waste.
1.3. These sanitary rules are intended for citizens, individual entrepreneurs and legal entities whose activities are related to the management of medical waste.
1.4. Control (supervision) over compliance with these sanitary rules is carried out by bodies exercising control and supervision functions in the field of ensuring the sanitary and epidemiological well-being of the population in accordance with the legislation of the Russian Federation.
. Classification of medical waste
2.1. Medical waste, depending on the degree of its epidemiological, toxicological and radiation hazard, as well as negative impact on the environment, is divided into five hazard classes (table):
Class A - epidemiologically safe waste, similar in composition to municipal solid waste (hereinafter referred to as MSW).
Class B - epidemiologically hazardous waste.
Class IN - extremely epidemiologically hazardous waste.
Class G - toxicologically hazardous waste of hazard classes 1 - 4.
Class D - radioactive waste.
Table 1
|
Characteristics of morphological composition |
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Class A (epidemiologically safe waste, composition close to solid waste) |
Waste that does not come into contact with biological fluids of patients or infectious patients. Stationery, packaging, furniture, equipment that have lost their consumer properties. Estimates for cleaning the area, etc. Food waste from central catering units, as well as from all departments of an organization carrying out medical and/or pharmaceutical activities, except for infectious diseases, incl. phthisiatric |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Class B (epidemiologically hazardous waste) |
Infectious and potentially infectious waste. Materials and instruments, objects contaminated with blood and/or other biological fluids. Pathological and anatomical waste. Organic surgical waste (organs, tissues, etc.). Food waste from infectious diseases departments. Waste from microbiological, clinical diagnostic laboratories, pharmaceutical, immunobiological industries working with microorganisms of the 3rd - 4th pathogenicity groups. Biological waste from vivariums. Live vaccines not suitable for use |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Class B (extremely epidemiologically hazardous waste) |
Materials that have been in contact with patients with infectious diseases, which can lead to emergency situations in the field of sanitary and epidemiological well-being of the population and require measures for sanitary protection of the territory. Waste from laboratories, pharmaceutical and immunobiological industries working with microorganisms of pathogenicity groups 1 - 2. Waste from treatment and diagnostic departments of phthisiatric hospitals (dispensaries), contaminated with the sputum of patients, waste from microbiological laboratories working with tuberculosis pathogens |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Class G (toxicologically hazardous waste 1 - 4 classes * hazard) |
Medicinal (including cytostatics), diagnostic, disinfectants that should not be used. Waste from the operation of equipment, transport, lighting systems and others |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Class D Radioactive waste |
All types of waste, in any state of aggregation, in which the content of radionuclides exceeds the permissible levels established by radiation safety standards |
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Appendix 4
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
CHIEF STATE SANITARY DOCTOR OF THE RUSSIAN FEDERATION
RESOLUTION
On approval of SanPiN 2.1.7.2790-10 "Sanitary and epidemiological requirements for the management of medical waste"
In accordance with the Federal Law of March 30, 1999 N 52-FZ “On the sanitary and epidemiological welfare of the population” (Collected Legislation of the Russian Federation, 1999, N 14, Art. 1650; 2002, N 1 (Part I), Art. 2; 2003, N 2, art. 167; N 27 (part I), art. 2700; 2004, N 35, art. 3607; 2005, N 19, art. 1752; 2006, N 1, art. 10; N 52 (Part I), Art. 5498; 2007, N 1 (Part I), Art. 21, 29; N 27, Art. 3213; N 46, Art. 5554; N 49, Art. 6070; 2008, N 24, Art. 2801; N 29 (Part I), Art. 3418; N 30 (Part II), Art. 3616; N 44, Art. 4984; N 52 (Part I), Art. 6223; 2009 , N 1, Art. 17; 2010, N 40, Art. 4969) and Decree of the Government of the Russian Federation dated July 24, 2000 N 554 “On approval of the Regulations on the State Sanitary and Epidemiological Service of the Russian Federation and the Regulations on State Sanitary and Epidemiological Standardization” ( Collection of Legislation of the Russian Federation, 2000, N 31, Art. 3295; 2004, N 8, Art. 663; N 47, Art. 4666; 2005, N 39, Art. 3953)
I decree:
Approve sanitary and epidemiological rules and regulations SanPiN 2.1.7.2790-10 “Sanitary and epidemiological requirements for the management of medical waste” (appendix).
G.G.Onishchenko
Registered
at the Ministry of Justice
Russian Federation
February 17, 2011,
registration N 19871
Application. SanPiN 2.1.7.2790-10 "Sanitary and epidemiological requirements for the management of medical waste"
Application
Sanitary and epidemiological rules and regulations
I. Scope and general provisions
1.1. Sanitary and epidemiological rules and regulations (hereinafter referred to as sanitary rules) have been developed in accordance with the legislation of the Russian Federation.
1.2. These sanitary rules establish mandatory sanitary and epidemiological requirements for the handling (collection, temporary storage, decontamination, rendering harmless, transportation) of waste generated in organizations during the implementation of medical and/or pharmaceutical activities, performance of therapeutic, diagnostic and health procedures (hereinafter referred to as medical waste ), as well as to the placement, equipment and operation of the site for handling medical waste, the sanitary and anti-epidemic regime of work when handling medical waste.
