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    WHO-EM/CEHA/68-E

    REGIONAL TRAINING COURSE ON

    SOLID WASTE MANAGEMENT

    Amman, Jordan, 25 March to 6 April 1995

    WORLD HEALTH ORGANIZATION

    REGIONAL OFFICE FOR THE EASTERN MEDITERRANEAN

    REGIONAL CENTRE FOR ENVIRONMENTAL HEALTH ACTIVITIES (CEHA)

    Amman, Jordan

    July, 1996

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    CONTENTS

    1. INTRODUCTION........................................................................................................1

    2. TECHNICAL PRESENTATIONS...............................................................................2

    2.1 A global and regional (EMR) overview of solid.................................................2

    waste management

    2.2 Environmental pollution and health implications.................................................2

    of solid waste

    2.3 Solid waste surveys: quantities, sources and composition...................................2

    2.4 Planning and management of storage systems.....................................................3

    2.5 Waste collection vehicles and systems................................................................3

    2.6 Clinical waste management................................................................................3

    2.7 Computer aided design of solid waste storage,...................................................4

    collection and transportation systems

    2.8 Solid waste minimization, separation and recycling............................................4

    approaches and options

    2.9 Role of community participation in solid waste management..............................4

    2.10 Information management for municipal solid waste............................................4

    management services

    2.11 Waste collection vehicle scheduling and management........................................5

    2.12 Siting, design and evaluation of sanitary landfills...............................................5

    2.13 Development and use of checklists/methods for................................................6

    evaluating disposal sites

    2.14 Selection and use of appropriate waste disposal................................................6

    manpower and equipment

    2.15 Feasibility, planning and management of composting in....................................6

    Eastern Mediterranean Region

    2.16 Composting in Kuwait : A case study..............................................................7

    2.17 Incineration as a waste disposal option in .......................................................7

    Eastern Mediterranean Region

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    2.18 Evaluation of course.......................................................................................7

    3. SITE VISITS.............................................................................................................8

    4. COUNTRY PRESENTATIONS................................................................................8

    4.1 Egypt..............................................................................................................8

    4.2 Islamic Republic of Iran...................................................................................9

    4.3 Iraq.................................................................................................................9

    4.4 Jordan.............................................................................................................9

    4.5 Morocco.......................................................................................................10

    4.6 Oman............................................................................................................10

    4.7 Pakistan.........................................................................................................11

    4.8 Sudan............................................................................................................11

    4.9 Tunisia..........................................................................................................11

    4.10 Republic of Yemen.......................................................................................12

    5. CONCLUSIONS AND RECOMMENDATIONS....................................................12

    5.1 Conclusions..................................................................................................12

    5.2 Recommendations........................................................................................13

    6. PLAN OF ACTION................................................................................................16

    7. CLOSING SESSION..............................................................................................17

    ANNEXES

    1. Agenda...................................................................................................................18

    2. Programme.............................................................................................................19

    3. List of Participants..................................................................................................22

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    1. INTRODUCTION

    A Regional Training Course on Solid Waste Management was organized by the WHO

    Regional Office for the Eastern Mediterranean (EMRO) with its Regional Centre forEnvironmental Health Activities (CEHA), Amman, Jordan, from 25 March to 6 April 1995.

    Dr Saad Al Kharabsheh, inaugurated the Training Course on behalf of H.E. the Minister of

    Health, Jordan. Eighteen participants and one observer from 11 countries of the Eastern

    Mediterranean Region of WHO took part in the workshop. In addition, experts from the

    University of Newcastle upon-tyne, the Centre for Environment and Development for the Arab

    Region and Europe (CEDARE), University of Jordan, Greater Municipality of Amman, and

    WHO/CEHA Staff Members participated.

    The main objectives of the workshop were to:

    "train the trainers" in procedures and practices of solid waste collection,

    transportation and disposal, various solid waste management technologies available;

    review and acquaint them with the appropriate and available legislation, standards

    and guidelines (national and international) related to solid waste management, landfill

    design, operation and maintenance;

    provide opportunity for discussions, site visits, exchange of experiences and success

    stories, of participants in their respective countries;

    train and acquaint the concerned technical staff with health hazards and implicationsof solid wastes and promote the establishment of national or local occupation and safety

    health requirements and programmes.

    A message from Dr Hussein A. Gezairy, Regional Director for the Eastern Mediterranean

    Region of WHO, was read by Dr M.Z. Ali Khan, CEHA Coordinator. Dr Gezairy pointed out

    that every year more waste is produced in the urbanized and industrialized countries of the

    Region. Inadequate storage, collection and disposal of such wastes continues to endanger public

    health, as well as result in increased environmental hazards. Training of personnel, use of

    appropriate technologies and modernizing equipment can reduce and even solve the ever-

    increasing waste problems in their countries. He hoped that this course would train the trainers

    on how solid waste can be managed by adopting safe, hygienic, environmentally sound andfriendly practices. Finally, he hoped for a successful and fruitful course with practical

    recommendations for further follow-up.

    Dr Saad Al Kharabsheh, on behalf of H.E. the Minister of Health, formally opened the

    Training Course and welcomed the guests to Jordan. He stated that he appreciated CEHAs role

    in holding such training courses and further emphasized that the problem of solid waste

    management, especially medical waste, hazardous waste and abandoned tyres, had a high priority

    in the countrys environmental strategy as well as action plan. He wished all guests a very

    pleasant stay in Amman.

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    After the introduction of participants and adoption of the agenda and programme (Annexes

    1 and 2, respectively), Dr Abdel Kaher El Zaemey (Yemen) was elected as Chairman of the

    Training Course, Mr El Sayed Al Araby Sarhan (Egypt) as Vice-Chairman and Mr Zafar Iqbal

    Beg (Pakistan) as Rapporteur.

    A list of participants is given in Annex 3.

