詹干预指南：低碳气候适应性废物管理（英）2026

Low Carbon ClimateResilient Waste From Foundational Practices to AdvancedClimate Action in Health Care Waste World Bank Health, Nutrition andPopulation Global PracticePublic Disclosure Authorized Introduction Health systems are both vulnerable to climate change and significant contributors to globalgreenhouse gas (GHG) emissions, accounting for an estimated 4.4% of the global total. Wastemanagement is a critical infrastructure and operations component of thehealth sector impacted Health care waste includes both hazardous waste, which demands special handling and disposal(infectious, pathological, sharps, chemical, pharmaceutical, cytotoxic, and radioactive waste), andnon-hazardous or general waste. WHO estimates that approximately 15% of the total wastegenerated at a health facility is hazardous and 85% is general waste, yet without proper This guide shows how low-and middle-income countries (LMICs) can integrate low carbon andclimate resilient principles into health care waste management in a phased, practical way. It drawsfrom the Climate Health Implementation Manual (CHIM) Low Carbon Climate Resilient WasteManagement Repository, which catalogs 44tools across eight evidence-based waste management In practice, countries respond to climate-smart waste management when it is framed aroundworker and patient safety, cost savings, and operational efficiency. Reducing waste volumesthrough proper segregation decreases the amount of hazardous waste requiring high-energytreatment methods such as incineration, lowering both costs and emissions. Transitioning to non- Tiered Approach to Low Carbon Climate The guide is organized into three tiers that reflect a health facility’sor country’s readiness to act onlow carbon climate resilient waste management. Each tier includes a facility and country profiledescribing what facilities at that stage typically look like, priority interventions organized by what The tiers are progressive: facilities can build foundational capabilities before moving to moresophisticated climate interventions. However, the tiers are not gates. Any facility at any stage canadopt any intervention in this guide if the opportunity arises and the context is right. A Tier 1facility that receives funding for new treatment technology, for example, can and should apply Tier Within each tier, interventions are the organizing principle. This guide leads with what facilitiesshould do (the interventions) and shows which tools help them do it. Tools appear where they TIER 1: Getting Started Establishing the foundation for low carbon climate resilient waste management Facility and Country Profile Facilities at this stage have no formal policy linking waste management to climate objectives.Waste management practices may be inconsistent, with limited or no segregation of hazardousfrom non-hazardous waste. Open burning or rudimentary incineration isthe primary treatmentmethod. Waste handlers may lack basic training and protective equipment. There is little Climate Objectives at This Stage The primary climate objectives for Tier 1 facilities are to dramatically reduce the volume ofhazardous waste requiring high-energy treatment by implementing proper segregation, minimizeoverall waste generation through the 3Rs (reduce, reuse, recycle), and build workforce capacity for Three interventions offer effective starting points: implementing waste segregation systems toseparate hazardous from non-hazardous waste at the point of generation; establishing waste PriorityInterventions Each intervention below includes tools that can support their implementation. WasteSegregation Implement a color-coded bin system to separate infectious, sharps, and general waste at the pointof generation, using at minimum a 3-bin system. Proper segregation is the single most impactfulfoundational intervention because it reduces the volume of waste classified as hazardous, which inturn reduces the amount requiring high-energy treatment such as incineration. At health facilities in Key Tools:WHO Safe Management of Wastes from Health-care Activities(foundational“Blue Book” covering all waste management interventions)|HCWH Health Care WasteTrackers–An Interactive Toolkit(six spreadsheet-based trackers including baseline assessment Waste Minimization and the 3Rs (Reduce,Reuse, Recycle) Practice waste reduction, recycling, and reuse to decrease the total amount of waste generated. Thisincludes rational use of personal protective equipment (PPE), proper inventory management toreduce expired pharmaceutical waste, composting of organic waste, and identifying opportunities toreuse medical supplies where clinically safe. Minimizing waste reduces the volume requiringtransportation, storage, and treatment, lowering net GHG emissions across the waste management Key Tools:HCWH Measuring and Reducing Plastics in the Healthcare Sector(practicaltoolkit for auditing and reducing plastic waste)|Practice Greenhealth Guidance forImmunization