environmental sanitation

ENVIRONMENTAL SANITATIONStudy of all factors in man’s physical environment, which may exercise a deleterious effect on his health well-being and survival.

Program strategies and activities

environmental sanitation environmental health impact assessmentoccupational health through inter-agency collaboration.

An Inter-Agency Committee on Environmental Health was created by virtue of E.O. 489 to facilitate and improve coordination among concerned agencies.

Vision:Health Settings for All Filipinos

Mission:Provide leadership in ensuring health settings

Goals:Reduction of environmental and occupational related diseases, disabilities and deaths through health promotion and mitigation of hazards and risks in the environment and workplaces

Strategic Objective

1. Development of evidence-based policies, guidelines, standards, programs and parameters for specific healthy settings.

2. Provision of technical assistance to implementers and other relevant partners

3. Strengthening inter-sectoral collaboration and broad based mass participation for the promotion and attainment of healthy settings

PREVENTIVE STRATEGIES

Change the peoples behavior to manipulate environment and reduce their exposure to biological and non-biological disease agent

Manipulate the manipulate environment to prevent production or presence of disease agents.Increase man’s resistance or immunity to disease agents

Food safety

practices

Ingestion of clean foods and

drinking H2O Prevention of disease

manipulate the environment to prevent production or presence of disease agents.

increase man’s resistance or immunity to disease agents

Treatment of waste

water

Uncontaminated groundwater table in the environment

Safe and clean drinking water

available


INCREASE MAN’S RESISTANCE OR IMMUNITY TO DISEASE AGENTS

immunizationResistance

against disease

Herd immunity

among children in the

community


FACTORS THAT INCLUDE IN ENVIRONMENTAL SANITATION

Water sanitationFood sanitationRefuse and garbage disposalExcreta disposalInsect vector and rodent control

HousingAir pollutionNoiseRadiological protectionInstitutional sanitationStream pollution

HEALTH AND SANITATIONEnvironmental healthand sanitation is still a health problem in the country.

Diarrheapneumonia malariaTuberculosis

infectious hepatitisIntestinal parasitism filariasisSchistosomiasis dengue hemorrhagic fever

The DEPARTMENT OF HEALTH has the authority to act on all issues and concerns in environment and health including the very comprehensive Sanitation Code of the Philippine (PD 856, 1978)

WATER SUPPLY SANITATION PROGRAM

POLICIES:Approved types of water facilities

LEVEL 1 –POINT SOURCEa protected well or a developed spring with an outlet but without a distribution system, generally adaptable for rural areas where the house are thinly scattered.Serves 15-25 householdsNot more than 250 ms.40-140 liters


LEVEL II- COMMUNAL FAUCET SYSTEM OR STAND POSTSA system composed of a source a reservoir,

a piped distribution network and communal faucets, located at not more than 25 meters from the farthest house.

40-80 liters of water per capital day average of 100 households,

one faucet per 4-6 households.


LEVEL 3- WATERWORKS SYSTEM OR INDIVIDUAL HOUSE CONNECTIONS

A system with a source, a reservior, piped distributor network and household taps. suited for densely populated urban areas. requires a minimum treatment or disinfection


Unapproved type ofUnapproved type of water facility water facility

Water coming from Water coming from doubtful sourcesdoubtful sources such such as;as;

dug wells, dug wells,

unimproved springs, unimproved springs,

wells that need primingwells that need priming


Access to safe and potable drinking water

Water quality and monitoring surveillance


PROPER PROPER EXCRETA EXCRETA

AND AND

SEWAGE SEWAGE DISPOSAL DISPOSAL

PROGRAMPROGRAM

PROPER PROPER EXCRETA EXCRETA

AND AND SEWAGE SEWAGE

DISPOSAL DISPOSAL PROGRAMPROGRAM

P O L I C I E S

Approved types of toilet facilities

Level 1non- water carriage toilet facilitytoilet facilities requiring small amount of water.

PROPER EXCRETA AND SEWAGE DISPOSAL PROPER EXCRETA AND SEWAGE DISPOSAL PROGRAMPROGRAM

Level 2on site facilities of the water carriage type with water.

Level 3water carriage types facilities connected to septic tank or sewerage system to treatment plant.

PROPER EXCRETA AND SEWAGE DISPOSAL PROPER EXCRETA AND SEWAGE DISPOSAL PROGRAMPROGRAM

FOOD FOOD

SANITATION SANITATION

PROGRAMPROGRAM

P O L I C I E S Inspection of all food sources, containers, transport vehicle. Compliance to sanitary permit requirements for all food establishment. Provision of update Health Certificate for food handlers, cooks, and cook helpers. DOH Administrative Order no. 1-2006 requires all laboratories to use FORMALIN ETHER CONCENTRATION TECHNIQUE (FECT) instead of the direct fecal smear in the analysis of stools of handlers.

FOOD SANITATION PROGRAMFOOD SANITATION PROGRAM

Destruction or banning of food unfit for human consumption.Training of food handlers and operators on food sanitation.Food establishment shall be rated and classified as EXCELLENT, VERY SATISFACTORY, SATISFACTORY.Household food sanitation are to be promoted and monitored and food hygiene education.

