WPCM )6.fzmŽ=m"5"`a~{< rĹ6{PF9g$NVL4F9aUeZv2OZ}a<{1Eb?GWIXvBHeeD t =}i gVھ ?+U~'YRvLI\8߬fj "DG.s=@bl.  .F[vA, q4&RIWt֪y$3|ZC*4 /90nT-i>Jnݩ'3],``UON`GLK5 Jέ+;Cؠ:4X` hp x (#><AT.footerfooter   I=!#         >4X` hp x (#>PDT8Body Text 2Body Text 2  #5=!##        >4X` hp x (#>   'Xw_XXw_XXXw_   X  *I=!#X*           ' XIX'  E1u % }-5=!#XE(e2$ 8,!XW~XXW~XXXW~      )Xw_XXw_XXXw_   X    *I=!#X*           ' XIX'  E1u % }-5=!#XE(e2$ 8,!XW~XXW~XXXW~   clrbox d d(9 Z 6Times New Roman Regulard3|xa\  `*Times New RomanTTC\  P6QP\  `*Times New RomanTTXXP\  P6QXP<6X9`("Courier NewTTTT,,<6X@DQ,@\  `*Times New RomanTT&&J\  P6Q&P\  `*Times New RomanTTW\  P6QP(J,$XW~XXW~XXXW~  XDYZ[\]E^_`a$l%2 8,!Xw_XXw_XXXw_   UKUS.,TRW\6&3'6&A43'TJX  Xw_XXXw_XXw_#Xw_XL#XXw_D DAgendaitem#Xw_X܎#XXw_#-#D D#Xw_X#XXw_5(b)#Xw_X[#XXw_;j$UN/CETDG/20/INF.14#Xw_X#XXw_Ԉ  D D#Xw_X#XXw_<;C;<=#Xw_Xm#=>CommitteeofExpertsonthe  TransportofDange>?>orus>?@rous@A@good@ABGoods(Twentiethsession,716December1998)B@!PROGRAMMEOFWORKCCD DCCEECCE@O O ECCEEFFI IFTransmitteFGFeFGHdbytheWorldHealthOrganization(WHO)HEEC z  CI I  KWHOKJFurthertoyourrecentconversationwithMsPrss,UnitofWater,SanitationandHealth,weJwouldliketorecommendthatseveralissuesrelatedtowastesfromhealthcarebeconsideredforrevisioninthenextbienniumperiodoftheworkprogrammeoftheCommitteeofExpertsontheTransportofDangerousGoods.  WHOhasacomprehensiveprogrammeonhealthcarewastemanagement,includingthepreparationofguidelinematerial.WLHOLMehaveMRhasRprovideNdNPdPQOsOQrecommendationsonwastecharacterization,handling,transportationandpackagingofhealthcarewaste,whicharelargelybasedontheUNRecommendationsonthetransportof  DangerousGoodsModelRegulations.WSeSTHOisTUareUalsocloselyworkingtogetherwithprofessionalassociations  andnationalauthoritiesconcernedwiththissubject.  WVeVWHOWwouldrecommendtherevisionoftheclassificationofinfectiouswastesubstances(paragraph2.6.3.1.5ofthe10threvisededitionoftheabovementioneddocument)andthepackagingrequirements(paragraph4.1.6.5,620and621),forthefollowingreasons:  1) u TheclassificationofwastestransportedunderUN3291,paragraph2.6.3.1.5,andthedescription :P relativelylowprobabilitythatinfectioussubstancesarepresentmaygiverisetomisinterpretation.Theprobabilityofthepresenceofinfectioussubstancesmaynotalwaysbeknowntothewasteproducer.  2) u Manywastesfromhealthcareactivities(e.g.swabs,dressings,needlesfromsyringes)are  relativelylikelytocontaininfectioussubstances.Thepackagingrequirementsofsuchwastes(paragraph4.1.6.5,620)maynotbenecessaryforlargepartsofsuchwastesandshouldbereconsidered.  Asafurtherstep,XweXYWHOYproposeZsZpreparingafirstdraft,inconsultationwith[its[[our[partnersandcontacts,whichwillbesubmittedinMay1999forconsiderationatthemeetingofthe\Su\]\\]^b^CommitteeofExpertsontheTransportofDangerousGoodsinJuly1999._Pleaseletusknowifyourequirefurtherinformation._E1u % }-5=!#XE0  0uj$j$0 uj$uj$0% j$ j$0}% j$% j$0}j$}j$a___________a`0-j$j$  Yourssincerely -j$-j$ H4u % }-w5=!#XH0  0uj$j$0 uj$uj$0% j$ j$0}% j$% j$0}j$}j$0-j$j$0w-j$-j$  RichardHelmer,Director wj$wj$ 0  0uj$j$0 uj$uj$0% j$ j$0}% j$% j$0}j$}j$0-j$j$0w-j$-j$  DivisonofOperationalSupport wj$wj$ @) w   inEnvironmentalHealth   =!  #  )&(    u ` j$j$ H4u % }-5=!#XH0