OZONATOR INDUSTRY ZA - THE ALTERNATIVE SOLUTION TO HCRWM! 1

CEO: Jeffrey C Block Tel: +27 71 520 0707 Fax: +27 86 5418000 EMail: [email protected] PO Box 887, Strand 7139

INTRODUCES

ALTERNATIVE - HEALTH-CARE RISK WASTE

MANAGEMENT (HCRWM) SOLUTIONS

FOR

HOSPITALS/ NURSING HOMES/ UNIVERSITIES/

LABORATORIES/ MEDICAL AND DENTAL FACILITIES

AND RESEARCH FACILITIES!

COMPILED IN ACCORDANCE TO:

WHO: “SAFE HANDLING OF MEDICAL WASTE”

&

SOUTH AFRICAN NATIONAL STANDARDS:

“SANS 10248-1:2008”


INTRODUCTION

OZONATOR INDUSTRY ZA (PTY) LTD HAVE OVER THE PAST 3 YEARS BEEN ACTIVELY CONCENTRATING ON PROVIDING “ALTERNATIVE” SOLUTIONS FOR THE DISPOSAL OF HEALTH-CARE RISK WASTE (HCRW), FOR THE SOUTHERN AFRICAN REGION INCLUDING SOUTH AFRICA AND ALL THE COUNTRIES ON ITS BORDERS NAMELY NAMIBIA, BOTSWANA, ANGOLA, ZIMBABWE, MAZAMBIQUE, SWAZILAND AND LESOTHO. IN SEARCHING FOR THE ALTERNATIVE, OUR OBJECTIVE WAS TO FIND “GREEN APPLICATIONS” WHICH ADDRESSED:

‘Green’ procurement

Introduction The damage caused to the environment and to human health by toxic substances released by the incineration of waste, especially medical devices and products, has resulted in the creation of ‘green’ products (alternative products). NOTE. The emissions that are of concern are dioxin and mercury gas. The introduction of ‘green.’ Procurement procedures, with particular focus on product substitution (alternative products), can significantly reduce the negative impacts of healthcare waste.

The benefits of a successful ‘green.’ procurement programme can: a) Reduce liability costs and the cost of reactive interventions; b) Improve occupational health; c) Reduce the harmful impact on the environment and human health in general; d) Improve positive publicity for the healthcare facility; and e) Reduce the cost of waste disposal.

‘Green’ procurement procedures

The development of procedures for ‘green.’ procurement should be in accordance with the environmental management policy and should include criteria for the evaluation of products that: a) Are safer and less harmful to human health and to the environment; b) Require that less resource be used (e.g. water); c) Are energy efficient? d) Require less packaging; e) Contain a high-recycled content; f) Are fragrance-free, without unnecessary colour and are unbleached; g) Do not contain dyes and material that contains heavy metals; and h) Are reusable or suitable for recycling.

Implementation of ‘green’ procurement procedures

Organizational support The implementation of the ‘green’ procurement procedures will only succeed with the support from all levels in the healthcare facility, including senior management and cleaners. .‘Green’ Procurement should be part of the environmental management policy.


Evaluation An evaluation of the current purchasing system should be conducted before the implementation of the ‘green’ procurement procedures. This evaluation should include the quantities of purchases, the types of purchases, prices and the suppliers. A survey should be conducted to determine if Suppliers and manufacturers are aware of ‘green.’ products and the availability of the products. The Information will provide a basis from which to develop the ‘green.’ procurement procedures.

Strategy Inform all role players, e.g. users of the products in the healthcare facility, suppliers and Manufacturers of the impending development of ‘green.’ procedures. A good business relationship with suppliers and manufacturers can facilitate the implementation of the procedures. Ask the suppliers and manufacturers to provide the environmental aspects (features) of products when new products are purchased.

Compilation of information The information from the evaluation and surveys should identify: a) The short-term and long-term changes that can be made; b) Suitable products; c) The quantities of material purchased to reflect the needs; d) Provisions for the treatment or disposal (or both) of waste before the purchasing of material; and e) The environmental performance of suppliers.

Implementation

A specific product can be used as a trial to obtain detailed information on the problems that might arise before the implementation of the ‘Green’ procurement procedures.

