THE REPUBLIC OF TUNISIA MINISTRY OF ENVIRONMENT AND SUSTAINBLE DEVELOPPEMENT GEF GRANT N

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ublic isclosure uthorized ublic isclosure uthorized ublic isclosure uthorized ublic isclosure uthorized NNG N NG B NQU N F NGNG L W N B J GF GN N nvironmental and ocial mpact ssessment Framework for the unisia Bs anagement and isposal and healthcare waste management improvement roject FF XUV UY UBL F UN NY F NVNN N UNBL VLN #)'0%'0#6+10#.'&')'56+10&'5&'%*'65 2321 V2 G V UN F

B W NG J BL F NN 1. NUN...3 2. J BJV N NN...3 2.1 bjective...3 2.2 roject omponents...4 3. ummary of regulatory and institutional requirements for project concept and implementation...4 3.1 nstitutional and egulatory rrangements for roject mplementation...5 3.2 World Bank afeguard olicies...7 4. W UB-J...8 4.1 roject escription...8 4.2 echnical, economic, and environmental alternatives comparison...9 4.3 roject nvironmental and ocial ssessment...11 4.4 itigation framework...12 4.5 nvironmental and ocial anagement Framework lan and ost stimates...14 4.6 nvironmental and ocial onitoring Framework...17 4.7 apacity building and training...19 4.8 mplementation timetable for the W components and sub-components activities (2011-2014)...21 5. B UB-NN...22 5.1 roject description...23 5.2 iagnosis of current B management practices in unisia... rror! Bookmark not defined. 5.3 roject nvironmental and ocial mpact ssessment Framework...26 5.3.1 otential impacts of the current B management...26 5.4 itigation Framework...28 5.5 nvironmental and ocial anagement Framework and ost stimates...30 5.6 nvironmental and ocial onitoring Framework...34 5.7 apacity-building and raining...36 5.7.1 mplementation of oversight and performance procedures, training and technical assistance...36 5.7.2 anagement tructure for B roject ctivities...36 6. UBL NULN...40 ublic onsultation Findings...40 2/43

B W NG J 1. NUN F F W W B B G F G F B B F W B J F W W B G K 2. J BJV N NN 2.1 bjective he roject evelopment bjective () is to improve handling of Bs and management of health care waste through establishing sound and sustainable management programs and improving modalities of public private partnerships for waste management. he Global nvironment bjective (G) is to reduce s releases, specifically those of dioxins, furans and Bs in unisia by strengthening the country s regulatory and institutional frameworks to improving the W management system and phasing out the existing B equipment 3/43

B W NG J 2.2 roject omponents W W J N G B G K G G G U GF U G U B B B U U G U GF 3. B N B W B L J W B 4/43

B W NG J W B L N J W B J W J B B U W W B o G o N G W o G B W B B B B - W - - B - - 3.1 nstitutional and egulatory rrangements for roject mplementation N W N G NG B 5/43

B W NG J W N N NG L J N N NG W B N L J L N N NG J N N NG L N J L N NG NG NG N N NG B N N NG L J N N NG W B N L J L L J L N N N N NG B B N N NG N N NG NG NG NG 6/43

B W NG J 3.2 World Bank afeguard olicies F W B W B N F W N NG W B ince the detailed technical design and location of storage areas and disposal and treatment sites were not fully identified prior to appraisal and will be completed during the roject implementation the preparation of the nvironment and ocial mpact ssessment will take place in two stages : tage 1: n nvironmental and ocial mpact ssessment Framework (F) was prepared prior to appraisal, and mitigation, monitoring and institutional measures were outlined in an nvironmental and ocial anagement Framework (F). tage 2: he second stage will be the preparation during project implementation of site or group of sites- specific environment and social management plans for W storage and treatment sites ; and in case visual audit results on B contaminated sites show potential negative impacts, a specific environmental and social management plan of the site or group of sites, will be prepared, in accordance with the nvironmental and ocial mpact assessment Framework (F) and included in Bs disposal bidding document. ll s will be disclosed on the NGed website and in the nfohop according to the Bank s olicy on isclosure of nformation. 7/43

B W NG J 4. W UB J 4.1 roject escription W W 1. NGNNG F GUL NUNL N NL Y FWK U F U - W - - 1.2 W U - - - W U - W - - N NG - W - - - 2. W NVN N J N NL N UN UN U U F L G G K G U 8/43

B W NG J LB U W W U 3. J NNG VLUN N NGN U U U - G K G W W W 4.2 echnical, economic, and environmental alternatives comparison W 9/43

B W NG J W NG W F F NG NG U NG N N F W L F U W F 10/43

B W NG J W rea of ntervention W Quantity Number Zones otal in /per year of Fs Greater unis Greater unis 1,555 1,555 3 ousse & Kairouan 522 1 enter 937 onastir & ahdia 415 1 fax 457 1 Gabès 107 - outh-ast 692 ataouine 31 - edenine 97 L 3,184 6 he training and awareness-raising component will target private and national facilities located in the perimeter Governorates of the tudy. 4.3 roject nvironmental and ocial ssessment 4.3.1 otential impacts of the current W management W W W V B B W - - W W - 11/43

