Environmental Impact Assessment (EIA) for Proposed Development of Clinical Waste Thermal Treatment Plant at , for Southern Medi One Sdn. Bhd.

(Report No: AMR.2018.SMOSB.EIA)

CHAPTER 3

STATEMENT OF NEED

3.0 Introduction This chapter outlines the background of the project and the reasons for it being proposed. The statement of need for the proposed project covering the descriptions of its specific needs and reasons as well as the scenarios on the recent development associated with the scheduled waste issues in the country. The statement of need establish the social, economic or other needs for the project and conclude the definitive statement of the aim of the project.

3.1 Background of Clinical Waste Thermal Treatment Plant Project The proposed project titled is the “Proposed Development of Clinical Waste Thermal Treatment Plant at Tanjung Langsat, Johor”. The project proponent, Southern Medi One Sdn. Bhd. (SMOSB) proposed to develop a thermal treatment plant for the management of clinical waste at the proposed project site.

3.1.1 Source and Amount of Estimated Clinical Waste Table 3.1 shows the potential source of incoming clinical waste to the proposed clinical waste thermal treatment plant. Main sources of clinical waste to the proposed plant are from private clinics and hospitals (i.e. dental, pharmacy, dialysis centre, surgery and other potential clinical waste generators.). Apart from that, SMOSB can also accept waste generated by the other waste generator from peninsular mainly from Southern Region that meets the SMOSB waste acceptance criteria.

Table 3.1: Potential Source of Incoming Clinical Waste to SMOSB Expected Tonnage No. Potential Clinics (kg/day) 1. Columbia Asia Hospital - 500

2. Medical Centre 500

3. KPJ Puteri Specialist Hospital 500

4. KPJ Healthcare Berhad 500

5. Hospital Pakar Siow 500

6. Medical Centre Sdn. Bhd. 500

7. Gleneagles Medini 500

8. Poliklinik & Rumah Bersalin Dr. Latifah dan Rakan-Rakan 500

9. V-Mum Maternity Concept 500

10. Hospital Pakar 500

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Environmental Impact Assessment (EIA) for Proposed Development of Clinical Waste Thermal Treatment Plant at Tanjung Langsat, Johor for Southern Medi One Sdn. Bhd.

(Report No: AMR.2018.SMOSB.EIA)

Table 3.1: Potential Source of Incoming Clinical Waste to SMOSB Expected Tonnage No. Potential Clinics (kg/day) 11. Johor Jaya Maternity Centre Sdn Bhd 500

12. Thomson Iskandar 500

13. Hospital Penawar 500

14. Regency Specialist Hospital 500

15. KPJ Specialist Hospital 500

16. Medical Specialist Centre (JB) Sdn Bhd 500

17. Specialist Women's Hospital & Fertility Center 500

18. Poliklinik Penawar Anjung Madini 10

19. Poliklinik Penawar Bandar Baru Uda 10

20. Poliklinik Penawar 10

21. Poliklinik Penawar Desa 10

22. Poliklinik Penawar Utama 10

23. Poliklinik Penawar 10

24. Poliklinik Penawar Kampung Pasir 10

25. Poliklinik Penawar Keledang 10

26. Poliklinik Penawar Klang 10

27. Poliklinik Penawar 10

28. Poliklinik Penawar 10

29. Poliklinik Penawar 10

30. Poliklinik Penawar 10

31. Poliklinik Penawar Masai 10

32. Poliklinik Penawar 10

33. Poliklinik Penawar Pandan 10

34. Poliklinik Penawar Pasir Gudang 10

35. Poliklinik Penawar Pontian 10

36. Poliklinik Penawar 10

37. Poliklinik Penawar 10

38. Poliklinik Penawar 10

39. Poliklinik Penawar Senai Airport 10

40. Poliklinik Penawar Simpang 10

41. Poliklinik Penawar Sri Pulai 10

42. Poliklinik Penawar 10

43. Poliklinik Penawar Taman Dahlia 10

44. Poliklinik Penawar 10

45. Poliklinik Penawar Taman Perling 10

46. Poliklinik Penawar Taman Putri Wangsa 10

47. Poliklinik Penawar Taman Rinting 10

48. Poliklinik Penawar Taman Seri Alam 10

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Environmental Impact Assessment (EIA) for Proposed Development of Clinical Waste Thermal Treatment Plant at Tanjung Langsat, Johor for Southern Medi One Sdn. Bhd.

