Environmental & Social Review Summary
Project Number
8982
Company Name
Consorcio International Hospital, S.A. de C.V.
Date ESRS Disclosed
Feb 5, 2010
Country
Mexico
Region
Latin America and the Caribbean
Last Updated Date
Dec 31, 2016
Environmental Category
B - Limited
Status
Completed
Previous Events
Approved : Jun 30, 1998
Signed : Nov 4, 1998
Invested : Nov 30, 1998
Sector
Hospitals and Clinics
Industry
Health, Education and Life Sciences
Department
Regional Industry MAS LAC & EUR
Project Description
- 3 - May 15, 1998
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 MEXICO: Centro Internacional de Medicina (CIMA)
Region Latin America and Caribbean
Sector Social Services (Health Care)
Project No. 008982
1. This project involves either construction or expansion of hospitals in the cities of Hermosillo, Chihuahua and Puebla. The CIMA Hermosillo and Chihuahua are existing facilities, and CIMA Puebla is currently under construction and is expected to be operational in July 1999. CIMA Hermosillo has a capacity to operate 40 beds and will expand to a capacity of 75 beds. CIMA Hermosillo is located in a semi-commercial and residential area, and will provide all the basic services, including emergency, general and specialized surgery, obstetrics and gynecology, pediatrics and adult and neonatal intensive care. CIMA Chihuahua is a general acute care hospital, designed to initially operate 30 beds, phasing in over a period of time to a capacity of 54 beds. CIMA Chihuahua is located in the fastest growing western sector close to residential areas, suburban commercial, and industrial areas. CIMA Puebla is a general acute care hospital. The hospital was designed to initially operate 54 beds, phasing in over a period of time to a capacity of 75 beds. CIMA Puebla is located in the western section of the city, nearby residential and commercial areas.
2. 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. The review of the project consisted of appraising technical and environmental information submitted by the project sponsor, and the technical appraisal and site review completed by IFC’s Technical and Environment staff. The following potential environmental, health and safety impacts of the project were analyzed:
· handling and disposal of solid waste including medical materials (bio-hazardous waste);
· liquid effluent treatment and disposal, including sewage;
· power and water supply;
· air emissions from boilers and incinerators;
· hygiene and implementation of good hospital management practices;
· CFC-free air conditioning and cold storage equipment;
· fire protection and safety; and
· employee health and safety training.
The information provided by CIMA about how each of these potential impacts will be addressed in the development of the proposed project is summarized in the paragraphs that follow.
3. Currently, CIMA Hermosillo and Chihuahua hospitals are using the services of private or municipal incinerators for the treatment of biological and infectious waste. It is expected that CIMA Puebla will either use the services of a private or municipal incinerator for the treatment and disposal of biological and infectious waste. CIMA will provide IFC prior to disbursement with the incinerators operating procedures (including emission control features), to determine compliance with World Bank guidelines. CIMA is committed to install on-site incinerators in the event that the municipal incinerators or private incinerators are not in compliance with World Bank guidelines.
4. CIMA’s hospitals uses the municipal Wastewater Treatment Plant (MWWTP) to treat their liquid effluents. Currently the MWWTP does not fully comply with World Bank effluent guidelines. The project will include a Corrective Action Plan (CAP) to either bring the MWWTP into compliance, or CIMA will construct a dedicated WWTP at the hospital sites.
5. CIMA hospitals have a comprehensive waste management plan. The procedure for collecting waste at the hospitals is as follows: tissues, blood and other body fluids, as well as all disposable items that have come in direct contact with the patient are collected in airtight containers and discarded into special red plastic bags. These sealed red bags are placed in boxes marked Biohazardous and transported by trucks to the municipal incinerators. The non-contaminated medical material as well as the domestic waste will be collected in plastic bags and transported to the municipal sanitary landfill for final disposal. CIMA hospitals have also implemented a recycling program. The radioactive material will be handled by CIMA according to the Mexican regulations promulgated by the “Comision Nacional de Energia Nuclear.” The handling and storage of radioactive material includes: the use of radioactive material is confined to lead-lined areas marked with universal nuclear energy symbol; isotopes are kept in lead blocks and stored in locked lead-lined cabinets. Suppliers of radioactive materials retrieve used receptacles upon delivering new ones, in a one-for-one exchange.
6. Electrical power for the hospitals operations will be supplied by the cities’ network. In case of emergency each hospital has back-up generators. CIMA’s hospitals will not install air conditioning and cold storage equipment containing CFCs.
7. CIMA is committed to conduct a fire and life safety audit and incorporate and implement all corrective measures as indicated by the audit prior to first disbursement. CIMA will also provide IFC with an Emergency Response Plan. CIMA’s personnel will be provided with training including the use of fire fighting equipment such as extinguishers, and fire safety response drills.
8. CIMA’s hospitals will meet international standards for hygienic practices throughout the facilities. CIMA will provide hospital personnel with protective clothing and equipment, as required. Disposable rubber gloves, plastic aprons, and face masks will be worn for all invasive procedures that might involve exposure to infectious diseases. Employees will undergo training in the handling of hazardous materials and in other relevant health and safety matters.
9. Based on its review of available information regarding potential environmental impacts and proposed mitigation measures, IFC concludes that CIMA proposed project will meet World Bank environmental, health and safety policies and guidelines and host country requirements.
