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• Publié par: Phoun
• Nombre de lectures: 168
• Langue: English

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Infectious Medical Waste Treatments – ADEME/PEXE
ADEME February 2006
INTERNATIONAL ACTION DIRECTORATE










FEASIBILITY STUDY ON EXPORT PROMOTION AND REPRESENTATION OF THE
GLOBAL FRENCH IMW TREATMENT OFFER

Comprising:

• The Operator's Guide to IMW equipment and treatment systems

• Presentation of 14 Incineration, Co-incineration and Disinfection
reference sites,

• A feasibility study on the promotion of the Global French Export
Offer and possibilities of representation




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Study carried out by:
EUROPÉUS Conseil
(Bruno TAILLANT)
1 Infectious Medical Waste Treatments – ADEME/PEXE

Study of IMW treatments
2005/2006



STUDY CONTENT





I – STUDY PURPOSE AND METHODOLOGY

A – Purpose of the IMW (DASRI) study
B – Study methods

C – Comments on the conditions in which this IMW Treatment Centers study was
carried out

II – THE OPERATOR'S GUIDE

Guide Objective: To improve information given to potential foreign purchasers on the
operational results of French reference sites for the two treatment processes:
- Incineration
- Disinfection

and the upstream environment know-how of French service companies.

1 – GENERAL RULES AND METHODS FOR IMWs

Objective: To eliminate contamination risks from health care wastes

2 – IMW ALPHABET
Selection of key words.

3 – THE ORGANIZATIONS CONCERNED

- National and Regional administrations
- AP-HP Paris and hospitals
- ADEME (PEXE): Action, Studies, Publication Groups

4 – TYPOLOGY OF IMWs TREATED BY NEW GENERATION FRENCH
INCINERATORS (W.H.O. CLASSIFICATION).
2 Infectious Medical Waste Treatments – ADEME/PEXE


5 – IMW TREATMENTS: RECOMMENDED APPROACH

A – To evaluate volume to be treated accurately before choosing
the Treatment process

B – To study, analyze and organize the production of IMWs with all
the services upstream from the treatment lines

C – To train all employees in all hospitals etc. so as to optimize
waste sorting at source before treatment (IMW or OM).

D – To visit the reference sites in France listed below to draw your
own conclusions.

E – To assess the legal obligations and local constraints before
deciding on the equipment

- Conditions of storage (limited duration)
- Collection and transport conditions
- In situ treatment or batch grouping
- Final destination of waste: landfill or incineration
- Follow-up/traceability – Environmental protection.

6 – IMW TREATMENT: SELECTED REFERENCES CENTERS
IN FRANCE

A – Specific IMW Incineration

Profile and the results of the reference centers that can be visited:

A1 – CIE, Créteil, Paris region

A2 – PROCINER, Bassens, near Bordeaux

A3 – Pasteur-Mérieux Laboratories, Marcy l'Etoile, near
Lyon

A4 – Sanofi-Aventis Laboratories, Montpellier

A5 – International Cancer Research Center, Lyon.

3 Infectious Medical Waste Treatments – ADEME/PEXE
B – IMW– OM Co-Incineration

Presentation of 5 UIOM reference centers to visit:

B1 – SETMI, Toulouse

B2 – SETMO - South-western NOVERGIE, Montauban

B3 – ATHANOR, La Tronche, near Grenoble

B4 – VALORENA, Nantes

B5 – SITA - NOVERGIE, Blois.

C – IMW Disinfection

Presentation of 4 reference centers to visit:


C1 – La Pitié-Salpétrière Hospital complex, Paris

C2 – DHS - Santé, Sainte-Saulne

C3 – Dupuytrem Teaching Hospital, Limoges

C4 – Rene Dubos Hospital complex, Pontoise.

