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Why the construction project of medical waste disposal facilities in Ganzi was delayed for ten years

Sichuan Online July 25, 2017

    Xu Denglin  

The cement tanker drove in slowly, and the ready-mixed concrete flowed out of the pipe, and seven or eight workers bowed hard. 21 日上午,在甘孜州康定市雅拉乡康定市城市生活垃圾处理厂预留场地内,到处一派忙碌景象,甘孜州医疗废物集中处置设施建设项目正快速推进。 On the morning of July 21 , in the reserved site of Kangding City Municipal Solid Waste Treatment Plant in Yala Township, Kangding City, Ganzi Prefecture, there was a busy scene everywhere, and the construction project of the centralized medical waste disposal facility in Ganzi Prefecture was progressing rapidly.

   "The local government has issued a death order, and the project is scheduled to be completed as scheduled." Lei Shuai, the person in charge of the construction project of Sichuan Province ’s construction mechanization engineering company Ganzi Prefecture ’s medical waste centralized treatment facility construction project, told reporters that as long as it ’s not raining, workers are fighting on the site. .

   3 月,省环境保护督察甘孜州督察组发现甘孜州医疗废物集中处置设施建设项目推进严重滞后,遂下达了整改令。 In March this year , the provincial environmental protection inspector Ganzi Prefecture inspection team found that the construction of the medical waste centralized disposal facility construction project in Ganzi Prefecture was seriously delayed, and then issued a rectification order. This caused the Party and government of Ganzi Prefecture and Kangding City to attach great importance to it. Ganzi Prefecture urged to accelerate the implementation of the project of the Leading Group Office of Ganzi Prefecture ’s Medical Waste Centralized Disposal Facility Construction Project.

   Workers at the construction site of the centralized medical waste disposal facility in Ganzi Prefecture measured the elevation of the cushion.

   Backlog of back payment

   2003 年《全国危险废物和医疗废物处置设施建设规划》中的建设规划项目。 Ganzi Prefecture's medical waste centralized treatment facility construction project is a construction planning project in the 2003 National Hazardous Waste and Medical Waste Disposal Facilities Construction Plan. 年到 2006 年,该项目先后完成可研编制及评估、环评批复、项目申报及批复。 From 2005 to 2006 , the project has completed the feasibility study preparation and evaluation, environmental impact assessment approval, project application and approval. 年,项目获得中央预算内专项资金和康定市财政配套资金合计 794 万元。 In 2007 , the project received a total of 7.94 million yuan from special funds in the central budget and supporting funds from Kangding City .

   2008 年完工是没有多大问题的。”省环境保护督察甘孜州督察组副组长、省环境保护厅核安全总工程师董晓辉介绍,但由于各种原因掣肘,该项目到今年省环境保护督察组下沉督察时,项目选址都未最后敲定。 "If all goes well, there should be no major problems for the project to be completed in 2008. " Dong Xiaohui, deputy leader of the provincial environmental protection inspector Ganzi Prefecture inspection team and chief engineer of nuclear safety of the provincial environmental protection department, introduced the project, but due to various constraints, the project By the time this year's provincial environmental protection inspection team sinks the inspectors, the project site has not been finalized.

   Therefore, the construction of Ganzi Prefecture ’s medical waste centralized disposal facility construction project is listed as one of the ten outstanding environmental issues of the provincial-level supervision of the province.

   6 19 日,甘孜州成立了甘孜州督促加快推进甘孜州医疗废物集中处置设施建设项目领导小组。 After receiving the rectification order, on June 19 this year , Ganzi Prefecture set up a leading group in Ganzi Prefecture to urge and accelerate the construction of a medical waste centralized disposal facility construction project in Ganzi Prefecture. Subsequently, Kangding City formulated the Work Plan on Accelerating the Construction Project of Centralized Medical Waste Disposal Facilities in Ganzi Prefecture. 2018 12 月底建成项目并完成设备安装调试和试运行”。 The plan shows that the construction project of medical waste centralized disposal facilities in Ganzi Prefecture "ensures that the project is completed by the end of December 2018 and the equipment installation, commissioning and trial operation are completed."

   "According to the general goal of completion at the end of next year, the re-optimization of the project scheme design, civil construction progress, equipment procurement, installation and commissioning have all reversed the construction period," said Du Xuegang, deputy mayor of Kangding. At present, the project scheme design Optimization and project cushion concrete casting are progressing simultaneously.

