CONCEPTUAL PLAN. M/s. APOLLO HOSPITALS ENTERPRISE LTD., (Construction of Oncology Block)

Transcription

1 CONCEPTUAL PLAN of M/s. APOLLO HOSPITALS ENTERPRISE LTD., (Construction of Oncology Block) Sy. No. 68P & 76, Health City, Chinagadila (V), Visakhapatnam District Andhra Pradesh Prepared by SV ENVIRO LABS & CONSULTANTS Environmental Engineers & Consultants in Pollution Control Enviro House, Block-B, B-1, IDA, Autonagar, VISAKHAPATNAM-12. Ph: , Recognized by Govt of India, MOEF, New Delhi & QCI No. 140

2 The Background It is often said that nothing happens, unless there is a dream first. At the genesis of the Apollo story there was a dream. A dream so powerful, that it helped transform the medical landscape in India. The dream nurtured and grew within Dr. Prathap C Reddy, the founder Chairman of Apollo Hospitals, until the point of inflection happened in A young man succumbing to an ailing heart was what it took to ignite Dr. Reddy's vision into a reality - a vision where quality healthcare was given, where the pursuit of clinical excellence was daily endeavor, India a hub in the medical tourism map and where the Apollo family touches and enriches lives every minute, every day. Today, with more than 8500 beds across 66 hospitals, and a significant presence at every touch-point of the medical value chain, Apollo Hospitals is one of Asia s largest healthcare groups. Commenced as a 150 bed hospital, today the group has grown exponentially both in India and overseas. Its growth is often said to be synonymous with India emerging as a major hub in global healthcare. Apollo Hospitals is driven by a single thrust, to provide the best standards of patient care. It is this passion that has lead to the development of unique centers of excellence across medical disciplines, within the Apollo Hospitals network. Apollo Hospitals has JCI accreditations for 7 of its hospitals, the largest by any hospital group in the region. True to its founding principles, the group has made quality healthcare accessible to the people of India, and even overseas. It has become an institution of trust, and a beacon of hope to so many searching for a cure for their ailments.

3 The legacy of touching and enriching lives stems from the pillars of the Apollo philosophy - experience, excellence, expertise and research. We pride ourselves for constantly being on the cutting edge, and going the extra mile to stay relevant and revolutionary. The Apollo Hospitals Group is the pioneer of integrated healthcare delivery in India. This vision led the group to earmark time and resources to strengthen each vital cog in the process of healthcare delivery. As a result of these efforts, the group today is in a unique position to exponentially increase its healthcare cover. This will be critical in order to meet future requirements. Apollo Hospitals Group, today, is an integrated healthcare organization with owned and managed hospitals, diagnostic clinics, dispensing pharmacies and consultancy services. In addition, the group s service offerings include healthcare at the patient s doorstep, clinical & diagnostic services, medical business process outsourcing, third party administration services and health insurance. To enhance performance and service to customers, the company also makes available the services to support business, telemedicine services, education, training programs & research services and a host of other non-profit projects. Apollo Hospitals in Visakhapatnam had existing OPD Block, IPD Block and Utility block with built up area of 23,820.02Sq.mts and total beds in the hospital are 250. For the same, environmental clearance was obtained vide order no: SEIAA/AP/VSP-46/2011 Dt: Now, the management proposed to expand the existing project by construction of oncology block with built up area of Sq.mts. The proposed project is only increase in built up area but not increase in beds capacity.