    2. TECHNICAL PRESENTATIONS

    2.1 A global and regional overview of solid waste management

    Dr Khan, Coordinator, CEHA, utilizing the global and regional literature resources,

    presented the solid waste management situation globally and then reviewed the regional situation.

    He presented information indicating that in the Eastern Mediterranean Region (EMR), solid

    waste has 2-3 times higher organic content, moisture content and density and less paper, glass

    and metal content than anywhere else in the world. Generation rates are 1/2 to 1/3 of the global

    rates. In EMR only about 20% of solid waste is collected and 80% of that is disposed off by

    open dumping. The percentage disposed of by dumping and uncontrolled land filling, recycling,

    composting and other means are 80%, 0.5%, 0.5% and 19% respectively. He concluded that the

    problem of solid waste is growing every year, requiring urgent attention by governments,

    institutions, United Nations agencies and international organizations.

    2.2 Environmental pollution and health implications of solid waste

    Dr Anderson, WHO Temporary Adviser, in his presentation stated that solid waste contains

    human pathogens from a wide range of sources. In addition, inadequate storage and collection

    and poor treatment and disposal practices serve as ideal breeding sites for rats and flies, etc.,

    which can act as passive vectors in transmitting diseases. He outlined the various population

    groups which are exposed to the risk of disease, as well as the various routes by which the

    diseases are transmitted to the groups referred to.

    The solid waste practices which can be used in the management system to minimize or

    eliminate health and safety risks were also discussed, including measures which should be taken

    in the home, office and factory, during transport and transfer and finally at the waste treatment

    (incinerator and composting) plants and the ultimate disposal location points, the sanitarylandfill. Emphasis was also placed upon the need to replace dumps with sanitary landfills and to

    control scavenging in an unlicensed manner. In addition to health and safety problems, the issue

    of environmental degradation was considered, including air pollution from incinerators and the

    leachate and gases emanating from sanitary landfills.

    2.3 Solid waste surveys: quantities, sources and composition

    Mr Elliott, WHO Temporary Adviser, highlighted that planning an appropriate waste

    collection and disposal system is dependent upon an accurate assessment of the waste

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    composition. Comparisons were made of waste characteristics in different countries and over

    time. The classifications of waste categories were outlined, together with detailed methodologies

    for sampling wastes for physical and chemical classification.

    2.4 Planning and management of storage systems

    Dr Anderson pointed out that the handling, storage and processing of solid waste at source

    is critical to the overall management process since it may have a significant effect on public

    health, subsequent operations and the public's attitude concerning the operation of the overall

    management system.

    The presentation considered the relationship between the volume of the storage containers

    with collection frequency and climate. It then went on to outline the factors which determine the

    design of storage containers for home, office and industry, paying particular attention to odours,

    aesthetics and disease prevention. Consideration was also given to the use of the storage system

    to enhance or improve source separation to enable recycling and solid waste utilization to take

    place conveniently and economically.

    2.5 Waste collection vehicles and systems

    Mr Elliott in his paper discussed the factors affecting the choice of vehicles used in waste

    collection systems. He stressed the need for sustainability and interrelationship between local

    storage vehicle type, road conditions, and haul distance. Comparisons were made on collection

    vehicle efficiency with respect to waste density and loading rates.

    2.6 Clinical waste management

    Dr Anderson described clinical wastes as being among the most important of the wastes

    produced in all societies and also which have a significant potential impact on the health of health

    care workers, scavengers and the public. He outlined the main categories of waste produced in

    the health care sectors, after defining exactly what this sector includes. Details were given of the

    recommended methods for the safe storage of each category, and the on-site and off-site transport

    to their treatment and disposal.

    It was emphasized throughout that the key to safety is isolating the most infectious wastesfrom workers and the public and that consideration should be given to the ideal situation, that all

    wastes generated in hospitals should be considered as "clinical" and disposed of accordingly,

    even if this imposes an additional cost burden upon the hospital, the municipality or the

    community. Finally, the various methods of pre-treatment and disposal were outlined although it

    was stressed that when feasible, all clinical wastes should be incinerated in an incinerator

    designed specifically for such a task. The only acceptable alternate is a sanitary landfill where all

    appropriate measures are taken to dispose of the waste in a safe and aesthetic way.

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    2.7 Computer aided design of solid waste storage, collection and transportation systems

    Mr Elliott presented a detailed description of the Waste Generation System (WAGS)

    computer program written for Habitat by Mennus Coffey Associates. The program was

    described with the aid of a case study on Chania, Crete. Estimates had been made for vehicle and

    labour requirements with their associated financial and economic costing.

    2.8 Solid waste minimization, separation and recycling approaches and options

    Mrs Akrouk, CEDARE, stated that the solid waste management problem had become one

    of the pressing global issues. More and more waste was being generated and disposing of it

    posed a global dilemma.

    However, attitudes towards solid waste are changing worldwide. It is being recognized that

    many valuable materials could be recovered from the solid waste stream by adopting the concepts

    of waste minimization, recovery and recycling. In the process the amounts of waste that will

    need ultimate disposal could be reduced, thus preserving landfill capacities and reducing risk to

    human health and the environment. It is also being recognized that, through recycling, energy

    and natural resources could be conserved and business and employment opportunities could be

    created.

    She gave an overview, along with some examples of solid waste recovery and recycling

    that are taking place in the industrialized as well as developing countries. Solid waste recovery

    and retrieval systems were also discussed and some points of recycling constraints were given.

    Finally, the pilot project of "Paper-making at home" from indigenous plants, carried out by the

    Zabbaleen in Mokattam, Cairo, and was assisted and documented in Arabic by CEDARE, waspresented.

    2.9 Role of community participation in solid waste management

    Dr Anderson in his presentation highlighted the fact that any successful system of solid

    waste management is totally dependent on the willingness of the community to fully support the

    approach taken. Different levels of participation were discussed associated with type of

    collection and storage system specified. The issues associated with the interaction between

    participation, public education and legal enforcement were also addressed.