   10 多名工人在这里进行垫层混凝土浇铸,等方案设计再优化完成后,每天要安排 40 多名工人抢工期。”雷帅告诉记者,按照康定市政府要求,项目土建必须在今年内全部完成。 "Now more than 10 workers are casting the cushion concrete here every day. After the plan design is optimized again, more than 40 workers will be required to rush the construction period every day ." Lei Shuai told reporters that according to the requirements of the Kangding Municipal Government, the civil works of the project must be All completed within this year.

   High standard building people's heart project

   6 月,康定市迅速确定了项目选址,在甘孜州康定市雅拉乡康定市城市生活垃圾处理厂预留场地内建设该项目。 After Ganzi Prefecture ’s medical waste centralized treatment facility construction project was included in one of the ten outstanding environmental issues supervised by our province, in June this year , Kangding City quickly identified the project location in Kangding City, Kangding City, Ganzi Prefecture. This project will be built in the reserved site of the Municipal Municipal Solid Waste Treatment Plant.

   "Here is the pressure on me to construct a project for the centralized disposal of medical waste in Ganzi Prefecture," said Zhang Minggang, deputy secretary of the Party Committee of the Yala Township and head of the township. In the past, the construction of a municipal solid waste treatment plant in Kangding City partially overdrawn the local people. trust.

   90 年代末期,康定市在雅拉乡建设康定市城市生活垃圾处理厂,当时有干部在给当地群众做思想工作时表示,“垃圾处理厂排出的水都可以喝”。 Zhang Minggang recalled that in the late 1990s, Kangding City built a Kangding Municipal Solid Waste Treatment Plant in Yala Township. At that time, some cadres said that "the water discharged from the waste treatment plant can be drunk" when doing ideological work for the local people. The fact is that after the completion of the Kangding Municipal Solid Waste Treatment Plant, the operation was extremely irregular. Especially three years ago, the local stinky water was flowing and flies covered the nearby utility poles. "Fortunately, in recent years, the government has vigorously rectified the environment of the waste treatment plant and eliminated the odor and flies, and the masses have no complaints." Zhang Minggang said that the construction project of centralized medical waste disposal facilities in Ganzi Prefecture must be constructed to a high standard, otherwise, he did not Facing the masses.

   0.14 / 年,化学需氧量重铬酸钾指数小于或等于 0.81 / 年。 Yuan Liang gave Dingxin Pill to Zhang Minggang. According to the related design, the total control index of the main pollutants in the construction project of the centralized medical waste disposal facility in Ganzi Prefecture is: ammonia nitrogen is less than or equal to 0.14 tons / year, and the chemical oxygen demand potassium dichromate index is less than or Equal to 0.81 ton / year. "If the construction and operation do not go wrong, the project pollutants can reach the standard discharge." Yuan Liang said.

   3 吨,基本可以解决甘孜州包括康定、泸定、丹巴等县市在内该州大部分医疗废物的科学处置问题。 Ganzi Prefecture's medical waste centralized disposal facility construction project is designed to handle 3 tons of medical waste per day, which can basically solve the scientific disposal of most medical waste in Ganzi Prefecture including Kangding, Luding, Danba and other counties. "This is actually a popular project." Yuan Liang said that after the project was completed, medical waste disposal in many counties and cities in Ganzi Prefecture not only reduced costs, but also avoided secondary pollution to a greater extent.

   In order to build a high-level and assured project for people's minds, Ganzi Prefecture Environmental Protection Bureau, Yala Township Government, and local villagers participated in the construction of the project during the construction of the medical waste centralized treatment facility construction project in Ganzi Prefecture. "At present, we are still planning to prepare a garden-type environmental protection model project for the construction of Kangding Municipal Solid Waste Treatment Plant and the Ganzi Prefecture Medical Waste Centralized Disposal Facility Construction Project," said Du Xuegang.

Luding County People's Hospital medical waste classification is temporarily stored.

   The parties said

   Yang Jiankang, director of Kangding Municipal Administration Bureau: Multiple factors cause serious delay in project construction

6 月,甘孜州医疗废物集中处置设施建设项目完成了招标代理机构比选,确定了招标代理单位,因为征地费用超过了预算,故对建设用地进行重新调查,组织地勘、设计、评审等,到 2011 10 月才完成。 In June 2008, the construction project of the centralized medical waste disposal facility in Ganzi Prefecture completed the selection of bidding agencies and determined the bidding agency. Because the cost of land acquisition exceeded the budget, the construction land was re-investigated and geological survey, design, and review were organized. Wait until October 2011.

