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{\"word\": \"報\"}, {\"word\": \"告\", \"start\": 636.406, \"end\": 636.426, \"score\": 0.0}, {\"word\": \"業\"}, {\"word\": \"務\"}], \"language\": \"zh\"}","srt":"1\n00:00:08,478 --> 00:00:17,130\n謝謝主席有請彭部長請彭部長還有水保司王司長請王司長部長好\n\n2\n00:00:20,764 --> 00:00:41,155\n市長好部長先前想要跟你討論有關於水污染防治措施跟這個檢測申報管理辦法預告修正草案以後相關的內容我們知道這個部分其實影響蠻大的尤其是對醫療院所來講他們未來如何能夠根據這個環境保護尤其是水資源的保護\n\n3\n00:00:41,875 --> 00:00:43,397\nbicycloprojects\n\n4\n00:01:01,819 --> 00:01:19,011\n不過也因為他影響層面很大所以就利用這個機會來跟部長做一些討論那其實今年的9月26號環境部做一個預告的修正針對這個管理辦法尤其是關於這個廢棄藥物跟一些全國\n\n5\n00:01:20,653 --> 00:01:49,091\n化學藥物對於環境的影響因為我們知道如果使用抗生素不當管理的話其實對於抗生素的抗藥性造成的影響是非常的大那如果是像全服化學藥物這一類的話對環境的影響如果對於環境造成污染或者是有過量的話它對於癌症的這個產生也有蠻大的疑慮所以對民眾的影響其實都是蠻大的那針對這一部分特別規定\n\n6\n00:01:49,531 --> 00:01:52,392\n二、審查中華民國11年度中央政府總預算案關於環境部部長列席報告案二、審查中華民國11年度中央政府總預算\n\n7\n00:02:11,301 --> 00:02:13,103\n應該是王市長主持的嗎?\n\n8\n00:02:13,103 --> 00:02:36,423\n是那這個座談會裡面其實就衛福部也有派了官員去參加這個相關的座談會那當場衛福部其實是有提供一些意見來做參考包括說環境部進行更多這個醫院放流水的調查要有一個比較明確的這個施行日期的一個統一的部分那因為\n\n9\n00:02:37,984 --> 00:02:57,214\n希望在110年以後能夠來做相關的施行因為我們知道其實相關尤其是公立醫院如果他們要做這些改善的話他們必須要依照這個預算編列的程序在施程上可能有時候也需要確定的掌握他們這個程序的部分\n\n10\n00:02:57,654 --> 00:02:58,134\nbicyC.\n\n11\n00:02:58,134 --> 00:03:16,766\n第二點就是關於如果院內要進行加濾消毒作業等等的話也希望能夠針對於大型的醫院或醫學中心能夠辦理教育訓練跟輔導來提升藥品削減成效才能夠達到比較好的一些措施的管控結果另外有關於\n\n12\n00:03:18,767 --> 00:03:40,675\n就是環境部要規劃相關的環境費用等的時候其實醫療成本也會相對是提升的尤其如果說要針對這些內容要做適當申報監控的話這個對於整體醫療的成本其實是會上升的所以希望能夠考量在這個對於提升以後\n\n13\n00:03:42,355 --> 00:04:11,023\n醫療成本的增加對整個社會的衝擊第四點就是他也希望能夠環境部在針對所謂會影響到醫院跟醫療機構的部分包括長照機構跟照護中心都有一個比較聚焦型的會議來做進行相關的處理那不知道到目前為止就是針對這些意見部長或者是市長有沒有其他需要再說明的這個進度的部分\n\n14\n00:04:11,711 --> 00:04:37,917\n對,好謝謝委員的這個建議其實目前就是照委員的這個建議正在進行當中那例如說包含116年開始實施那我們也就照這樣方式進行那其實不管環境部也跟衛福部也都有對醫療院所的廢水處理有進行教育訓練那另外一個呢是社會的衝擊我們也知道因為驗一次其實也要花個9到10萬所以的確會造成這個醫院的一個成本\n\n15\n00:04:38,097 --> 00:04:51,511\n但是其實也有一些醫生認為那個就是醫院本來要做的所以這個有些正反的一個意見那另外一個的是目前其實我們到9月跟10月都包含了11月都會有一些延伸的法案這個細節的部分是不是請我們市長簡單的回應\n\n16\n00:04:54,474 --> 00:05:13,167\n謝謝委員關心跟指教那這個部分我們包括調查的部分116年實施事實上我們有分兩階段有一些項目我們是118年才實施這部分會處理另外最後一個就是對於影響到的一個醫療院所基本上我們在下個禮拜四就會有這個草案的一個公聽演商\n\n17\n00:05:30,740 --> 00:05:58,457\n所以我確定一下11月21號這一個研商會議會是很大型的會議還是說針對於比較醫院跟醫療機構相關的比較聚焦型的這個會議跟委員報告我們這是公開的公聽研商會公聽會所以大家都可以參加所以我們除了實體會議之外我們也開放視訊就是可以連上視訊之後一起來聽聽各界的意見跟給我們建言\n\n18\n00:05:58,897 --> 00:06:24,949\n了解所以我意思就是說如果這是很大型的公聽會那可能不只是醫療相關的院所可是因為我們知道醫院的廢棄物或者是這個排放水有它比較特殊的層面所以是不是也可以請師長這邊針對於醫療機構在這個部分有一個屬於比較聚焦型的相關會議能夠讓他們在執行的時候更能夠掌握到這些重點\n\n19\n00:06:26,230 --> 00:06:49,369\n好謝謝委員指教齁其實這個部分我們會遵照委員的指示例如說醫療院所或是相關的單位我們分門別類來處理因為這樣聚焦才可以得到更精準的意見好謝謝那我們也知道其實大家對於抗生素的使用都非常非常的擔心啦齁也希望能夠該用就應該用那如果可以做一個好的控制的話\n\n20\n00:06:50,490 --> 