When the. ‘green.’ procurement procedures are implemented, the following should be Included:

a) A target and goal setting plan for specific activities, e.g. the reduction of the amount of packaging waste by 20 % in 2 years; b) Training, e.g. employees need to be educated on the importance of the use of ‘green.’ products; c) Audits to evaluate the progress and success of the targets and goals; and d) A review of the procedures that takes into account changes in environmental regulations.

‘Green’ products

The following are examples of products that can be used as alternatives to products that contain PVC:

a) Gloves made from latex, polyurethane or nitrile; b) IV bags made from non-PVC polymer, e.g. polypropylene or polyolefins; c) IV administration sets made from polyethylene, polypropylene or non-DEHP PVC; d) Plasma collection bags made from EVA resin; and e) Sharps containers made from polyethylene.

NOTE Rigid products made from PVC can be substituted by metal, polypropylene or polycarbonate.

The following are examples of products that can be used as alternatives to products that contain mercury: a) thermometer: tympanic ear thermometer, digital thermometer or alcohol thermometer; b) Sphygmomanometer: aneroid blood pressure devices; c) Amalgam: ceramics, porcelain, polymers or gold; d) Batteries: alkaline, zinc or lithium; e) Fluorescent bulbs; f) Fixative B5: zinc formalin;


g) Haematoxylin: sodium iodate or mercury-free haematoxylin; h) Mercurochrome: Neosporin or mycin; and i) Oesophageal dilators: silicon-filled or tungsten-filled dilators.

E.4.3 Paper and wrappings can be sent for recycling. E.4.4 Where possible, redundant electronic equipment can be sold to industries specializing

in recovery of certain metals, e.g. lead in cathode ray tubes.

Disposal of healthcare risk waste by alternative technologies An alternative technology (e.g. ozone, autoclave, microwave and chemical disinfection) may

be used for the treatment or disposal (or both) of healthcare risk waste in accordance with the relevant requirements and regulations of the current relevant national legislation (see annex A). The alternative technology shall be approved by the relevant authority and shall comply with the relevant requirements and regulations of the current relevant national legislation (see annex A).

The alternative treatment or disposal equipment (or both) shall be appropriate for the categories of healthcare risk waste that can be treated.

The alternative technology shall provide efficient sterilization or disinfection in accordance with the relevant requirements and regulations of the current relevant national legislation

Where category A waste is treated using alternative technologies, the waste shall be treated as soon as possible upon arrival.

When human and animal anatomical waste, and chemical and pharmaceutical waste are treated by alternative technologies, the resulting residue shall be rendered unrecognizable.

The residue from the treatment shall be hazard rated (see annex D) in accordance with the relevant requirements and regulations of the current relevant national legislation for disposal by landfill.

Authorized treatment facilities operated on-site at healthcare facilities Operational requirements

An on-site incinerator or alternative healthcare risk waste treatment facility shall be operated in accordance with the manufacturer’s specifications and the conditions of authorization from the relevant authority.

The operational procedures shall be supervised to prevent damage to the equipment by the waste stream.

The water used in wet de-ashing systems for cooling shall be sufficient for the process to prevent any water effluent. For systems with water effluent, the water shall be evaluated for environmental impact and shall be disposed of in accordance with the relevant requirements and regulations of the current relevant national legislation (see annex A).

Records

Records shall be kept of the operational procedures at authorized treatment facilities for auditing purposes.

Records shall be maintained of the mass of the ash or residue produced, and the appropriate hazard rating classification for disposal to a hazardous (H) or a general (G) landfill.


Authorized treatment facilities operated off-site from healthcare facilities

Operational requirements The incinerator or alternative treatment facility or disposal facility (or both) of the waste

management contractor or subcontractor shall comply with the relevant requirements and regulations of the current relevant national legislation (see annex A).

The incinerator or alternative treatment facility or disposal facility (or both) shall be approved and authorized for the treatment of the different categories of healthcare risk waste by the approving authority.

The residue from the incineration or alternative treatment process shall be disposed of into an appropriate landfill (see 11.3.3).

The incinerator or alternative treatment facility of the waste management contractor or subcontractor shall be adequate for the capacity of waste to be treated.

Records The waste management contractor shall have appropriately documented work

instructions.

Records shall be kept of the treatment and disposal of the waste. 1. The waste management officer shall audit the incineration or alternative treatment facility

or disposal facility (or both) at least once a year.

