An Assessment and Management Recommendations

Chlorinated plastics (PVC) accounted for 9.4 percent of the weight of “red bag”, supposedly infectious, waste from two community 150- and 98-bed hospitals. The hydrochloric acid, dioxins and furans generated during the burning of this red bag waste are important air pollutants. In this waste, PVC provides much of the organic chloride for the dioxins and furans generated. Their concentrations are least in flue gases from those plants with BACT design, flue gas clean up and management techniques—the most constrained incinerators. The many manually-fed, small categorical red bag incinerators associated with hospitals have no flue gas clean-up systems and represent minimally constrained incinerators. Their toxic stack emissions are considered a significant community health hazard. The evidence that the contents of red bag waste is infectious to such a degree that it cannot be disposed of as municipal solid waste without endangering the public with infectious diseases is not reflected in the relevant hospital accreditation guidelines, Centers for Disease Control recommendations, or related literature. Public health is compromised by the lack of accountability in the handling of some hospital and veterinary wastes, specifically body fluid contaminated equipment and containers as well as microbiological materials. Recommendations to protect public health are included. The most important of these is a manifest system of cradle-to-grave accountability for a limited portion of a hospital's waste.     

Medical Waste Disposal

Medical (biomedical) wastes pose numerous potential health and safety hazards. In addition to their infectious and toxic characteristics, the highly variable and inconsistent nature of medical waste streams has increased public concern about storage, treatment, transportation, and ultimate disposal.

In recent years, techniques have been developed to reduce human exposure to the toxic and infectious components of medical wastes. The most commonly used techniques include internal segregation, containment, and incineration. Other common techniques include grinding, shredding, and disinfection, e.g., autoclaving and chemical treatment followed by landfilling.

Of all the available technologies for medical waste treatment and disposal, incineration has been found to be the most effective method overall for destroying infectious and toxic material, volume reduction, and weight reduction in the medical waste stream, incineration destroys the broadest variety of medical waste constituents and can recover energy from the medical waste stream. Incineration also is an appropriate alternative to burial of human pathological remains.     

Avoiding Land Disposal of Hazardous Waste

In response to a growing societal mandate, land disposal of hazardous wastes is gradually being replaced by treatment technologies. This shift to "alternative technologies" is the result of the impacts of past land disposal practices on other environmental media (groundwater, surface water, and air). A prime motivation for adopting alternatives to land disposal is to eliminate these cross-media impacts. Alternative technologies, however, can themselves have cross-media environmental impacts which must be recognized and addressed before such technologies are extensively applied. This paper discusses hazardous waste constituents, common disposal practices, alternative technologies currently being applied, possible cross-media environmental impacts of the alternative technologies, and proposed methods of mitigating these environmental impacts. Case studies from uncontrolled hazardous waste sites and industrial operations are used to illustrate the application of alternative technologies. Case studies include the application of waste treatment technologies as well as the adoption of waste minimization techniques.     

Thermal and Catalytic Incinerators for the Control of VOCs

Abstract

The emission of Volatile Organic Compounds (VOCs) is attracting increasing concern both from the public and by government agencies. Among the many available control technologies for the treatment of VOC containing waste streams, incineration offers an ultimate disposal strategy rather than a means for collecting or concentrating the offending compounds. This paper describes the major, commercially available thermal and catalytic incinerator systems that are designed to treat dilute, VOC containing gas streams. Qualitative guidelines are presented whereby the technologies can be compared. In addition, an example waste stream is used to illustrate a simplified procedure for calculating the material and energy balances for each of the incinerators. The resulting parameters will be used in a companion paper to estimate the capital and operating costs associated with each design. In this manner, a first estimate can be obtained of the costs of cleaning a waste stream containing low levels of VOCs.     

