The project involves a detailed study of existing treatment systems, determining the most appropriate cost-effective solution for each of the partners, creation and launch of two regional centers for decontamination in Slantsy and Kohtla-Jarve, which will operate at local hospitals. These centers will cater as well to the needs of all surrounding institutions which also produce medical waste: dental surgeries, private clinics, drug treatment centers, veterinary clinics, etc. The equipment and waste treatment technology in these new centers need to be modern, the process should be energy efficient and include reduction of the volume of waste being treated by way of it shredding. This will allow to process a greater volume of waste in one load, thus the final volume to be transported to the waste depository will be smaller. Achievements: 1. Investigation and selection of appropriate innovative technology: - the most appropriate cost-effective technologies complying with each partners requirements are determined; - 2 medical waste treatment and processing sets of equipment. - processing lines are put in operation; 2. Launch of two centres for processing hazardous medical waste: - 2 regional non-earning centres – one in Kohtla-Jarve, in Ida-Viry Central Hospital (Estonia), and one in SlantsyRegional central hospital (Russia) – have been prepared and put in operation. 3. Elaboration of Waste Management Plan and training: - 80 specialists of medical institutions have undergone training - newly designed instructions have been studied and are being executed.