B W NG J W G F F L G F F U U U U U U U U U U U U U U U U U U L L L L L L L L L L L L L L L L L L U U U U U 4.4 itigation framework 12/43

B W NG J 13/43 U W W W W B G

B W NG J 4.5 nvironmental and ocial anagement Framework (F) lan and ost stimates F N J F W G F NG F W NG N N W N F o o o W U W U W U U 14/43

B W NG J 15/41 NG V U V NG

B W NG J 16/43 V NG N U U B B G W

B W NG J N W W NG W 4.6 nvironmental and ocial onitoring Framework F Q W W V G J N L G J G J N B G J 17/43

B W NG J B N V G J N L G N U Q Q N V B N N J N Q W L W 18/43

B W NG J 4.7 apacity building and training W NG 4.7.1 mplementation of oversight and performance measures training, and technical assistance N N NG W 4.7.2 anagement structure of W project activities U U W W F U NG W GF G U NG W W 19/43

B W NG J U NG N NG N W U W NG N NG W W L W W W U NG N W W U 20/43

B W NG J 4.8 mplementation timetable for the W components and sub-components activities (2011-2014) W 21/43

B W NG J 5. B UB NN 5.1 iagnosis of current B management practices in unisia B G G B F B B - G N - N K - ULUB W B - B - G B B B G G K K B 22/43

B W NG J B B B B B F B B B B B B B B 5.2 roject description B U - NG - B - B B - G - 23/43

B W NG J - - B - B B - B U - - B - NG - U B U W B B he objective of this component is to eliminate B-contaminated equipment and B wastes held by ten state companies1 associated with six ministries his component will include (a) the preparation of an environment assessment ; a geothechnical study and a study on the rehabilitation of the contaminated sites; (b) a decontamination of six-nine sites financed by counterpart funding; (c) the establishment a temporary storage facility in a separate location, for the storage of these oils if needed and required; (d) in country collection and transport and elimination of the B contaminated waste and equipment treatment facility outside unisia B F 1 G, ompagnie de hosphate de Gafsa, l Fouledh, ociete unisienne d ndustrie du affinage, ociete Nationale apier lpha, Group himique unisien, ndustrie himique du Fluor, ociete de ransport en ipe Line and agasin General. 24/43

B W NG J B B B B F o B F F o B F o G o B G B o o o o o B B U 25/43

B W NG J - U B B B B B B B B B B B B B B B 5.3 roject nvironmental and ocial mpact ssessment Framework 5.3.1 otential impacts of the current B management B 26/43

B W NG J G F B G F B 27/43

B W NG J 28/43 5.4 itigation Framework U B U

B W NG J 29/43

B W NG J 5.5 nvironmental and ocial anagement Framework and ost stimates B B NG F F B B B NG B B N - B - B - N J o o o o B pecific environmental impact studies or detailed environmental audits will be prepared for sites for which a visual inspection audit showed potential negative impacts easures to mitigate or repair, and/or compensate for adverse impacts on the environment and their cost estimates nvironmental monitoring measures and their costs estimates nstitutional measures including the preparation of an operational manual 30/43

B W NG J U B U U 31/43

B W NG J U L G B B U L NG 32/43

B W NG J 33/43 L L B L N L B L B NG B NG L

B W NG J 5.6 nvironmental and ocial onitoring Framework F N U B L V B NG U V B F B F B N NG U V V N 34/43

B W NG J NG N NG NG 35/43

B W NG J 5.7 apacity-building and raining NG G B 5.7.1 mplementation of oversight and performance procedures, training and technical assistance U U NG B 5.7.2 anagement tructure for B roject ctivities B B U U U B B G U 36/43

B W NG J U NG U U NG U U NG U NG F U F U NG N G B B F B NG N B NG N B U 37/43

B W NG J 38/43

B W NG J 39/43

B W NG J 6. UBL NULN NG F NG B W W B F B W ublic onsultation Findings W B W B ome participants requested that the companies and industries that will benefit from the project should have qualified staff for the monitoring and follow up on environmental measures.lso awareness campaigns should be increased specifically on health impacts related to W and B and NGs should be more involved. ll these recommendations were included in the project component on institutional strengthening. ther participants requested that the treatment of W should be left open as there could be new technologies that can be more adapted in unisia and that existing equipment containing Bs should be also replaced, he response form the project team is that the choice of the autoclaving technology was found to be the most advantageous from the technical, financial and environmental point of view and used worldwide. f new W treatment technologies would be commercially available they could be subsequently considered. With regards to the replacement of B oils equipment, the project will fund only the disposal of off-line B equipment and does not have funds for replacing on line equipment containing Bs F 40/43

B W NG J N N N N N N NG N G W F F W G G G G G W W W W F F F W W N N N G W 41/43

B W NG J L N N N B B B B B B F W F B N N K F G G G L ULUB L B U U 42/43

B W NG J NULNG F FL F G NVNNN UN K K B F F L 43/43