Thermal and catalytic incinerators for the control of VOCs

The emission of Volatile Organic Compounds (VOCs) is attracting increasing concern both from the public and by government agencies. Among the many available control technologies for the treatment of VOC containing waste streams, incineration offers an ultimate disposal strategy rather than a means for collecting or concentrating the offending compounds. This paper describes the major, commercially available thermal and catalytic incinerator systems that are designed to treat dilute, VOC containing gas streams. Qualitative guidelines are presented whereby the technologies can be compared. In addition, an example waste stream is used to illustrate a simplified procedure for calculating the material and energy balances for each of the incinerators. The resulting parameters will be used in a companion paper to estimate the capital and operating costs associated with each design. In this manner, a first estimate can be obtained of the costs of cleaning a waste stream containing low levels of VOCs.     

Air Pollution Emissions from the Incineration of Hospital Waste

Since 1981, hospitals in Illinois have been prohibited from depositing hazardous infectious waste in landfills without first rendering the waste innocuous. The Illinois Pollution Control Board has adopted regulations indicating that incineration is an acceptable method for disposal of this waste. Emissions from incineration of the plastic-rich hospital waste are not well documented. Stack emissions of particles, hydrochloric acid, carbon monoxide, ethane, ethylene, propane and propylene were measured from a hospital incinerator where all of the hospital's waste (including hazardous infectious waste) was burned. Emission factors developed for each emission component were: particles 1.0–1.6 g/kg waste; hydrochloric acid 3.3–5.3 g/kg; carbon monoxide 1.4–1.8g/kg; ethane <0.002g/kg; ethylene <0.010g/kg; propane <0.012 g/kg; and propylene <0.011 g/kg     

Pollutant emissions from modern incinerators

Emissions of dioxins are mainly from incinerators, domestic and industrial coal combustion, and traffic. However, the major public concern and research effort are associated with the emissions of organic micropollutants from waste incinerators. This paper gives a brief overview of the more recent research and development for the removal of dioxins and heavy metals from flue-gas streams. Special attention is devoted to the origin and control of emissions from incinerators. It appears that flue-gas cleaning systems in modern incinerators are very reliable in removing almost all polluting emissions from flue-gas streams. However, the fly ash residues generated pose a significant disposal problem, as they are enriched with heavy metals and organic micropollutants.     

天津市医疗废物处置规划及策略研究

以天津市医疗废物管理现状为研究对象，对处置方式进行深入探讨，分析目前分散处置和集中处置存在的缺陷，提出“区域集中处置”设想；并运用模糊决策模型理论，建立较完善的处置方式评价指标体系，应用模糊综合评价模型得出“区域集中处置”是最佳的医疗废物处置方式，同时提出了相应的区域集中处置策略。     

天津市医疗废物处置规划及策略研究

以天津市医疗废物管理现状为研究对象,对处置方式进行深入探讨,分析目前分散处置和集中处置存在的缺陷,提出"区域集中处置"设想;并运用模糊决策模型理论,建立较完善的处置方式评价指标体系,应用模糊综合评价模型得出"区域集中处置"是最佳的医疗废物处置方式,同时提出了相应的区域集中处置策略.     

Correlation coefficients between the dioxin levels in mother's milk and the distances to the nearest waste incinerator which was the largest source of dioxins from each mother's place of residence in Tokyo, Japan

BACKGROUND: To observe the relationship between the PCDD/F and Co-PCB levels in samples of human breast milk and nearby waste incinerators in Tokyo, Japan. METHODS: Breast milk was taken from 240 mothers residing in Tokyo, Japan to measure and analyze the concentrations of polychlorinated dibenzo-p-dioxins (PCDDs; 14 congeners), polychlorinated dibenzofurans (PCDFs; 15 congeners), and coplanar polychlorinated biphenyls (Co-PCBs; 12 congeners) contained in the fat. Individual milk samples (about 50 ml) were obtained from the mothers 30 days after delivery, between the months of June and September in 1999 and 2000. A map of Tokyo was used to measure the distances between each mother's place of residence and the closest public and industrial waste incinerators. RESULTS: The distances to the nearest waste incinerators bore no apparent correlations with the congeners of PCDD/Fs and Co-PCBs. The distances were also uncorrelated with the mean toxic equivalent quantities (TEQs) of PCDD/Fs (the sum of PCDDs and PCDFs), Co-PCBs, and the total PCDD/Fs and Co-PCBs. CONCLUSIONS: Although waste incinerators were the largest source of dioxins in Japan at the time of the study, the dioxins levels of mother's milk bore no apparent relationships with the distances between the mothers' domiciles and the nearest waste incinerators. In this study, several meaningful factors were not taken into account, namely, the wind direction, the level of dioxin emitted from each incinerator, the level of environmental pollution of dioxins, and the average time the mothers stayed at home each day. A full understanding of these points awaits future studies.     