    2.10 Information management for municipal solid waste management services

    Mr Malkawi, CEHA, and Dr Khan made the presentation in two parts. Part one dealt with

    environmental health information resources available at CEHA. The subjects covered were:

    CEHANET history and future plans; CEHA's documentation unit; information exchange

    programme and services; data bases available at CEHA, and how to make use of these resources

    in serving professionals and institutions working in solid waste management, and in

    strengthening the national information exchange capabilities of existing information systems.

    Special attention was given to the use of CD/ROMs in provision of recent literature on solid

    waste management (two bibliographies of literature published in 1993/1994 on solid waste had

    been compiled and are

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    available upon request from CEHA). Part two introduced CEHA's reprinted document

    Information Management for Municipal Solid Management Services as a good guide on

    designing of information management systems. The following points were highlighted in this

    part: role of information in solid waste management systems; types and categories of needed

    information; detailed description of information that should be included in the informationmanagement system; and some important issues that should be taken into consideration while

    designing information management systems.

    2.11 Waste collection vehicle scheduling and management

    Mr Al-Hishan, WHO National Temporary Adviser, in his presentation pointed out that

    solid wastes have become one of the most difficult problems that threaten environment in over

    populated cities. As the developing countries cannot transfer, successfully, the methods used in

    the industrialized countries to treat solid wastes, they must use their available potential. They

    must exploit the cheap labour available, and provide the trained technical staff members who are

    qualified to perform treatment of solid wastes. Moreover, the importance of health education

    among people must be taken into account. People must be fully aware of the risks of

    environmental pollution risks. He said that this can be done through schools and universities.

    The relevant concept must be incorporated in the academic curricula. Then, it should be possible

    for the municipalities to reduce their expenditure costs and improve the environmental status in

    the area.

    He emphasized that if it is possible to produce the required tools and machinery locally, it

    will surely help reduce the financial burden that has to be shouldered by the municipalities.

    Since local machinery will be cheaper it will help municipalities save the hard currency thatshould be used in importing the required inputs of the development plans.

    2.12 Siting, design and evaluation of sanitary landfills

    Dr Anderson and Mr Elliott in their joint presentation said that sanitary landfill is a

    method of disposing of most types of solid wastes, including domestic, industrial, commercial

    and, if required, hazardous and clinical.

    Sanitary landfill is defined as depositing the uncompacted waste in as small an area as

    possible, compacting it in order to optimize the use of the volume available and covering eachday with an inert material of 150-200 mm depth. Once the final level has been reached the site

    should be covered with 1 m of perforated impervious material (such as clay) and covered with

    topsoil in order to prepare the area for final restoration.

    They described the three basic types of landfill in use, namely the area, trench and cell

    methods as well as described briefly the methods of lining such sites, the collection and

    utilization of the gas produced and the methods of controlling and treating any leachate which

    may be generated.

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    2.13 Development and use of checklists/methods for evaluating disposal sites

    Dr Anderson, utilizing the English version of a paper given by Mr Bani Hani in 1993,

    identified a series of headings which were used to characterize the suitability of a site for landfill

    purposes. A weighting system had been developed to allocate a point score to each heading.

    Decisions on site selection may be made by comparing total point scores for each site.

    2.14 Selection and use of appropriate waste disposal manpower and equipment

    Mr Al-Hishan reviewed various categories of equipment currently being used by the

    Greater Amman Municipality and the manpower requirements, based on existing landfill sites

    around Amman, Mafraq, Irbid and Zarqa cities. He emphasized that the equipment and

    manpower must be based on the type of waste, topography, local constraints and conditions.

    2.15 Feasibility, planning and management of composting in the Eastern Mediterranean

    Region

    Dr Natour, WHO National Temporary Adviser, reviewed composting as a biological

    process involving the microbial degradation of organic materials. He added that it is simply a

    means of converting raw waste organic matter, (a potential source of foul odour and public health

    problems), into an innocuous humus. Thus, composting is generally viewed as a solution to

    waste management problems and as a means for improving soil quality.

    In order to prevent the production of foul odours, breeding of flies, preservation of

    nitrogen in the composted material and killing pathogenic agents, composting is carried out underaerobic conditions, using various processes. Composting processes vary from very simple, low

    technology methods to high technology and continuous processes. Due to the high costs of the

    highly mechanized composting processes, composting plants which depend on such high

    technology had been closed and replaced by the simpler processes which are based on batch

    composting in wind rows.

    Moreover, composting is affected by various parameters, i.e temperature, aeration,

    moisture, pH and particle size, as well as types and amounts of impurities in the material to be

    composted. For proper and successful composting, pretreatment of compost materials, to rid it

    from noncombustible materials, i.e. glass, plastic, rubber, steel and metals or rubbish, is of prime

    importance. Also, maximizing the materials surface by minimizing the particle size (milling orshredding) constitutes a vital factor in good composting.

    Owing to high cost and improper composting, most composting plants in the Region had

    been closed. However, Egypt had established three 160 tonne capacity per day, composting

    plants in 1984, using the wind row process. So far, composting in Egypt had proved to be

    successful and the Government plans to establish more, similar plants.

    2.16 Composting in Kuwait : a case study

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    Dr Natour presented the case study based on a project during 1980/1981 which had

    proved that municipal refuse in Kuwait was ideal for composting. Over 75% of such refuse is

    compostable and contains food waste at a rate over 53%, most of which consists of cooked food,

    fibrous shells, peelings and bread. Such nutritively rich refuse may have other important

    utilizations, besides composting, depending on the method of handling.

    As for composting, household refuse was found to contain a carbon:nitrogen ratio of 19-

    40:1, depending on the percentage of paper and carton present in the refuse. Such

    carbon:nitrogen ratios indicated the refuse to be of high quality for composting. In fact, addition

    of nitrogen sources to compost material did not improve composting. Compost trials of such

    refuse produced a high quality compost within relatively very short periods of time for each of

    the composting methods used. So far, composting in artificially aerated bins and in naturally

    aerated bins gave the best results.