00:07:08,593\n最重要的是抗生素的抗藥性已經是全球要面對的問題那新型的抗生素要研發出來也相當的困難所以針對於這個抗生素的這些處理模式大家都會非常非常的需要去用更好的方式來處理\n\n21\n00:07:32,105 --> 00:07:57,507\n相當的擔心那這些部分列管項目是不是能夠透過設備跟技術來做有效的這些污水處理那如何協助院所來辦法來做施行來有機會來達標那最後就是他們也很希望了解這個列管項目是不是跟國際標準一致那這部分不知道目前部裡面或者是施裡面有沒有相關的一些處理措施\n\n22\n00:07:58,248 --> 00:08:01,495\n包委員這個其實是草案現在在研議當中我們細節請市長來報告\n\n23\n00:08:03,590 --> 00:08:29,789\n跟委員說明剛才提到的這三點基本上有關這個廢水中如果有排放這個抗生素的一個這個濃度如果過高我們基本上規定基本上是有一個疫警值那如果有疫警值的話就要採取作為包括這個汙水處理設備我們的調查發現汙水處理設備如果正常操作效能提升的話也是有很好的處理效力所以基本上我們會希望能夠輔導就是在處理技術上面的\n\n24\n00:08:30,589 --> 00:08:57,874\n與設備上能不能夠妥善處理達到處理的效能這是第一個如果處理效能沒有辦法達標的話進一步的改善的做法可以有一些評估的程序我們來協助看看怎麼樣跟衛福部做一些輔導的做法讓醫院的廢污水處理設備也能夠有一定的升級跟處理當然藥品的部分如果能夠妥善的去了解\n\n25\n00:08:58,334 --> 00:09:24,475\n因為基本上我們也是一個預警從環境的角度最後的角度來預警說這個用料用量跟回收有沒有其他可以加強的地方也是要醫院自主去做相關的一些檢視跟管理是了解那其實我們也知道國際有很多的這些先進國家也都有類似的管控措施所以我相信我們如果能夠繼續努力的話應該就可以把這些內容做得更好\n\n26\n00:09:25,115 --> 00:09:48,037\n最後是有關於醫院S口形式節能減碳的進度的部分我在上次10月7號的時候也有跟部長討論過這個問題這一次在兩個禮拜前去嘉義大埔考察有關於太陽光電造成的這種環境的影響\n\n27\n00:09:49,258 --> 00:10:06,893\n在現場跟業次長瞭解這部分針對於如何能夠節能檢探在醫療院所這部分那他也跟我做了一些說明那這個說明裡面就會包括說如何能夠深度的節能針對於尤其是大型醫院的部分那他\n\n28\n00:10:07,433 --> 00:10:34,081\n也讓我知道目前的進度即使是很值得大家共同關注那麼我也知道真的環境部做了很多很多的努力那這部分可不可以在年底之前也提供書面資料讓我這邊來做一些參考好謝謝報告委員因為這個是有三個部位金管會還有衛福部經濟部三個次長有一個平臺就特別來處理這個事情那我們現在平臺到最後討論完了結果年底之前再跟委員特別報告\n\n29\n00:10:35,082 --> 00:10:36,426\n邀請環境部部長列席報告業務\n\n","tsv":"start\tend\ttext\n8478\t17130\t謝謝主席有請彭部長請彭部長還有水保司王司長請王司長部長好\n20764\t41155\t市長好部長先前想要跟你討論有關於水污染防治措施跟這個檢測申報管理辦法預告修正草案以後相關的內容我們知道這個部分其實影響蠻大的尤其是對醫療院所來講他們未來如何能夠根據這個環境保護尤其是水資源的保護\n41875\t43397\tbicycloprojects\n61819\t79011\t不過也因為他影響層面很大所以就利用這個機會來跟部長做一些討論那其實今年的9月26號環境部做一個預告的修正針對這個管理辦法尤其是關於這個廢棄藥物跟一些全國\n80653\t109091\t化學藥物對於環境的影響因為我們知道如果使用抗生素不當管理的話其實對於抗生素的抗藥性造成的影響是非常的大那如果是像全服化學藥物這一類的話對環境的影響如果對於環境造成污染或者是有過量的話它對於癌症的這個產生也有蠻大的疑慮所以對民眾的影響其實都是蠻大的那針對這一部分特別規定\n109531\t112392\t二、審查中華民國11年度中央政府總預算案關於環境部部長列席報告案二、審查中華民國11年度中央政府總預算\n131301\t133103\t應該是王市長主持的嗎?\n133103\t156423\t是那這個座談會裡面其實就衛福部也有派了官員去參加這個相關的座談會那當場衛福部其實是有提供一些意見來做參考包括說環境部進行更多這個醫院放流水的調查要有一個比較明確的這個施行日期的一個統一的部分那因為\n157984\t177214\t希望在110年以後能夠來做相關的施行因為我們知道其實相關尤其是公立醫院如果他們要做這些改善的話他們必須要依照這個預算編列的程序在施程上可能有時候也需要確定的掌握他們這個程序的部分\n177654\t178134\tbicyC.\n178134\t196766\t第二點就是關於如果院內要進行加濾消毒作業等等的話也希望能夠針對於大型的醫院或醫學中心能夠辦理教育訓練跟輔導來提升藥品削減成效才能夠達到比較好的一些措施的管控結果另外有關於\n198767\t220675\t就是環境部要規劃相關的環境費用等的時候其實醫療成本也會相對是提升的尤其如果說要針對這些內容要做適當申報監控的話這個對於整體醫療的成本其實是會上升的所以希望能夠考量在這個對於提升以後\n222355\t251023\t醫療成本的增加對整個社會的衝擊第四點就是他也希望能夠環境部在針對所謂會影響到醫院跟醫療機構的部分包括長照機構跟照護中心都有一個比較聚焦型的會議來做進行相關的處理那不知道到目前為止就是針對這些意見部長或者是市長有沒有其他需要再說明的這個進度的部分\n251711\t277917\t對,好謝謝委員的這個建議其實目前就是照委員的這個建議正在進行當中那例如說包含116年開始實施那我們也就照這樣方式進行那其實不管環境部也跟衛福部也都有對醫療院所的廢水處理有進行教育訓練那另外一個呢是社會的衝擊我們也知道因為驗一次其實也