(Report No: AMR.2018.SMOSB.EIA)

Table 3.1: Potential Source of Incoming Clinical Waste to SMOSB Expected Tonnage No. Potential Clinics (kg/day) 49. Poliklinik Penawar Taman Sri Bahagia 10

50. Poliklinik Penawar 10

51. Poliklinik Penawar Tembikai 10

52. Poliklinik Penawar Tmn Sri Putri 10

53. Poliklinik Penawar 10

54. Revival Medical Clinic 5

55. Klinik Harmoni (Dr Hon Aesthetic) 5

56. Mesra Group Clinics 5

57. Family Health Clinic (Taman Mount Austin) 5

58. TMC Fertility and Women's Specialist Centre 5

59. Hong Specialist Orthodontic Clinic 5

60. Klinik Foo / Clinic Foo 5

61. KPJ Johor Specialist Hospital 5

62. T. K. Tan O & G Specialist Clinic 5

63. Klinik Praba 5

64. Clinic Australia 5

65. Estee Clinic Johor Bahru 5

66. Klinik Dr. Ko (Johor Bahru) 5

67. Idos Clinic - Sutera Utama 5

68. Klinik Mediviron 5

69. VISTA Eye Specialist Johor Bahru 5

70. Klinik Pakar Mata Chandra 5

71. Chan Specialist Clinic 5

72. Sham Ent Specialist Clinic 3

73. Yap Dental Clinic 3

74. Dr Chong & Partners Dental Clinic 3

75. Medini Dental Clinic 3

76. Sunny Smile Dental Clinic Sdn. Bhd 3

77. Hong Specialist Orthodontic dental Clinic 3

78. Maria Dental Specialist Clinic 3

79. Q & M Dental Surgery () 3

80. T Dental Clinic 3

81. Klinik Pergigian C.H.Tee 3

82. AZ Dental Clinic 3

83. Klinik Pergigian Amim tampoi utama 3

84. Q&M Dental Surgery (Tmn Molek) 3

85. Tiew Dental Bukit Indah ( JB ) 3

86. U Dental Center @ Sentosa 3

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Environmental Impact Assessment (EIA) for Proposed Development of Clinical Waste Thermal Treatment Plant at Tanjung Langsat, Johor for Southern Medi One Sdn. Bhd.

(Report No: AMR.2018.SMOSB.EIA)

Table 3.1: Potential Source of Incoming Clinical Waste to SMOSB Expected Tonnage No. Potential Clinics (kg/day) 87. MyDental House Dental Clinic 3

88. Sentosa Dental Surgert 3

89. Perling Dental Surgery 3

90. Dr Chong & Partners Dental Clinic 3

91. L&L Dental Clinic 3

92. Tiew Dental Bukit Indah ( JB ) 3

93. Maria Dental Specialist Clinic 5

94. U Dental Center @ Bukit Indah 3

95. Q & M Dental Surgery (Bukit Indah) 3

96. Q & M Dental Surgery (Austin) 3

97. T Dental Clinic 3

98. AZ Dental Clinic 3

99. Loh Dental Surgery 3

100. Perling Dental Surgery 3

101. U Dental Center @ Sentosa 3

102. Q&M Dental Surgery (Tmn Molek) 3

103. MyDental House Dental Clinic 3

104. Hong Specialist Orthodontic Clinic 3

105. Atria-City Dental Group Pte Ltd 3

106. Klinik Pergigian C.H.Tee 3

107. Klinik Pergigian Azura Larkin, JB 3

108. U Dental Center @ Molek 3

109. Pink and White Dental 3

110. Klinik Pergigian Amim Tampoi Utama 3

111. Alpha Dental Clinic 3

112. U Dental Center @ Taman U 3

113. Sentosa Dental Surgert 3

114. Klinik Pergigian Abby 3

115. V-Smile Dental Clinic Nusantara 3

116. Klinik Pergigian Yang 3

117. Klinik Pergigian Taman Ungku Tun Aminah 3

118. Klinik Pergigian Chong & Khor 3

119. Coop Dialysis Sdn Bhd 15

120. Pusat Hemodialisis Maij & Zakat 15

121. JJ Lions Dialysis Center 15

122. hi En Dialysis Centre 15

123. Systemic Dialysis Center 15

124. MAA-Medicare Charity Dialysis Centre 15

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Environmental Impact Assessment (EIA) for Proposed Development of Clinical Waste Thermal Treatment Plant at Tanjung Langsat, Johor for Southern Medi One Sdn. Bhd.