4 ABOUT THE PROJECT: M/s. APOLLO HOSPITALS ENTERPRISE LTD is proposed to expand Hospital comprising of Oncology Block at Sy. No. 68P & 76, Health City, Chinagadila (V), Visakhapatnam District of Andhra Pradesh within existing premises of 8.03acres. Details about Project Site as per table: Longitude Latitude Annual rainfall Min and max temp '6.03"E 17 45'38.95"N 1000 mm Avg. relative humidity 75 % Avg. wind speed Predominant wind direction Summer Winter Monsoon Nearest highway Nearest railway station Nearest human settlement Nearest Hills Nearest town Nearest seaport Nearest Water bodies Nearest reserved forest Nearest National park Nearest Air Port Nearest Highway 15 0 C and 46 0 C 8-10 KMPH SE N & NE SE & NW NH-5 Visakhapatnam station at 5.25 km Chinagadila village at 0.5 km Simhachalam Hills at 7.15Kms Visakhapatnam Visakhapatnam port 08 km Mudasarlova Reservoir at 2.12Kms None with in 10 km Indira Gandhi Zoological park at 03 km Kambalakonda wildlife sanctuary nearest boundary at 0.60Kms Visakhapatnam Airport at 8.95Kms NH-16 at 1.60Kms

5 M/s. APOLLO HOSPITALS ENTERPRISE LTD, TOPO MAP (10 KM Radius) PROJECT SITE PROJECT SITE

6 PROJECT DESCRIPTION Project Description The company intends to construct Oncology block in Visakhapatnam Municipality at S.No. 68P & 76, Health City, Chinagadila Village, Visakhapatnam District, Andhra Pradesh. The total site area of the hospital is 8.03 acres standing in the name of the company in Visakhapatnam. The proposed construction will be undertaken on a plot of land after having approval of the authorities. Project Scenario The Apollo Hospitals Group is the pioneer of integrated healthcare delivery in India. This vision led the group to earmark time and resources to strengthen each vital cog in the process of healthcare delivery. As a result of these efforts, the group today is in a unique position to exponentially increase its healthcare cover. This will be critical in order to meet future requirements. Apollo Hospitals Group, today, is an integrated healthcare organization with owned and managed hospitals, diagnostic clinics, dispensing pharmacies and consultancy services. In addition, the group s service offerings include healthcare at the patient s doorstep, clinical & diagnostic services, medical business process outsourcing, third party administration services and health insurance. To enhance performance and service to customers, the company also makes available the services to support business, telemedicine services, education, training programs & research services and a host of other non-profit projects. TOTAL SITE AREA DETAILS (EXISTING & PROPOSED): Total Site Area Sq.M (8.03Acres) Existing plinth area Sq.mts Open space area Sq.mts Parking (Open area) Sq.mts Proposed expansion plinth area Sq.mts

7 EXISTING AREA DETAILS: S.NO DESCRIPTION AREA IN SQ.MTS 1 OPD BLOCK AREA IPD BLOCK AREA UTILITY BLOCK AREA PARKING AREA OPEN SPACE AREA PROPOSED EXPANSION AREA: S.No Description Area In Sq.Mts Oncology Block 1 Basement Ground Floor First Floor Second Floor Third Floor Total Built up area WATER AVAILABILITY Water is required for the construction as well as during occupation stage as the same is an important resource. The water resource available with the Bore wells and Municipal authorities was studied to identify the source and feasibility. Water requirement for existing and proposed expansion is given below: EXISTING FRESH WATER QUANTITIES: S.NO DESCRIPTION QUANTITY IN KLD 1. DOMESTIC USAGE & WASHINGS GREEN BELT DEVELOPMENT 10.0 TOTAL 195.0

8 EXISTING WASTE WATER QUANTITIES: S.NO DESCRIPTION QUANTITY IN KLD 1. DOMESTIC USAGE TOTAL FRESH WATER REQUIREMENT PROPOSED EXPANSION S.NO FRESH WATER QUANTITY IN KLD ONCOLOGY BLOCK POPULATION UNIT WATER CONSUMPTION/DAY (LT) TOTAL WATER REQUIRED (KLD) 1 Regular Staff (Doctors Attendants + Staff) 2 Visitors (Patients) Total 5.6 WASTE WATER GENERATION PROPOSED EXPANSION S.NO QUANTITY OF WASTE WATER (KLD) 1. Regular Staff (Doctors + Attendants Staff) 2. Visitors (Patients) 0.93 Total 4.78