1.3. These sanitary rules are intended for citizens, individual entrepreneurs and legal entities whose activities are related to the management of medical waste.
1.4. Control (supervision) over compliance with these sanitary rules is carried out by bodies exercising control and supervision functions in the field of ensuring the sanitary and epidemiological well-being of the population in accordance with the legislation of the Russian Federation.
II. Classification of medical waste
2.1. Medical waste, depending on the degree of its epidemiological, toxicological and radiation hazard, as well as negative impact on the environment, is divided into five hazard classes (Table 1):
class A - epidemiologically safe waste, similar in composition to municipal solid waste (hereinafter referred to as MSW);
class B - epidemiologically hazardous waste;
class B - extremely epidemiologically hazardous waste;
class G - toxicologically hazardous waste of hazard classes 1-4;
class D - radioactive waste.
Table 1.
Table 1
|
Hazard Class |
Characteristics of morphological composition |
|
Class A (epidemiologically safe waste, composition close to solid waste) |
Waste that does not come into contact with biological fluids of patients or infectious patients. Food waste from central catering units, as well as from all departments of an organization carrying out medical and/or pharmaceutical activities, except for infectious diseases, including phthisiatrics |
|
Class B (epidemiologically hazardous waste) |
Infectious and potentially infectious waste. Materials and instruments, objects contaminated with blood and/or other biological fluids. Pathological and anatomical waste. Organic surgical waste (organs, tissues, etc.). Food waste from infectious diseases departments. Waste from microbiological, clinical diagnostic laboratories, pharmaceutical, immunobiological industries working with microorganisms of 3-4 pathogenicity groups. Biological waste from vivariums. Live vaccines not suitable for use |
|
Class B (extremely epidemiologically hazardous waste) |
Materials that have been in contact with patients with infectious diseases, which can lead to emergencies in the field of sanitary and epidemiological well-being of the population and require measures for sanitary protection of the territory. Waste from laboratories, pharmaceutical and immunobiological industries working with microorganisms of pathogenicity groups 1-2. |
|
Waste from treatment and diagnostic departments of phthisiatric hospitals (dispensaries), contaminated with the sputum of patients, waste from microbiological laboratories working with tuberculosis pathogens |
|
|
Class G (toxicologically hazardous waste of hazard classes 1-4) |
Medicinal (including cytostatics), diagnostic, disinfectants that should not be used. |
|
Class D |
All types of waste in any state of aggregation, in which the content of radionuclides exceeds the permissible levels established by radiation safety standards |
________________
In accordance with SP 2.1.7.1386-03 “Sanitary rules for determining the hazard class of toxic production and consumption waste” (registered by the Ministry of Justice of Russia on June 19, 2003, registration N 4755, with amendments registered by the Ministry of Justice of Russia on February 12, 2010, registration N 16389).
2.2. After hardware disinfection methods using physical methods and changes appearance waste, excluding the possibility of their reuse, waste of classes B and C can be accumulated, temporarily stored, transported, destroyed and buried together with waste of class A. The packaging of disinfected medical waste of classes B and C must be marked indicating that the waste has been disinfected.
III. Requirements for organizing a medical waste management system
3.1. The system for collection, temporary storage and transportation of medical waste should include the following stages:
- waste collection within organizations engaged in medical and/or pharmaceutical activities;
- movement of waste from departments and temporary storage of waste on the territory of the organization generating the waste;
- disinfection/neutralization;
- transportation of waste from the territory of the organization generating the waste;
- burial or destruction of medical waste.
3.2. The head of an organization carrying out medical and/or pharmaceutical activities approves instructions that define responsible employees and the procedure for handling medical waste in this organization.
3.3. Mixing waste of different classes in a common container is unacceptable.
3.4. The processes of moving waste from places of generation to places of temporary storage and/or disinfection, unloading and loading of reusable containers must be mechanized (carts, elevators, lifts, trucks, etc.).
3.5. It is not permitted to involve persons who have not undergone preliminary training in the safe handling of medical waste for work on the management of medical waste.
3.6. Collection, temporary storage and removal of waste should be carried out in accordance with the medical waste management scheme adopted by the given organization carrying out medical and/or pharmaceutical activities.
This scheme is developed in accordance with the requirements of these sanitary rules and approved by the head of the organization.
3.7. The medical waste management scheme specifies:
- qualitative and quantitative composition of generated medical waste;
- standards for the generation of medical waste developed and adopted in the region;
- the need for consumables and containers for collecting medical waste based on the requirement to change bags once a shift (at least once every 8 hours), disposable containers for sharp instruments - at least 72 hours, in operating rooms - after each operation;
- procedure for collecting medical waste;
The procedure and places for temporary storage (accumulation) of medical waste, the frequency of their removal;
- applied methods of disinfection/neutralization and disposal of medical waste;
- procedure for personnel actions in case of violation of the integrity of the packaging (scattering, spilling of medical waste);
- organization of hygienic training of personnel in epidemiological safety rules when handling medical waste.