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Table 3.1: Potential Source of Incoming Clinical Waste to SMOSB Expected Tonnage No. Potential Clinics (kg/day) 125. Persatuan Kebajikan Amal Lexin 15

126. Rotary Club of Johor Bahru Haemodialysis Centre Berhad 15

127. Zhi En Dialysis Centre 15

128. JB Lions MAA-Medicare Charity Dialysis Centre (1) 15

129. JB Lions MAA-Medicare Charity Dialysis Centre (2) 15

130. Johor Quarries Association Dialysis Centre 15

131. Pusat Dialisis Ikhlas 15

132. Dialysis Center of Islamic Corporation 15

133. Che Luan Khor NKF Dialysis Centre 15

134. Pertubuhan Hemodialisis Muhibbah , Johor 15

135. Pontian Rotary Haemodialysis Centre 15

136. Menara Landmark Medical Suites 15

137. Pusat Dialisis Nefro Utama Sdn Bhd 15

138. Caring Pharmacy - 10

139. Link Pharmacy Sdn. Bhd 10

140. My Pharmacy Tampoi Indah 10

141. My Pharmacy (Rainbow) Sdn Bhd 10

142. Summit Pharmacy 10

143. Apex Pharmacy 10

144. Xplus Pharmacy Sdn Bhd 10

145. Caring Pharmacy - Tmn 10

146. Century Pharmacy 10

147. Caring Pharmacy Komtar JBCC 10

148. You Pharmacy Sdn Bhd 10

149. AM PM Pharmacy Sdn Bhd (Johor Jaya) 10

150. Redcap Pharmacy Larkin Perdana 10

151. IJ Pharmacy 10

152. Caring Pharmacy - KSL City Mall 10

153. IJ Pharmacy (Kolam Ayer Branch) 10

154. Interpharm 10

155. Caring Pharmacy AEON Tebrau City 10

156. Rancak Pharmacy Sdn Bhd 10

157. Pharmex Pharma Sdn. Bhd 10

158. Wellness Pharmacy 10

159. RedCap Pharmacy Perling 10

160. Jecki Medical Supplies 10

161. My Pharmacy (M) Sdn Bhd 10

162. AM PM Pharmacy Sdn Bhd 10

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Environmental Impact Assessment (EIA) for Proposed Development of Clinical Waste Thermal Treatment Plant at Tanjung Langsat, Johor for Southern Medi One Sdn. Bhd.

(Report No: AMR.2018.SMOSB.EIA)

Table 3.1: Potential Source of Incoming Clinical Waste to SMOSB Expected Tonnage No. Potential Clinics (kg/day) 163. Praise Pharmacy Sdn. Bhd. 10

164. IJ Pharmacy 10

165. Farmasi Procare Pharmacy 10

166. Caring Pharmacy 10

167. You Pharmacy 10

168. Farmasi Perennial 10

169. RedCap Pharmacy 10

170. Guardian Pharmacy (M) Sdn. Bhd. 10

171. Southern Pharmacy Sdn Bhd 10

172. First Pharmacy 10

173. IJ Pharmacy 10

174. Guardian 10

175. Redcap Pharmacy Austin Perdana 10

176. U Life Pharmacy 10

177. AM PM Pharmacy Sdn Bhd (Kulaijaya) 10

178. Pharmex Pharma Sdn. Bhd. 10

179. You Pharmacy 10

180. Caring Pharmacy Taman Molek 10

181. Perennial Pharmacy 10

182. Jecki Medical Supplies 10

183. Guardian Pharmacy (M) Sdn. Bhd. 10

184. AM PM Pharmacy Sdn Bhd Gelang Patah 10

185. DI Pharmacy 10

186. Southern Pharmacy Sdn Bhd 10

187. Am Pm Pharmacy Sdn. Bhd. 10

188. Activecare Pharmacy Sdn Bhd 10

189. Praise Pharmacy Sdn. Bhd. 10

190. First Pharmacy 10

191. WiseMed Pharmacy 10

192. PLT 10

193. Redcap Pharmacy Austin Perdana 10

194. Mylife Pharmacy Adda Height JB 10

195. RedCap Pharmacy 10

196. AM PM Pharmacy Sdn Bhd () 10

197. Sincere Care Pharmacy 10

198. AM PM Pharmacy Sdn Bhd (Taman Sri Tebrau) 10

199. DI Pharmacy 10

200. Perennial Pharmacy 10

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Environmental Impact Assessment (EIA) for Proposed Development of Clinical Waste Thermal Treatment Plant at Tanjung Langsat, Johor for Southern Medi One Sdn. Bhd.