9 TOTAL WASTE WATER GENERATED FROM EXISTING & EXPANSION S.NO DESCRIPTION EXISTING AS PER EC DT: PROPOSED IN KLD TOTAL AFTER EXPANSION IN KLD IN KLD 1 DOMESTIC DISPOSAL: 41 KLD of treated water will be used for avenue plantation within the premises. 44 KLD will be used for surrounding area social forestry development. 70 KLD will be used for toilet flushing/floor washings. 25 KLD will be routed to municipal sewerage system

10 ENVIRONMENTAL MANAGEMENT PLAN The Environmental Management Plan envisaged for this hospital project is described hereunder with a strong commitment to follow best environmental practices to reduce the negative implication to make this project a sustainable development endeavor. The management action plan aims at controlling pollution at the source level to the possible extent with the available and affordable technology followed by treatment measures before they are discharged. Environmental management plan aims at the preservation of ecosystem by considering the pollution abatement facilities at the plant inception. In the upcoming modern plants, pollution abatement has become an integral part of planning and designs along with techno economic factors The different environmental components that are identified in the assessment chapter are dealt hereunder with necessary environmental management plan. AIR ENVIRONMENT: As the proposed unit is a construction of a Hospital, SPM, SO 2 & NO X emissions from the operations will be very less concern. Water sprinkling will be provided through out the complex to control the fugitive emissions arises if any during construction activity. WATER POLLUTION MANAGEMENT The wastewater generated from the domestic usage will be about 5.0 m 3 /day only from proposed expansion. The wastewater will be treated in the proposed Sewage Treatment Plant and treated water will be used for green belt development/toilet flushing. NOISE ENVIRONMENT & GROUND VIBRATIONS The major noise levels will be confined to the construction activity while handling concrete mixer and other consumables. The Leq of eight hours will be within the prescribed standards. Community noise levels are not likely to be effected due to the proposed green belt development and attenuation due to the physical barriers.

11 LAND ENVIRONMENT The study area is predominantly agriculture oriented. Crops like paddy and coconut crops are predominantly cultivated in the surrounding vicinity. The main source of water is ground water. The soils in the area are predominantly clay with high fertility. SOCIO-ECONOMIC ENVIRONMENT & SAFETY A detailed survey was conducted to assess socio-economic aspects of the region. The data collected from the census book include demographic details, infrastructural facilities, educational status, health status, medical facilities, agricultural status, cattle population, crop pattern etc. POST PROJECT MONITORING PROGRAMME In order to maintain the environmental quality within the standards, regular monitoring of various environmental components is necessary. The proponent will allocate Rs. 5.0 lakhs annual budget towards environmental protection initiatives. ENVIRONMENTAL MONITORING Regular monitoring of various environmental parameters shall be carried out to ascertain the following points, Status of air, noise, water, land pollution within the plant and in its vicinity Generate data for predictive or corrective purpose in respect of pollution and To assess and monitor environmental impacts periodically. Recommendations a. DG set emissions and wastewater parameters (as per APPCB/CPCB guidelines) shall be monitored regularly to meet the statutory requirements. b. All the internal roads shall be asphalted to reduce the fugitive dust due to truck movement. c. Green belt shall be provided around the hospital and along the internal roads. d. Adopting shock-absorbing techniques can reduce the impact. e. The use of damping materials such as thin rubber / lead sheets for wrapping the work places.

12 f. By making use of absorbing material on roof walls and floors, the noise reflection can be reduced. g. Increase the distance between source and receiver, by altering the relative orientation of receiver and the source. h. Extensive green belt will be developed for further attenuation of noise levels.

13 TREATMENT SYSTEM-EXISTING Waste water generation will be about KLD. The waste water is collected through piping system and is treated in the existing sewage treatment plant. The solids will be settled in the septic tank and clear supernatant devoid of solids will be collected and transferred to sewage treatment plant.

