PROJECT

Projects

Environmental & Social Review Summary

Project Number

8084

Company Name

Duncan Gleneagles Hospitals Limited

Date ESRS Disclosed

Feb 5, 2010

Country

India

Region

South Asia

Last Updated Date

Dec 31, 2016

Environmental Category

B - Limited

Status

Completed

Previous Events

Approved : Jun 30, 1997
Signed : Oct 31, 1997
Invested : Mar 29, 1999

Sector

Hospitals and Clinics

Industry

Health, Education and Life Sciences

Department

Regional Industry - MAS Asia & Pac

Project Description

- 2 -

International Finance Corporation
A Member of the World Bank Group
International Finance Corporation
A Member of the World Bank Group
Environmental Review Summary (ERS)

Project Name: INDIA: Duncan Gleneagles Hospital

Region: Asia

Sector: Industrial and Consumer Services

Project No.: 008084

1. This project involves construction and operation of a 270 bed, multi-specialty, private hospital in Calcutta. The hospital will serve as a general hospital as well as offer tertiary acute-care service with the latest diagnostic, curative and surgical facilities in varied disciplines. This is a category B project according to IFC''s environmental review procedure because specific impacts may result which can be avoided or mitigated by adhering to generally recognized performance standards, guidelines or design criteria.

2. The review of this project consisted of information submitted by the project sponsor and the technical appraisal and site review completed by IFC Asia Department staff. The following potential environmental and occupational health and safety were analyzed:
· handling and disposal of medical materials and bio-hazardous waste;
· liquid waste and sewage disposal;
· power and water supply;
· hygiene and implementation of good hospital management practices;
· CFCs;
· employee health and safety training; and
· fire protection.
The information provided about how these potential issues would be addressed in the Duncan Gleneagles Hospital project is summarized in the following paragraphs.

3. Handling and disposal of medical materials and bio-hazardous wastes is the central environmental issue in hospital management. Waste management practices at Duncan Gleneagles Hospital will be of international standard following those established at the Gleneagles Hospital in Singapore and in other hospitals managed by this group. All pathogenic, infectious, hazardous and other hospital waste shall be segregated in colour-coded containers for treatment and disposal. Human anatomical wastes, blood and fluids, microbiological waste and other biotechnical waste is all incinerated, following procedures and specifications established by the Central Pollution Control Board. Air emissions from the incinerator will be the only significant air emissions from the hospital, and will meet World Bank guidelines. Sharp wastes, disposables and discarded glassware are disinfected, autoclaved and shredded or crushed before disposal to a secure landfill. Radioactive wastes are collected separately for disposal by authorized agencies. Liquid effluents, including sanitary wastes and wash water, will be subject to primary and secondary treatment on site, in a facility designed to meet World Bank liquid effluent guidelines. Preparation of a detailed waste management plan for the hospital is under way, and its completion and approval by IFC will be a condition of disbursement for this project.

4. All hazardous materials used in laboratories and elsewhere in the hospital will be properly identified and stored in secure facilities according to international standards. All staff handling such materials will receive training in their safe handling and disposal.

5. Electrical power will be supplied by a reliable local private utility. Diesel generators will provide backup power in case of mains outage, with fuel to be stored in drums provided with secondary containment in a concrete building. A small boiler to produce steam will be fueled with heating oil stored in an underground storage tank. Cooling systems in the hospital will be CFC-free. Hospital operations, and especially operating theatres, require extremely clean air. The hospital will therefore ensure that intake air is thoroughly cleaned using filters and electrostatic precipitators before discharge through the air-conditioning system.

6. The hospital has been structurally and mechanically designed to meet fire protection and safety specifications. It will be equipped with fire detection, sprinkler systems and water supply systems (including hose reels, hydrants and fire pumps) to meet international and Indian standards and satisfy World Bank guidelines.

7. The hospital will meet international standards for hygienic practices throughout the facility. All staff will receive comprehensive training in health and safety practices and in emergency response for fire or other emergencies.

8. IFC will monitor ongoing compliance with World Bank environmental, health and safety policies and guidelines during the lifetime of the project by evaluating reports submitted annually to IFC by Duncan Gleneagles Hospital and by conducting periodic supervision.

9. Based on its review of available information regarding potential environmental impacts and proposed mitigation measures, IFC concludes that the proposed Duncan Gleneagles Hospital project will meet World Bank environmental, health and safety policies and guidelines and host country requirements.


P:\PIC\INE08084.DOC
June 30, 1997 5:50 PM\
Previously filed as #8165
Revised with new proj. number: (8084) 6/30/97

Environmental and Social Mitigation Measures

Broad Community Support