(Report No: AMR.2018.SMOSB.EIA)

Table 3.1: Potential Source of Incoming Clinical Waste to SMOSB Expected Tonnage No. Potential Clinics (kg/day) 201. First Pharmacy 10

202. IJ Pharmacy 10

203. WiseMed Pharmacy PLT 10

Total 10,455 kg/day @ 436 kg/hr

It is anticipated that this sources of incoming clinical waste from private clinics and hospitals will be undertaken by SMOSB at a value of 436 kg/hr where the proposed 500 kg/hr clinical waste thermal treatment plant is capable to cater for the potential clinical waste generated from private hospitals, clinics and other potential clinical waste generator.

Prior to the implementation of the Proposed Project, SMOSB has taken an action at the early stage to get the support from the waste generator mainly from public clinics and hospitals in supporting their Proposed Project. The private sectors supports and welcome the installation of this thermal treatment plant as the Proposed Project can provide support to ensure proper handling and treatment of clinical waste as well as to assist the waste generator by providing such services especially in the southern region. The project proponent is hoping to assist the private healthcare services by providing an avenue for the treatment and disposal of clinical waste in a safer manner. Appendix 3.A presents several support letters from private clinics and hospitals gained by the project proponent. The discussion with other private services is still on-going to get their support towards the proposed project although initial engagements have presented positive feedbacks.

It is expected that there will be an increase in clinical waste received due to the increase in such health establishments in the future and the increase in population who are likely to seek medical treatment. As a result of this, the option of expanding the existing clinical waste treatment plant is urgently required by the project proponent in order to meet high demand of clinical wastes generated in the future.

3.1.2 Categorization of Clinical Waste Clinical wastes are wastes containing human or animal tissue, blood or body fluids, excretions, drugs, pharmaceutical products, soiled swabs or dressings, syringes, needles, sharps and waste unless rendered safe may prove hazardous to any person coming into contact with it. To further define clinical wastes, the Ministry of Health has included these definitions in its guidelines:-

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Environmental Impact Assessment (EIA) for Proposed Development of Clinical Waste Thermal Treatment Plant at Tanjung Langsat, Johor for Southern Medi One Sdn. Bhd.

(Report No: AMR.2018.SMOSB.EIA)

Any waste which consists wholly or partly of human or animal tissue, blood or other body fluids, excretions, drugs or other pharmaceutical products, swabs or dressings, syringes, needles or other sharp instruments, being waste which unless rendered safe may prove hazardous to any person coming into contact with it; and

Any other waste arising from medical, nursing, dental, veterinary, pharmaceutical or similar practices, investigation, treatment, care, teaching or research, or the collection of blood for transfusion, being waste which may cause infection to any person coming into contact with it.

Table 3.2 shows major classification of clinical waste and its recommended management guidance in Malaysia.

Table 3.2: Classification of Clinical Waste and Recommended Management Guidance in Malaysia Description Waste Management Guidance 1) Blood and body fluid waste Special requirement on the management from the viewpoint of infection prevention. These categories of i. Soiled surgical dressings, i.e. cotton wool, gloves waste must always be incinerated completely in an and swabs. All contaminated waste from appropriate incinerator. treatment area. Plasters, bandages which have come into contact with blood or wounds, cloths and wiping materials used to clear up body fluids and spills of blood; ii. Material other than reusable linen, from cases of infectious diseases (i.e. human biopsy materials, blood, urine, stools); and

Swabs iii. Pathological waste including all human tissues (whether infected or not), organs, limbs, body parts, placenta and human foetuses, animal carcasses and tissues from laboratories and all related swabs and dressings.

Dressings

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Environmental Impact Assessment (EIA) for Proposed Development of Clinical Waste Thermal Treatment Plant at Tanjung Langsat, Johor for Southern Medi One Sdn. Bhd.