14 SEWAGE TREATMENT SYSTEM - EXISTING Based on the literature available and after study of wastewater characteristics the following treatment system has been designed. I. PRIMARY TREATMENT 1. Collection Tank II. ACTIVATED SLUDGE PROCESS Secondary Treatment 1. SBR Tank 2. Clarified Water tank -2Nos 3. Sludge Holding tank 4. Treated water tank III. TERTIARY TREATMENT 1. Pressurized Sand Filter 2. Activated Carbon Filter IV. MODE OF DISPOSAL The wastewater after treatment is using for green belt development within the existing and proposed premises only.

15 FLOW CHART OF EXISTING SEWAGE TREATMENT PLANT

16 The average generation of different types of healthcare waste for different categories of hospitals is tabulated below: Hospital category (Bed Strength) Health care waste generation rate (gms/bed/day General waste (%) Total BMW (%) Bio-Medical Waste Anatomical waste (%) Sharp Waste (%) Infectious non sharp waste (%) Upto Average SOLID WASTE GENERATION AND DISPOSAL DETAILS S. Description of the waste Existing Proposed Disposal No. Quantities Quantities 1. Garbage General Waste 100Kg/day 13 kg/day Local municipal dumping site 2. Bio-medical Waste 300Kg/day 7 kg/day Disposed to authorized agencies 3. STP Sludge 10 Kg/day -- Used as manure to nearby fields 4. Waste oil 100 LPA -- Disposed to authorized APPCB agencies

17 RAIN WATER HARVESTING A full fledged rainwater harvesting scheme will be provided for the proposed oncology block to intercept and store rain water for use and replenish underground water levels. The rainwater from the roof will be passed through the filters and collected in sumps earmarked for this purpose. The first flows as well as surplus flow would bypass these sumps by means of suitable valve controls and leads out to the surface drains. The surface drains would lead the runoff into the rainwater harvesting pits. ENERGY SAVING MEASURES Energy saving measures constitutes a principal component of this project and is built into the design concept as well as selection of various equipment. Buildings: The blocks will be in rectangular outline and the longer sides face East to minimize heat gain through the walls. Every block will be interconnected by corridors which help in better utilization of natural daylight. Electrical equipments and system The CF lamps envisaged would save around 20% energy is vis a vis conventional lamps.

18 Electronic ballasts are envisaged for fluorescent light fittings. Automatic timer controls would be provided for external lighting. Automatic power factor correction capacitor panels at various loads centers will help in maintenance of PF at desired levels. Renewable and Alternate Energy Sources The renewable and alternative energy sources are needed to minimize pollution of the environment and in essence be eco-friendly. Towards this end, Solar photovoltaic systems are recommended for outdoor lighting and indoor emergency lighting. For energy conservation, efficient lighting fixtures would be used in the project. Photocell activated timer switching systems would be installed to operate the outdoor lighting. Power factor Improved capacitors would be used for motors and other major power driven equipment. In general roof treatment will employ tiles to reduce the heat gain in the upper floors.

19 OCCUPATIONAL HEALTH & SAFETY DETAILS DURING CONSTRUCTION PHASE First Aid Center and Medical facilities will be provided to all the concerned people working on the site. Personal dust mask, ear plugs, etc, will be provided to all persons working on the filed as per the requirement. Proper precautions will be taken at electrical installations, cables and electrical connections to avoid short circuit and electrical shocks. Fire protection equipment like sand buckets and fire extinguishers will be provided. OPERATIONAL PHASE Construction of entire complex will be of earth quake resistant. First Aid and Medical Facilities will be provided to all the concerned people working in the premises. Proper precautions will be taken for all electrical installations, cables and electrical connections to avoid short circuit and electrical shocks. Manual call boxes will be strategically installed at stairwell and elevators exit locations. All other safety measures as required by the concerned Government Authorities shall be complied with.

20 FIRE PROTECTION Consistent with the nature of their usage, the proposed Hospitals will be provided with comprehensive detection alarm and fire fighting systems. Wet risers fed dedicated water sumps and water pumps would help quick action in case of fire The stilt level would be provided with sprinklers A system of the hydrants would be provided all round the buildings. Portable fire extinguishers would be located in all the floors The entire hospital would be provided with fire escape staircases.