要花個9到10萬所以的確會造成這個醫院的一個成本\n278097\t291511\t但是其實也有一些醫生認為那個就是醫院本來要做的所以這個有些正反的一個意見那另外一個的是目前其實我們到9月跟10月都包含了11月都會有一些延伸的法案這個細節的部分是不是請我們市長簡單的回應\n294474\t313167\t謝謝委員關心跟指教那這個部分我們包括調查的部分116年實施事實上我們有分兩階段有一些項目我們是118年才實施這部分會處理另外最後一個就是對於影響到的一個醫療院所基本上我們在下個禮拜四就會有這個草案的一個公聽演商\n313507\t330520\t゚✧\n330740\t358457\t所以我確定一下11月21號這一個研商會議會是很大型的會議還是說針對於比較醫院跟醫療機構相關的比較聚焦型的這個會議跟委員報告我們這是公開的公聽研商會公聽會所以大家都可以參加所以我們除了實體會議之外我們也開放視訊就是可以連上視訊之後一起來聽聽各界的意見跟給我們建言\n358897\t384949\t了解所以我意思就是說如果這是很大型的公聽會那可能不只是醫療相關的院所可是因為我們知道醫院的廢棄物或者是這個排放水有它比較特殊的層面所以是不是也可以請師長這邊針對於醫療機構在這個部分有一個屬於比較聚焦型的相關會議能夠讓他們在執行的時候更能夠掌握到這些重點\n386230\t409369\t好謝謝委員指教齁其實這個部分我們會遵照委員的指示例如說醫療院所或是相關的單位我們分門別類來處理因為這樣聚焦才可以得到更精準的意見好謝謝那我們也知道其實大家對於抗生素的使用都非常非常的擔心啦齁也希望能夠該用就應該用那如果可以做一個好的控制的話\n410490\t428593\t最重要的是抗生素的抗藥性已經是全球要面對的問題那新型的抗生素要研發出來也相當的困難所以針對於這個抗生素的這些處理模式大家都會非常非常的需要去用更好的方式來處理\n429514\t452005\t議員議員議員議員議員議員議員議員議員\n452105\t477507\t相當的擔心那這些部分列管項目是不是能夠透過設備跟技術來做有效的這些污水處理那如何協助院所來辦法來做施行來有機會來達標那最後就是他們也很希望了解這個列管項目是不是跟國際標準一致那這部分不知道目前部裡面或者是施裡面有沒有相關的一些處理措施\n478248\t481495\t包委員 這個其實是草案 現在在研議當中 我們細節請市長來報告\n483590\t509789\t跟委員說明剛才提到的這三點基本上有關這個廢水中如果有排放這個抗生素的一個這個濃度如果過高我們基本上規定基本上是有一個疫警值那如果有疫警值的話就要採取作為包括這個汙水處理設備我們的調查發現汙水處理設備如果正常操作效能提升的話也是有很好的處理效力所以基本上我們會希望能夠輔導就是在處理技術上面的\n510589\t537874\t與設備上能不能夠妥善處理達到處理的效能這是第一個如果處理效能沒有辦法達標的話進一步的改善的做法可以有一些評估的程序我們來協助看看怎麼樣跟衛福部做一些輔導的做法讓醫院的廢污水處理設備也能夠有一定的升級跟處理當然藥品的部分如果能夠妥善的去了解\n538334\t564475\t因為基本上我們也是一個預警從環境的角度最後的角度來預警說這個用料用量跟回收有沒有其他可以加強的地方也是要醫院自主去做相關的一些檢視跟管理是了解那其實我們也知道國際有很多的這些先進國家也都有類似的管控措施所以我相信我們如果能夠繼續努力的話應該就可以把這些內容做得更好\n565115\t588037\t最後是有關於醫院S口形式節能減碳的進度的部分我在上次10月7號的時候也有跟部長討論過這個問題這一次在兩個禮拜前去嘉義大埔考察有關於太陽光電造成的這種環境的影響\n589258\t606893\t在現場跟業次長瞭解這部分針對於如何能夠節能檢探在醫療院所這部分那他也跟我做了一些說明那這個說明裡面就會包括說如何能夠深度的節能針對於尤其是大型醫院的部分那他\n607433\t634081\t也讓我知道目前的進度即使是很值得大家共同關注那麼我也知道真的環境部做了很多很多的努力那這部分可不可以在年底之前也提供書面資料讓我這邊來做一些參考好謝謝報告委員因為這個是有三個部位金管會還有衛福部經濟部三個次長有一個平臺就特別來處理這個事情那我們現在平臺到最後討論完了結果年底之前再跟委員特別報告\n635082\t636426\t邀請環境部部長列席報告業務\n","txt":"謝謝主席有請彭部長請彭部長還有水保司王司長請王司長部長好\n市長好部長先前想要跟你討論有關於水污染防治措施跟這個檢測申報管理辦法預告修正草案以後相關的內容我們知道這個部分其實影響蠻大的尤其是對醫療院所來講他們未來如何能夠根據這個環境保護尤其是水資源的保護\nbicycloprojects\n不過也因為他影響層面很大所以就利用這個機會來跟部長做一些討論那其實今年的9月26號環境部做一個預告的修正針對這個管理辦法尤其是關於這個廢棄藥物跟一些全國\n化學藥物對於環境的影響因為我們知道如果使用抗生素不當管理的話其實對於抗生素的抗藥性造成的影響是非常的大那如果是像全服化學藥物這一類的話對環境的影響如果對於環境造成污染或者是有過量的話它對於癌症的這個產生也有蠻大的疑慮所以對民眾的影響其實都是蠻大的那針對這一部分特別規定\n二、審查中華民國11年度中央政府總預算案關於環境部部長列席報告案二、審查中華民國11年度中央政府總預算\n應該是王市長主持的嗎?\n是那這個座談會裡面其實就衛福部也有派了官員去參加這個相關的座談會那當場衛福部其實是有提供一些意見來做參考包括說環境部進行更多這個醫院放流水的調查要有一個比較明確的這個施行日期的一個統一的部分那因為\n希望在110年以後能夠來做相關的施行因為我們知道其實相關尤其是公立醫院如果他們要做這些改善的話他們必須要依照這個預算編列的程序在施程上可能有時候也需要確定的掌握他們這個程序的部分\nbicyC.