   After the project was delayed for too long, as the prices rose, the original planned construction funds were insufficient. 10 月至 2012 4 月,康定市多次向省、州发改部门报告,请求追加该项目建设资金,发改部门不同意增加建设资金,要求优化设计解决问题, 2012 9 月才完成设计优化。 From October 2011 to April 2012, Kangding City reported to the provincial and state development and reform departments for many times, requesting additional construction funds for the project. The development and reform departments did not agree to increase construction funds, and requested optimized design to solve problems. Only in September 2012 Complete design optimization.

10 月,项目业主单位对土建工程开始招标, 11 月底施工、监理单位均因无单位报名而流标。 In October 2012, the owner of the project began to invite tenders for civil engineering works. At the end of November , the construction and supervision units had lost bids because no units had registered. 1 月再次组织招标, 2 月初施工单位招标成功,监理单位再次流标。 In January 2013 , the bidding was organized again. In early February , the bidding of the construction unit was successful, and the supervision unit was again tendered. 3 月变更监理单位招标方式批准后,招标成功。 In March 2013 , after the approval of the bidding changes of the supervision unit was approved, the bidding was successful.

   2014 4 月施工单位开始现场放线,当地部分不了解情况的群众对该项目进行阻止。 Since April 2014 , the construction unit started to put the line on the scene, and some people who were not aware of the situation in the local area blocked the project. 6 月,施工单位开展场平作业,当地部分村民将标线清除,阻止工程队场平,导致项目完全无法正常建设。 In June 2013, the construction unit carried out the field leveling operation, and some local villagers cleared the marking line to prevent the project team from leveling up, resulting in the project's normal construction.

   Law enforcement officers checked the medical waste account of Luding County People's Hospital.

   Squat survey》》》

   Under the high pressure of environmental protection, the transitional solution solves the problem of medical waste treatment

   An open mountain recess is full of waste tires, packing boxes, black plastic bags and other waste. A compressed garbage truck slowly drives into layers of garbage dumps. 14 中午,在甘孜州泸定县杵坭乡联合村的垃圾填埋场,由于阳光曝晒,填埋场偶尔散发出烂鸡蛋的气味,在风中飘散。 At noon on July 14 , at the landfill site of Lianhe Village, Jiluo Township, Luding County, Ganzi Prefecture, the landfill occasionally emits the smell of rotten eggs due to sunlight exposure and drifts in the wind.

   "In the past, some people burned medical waste here, and the smell was so loud. Now I haven't seen them coming for a long time," said Zhang Guoqiong, a villager in Lianhe Village, Kitao Township.

   It turned out that under the high pressure of environmental protection, Ganzi Prefecture formulated a transitional disposal plan to solve the problem of medical waste treatment and temporarily eased the contradiction of medical waste treatment.

   Inspector discovers medical waste disposal issues

   Zhang Guoqiong did not know that no one had burned medical waste in the Lianhe Village landfill for a long time. The feedback from the provincial environmental protection inspector Ganzi Prefecture inspection team was caused by rapid rectification and implementation.

   Luding County People's Hospital is the largest hospital with the largest medical service in Luding County. For a long time, the problem of difficult medical waste disposal has always existed.

   15 公里之外,最后都在杵坭乡联合村的垃圾填埋场焚烧后掩埋处理。”泸定县人民医院院长肖春燕坦言,他们也知道这种处理方式有问题,但努力了很多年想解决这个问题都未能解决。 "In the past, the temporary storage and management of medical waste generated by the various departments of the hospital did have irregular standards. In terms of treatment, it was transported by an old ambulance to a distance of 15 kilometers every few days . Finally, it was all in the garbage of Lianhe Village, Jiluo Township. The landfill was burned after being burned. "Xiao Chunyan, director of Luding County People's Hospital, admitted that they also knew there was a problem with this method of treatment, but they tried hard to solve this problem for many years and failed to solve it.

   Ni Yuegang, director of the Luding County Health and Family Planning Bureau, introduced that since he was director, he has been going around to find solutions to local medical waste disposal issues. He has visited Ya'an, Luzhou and other places to discuss cooperation with related medical waste disposal companies. "Three years ago, a medical waste disposal agreement was finally negotiated with a company in Luzhou, but because the garbage transfer truck could not go through the city, the matter was delayed again and again." Ni Yuegang said.

   3 6 日,有省环保厅、省卫生计生委等部门参与的省环境保护督察甘孜州督察组在泸定县人民医院督察时,发现了该医院医疗废物处置存在的问题。 On March 6 , this year , the provincial environmental protection inspector Ganzi Prefecture inspection team with the participation of the Provincial Environmental Protection Department, the Provincial Health and Family Planning Commission and other departments discovered the problems in the disposal of medical waste at the Luding County People's Hospital.