3.8. Transportation of waste from the territory of organizations carrying out medical and/or pharmaceutical activities is carried out by transport of specialized organizations to the place of subsequent neutralization and placement of medical waste, taking into account a unified centralized system of sanitary cleaning of the given administrative territory.
IV. Requirements for the collection of medical waste
4.1. Persons under 18 years of age are not allowed to work with medical waste. Personnel undergo preliminary (upon hiring) and periodic medical examinations in accordance with the requirements of the legislation of the Russian Federation.
4.2. Personnel must be vaccinated in accordance with the national and regional schedule of preventive vaccinations. Personnel who are not immunized against hepatitis B are not allowed to work with medical waste of classes B and C.
4.3. Upon hiring and then annually, personnel undergo mandatory training on the rules of safe waste management.
4.4. Personnel must work in special clothing and replaceable shoes, in which they are not allowed to leave the work premises. Personal clothing and workwear must be stored in separate closets.
4.5. The staff is provided with sets of workwear and personal protective equipment (robes/overalls, gloves, masks/respirators/protective shields, special shoes, aprons, oversleeves, etc.).
Workwear washing is carried out centrally. It is prohibited to wash workwear at home.
4.6. Class A waste is collected in reusable containers or disposable bags. The packages can be any color, with the exception of yellow and red. Disposable bags are placed on special carts or inside reusable containers. Waste collection containers and carts must be marked "Waste. Class A". Filled reusable containers or disposable bags are delivered using small-scale mechanization and reloaded into marked containers intended for collecting waste of this class, installed on a special site (indoors). Reusable containers must be washed and disinfected after emptying. The procedure for washing and disinfecting reusable containers is determined in accordance with the waste management scheme in each specific organization. Transportation of class A waste is organized taking into account the sanitary treatment scheme adopted for the given territory, in accordance with the requirements of sanitary legislation for the maintenance of populated areas and the management of production and consumption waste.
4.7. For organizations engaged in medical and/or pharmaceutical activities, producing household goods Wastewater into the citywide sewerage system, the preferred system for removing waste of food raw materials and prepared food from catering units and buffets, classified as Class A medical waste, is to discharge food waste into the city sewerage system by equipping the internal sewerage with food waste grinders (disposers).
If it is impossible to discharge food waste into the sewer system, food waste is collected separately from other class A waste in reusable containers or disposable bags installed in catering units, canteens and pantries. Further transportation of food waste is carried out in accordance with the waste management scheme in each specific organization. Food waste intended for removal for disposal at solid waste landfills must be placed for temporary storage in reusable containers in disposable packaging.
Temporary storage of food waste in the absence of specially designated refrigeration equipment is allowed for no more than 24 hours.
Food waste (except for waste from ward departments of infectious diseases, including skin and venereal diseases and tuberculosis, special sanatoriums for the improvement of those who have recovered from infectious diseases) may be used in agriculture in accordance with the requirements of the legislation of the Russian Federation.
4.8. Class A waste, except for food waste, can be removed from structural units using a garbage chute or pneumatic transport. It is not allowed to throw objects into the garbage chute that could lead to mechanical blocking (clogging) of the garbage chute. Waste must be disposed of in a garbage chute in packaged form.
The design, materials and arrangement of waste chutes and pneumatic transport must ensure the possibility of cleaning, washing, disinfecting and mechanized removal of waste from waste collection chambers. Garbage collection chambers are equipped with containers, water supply and sewer drain. It is prohibited to dump waste from the garbage chute (pneumatic transport) directly onto the floor of the garbage collection chamber. A supply of containers for the waste collection chamber must be provided for at least one day.
Containers are washed after each emptying and disinfected at least once a week.
Cleaning of pipeline trunks, receiving devices, and waste collection chambers is carried out weekly. Preventive disinfection and disinsection are carried out at least once a month, deratization - as necessary.
4.9. Bulky waste of class A is collected in special bins for bulky waste. Surfaces and aggregates of bulky waste that have had contact with infected material or patients are subject to mandatory disinfection before they are placed in a storage bin.
4.10. Class B waste is subject to mandatory disinfection (disinfection)/neutralization. The choice of decontamination/neutralization method is determined by the capabilities of the organization carrying out medical and/or pharmaceutical activities, and is carried out when developing a medical waste management scheme.
If an organization carrying out medical and/or pharmaceutical activities does not have a site for disinfection/neutralization of class B waste or a centralized system for neutralizing medical waste adopted in the administrative territory, class B waste is disinfected by the personnel of this organization at the places of its generation using chemical/physical methods.
4.11. Class B waste is collected in disposable soft (bags) or hard (puncture-resistant) packaging (containers) yellow color or having a yellow marking. The choice of packaging depends on the morphological composition of the waste.
To collect Class B sharps waste, disposable, puncture-resistant, moisture-resistant containers (containers) must be used. The container must have a tight-fitting lid to prevent accidental opening.
To collect organic, liquid waste of class B, disposable, puncture-proof, moisture-resistant containers with lids (containers) must be used to ensure their sealing and prevent the possibility of spontaneous opening.
In the case of using hardware disinfection methods in an organization carrying out medical and/or pharmaceutical activities, at workplaces it is allowed to collect class B waste in general containers (containers, bags), used syringes in unassembled form with preliminary separation of needles (to separate needles, needle removers must be used , needle destructors, needle cutters), gloves, dressings, and so on.