\n第二點就是關於如果院內要進行加濾消毒作業等等的話也希望能夠針對於大型的醫院或醫學中心能夠辦理教育訓練跟輔導來提升藥品削減成效才能夠達到比較好的一些措施的管控結果另外有關於\n就是環境部要規劃相關的環境費用等的時候其實醫療成本也會相對是提升的尤其如果說要針對這些內容要做適當申報監控的話這個對於整體醫療的成本其實是會上升的所以希望能夠考量在這個對於提升以後\n醫療成本的增加對整個社會的衝擊第四點就是他也希望能夠環境部在針對所謂會影響到醫院跟醫療機構的部分包括長照機構跟照護中心都有一個比較聚焦型的會議來做進行相關的處理那不知道到目前為止就是針對這些意見部長或者是市長有沒有其他需要再說明的這個進度的部分\n對,好謝謝委員的這個建議其實目前就是照委員的這個建議正在進行當中那例如說包含116年開始實施那我們也就照這樣方式進行那其實不管環境部也跟衛福部也都有對醫療院所的廢水處理有進行教育訓練那另外一個呢是社會的衝擊我們也知道因為驗一次其實也要花個9到10萬所以的確會造成這個醫院的一個成本\n但是其實也有一些醫生認為那個就是醫院本來要做的所以這個有些正反的一個意見那另外一個的是目前其實我們到9月跟10月都包含了11月都會有一些延伸的法案這個細節的部分是不是請我們市長簡單的回應\n謝謝委員關心跟指教那這個部分我們包括調查的部分116年實施事實上我們有分兩階段有一些項目我們是118年才實施這部分會處理另外最後一個就是對於影響到的一個醫療院所基本上我們在下個禮拜四就會有這個草案的一個公聽演商\n゚✧\n所以我確定一下11月21號這一個研商會議會是很大型的會議還是說針對於比較醫院跟醫療機構相關的比較聚焦型的這個會議跟委員報告我們這是公開的公聽研商會公聽會所以大家都可以參加所以我們除了實體會議之外我們也開放視訊就是可以連上視訊之後一起來聽聽各界的意見跟給我們建言\n了解所以我意思就是說如果這是很大型的公聽會那可能不只是醫療相關的院所可是因為我們知道醫院的廢棄物或者是這個排放水有它比較特殊的層面所以是不是也可以請師長這邊針對於醫療機構在這個部分有一個屬於比較聚焦型的相關會議能夠讓他們在執行的時候更能夠掌握到這些重點\n好謝謝委員指教齁其實這個部分我們會遵照委員的指示例如說醫療院所或是相關的單位我們分門別類來處理因為這樣聚焦才可以得到更精準的意見好謝謝那我們也知道其實大家對於抗生素的使用都非常非常的擔心啦齁也希望能夠該用就應該用那如果可以做一個好的控制的話\n最重要的是抗生素的抗藥性已經是全球要面對的問題那新型的抗生素要研發出來也相當的困難所以針對於這個抗生素的這些處理模式大家都會非常非常的需要去用更好的方式來處理\n議員議員議員議員議員議員議員議員議員\n相當的擔心那這些部分列管項目是不是能夠透過設備跟技術來做有效的這些污水處理那如何協助院所來辦法來做施行來有機會來達標那最後就是他們也很希望了解這個列管項目是不是跟國際標準一致那這部分不知道目前部裡面或者是施裡面有沒有相關的一些處理措施\n包委員 這個其實是草案 現在在研議當中 我們細節請市長來報告\n跟委員說明剛才提到的這三點基本上有關這個廢水中如果有排放這個抗生素的一個這個濃度如果過高我們基本上規定基本上是有一個疫警值那如果有疫警值的話就要採取作為包括這個汙水處理設備我們的調查發現汙水處理設備如果正常操作效能提升的話也是有很好的處理效力所以基本上我們會希望能夠輔導就是在處理技術上面的\n與設備上能不能夠妥善處理達到處理的效能這是第一個如果處理效能沒有辦法達標的話進一步的改善的做法可以有一些評估的程序我們來協助看看怎麼樣跟衛福部做一些輔導的做法讓醫院的廢污水處理設備也能夠有一定的升級跟處理當然藥品的部分如果能夠妥善的去了解\n因為基本上我們也是一個預警從環境的角度最後的角度來預警說這個用料用量跟回收有沒有其他可以加強的地方也是要醫院自主去做相關的一些檢視跟管理是了解那其實我們也知道國際有很多的這些先進國家也都有類似的管控措施所以我相信我們如果能夠繼續努力的話應該就可以把這些內容做得更好\n最後是有關於醫院S口形式節能減碳的進度的部分我在上次10月7號的時候也有跟部長討論過這個問題這一次在兩個禮拜前去嘉義大埔考察有關於太陽光電造成的這種環境的影響\n在現場跟業次長瞭解這部分針對於如何能夠節能檢探在醫療院所這部分那他也跟我做了一些說明那這個說明裡面就會包括說如何能夠深度的節能針對於尤其是大型醫院的部分那他\n也讓我知道目前的進度即使是很值得大家共同關注那麼我也知道真的環境部做了很多很多的努力那這部分可不可以在年底之前也提供書面資料讓我這邊來做一些參考好謝謝報告委員因為這個是有三個部位金管會還有衛福部經濟部三個次長有一個平臺就特別來處理這個事情那我們現在平臺到最後討論完了結果年底之前再跟委員特別報告\n邀請環境部部長列席報告業務\n","vtt":"WEBVTT\n\n00:08.478 --> 00:17.130\n謝謝主席有請彭部長請彭部長還有水保司王司長請王司長部長好\n\n00:20.764 --> 00:41.155\n市長好部長先前想要跟你討論有關於水污染防治措施跟這個檢測申報管理辦法預告修正草案以後相關的內容我們知道這個部分其實影響蠻大的尤其是對醫療院所來講他們未來如何能夠根據這個環境保護尤其是水資源的保護\n\n00:41.875 --> 00:43.397\nbicycloprojects\n\n01:01.819 --> 01:19.011\n不過也因為他影響層面很大所以就利用這個機會來跟部長做一些討論那其實今年的9月26號環境部做一個預告的修正針對這個管理辦法尤其是關於這個廢棄藥物跟一些全國\n\n01:20.653 --> 01:49.091\n化學藥物對於環境的影響因為我們知道如果使用抗生素不當管理的話其實對於抗生素的抗藥性造成的影響是非常的大那如果是像全服化學藥物這一類的話對環境的影響如果對於環境造成污染或者是有過量的話它對於癌症的這個產生也有蠻大的疑慮所以對民眾的影響其實都是蠻大的那針對這一部分特別規定\n\n01:49.531 --> 01:52.392\n二、審查中華民國11年度中央政府總預算案關於環境部部長列席報告案二、審查中華民國11年度中央政府總預算\n\n02:11.301 --> 02:13.103\n應該是王市長主持的嗎?