    Compost microflora was found to be highly adequate for good composting. The various

    microflora populations isolated during various stages of composting, revealed bacteria as the

    most dominant, followed by actinomycetes and fungi respectively.

    Municipal composing conditions were often found to be inadequate. Thus, in spite of

    composting for four to seven weeks, the municipal factory produced low quality compost. Such

    compost, when compared with trial compost was found to contain a much higher percentage of

    particles larger than 5 mm, have much lower water holding capacity, higher ash content, a high

    rate of non-degradable impurities, higher levels of heavy metals and lower levels of plant

    nutrients. Due to the fact that the factory became very old and it was not possible to make the

    necessary corrections for better composting, the factory had closed within four years of this

    study.

    2.17 Incineration as a waste disposal option in the Eastern Mediterranean Region

    Dr Anderson indicated that incineration is an option which must be at least considered for

    the disposal of solid waste in any large city. The shortage of low-cost land adjacent to cities, and

    the ever increasing costs of transport to, and operation of, sanitary landfills may make

    incineration a cost-effective option. The type of incinerators available and their various

    advantages and disadvantages were outlined, together with the role which incineration may play

    in the overall management of municipal solid wastes. He also discussed the management and

    controls which must be considered for all emissions from an incinerator, not only the stack gasesbut also the liquid and solid discharges.

    2.18 Evaluation of course

    Dr Anderson compiled and presented the evaluation which showed that the overwhelming

    opinion of the participants on the course was that they had found it very useful and that they

    appreciated both the technical content of the lectures and the quality of the presentation. Of

    maximum significance perhaps, was the fact that everyone found that the course was in some

    way relevant to their current waste problems. All believed that they had benefited from the

    course and

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    that sufficient time had been made available for discussions although they were divided on the

    usefulness of the site visits.

    Generally the subject matter was considered to be theoretical rather than practical and

    there was sufficient (or too much) handout material. Nobody found the course too difficult and

    everyone benefited from exchanges of experience with both the lecturers and other participants.

    There was universal agreement that some level of usefulness would be gained by all

    countries represented and that the course would provide those attending with an opportunity to

    pass on the knowledge gained to other with whom they work. They would now be able to take

    appropriate decisions and apply new methods since they are better able to understand the various

    options available to them in solid waste management. Overall the course was highly rated.

    3. SITE VISITS

    The course participants and advisers made a full day visit to the Al-Akaider and Rusaifa

    sanitary landfills. Using the checklists, they noted various positive and negative factors dealing

    with design, operation and maintenance aspects of both sites. These observations were then

    jointly discussed in a group session and resulted in individual and useful improvement strategies

    and approaches in view of each countrys situations.

    4. COUNTRY PRESENTATIONS

    4.1 Egypt

    Historical concern about solid waste management and governmental concerns were

    covered by various laws such as 38/1967, 39/1976 and 129/1982 including penalties and

    punishments related to general cleaning and waste management. Recently a separate law, 4/1994

    concerning all environmental affairs, was approved by the Government.

    The main public health concerns and problems are:

    air pollution resulting from accidental combustion, emissions of particulate matters, oxides of

    sulfur and nitrogen.;

    water pollution resulting from leachate from landfills and composting plants that reach

    roundwater with heavy concentrations of organics and heavy metals;

    public health hazards resulting from biological, physical and chemical agents exposure to

    explosives, broken glass, nails, pins, wires, bones, smoke, animal and insect bites, virus,

    bacteria, fungi, parasites and protozoa;

    respiratory diseases, eye diseases, skin diseases, parasitic infections, accidental wounds and

    dog

    bites among people working in collection and transport;

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    hazards from dangerous wastes like laboratory and hospital wastes.

    4.2 Islamic Republic of Iran

    Collection and disposal of urban solid wastes is primarily undertaken by municipalities(Ministry of Interior), while monitoring and surveillance of the health aspects of refuse disposal

    is the responsibility of the Environmental Health Department affiliated to the Ministry of Health

    and Medical Education, and the Environmental Protection Organization.

    The local strategy for refuse collection and disposal includes a high technology compost

    plant installed in Isfahan since 1989 with a capacity of 500 000 kg per day. The plant has

    provision for recycling of plastic wastes for the time being, but more advanced equipment will be

    installed for recycling of metals, glasses, paper and cardboard, in the future.

    Regarding hospital and clinical refuse disposal, some hospitals are equipped with refuse

    incinerators but this method does not function in big cities, because of air pollution problems,

    therefore hospital and medical laboratory refuse is collected utilizing special procedures and is

    subsequently buried in a sanitary landfill.

    4.3 Iraq

    The municipalities deal with the solid waste management because they are governmental

    bodies which have all responsibilities for collection, transportation and disposal of the solid

    waste. The legislation, restrictions and requirements of landfilling for ordinary and toxic

    hazardous solid waste are issued by the Deputy Prime-ministers office in Iraq.

    The number of landfills in Iraq is around 108 in the 15 governorates and the average

    amount of solid waste produced by one person per day is 0.7 kg.

    The amounts of solid waste produced in Baghdad city and 14 governorates during the first

    half of 1994 were 1 650 000 and 8 601 745 tonnes per day respectively out of which only 439

    000 tonnes was collected. The equipment available to deal with solid waste management consists

    of 1204 pieces. The actual requirement is for 1885 pieces indicating a shortage of 681 thus

    resulting in accumulation of solid waste in large amounts, increase in harmful insects and

    rodents, bad smells and consequent effects on health and environment.

    4.4 Jordan

    Solid wastes will continue to be a source of environmental pollution unless scientific and

    sound bases are considered in their management. These wastes constitute a large burden that has

    to be shouldered by the municipalities' budgets and the costs of collection, transport and disposal

    are very high. Prices for machinery required are also very high. Sound management and optimal

    organization are just two factors that will assist in reducing the high costs incurred in solid waste

    management. Last but not least, the education of people regarding pollution and ecological risks

    is another main factor in a successful treatment and processing of solid wastes.