Characterization of polychlorinated naphthalenes in stack gas emissions from waste incinerators

Nine typical waste incinerating plants were investigated for polychlorinated naphthalene (PCN) contents in their stack gas. The incinerators investigated include those used to incinerate municipal solid, aviation, medical, and hazardous wastes including those encountered in cement kilns. PCNs were qualified and quantified by isotope dilution high resolution gas chromatography–high resolution mass spectrometry techniques. An unexpectedly high concentration of PCNs (13,000 ng?Nm^?3) was found in the stack gas emitted from one waste incinerator. The PCN concentrations ranged from 97.6 to 874 ng?Nm^?3 in the other waste incinerators. The PCN profiles were dominated by lower chlorinated homologues, with mono- to tetra-CNs being the main homologues present. Furthermore, the relationships between PCNs and other unintentional persistent organic pollutants involving polychlorinated dibenzo-p-dioxins and dibenzofurans, polychlorinated biphenyls, hexachlorobenzene, and pentachlorobenzene were examined to ascertain the closeness or otherwise of their formation mechanisms. A good correlation was observed between ΣPCN (tetra- to octa-CN) and ΣPCDF (tetra- to octa-CDF) concentrations suggesting that a close relationship may exist between their formation mechanisms. The results would provide an improved understanding of PCN emissions from waste incinerators.     

Behavior of PCNs, PCDDs, PCDFs, and dioxin-like PCBs in the thermal destruction of wastes containing PCNs

In the first known study to characterize the emissions of polychlorinated naphthalenes (PCNs), polychlorinated dibenzo-p-dioxins (PCDDs), polychlorinated dibenzofurans (PCDFs), and dioxin-like polychlorinated biphenyls (dl-PCBs) from the thermal treatment of wastes containing PCNs, the formation and decomposition behavior of these pollutants was investigated both at laboratory scale and at plant scale. Exhaust gas measurements from laboratory-scale combustion of rubber belts containing PCNs (FB belts) were used as the basis for calculations predicting that the incremental dioxin toxic equivalency (TEQ) emissions from municipal solid waste (MSW) incinerators would be less than 0.1 ng/m3 N. In order to directly examine co-incineration of FB belts with MSW and to address potential differences between the laboratory experiment and full-scale MSW incinerators, experiments were conducted using a larger scale thermal treatment test facility with sampling and analysis at several points in the thermal treatment process. Congener specific analysis of PCNs clearly showed that both destruction and synthesis simultaneously occurred during combustion in the kiln. Most of the PCNs were destroyed by secondary combustion, and almost all PCNs were removed after flue gas treatment. Almost all PCDDs/DFs were synthesized as by-products of kiln combustion, most of them were destroyed by the secondary combustion, and almost all dioxins (PCDDs/DFs and dl-PCBs) were removed after flue gas treatment. The TEQ emission levels were less than 0.1 ng/m3 N for all plant-scale tests, and differences in TEQ emission levels were very small. Adding wastes containing PCNs to MSW will not influence thermal treatment emissions to the environment from modern solid waste incinerators.     

Waste Streams,Technology, and State Requirements

Biomedical wastes are generated by hospitals, laboratories, animal research facilities, and by other institutional sources. The disposal of these wastes is coming under critical public scrutiny, and regulations are being promulgated to control their disposal. Incineration is not a final disposal method since it generates a solid residue (ash) which must be buried or otherwise disposed. The incineration process, however, renders the waste non-toxic, non-hazardous, and non-putrescible, and reduces the volume of material for ultimate disposal by an order of magnitude. In some instances, the residue may have high levels of heavy metals; however, this is the exception rather than the rule.     