\n\n02:13.103 --> 02:36.423\n是那這個座談會裡面其實就衛福部也有派了官員去參加這個相關的座談會那當場衛福部其實是有提供一些意見來做參考包括說環境部進行更多這個醫院放流水的調查要有一個比較明確的這個施行日期的一個統一的部分那因為\n\n02:37.984 --> 02:57.214\n希望在110年以後能夠來做相關的施行因為我們知道其實相關尤其是公立醫院如果他們要做這些改善的話他們必須要依照這個預算編列的程序在施程上可能有時候也需要確定的掌握他們這個程序的部分\n\n02:57.654 --> 02:58.134\nbicyC.\n\n02:58.134 --> 03:16.766\n第二點就是關於如果院內要進行加濾消毒作業等等的話也希望能夠針對於大型的醫院或醫學中心能夠辦理教育訓練跟輔導來提升藥品削減成效才能夠達到比較好的一些措施的管控結果另外有關於\n\n03:18.767 --> 03:40.675\n就是環境部要規劃相關的環境費用等的時候其實醫療成本也會相對是提升的尤其如果說要針對這些內容要做適當申報監控的話這個對於整體醫療的成本其實是會上升的所以希望能夠考量在這個對於提升以後\n\n03:42.355 --> 04:11.023\n醫療成本的增加對整個社會的衝擊第四點就是他也希望能夠環境部在針對所謂會影響到醫院跟醫療機構的部分包括長照機構跟照護中心都有一個比較聚焦型的會議來做進行相關的處理那不知道到目前為止就是針對這些意見部長或者是市長有沒有其他需要再說明的這個進度的部分\n\n04:11.711 --> 04:37.917\n對,好謝謝委員的這個建議其實目前就是照委員的這個建議正在進行當中那例如說包含116年開始實施那我們也就照這樣方式進行那其實不管環境部也跟衛福部也都有對醫療院所的廢水處理有進行教育訓練那另外一個呢是社會的衝擊我們也知道因為驗一次其實也要花個9到10萬所以的確會造成這個醫院的一個成本\n\n04:38.097 --> 04:51.511\n但是其實也有一些醫生認為那個就是醫院本來要做的所以這個有些正反的一個意見那另外一個的是目前其實我們到9月跟10月都包含了11月都會有一些延伸的法案這個細節的部分是不是請我們市長簡單的回應\n\n04:54.474 --> 05:13.167\n謝謝委員關心跟指教那這個部分我們包括調查的部分116年實施事實上我們有分兩階段有一些項目我們是118年才實施這部分會處理另外最後一個就是對於影響到的一個醫療院所基本上我們在下個禮拜四就會有這個草案的一個公聽演商\n\n05:30.740 --> 05:58.457\n所以我確定一下11月21號這一個研商會議會是很大型的會議還是說針對於比較醫院跟醫療機構相關的比較聚焦型的這個會議跟委員報告我們這是公開的公聽研商會公聽會所以大家都可以參加所以我們除了實體會議之外我們也開放視訊就是可以連上視訊之後一起來聽聽各界的意見跟給我們建言\n\n05:58.897 --> 06:24.949\n了解所以我意思就是說如果這是很大型的公聽會那可能不只是醫療相關的院所可是因為我們知道醫院的廢棄物或者是這個排放水有它比較特殊的層面所以是不是也可以請師長這邊針對於醫療機構在這個部分有一個屬於比較聚焦型的相關會議能夠讓他們在執行的時候更能夠掌握到這些重點\n\n06:26.230 --> 06:49.369\n好謝謝委員指教齁其實這個部分我們會遵照委員的指示例如說醫療院所或是相關的單位我們分門別類來處理因為這樣聚焦才可以得到更精準的意見好謝謝那我們也知道其實大家對於抗生素的使用都非常非常的擔心啦齁也希望能夠該用就應該用那如果可以做一個好的控制的話\n\n06:50.490 --> 07:08.593\n最重要的是抗生素的抗藥性已經是全球要面對的問題那新型的抗生素要研發出來也相當的困難所以針對於這個抗生素的這些處理模式大家都會非常非常的需要去用更好的方式來處理\n\n07:32.105 --> 07:57.507\n相當的擔心那這些部分列管項目是不是能夠透過設備跟技術來做有效的這些污水處理那如何協助院所來辦法來做施行來有機會來達標那最後就是他們也很希望了解這個列管項目是不是跟國際標準一致那這部分不知道目前部裡面或者是施裡面有沒有相關的一些處理措施\n\n07:58.248 --> 08:01.495\n包委員這個其實是草案現在在研議當中我們細節請市長來報告\n\n08:03.590 --> 08:29.789\n跟委員說明剛才提到的這三點基本上有關這個廢水中如果有排放這個抗生素的一個這個濃度如果過高我們基本上規定基本上是有一個疫警值那如果有疫警值的話就要採取作為包括這個汙水處理設備我們的調查發現汙水處理設備如果正常操作效能提升的話也是有很好的處理效力所以基本上我們會希望能夠輔導就是在處理技術上面的\n\n08:30.589 --> 08:57.874\n與設備上能不能夠妥善處理達到處理的效能這是第一個如果處理效能沒有辦法達標的話進一步的改善的做法可以有一些評估的程序我們來協助看看怎麼樣跟衛福部做一些輔導的做法讓醫院的廢污水處理設備也能夠有一定的升級跟處理當然藥品的部分如果能夠妥善的去了解\n\n08:58.334 --> 09:24.475\n因為基本上我們也是一個預警從環境的角度最後的角度來預警說這個用料用量跟回收有沒有其他可以加強的地方也是要醫院自主去做相關的一些檢視跟管理是了解那其實我們也知道國際有很多的這些先進國家也都有類似的管控措施所以我相信我們如果能夠繼續努力的話應該就可以把這些內容做得更好\n\n09:25.115 --> 09:48.037\n最後是有關於醫院S口形式節能減碳的進度的部分我在上次10月7號的時候也有跟部長討論過這個問題這一次在兩個禮拜前去嘉義大埔考察有關於太陽光電造成的這種環境的影響\n\n09:49.258 --> 10:06.893\n在現場跟業次長瞭解這部分針對於如何能夠節能檢探在醫療院所這部分那他也跟我做了一些說明那這個說明裡面就會包括說如何能夠深度的節能針對於尤其是大型醫院的部分那他\n\n10:07.433 --> 