Executive Summary:

We, Ozonator Industry ZA (Pty) Ltd, a registered Waste Management Company, have over the past

3 years actively been searching for “Alternative Solutions” for HCRWM.

We searched and acquired new proven product offerings which are:

Environmentally friendly,

Generates no harmful emissions

Realizes cost savings of up to 60% compared to the current operating cost!

We have secured the service of BIDVEST BANK who has appetite to provide a

“Lease to Own” facility to qualifying Clients!

Negotiated Exclusivity Agreements with our Machinery and Plant Manufacturers.

Negotiated SLA (Service level Agreements) with Service Providers e.g. 100% recycling!

Registered as “Accredited Service Providers” with the Municipality of Cape Town!


We offer the following Solutions: Product Offerings!

1. Ozonator NG Technology: – On/ Offsite treatment of Medical and Bio-hazardous waste,

including anatomical! NG-3000 and NG-550. Exclusivity for Southern Africa! Zero emission!

2. HGH-40: - Indoor Hospital Incinerator. Processes Anatomical and Pharmaceutical waste

which includes Cytotoxic and Genotoxic as it it reaches the temperature of 1200deg C.

Exclusivity for Southern Africa! Zero emission!

3. ClinicBOXX: The revolutionary collection bin, from the generation point – to the transport

to the treatment Centre! UN 3291 approved! Airtight & leak-proof! Exclusivity for

Southern Africa!

4. OZ-Crush: Mercury containing product destruct and disposal – 100% recycled –

Zero emission!

5. Prosolv & Aerosolv: Pressure vessel onsite processing! Zero emissions!

6. Recycling of Recyclables – cardboard, paper, tins, etc.! 7. Collection of HCRW from Clinics – Especially in Rural Districts!

Compliance to Regulatory Requirements - Current!

Medical waste treatments do not require a License (EIA) below the threshold of 500 Kg/ day!

All Anatomical and Pharmaceutical waste must be incinerated!

All cancer related Pharmaceuticals, Cytotoxic and Genotoxic, shall be incinerated at 1200deg Celsius!

The threshold for incineration is currently at 10Kg/ day! - Air quality Control - Application for exemption from the Regulation is currently being investigated – AEL required!

Sorting, packaging and transportation on HCRW shall comply with SANS 10228/9.

Packaging to comply to UN3291 Standards!

All residues from our Treatment Centre’s can be disposed of at a General municipal landfill!

Service Provision: Proposed Treatment Centre per Municipal District!

1. Treatment Plants – To Install at the most centrally located hospital.

a. To house the Ozonator NG-3000/ 550: Medical & Bio-hazardous Waste!

b. Indoor Hospital Incinerator HGH-40: Pathological & Pharmaceutical including

Cytotoxic and Genotoxic Wastes.

c. OZ Crush: Mercury containing lamp & medical equipment crush – 100% recycled!

d. Prosolv & Aerosolv: Aerosol & Propane gas canister processing!


2. Alternative compliant packaging- ClinicBOXX: - Estimated Rental per Day = R25.00 per unit!

i. RCU- Reusable Wheelie Bins: ClinicBOXX Max (200L –Green for Medical &

Bio-hazardous Waste) replaces the conventional costly Box sets (142L/ 90L/

50L) at generation with 25L-50L Pedal Bins and liners! (Treatment by

OZONATOR NG Technology!)

ii. RCU- Reusable Wheelie Bins: ClinicBOXX (120L-Red for Pharmaceutical and

Pathological (Anatomical) Waste – To be placed at the Pharmacy, Maternity

Wards, and Operating Theatres! (Treatment by HGH-40 Indoor Incinerator)

3. Transportation Vehicle – SANS 10229 Compliant.

a. Driver to possess PDP for carting Dangerous goods!

b. Driver plus Assistant to have training in handling Spills!

c. Truck to be equipped with a Tail-lift with 500Kg capacity for full ClinicBOXX Max

loading! Size of Fridge-bin to be: Length= 2750mm, Width= 1800mm and Height=

1900mm.

d. Single Axle Trailer for carting empty stacked ClinicBOXX, int. size dimensions of

trailer: Length= 2750mm, Width= 1800 and Height= 1900mm with a Tail Ramp of

1900m. Trailer to be covered with white PVC Canvas with zipped access at rear tail

ramp!

