Hazardous Drugs Safe Handling Guide for MOH Facilities 1st Edition (2026)

This comprehensive guideline serves as the primary reference for Ministry of Health (MOH) facilities to establish a holistic safety protocol for the management of hazardous drugs, particularly cytotoxic medications. The drug classifications within this manual are based on the latest international standards, including the National Institute of Occupational Safety and Health (NIOSH) 2024 list, the U.S. National Toxicological Program (NTP), and the International Agency for Research on Cancer (IARC).

The primary objective of this guideline is to protect healthcare personnel and caregivers from the severe health risks associated with occupational exposure. It details practical control measures—encompassing Personal Protective Equipment (PPE), engineering controls, and strict administrative protocols—to minimize exposure risks across all operational levels.

In response to the growing model of home-based chemotherapy, this first edition also features practical guidelines and clear instructions for patients and caregivers. This ensures that medication handling, waste disposal, and spill management at home are conducted safely, effectively safeguarding family members and the wider community.