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The National Health Information Center (2011 2014).
Egypt State of the Environment Report (2004 through 2012)
The Integrated Healthcare waste Management System, EEAA / MoHP, April 2010 (in Arabic)
The current Status of HCWM in Egypt a strategic Paper, MoHP / EEAA, 2009
The Integrated Healthcare waste Management System, EEAA / MoHP, April 2010 (in Arabic)
The UNDP Toolkit for identification and Quantification of Releases of Dioxins, Furans and Other
Unintentional POPs Under Article 5 of The Stockholm Convention on POPs.
Environmental Protection law No. 4 / 1994 amended by Law No. 9 / 2009,
Executive regulation promulgated by the Prime Minister Decree No. 338 of 1995 amended by Prime
Minister Decree Nos. 495 / 2001, and 1741 / 2005
Law No. 38 / 1967 on Public Cleanliness and its executive regulations issued by the Minister of
housing Decree No. 134 / 1968
Health Technical Memorandum 07-01: Safe management of healthcare waste- UK Department of
Heath, retrieved from: https://www.gov.uk/government/uploads/system/uploads/attachment_data/
file/167976/HTM_07-01_Final.pdf;
The management of waste from health, social and personal care; RCN guidance, retrieved from:
http://www.rcn.org.uk/__data/assets/pdf_file/0003/572079/RCN_waste_guidance_2014.pdf;
Managing health care waste disposal; Operators manual. Prepared by the World Health Organization, Africa Region, Harare, Zimbabwe; and IT Power India, Pvt. Ltd., Pondicherry, India and
Funded by PATH, Seattle, Washington, USA, retrieved from: http://www.path.org/publications/files/
TS_waste_disposal-operators.pdf;
Preparation of National Health-Care Waste Management Plans in Sub-Saharan Countries, Guidance Manual. UNEP- Secretariat of the Basel Convention and World Health Organization, retrieved
from: http://archive.basel.int/pub/techguid/gm_hc_sussahara_e.pdf;
Waste Management Awareness Handbook- 2011. Health Service Executive- Estates Directorate
Dublin Mid-Leinster, retrieved from: http://pnd.hseland.ie/download/pdf/waste_management_handbook.pdf;
Self-Assessment Manual for Proper Management of Medical Waste, Prepared by The Self-Assessment Project Partnership between the California Department of Health Services and the California
Healthcare Association. Retrieved from: http://www.cdph.ca.gov/certlic/medicalwaste/Documents/
MedicalWaste/SelfAssessmentManual.pdf;
An Introductory Guide to Healthcare Waste Management in England & Wales- April 2014. Retrieved
from: http://www.ciwm-journal.co.uk/downloads/Healthcare-Waste-WEB.pdf;

134
-

Infection Prevention and Waste Management in Merrygold Health Network; Participants Manual 2008. Uttar
Pradesh Social Franchising Project. A project supported by USAID & SIFPSA and Implemented by HLFPPT Retrieved from: http://www.sifpsa.org/digitization/cd1_vol2/1.6.pdf;
Guidance on the Management of Manual Handling in Healthcare. Published in 2011 by the Health and Safety Authority, Dublin. Retrieved from: http://www.hsa.ie/eng/Publications_and_Forms/Publications/Healthcare_Sector/
Manual_Handling_Health_Care.pdf;
Uganda National Guidelines: Managing Healthcare Waste Generated from Safe Male Circumcision ProceduresAugust 2013. Retrieved from: http://www.malecircumcision.org/programs/documents/AIDSTAROne_Uganda_
VMMC_Guidelines_Final.pdf
Safe Handling of Health Care Waste - A selection from Hesperian Foundations forthcoming Community Guide
to Environmental Health- 2005. Retrieved from: http://hesperian.org/wp-content/uploads/pdf/environmental/
HC_waste.pdf;
GUIDELINES ON CHEMICAL MANAGEMENT INHEALTH CARE FACILITIES, Medical Staff Safety and Health
Unit, Quality in Medical Care Section, Medical Development Division- Ministry of Health Malaysia. Retrieved from:
http://www.moh.gov.my/images/gallery/Garispanduan/Guidelines_on_Chemical-1.pdf;
WHO Guidelines on Safe Management of Wastes from Healthcare Activities second edition 2013, retrieved from:
www.who.int/iris/bitstream/10665/85349/1/9789241548564_eng.pdf;
WHO Laboratory Biosafety Manual- third edition 2004, retrieved from: www.who.int/csr/resources/publications/
biosafety/WHO.../en/ ;
US-AID, MoSEA, EEPP Medical waste Guide, retrieved from: www.sadcpppnetwork.org/index.php;...ch11...
waste;
Philippines Manual on HCWM, retrieved from: www.doh.gov.ph/sites/.../Health_Care_Waste_Management_
Manual.pdf;
California State University Medical Waste Manual, retrieved from: https://www.csuchico.edu/ehs/_pdf/medical_
waste_manual.pdf
U
niversity of New Hampshire Bio- hazardous Waste Disposal Plan- August 2012, retrieved from: http://www.
unh.edu/research/sites/unh.edu.research/files/docs/EHS/Biosafety/UNH%20Biohazardous%20Waste%20Disposal%20Manual.pdf;
India Bio-Medical Waste Management Rules- 1998, retrieved from: http://www.envfor.nic.in/legis/hsm/biomed.
html;
South Africa Manual on Management of healthcare waste: Part 1: Management of healthcare risk waste from a
healthcare facility, retrieved from: https://law.resource.org/pub/za/ibr/za.sans.10248.1.2008.pdf.

135
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