   "The medical waste is stored for too long, the transfer vehicles are not standardized, and the disposal measures are not standardized." Zhou Lihua, head of the Medical and Political Section of the Ganzi Prefecture Health and Family Planning Commission, introduced that the provincial environmental protection inspector Ganzi Prefecture inspection team proposed this to the Luding County People's Hospital. Three issues, ordered to rectify within a time limit.

   2 月底到 3 月,省环境保护督察甘孜州督察组除督察泸定县人民医院,还督察了甘孜州人民医院、康定市人民医院、稻城县人民医院等医疗机构。 From the end of February to March this year , the provincial environmental protection inspector Ganzi Prefecture inspection team inspected Luding County People ’s Hospital, and also inspected Ganzi Prefecture People ’s Hospital, Kangding City People ’s Hospital, and Daocheng County People ’s Hospital. 16 条问题。 The inspectors found 16 issues including unclear medical waste accounts, lack of dedicated management of medical waste incinerators, irregular sewage treatment systems, and extensive management of medical waste disposal and management .

   6 县市进行督察后,甘孜州卫计委高度重视,赓即召开医疗废物管理督察专题会议,对相关工作进行全面的安排部署。 After the provincial environmental protection inspector Ganzi Prefecture inspection team inspected 6 counties and cities in Ganzi Prefecture, the Ganzi Prefecture Health and Family Planning Commission attached great importance to it and immediately held a special conference on medical waste management inspection to make overall arrangements for related work. 4 月以来,州、县 ( ) 卫计委 ( ) 、卫计监督执法机构先后派出 4 轮次 8 批次专项督察组,对甘孜州级医疗卫生单位及 18 县市医疗废物处置情况开展了全覆盖督察。 Since April , the State, County ( City ) Health and Family Planning Commission ( Bureau ) , and the Health and Family Planning Supervision and Enforcement Agency have sent 4 rounds of 8 batches of special inspection teams to the Ganzi Prefecture Medical and Health Units and the treatment of medical waste in 18 counties Initiated full coverage inspections.

   Rectification, temporary solution to the problem

   ( ) 卫计监督执法机构 18 家、现场监督检查医疗机构 108 家,下达监督意见书 122 份,对问题突出 52 家医疗卫生机构给予了行政处罚,罚金总额 7.28 万元,约谈单位负责人 10 人。”甘孜州卫计委主任曲梅介绍,甘孜州各县市卫计监督执法机构对辖区内的医疗卫生机构也开展了监督检查。 "The state health plan law enforcement agencies have inspected 18 county ( city ) health plan supervision and law enforcement agencies , on-site supervision and inspection of 108 medical institutions , issued 122 supervision opinions, and issued administrative penalties to 52 medical and health institutions with outstanding problems , with total fines. 72,800 yuan, interviewed 10 persons in charge of the unit . "Qu Mei, director of the Ganzi Prefecture Health and Family Planning Commission, introduced that the county's health monitoring and law enforcement agencies in Ganzi Prefecture also carried out supervision and inspection of the medical and health institutions in their jurisdictions.

   After the Provincial Environmental Protection Inspector Ganzi Prefecture Inspection Team found problems with the medical institutions in Ganzi Prefecture, the Ganzi Prefecture Party Committee issued the "Notice on Effectively Rectifying the Feedback Issues of the Provincial Environmental Protection Inspector Ganzi Prefecture Inspection Team". Ganzi Prefecture and the counties and cities ’health bureaus have set up leading groups for rectification of medical waste management, implemented special personnel to be responsible for the rectification work, formulated a rectification plan, and clarified the responsibilities, time limits and content of the rectification.

   Facing the storm of environmental protection inspectors from provinces, states, and counties, medical institutions in Ganzi Prefecture have taken proactive and comprehensive rectification of existing problems. Among them, Luding County People's Hospital implemented the most thorough rectification.

   4 26 日与泸州市保康医疗废物处理有限公司签订医疗废物安全处置协议,并于 2017 5 1 开始履行合同。 Luding County People's Hospital signed a medical waste safety disposal agreement with Luzhou Baokang Medical Waste Treatment Co., Ltd. on April 26 this year , and began performing the contract on May 1 , 2017 . "Shengzhou Baokang Medical Waste Treatment Co., Ltd. regularly dispatches special personnel and special vehicles for medical waste transfer to our hospital for the transfer and transfer of medical waste, and realizes standardized transfer and disposal in different places," said Xiao Chunyan.

