SUBPROJECT: BUILDING OF NEUROSURGERY INTERNATIONAL HOSPITAL
ENVIRONMENTAL DOCUMENT:
PART 1: ENVIRONMENT IMPACT ASSESSMENT (P 02)
PART 2: ENVIROMENT REPORT (P 66)
PART 3: RISK MANAGEMENT PLAN (P 88)
PART 1: ENVIRONMENT IMPACT ASSESSMENT
CHAPTER 1: BRIEF DESCRIPTION OF THE PROJECT
1.1. NAME OF PROJECT
1.2. INVESTOR:
1.3. LOCATION OF PROJECT LAND
1.4. MAIN CONTENTS OF PROJECT
1.4.1. Structure of planning
1.4.2. Hospital architect space design
1.4.3. Land arrangement plan
1.5. TECHNICAL INFRASTRUCTURE NETWORK
1.5.1. Transportation network
1.5.2. Electricity network
1.5.3. Water supply network
1.5.4. Fire prevention network
1.5.5. Communication network
CHAPTER 2. NATURAL – ECONOMIC – SOCIAL CONDITION AT PROJECT LAND
2.1. NATURAL AND ENVIRONMENTAL CONDITIONS
2.1.1. Geographical and geological conditions
2.1.1.1. Geographical location
2.1.1.2. Ground and geomorphology features
2.1.1.3. Geology
2.1.2. Meteoric and hydrographical conditions
2.1.2.1. Temperature
2.1.2.2. Humidity
2.1.2.3. Wind
2.1.2.4. Pluvial index
2.1.3. Status of natural environmental conditions
2.1.3.1. Status of air quality
2.1.3.2. Status of underground water quality
2.2. SOCIAL AND ECONOMICAL CONDITIONS
2.2.1. Economical conditions
2.2.2. Social conditions
2.2.2.1. Population
2.2.2.2. Medicine
CHAPTER 3. ENVIRONMENT IMPACT ASSESSMENT
3.1. DEFINE THE POLLUTION SOURCES
3.1.1. Impact sources relating to the waste
3.1.2. Impact sources not relating to the waste
3.1.3. Prediction of the environmental risks from the project
3.1.3.1. The environmental risks in the construction stage
3.1.3.2. The environmental risks in the operation stage
3.2. IMPACT ENTITY AND SCALE
3.2.1. The entity impacted in the stage of construction and equipment installation
3.2.1.1. Dust and waste gas
3.2.1.2. Wastewater
3.2.1.3. Waste solid
3.2.1.4. Noise
3.2.1.5. Accident, fire and explosion
3.2.2. The entity impacted in the stage of operation
3.2.2.1. Air polluted waste
3.2.2.2. Wastewater
3.2.2.3. Waste solid
3.2.2.4. Noise
3.3. IMPACT ASSESSMENT
3.3.1. Environmental impact assessment in the stage of construction and equipment installation
3.3.1.1. Impact of the source of air polluted waste
3.3.1.2. Impact of waste water
3.3.1.3. Impact of waste solid
3.3.1.4. Other impacts
3.3.2. Environmental impact assessment in the stage of operation
3.3.2.1. Impact of the source of air polluted waste
3.3.2.2. Impact of waste water
3.3.2.3. Impact of waste solid
3.3.2.4. Social impact
CHAPTER 4. MINIMIZATION MEASURES OF NUISANCE, PREVENTION AND COUNTERMEASURES OF ENVIRONMENTAL ACCIDENT.