4.12. Soft packaging (disposable bags) for collecting Class B waste must be secured to special trolley racks or containers.
4.13. After filling the bag no more than 3/4, the employee responsible for waste collection in a given medical unit ties the bag or closes it using tie tags or other devices that prevent the spillage of Class B waste. Hard (pierce-resistant) containers are closed with lids. Moving Class B waste outside the unit in open containers is not permitted.
4.14. During the final packaging of Class B waste for removal from the department (organization), disposable containers (bags, tanks) with Class B waste are marked with the inscription “Waste. Class B” with the name of the organization, department, date and name of the person responsible for collecting waste.
4.15. Disinfection of reusable containers for collecting Class B waste within the organization is carried out daily.
4.16. Class B medical waste from departments in closed disposable containers (bags) is placed in containers and then transported in them to a waste management site or a room for temporary storage of medical waste before subsequent transportation by specialized organizations to the place of decontamination/neutralization. Access by unauthorized persons to temporary storage areas for medical waste is prohibited.
Containers must be made of materials resistant to mechanical stress, high and low temperatures, detergents and disinfectants, be closed with lids, the design of which should not allow them to open spontaneously.
4.17. When organizing sites for disinfection/neutralization of medical waste using hardware methods, the collection, temporary storage, and transportation of class B medical waste without prior disinfection in places of generation are permitted, provided that necessary requirements epidemiological safety.
At the same time, an organization carrying out medical and/or pharmaceutical activities must be provided with all necessary consumables, including disposable packaging.
4.18. Pathological-anatomical and organic operational waste of class B (organs, tissues, etc.) are subject to cremation (burning) or burial in cemeteries in special graves in a specially designated area of the cemetery in accordance with the requirements of the legislation of the Russian Federation. Disinfection of such waste is not required.
4.19. It is allowed to move non-disinfected medical waste of class B, packaged in special disposable containers (containers), from remote structural units (health centers, offices, first aid stations) and other places of medical care to medical organization to ensure their subsequent disinfection/neutralization.
4.20. Work on handling medical waste of class B is organized in accordance with the requirements for working with pathogens of pathogenicity groups 1-2, for sanitary protection of the territory and for the prevention of tuberculosis.
4.21. Class B waste is subject to mandatory disinfection (disinfection) by physical methods (thermal, microwave, radiation and others). The use of chemical disinfection methods is allowed only for the disinfection of food waste and patient secretions, as well as when organizing primary anti-epidemic measures in outbreaks. The choice of disinfection (disinfection) method is carried out when developing a waste collection and disposal scheme. Removal of non-disinfected Class B waste outside the territory of the organization is not permitted.
4.22. Class B waste is collected in disposable soft (bags) or hard (puncture-resistant) packaging (containers) that are red or have red markings. The choice of packaging depends on the morphological composition of the waste. Liquid biological waste, used disposable piercing (cutting) instruments and other medical products are placed in solid (puncture-proof) moisture-resistant sealed packaging (containers).
4.23. Soft packaging (disposable bags) for collecting Class B waste must be secured to special racks (trolleys) or containers.
4.24. Once the bag is no more than 3/4 full, the employee responsible for waste collection at the given medical unit, in compliance with biological safety requirements, ties the bag or closes it using tie tags or other devices that prevent spillage of Class B waste. Hard (puncture-resistant) containers are closed with lids. Moving Class B waste outside the unit in open containers is not permitted.
4.25. During the final packaging of class B waste for removal from the unit, disposable containers (bags, tanks) with class B waste are marked with the inscription “Waste. Class B” with the name of the organization, department, date and name of the person responsible for collecting waste.
4.26. Class B medical waste in closed disposable containers is placed in special containers and stored in a room for temporary storage of medical waste.
4.27. Used mercury-containing devices, lamps (fluorescent and others), equipment classified as medical waste of class G are collected in labeled containers with tight-fitting lids of any color (except yellow and red), which are stored in specially designated rooms.
4.28. The collection and temporary storage of waste cytostatics and genotoxic drugs and all types of waste generated as a result of the preparation of their solutions (bottles, ampoules, etc.), classified as medical waste of class G, without decontamination are prohibited. Waste must be immediately decontaminated at the point of generation using special means. It is also necessary to decontaminate the workplace. Work with such waste must be carried out using special personal protective equipment and carried out in a fume hood.
Medicinal, diagnostic, and disinfectants that are not to be used are collected in disposable labeled packaging of any color (except yellow and red).
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SanPiN for waste is a document containing sanitary rules and regulations for handling certain categories of waste. Each industry has its own set of sanitary rules. The classification and disposal of waste for each industry is also regulated by SanPiNs.
Since each production has its own specifics (equipment, raw materials used, technological processes), the same will be true for waste generated in this production. Standards for the movement, storage and destruction of waste are enshrined in relevant documents in federal and local legislation. For each industry, the SanPiN requirements are different: some are applied for (SanPiN 2.1.7.2790-10), others for (SanPiN 2.1.2.1002-00, SP 2.1.7.1038-01), for (SanPiN 2.2.3.1384-03), for toxic and (SanPiN 2.6.1.24-03, SanPiN 2.6.1.37-03).