Benefits of the OZONATOR Turnkey Solution for District Municipalities!

Estimated Treatment Cost: Medical & Bio-hazard = R0.25 per/ Kg.

: Pharmaceutical/ Anatomical

Break-even on Capital layout! :(Setup cost / by Current Cost = No of Months) Volume reduction by 90%! Up to 60% cost saving on overall HCRWM!

All OZONATOR ZA treatment machinery and plant has Zero emissions!

Treated residue can be collected by Municipal collection system!

Eliminates en-route dumping of HCRW!

Local business and employment opportunities!

Current HCRWM grouped Hospital expenses can determine if more than one treatment

facility is to be established in the District!

Fixed Cost! No per KG Charge!

Private Hospital Groups can install a single Treatment Facility for Group owned hospitals

located in close proximity to each other.

Sale/ Import/ building alterations/Installation and commissioning of machinery and

plant project managed by Ozonator Industry ZA.


Ozonator Industry ZA - Product Offerings – Pictures!

I. Ozonator NG-3000: Treats 1200 Kg. Medical

& Bio hazard waste per Hour. Treatment by Ozone cost less than R0.25 per Kg. Zero Emissions!

II. Ozonator NG-550: Treats 400 Kg. Medical & Bio-hazard waste per hour.

Treatment by Ozone cost is less than R0.25 per Kg. Zero emissions!

III. Indoor Hospital Incinerator: HGH-40 – Treats 40Kg Anatomical &

Pharmaceutical, Including Cytotoxic & Genotoxic Waste, per 2, 5 – 3 hour cycle! Zero emissions!


ClinicBOXX = 120Liter & ClinicBOXX Max= 200Liter.

Container for Healthcare waste

UN certified for solid hazardous materials from the following Authorised packaging Groups: I (X), II (Y), III (Z) UN approval no. 1H2W/X…/S/.../TGM-… Compliant with different hazard levels and UN classifications, e.g. UN 3291 Approved for transport in accordance with the International Carriage of Dangerous Goods by Road (ADR) Certified bin for bio-medical waste e.g. segregated non-hazardous AHPs (Absorbent Hygiene Products), Used Pharmaceuticals and all other clinic waste in accordance with UN 3291 120 and 200 litre capacity (nominal) Patented lid with hermetic seal, both air and liquid tight Simple dual clasp locking system for easy manual opening and closing Bespoke special colours available on request Solid colour walls and lid, with hot foil and silk screen printing options also available with translucent plastic body for liquid level measurement highly manoeuvrable 2 wheeled bins with solid rubber tyres and HDPE hub Option for quick release wheel mechanism, allowing bin stacking after cleaning Optional wider Big Foot wheels for heavier loads Extremely corrosion and shock-resistant axle in galvanized tempered steel Ergonomic, asymmetric handle with a 30mm diameter for optimum handling with gloves Integrated chip nest for transponder chips under the comb bar, the container offers excellent possibilities of identification and registration of bin data In addition, all current regulations for the collecting of hazardous waste materials must be observed by the operator and user.


OZ Crush: Mercury containing instrument and lamp on site crushing – Total

Off-site recycling of all components! Cost per pricing schedule! Zero emissions!

ALL OUR CRUSHED MERCURY CONTAINING PRODUCTS ARE 100% RECYCLED BY eWASTE AFRICA (PTY) Ltd.

NO LANDFILLING – ZERO EMISSIONS!

OZ CRUSH: Mercury containing lamp/ Bulb & Medical Instrument Crusher! NB. All crushed components are 100% recycled!

Supplied by Air Cycle Corporation/ Lamp Crush!

No emissions!


I. Prosolv: On site emptying of Propane Gas Canisters! Empty Canisters to be crushed on site! Zero emissions!

II. Aerosolv:

On site emptying of Propane Gas Canisters! Empty Canisters to be crushed on site! Zero emissions!

Compiled by: JC Block – Owner Founder: Ozonator Industry ZA (PTY) LTD. NB. PRICES ARE AVAILABLE ON REQUEST!

Documents

OZONATOR INDUSTRY ZA - THE ALTERNATIVE SOLUTION TO HCRWM! 1