4.1. BAD IMPACT MINIMIZATION MEASURES, PREVENTION AND COUNTERMEASURE OF ENVIRONMENTAL RISK IN CONSTRUCTION STAGE
4.1.1. The impact minimization measures on the water
4.1.2. The impact minimization measures on the air
4.1.3. The impact minimization measures from site hut
4.1.4. The measures to ensure the labor safety
4.1.4.1. The use of vehicles and construction machines
4.1.4.2. The safety in site hut installation and dismantling
4.1.4.3. The labor safety land work
4.1.4.4. The labor safety in masonry work
4.2. BAD IMPACT MINIMIZATION MEASURES, PREVENTION AND COUNTERMEASURE OF ENVIRONMENTAL RISK IN OPERATION STAGE
4.2.1. The measures to control the air pollution
4.2.1.1. Control the impact from the traffic
4.2.1.2. Control the air pollution from the operation of wastewater treatment system and solid waste collection
4.2.1.3. Control the impact from the waste gas from the generator
4.2.1.4. The measures to control the noise and vibration
4.2.2. The measures to minimize the bad impact from wastewater
4.2.2.1. Classification of waste water
4.2.2.2. Drainage construction
4.2.2.3. Preliminary domestic wastewater
4.2.2.4. The wastewater treatment system
4.2.2.5. The measures to prevent the water pollution
4.2.3. The measures to manage and treat the solid waste
4.2.3.1. Collection and classification stage
4.2.3.2. Treatment stage
4.2.4. The measure to prevent the environmental risks
4.2.4.1. The measures to prevent the fire and explosion
4.2.4.2. The accident relating to electricity
4.2.4.3. The accident relating to radiation
4.2.4.4. The accident from labor and occupational diseases
CHAPTER 5. COMMITMENT TO IMPLEMENT THE ENVIRONMENTAL PROTECTION MEASURES.
CHAPTER 6. ENVIRONMENTAL TREATMENT BUILDING, ENVIRONMENTAL MANAGEMENT AND MONITORING
6.1. THE LIST OF ENVIRONMENT TREATMENT BUILKDINGS
6.2. MANAGEMENT PROGRAM
6.2.1. Environment management program during the construction stage
6.2.2. Environment management program during the operation stage
6.3. ENVIRONMENT MONITORING PROGRAM
6.3.1. Air quality monitoring
6.3.1.1. Surrounding atmosphere quality monitoring
6.3.1.2. Hospital atmosphere quality monitoring
6.3.2. Water quality monitoring
6.3.2.1. Wastewater quality monitoring
6.3.2.2. Monitoring of solid waste management
CHAPTER 7. COST ESTIMATION FOR ENVIRONEMNTAL BUILDING
7.1. COST ESTIMATION OF WASTE TREATMENT BUILDINGS
7.1.1. Building
7.1.2. Equipments – Installation – Operation - Acceptance
7.2. COST ESTIMATION OF ENVIRONMENTAL QUALITY MONITORING
CHAPTER 8. COMMUNITY CONSULTING
8.1. OPINIONS OF TAN THOI HOA WARD’S PEOPLE COMMITTEE
8.2. OPINIONS OF TAN THOI HOA WARD’S FATHERLAND COMMITTEE
CHAPTER 9. DATA SOURCE AND EVALUATION METHOD
CONCLUSION AND PROPOSAL
9.1. DATA SOURCE
9.1.1. Data source for reference
9.1.2. Data source created by the investor
9.2. APPLIED METHOD IN EIA
9.3. REMARK ON THE DETAILED, RELIABLE EVALUATION METHOD
I. CONCLUSION
II. PROPOSAL
PREFACE
I. THE ORIGIN OF PROJECT
In the industrialization time, stresses and demands of life have made many people infectious with diseases of nerves and spine. But at present the number of patients under the neurosurgery is very large (disk buffer to release the spine, neck, spine, waist). In Ho Chi Minh City, the overload of faculty of neurosurgery in the public hospitals is increasing, affecting the quality of treatment and service of public health, not to meet the needs of health care quality for patients having the high economic condition.
Treatment at the specialized hospitals in Singapore, Thailand have the cost much more many times than in Vietnam and is not always convenient for patients and their families
While the provincial hospitals, although having the neurosurgery faculty but only solve the cases of brain injury (such as blood from surgery ..) and almost not be able to resolve the common diseases in neurosurgery field (brain and spine)
The southern provinces in general and HCMC in particular there are no neuro specialized hospital (currently, only Cho Ray hospital with specialized in neurosurgery is the only treatment only in the South and may be for all the country).
In Ho Chi Minh City it has a number of private specialized hospitals as the eye hospital in Saigon, ITO Hospital (trauma specialized in Orthopedics), international puerperal hospital, their success have proven to require the beneficiaries to high health care quality by patients is real and the formation of the specialized hospital is right in the selective development of health branch today.
