El Ministerio de Salud y Protección Social (Minsalud) emitió la resolución 0591 de 2024, por la cual se adopta el Manual para la Gestión Integral de Residuos Generados en la Atención en salud y otras actividades. Como tal, estos residuos deben ser gestionados integralmente con el fin de prevenir y disminuir los riesgos a la salud pública y los impactos al ambiente.
De esta manera, Minsalud señaló que este manual aplicará a las personas naturales y jurídicas, públicas o privadas que generen, identifiquen, separen, empaquen, recolecten, transporten, almacenen y dispongan de los residuos generados en el desarrollo de actividades relacionadas como (Decreto 780 de 2016):
- Los servicios de atención en salud, como actividades de la práctica médica, práctica odontológica, apoyo diagnóstico, apoyo terapéutico y otras actividades relacionadas con la salud humana, incluidas las farmacias y farmacias-droguerías.
- Bancos de sangre, tejidos y semen.
- Centros de docencia e investigación con organismos vivos o con cadáveres.
- Bioterios y laboratorios de biotecnología.
- Los servicios de tanatopraxia, morgues, necropsias, y exhumaciones.
- El servicio de lavado de ropa hospitalaria o de esterilización de material quirúrgico.
- Plantas de beneficio animal (mataderos).
- Los servicios veterinarios entre los que se incluyen: consultorios, clínicas, laboratorios, centros de zoonosis y zoológicos, tiendas de mascotas, droguerías y peluquerías veterinarias.
- Establecimientos destinados al trabajo sexual y otras actividades ligadas.
- Servicios de estética y cosmetología ornamental tales como: barberías, peluquerías, escuelas de formación en cosmetología, estilistas y manicuristas, salas de belleza y afines.
- Centros en los que se presten servicios de piercing, pigmentación o tatuajes.
Para la aplicación de esta resolución se debe tener en cuenta que las personas naturales o jurídicas, públicas o privadas que desarrollen las actividades anteriormente mencionadas, que a la fecha se encuentre en funcionamiento, tendrán 18 meses para dar cumplimiento a los dispuestos en el Manual adoptado.
Durante este plazo deberán cumplir con lo establecido en la resolución 1164 de 2002 expedida por Minsalud y MinAmbiente.
Descargue aquí la resolución 0591 de 2024
Atención en Salud: manual de procedimientos para la gestión integral de residuos hospitalarios y similares
La resolución 1164 de 2002 especifica el Manual de Procedimientos para la Gestión Integral de los Residuos Hospitalarios y similares, MPGIRH, en el que se establecen los procedimientos, procesos y actividades para la gestión integral de residuos hospitalarios y similares, en cumplimiento de lo establecido en el Decreto 2676 de 2000.
- Clasificación de residuos hospitalarios y similares: se dividen en dos categorías, residuos no peligrosos que refieren a los biodegradables, reciclables, inertes y ordinarios o comunes; y los residuos peligros que son los infecciosos o de riesgo biológicos, los químicos y los radioactivos.
Es importante tener en cuenta que los residuos hospitalarios peligrosos infecciosos deben ser desactivados mediante técnicas de alta eficiencia en desinfección, en forma in situ o centralizada para su posterior envió al relleno sanitario, o ser tratados en plantas de incineración u hornos para producción de cemento, de acuerdo con lo dispuesto en el decreto 2676 de 2000.
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