A relevância do gerenciamento de resíduos sólidos justifica-se pelos impactos à saúde e ao meio ambiente. Resíduos gerados em serviços de saúde podem apresentar periculosidade por suas características físico-químicas e biológicas. No Brasil, todo grande gerador é obrigado a elaborar o Plano de Gerenciamento de Resíduos Sólidos, e todo estabelecimento de saúde deve criar o Plano de Gerenciamento de Resíduos de Serviços de Saúde. Objetivo: Desenvolver modelo de gestão de resíduos sólidos para apoiar a elaboração e implantação desses planos em instituições públicas de pesquisa, desenvolvimento e fabricação de produtos de saúde. Métodos: Estudo de caso conduzido no Instituto Butantan, localizado no município de São Paulo/SP. Foi realizado considerando as seguintes etapas: diagnóstico do gerenciamento dos resíduos e elaboração, implantação e avaliação de Plano Integrado de Gerenciamento de Resíduos Sólidos. Todo o processo teve como abordagem a gestão participativa, compartilhada e integrada, envolvendo todos os atores da instituição. Na avaliação foram considerados o atendimento legal quanto à gestão e gerenciamento, às práticas e procedimentos implantados e à atuação dos envolvidos. Resultados: Destacam-se a caracterização e quantificação para cada fluxo de resíduos, a elaboração do Guia Prático de Descarte de Resíduos, o Modelo de Gestão para instituições de pesquisa, desenvolvimento e fabricação de produtos de uso em saúde humana baseado nas premissas do ciclo PDCA e o sistema informatizado de gerenciamento para estruturação e controle da gestão dos resíduos. Conclusões: Verifica-se que o processo desenvolvido ao longo do estudo propiciou mudança de cultura, envolvimento dos funcionários por meio da capacitação contínua para atuação e segurança do trabalhador e melhoria no gerenciamento dos resíduos, promovendo a redução de custos de destinação e a valorização dos resíduos. / The importance of solid waste management is justified by the impacts on health and the environment. Waste generated in health services can be dangerous due to their physicochemical and biological characteristics. In Brazil, every residue generator is required to produce the Solid Waste Management Plan and every health facility is required to establish the Health Care Waste Management Plan. Objective: To develop a model of solid waste management to support the development and implementation of these plans in public research institutions dedicated to the development and manufacture of health products. Methods: A case study conducted at Butantan Institute, located in São Paulo / SP. The following steps were taken in its carrying out: diagnostic management of waste, and implementation and evaluation of the Integrated Plan for Solid Waste Management. The whole process was approached through participatory, shared and integrated management, involving all actors of the institution. In the evaluation, the legal service regarding management, the practices and procedures implemented, and the actions of those involved were considered. Results: Highlights include the characterization and quantification for each waste stream; the preparation of the Guia Prático de Descarte de Resíduos (Practical Guide for Waste Disposal); the management model for research institutions concerned with the development and manufacturing of human health products based on the premises of the PDCA cycle; and the computerized management system for structuring and control of waste management. Conclusions: It was noticed that the process developed throughout the study led to culture change, staff engagement through continuous training and workplace security, and improvement in the management waste, promoting cost reduction in its destination and recovery.

Essa dissertação analisa a questão dos resíduos sólidos na região metropolitana de São Paulo. O estudo parte de uma recomposição histórica dos serviços de limpeza pública e das características das diversas soluções para o destino final do lixo. Em seguida, realizamos uma extensa pesquisa empírica junto às administrações municipais, de forma a levantar a situação dos serviços de coleta e especialmente das soluções de destino final. A pesquisa mostra uma crescente dificuldade na definição de novas áreas para destino final pelas restrições espaciais para esse uso, considerando-se o processo de urbanização. A investigação aponta como possível caminho para a solução de tal impasse, a gestão integrada para a operação de áreas de destino final comum para vários municípios. / This work analyzes the issue of solid waste in the metropolitan region of São Paulo. The study is based on a historical reward from public cleaning services and the characteristics of the various solutions to the final destination of waste. After that, we carried out an extensive empirical research with the municipal administrations, in order to know the situation of the collection services and especially the solutions of final disposal. The survey shows a growing difficulty to defining areas for final disposal by spatial constraints for such use, according to urbanization process. The research points out as a solution of this deadlock, an integrated management for operation of final disposal common area for several municipalities.

As municipalities in the developing world are struggling to deal with the ever-increasing rate of residential trash generation, many have embraced the practice of diverting organic waste to composting plants. However, because most models for implanting new Solid Waste Management (SWM) programs have emerged from the experiences of municipalities in the industrialized world, they often gloss over the particular social, cultural and economic contexts that make SWM programming particularly challenging in the developing world. In Mexico City, the absence of curbside collection, and a trash workforce comprised of both formal and informal trash collectors, have created unique challenges for the municipality’s composting program that was initiated in 2004. This report attempts to highlight that the limited success of the program thus far might be rooted in the program’s design, which has largely ignored the needs of the trash workers who are largely held responsible for its implementation. / text

The Master of Engineering Management Project was sponsored by the Canterbury Earthquake Recovery Authority (CERA) and consisted of two phases: The first was an analysis of existing information detailing the effects of hazardous natural events on Canterbury Lifeline Utilities in the past 15 years. The aim of this “Lessons Learned” project was to produce an analysis report that identified key themes from the research, gaps in the existing data and to provide recommendations from these “Lessons Learned.” The Second phase was the development of a practical “Disaster Mitigation Guideline” that outlined lessons in the field of Emergency Sanitation. This research would build upon the first stage and would draw from international reference to develop a guideline that has practical implementation possibilities throughout the world.

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