Abstract

The overall goal of WHO is to co-operate with its Member States, and provide them with assistance on demand or as needed. Towards this end, the WHO Regional Office for Europe has implemented, over many years, programme activities related to the management of municipal and industrial solid waste, sewage sludge, hazardous waste, waste from hospitals and other health care facilities, and radioactive waste. The published results of the various activities include conclusions and recommendations addressed to national public and environmental health authorities and to the scientific and professional community, as a whole. In more specific terms, work has been completed in recent years on the impact on health from microbes and chemicals in sewage sludge applied to land, and from emissions of dioxin, furan, PAH and heavy metal compounds from municipal waste incinerators. Policy guidelines and a code of practice for the management of hazardous waste, prepared together with the United Nations Environment Programme UNEP, were published in six languages, including Chinese. At present, the emphasis is shifting to hazardous waste, and a study is under way on the health impact of hazardous waste containing certain identified “priority chemicals”. A code of practice is currently being used in work for the site selection for hazardous waste facilities, including landfills. There is also a plan for the training of national trainees in the sound management of hazardous waste. WHO/HQ, together with UNEP and the World Bank, are completing a text on the management of hazardous waste in developing countries. The first two volumes are expected to be published in 1988. A third volume with a number of national case studies is also being prepared. To assist WHO in its tasks, increase the effectiveness of results, and avoid duplication of activities, co-operation is being maintained with various individual experts, national institutes and authorities, and other international governmental and non-governmental organizations. Co-ordination of work and exchange of information is a matter of routine by means of periodic interagency consultations, participation in meetings of other organizations and country visits.

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