10. 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 CIMA and by conducting periodic supervision.
\\StreetTalk\Shared Data@CTENET@IFC\wpeu\rosa\MEXICO\cima.ers.doc
May 19, 1998 10:10 AM
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 MEXICO: Centro Internacional de Medicina (CIMA)
Region Latin America and Caribbean
Sector Social Services (Health Care)
Project No. 008982
1. This project involves either construction or expansion of hospitals in the cities of Hermosillo, Chihuahua and Puebla. The CIMA Hermosillo and Chihuahua are existing facilities, and CIMA Puebla is currently under construction and is expected to be operational in July 1999. CIMA Hermosillo has a capacity to operate 40 beds and will expand to a capacity of 75 beds. CIMA Hermosillo is located in a semi-commercial and residential area, and will provide all the basic services, including emergency, general and specialized surgery, obstetrics and gynecology, pediatrics and adult and neonatal intensive care. CIMA Chihuahua is a general acute care hospital, designed to initially operate 30 beds, phasing in over a period of time to a capacity of 54 beds. CIMA Chihuahua is located in the fastest growing western sector close to residential areas, suburban commercial, and industrial areas. CIMA Puebla is a general acute care hospital. The hospital was designed to initially operate 54 beds, phasing in over a period of time to a capacity of 75 beds. CIMA Puebla is located in the western section of the city, nearby residential and commercial areas.
2. 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. The review of the project consisted of appraising technical and environmental information submitted by the project sponsor, and the technical appraisal and site review completed by IFC’s Technical and Environment staff. The following potential environmental, health and safety impacts of the project were analyzed:
· handling and disposal of solid waste including medical materials (bio-hazardous waste);
· liquid effluent treatment and disposal, including sewage;
· power and water supply;
· air emissions from boilers and incinerators;
· hygiene and implementation of good hospital management practices;
· CFC-free air conditioning and cold storage equipment;
· fire protection and safety; and
· employee health and safety training.
The information provided by CIMA about how each of these potential impacts will be addressed in the development of the proposed project is summarized in the paragraphs that follow.
3. Currently, CIMA Hermosillo and Chihuahua hospitals are using the services of private or municipal incinerators for the treatment of biological and infectious waste. It is expected that CIMA Puebla will either use the services of a private or municipal incinerator for the treatment and disposal of biological and infectious waste. CIMA will provide IFC prior to disbursement with the incinerators operating procedures (including emission control features), to determine compliance with World Bank guidelines. CIMA is committed to install on-site incinerators in the event that the municipal incinerators or private incinerators are not in compliance with World Bank guidelines.
4. CIMA’s hospitals uses the municipal Wastewater Treatment Plant (MWWTP) to treat their liquid effluents. Currently the MWWTP does not fully comply with World Bank effluent guidelines. The project will include a Corrective Action Plan (CAP) to either bring the MWWTP into compliance, or CIMA will construct a dedicated WWTP at the hospital sites.
5. CIMA hospitals have a comprehensive waste management plan. The procedure for collecting waste at the hospitals is as follows: tissues, blood and other body fluids, as well as all disposable items that have come in direct contact with the patient are collected in airtight containers and discarded into special red plastic bags. These sealed red bags are placed in boxes marked Biohazardous and transported by trucks to the municipal incinerators. The non-contaminated medical material as well as the domestic waste will be collected in plastic bags and transported to the municipal sanitary landfill for final disposal. CIMA hospitals have also implemented a recycling program. The radioactive material will be handled by CIMA according to the Mexican regulations promulgated by the “Comision Nacional de Energia Nuclear.” The handling and storage of radioactive material includes: the use of radioactive material is confined to lead-lined areas marked with universal nuclear energy symbol; isotopes are kept in lead blocks and stored in locked lead-lined cabinets. Suppliers of radioactive materials retrieve used receptacles upon delivering new ones, in a one-for-one exchange.
6. Electrical power for the hospitals operations will be supplied by the cities’ network. In case of emergency each hospital has back-up generators. CIMA’s hospitals will not install air conditioning and cold storage equipment containing CFCs.
7. CIMA is committed to conduct a fire and life safety audit and incorporate and implement all corrective measures as indicated by the audit prior to first disbursement. CIMA will also provide IFC with an Emergency Response Plan. CIMA’s personnel will be provided with training including the use of fire fighting equipment such as extinguishers, and fire safety response drills.
8. CIMA’s hospitals will meet international standards for hygienic practices throughout the facilities. CIMA will provide hospital personnel with protective clothing and equipment, as required. Disposable rubber gloves, plastic aprons, and face masks will be worn for all invasive procedures that might involve exposure to infectious diseases. Employees will undergo training in the handling of hazardous materials and in other relevant health and safety matters.
9. Based on its review of available information regarding potential environmental impacts and proposed mitigation measures, IFC concludes that CIMA proposed project will meet World Bank environmental, health and safety policies and guidelines and host country requirements.
10. 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 CIMA and by conducting periodic supervision.
\\StreetTalk\Shared Data@CTENET@IFC\wpeu\rosa\MEXICO\cima.ers.doc
May 19, 1998 10:10 AM
Environmental and Social Mitigation Measures
Broad Community Support
Related SII
