Risk management for outsourcing biomedical waste disposal – Using the failure mode and effects analysis

Using the failure mode and effects analysis, this study examined biomedical waste companies through risk assessment. Moreover, it evaluated the supervisors of biomedical waste units in hospitals, and factors relating to the outsourcing risk assessment of biomedical waste in hospitals by referring to waste disposal acts. An expert questionnaire survey was conducted on the personnel involved in waste disposal units in hospitals, in order to identify important factors relating to the outsourcing risk of biomedical waste in hospitals. This study calculated the risk priority number (RPN) and selected items with an RPN value higher than 80 for improvement. These items included “availability of freezing devices”, “availability of containers for sharp items”, “disposal frequency”, “disposal volume”, “disposal method”, “vehicles meeting the regulations”, and “declaration of three lists”. This study also aimed to identify important selection factors of biomedical waste disposal companies by hospitals in terms of risk. These findings can serve as references for hospitals in the selection of outsourcing companies for biomedical waste disposal.     

Potential useful products from solid wastes

Wastes have been aptly defined as “items i.e. resources, that have been discarded because their possessors no longer have an apparent use for them”. Accordingly, “wastes” have a significance only in relation to the items and those who have discarded them. The discarded items now are resources awaiting reclamation. Reclamation usually involves either salvage or conversion—or in modern terminology, “reuse” or “recycling”. Reclamation for reuse consists in refurbishing or other upgrading without significantly altering original form and composition. Examples of wastes amenable to reuse are containers (bottles, etc.), cartons and repairable tires. With “recycling” (i.e. conservation), the discarded items are processed such that they become raw material i.e. resources in the manufacture of “new” products. The variety of processes is wide, ranging from simply physical (grinding) through thermal (melting, gasification, combustion), to biological (composting, biogasification, hydrolysis, microbial protein production). In the paper, reuse and recycling (conversion) are evaluated in terms of advantages and disadvantages (limitations) and their respective technologies are described and discussed in detail.     

Cross-cultural comparison of concrete recycling decision-making and implementation in construction industry

Waste management is pressing very hard with alarming signals in construction industry. Concrete waste constituents major proportions of construction and demolition waste of 81% in Australia. To minimize concrete waste generated from construction activities, recycling concrete waste is one of the best methods to conserve the environment. This paper investigates concrete recycling implementation in construction. Japan is a leading country in recycling concrete waste, which has been implementing 98% recycling and using it for structural concrete applications. Hong Kong is developing concrete recycling programs for high-grade applications. Australia is making relatively slow progress in implementing concrete recycling in construction. Therefore, empirical studies in Australia, Hong Kong, and Japan were selected in this paper. A questionnaire survey and structured interviews were conducted. Power spectrum was used for analysis. It was found that “increasing overall business competitiveness and strategic business opportunities” was considered as the major benefit for concrete recycling from Hong Kong and Japanese respondents, while “rising concrete recycling awareness such as selecting suitable resources, techniques and training and compliance with regulations” was considered as the major benefit from Australian respondents. However, “lack of clients’ support”, “increase in management cost” and “increase in documentation workload, such as working documents, procedures and tools” were the major difficulties encountered from Australian, Hong Kong, and Japanese respondents, respectively. To improve the existing implementation, “inclusion of concrete recycling evaluation in tender appraisal” and “defining clear legal evaluation of concrete recycling” were major recommendations for Australian and Hong Kong, and Japanese respondents, respectively.     

Application of the operating window concept to remediation‐option selection

An Erratum has been published for this article in Remediation 14(4) 2004, 141. The selection of remediation options for the management of unacceptable risks at contaminated sites is hindered by insufficient information on their performance under different site conditions. Therefore, there is a need to define “operating windows” for individual remediation options to summarize their performance under a variety of site conditions. The concept of the “operating window” has been applied as both a performance optimization tool and decision support tool in a number of different industries. Remediation‐option operating windows could be used as decision support tools during the “options appraisal” stage of the Model Procedures (CLR 11), proposed by the Environment Agency (EA) for England and Wales, to enhance the identification of “feasible remediation options” for “relevant pollutant linkages.” The development of remediation‐option operating windows involves: 1) the determination of relationships between site conditions (“critical variables”) and option performance parameters (e.g., contaminant degradation or removal rates) and 2) the identification of upper‐ and lower‐limit values (“operational limits”) for these variables that define the ranges of site conditions over which option performance is likely to be sufficient (the “operating window”) and insufficient (the “operating wall”) for managing risk. Some research has used case study data to determine relationships between critical variables and subsurface natural attenuation (NA) process rates. Despite the various challenges associated with the approach, these studies suggest that available case study data can be used to develop operating windows for monitored natural attenuation (MNA) and, indeed, other remediation options. It is envisaged that the development of remediation‐option operating windows will encourage the application of more innovative remediation options as opposed to excavation and disposal to landfill and/or on‐site containment, which remain the most commonly employed options in many countries. © 2004 Wiley Periodicals, Inc.     

Green Remediation or Sustainable Remediation: Moving From Dialogue to Common Practice

Different points of view have emerged concerning how to best consider and address the largely unexamined ancillary environmental impacts, and more particularly the social and economic impacts, of remediation activities. These views are generally categorized as “green remediation” and “sustainable remediation.” This article dissects the commonalities and differences between “green” and “sustainable” remediation approaches. Several key obstacles to the broader implementation of sustainable remediation practices are identified. Similarities identified among the two concepts offer a common ground and areas of collaboration. The objective of this article is to support maturation of the remediation industry by addressing the opposition to and supporting the implementation of sustainable remediation practices, including offering recommendations for a path forward. ©2015 Wiley Periodicals, Inc.     