    4.5 Morocco

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    The management of solid waste is largely assured by the local governments with the

    logistics of the Ministry of Environment. In the city of Rabat, population 880 000 inhabitants,

    the management of solid wastes is assured by the cleaning services of the community and urban

    communes. They collect 950 tonnes a day of solid waste of which 90% is of household origin

    and therefore disposal is 25% composting and 75% burying. About 16 tonnes a day of recyclableproducts, of which 83.6% is cardboard, are collected through the acquisition of 1400 dustbins,

    compressing dampers and a new rubbish dump (80 ha). Unfortunately negative repercussions on

    the environment are noted due to bad conditions. Consequently the action plan which will

    include three deadlines, short, medium and long-term should have as its principal orientations:

    sensitization of the population for better conditioning and sorting from the beginning;

    improvement of work and salary conditions of the waste collector; and

    adequate reduction/elimination options.

    4.6 Oman

    Disposal of the various kinds of solid waste is a problem as there are many factors

    affecting both environmental and human health. There are laws of environmental conservation

    and the State makes great efforts to implement the best methods of solid waste disposal. Disposal

    is done in three phases: collection, transportation and final disposal

    With regard to collection, the municipal authorities are trying to provide the largest

    possible number of small waste steel barrels of 200-litre capacity and large mechanical containersof 1.1 m

    3. The municipalities use various vehicles for transportation of solid wastes. The

    automatic vehicles which are used in towns crush and press the waste. The big trucks and small

    vehicles are suitable for the remote areas. For off shore locations, such as islands, large boats are

    used for transportation of waste. The process of final disposal is still being developed, so the

    municipalities are using traditional methods in final disposal of waste at present, such as open

    burning, burying or both. Waste that cannot be burnt, like solid hardware, old vehicles and

    construction refuse are thrown in open specified areas.

    Solid waste in the regional municipalities comes from domestic sources, slaughterhouses,

    workshops, garages, old furniture and wood. They are disposed of at locations far away from

    inhabited areas as specified by the municipality, where they are burnt in the open or buried orboth. The waste from livestock and poultry farms is transported by the farm owners and by the

    municipalities, while tree cuttings and leaves are collected and burnt outside the farms in

    uninhabited areas. Waste from hospitals and clinics, although hazardous, is disposed of in the

    municipality waste bins and then transported by municipality vehicles to the final dumping area.

    Only large hospitals use closed burning areas for disposal of their solid waste. Construction

    refuse is transported to specific locations by the contractors. Old vehicles are collected and

    transported to a specific location near the dumping areas. Currently, some private firms demand

    these steel structures for reuse. Industrial waste is managed by the Ministry of Commerce and

    Industry and oil waste is treated by Ministry of Petroleum and Minerals.

    4.7 Pakistan

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    In accordance with Federal Government policy on local government affairs, provincial

    local governments frame rules for local urban and rural councils. The local councils are

    autonomous bodies and are responsible for solid waste management. The municipalities levy

    taxes for economic development and solid waste management. There is a system of refuse

    storage, collection and disposal. The efficiency and effectiveness of each municipality and its

    organization up varies from city to city.

    4.8 Sudan

    Fifteen percent of the population of 25 million are living in urban areas, and the other

    85% live in rural localities. Refuse collection and disposal has been organized governmental

    work since the beginning of this century, when the British colonizers first adopted that system in

    big towns in the country by using animal carts. Since 1951 local councils have held the

    responsibility for improvement of sanitation and so refuse collection and disposal is a local

    council responsibility. The methods of collection and disposal vary from one locality to another,

    but any system adopted should ensure efficiency and safety of means selected. Community

    participation has an important role in environmental activities in Sudan, and it helps in disease

    control and removal of accumulations of refuse.

    4.9 Tunisia

    The Tunisian strategy on solid waste management is aimed at three targets: preventive

    measures, reinforcement of curative interventions and improvement of environmental control.

    The Solid Waste Management National Programme (PRONAGDES) is one of the curative

    measures chosen by the government to manage solid wastes, protect natural resources, providevarious cities with an efficient system for solid waste management, encourage private sector

    investment in this field, and issue new legislation for the solid waste sector. Ministries, agencies

    and institutions involved in the management of solid wastes are: Ministry of Interior, Ministry of

    Environment and Land Use Planning, Ministry of Public Health, Sanitation Office (l'ONAS),

    Environment Protection National Agency (ANPE) and the municipalities.

    The production of municipal solid waste is about 880 000 tonnes/year for 4.8 million city

    dwellers, with an average production of 500g/day and a growth rate of 1.3% per year. Study has

    shown that the techniques of composting and aerobic decomposition before dumping are the best

    methods to treat municipal solid waste in Tunisia. The National Strategy Plan on Solid Waste

    Management foresees that 50% of municipal solid waste should be eliminated by the year 2005,and 100 % by the year 2025. The success of the National Strategy Plan for Solid Waste

    Management depends on providing financial resources combined with private sector investment

    in this field.

    4.10 Repulic of Yemen

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    The cleaning Department of the Ministry of Construction, Housing and Urban Planning

    has responsibility for solid waste management programmes in the municipalities. Under the

    present system, environmental problems have been low on the list of national priorities, due to

    inadequate financing to cover the total cost of the operations. Solid waste is generated at an

    average of 0.5 to 0.7 kg per person per day, with a density of 0.02 to 0.35 kg per litre. The

    composition of solid waste in the city of Sana'a is: vegetable 49.3%, plastic 8.6%, metals 2.3%,bones 1.2%, textiles 3.6%, glass 1.2%, paper 8% and miscellaneous 8.1%.