(Report No: AMR.2018.SMOSB.EIA)

Table 3.2: Classification of Clinical Waste and Recommended Management Guidance in Malaysia Description Waste Management Guidance 2) Waste posing the risk of injury (“sharps”) Collected and managed separately from other waste. The collection container; must be puncture resistant All objects and materials which are closely linked with and leak tight. This category of waste has to be healthcare activities and pose a potential risk of injury disposed or destroyed completely as to prevent and/ infection, i.e. needles, scalpel blades, blades and potential risk of injury/infection. saw, any other instruments that could cause a cut or puncture. Syringes

Scalpel Blades

3) Infectious wastes Special requirement on the management from the view point of infection prevention. This category of Clinical waste arising from laboratories (i.e. waste must always be incinerated completely in an pathology, haematology, blood transfusion, appropriate incinerator. microbiology, histology) and post mortem rooms, other than waste included in category 1 waste.

Pathological Laboratories

Microbiology

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Environmental Impact Assessment (EIA) for Proposed Development of Clinical Waste Thermal Treatment Plant at Tanjung Langsat, Johor for Southern Medi One Sdn. Bhd.

(Report No: AMR.2018.SMOSB.EIA)

Table 3.2: Classification of Clinical Waste and Recommended Management Guidance in Malaysia Description Waste Management Guidance 4) Pharmaceutical and Cytotoxic Class I – Pharmaceuticals such as camomile tea, Pharmaceutical Wastes cough syrup, and the like which pose no hazard during collection, intermediate storage and waste i. Pharmaceuticals which have become unusable for management: the following reasons:- Managed jointly with municipal wastes. - Expiry date exceeded; - Expiry date exceeded after the Class II – Pharmaceuticals which pose a potential packaging has been opened or the hazard when used improperly by unauthorised ready-to-use preparation prepared by persons: the user; or Managed in an appropriate waste disposal facility. - Use is not possible for other reasons (i.e. call-back campaign) Class III – Heavy metal – containing unidentifiable ii. Wastes arising in the use, manufacturer and pharmaceuticals: preparation of, and in the oncological treatment of patient with, pharmaceuticals with a cytotoxic Managed in an appropriate waste disposal facility. effect (mutagenic, carcinogenic and teratogenic properties). Intermediate storage of these wastes takes place under controlled and locked conditions. For reasons of occupational safety, cytotoxic pharmaceutical wastes must be collected separately from pharmaceutical waste and disposed of in a hazardous waste incineration plant.

Vaccines

Medicines

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Environmental Impact Assessment (EIA) for Proposed Development of Clinical Waste Thermal Treatment Plant at Tanjung Langsat, Johor for Southern Medi One Sdn. Bhd.

(Report No: AMR.2018.SMOSB.EIA)

Table 3.2: Classification of Clinical Waste and Recommended Management Guidance in Malaysia Description Waste Management Guidance 5) Other infectious wastes Disposed of in a hazardous waste incineration plant licensed by the Department of Environment. All healthcare waste known or clinically assessed by a medical practitioner or veterinary / surgeon to have the potential of transmitting infectious agents to humans or animals. Used disposable bed-pan iners, urine containers, incontinence pads and stoma bags.

Urine Containers

Stoma Bags

3.2 Adherence to Malaysia Development Plan Under the current legislative setup, spatial planning in Malaysia is governed by the Town and Country Planning Act 1976 (Act 172) which enforced by the PLANMalaysia. The National Development Planning Framework comprises of three (3) levels of planning, namely the National Physical Plan at the Federal level, the State Planning at the State Level and the local planning at the Local Authority level.

3.2.1 National Physical Plan 3 (Rancangan Fizikal Negara 3) High scale projects possess great impacts to the environment and its inhabitants, where by there needs to be a code of policies that control the practice to avoid future implications. The main focus of the Third National Physical Plan orientates towards the citizens and their welfares, in conjunction with efficient physical management and sustainability. The proposed projects will need to adhere to the National Physical Planning policies that mainly describes the strategies planned for betterment of community as shown in Table 3.3.

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Environmental Impact Assessment (EIA) for Proposed Development of Clinical Waste Thermal Treatment Plant at Tanjung Langsat, Johor for Southern Medi One Sdn. Bhd.