   14 下午,来到泸定县人民医院医疗废物暂存间,记者看见空调和冰柜正在运行,保证了暂存间的温度和湿度。 On the afternoon of July 14th , when I came to the temporary storage room for medical waste in Luding County People's Hospital, the reporter saw that the air conditioner and freezer were running, which ensured the temperature and humidity in the temporary storage room. 5 个类别分别装在黄色塑料箱里一字排开。 Medical waste is divided into five categories : infectious, damaging, pathological, medicinal, and chemical. They are packed in yellow plastic boxes. "The waste collected from each department every day must be sorted, registered and disinfected before being put into the box, and the temporary storage time should not exceed two days." Xiao Xue, a staff member of the hospital's waste storage room office, said.

   ? 针对甘孜州尚无医疗废物集中处置场所的现状,今年 6 月,甘孜州卫计委与州环境保护局、州民政局联合制定下发了《甘孜州医疗废物过渡性处置指导意见》。 How can centralized and storm-type inspections be transformed into a long-term sustainable regulatory constraint mechanism ? Aiming at the current situation of no centralized medical waste disposal sites in Ganzi Prefecture , in June this year , the Ganzi State Health and Family Planning Commission, the State Environmental Protection Agency and the State Civil Affairs Bureau jointly The Guiding Opinions on the Transitional Disposal of Medical Waste in Ganzi Prefecture was formulated and issued.

   The reporter studied the "Opinions" and found that the requirements for the registration, collection, transfer, disposal, and supervision of medical waste are very detailed, and that they comply with the "Regulations on Medical Waste", "Measures for the Management of Medical Waste in Medical and Health Institutions", and "On Further Strengthening the Management of Medical Waste Regulations and policies.

   The applicable scope of the Guiding Opinions on the Transitional Disposal of Medical Waste in Ganzi Prefecture is "all medical and health institutions in the state that have not established a centralized disposal site for medical waste". Qu Mei believes: "To fundamentally allow medical waste to be nearby, safely and effectively disposed of, the early completion of Ganzi Prefecture's own centralized medical waste disposal facility is widely expected."

Zhang Guoqiong introduced the open burning of medical waste in the past.

   The voice of the people

   Villager Zhang Guoqiong of Lianhe Village: It is a good thing that garbage does not smoke

   1000 米距离。 The landfill site of Lianhe Village, Jidai Township, Luding County is about 1,000 meters away from the home of the villager Zhang Guoqiong . "If the garbage here no longer smokes, that's a good thing." Zhang Guoqiong said.

   Because the landfill management is more standardized, under normal circumstances, no odor will be generated. But in the past, burning medical waste in the open air here "not only has a bad smell, but also a lot of flies and mosquitoes nearby."

   1000 多米,日照充足,昼夜温差大,适宜多种水果生长。 At over 1,000 meters above sea level, Jiyu Township has plenty of sunshine and a large temperature difference between day and night, which is suitable for the growth of a variety of fruits. This is the “万人炸金花town of Red Cherries in China” which Luding County focuses on. Each village in this township has at least three kinds of main fruits. With fruits as the medium, the local tourism and homestay reception industries have developed.

   4 口人,有 4 亩地,其中,发展樱桃 1 亩、李子 1 亩、桃子 0.2 亩。 Zhang Guoqiong introduced that her family has 4 people and has 4 acres of land, of which 1 acre is cherry, 1 acre is plum , and 0.2 acre is peach . 1 万多元。”张国琼说,家里计划今年利用自己家的房子搞民宿接待,如果成功,她家一年增收 2 万元轻轻松松。 "This year, cherries alone sold for more than 10,000 yuan." Zhang Guoqiong said that the family plans to use its own house this year to host bed and breakfast reception. If successful, her family will easily increase 20,000 yuan a year .

   ? "My biggest concern is whether the garbage will still smoke." Zhang Guoqiong said, if a guest is sitting at home and smells the odor around the house, and sees a fly on a fruit tree, which one is willing to come to your house again ?

   Local village cadres said that in the future, the landfill site of Lianhe Village will no longer be allowed to incinerate garbage. Except for medical waste, other garbage will not be allowed to be incinerated in the open. In the past two or three months, Zhang Guoqiong did not see the phenomenon of garbage incineration.

   "I hope that this situation will persist." Zhang Guoqiong said that the development of homestay reception in his own home will have a good prospect, and the poor villagers in the village will benefit from the development of anti-poverty industries.

   

   

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