II. THE LEGAL AND TECHNICAL BACKGROUND
II.1. Legal Documents
The EIA of the project “Investment of the International Neurosurgery Hospital” is based on the following legal documents:
- The Environment Protection Law 2005 approved by National Assembly dated 29 November 2005 and signed to issue by State President dated 12 December 2005.
- Decree No 80/2006/ND-CP of the Government issued on 9 August 2006 to stipulate in details and direct the implementation of some articles of The Environment Protection Law.
- Circular 08/2006/TT-BTNMT dated 08 September 2006 of Ministry of Natural Resource and Environment on “The direction of Strategic Environment Assessment, Environment Impact Assessment, Environment Protection Commitment”
- Decree 21/2008/NĐ-CP dated 28 February 2008 on the modification, supplementation some articles of Decree No 80/2006/ND-CP of the Government issued on 9 August 2006 to stipulate in details and direct the implementation of some articles of The Environment Protection Law.
- Ordinance 07/2003/PL-UBTVQH dated 25 February 2003 on Private Medicine and Pharmacy Professional Practice.
- Decree 103/2003/NĐ-CP dated 12 September 2003 of the Government to stipulate in details and direct the implementation of Private Medicine and Pharmacy Professional Practice
- Circular 12/2006/TT-BTNMT dated 26 December 2006 of Ministry of Natural Resource and Environment on “The direction of practice conditions and the formality to form the documents, registration, professional practice issue code for management of the hazardous wastes.
- Decision 22/2006/QD-BTNMT dated 18 December 2006 of Ministry of Natural Resource and Environment on being compulsory to apply Environment Vietnam standards.
- Decision 23/2006/QD-BTNMT dated 26 December 2006 of Ministry of Natural Resource and Environment on issuing the list of the hazardous wastes.
- Decision 43/2007/QD-BYT on issuing the regulation of medical waste management.
The environment standards
- The allowable maximum limits of the noise in the public and people regions (equivalent sound level TCVN 5949 – 1998)
- TCVN 6772 – 2000. The standards of water quality – domestic wastewater – The allowable pollution limit (Level I)
- TCVN 5937 – 2005: The air quality – surrounding air quality
- TCVN 5938 – 2005: The air quality – The allowable maximum concentration of some hazardous substances in the surrounding air.
II.2. Technical Documents
- The data and documents on the status of natural, environmental, and socio – economical conditions of Tan Thoi Hoa ward, Tan Phu District, HCMC.
- Documents of the technical design of The INH project implemented by construction company.
- WHO’s Documents for fast evaluation to estimate the pollution load from the project activities.
- The EIA implemented in VN during the past years, especially the projects similar to the INH project.
III. EIA IMPLEMENTATION ORGANIZATION
The EIA of “INH investment project” is consulted by AQC (Water and Environment Technology Development Company)
Director: Mr. Ho Xuan Nham, MS
Address: 80/125B Tran Quang Dieu St, Ward 14, District 3, HCM city
Office: 27/41 Hau Giang St, Ward 4, Tan Binh District, HCM city
Phone: 08 – 39484383 Fax: 08 – 39484183
Group of EIA implementation
MS Ho Xuan Nham, Director of AQC Company
Eng. Do Van, Environment Engineer, AQC Company
Eng. Nguyen Ngoc Anh, Environment Engineer, AQC Company
Bac. Do Tran Mong Thuy, Environment Bachelor, AQC Company
Eng. Nguyen Dang Quynh Nhu, Environment Engineer, AQC Company
CHAPTER 1: BRIEF DESCRIPTION OF THE PROJECT
1.1. INVESTOR:
INTERNATIONAL NEURISURGERY HOSPITAL JOINT STOCK COMPANY
Address: 203 Dong Khoi Street, District 1, Ho Chi Minh city
Phone: 08.38277308
Representative: Tran Ngoc Lan Trang
Position: Chairman of BOM
1.2. LOCATION OF PROJECT LAND
The investment project of building The International Neurosurgery Hospital is located at 65A Luy Ban Bich St, Tan Thoi Hoa Ward, Tan Phu District, HCMC which area is 1,257.1 m2 with their directions are:
· North East is Luy Ban Bich street;
· South East is inhabitants;
· South West is inhabitants;
· North West is inhabitants and school.