Note! New SanPiNs and amendments to them appear in the “Documents” section on the website “ Russian newspaper» rg.ru
Each set of standards meets the characteristics of the industry to which it is tied:
- for medical waste, the greatest importance is to ensure epidemiological safety, effective neutralization of all possible infectious agents, equipment and medicines that have become unusable;
- For construction waste important are the method and frequency of waste removal from construction sites, methods of storing and removing waste that prevent contamination of soil, water, air and buildings under construction, ensuring the safety of the work process and the further use of buildings;
- for toxic and radioactive waste, it is most important to ensure the most complete neutralization and minimize their harmful effects on people and the environment;
- for production and consumption waste, the most important thing is stable and timely removal, ensuring the safety of the environment, life and health of people, including those employed at the enterprise, ensuring safe disposal;
- for household waste, SanPiNs determine the minimum distance of collection sites and frequency of garbage collection, rules for maintaining garbage chutes and garbage dumps, their arrangement, optimal ways storage and removal of waste from residential buildings. This set of standards is more focused on convenience and directly improving the quality of life than others.
Medical waste
SanPiN 2.1.7.2790-10 (medical waste) regulates the management of medical and pharmaceutical waste. It specifies requirements for the storage and disposal of a variety of obsolete medical supplies, medicinal substances, equipment, especially toxic and radioactive (X-ray machines).
A brief description of the hazard classes of medical waste and their components is clearly presented in the following video:
SanPiN for medical waste divides garbage into several categories based on its potential danger, especially bacteriological, toxic, radiation:
All medical waste is subject to careful accounting and is accompanied by documentation (reflecting the hazard class, weight and volume of the cargo) at all stages - from its collection to medical institution before burial and destruction.
Industrial and consumption waste (SanPiN 1322)
In 2003, the latest amendments were made to SanPiN for industrial and consumer waste. The changes affected the procedure for handling toxic industrial waste, the arrangement and maintenance of landfills for it.
SanPiN 1322 establishes requirements for the design, location and operation of places for disposal of industrial and consumer waste. These requirements apply to most areas of industry, except for very specific ones, for example, military or pharmaceutical. The main provisions determine the standards for the content of harmful and hazardous substances in the air, water bodies, soils - in production and in places where waste is stored.
Waste collection must be planned in advance. Planning is carried out by the enterprises themselves, and documents are approved by regulatory authorities. The expected degree of danger of garbage in most cases is known in advance and follows from the business plan of the enterprise and its field of activity: it is logical that at a sawmill the waste will mainly be wood shavings, bark and sawdust, and not mercury-containing materials. Also, possible hazards and volumes of waste generated are indicated in technical regulations, position, enterprise passport.
SanPiN 1322 has a hazard classification of waste that differs from the environmental one, which takes into account bad influence waste on human life and health. To determine the hazard class of waste from a particular enterprise, an examination is carried out, especially if it is necessary to approve the waste as low-hazard or non-hazardous. These examinations are approved by the sanitary and epidemiological supervision authorities. The legislation also obliges enterprises to provide reliable information about the composition and volume of waste.
Important! The environmental classification of waste and SanPiN 1322 are not equivalent and establish hazard classes differently. The first determines the degree of danger to the environment, the second - to humans.
Sanitary standards regulate all actions performed with industrial waste enterprises: collection, accumulation of waste in storage areas at enterprises, transportation, burial, disposal or storage at landfills. Low-hazard and non-hazardous waste can also be stored at landfills for ordinary solid waste, and for substances of high hazard classes, separate methods of transportation, storage and processing are developed.
SanPiN requirements for waste container sites
The familiar waste container area near the house is also equipped in accordance with the requirements of SanPiN 42-128-4690-88. The last digit in the document code is the year of its approval. Since 1988, the standards for constructing container sites have become outdated several times, but this document continues to be in force to this day, regulating the location of waste collection sites in residential buildings and populated areas.
Brief SanPiN requirements for waste sites:
- availability of a waste disposal area;
- location no closer than 20 and no further than 100 meters from housing;
- no more than five containers and one bunker;
- open access for residents of the territory;
- installation on asphalt or concrete surface;
- fencing at least one meter high;
- the frequency of removal is at least three days in the cold season and one day in the warm season;
- mandatory regular disinfection and deratization.
Separate requirements are established for container sites for garden plots.
Due to the changing pace of life and methods of recycling waste, the rules governing the storage, transportation and disposal of waste near housing and at landfills naturally require changes. Currently, Rospotrebnadzor is developing long-awaited amendments to sanitary standards and rules for organizing container sites.
The following changes are planned:
- reduce the minimum distance to housing from 20 to 10 meters;
- lift the ban on night garbage collection;
- increase the permissible number of containers on one site to ten;
- increase the removal period to three days for the warm season and to five for the cold season.
Such changes in collection times are necessary for the implementation of the system - with a minimum period of one day, garbage trucks will not use all their useful capacity, since required amount there will be no time to accumulate garbage. Lifting the ban on night removal and restrictions on the number of containers will significantly reduce the cost of waste transportation.