Public policy impacts on the generation and disposal of hazardous waste in New York State

A number of policies adopted by the federal government and the state have been designed to promote waste reduction or influence the choice of waste disposal technologies employed by generators of hazardous waste. Graphic analysis of smoothed time series data for hazardous wastes manifested in New York State for the period between June 1982 and February 1987 suggests that some of these policies have had the intended effects. Significant shifts in manifested waste volumes are evident that coincide with the following policy interventions: (1) increased state waste-end tax rates; (2) state and federal landfill bans; (3) federal restrictions on burning hazardous wastes and waste oils for energy recovery; and (4) changes in the federal regulatory definition of hazardous waste. Other changes in waste generation and management appear to be attributable to such factors as state and regional economic conditions and changes in instate treatment and disposal facility capacity. Analysis of the management of specific waste types supports evidence from the graphic analysis that waste generators changed from land disposal to "higher" waste handling technologies in response to several policy interventions.     

Hazardous wastes and economic risk reduction: case study, Poland

A concise summary balance of industrial and hazardous waste is given, reflecting the situation in Poland. Nearly 130 million tonnes of waste were generated annually in the past in more than 1300 larger industrial plants. Approximately 1800 million tonnes of industrial waste is already stockpiled. The amount of hazardous waste generated per year was 0.3 and 1.0 million tonnes of the first and second class of toxicity, respectively. Seventeen existing on-site incinerators cannot treat the whole amount of solid and hazardous waste generated. Therefore, landfilling is still the most widely used method of waste disposal. Decontamination of the abandoned areas left by the Soviet Army, and reclamation of some hundreds of storage sites filled with outdated pesticides are now added to the national plan of waste management. Its implementation, including introduction of the best available and best managed technologies of hazardous waste treatment and disposal, will take at least 20 to 30 years.     

Efficient and resilient governance of social–ecological systems

New institutions are critically needed to improve the resilience of social–ecological systems globally. Watershed management offers an important model due to its ability to govern mixed-ownership landscapes through common property regimes, translating national goals into local action. Here, I assess the efficacy of state watershed management institutions in the Pacific Northwest, based on their ability to support local watershed groups. I use document analysis to describe and compare state institutions in Washington, Oregon, Idaho, and California. Results indicate that state institutional efficiency and resilience are the key factors determining watershed group activity and stability. The primary drivers of institutional efficiency and resilience were institutional unification, robust funding portfolios, low agency conflict, and strong support for economic multiplier effects, creative partnerships, and scholarly research. My findings elucidate the critical role of institutional efficiency and resilience in governing dynamic and complex social–ecological systems, enabling the flexibility to address emergent transformations.     

Present State,of Industrial Waste Management in Japan

Systematic management for industrial waste in Japan has been carried out based on the Waste Disposal and Public Cleansing Law which was enacted in 1970. The law and its ordinances designate 19 kinds of waste materials discharged from business activities as industrial waste and prescribe the generator's responsibility, requirements for treatment contractors, standards for consignment, specific personnel, etc. from the view of proper management. And they also, prescribe disposal standards, structure, and maintenance standards for treatment facilities, including final disposal sites, from the view of proper treatment and disposal. The Standard for Verification provides criteria to categorize as hazardous or nonhazardous industrial waste which is subjected to treatment and disposal in conformity with each standard. The fundamental policies to cope with industrial waste focus on reduction of generation, promotion of recycling, establishment of a comprehensive information management system and participation of the public which can contribute well to prevent environmental pollution caused by inappropriate management of industrial waste.     

