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A descriptive study identifying gaps in the effective implementation of mercury-containing device phase-out in selected DOH-retained hospitals.

Author

Zenith D. Zordilla

Related Institution

Institute of Health Policy and Development Studies, National Institutes of Health - University of the Philippines Manila

Health Policy Development and Planning Bureau - Department of Health

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Publication Information

Publication Type
Journal
Publication Sub Type
Journal Article, Original
Title
Acta Medica Philippina
Frequency
Six times a year (6x/year)
Publication Date
September-October 2018
Volume
52
Issue
5
Page(s)
429-437

Abstract

BACKGROUND AND OBJECTIVE: After the 2008 phase-out of mercury-containing medical devices, the implementation status was evaluated by this study to know the program effectiveness in removing mercury exposure risks in health facilities.


METHODS: A cross-sectional survey was done to determine the amount of mercury stored in ten selected Department of Health (DOH)-retained hospitals. Key informant interviews were also performed with Pollution Control Officers to determine their program implementation status, strengths, and areas for improvement.


RESULTS AND DISCUSSION: All hospitals initiated the mercury minimization program but none has fully implemented it. The total amount recorded is 213.5 kg for mercury-containing materials. A discrepancy of 31.4% exists compared to the initial 2008 inventory of 312.7 kg. The main strength identified by the key informants was the one-time collection of mercury devices in hospitals. Hospitals need administrative and logistic support to properly implement mercury phase-out, particularly on monitoring of temporary storage. Disposal protocols should also be created to fully eliminate mercury exposure in hospitals.

References

1. Office of the Secretary, Department of Health, DOH(). DOH Administrative Order Number 21 Series of 2008 - Gradual phase-out of Mercury in all Philippine Health Care facilities. . Retrieved from: http://www.cldh.org/dohao212008.html
2. Ferrer, M . "Mercury phase-out examples from Philippine hospitals" Health care without harm Southeast Asia, 2010. Philippine Heart Center:
3. Juban, N , Panganiban, L , Rivera, A . Policy recommendations on the dental amalgam. University of the Philippines - National Institutes of Health: 2012.
4. Inter-Agency Committee on environmental healthFirst consultative meeting on the AO for dental amalgam. Department of Health, 2014.
5. Department of Health(). National objectives for health 2011-2016. . Retrieved from: http://www.doh.gov.ph.sites/default/files/publications/noh2016.pdf
6. Gutierrez, R . (). Ban Toxics! Terminal storage waste options for mercury wastes in the Philippines. . Retrieved from: http://www.takagifund.org/e/archives/08/documents/terminal_storage_option_memory_2009.pdf
8. Department of Environment and Natural Resources and Department of Health(). Joint Administrative order 2005-02-Policies and guidelines on effective and proper handling, collection, transport, treatment, storage and disposal of health care waste. . Retrieved from: http://policy.denr.gov.ph/2005/dao/joint_dao2005-02.pdf

Physical Location

LocationLocation CodeAvailable FormatAvailability
Philippine Council for Health Research and Development Fulltext pdf (Request Document)
Acta Medica Philippina Fulltext External Link (View)

 
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