10:34.081\n也讓我知道目前的進度即使是很值得大家共同關注那麼我也知道真的環境部做了很多很多的努力那這部分可不可以在年底之前也提供書面資料讓我這邊來做一些參考好謝謝報告委員因為這個是有三個部位金管會還有衛福部經濟部三個次長有一個平臺就特別來處理這個事情那我們現在平臺到最後討論完了結果年底之前再跟委員特別報告\n\n10:35.082 --> 10:36.426\n邀請環境部部長列席報告業務\n\n","segments":[{"start":8.478,"end":17.13,"text":"謝謝主席有請彭部長請彭部長還有水保司王司長請王司長部長好"},{"start":20.764,"end":41.155,"text":"市長好部長先前想要跟你討論有關於水污染防治措施跟這個檢測申報管理辦法預告修正草案以後相關的內容我們知道這個部分其實影響蠻大的尤其是對醫療院所來講他們未來如何能夠根據這個環境保護尤其是水資源的保護"},{"start":41.875,"end":43.397,"text":" bicycloprojects"},{"start":61.819,"end":79.011,"text":"不過也因為他影響層面很大所以就利用這個機會來跟部長做一些討論那其實今年的9月26號環境部做一個預告的修正針對這個管理辦法尤其是關於這個廢棄藥物跟一些全國"},{"start":80.653,"end":109.091,"text":"化學藥物對於環境的影響因為我們知道如果使用抗生素不當管理的話其實對於抗生素的抗藥性造成的影響是非常的大那如果是像全服化學藥物這一類的話對環境的影響如果對於環境造成污染或者是有過量的話它對於癌症的這個產生也有蠻大的疑慮所以對民眾的影響其實都是蠻大的那針對這一部分特別規定"},{"start":109.531,"end":112.392,"text":"二、審查中華民國11年度中央政府總預算案關於環境部部長列席報告案二、審查中華民國11年度中央政府總預算"},{"start":131.301,"end":133.103,"text":"應該是王市長主持的嗎?"},{"start":133.103,"end":156.423,"text":"是那這個座談會裡面其實就衛福部也有派了官員去參加這個相關的座談會那當場衛福部其實是有提供一些意見來做參考包括說環境部進行更多這個醫院放流水的調查要有一個比較明確的這個施行日期的一個統一的部分那因為"},{"start":157.984,"end":177.214,"text":"希望在110年以後能夠來做相關的施行因為我們知道其實相關尤其是公立醫院如果他們要做這些改善的話他們必須要依照這個預算編列的程序在施程上可能有時候也需要確定的掌握他們這個程序的部分"},{"start":177.654,"end":178.134,"text":" bicyC."},{"start":178.134,"end":196.766,"text":"第二點就是關於如果院內要進行加濾消毒作業等等的話也希望能夠針對於大型的醫院或醫學中心能夠辦理教育訓練跟輔導來提升藥品削減成效才能夠達到比較好的一些措施的管控結果另外有關於"},{"start":198.767,"end":220.675,"text":"就是環境部要規劃相關的環境費用等的時候其實醫療成本也會相對是提升的尤其如果說要針對這些內容要做適當申報監控的話這個對於整體醫療的成本其實是會上升的所以希望能夠考量在這個對於提升以後"},{"start":222.355,"end":251.023,"text":"醫療成本的增加對整個社會的衝擊第四點就是他也希望能夠環境部在針對所謂會影響到醫院跟醫療機構的部分包括長照機構跟照護中心都有一個比較聚焦型的會議來做進行相關的處理那不知道到目前為止就是針對這些意見部長或者是市長有沒有其他需要再說明的這個進度的部分"},{"start":251.711,"end":277.917,"text":"對,好謝謝委員的這個建議其實目前就是照委員的這個建議正在進行當中那例如說包含116年開始實施那我們也就照這樣方式進行那其實不管環境部也跟衛福部也都有對醫療院所的廢水處理有進行教育訓練那另外一個呢是社會的衝擊我們也知道因為驗一次其實也要花個9到10萬所以的確會造成這個醫院的一個成本"},{"start":278.097,"end":291.511,"text":"但是其實也有一些醫生認為那個就是醫院本來要做的所以這個有些正反的一個意見那另外一個的是目前其實我們到9月跟10月都包含了11月都會有一些延伸的法案這個細節的部分是不是請我們市長簡單的回應"},{"start":294.474,"end":313.167,"text":"謝謝委員關心跟指教那這個部分我們包括調查的部分116年實施事實上我們有分兩階段有一些項目我們是118年才實施這部分會處理另外最後一個就是對於影響到的一個醫療院所基本上我們在下個禮拜四就會有這個草案的一個公聽演商"},{"start":313.507,"end":330.52,"text":"゚✧"},{"start":330.74,"end":358.457,"text":"所以我確定一下11月21號這一個研商會議會是很大型的會議還是說針對於比較醫院跟醫療機構相關的比較聚焦型的這個會議跟委員報告我們這是公開的公聽研商會公聽會所以大家都可以參加所以我們除了實體會議之外我們也開放視訊就是可以連上視訊之後一起來聽聽各界的意見跟給我們建言"},{"start":358.897,"end":384.949,"text":"了解所以我意思就是說如果這是很大型的公聽會那可能不只是醫療相關的院所可是因為我們知道醫院的廢棄物或者是這個排放水有它比較特殊的層面所以是不是也可以請師長這邊針對於醫療機構在這個部分有一個屬於比較聚焦型的相關會議能夠讓他們在執行的時候更能夠掌握到這些重點"},{"start":386.23,"end":409.369,"text":"好謝謝委員指教齁其實這個部分我們會遵照委員的指示例如說醫療院所或是相關的單位我們分門別類來處理因為這樣聚焦才可以得到更精準的意見好謝謝那我們也知道其實大家對於抗生素的使用都