(Report No: AMR.2018.SMOSB.EIA)

Table 3.3: National Physical Plan 3 Policies Thrust Strategies PD: Urban and PD1: Balanced Urban Growth Sub-Urban Dynamic Growth PD2: Integrated Sub-Urban Growth PD3: Upgraded Access and Connectivity KD: Spatial Sustainability and KD 1: Sustainable Management of Natural Resources, Food Sources, Resilience to Climate Change and Legacy Resources KD 2: Holistic Land Use Planning KD 3: Low Carbon City And Sustainable Infrastructure KI: Establishment of an inclusive KI 1: Adequate and Quality Living Environment and resilient community KI 2: Livable Community Environment KI 3: Community Engagement and Collaboration

PD: Urban and Sub-Urban Dynamic Growth, as being the first policy mainly highlights towards the continuity of urban and sub-urban growth which will stimulates balance economic and social development. Under PD1: Balanced Urban Growth which is for strengthening urban growth and development for boosting strong and balanced economic growth. Hence, the proposed project area (Pasir Gudang) are included in the spatial growth plan in NPP3 and have been identified to be part of South Conurbation (i.e. Surrounding Johor Bahru including Iskandar Puteri, Senai, Kulai, Skudai, Pasir Gudang, Tanjung Pelepas, Pontian, Kota Tinggi, Desaru and ) as shown in Figure 3.1. The focus of conurbation is on strengthening and sustaining growth as well as improving economic value added such as follows:

 Development and investment initiatives in the services, industry and tourism sectors for strengthening urban economic performance; and  Development and planning initiatives to promote redevelopment in the region of old town to meet the demands of land development and reduce the pressure of the city.

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Environmental Impact Assessment (EIA) for Proposed Development of Clinical Waste Thermal Treatment Plant at Tanjung Langsat, Johor for Southern Medi One Sdn. Bhd.

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Project Site

Source: National Physical Plan 3, 2016 Figure 3.1: South Conurbation

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Environmental Impact Assessment (EIA) for Proposed Development of Clinical Waste Thermal Treatment Plant at Tanjung Langsat, Johor for Southern Medi One Sdn. Bhd.

(Report No: AMR.2018.SMOSB.EIA)

3.2.2 Johor Bahru and Local Plan, 2025 Land use is described by the purposes for which the land is used, and the types and sequences of development, conservation and environmental management activities carried out upon the land. The entire main land use zone for the Pasir Gudang Municipal Council is a residential area covering an area of 3,993.90 hectares which is 13.56% of the total area of MPPG. It comprises an additional 1,437.91 hectares in a committed development category and 1,743.92 hectares in the new proposed category. Next, the industrial development covers 3,013.12 hectares (10.23%) with an increase of committed development of 1,521.55 hectares and a new 60.10 hectare area proposal. For commercial development covers an area of 487.35 hectares increase of 296.77 hectares for committed development and 117.34 hectares for proposed new areas for commercial. Table 3.4 and Figure 3.2 show the land use plan for Pasir Gudang Municipal Council.

Table 3.4: Proposed Land Use of Pasir Gudang Municipal Council Land Use (Hectares) Proposed Plan Land Use Current Committed Proposed MPPG Maintained Maintained New Hectares Percentage BUILT-UP LAND USE Residential 812.08 1,437.91 1,743.92 3,993.90 13.56 Commercial 73.25 296.77 117.34 487.35 1.65 Industrial 1,431.47 1,521.55 60.10 3,013.12 10.23 Institution and 232.69 280.37 9.35 522.41 1.77 Facilities Recreational and 461.04 474.59 1.10 936.73 3.18 Open Area Small Amount 3,010.52 4,011.19 1,931.80 8,953.51 30.40 RESERVES TRANSPORTATION, INFRASTRUCTURE AND UTILITIES Reserves Transportation & 2,074.51 795.97 - 2,870.48 9.75 Communication Reserves Infrastructure and 317.32 339.35 - 656.67 2.23 Utilities Small Amount 2,391.83 1,135.32 - 3,527.15 11.98 RESERVES FOREST AND WATER BODY Reserved Forest 2,266.21 - - 2,266.21 7.69 Water Body 3,787.24 - - 3,787.24 12.86 Small Amount 6,053.45 - - 6,053.45 20.55 OTHERS Agriculture 10,909.37 - 10.42 10,919.79 37.07 Small Amount 10,909.37 - 10.42 10,919.79 37.07 Overall Total 22,365.16 5,146.52 1,942.22 29,453.90 100.00 Overall Percentage 75.93 17.47 6.59 100.00

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Environmental Impact Assessment (EIA) for Proposed Development of Clinical Waste Thermal Treatment Plant at Tanjung Langsat, Johor for Southern Medi One Sdn. Bhd.

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Project Site

Figure 3.2: Proposed Land Use Plan of Pasir Gudang Municipal Council

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Environmental Impact Assessment (EIA) for Proposed Development of Clinical Waste Thermal Treatment Plant at Tanjung Langsat, Johor for Southern Medi One Sdn. Bhd.