    5. CONCLUSIONS AND RECOMMENDATIONS

    5.1 Conclusions

    Solid waste management is one of the most pressing environmental health problems

    requiring immediate and urgent attention in the coming decades by all Member States and

    sustainable solid waste management options need to be identified for adoption. Sanitary landfill

    still offers an acceptable and practical solution to the disposal of municipal solid waste. Solid

    waste management in rural communities is not given a sufficiently high priority while more than

    50% of the population in the Region live in such areas.

    However, while waste minimization at source, recycling, recovery and reuse options can

    offer practical solutions to solid waste problems, there are often no incentives available to the

    waste generators and to industry. Basic guidelines, information and data on solid waste

    management problems, health risks, appropriate local technologies and environmental health

    needs are not available for Member States in the Eastern Mediterranean Region. This could berectified by the production of an appropriate book or manual by WHO. Likewise, adequate laws

    and regulations, policies, strategies and plans of action for the management of solid waste do not

    exist in most of the Member States. Finally, there is a great shortage of trained personnel in the

    field of solid waste management and adequate protection against "occupational hazards and

    health risks" are not available.

    Successful operation of any solid waste management system depends mainly on the

    involvement and participation of the public. The level of cooperation, participation and

    improvement in collection services, especially neighborhood cleanliness, can be increased by

    strengthening of environmental health awareness through the mass media and specifically

    designed community education programmes. The following actions, at national level wererecommended:

    Some legislation exists, in most countries of the Region, for waste management, however,

    it was felt by the participants that the existing legislation in all countries needs to be reviewed

    and updated to reflect current waste management issues, particularly to regulate industrial and

    hazardous wastes. The enforcement of waste management legislation needs to be considerably

    strengthened with sufficient human and financial resources. In some countries this has already

    been addressed by the establishment of environmental protection agencies whose responsibilities

    include waste management, but they have not yet been in operation long enough to assess their

    effectiveness and impact.

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    5.2 Recommendations

    Community involvement, participation, education and awareness

    1. Member States should promote, and seek the assistance of EMRO/CEHA in, setting up andplanning public participation and awareness programmes and facilities.

    2. Central governments should develop well-researched and forceful public educationprogrammes, in close cooperation and consultation with local municipalities or executing

    agencies.

    3. Governments and local authorities should hold education and public awareness programmes inrural areas.

    4. Mass media (television, radio, press, etc.) should be used to emphasize the need for and role ofpublic participation in the efforts related to solid waste collection, storage and its implications

    for health and economics.

    5. Simple teaching materials, in national languages, should be prepared for schools. Schoolchildren should be encouraged to participate in environmental health improvement projects.

    6. Academic institutions, environmental health institutions and agencies, and non governmentalorganizations or groups should be encouraged to sponsor the preparation of promotional and

    demonstration material as well as promote pilot projects to increase community participation

    and develop new approaches.

    7. Consideration should be given to the involvement of the private sector in solid wastemanagement. The role and increased participation of non governmental organizations and

    local social committees and groups, in raising environmental health awareness, and in

    educating the public concerning health hazards associated with solid waste should be

    recognized by the local municipalities.

    Education and training of environmental health personnel in solid waste management

    8. Training efforts should be undertaken by Member States, at three levels of education andtraining in:

    1. Waste management planning for engineers and managers.

    2. Operation, maintenance and overall management for engineers and technicians.

    3. Health and safety requirements and good working practices for supervisors and operators.

    They may also seek support and cooperation from EMRO/CEHA in the preparation of

    relevant teaching and learning materials at various levels and their translation into local

    languages.

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    Appropriate solid waste management technologies and options

    9.The participants agreed that sanitary landfill is the best option for disposal of solid wastes inthe Region. Municipalities, environmental engineering schools and United Nations agencies

    should provide support for the preparation of appropriate guidelines and training courses forthe design and operation of sanitary landfill sites. Crude dumps and open burning sites should

    be replaced by proper sanitary landfill or landfill sites.

    10.Recycling and resource recovery should be promoted with proper consideration forenvironment and health. Separation of municipal solid waste components at source and reuse

    and recycling of materials by industry should be encouraged, by providing practical and

    appropriate incentives.

    11.The success of some composting plants in the Region, and the need for soil conditioning usingorganic materials, such as compost, were noted. It was recommended that more plants be built

    in places where there is a market for compost, and waste segregation is available, and that

    information on operating and managing compost plants be shared freely or through

    CEHANET in the Region.

    12.For economic health and environmental reasons, it was agreed that clinical and medical wastesbe disposed of using small specialized incinerators or by properly designed and secure sanitary

    landfilling.

    13.It was recommended that storage containers and collection vehicles should, where possible, beof types that are suitable for standardization and capable of being manufactured locally, and

    preference should be given to local manufacturers to overcome problems of obtaining spareparts from overseas.

    14.The selection and specification of collection vehicles should be based on local data andconditions. More attention should be focused on measuring work rates and estimating running

    costs so that economical systems are selected.

    15.Proper schemes should be developed for the handling of hazardous wastes at source.Legislation and institutional set up

    16.EMRO/CEHA should support Member States in identifying, through solid waste managementresearch and surveys, strengthening institutional and personnel needs.

    17.All Member States should have national policies regarding equipment and fleets for solidwaste collection and disposal with a back-up policy for replacing and upgrading such fleets.

    18.Appropriate funding should be made available by Member States for solid waste managementschemes in each city and rural community (if possible) to provide equal services to all the

    sectors, regardless of income or socio economic levels.

    19.National environmental health regulations should call for monitoring the safety and health ofall workers involved in solid waste management, through health insurance and other schemes.

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    20.EMRO/CEHA should support Member States in developing national environmental healthpolicies, legislation and regulations related to the management of solid waste in an

    "environmentally sound and health-friendly" manner. Support is also needed by Member

    States in developing regional environmental health intervention levels related to solid waste

    management.

