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:

0 2590 4393
:
0 2590 4388
:
env-med@googlegroups.com
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5 6

11000

2558



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(Hot Zone)
20,000 (500-3,000 )

2556
26.77 2
2,490
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6.9 ( 26)
(, 2557)

(, 2557)


3
1. 2.
3.
4.- 5.


2558

2558

1-2

3-7

8-10

11-16

17-18


-

-
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20
21


2557 (First Draft) 77 2557 (
12 2558) 26,171,360.76 /
4,422 3,337
14,799,821.25 10
()
(, 2558)
2556
7,782 26.77 2
20

20



20 (
) 40
509 6,700 (
12 20 ) 1,300
( : , 2557)
1 10

1.03 2551 1.15


2556
1.89 1.15 1.02 3.90
0.91 2.65
2.04 77 0.61 23

65 (
27), ( 19), , , , /, ,
35


(, 2557)

1 2556

..2525

.. 2535


.. 2535




2
( : http://www.pelmfg.com/home/homepage-panel-2/)

3
( 1.1)
(Residential waste) (Commercial waste)
(Agricultural waste) (Industrial waste)
(Hospital waste)
( 3 , 2555)
1. 4
1)
2)

3)
4)
2. 3
1)
2)

3)


(Solid waste)

(Agricultural waste)

(Municipal waste)

(Household Hazardous waste)

(Rubbish)

(General Waste)

(Industrial Waste)

(Hazardous Waste)

(General Waste)

(General waste)

(Hazardous Waste)

(Garbage)

- -


(Reduction) (Separation)
(Reuse) (Recycle) (Disposal)
( 3 , 2555) 4

Reduction
Separation

Reuse

Recycle

Disposal

1. (Source Reduction)







2. (Separation)





3. (Reuse)

4. (Recycle)






5. (Disposal)



( )

1.
-

-


- CRT


-
-
-

-

2.



3.



4.

()

5.

6.

1.

2.

3.

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1.
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1.2



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1.3



1.4



2.
2.1 .
2.2

10

WH-01
()

5 ..

11

1.


OPD

2.



( 1 20)

OPD Card
3.


: ( 2 21)
4.




5.

JHCIS HOSxP_PCU
ICD-10

12

6.


7.



8.


1.
. .. .
2. .

3.
4. /
1)

2)
.

5.

6.
7.

13

1) delta-ALA Coproporphyrin

- 60 ug/dl
- 60 ug/dl EDTA
- 10 14 ug/dl
- 20 44 ug/dl -
45 69 ug/dl succimer
- 70 ug/dl
-
(, )
5 ug/dl
5 25 ug/dl
25 60 ug/dl 60
80 ug/dl 80 ug/dl

0.3 / (
0.1 /)
2)

1.

Hepatic angiosarcoma mees line
2.
3.
4.
5.
- 10 g/L
24
10 g/gCr ( background exposure ) 0.01 mg/m3
50 g/gCr 1000 g/gCr

14

- (total arsenic)
()
MMA DMA ( metabolites )
total arsenic
- systemic

- CBC, blood smear ( basophilic stripling), electrolytes, glucose, BUN, creatinine, liver enzymes,
CPK, UA, EKG, x-ray abdomen & chest, nerve-conduction studies, tissue biopsy ()

CBC, UA, BUN creatinine, liver enzyme

4)

1.


2.

3.
35 / 15 / EMG NCV
macroglobulin
4.

5.
(,)
- (Elemental mercury) (Inorganic mercury) (biomarker) (recent exposure) (long-term exposure)
2 4

- (Organic mercury)
200 ug/l
50 ug/g
10 ug/100 ml

15

-
(Chest X-ray) (BUN, creatinine)
(electrolyte) (arterial blood gas)
32microglobulin microalbuminuria

ug/l (1ug/g Cr)

16

(
, 2548 , 2557)
1. .. 2535

2. .. 2535

3. .. 2535

4. .. 2522


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.. 2485 .. 2490
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17 (11) 17 (12)
16, 17 18


2. .. 2528

89 (4) (10)

17

3. .. 2540

45 (7)
4. .. 2496
50 (3) 53 (1) 56 (1)
5. .. 2537

23 (3)
6. .. 2521
67 (5) (6)

(, 2555 , 2557)
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200 (kVA)


2. .. 2536
200
3. ( 2) .. 2550
(
.. 2535 )
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4. .. 2550
(8)

2 3
93-97

18

19

OPD


Y97
OPD/..
HN.

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3.


3.

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1. 1.

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2. 2.

3 3


3. 3.

1-3 1-3


5
3

1-3

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22

. (First Draft) 77 2557. [Online], 2558,


http://www.pcd.go.th/info_serv/File/WasteProvince58.xls [2 2558]
. .. 2556. [Online], 2557,
http://www.pcd.go.th/public/Publications/print_report.cfm?task=report2556
[2 2558]
. . [Online], 2557,
http://library.senate.go.th/document/Ext7449/7449113_0002.PDF
. .
. , 2555.
3 .. . 2555,
www.reo3.go.th/newversion/images/stories/o_persent/000/02.docx
[2 2558]
.
.
: , 2548

23

24

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