(Report No: AMR.2018.SMOSB.EIA)

3.2.2.1 Tanjung Langsat Industrial Area Tanjung Langsat Industrial Area covers an area of 4,892.32 hectares meanwhile the entire main land use zone for Tanjung Langsat Industrial Estate is an industrial estate covering an area of 1,372.49 hectares, which is 28.05% of the area of BP5. It comprises an additional 1,133.39 hectares in the category of committed development and 97.13 hectares involving new proposals. Subsequently, housing development covers an area of 114.58 hectares (2.34%) by upgrading existing housing or settlement areas. Table 3.5 shows proposed land use for Tanjung Langsat Industrial Area.

Table 3.5: Proposed Land Use for Tanjung Langsat Industrial Area Land Use (Hectares) Proposed Plan Land Use Current Committed Proposed Current Maintained Maintained New Maintained Maintained BUILT-UP LAND USE Residential - - 114.58 114.58 2.34 Commercial - 40.40 - 40.40 0.83 Industrial 141.97 1,133.39 97.13 1,372.49 28.05 Institution and Facilities 6.63 - 6.63 0.14 Recreational and Open Area 43.77 114.66 - 158.43 3.24 Small Amount 185.74 1,295.08 211.71 1,692.53 34.60 RESERVES TRANSPORTATION, INFRASTRUCTURE AND UTILITIES Reserves Transportation & 290.70 197.65 - 488.35 9.98 Communication Reserves Infrastructure and 44.00 86.22 - 130.22 2.66 Utilities Small Amount 334.70 283.87 - 618.57 12.64 RESERVES FOREST AND WATER BODY Reserved Forest 313.71 - - 313.71 6.41 Water Body 913.76 - - 913.76 18.68 Small Amount 1,227.47 - - 1,227.47 25.09 OTHERS Agriculture 1,353.75 1,353.75 27.67 Small Amount 1,353.75 - - 1,353.75 27.67 OVERALL TOTAL 3,101.66 1,578.95 211.71 4,892.32 100.00 OVERALL PERCENTAGE 63.40 32.27 4.33 100.00

Figure 3.3 and Figure 3.4 show local land use for area around the proposed project site. Based on the Johor Bahru and Kulai District Local Plan, 2025, the proposed site is zoned as Industrial Area and in-line with the development planning zoned by Pasir Gudang Municipal Council (MPPG) and the State of Johor.

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Environmental Impact Assessment (EIA) for Proposed Development of Clinical Waste Thermal Treatment Plant at Tanjung Langsat, Johor for Southern Medi One Sdn. Bhd.

(Report No: AMR.2018.SMOSB.EIA)

The proposed project site is located in Blok Perancangan (BP) 5: Tanjung Langsat Industrial Area. According to Johor Bahru and Kulai District Local Plan, 2025 gazetted through No. Warta J.P.U 4 Jilid 62 No. 2 dated 18th January 2018 for the area of Pasir Gudang Municipal Council (Blok Perancangan Kecil (BPK) 5.1 – Tanjung Langsat Industrial and Port Area), site planning zone is for industrial activities. Hence, the land use of the proposed project is suitable and not in conflict with that designated or proposed for the site as detailed in the gazetted Structure or Local plan. The land use of the proposed project is generally compatible with the surrounding land use for industry.

Referring to Figure 3.4, the proposed development of new clinical waste thermal treatment plant is categorized as heavy industry. Kampung Tanjung Langsat and Kampung Perigi Acheh are the nearest residential areas and located more than 2 km from the proposed project site.

In general, the proposed development is consistent with the land use set out in the Local Plan where it does not conflict with surrounding land use. This is because the area has been designated as an industrial zone.

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Environmental Impact Assessment (EIA) for Proposed Development of Clinical Waste Thermal Treatment Plant at Tanjung Langsat, Johor for Southern Medi One Sdn. Bhd.

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Project Site

Figure 3.3: Tanjung Langsat Industrial Area (BP 5)

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Environmental Impact Assessment (EIA) for Proposed Development of Clinical Waste Thermal Treatment Plant at Tanjung Langsat, Johor for Southern Medi One Sdn. Bhd.

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Project Site

Figure 3.4: Tanjung Langsat Industrial and Port Area (BPK 5.1)

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Environmental Impact Assessment (EIA) for Proposed Development of Clinical Waste Thermal Treatment Plant at Tanjung Langsat, Johor for Southern Medi One Sdn. Bhd.