    21.Member States should review their policies concerning the control of solid waste treatmentand disposal, so that it is not necessarily carried out by the ministry of health but by an

    independent agency such as a regional or national organization, (e.g. ministry of environment,

    regional waste disposal authority).

    National goals and plans of action

    22.It is highly recommended that each Member State sets up time-bound national targets for eachmunicipality or district for the preparation and implementation of solid waste management

    plans.

    National plans must include an assessment of current and future environmental health

    personnel, equipment and financial needs. Exchange of solid waste management information (on

    a regional basis) through CEHANET should be encouraged. The action plans may include the

    following:

    One)Identification of priority needs;

    Two)Arranging annual "Environmental Health" and "Cleanliness" days for communities, with

    financial incentives and appreciation/acknowledgment systems;

    Three)Provision for community participation and environmental health awareness in

    highlighting the health risks associated with solid waste management and development

    schemes;

    Four)Training of human resources at all levels;

    Five)Development of systems and technologies that are affordable, robust and appropriate to

    local conditions for storage, collection, resource recovery and disposal of solid waste;

    Six)Introduction of specific management procedures for toxic and hazardous, including

    clinical, wastes;

    Seven)Evaluation of quantities and characteristics and the management of industrial wastes of

    all types;

    Eight)Provision for the exchange of information, knowledge and experiences on national,

    regional and inter regional levels.

    Nine)Development of research on the operation and design of sanitary landfill sites, with

    emphasis on odour control, gas collection and venting, leachate control and other problems,

    based on national and regional experiences.

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    6. PLAN OF ACTION

    All the participants, after review and discussion of the conclusions and recommendations,agreed to the following general points for further follow-up to this Solid Waste Management

    training course in their personal or official capacity.

    1.To translate in to local languages, disseminate, share and spread the information (throughlocal newsletters, news items, etc.) gathered and knowledge gained, and to act as "trainers"

    in implementing activities related to the technical area of solid waste management in their

    respective countries.

    2.To promote and assist their governments in follow-up, through the authorities concerned, ofthe implementation of the recommendations.

    3.To assist with, and promote, the process of collaboration and cooperation betweengovernment, industry and the public.

    4.To obtain appropriate literature, information and support, from WHO and other UnitedNations agencies for education and training.

    5.To print, adapt or translate the appropriate available documents concerning solid wastemanagement and prepare special materials (teaching learning materials) in the country.

    6.To recommend to appropriate authorities, as well as to participate in and promote the holdingof "follow-up" workshops or seminars, at local and national levels.

    7.To arrange to send any success stories and progress in such programmes in the country toEMRO and CEHA, in due course, for inclusion in its newsletter.

    8.To maintain links with EMRO and CEHA and other participants about the tasks beingundertaken or needed, for the purposes of activity networking in the Region and sharing

    technical know-how.

    9.To assist in the formation of twinning inter-municipality programmes.10.To assist in promoting greater understanding of solid waste problems among the people and

    in changing peoples attitudes towards it.

    11.To assist the government in the assessment and evaluation of the solid waste disposal optionsand their environmental health impact assessments.

    12.To initiate and promote processes of recycling and composting as pilot studies and also thehandling of special wastes, such as clinical waste.

    13.To sensitize their respective agency staff and the public through celebration of "WorldEnvironment Day".

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    7. CLOSING SESSION

    Dr Khan thanked the participants for their cooperation and active participation during thetraining course as well as in the formulation of recommendations for future follow-up. He

    emphasized that the participants, after their return to their countries, should disseminate

    information and knowledge gained from the course, might wish to keep a close link with

    WHO/CEHA and feel free to request additional information from CEHA.

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    Annex 1

    AGENDA

    1. Opening Ceremony

    2. Global and Regional Overview of Solid Waste Management

    3. Environmental Pollution and Health Implications of Solid Waste

    4. Solid Waste Surveys, Storage, Collection and Disposal Facilities

    5. Use of Computers in Designing Solid Waste Management Systems

    6. Solid Waste Minimization, Recycling and Composting

    7. Solid Waste Disposal Options

    8. Country Reports

    9. Site Visits

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    Annex 2

    PROGRAMME

    Saturday 25 March 1995

    08:30 - 09:30 Registration

    09:30 - 10:00 Opening Ceremony

    - Message from Dr Hussain A. Gezairy,

    Regional Director, Eastern Mediterranean Office

    - Welcome address by H. E. The Minister of Health, Jordan

    10:30 - 10:45 Introduction of participants

    10:45 - 11:00 - Election of course officers (Chairman, Vice Chairman, Rapporteur)- Announcements

    - Agenda adoption

    - Scheduling of Country Papers

    11:00 - 11:30 Scope and purpose of course (Dr Khan, TRA/CEHA)

    11:30 - 12:00 A global and Regional (EMR) overview of solid waste management (Dr Khan)

    12:30 - 13:30 Environmental Pollution and Health Implication of Solid Waste

    (Dr G. K. Anderson)

    13:30 - 14:30 Discussions

    14:30 - 15:30 Solid waste surveys: Quantities, sources and composition (Mr D. J. Elliott)

    Sunday 26 March 1995

    08:30 - 10:00 Planning and management of storage systems, (Dr G. K. Anderson)

    10:30 - 11:30 Discussions

    11:30 - 13:00 Waste collection vehicles and systems, (Mr D. J. Elliott)

    13:30 - 15:00 Discussions/Case study

    Monday 27 March 1995

    08:30 - 13:00 Site visit to solid waste storage and collection facilities in and around Amman

    13:30 - 15:00 Discussions/Case study

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    Tuesday 28 March 1995

    08:30 - 10:30 Country papers and discussions

    11:00 - 13:00 Continue country papers and discussions

    13:30 - 14:30 Clinical waste management, (Dr G. K. Anderson)

    14:30 - 15:30 Discussions

    Wednesday 29 March 1995

    08:30 - 13:00 Computer aided design of solid waste storage, collection and

    transportation systems, (Mr D. J. Elliott)

    13:30 - 15:00 Solid waste minimization, separation and recycling approaches and options,

    (CEDARE) Eng. M. Akrouk.