7 – COMPARATIVE ADVANTAGES AND THE CHOICE OF
DISINFECTION AND INCINERATION PROCESSES

8 – OPERATING COST IDENTIFICATION


9 – COST OF IMW TREATMENTS
(Collection – Treatment – Transport)

10 – ECONOMIC AND FINANCIAL BENEFITS OF UPSTREAM IMW
SORTING IN HOSPITALS

11 – IMW FOLLOW-UP & TRACEABILITY. THEO, a French adapted
software control and monitoring package

4 Infectious Medical Waste Treatments – ADEME/PEXE
12 – IMW TREATMENT SERVICE PROVIDERS

A – Engineering and design office: BURGEAP, St. Cloud (Paris
region)

B – Analysis, Consultancy and Training:

- AC' SEES: 144, rue de Rivoli, 75001 Paris
- SITA – SUEZ: 132, rue des 3 Fontanot, 92758 Nanterre


13 – MARKET FOR FRENCH COMPANIES

14 – LIQUID WASTE PROCESSING


DOCUMENTS APPENDED TO THE "OPERATOR'S GUIDE"

- List of companies and organizations active in the field of IMWs
- List of Companies, Processes and Services active in health
management
- Additional information about disinfection equipment manufacturers
- IMW reference treatment centers which can be visited by appointment
- List of IMW disinfection and incineration treatment sites
- IMW Treatment Bibliography.

III – FEASIBILITY STUDY ON EXPORT PROMOTION AND REPRESENTATION OF THE
GLOBAL FRENCH IMW TREATMENT OFFER

A – ANALYSIS AND DEFINITION OF A STRATEGY TO PROMOTE THE
GLOBAL FRENCH OFFER

B – PROMOTIONAL ACTIONS

C – ACTIONS IN TARGET COUNTRIES

D – SPECIFIC PROPOSAL FOR A PROMOTION

E – REPRESENTATION AND OPPORTUNITIES


CONCLUSION








5 Infectious Medical Waste Treatments – ADEME/PEXE


I – STUDY PURPOSE AND METHODOLOGY

The five year Éco-Companies Export Plan strategy launched in 2002 by the
ADEME in collaboration with other public and private partners aims to build a more
effective Public/Private Partnership to meet the expectations of companies by
implementing two main ideas:

- Operation within a network
- The development of synergies

The first study commissioned by the ADEME and the French IMW working group
DASRI and carried out in 2004 by the Cabinet EUROPÉUS, highlighted, in this specific
sector, the entire French equipment and services offer, its advanced technologies and
its know-how and the complementarity of this offer to meet demands from international
markets.

A – Purpose of the IMW (DASRI) study

The purpose of this second study is to:

- list and present the IMW Treatment Centers in France, request their opinions
on the technical and economic results of the incineration and disinfection processes and
compare their respective advantages. The result of this survey is this OPERATOR'S
GUIDE targeting potential purchasers outside France, listing references operated in
France, run by waste producers or service companies that can be visited or assessed.

- express the export promotion possibilities of the French Global Offer of
different IMW treatment techniques to target countries (China, new European
members), by making recommendations for short and medium term export promotion
actions in this sector and cooperation with major French international groups.

B – Study methods

The elements in this study were obtained by:

- Detailed questionnaire sent to all the IMW Treatment Centers in
France based on an updated list provided by the ADEME (Mr.
GABARDA). This questionnaire addressed all aspects of the
operation (volume, capacity, operating costs, maintenance,
satisfaction, results).

- Preparation of this phase with Mr. GABARDA, ADEME Sophia-
Antipolis and Mr. Jean-Claude OPPENEAU to ensure the
technique used obtained meaningful results.
6 Infectious Medical Waste Treatments – ADEME/PEXE

- Talks with the French Department of Health in Paris - IMW
Sector specialist at the D.G.S, Mrs. DRUGEON - to establish
relays with:

- reference hospitals for upstream sorting operations and
the equipment used for disinfection and incineration
treatments
- the DRASS in all the regions of France, which was
formerly supervised by the PREDAS.

- Initial contact and dispatch of additional questionnaires to all
regional DRASS to check out regional IMW treatment equipment

- Visit to the IMW Reference Centers after selection

- Visit to several Hospital Centers, typical of IMW circuits and
method optimization

- Progressive constitution of a computer file (in EXCEL) of
companies, administrations, organizations, sites providing
services (exhaustive list) and reference hospital sites

- For the Greater Paris region, which handles 36% of all French
IMWs, contact and briefing with the AP-HP (3, avenue Victoria,
75184 Paris) responsible for Building and Logistic Management,
Logistic Services, Hospital Ecology and Service Companies
relationships.


Meeting with AP-HP, Build