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Dáil
‹ Ceisteanna—Questions. Oral Answers. - Hospital Waste Disposal.

Hospital waste disposal and incinerator safety

Summary

Deputies questioned whether hospital waste disposal—particularly incineration at Dublin hospitals—was exposing communities to toxins and pollution, citing outdated or inadequately commissioned plant and specific concerns about Beaumont Hospital and landfill use in Meath. The Minister said his Department was consulting the Department of Health, pursuing a code of practice and regulations for incinerators, and addressing proper commissioning and operation; he did not directly resolve the specific Beaumont concerns in the exchange.

asked the Minister for the Environment if his attention has been drawn to a report (details supplied) on the disposal of hospital waste in the Dublin area and to a survey carried out in that respect, indicating that the disposal of hospital waste at present is not being carried out in accordance with the highest possible standards and the present methods of disposal could lead to air or water pollution and to the possibility of toxins being introduced into the environment; the action he or any of his colleagues intend to take to remedy the situation, where hospitals designed to facilitate the highest standards of health care, may unwittingly be contributing to ill-health among the population on account of these deficiencies.

Comment on this

The report to which the Deputy refers appears to be an internal report to a sub-committee of Dublin Corporation who are responsible under the European Communities (Waste) Regulations, 1979 for the planning, organisation, authorisation and supervision of all waste operations in their area. My Department are, however, at present in communication with the Department of Health in relation to the general question of disposal of hospital wastes including, in particular, a European Community proposal to include hospital and other clinical wastes in a new and extended definition of hazardous waste.

As regards disposal of hospital waste by incineration, the Air Pollution Act, 1987 obliges the occupiers of non-domestic premises, including premises belonging to the State, to use the best practicable means to prevent or limit air pollution. Hospital incinerators are within the scope of the Act and subject, therefore, to its general provisions. I have recently made regulations entitled the Air Pollution Act, 1987 (Licensing and Industrial Plant) Regulations, 1988 which established a licensing system for new plant to which the Act applies and for certain classes of existing plant in which specified processes, including the incineration of solid or liquid chemical waste, take place. I intend that, in due course, all existing plant, including existing hospital incinerators, will be brought within the scope of the licensing system.

Comment on this

It is the reference to "in due course" that perturbs me. Am I right in saying that the nature of hospital waste is such that it contains, or can contain, serious toxins and carcinogens and that at present in the survey referred to here of 21 Dublin hospitals, very many of these had standards of incineration and disposal of wastes which were utterly unacceptable and illegal? Am I right in saying that they would be likely to lead to the emission of the kind of substances to which I have just referred? Would the Minister tell me what exactly he is doing immediately to deal with the crisis which some of these hospitals have? In one place, for example, there are——

Comment on this
Seán Treacy An Ceann Comhairle Independent

Please, Deputy, I am appealing for brevity in order to make some appreciable progress at Question Time.

Comment on this

This is a serious case, but I do not want to go on too long about it.

Comment on this

I accept the Deputy's point of view on the matter that incineration of all kinds of waste is important, but particularly clinical waste. It must be of serious concern and, as the Deputy quite rightly says, a few incidents did take place——

Comment on this

Not only a few.

Comment on this

A few that were brought to our notice, in so far as the disposal of clinical waste on landfill tips is concerned. That is why we are pursuing efforts to arrive at a defined code of practice with which the health authorities and medical staff generally should be obliged to comply, and they will be so obliged. An important aspect in regard to the regulations, is that they will be applied to new plant as at 1 February but progressively after that to all existing plant, including incineration plant. In support of that, the Commission itself is conscious of the very problem about which the Deputy has been talking — and I share his concern. A new hazardous waste directive is being put together which will include hospital wastes and how they should be dealt with effectively. In the meantime we are getting a code of practice agreed on in the Department.

Comment on this

It is not a question of a code of practice, but simply that the incinerators in many of the hospitals at present are, by definition of age and inadequacy as referred to in the report, simply not able to burn the waste at a temperature which would not allow toxins to escape. It is not a question of a code of practice, but of plant being inadequate. Am I right in saying that there have been proposals in front of the Department of Health and perhaps the Department of the Environment for many months seeking permission to install incinerators which will do the job? Would that not help to solve the problem? Why does the Minister not act in that respect? The directives in place at present are simply being ignored.

Comment on this

This matter comes up in another question about the study that I authorised some months ago as regards feasibility of waste disposal methods. That report arrived into the Department in the last while.

Comment on this

We are talking about urgent danger from incinerators.

Comment on this
Seán Treacy An Ceann Comhairle Independent

Order, please. I call Deputy McCartan.

Comment on this

Could I ask the Minister to reply to the question about out-of-date plant? Is that not the essence of the question?

Comment on this

Absolutely.

Comment on this
Seán Treacy An Ceann Comhairle Independent

I cannot compel the Minister to speak if he does not want to.

Comment on this

It is germane to the question.

Comment on this

There is a number of incinerators in question; there is no conflict on this. All incineration should be carried out properly, with a proper facility. Some of the plant, as the Deputy quite rightly says, are older types but some of the newer hospitals have a new model incineration plant.

Comment on this

That is in question.

Comment on this

It is not a question of the plant, but how it is commissioned and operated also that matters a great deal.

Comment on this

That is not the question.

Comment on this

That is why——

Comment on this
Seán Treacy An Ceann Comhairle Independent

Let us hear the Minister's reply.

Comment on this

I am sorry, but I have to complain about Beaumont Hospital.

Comment on this

Is it any wonder that there is smog in this city? We are getting smoggy answers.

Comment on this

The plant will operate satisfactorily when it is properly commissioned to do so. That is why we have taken the matter up with the Department of Health to see to it that it functions properly.

Comment on this

Of the 21 hospitals surveyed, is the Minister aware that the most worrisome of the lot is Beaumont Hospital which, although open only a matter of months, has an incinerator that is utterly inadequate because of its poor commissioning? Is the Minister aware, in an update to the report he has, that landfilling in County Meath was proceeded with without planning permission and that the hospital has now reverted to using its incineration plant, which is polluting the Artane and Coolock areas at an unmerciful rate?

Finally, is the Minister aware that the environmental health officer of the corporation, Mr. O'Reilly, is seeking an urgent meeting with him to look at the organisation of a central plan or plant, an incinerator to service all Dublin hospitals, one for the north side and one for the south side? In view of the urgent implications of the report, would the Minister be agreeable to meeting with him and to responding to proposals?

Comment on this

If he wishes to see me, the answer is yes.

Comment on this

What about Beaumont Hospital?

Comment on this
Seán Treacy An Ceann Comhairle Independent

I call Question No. 6.

Comment on this