Total land area: 1,257.1 m2
Year 1 of the section factor 3 to map number 32 (Peta) and belongs to Tan Thoi Hoa Ward, Tan Phu District, HCMC. There is a state hospital old can improve, repair, use the right
1.3. MAIN CONTENTS OF PROJECT
The project of building and improving The International Neurosurgery Hospital mobilizes 100% of capital contribution by Enterprises law with the scale of 100 patient beds and has achievable planning target
· Total land area: 1,257.1 m2
· Construction site area: 715.5 m2
· Construction density: 57%
· Land for trees: 514.5 m2
· Level of construction: 5 stories
· Coefficient of land use: 3,28
· Total site area: 4,125.5 m
Table 1.1 : Item need be improved, built
No. / Item / Flooring height (m) / Construction area (m2)1 / Newly-built technical operating room in terrace : brick walling, reinforced concrete column, tole roof / 4.4 / 144.00
2 / Roofing stair / 3 / -
Items improvement, repair and new construction on the present reflected in the following table
1.3.1. Structure of planning
According to plan of building hospital, international neurosurgery hospital is built and improved on the foundation of old hospital with land using structure.
Land for main building
Land for planting trees
Land for internal transportation
1.3.2. Hospital architect space design
The project of building new international neurosurgery hospital consists of 5 floored block. Main block is rectangular shape, has green space middle isolated with the outer space.
options on architecture outline and the beautiful block, durable and environmental friendly materials nature and the environment, creating maximum sense of healthy, consistent, safety and ventilation.
1.3.3. Land arrangement plan
Ground floor: 715.5 m2 is reception, patient receiving, emergency aid, and professional support …
1st floor: 756.0 m2; ultrasonic test, cardio electricity, XR interference, rooms for patient, nurses, doctors…
2nd floor: 756.0 m2; rooms for patient, kitchen, canteen…
3rd floor: 756.0 m2; rooms for patient, rooms for VIP patient, administration
4th floor: 756.0 m2; rooms for patient, anaesthetizing room …
Terrace: 756.0m2 ; surgery technique, washing room, drying ground…
Transportation design for disables is followed the international standards.
Floor / Name of rooms / Area, m2Ground / 715.5
Examination / 203.1
Emergency / 174.2
Support / 202.7
1st / 733.52
X ray / 34
Blood test sample / 10
Test / 16
Cardio Ultrasonic / 13.5
Treatment / 335.7
Administration / 324.32
2nd / 733.02
Treatment / 337.7
Administration / 79.72
Support / 315.6
3rd / 721.75
Treatment / 349.4
Administration / 372.35
4th / 800.42
Treatment / 100
Surgery / 700.42
Treatment area: patient rooms
Administration area: meeting room, dean room, storage, attendant room, accounting room, hygiene room, nurse room, lobby stair
Surgery area: surgery room, interval room, session room, receiving and anaesthetizing room, sterilizing room.
Examination and emergency area is placed at ground floor with convenient waiting space for patient. The 1st, 2nd, 3rd floor are designed for patient room, separately the 3rd floor for VIP room with full facilities to serve patients having high demands on service of examination and treatment in hospital. Surgery area is place at the 4th floor with full of functional room for operation and postoperative.
1.4. TECHNICAL INFRASTRUCTURE NETWORK
1.4.1. Transportation network:
The International Neurosurgery Hospital is located in Luy Ban Bich St which belongs to Tan Binh District and Tan Phu District, so the transportation is quite convenient.
Internal transportation of hospital with internal road even the road for disable people according to the design meeting the international standard.
1.4.2. Electricity network:
Power supply of hospital is connected to the electricity network running along Luy Ban Bich by underground cable to the transformer station. Total load distribution throughout the hospital is estimated about 450 KVA. Conductors inside hospital are kind of copper core with PVC cover, invocatory layout, automat automatically disconnect for each room to ensure safety.