IMPACTS ESTIMATION OF DIOXIN EMISSION FROM MANAGEMENT APPLICATION OF MEDICAL WASTE INCINERATOR IN COMMUNITY HEALTH CENTERS AND HOSPITALS OF JAVA ISLAND, INDONESIAMOHAMMAD RAZIF
Java Island has 3557 community health centers and 1256 hospitals, which are generating medical waste in its operation. Furthermore, only 36% total of both community health center and hospital operates the incinerator correctly to obliterate the medical waste in accordance with the standard, which 64% are not in accordance with the standard. Many researchers evaluate the dioxin emission from the burning of medical waste by the incinerator. Dioxin is believed able to affect the human health, which in particular of cancer, reproductive disorder and birth defects. In the short term, it can cause the liver damage, loss weight and or the decrease of immune body. This research is aimed to evaluate the dioxin emission impacts generated from medical waste incinerators in community health centers and hospitals in Java Island. Java Island was selected as the research object due to its population density noted as the highest in number compared to other islands in Indonesia. The estimation calculation of incinerator emission impacts in Java Island was based on the total estimation of incinerator used by community health centers and hospitals up to the year 2019. The important characteristics were constructed on 7 criteria based on Kep Ka Bapedal 56/1994. Based on the estimation calculation of the impacts, the dioxin emission generated by incinerator from medical waste in Java Island was categorized as large impact and important impact and therefore it must be managed and controlled by current 3577 community health centers and 1256 hospitals. The delegation authority of a monitoring institution from Minister of Environment and Forestry to city/regency EA by making a leaflet of Minister of Environment and Forestry. The fulfilled standard of incinerator has to operate in 12000C temperature in 14 days and they need to be given the operational permit by Minister of Environment and Forestry, while the one who did not achieve the standard needs to be imposed by the technical improvement requirement before they apply the operational permit.
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