Hospital - Medical center

Hospital - Medical center

Medical waste generated by hospitals, clinics and medical centers is managed in accordance with:

  • Law No. 72/2020/QH14 of the National Assembly: Law on Environmental Protection
  • Decree No. 08/2022/ND-CP of the Government: detailing a number of articles of the Law on Environmental Protection
  • Circular No. 02/2022/TT-BTNMT of the Ministry of Natural Resources and Environment: detailing a number of articles of the Law on Environmental Protection
  • Circular no. 20/2021/TT-BYT - regulations on health-care waste management within the premises of healthcare facilities

Medical waste is defined as waste generated during the operation of medical facilities and it includes hazardous medical waste, common medical waste and medical wastewater.

Below, A Chau Environment briefly reviews current regulations and our all-inclusive solution for environmental management for medical facilities.


What is medical waste?
Medical waste includes hazardous medical waste, common medical waste and medical wastewater generated during the operation of medical facilities.
Hazardous medical waste is defined as medical waste that contains infectious elements or has hazardous properties that exceed the hazardous waste threshold, which includes both infectious and non-infectious hazardous waste.
Medical waste management is the process of reducing, sorting, collecting, storing, transporting, recycling and treating medical waste, as well as monitoring its implementation.

Indentifcation of medical waste

1.    Infectious waste consists of:
a)    Sharp infectious waste (needles, syringes of needles, sharp ends of transmission lines, probing needles, acupuncture needles, scalpel blades, nails, surgical saws,…);
b)    Non-sharp infectious waste: absorbent, sticky waste that contains blood or biological body fluids, as well as waste generated in isolation wards;
c)    Infectious wastes: patient samples, containers, sticky samples, waste containing patient samples,…
d)    Anatomical waste: tissues, discarded human body parts and experimental animal carcasses.

2.    Non-infectious hazardous waste: discarded chemicals, cytotoxic pharmaceutical products and pharmaceutical products with a hazard warning from the manufacturer; broken, damaged and discarded mercury and heavy metal-containing medical equipment; discarded amalgam fillings;...

3.    Common medical waste: daily solid waste, external waste in medical establishments; other wastes not on the List of hazardous medical wastes or with hazardous elements below the hazardous waste threshold; non-hazardous liquid waste products;...

*The hazardous waste list and codes are specified in Circular no. 20/2021/TT-BYT - regulations on health-care waste management within the premises of healthcare facilities

Documents related to environmental procedures and the management of medical waste

Documents related to environmental procedures, including one or more of the following:

a) The decision on approval of environmental impact assessment (EIA) report appraisal result, which is enclosed with the EIA report;

b) A written certification of the environmental protection plan issued by a competent authority and enclosed with the plan;

c) A certificate of completion of environmental protection works is enclosed with the report on the completion of environmental protection works;

d) A written certification of environmental commitment enclosed with the environmental commitment;

đ) A written certification of meeting the environmental standards registration, enclosed with the registration of meeting the environmental standards;

e) Approval of the detailed environmental protection project in conjunction with the detailed environmental protection project;

f) A written certification of the simple environmental protection project, accompanied by the simple environmental protection scheme;

g) Report on wastewater discharge into water sources or Scheme on wastewater discharge into water sources enclosed with approval decision of competent state agencies;

h) Other environmental documents and documents as prescribed by environmental protection legislation

The following documents are related to medical waste management:

a) Register of hazardous waste source owners;

b) Hazardous medical waste delivery and receipt books or hazardous waste documents;

c) Medical waste monitoring book; monitoring book and handover book of infectious medical waste that has been treated according to national technical regulations on environment for recycling purposes; report on results of medical waste management periodically and irregularly;

d) Operation log book of equipment, medical waste treatment system (for medical facilities that self-treat medical waste and medical facilities that treat hazardous medical waste for clusters of medical waste).

Periodic monitoring and monitoring reports on environmental quality

Other documents/books: Hazardous medical waste delivery and receipt books; hazardous waste documentation; periodic and irregular inspection records and reports on medical waste management results requested by competent authorities; For a period of 05 (five) years, log books of equipment operation, maintenance, as well as medical waste treatment systems, must be kept.

Environmental management solutions for medical facilities


A Chau Environment realizes that environmental management depending on the size and industry of each Customer and must be maintained and controlled on a continuous basis. As a result, we want to be there for our customers in the long run by providing a comprehensive environmental solution that gives Customers peace of mind.


A Chau Environment’s consulting channel is always available 24/7 to receive and answer any questions; do not hesitate if you are looking for a complete solution or want to stay up to date on the latest environmental regulations!


Within 03 minutes of operation to receive direct quotations/contracts - Publicity; time savings; simplification; and the optimally suitable response to the various needs of customers for environmental services!


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