FOOD SANITATION PROGRAMFOOD SANITATION PROGRAM

FOUR RIGHTS IN FOOD SAFETY

Right sourceRight preparation

Right cooking Right storage

Rule in food safety: “when in doubt, throw it out”

HOSPITAL WASTE MANAGEMENT PROGRAM

Disposal of infectious, pathological and other wastes from hospital which combine them with the municipal or domestic wastes pose health hazard to the people.

Most hospital utilize the municipal refuse disposal system (MRDS) for disposing hospital wastes’. At this point policies have been set to prevent the risk of contracting nosocomial diseases.


P O L I C I E S

All newly constructed and existing government and private hospitals shall prepare and implement a Hospital Waste Management Program as a requirement for registration of license.The use of appropriate technology and indigenous materials for HWM system shall be adoptedTraining of all hospital personnel involved in waste management shall be an essential part of hospital training program.


Public information campaign on health and environmental hazard arising from mismanagement of hospital shall be an the responsibility of hospital administration.DOH Hospital waste management guidelines shall be guided by existing legislative health and environmental protection laws policies on waste management, however with the passage of the R.A. 8749 “clean air act of 1999” Local ordinances regarding the collection and disposal techniques shall be institutionalized.


RECENT NATIONAL AND RECENT NATIONAL AND INTERNATIONAL INTERNATIONAL

ENVIRONMENTAL LAWS AND ENVIRONMENTAL LAWS AND DOH POLICIES AFFECTING DOH POLICIES AFFECTING

ENVIRONMENTAL HEALTH AND ENVIRONMENTAL HEALTH AND SANITATIONSANITATION

1- Stockholm convention on persistent organic pollutants (POPS).

These POP’s are called the “dirty dozen” of pesticides, industrial chemicals and unintentional by-products of burning.

RECENT NATIONAL AND INTERNATIONAL ENVIRONMENTAL RECENT NATIONAL AND INTERNATIONAL ENVIRONMENTAL LAWS LAWS

2-R.A. 6969 “Toxic substances and 2-R.A. 6969 “Toxic substances and hazardous and nuclear waste control act of hazardous and nuclear waste control act of 19901990Regulating the importation, use, Regulating the importation, use, movement, treatment and disposal of toxic movement, treatment and disposal of toxic chemicals and hazardous and nuclear waste in chemicals and hazardous and nuclear waste in the Philippines.the Philippines.

3-R.A. 8749 “Clean air act of 1999” 3-R.A. 8749 “Clean air act of 1999” provides provides a comprehensive air pollution management and a comprehensive air pollution management and control program to achieve and maintain healthy control program to achieve and maintain healthy air. air.


4-R.A. 9003 “Ecological Solid Waste Management Act of 2000”it declares the adoption of a systematic, comprehensive, and ecological solid waste management program as a policy of the state.

5-R.A. 9275 “Clean air act of 2004”this law aims to established wastewater treatment facilities that will clean wastewater before releasing into the bodies of water like the rivers and seas.

SEC. 3. Declaration of Policies. SEC. 3. Declaration of Policies.

The State shall pursue a policy of balancing The State shall pursue a policy of balancing development and environmental protection. To development and environmental protection. To achieve this end, the framework for sustainable achieve this end, the framework for sustainable development shall be pursued. It shall be the development shall be pursued. It shall be the policy of the State to:policy of the State to:


1. Formulate a holistic national program of air pollution management that shall be implemented by the government through proper delegation and effective coordination of functions and activities;

2. Encourage cooperation and self-regulation among citizens and industries through the application of market-based instrument;

3. Encourage cooperation


4. 4. Focus on control and provide for a Focus on control and provide for a comprehensive management program comprehensive management program primarily on pollution prevention rather primarily on pollution prevention rather than for air pollution;than for air pollution;

5. Promote public information and education 5. Promote public information and education and to encourage the participation of an and to encourage the participation of an informed and active public in air quality informed and active public in air quality planning and monitoring; andplanning and monitoring; and

6. Formulate and enforce a system of 6. Formulate and enforce a system of accountability for short and long-term accountability for short and long-term adverse environmental impact of a project, adverse environmental impact of a project, program or activity. This shall include the program or activity. This shall include the setting up of a funding or guarantee setting up of a funding or guarantee mechanism for clean-up and environmental mechanism for clean-up and environmental rehabilitation and compensation for rehabilitation and compensation for personal damages.personal damages.


6-SUPPLEMENTAL IMPLEMENTING RULES AND REGULATIONS OF CHAPTER II-”WATER SUPPLY” OF THE CODE ON SANITATION OF THE PHILIPPINES(PD 856)

this supplemental IRR provides the guidelines on the proper regulation of the water refilling stations.

7-SUPPLEMENTAL IRR ON THE CHAPTER XVII ON SEWAGE COLLECTION AND DISPOSAL AND EXCRETA DISPOSAL AND DRAINAGE OF THE SANITATION CODE OF THE PHIL.(PD 856)

NURSING RESPONSIBILITI

ES AND ACTIVITIES

Health education Actively participate in the training component of the service Assist in the deworming activities Effectively and efficiently coordinate with the other government and NGO. Acts as a advocate or facilitator

Participate in environmental sanitation campaignBe a role model for othersParticipate in the researchHelp in the interpretation and implementationAssist in the disaster management

environmental sanitation

Documents

liters of water

health promotion

department of health

sanitationenvironmental

health wellbeing

health problem

sewage disposal program

program strategies