非常非常的擔心啦齁也希望能夠該用就應該用那如果可以做一個好的控制的話"},{"start":410.49,"end":428.593,"text":"最重要的是抗生素的抗藥性已經是全球要面對的問題那新型的抗生素要研發出來也相當的困難所以針對於這個抗生素的這些處理模式大家都會非常非常的需要去用更好的方式來處理"},{"start":429.514,"end":452.005,"text":"議員議員議員議員議員議員議員議員議員"},{"start":452.105,"end":477.507,"text":"相當的擔心那這些部分列管項目是不是能夠透過設備跟技術來做有效的這些污水處理那如何協助院所來辦法來做施行來有機會來達標那最後就是他們也很希望了解這個列管項目是不是跟國際標準一致那這部分不知道目前部裡面或者是施裡面有沒有相關的一些處理措施"},{"start":478.248,"end":481.495,"text":"包委員 這個其實是草案 現在在研議當中 我們細節請市長來報告"},{"start":483.59,"end":509.789,"text":"跟委員說明剛才提到的這三點基本上有關這個廢水中如果有排放這個抗生素的一個這個濃度如果過高我們基本上規定基本上是有一個疫警值那如果有疫警值的話就要採取作為包括這個汙水處理設備我們的調查發現汙水處理設備如果正常操作效能提升的話也是有很好的處理效力所以基本上我們會希望能夠輔導就是在處理技術上面的"},{"start":510.589,"end":537.874,"text":"與設備上能不能夠妥善處理達到處理的效能這是第一個如果處理效能沒有辦法達標的話進一步的改善的做法可以有一些評估的程序我們來協助看看怎麼樣跟衛福部做一些輔導的做法讓醫院的廢污水處理設備也能夠有一定的升級跟處理當然藥品的部分如果能夠妥善的去了解"},{"start":538.334,"end":564.475,"text":"因為基本上我們也是一個預警從環境的角度最後的角度來預警說這個用料用量跟回收有沒有其他可以加強的地方也是要醫院自主去做相關的一些檢視跟管理是了解那其實我們也知道國際有很多的這些先進國家也都有類似的管控措施所以我相信我們如果能夠繼續努力的話應該就可以把這些內容做得更好"},{"start":565.115,"end":588.037,"text":"最後是有關於醫院S口形式節能減碳的進度的部分我在上次10月7號的時候也有跟部長討論過這個問題這一次在兩個禮拜前去嘉義大埔考察有關於太陽光電造成的這種環境的影響"},{"start":589.258,"end":606.893,"text":"在現場跟業次長瞭解這部分針對於如何能夠節能檢探在醫療院所這部分那他也跟我做了一些說明那這個說明裡面就會包括說如何能夠深度的節能針對於尤其是大型醫院的部分那他"},{"start":607.433,"end":634.081,"text":"也讓我知道目前的進度即使是很值得大家共同關注那麼我也知道真的環境部做了很多很多的努力那這部分可不可以在年底之前也提供書面資料讓我這邊來做一些參考好謝謝報告委員因為這個是有三個部位金管會還有衛福部經濟部三個次長有一個平臺就特別來處理這個事情那我們現在平臺到最後討論完了結果年底之前再跟委員特別報告"},{"start":635.082,"end":636.426,"text":"邀請環境部部長列席報告業務"}]}}},"gazette":{"lineno":1448,"blocks":[["王委員正旭：（11時）謝謝主席，有請彭部長。"],["主席：請彭部長。"],["王委員正旭：還有水保司王司長。"],["主席：請王司長。"],["彭部長啓明：王委員好。"],["王委員正旭：部長好，司長好。部長，今天想要跟你討論有關於「水污染防治措施及檢測申報管理辦法」預告修正草案以後相關的內容，我們知道這個部分其實影響滿大的，尤其是對醫療院所來講，他們未來如何能夠根據環境保護，尤其是水資源的保護，有做更好的一些措施。我們也知道今天部長在做相關報告的時候，對於明年有關於環境保護，尤其在水資源保護部分，也下了很多的功夫，我想這是非常正確，而且是對整個臺灣環境有非常好的保護作用的一些比較前瞻式的做法。"],["彭部長啓明：謝謝。"],["王委員正旭：不過也因為它影響層面很大，所以利用這個機會來和部長做一些討論。","今年9月26日環境部做了一個預告修正，針對這個管理辦法，尤其是關於廢棄藥物跟一些全氟化學藥物對於環境的影響，因為我們知道如果使用抗生素不當管理的話，對於抗生素的抗藥性造成的影響是非常的大。如果是全氟化學藥物這一類對環境的影響，對環境造成污染或者是有過量的話，它對於癌症的產生也有滿大的疑慮，所以對民眾的影響其實都是滿大的。針對這一部分，特別規定一定規模以上的醫院及醫療機構都需要做相關的檢測申報，未來可能會每年都要做一些申報，在這部分很希望能夠有更多的瞭解及資訊，那為了因應這一些，環境部在6月5日也召開了諮商的座談會，應該是王司長主持的嘛？"],["彭部長啓明：是。"],["王委員正旭：在這個座談會裡面，衛福部也有派了官員去參加，當場衛福部其實是有提供一些意見來做參考，包括環境部進行更多醫院放流水的調查，要有一個比較明確的統一施行日期，希望在116年以後來施行。因為我們知道相關的醫院，尤其是公立醫院，如果他們要做這些改善的話，必須要依照預算編列的程序，在時程上可能有時候也需要確定地掌握他們這個程序的部分。","第二點，如果院內要進行加氯消毒作業等等的話，希望能夠針對大型醫院或醫學中心來辦理教育訓練及輔導，提升藥品削減成效，才能夠達到比較好的措施管控結果。","另外，有關於環境部要規劃相關環境費用的時候，醫療成本也會相對地提升，尤其是針對這些內容要做適當申報、監控的話，對於整體醫療的成本其實是會上升的，所以也希望能夠考量醫療成本提升以後對整個社會的衝擊。","第四點，它也希望環境部針對所有會影響到醫院及醫療機構的部分，包括長照機構及照護中心，都有一個比較聚焦型的會議來進行相關的處理。