The changes that are planned to be introduced to SanPiN for the construction of container sites should bring outdated standards into compliance with the new federal law on waste, where priority is given separate collection garbage and accumulation of household waste without a license.
It is planned to introduce all changes to the design of waste sites by the end of 2018, establish new tariffs for the removal of solid waste and systematize waste removal schemes to landfills. At the same time, it is planned that the share of waste sent for recycling should increase.
Sanitary regulations for waste change following the pace of life, but do not always keep up with them. It is logical that the most carefully developed standards are used in dealing with hazardous substances, as is the case with medical waste, and “non-hazardous” solid waste has a lower priority. But the increased concentration of population in cities is finally forcing them to change.
Federal Service for Supervision of Rights Protection
consumers and human well-being
2.1.7. SOIL, CLEANING PLACES,
PRODUCTION AND CONSUMPTION WASTE,
SOIL SANITARY PROTECTION
Sanitary and epidemiological requirements
to medical waste management
SanPiN 2.1.7.2790-10
MOSCOW
2011
1. Developed by the Federal Service for Supervision of Consumer Rights Protection and Human Welfare (O.I. Aksenova, A.V. Bormashov, A.L. Mishina); Research Institute of Human Ecology and Environmental Hygiene named after. A.N. Sysina RAMS (N.V. Rusakov, I.A. Kryatov, G.I. Korotkova, A.Yu. Orlov, V.A. Mironova, D.E. Kadyrov, N.Yu. Starodubova, O.V. Ushakova , L.V. Kitaeva, V.N. Frolov); OJSC Academy of Public Utilities named after. K.D. Pamfilova" (N.F. Abramov, V.N. Abramov); Federal State Institution “Research Institute of Disinfectology” of Rospotrebnadzor (L.G. Panteleeva, I.M. Abramova, L.S. Fedorova); GOU VPO MMA im. THEM. Sechenov (V.G. Akimkin); GOU DPO SPbMAPO Roszdrav (A.P. Shcherbo, O.V. Mironenko); Federal State Health Institution Federal Center for Hygiene and Epidemiology (T.D. Kuzkina, O.P. Chernyavskaya, E.F. Opochinsky); Office of Rospotrebnadzor in Moscow (N.N. Filatov, S.G. Fokin, E.P. Igonina, L.S. Mamontova, N.A. Radchenko); Federal State Institution “TsGiE in Moscow” (A.V. Ivanenko, I.A. Khrapunova, O.A. Gruzdeva, O.P. Bezsmertnaya); Perm State Technical University (Ya.I. Vaisman, V.N. Korotaev); State Healthcare Institution “Kaluga Regional Bureau of Forensic Medicine (S.I. Lantsov); State Educational Institution of Higher Professional Education SPb State Medical Academy named after. I.I. Mechnikova (E.N. Kolosovskaya, G.B. Eremin, V.A. Nikonov); All-Russian public organization of small and medium-sized businesses “Support of Russia” (N.V. Ushakova).
2. Recommended for approval by the Commission on State Sanitary and Epidemiological Standards under the Federal Service for Surveillance in the Sphere of Consumer Rights Protection and Human Welfare (Minutes dated October 14, 2010 No. 2).
3. Approved by the resolution of the Chief State Sanitary Doctor of the Russian Federation G.G. Onishchenko dated December 9, 2010 No. 163.
4. Registered with the Ministry of Justice of the Russian Federation on February 17, 2011, registration number 19871.
“State sanitary and epidemiological rules and regulations (hereinafter referred to as sanitary rules) - regulatory legal acts establishing sanitary and epidemiological requirements (including criteria for the safety and (or) harmlessness of environmental factors for humans, hygienic and other standards), non-compliance with which creates threat to human life or health, as well as the threat of the occurrence and spread of diseases” (Article 1).
“Compliance with sanitary rules is mandatory for citizens, individual entrepreneurs and legal entities” (Article 39).
“For violation of sanitary legislation, disciplinary, administrative and criminal liability is established in accordance with the legislation of the Russian Federation” (Article 55).
RUSSIAN FEDERATION
RESOLUTION
9.12.2010 Moscow No. 163
On approval of SanPiN 2.1.7.2790-10
"Sanitary and epidemiological
application requirements
with medical waste"
52-FZ “On the sanitary and epidemiological welfare of the population” (Collected Legislation of the Russian Federation, 1999, No. 14, Art. 1650; 2002, No. 1 (Part 1), Art. 2; 2003, No. 2, Art. 167; No. 27 (Part 1), Article 2700; 2004, No. 35, Article 3607; 2005, No. 19, Article 1752; 2006, No. 1, Article 10; No. 52 (Part 1), Article 5498; 2007, No. 1 (Part 1), Article 21; No. 1 (Part 1), Article 29; No. 27, Article 3213; No. 46, Article 5554; No. 49, Article 6070; 2008, No. 24, Article 2801; No. 29 (Part 1), Article 3418; No. 30 (Part 2), Article 3616; No. 44, Article 4984; No. 52 (Part 1), Article 6223; 2009 , No. 1, Article 17; 2010, No. 40, Article 4969) and the Decree of the Government of the Russian Federation dated July 24, 2000 No. “On approval of the Regulations on the State Sanitary and Epidemiological Service of the Russian Federation and the Regulations on State Sanitary and Epidemiological Standardization” (Meeting Legislation of the Russian Federation, 2000, No. 31, Article 3295; 2004, No. 8, Article 663; No. 47, Article 4666; 2005, No. 39, Article 3953)
I DECIDE:
Approve sanitary and epidemiological rules and regulations SanPiN 2.1.7.2790-10 “Sanitary and epidemiological requirements for the management of medical waste” (appendix).
