From Risk to Relief: Daru Hospital’s new incinerator

State-of-the-art incinerator to end a decade’s accumulation of medical waste

Noreen Chambers
Dr Satish Gupta, UNICEF Chief of Health program  and xxxx pose in front of the new incinerator for a photo
Noreen Chambers
06 November 2025

For ten years, hospital staff in Daru, Western Province, had no way to safely dispose of hazardous medical waste after its incinerator was decommissioned.

Used needles and expired drugs, packed into 44-gallon barrels over the decade still sit on hospital grounds waiting to be safely destroyed. For a long time, other hospital waste ended up buried and burned behind the hospital, or dumped at the town’s main site, none of which are safe for people or the environment. 

But that is now a thing of the past. In late October, UNICEF handed over a state-of-the-art incinerator. In a simple and low-key ceremony, Dr Miriam Boga, Chief Executive Officer of the Western Provincial Health Authority and Dr Satish Gupta, Chief of UNICEF’s Health program, signed the handover certificate atop an empty 44-gallon drum outside the building housing the incinerator.

It was an unassuming moment, but its impact on hospital safety and infection control for thousands of patients, staff and the wider community, will be far reaching.

Dr Miriam Boga, CEO for Western Provincial Health Authority and Dr Satish Gupta, UNICEF Health Chief sign the handover certificate.
Noreen Chambers A modest signing, marking a turning point in Daru's hospital waste management.
Dr Miriam Boga, CEO for Western Provincial Health Authority and Dr Satish Gupta, UNICEF Health Chief sign the handover certificate.
Noreen Chambers With an official stamp, Dr Boga seals the handover of Daru Hospital's new incinerator.

UNICEF installed two incinerator units, one in Daru Hospital, and the other in Kiunga District Hospital. Both, generously supported by the Government of Japan represent a K3 million investment.

“For ten years, we’ve been packing barrels with sharps and expired drugs while waiting to safely dispose of them. We openly burn other hospital waste or dump them at the town dump site, and the infection risk is everywhere.  It may be a quiet handover today, but this is a huge step forward for the hospital and our community. I thank the Government of Japan and UNICEF for this investment.”

Dr Miriam Boga, CEO - Western Provincial Health Authority
Dr Boga, CEO of Western Provincial Health Authority
Noreen Chambers Dr Boga, CEO, Western Provincial Health Authority
Barrels filled with used needles waiting to be disposed of safely.
Noreen Chambers Barrels like these, filled with a decade's worth of used needles can now be safely destroyed in the incinerator.
Hazardous hospital waste often end up at the town dump where it is mixed together with commercial and household waste.
Noreen Chambers Without proper disposal, hazardous hospital waste is often discarded along with commercial and household waste at the town dump, creating serious health and environmental risks to humans and animals.

Daru Island, just five kilometers in length, is home to about 31, 000 people. Its hospital is the only major hospital in the South Fly District that also serves patients who arrive daily in boats from the Delta Fly District on PNG’s mainland.  It’s a very busy hospital.

For a community already battling high rates of tuberculosis, proper waste management is critical. TB can spread quickly in hospital environments when infected fluids and sputum are not managed properly. By reducing exposure to infectious materials, the new incinerator will play a direct role in preventing diseases like TB from spreading.

Workers assemble the chimney component of the incinerator
Noreen Chambers Construction workers assemble the flue, or the chimney component of the incinerator which safely releases filtered exhaust gases into the air.
Work men carefully secure the chimney components of the incinerator in place.
Noreen Chambers Carefully securing the chimney components of the incinerator in place.

Completed almost nine months after construction began in early January 2025, this new state-of-the-art incinerator minimizes environmental impact through a water-filtration system, releasing only clean steam that is safely flushed away through the normal sewer system.

With the incinerator now completed, the hospital will be able to diligently enforce its infection control measures.

“We are set to go. We were waiting for the official commissioning of the incinerator before starting our first burn,” adds Dr Boga.

Charlie Ming, the hospital’s electrician is the main operator of the incinerator.

“It is my first time to operate this. I was trained for it. As an electrician, I work everywhere so now it is my responsibility to take care of the hospital waste. We are going to start with all the sharps that have been accumulating for the past 10 years, Charlie  explains. We did a test a couple of days ago, burning 50 kilograms of waste and it worked perfectly. It took another 48 hours to cool down completely.” 

Charlie Ming, the Hospital Electrician who will be operating the incinerator.
Noreen Chambers Charlie showing the large primary chamber of the incinerator that can handle 50kgs of medical waste per hour.
Charlie points out the different components and functions of the incinerator.
Noreen Chambers Providing a guided tour of the incinerator, Charlie points out functions of the incinerator's different components.

Six hospitals across Papua New Guinea are getting new state-of-the art incinerators like this. Made possible through a generous contribution from the Government of Japan as part of a COVID 19 Emergency Response initiative,  UNICEF, working through the National Department of Health and relevant Provincial Health Authorities, is helping install these facilities to safely dispose of medical waste and strengthen infection control. These hospitals include Daru, Alotau, Wewak, Kavieng and Lorengau Provincial Hospitals and Kiunga District Hospital.

The new incinerator, ready to start burning hospital waste.
Noreen Chambers The new incinerator, ready to start burning.