    Thursday 30 March 1995

    08:30 - 09:30 Role of community participation in solid waste management

    09:30 - 10:30 Discussions

    11:00 - 12:00 Information management for municipal solid waste management services(Eng. Malkawi, Dr Khan)

    12:00 - 13:00 Discussions

    13;30 - 15:00 Country papers and Discussions

    Saturday 01 April 1995

    08:30 - 13:30 Visit to maintenance workshop for waste management equipment

    13:30 - 14:30 Discussions

    14:30 - 15:30 Waste collection vehicle scheduling and management (Mr El-Hishan)

    Sunday 02 April 1995

    08:30 - 10:30 Siting, design and evaluation of sanitary landfills,

    (Dr G. K. Anderson/Mr D. J. Elliott)

    11:00 - 12:00 Discussions/Case study

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    12:00 - 13:00 Development and use of check lists/methods for evaluating disposal sites,

    (Dr G. K. Anderson/Mr D. J. Elliott)

    13:30 - 15:00 Selection and use of appropriate waste disposal manpower and equipment

    (Mr El-Hishan)

    Monday 03 April 1995

    08:30 - 15:00 Site visit and evaluation of existing landfills (Al-Akaider and Rusaifa) and

    their environmental health impacts

    Tuesday 04 April 1995

    08:30 - 10:30 Feasibility, planning and management of composting in EMR (Dr Natour)

    11:00 - 12:00 Discussions

    12:00 - 13:00 Composting case study (Dr Natour)

    13:30 - 14:30 Incineration as a waste disposal option in EMR (Dr G. K. Anderson)

    14:30 - 15:30 Discussions

    Wednesday 05 April 1995

    08:30 - 15:00 Full day site visit and evaluation of landfill sites of Madaba, Mafraq

    and Humra, as well to a functional hospital waste incinerator

    Thursday 06 April 1995

    08:30 - 10:30 Evaluation of course and recommendations (Dr G. K. Anderson)

    11:00 - 12:00 Closing

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    Annex 3

    LIST OF PARTICIPANTS

    EGYPT

    Mr Youssef Shafik Youssef

    Director General

    Environmental Health

    Ministry of Health

    Cairo

    Mr El Sayed Al Araby Sarhan

    Director

    Potable Water Control

    Environmental Health

    Ministry of Health

    Cairo

    ISLAMIC REPUBLIC OF IRAN

    Mr Sayed Mohammad Hossein Kazemi

    Expert of Environmental Health

    Ministry of Health

    Boushehr Province

    Mr Hassan Ali Jafari

    Senior Expert of Environmental Health

    University of Medical Sciences and Health Services

    Isfahan

    IRAQ

    Eng. Rasoul Sahib Ghazi

    Director of Environmental Protection Unit

    Al Najaf Governorate

    Eng. Mohamed Ali Abdel Ameer

    Chief Engineer

    Environmental Protection Centre

    Baghdad

    JORDAN

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    Eng. Mohammad Khalik Dabbas

    Ministry of Health

    Amman

    Eng. William Salty HaddadGreater Amman Municipality

    Amman

    MOROCCO

    Dr Boukli

    Director

    Bureau Municipal dHygiene

    Rabat

    OMAN

    Mr Mattar Mahkoom Shabail Al Riyami

    Head of Toxic and Hazardous Substances

    Department of Environmental Health and

    Malaria Eradication

    Ministry of Health

    Muscat

    PAKISTAN

    Mr Nayyer Mahmood

    Administrator

    Rawalpindi Municipal Corporation

    Rawalpindi

    Mr Zafar Iqbal Beg

    Environmental Engineer

    Lahore Metropolitan CorporationLahore

    SUDAN

    Mr Kamal Abdel Azim Ibrahim

    Director Environmental Health

    White Nile State

    Mr Mohamed El Gak Humrani

    c/o WR/Sudan

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    TUNISIA

    Mr Raki Zghondi

    Ingenieur PrincipalOffice National de lAssainissement

    Tunis

    Mr Lotfi Helaoui

    Sanitary Engineer

    Environmental Health Division

    Ministry of Public Health

    Tunis

    YEMEN

    Dr Abdel Kaher El Zaemey

    Head, Environmental Health Division

    Civil Engineering Department

    Faculty of Engineering

    Sanaa University

    Sanaa

    Mr Mohamed Abdul Wasih Al Iryani

    Head of Cleaning DivisionEnvironmental Health Department

    Ministry of Housing and Urban Planning

    Sanaa

    OBSERVERS

    United Nations Relief and Works Agency for the Palestinian People in the Near East

    (UNRWA)

    Mr Hassan SalemField Sanitary Engineer

    Jordan

    Mr Ibrahim Al Abdallah

    Senior Sanitarian

    Lebanon

    Mr Zohdi Salah

    Field Sanitary Engineer

    Gaza

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    WHO SECRETARIAT

    Dr M. Z. Ali KhanCoordinator

    WHO Regional Centre for Environmental Health Activities (CEHA)

    Amman

    Dr G. K. Anderson

    WHO Temporary Adviser

    University of Newcastle-upon-Tyne

    United Kingdom

    Mr D. J. Elliott

    WHO Temporary Adviser

    University of Newcastle-upon-Tyne

    United Kingdom

    Dr R. Natour

    WHO National Temporary Adviser

    University of Jordan

    Amman

    Eng. S. Al Hishan

    WHO National Temporary AdviserGreater Amman Municipality

    Amman

    Eng. Mazen Malkawi

    Technical Assistant

    CEHA

    UNITED NATIONS/INTERNATIONAL ORGANIZATIONS

    Engineer Maha AkroukResearch Assistant

    Urbanization and Human Settlements Programme

    Centre for Environment and Development for the

    Arab Region and Europe (CEDARE)

    Cairo

    Egypt