不知道到目前為止，針對衛福部的這些意見，部長或是司長有沒有其他需要說明的部分以及處理的進度？"],["彭部長啓明：好，謝謝委員的建議，其實目前就是照委員的建議正在進行當中，包含116年開始實施，我們就照這樣的方式進行，其實不管環境部或衛福部，都有對醫療院所的廢水處理進行教育訓練。","另外一個是社會的衝擊，我們也知道，因為驗一次也要花個9到10萬，所以的確會造成醫院的成本，但是也有一些醫生認為那個是醫院本來就要做的，所以也有一些正反的意見。","另外一個，目前我們在9月、10月包含11月，都會有一些研商的法案，細節的部分是不是請我們司長簡單地回應？"],["王委員正旭：好，麻煩司長。"],["王司長嶽斌：謝謝委員關心跟指教，我們包括調查的部分，包括116年實施，事實上我們有分兩階段，有一些項目是118年才實施，這個部分會處理。","另外，最後一個是對於影響到的醫療院所，基本上我們在下個禮拜四就會有草案的公聽研商會議，我們也會通知衛福部及相關的醫院，受影響的醫院，我們會一起來聽聽大家的意見，因為各界正反的意見都有，希望我們擴大辦理的也有，我們會再滾動地檢討。"],["王委員正旭：我確定一下，11月21日這個研商會議是很大型的會議，還是針對醫院及醫療機構相關的，比較聚焦型的會議？"],["王司長嶽斌：我們這個是公開的公聽研商會，公聽會，所以大家都可以參加。除了實體會議之外，我們也開放視訊，連上視訊之後，可以一起來聽聽各界的意見跟給我們的建言。"],["王委員正旭：瞭解，所以我的意思是說，如果這是一個很大型的公聽會，可能不只是醫療相關的院所，可是我們也知道醫院的廢棄物或者是排放水有它特殊的層面，所以是不是可以請司長這邊針對醫療機構，有一個屬於比較聚焦型的相關會議，讓他們在執行的時候更能夠掌握到這些重點？"],["彭部長啓明：好，謝謝委員指教，我們會遵照委員的指示，例如說醫療院所或是相關的單位我們分門別類來處理，因為這樣聚焦才可以得到更精準的意見。"],["王委員正旭：好，謝謝。我們知道大家對於抗生素的使用都非常非常地擔心，也希望能夠該用就應該用，如果可以做一個好的控制的話，最重要就是抗生素的抗藥性已經是全球要面對的問題，新型的抗生素要研發出來也相當地困難，所以針對抗生素的處理模式，大家都非常非常需要去用更好的方式來處理。","在這個修正草案裡面也提供了不同的新興關注項目，包括某一些抗生素跟後面要去處理的抗生素，在這邊我們可以看到，第一項是在115年1月1日開始適用，另外是118年會適用，其實醫院這邊也相當地擔心，包括這些列管項目是不是能夠透過設備跟技術來做有效的污水處理？如何協助院所於辦法施行後有機會來達標？最後就是他們也很希望瞭解這個列管項目是不是與國際標準一致，這部分不知道目前部裡面或者是司裡面有沒有相關的處理措施？"],["彭部長啓明：這個其實是草案，現在在研議當中，我們細節請司長來報告。"],["王司長嶽斌：跟委員說明，剛才提到的這三點，有關廢水中如果排放抗生素的濃度過高，我們的規定基本上是有一個預警值，如果有預警值的話就要採取作為，包括污水處理設備，根據我們的調查發現，污水處理設備如果正常操作效能提升的話，也是有很好的處理效率，所以基本上我們會希望能夠輔導，就是在處理技術上面及設備上面能不能夠妥善地處理，達到處理的效能，這是第一個。","如果處理效能沒有辦法達標的話，進一步的改善做法可以有一些評估的程序，我們來協助看看怎麼樣跟衛福部有一些輔導的做法，讓醫院的廢污水處理設備也能夠有一定的升級跟處理。當然藥品的部分如果能夠妥善地去瞭解，因為基本上我們也是一個預警，從環境的角度、最後的角度來預警這個用量跟回收有沒有其他可以加強的地方，也是要醫院自主去做相關的檢視跟管理。"],["王委員正旭：是，瞭解。其實我們知道國際有很多先進國家都有類似的管控措施，所以我相信我們如果能夠繼續努力的話，應該可以把這些內容做得更好。","最後是有關於醫院ESCO形式節能減碳進度的部分，我上次在10月7日的時候也有跟部長討論過這個問題，這一次是在兩個禮拜前去嘉義大埔考察有關於太陽光電造成的環境影響，在現場有跟葉次長瞭解這一部分，針對醫療院所如何能夠節能減碳，他有跟我做了一些說明，在這個說明裡面就有包括如何能夠深度節能，尤其是大型醫院的部分，他也讓我知道目前的進度其實是很值得大家共同關注，那麼我們也知道環境部真的做了很多很多的努力，這一部分可不可以在年底之前提供書面資料，讓我這邊來做一些參考？"],["彭部長啓明：好，謝謝。報告委員，因為這個是有3個部會，金管會、衛福部、經濟部3個次長有一個平臺特別來處理這件事情，到最後討論完的結果，年底之前再跟委員特別報告。"],["王委員正旭：好，那就麻煩部長。"],["彭部長啓明：好，謝謝委員。"],["主席：謝謝王正旭委員。","接下來請楊瓊瓔委員發言。"]],"agenda":{"page_end":348,"meet_id":"委員會-11-2-26-8","speakers":["黃秀芳","陳昭姿","林月琴","陳菁徽","王育敏","邱鎮軍","廖偉翔","盧縣一","蘇清泉","王正旭","楊瓊瓔","林淑芬","洪申翰","黃建賓","涂權吉","林俊憲","陳瑩","陳培瑜","洪孟楷","伍麗華Saidhai‧Tahovecahe","牛煦庭","葉元之","劉建國","楊曜","張雅琳"],"page_start":85,"meetingDate":["2024-11-14"],"gazette_id":"11310001","agenda_lcidc_ids":["11310001_00003"],"meet_name":"立法院第11屆第2會期社會福利及衛生環境委員會第8次全體委員會議紀錄","content":"一、繼續處理中華民國113年度中央政府總預算有關衛生福利部主管預算凍結報告案2案；二、邀\n請環境部部長列席報告業務概況，並備質詢；三、審查中華民國 114年度中央政府總預算案關於\n環境部主管預算（公務及基金預算）（僅詢答）；四、審查環境部函送財團法人環境資源研究發\n展基金會等4家財團法人114年度預算書案（僅詢答）","agenda_id":"11310001_00002"}}}