Environmental Sanitation

Environmental health is a branch of public health that deals with the study of preventing illnesses by managing the environment and changing peoples behavior to reduce exposure to to biological biologi cal and non-biological agents of disease diseas e and injury injury..

ENVI EN VIRON RONME MENT NTAL AL SAN SANIT ITA ATI TION ON y

all factors factors in mans Study of all

physical environment, which may exercise exercise a deleterious deleterio us effect on his health well-being and survival.

Program strategies and activities environmental sanitation environmental health impact assessment occupational 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

TRIAD: MAN-DISEA SE AGENT-ENVIRONMENT

PREVENTIVE

STRATEGIES

Change the peoples behavior to manipulate

environment and reduce their exposure to biological and non-biological disease agent

Food safety practices

Ingestion of clean foods and drinking H2O

Prevention of disease

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

PREVENTIVE STRATEGIES

manipulate the environment to prevent production or presence of 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

PREVENTIVE STRATEGIES INCREASE MANS RESISTANCE OR IMMUNITY TO DISEASE AGENTS

immunization

Resistance against disease

Herd immunity among children in the community

FACTORS THAT INCLUDE IN ENVIRONMENTAL SANITATION Water sanitation Food sanitation Refuse and garbage disposal Excreta disposal Insect vector and rodent control

Housing Air pollution Noise Radiological protection Institutional sanitation Stream pollution

HEALTH AND S ANITATION Environmental health and sanitation is still a health problem in the country. Diarrhea pneumonia malaria Tuberculosis

infectious hepatitis Intestinal parasitism filariasis Schistosomiasis dengue hemorrhagic fever

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The DEPAR TMENT 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

S ANITATION P ROGRAM

WATER SUPPLY

S ANITATION

P ROGRAM

POLICIES:  Approved

types of water facilities

LEVEL 1 POINT SOURCE a 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 households Not more than 250 ms. 40-140 liters

WATER SUPPLY

S ANITATION

P ROGRAM

LEVEL II- COMMUNAL FAUCET SYSTEM OR STAND POSTS y

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A 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.

WATER SUPPLY

S ANITATION

P ROGRAM

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

WATER SUPPLY

S ANITATION

P ROGRAM

Unapproved type

water facility W ater coming

from doubtful sources such as; dug wells, unimproved springs, wells that need priming

of

WATER SUPPLY

S ANITATION

P ROGRAM

Access

to safe and potable drinking water Water

quality and monitoring surveillance

PROPER

EXCRETA AND SEWAGE PROPER EXCRETA DISPOSAL AND PROGRAM

SEWAGE DISPOSAL PROGRAM

PROPER

EXCRETA AND SEWAGE DISPOSAL PROGRAM P O L I C I E S

 Approved types of

toilet facilities

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

PROPER

EXCRETA AND SEWAGE DISPOSAL PROGRAM

Level 2 on

site facilities of the water carriage type with water.

Level 3

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

FOOD S ANIT A TION PROGRAM

FOOD

P

SANITATION PROGRAM

OLICIES 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 A dministrative 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 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 EX CELLENT, VERY S A TISFA CTORY, S A TISFA CTORY. Household food sanitation are to be promoted and monitored and food hygiene education.

FOUR RIGHTS IN FOOD SAFETY

Right source Right preparation Right cooking Right storage Rule in food safety: when in doubt, thr ow it out

HOSPITAL WASTE MANAGEMENT PROGRAM

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.

HOSPI

STE

P

EMENT PROGRAM

O L I C I E S

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

HOSPITAL

ASTE MANAGEMENT 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 cl ean air act of 1999 Local ordinances regarding the collection and disposal techniques shall be institutionalized.

RECENT NATIONAL AND INTERNATIONAL ENVIRONMENTAL LAWS AND DOH POLICIES AFFECTING ENVIRONMENTAL HEALTH AND SANITATION

RECENT NATIONAL AND INTERNATIONAL ENVIRONMENTAL LAWS

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.


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2-R.A. 6969 Toxic substances and hazardous and nuclear waste control act of 1990Regulating the importation, use, movement, treatment and disposal of toxic chemicals and hazardous and nuclear waste in the Philippines. 3 3-R.A. 8749 Clean air act of 1999 provides a comprehensive air pollution management and control program to achieve and maintain healthy air.

4-R.A. 900 3 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.


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SEC. 3. Declaration of Policies. 

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


Focus on control and provide for a comprehensive management program primarily on pollution prevention rather than for air pollution; 5. Promote public information and education and to encourage the participation of an informed and active public in air quality planning and monitoring; and 6. Formulate and enforce a system of accountability for short and longlong -term adverse environmental impact of a project, program or activity. This shall include the setting up of a funding or guarantee mechanism for clean clean--up and environmental rehabilitation and compensation for personal damages.

4.

6-SUPPLEMENTAL IMPLEMENTING R ULES A ND REGULATIONS OF CHAPTER II-WATER SUPPLY OF THE CODE ON SA NITATION 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 XV II ON SEWAGE COLLECTION A ND DISPOSAL A ND EXCRETA DISPOSAL A ND DRA IN AGE OF THE SA NITATION CODE OF THE PHIL.(PD 856)

NUR SING RESPONSIBILITIES AND A CTIVITIES

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 campaign Be a role model for others Participate in the research Help in the interpretation and implementation Assist in the disaster management

Environmental Sanitation

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