Concentration of atmospheric pollutants in the gaseous emissions of medical waste incinerators

The purpose of this paper is to quantify the production of medical waste from a general hospital and to evaluate the atmospheric pollutant concentrations in gaseous emissions associated with its incineration. A 3.8 kg (bed.day)-1 production of medical waste was estimated for 1998; its incineration is related with an ash production of 0.3-0.4 kg (bed.day)-1. The concentrations of atmospheric pollutants were estimated using emission factors, comparing the effluents with and without control of atmospheric pollutants. The calculated concentrations were compared with the emission limits established by Portuguese legislation. The results indicate that, if there is no control of atmospheric pollutants, their concentrations exceed the established limits. This is observed even if correct operation and maintenance procedures are used. The emission concentrations of dioxins are higher than the Portuguese emission limit, which is particularly worrying due to the high toxicity of some of these compounds. Generally, it is possible to reduce pollutant concentrations if appropriate control equipment is used. The conclusions obtained clearly justify the great concern regarding air pollution associated with medical waste incinerators currently operating in Portugal.     

Emissions of polychlorinated dibenzo-p-dioxins and dibenzofurans from stack gases of electric arc furnaces and secondary aluminum smelters

This study investigates the emissions of polychlorinated dibenzo-p-dioxins (PCDDs) and polychlorinated dibenzofurans (PCDFs) from four electric arc furnaces (EAFs) and eight secondary aluminum smelters (secondary ALSs) in Taiwan. The mean PCDD/F International-Toxicity Equivalents (I-TEQ) concentrations in the stack gases of these EAFs and secondary ALSs are 0.28 ng I-TEQ/Nm3 (relative standard deviation [RSD]= 100%) and 3.3 ng I-TEQ/Nm3 (RSD = 260%), respectively. The high RSDs, especially for those obtained from secondary ALSs, could be caused by the intrinsic differences in their involved feeding materials, furnace operating conditions, and air pollution control devices. The mean I-TEQ emission factor of PCDD/Fs for EAFs (1.8 microg I-TEQ/tonne-feedstock) is lower than that for secondary ALSs (37 microg I-TEQ/tonne-feedstock). This result might be because the involved furnace temperatures for secondary ALSs (650-750 degrees C) are lower than those for EAFs (1600-1700 degrees C), resulting in the deterioration of the combustion condition, leading to the formation of PCDD/Fs during the industrial process. This study found that the total PCDD/F emissions from EAFs (20 g I-TEQ/yr) and secondary ALSs (18 g I-TEQ/yr) are approximately 27, 53, and approximately 24, 49 times higher than those from municipal solid waste incinerators (MSWIs; 0.74 g I-TEQ/yr) and medical waste incinerators (MWIs; 0.37 g I-TEQ/yr), respectively; while those are 44 and 40% of total PCDD/F emission from sinter plants (45 g I-TEQ/ yr), respectively. Considering a more stringent emission limit has been applied to waste incinerators (0.1 ng I-TEQ/Nm3) in Taiwan lately, the results suggest that the control of the emissions from metallurgical processes has become the most important issue for reducing the total PCDD/F emission from industrial sectors to the ambient environment.     

Evaluation of Solid Waste Management Strategies in the Taipei Metropolitan Area of Taiwan

Abstract

Chenfang Lin is with the Department of Soil and Environmental Science at National Chung Hsing University.Municipal solid waste (MSW) management is a major concern for highly urbanized societies. Among proposed MSW management systems, regionalization programs generally have received considerable attention. This study analyzes real-world operational data to assess different MSW management policies, especially regionalization strategies, and their impact on MSW management systems in the Taipei metropolitan area. Linear programming is also used to identify the minimum costs sustained by each policy. The linear programming results show that regionalization programs are more economical and also improve incinerator operation efficiency. Sensitivity analysis indicates that the minimum treatment requirement of incinerators is a very sensitive influence on the MSW flows distributed through the entire region. The MSW of several “sensitive” administrative districts will be allocated to different treatment facilities according to different management strategies. A list of preferential sequences of MSW treatment and disposal facilities can also be identified by the model presented in this study. The results of this study may provide a useful tool for aiding decision-making related to real-world MSW management problems.