G.G. Onishchenko
CHIEF STATE SANITARY DOCTOR
RUSSIAN FEDERATION
RESOLUTION
4.03.2011 Moscow No. 18
“Rules for collection, storage and disposal of waste
medical and preventive institutions"
In accordance with the Federal Law of March 30, 1999 No. 52-FZ “On the sanitary and epidemiological welfare of the population” (Collected Legislation of the Russian Federation, 1999, No. 14, Art. 1650; 2002, No. 1 (Part 1), Art. 2; 2003, No. 2, Article 167; No. 27 (Part 1), Article 2700; 2004, No. 35, Article 3607; 2005, No. 19, Article 1752; 2006, No. 1, Article 10; No. 52 (Part 1), Article 5498; 2007, No. 1 (Part 1), Article 21; No. 1 (Part 1), Article 29; No. 27, Article 3213; No. 46, Article 5554; No. 49, Article 6070; 2008, No. 24, Article 2801; No. 29 (Part 1), Article 3418; No. 30 (Part 2), Article 3616; No. 44, Article 4984; No. 52 ( Part 1), Article 6223; 2009, No. 1, Article 17; 2010, No. 40, Article 4969; 2011, No. 1, Article 6) and Decree of the Government of the Russian Federation dated July 24, 2000 No. “On approval of the Regulations on the state sanitary and epidemiological service of the Russian Federation and the Regulations on state sanitary and epidemiological regulation" (Collected Legislation of the Russian Federation, 2000, No. 31, Art. 3295; 2004, No. 8, Art. 663; No. 47, Art. 4666; 2005, No. 39, Art. 3953)
I DECIDE:
Since the introduction of sanitary and epidemiological rules and regulations SanPiN 2.1.7.2790-10 “Sanitary and epidemiological requirements for the management of medical waste”, approved by the Decree of the Chief State Sanitary Doctor of December 9, 2010 No. 163 and registered by the Ministry of Justice of Russia on February 17, 2011, registration number 19871 , consider the sanitary rules and norms SanPiN 2.1.7.728-99 “Rules for the collection, storage and disposal of waste from medical institutions”, approved by the Decree of the Chief State Sanitary Doctor No. 2 of January 22, 1999, as no longer in force, as amended by the Decree of the Chief State Sanitary Doctor dated March 16, 2009 No. 15 “On approval of SanPiN 2.1.7.2527-09 “Changes 1 to sanitary rules and norms SanPiN 2.1.7.728-99 “Rules for the collection, storage and disposal of waste from medical institutions.”
Application
2.1.7. SOIL, CLEANING PLACES, PRODUCTION AND CONSUMPTION WASTE, SOIL SANITARY PROTECTION
Sanitary and epidemiological requirements for the management of medical waste
Sanitary and epidemiological rules and regulations
Class A- epidemiologically safe waste, similar in composition to municipal solid waste (hereinafter referred to as MSW).
Class B- epidemiologically hazardous waste.
Class IN- extremely epidemiologically hazardous waste.
Class G- toxicologically hazardous waste of hazard classes 1 - 4.
Class D- radioactive waste.
Table 1
|
Characteristics of morphological composition |
|||||||||||||||||||||||||||||||||
|
Class A (epidemiologically safe waste, composition close to solid waste) |
Waste that does not come into contact with biological fluids of patients or infectious patients. Stationery, packaging, furniture, equipment that have lost their consumer properties. Estimates for cleaning the area, etc. Food waste from central catering units, as well as from all departments of an organization carrying out medical and/or pharmaceutical activities, except for infectious diseases, incl. phthisiatric |
||||||||||||||||||||||||||||||||
|
Class B (epidemiologically hazardous waste) |
Infectious and potentially infectious waste. Materials and instruments, objects contaminated with blood and/or other biological fluids. Pathological and anatomical waste. Organic surgical waste (organs, tissues, etc.). Food waste from infectious diseases departments. Waste from microbiological, clinical diagnostic laboratories, pharmaceutical, immunobiological industries working with microorganisms of the 3rd - 4th pathogenicity groups. Biological waste from vivariums. Live vaccines not suitable for use |
||||||||||||||||||||||||||||||||
|
Class B (extremely epidemiologically hazardous waste) |
Materials that have been in contact with patients with infectious diseases, which can lead to emergency situations in the field of sanitary and epidemiological well-being of the population and require measures for sanitary protection of the territory. Waste from laboratories, pharmaceutical and immunobiological industries working with microorganisms of pathogenicity groups 1 - 2. Waste from treatment and diagnostic departments of phthisiatric hospitals (dispensaries), contaminated with the sputum of patients, waste from microbiological laboratories working with tuberculosis pathogens |
||||||||||||||||||||||||||||||||
|
Class G (toxicologically hazardous waste 1 - 4 hazard classes*) |
Medicinal (including cytostatics), diagnostic, disinfectants that should not be used. Waste from the operation of equipment, transport, lighting systems and others |
||||||||||||||||||||||||||||||||
|
Class D Radioactive waste |
All types of waste, in any state of aggregation, in which the content of radionuclides exceeds the permissible levels established by radiation safety standards |
||||||||||||||||||||||||||||||||
Notes: * For newly constructed and reconstructed buildings. ** When the volume of processed waste is up to 200 liters per day, the presence of a minimum set of premises consisting of two zones is allowed in accordance with clause 10.3.1. |