(Report No: AMR.2018.SMOSB.EIA)

3.3 Statement of Need The development of proposed clinical thermal treatment plant facilitates the transportation, storage and treatment of clinical waste collected from private clinics and hospitals and potentially from other waste generator in Southern Region of in future.

SMOSB is targeting to collect only clinical wastes with scheduled waste code of SW 403 and SW 404 from the private hospitals and clinics to be received and treated at the proposed thermal treatment plant. All clinical wastes are placed in rigid containers or bags which are tagged in accordance with the requirements of the MOH so that all wastes can be tracked from the sources of generation to the point of final disposal. The definition of the type of waste to be received at SMOSB is shown in Figure 3.5 below:

SW 403 SW 404 Discarded drugs containing psychotropic substances or Pathogenic and containing substances clinical wastes that are toxic, quarantined materials harmful, carsinogenic, mutagenic or teratogenic

Figure 3.5: Definition of the Type of Waste to be received at SMOSB

The generation of wastes may present threats to the environment and public health, but this depends on the type of waste management option and the way it is controlled. Waste is a complex mixture of different substances, only some of which are intrinsically hazardous to health.

Poor management of health care waste potentially exposes health care workers, waste handlers, patients and the community at large to infection, toxic effects and injuries, and risks polluting the environment. It is essential that all medical waste materials are segregated at the point of generation, appropriately treated and disposed of safely. Figure 3.6 shows the summary of statement of need prior to the development of thermal treatment plant.

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Environmental Impact Assessment (EIA) for Proposed Development of Clinical Waste Thermal Treatment Plant at Tanjung Langsat, Johor for Southern Medi One Sdn. Bhd.

(Report No: AMR.2018.SMOSB.EIA)

To assist the private health care To provide enhanced infrastructure services by providing an avenue for for a higher quality of life in urban the treatment and disposal of clinical and rural areas; waste;

To provide a ‘surge capacity’ for To provide additional avenue for processing clinical wastes supplied by resource recovery whilst protecting current concessionaires during the environment. breakdowns; and

Figure 3.6: Summary Statement of Need

3.4 Legal Requirement The proposed project is carried out in order to fulfil the requirements under the provisions of Environmental Quality (Prescribed Activities) (Environmental Impact Assessment) Order, 2015 which has been gazetted and enforced since 28th August 2015. Thus, AMR Environmental Sdn. Bhd. (AMR) was appointed by SMOSB to perform and submit the Environmental Impact Assessment (EIA) report to the Department of Environment (DOE) Putrajaya prior to the implementation of the proposed project.

The proposed project is categorized as a prescribed activity and thus need for the EIA study to be carried out. The preparation of EIA report is in compliance to the legal requirement under Section 34A, Environment Quality Act, 1974.

“34A. Report on impact on environment resulting from prescribed activities”.

The proposed project shall be cited under Environmental Quality (Scheduled Waste) Regulations, 2005

According Regulation 5 (Treatment of Scheduled Wastes) of Environmental Quality (Scheduled Wastes) Regulations, 2005, scheduled wastes shall be treated at prescribed premises or at on – site treatment facility only. Meanwhile, the residuals from treatment of scheduled waste shall be treated or disposed of at prescribed premises. In supporting to this regulation, SMOSB take an action to establish a prescribed premise to safely treat the scheduled waste code of SW 403 and SW 404 and the residuals from treatment of this scheduled waste will be treated and disposed to KAWMC.

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Environmental Impact Assessment (EIA) for Proposed Development of Clinical Waste Thermal Treatment Plant at Tanjung Langsat, Johor for Southern Medi One Sdn. Bhd.

(Report No: AMR.2018.SMOSB.EIA)

Regulation 8 (Responsibility of Waste Generator) of the Environmental Quality (Scheduled Wastes) Regulations, 2005 stipulates the following requirement:

1) Every waste generator shall ensure that scheduled waste generated are properly stored, treated on – site, recovered on – site for material or product from such scheduled wastes or delivered to and received at prescribed premises for treatment, disposal or recovery of material or product from scheduled waste; 2) Every waste generator shall ensure that scheduled waste that scheduled waste that are subjected to movement or transfer packaged, labelled and transported in accordance with the guidelines prescribed by the Director General.

Private clinics and hospitals are the main waste generator for the development of thermal treatment plant and shall ensure to follow the clause under Regulation 8 to ensure the scheduled waste generated is being treated and disposed at the prescribed premise licensed by the DOE.

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