Workroom for waste disinfection |
based on the removal of heat and moisture excess* |
according to the calculation of heat and moisture excess* |
not allowed |
|||||||||||||||||||||||||||||
|
Temporary storage of treated waste |
not allowed |
||||||||||||||||||||||||||||||||
|
Washing and disinfection of containers, racks, trolleys |
not allowed |
||||||||||||||||||||||||||||||||
|
Temporary storage room for containers, racks, trolleys |
|||||||||||||||||||||||||||||||||
|
Consumables warehouse |
|||||||||||||||||||||||||||||||||
|
Sanitary facilities (wardrobe shower, bathroom, storage of cleaning equipment) |
influx from the corridor |
75 m3/h at 1 d.s. |
|||||||||||||||||||||||||||||||
|
Staff room with workplace |
|||||||||||||||||||||||||||||||||
Note:
*Depending on technology and type of equipment.
Appendix 3
(informative)
Name of structural unit_______________________
Appendix 4
(informative)
Name of company______________________________________
Appendix 6
(informative)
Production and consumption waste- remains of raw materials, materials, semi-finished products, other items or products that were formed in the process of production or consumption, as well as goods (products) that have lost their consumer properties.
Waste disposal- processing of waste using technologies leading to the loss of all hazardous properties of waste in order to prevent their harmful effects on human health and the environment.
Disinfection (disinfection) of waste- disinfection of waste, which consists of the destruction (killing) of pathogenic and conditionally pathogenic microorganisms contained in waste in order to eliminate their epidemiological danger. Disinfection of waste is carried out by appropriate physical and/or chemical methods of waste treatment (including the hardware method - in specialized installations).
Waste collection- acceptance or receipt of waste from individuals and legal entities for the purpose of further use, neutralization, transportation, and disposal of such waste.
Waste accumulation- temporary storage of waste in places (sites) equipped in accordance with the requirements of legislation in the field of environmental protection and legislation in the field of ensuring the sanitary and epidemiological well-being of the population, for the purpose of their further use, neutralization, disposal, transportation.
Waste disposal- storage and disposal of waste.
Waste storage- maintenance of waste in waste disposal facilities for the purpose of their subsequent burials, disposal or use.
Waste disposal- isolation of waste that is not subject to further use in special storage facilities in order to prevent the release of harmful substances into the environment.
Transportation of waste- movement of waste using vehicles outside the boundaries of a land plot owned by a legal entity or individual entrepreneur or provided to them on other rights.
Recycling- use of production and consumption waste as secondary resources after appropriate processing. Used waste includes waste that is used in the national economy as raw materials or additives to raw materials for the production of products, as well as as fuel, feed and fertilizers.
Waste use- use of waste for the production of goods (products), performance of work, provision of services or for energy production.
Type of waste- a collection of waste that have common characteristics in accordance with the waste classification system.
Medical waste treatment plants- specialized installations for incineration and disinfection and/or disposal of waste, their processing, permitted for use in the Russian Federation in the prescribed manner.
Individual protection means- technical means, materials, including clothing, used to prevent or reduce exposure of workers to harmful or hazardous production factors, as well as to protect against pollution.
Bibliographic data
1. the federal law dated March 30, 1999 No. 52-FZ “On the sanitary and epidemiological welfare of the population.”
2. SanPiN 2.1.3.2630-10 “Sanitary and epidemiological requirements for organizations engaged in medical activities.”
3. SanPiN 2.2.1/2.1.1.1278-03 “Hygienic requirements for natural, artificial and combined lighting of public and residential buildings.” “Hygienic requirements for the placement and disposal of production and consumption waste.” “Sanitary and epidemiological requirements for the conditions of transportation, storage and dispensing to citizens of medical immunobiological preparations used for immunoprophylaxis by pharmacies and healthcare institutions” (with amendments and additions).
12. SP 3.3.2.1248-03 “Conditions for transportation and storage of medical immunobiological preparations” (with amendments and additions).
13. SP 3.3.2342-08 “Ensuring the safety of immunization.”
14. SanPiN 2.2.1/2.1.1.1200-03 “Sanitary protection zones and sanitary classification of enterprises, structures and other objects” (updated edition).
15. SanPiN 2.1.1279-03 “Hygienic requirements for the placement, arrangement and maintenance of cemeteries, buildings and structures for funeral purposes.”
16. SP 1.3.1285-03 “Safety of working with microorganisms of I - II pathogenicity (hazard) groups.”