Australia’s Tyranny of Distance in Oil Spill Response

In view of the quantity of oil spilled, smaller spills generally receive less attention than headline grabbing incidents such as the “Amoco Cadiz”, “Exxon Valdez”, “Braer” and “Sea Empress”. The latter incidents involve the loss of significant quantities of oil, the establishment of relatively complex spill response management structures and the involvement of significant numbers of personnel and equipment. As such, large spills from tankers have the potential to create problem areas, for example in establishing and maintaining effective communications, logistics and resource management systems.In general terms spill response personnel are well aware that large spills come complete with significant operational and administrative problems, however what may not be so well recognised is that smaller spills also have the potential to present response personnel with their own unique problems.One of the major problems to be overcome when responding to spills in Australia is the “tyranny of distance”. In quite a few responses, Australian oil spill response managers have had to move personnel and equipment thousands of kilometres to provide an effective outcome. This paper outlines a range of problems that have been encountered by Australian personnel over the years. These include health and safety, communications, logistics and equipment issues.For the purpose of this paper a “smaller” spill has been defined as one involving a discharge of less than 1000 tonnes of oil.     

Life cycle assessment of a packaging waste recycling system in Portugal

Life Cycle Assessment (LCA) has been used to assess the environmental impacts associated with an activity or product life cycle. It has also been applied to assess the environmental performance related to waste management activities. This study analyses the packaging waste management system of a local public authority in Portugal. The operations of selective and refuse collection, sorting, recycling, landfilling and incineration of packaging waste were considered. The packaging waste management system in operation in 2010, which we called “Baseline” scenario, was compared with two hypothetical scenarios where all the packaging waste that was selectively collected in 2010 would undergo the refuse collection system and would be sent directly to incineration (called “Incineration” scenario) or to landfill (“Landfill” scenario). Overall, the results show that the “Baseline” scenario is more environmentally sound than the hypothetical scenarios.     

Past in situ Burning Possibilities

This study evaluated the feasibility of conducting in situ burning (ISB) using current technology on post-1967 major oil spills over 10 000 barrels in North America and over 50 000 barrels in South America and Europe. A diverse set of 141 spills representing various combinations of parameters affecting spill responses (e.g., spill size, oil type, weather conditions, sea temperature, and geographic location) were evaluated using four “Phase I” criteria: Distance to populated area, oil weathering, logistics, and weather conditions. In Phase I, a spill that failed to meet one of the four criteria was considered an “unsuccessful” candidate for ISB. In total, 47 of the 141 spills passed the Phase I analysis. The potential effect of the plume on populated areas was the most significant of the four Phase I criteria; 59 of the 141 spills did not pass Phase I because the incident occurred near a sizable city. Spills that met all four criteria were further evaluated using a “Phase II” analysis that applied additional criteria and considered individual spill circumstances to determine if the spill should be rated as a “successful”, “marginal call”, or “unsuccessful” ISB candidate. Fourteen spills were ultimately determined successful in the Phase II analysis, and 12 were designated marginal calls.     

Managing transfrontier hazardous waste transport forms

The present study evaluates the implementation of the EC Directive concerning transfrontier movements of hazardous wastes. Two of the identified bottlenecks, i.e. “the surplus of forms” and “too long delay in returning forms,” were studied in greater detail. A comparison of the forms used in the international waste transport in Europe showed a redundancy of information in comparison with the EC form. This indicates substantial cost savings when the existing forms are replaced by a “single administrative document”, for which the EC form can serve as an example.     

Distribution flow of used motorcycles exported from Japan

This study focuses on used motorcycles (UMCs) that are exported from Japan, observes identifiable characteristics of each destination country's UMC exports, and categorizes their distribution flows. Based on the findings from precedent research, results from compiled data of trade statistics, and field surveys, this study reveals the following characteristics. (1) UMCs are continuously exported to the United Arab Emirates (UAE), but the export numbers fluctuate yearly. The UAE also exports large numbers of UMCs with low displacements and UMCs from all statistical categories except for “other.” (2) The number of UMCs exports to Cambodia has been increasing since 2011. In addition, changes in exports from 51 to 250 cc to low displacements of 50 cc and less are identified. Cambodia also exported UMCs from all statistical categories except “other.” (3) The number of UMCs exports to Myanmar has been increasing since 2015, and the primary units exported exhibit “electric motor propulsion as a motor driving force.” (4) Country trade features are identified and UAE is designated as a “transit trade type” and both Cambodia and Myanmar as “domestic distribution types.”

     

Assessment of health-care waste disposal methods using a VIKOR-based fuzzy multi-criteria decision making method

Nowadays selection of the appropriate treatment method in health-care waste (HCW) management has become a challenge task for the municipal authorities especially in developing countries. Assessment of HCW disposal alternatives can be regarded as a complicated multi-criteria decision making (MCDM) problem which requires consideration of multiple alternative solutions and conflicting tangible and intangible criteria. The objective of this paper is to present a new MCDM technique based on fuzzy set theory and VIKOR method for evaluating HCW disposal methods. Linguistic variables are used by decision makers to assess the ratings and weights for the established criteria. The ordered weighted averaging (OWA) operator is utilized to aggregate individual opinions of decision makers into a group assessment. The computational procedure of the proposed framework is illustrated through a case study in Shanghai, one of the largest cities of China. The HCW treatment alternatives considered in this study include “incineration”, “steam sterilization”, “microwave” and “landfill”. The results obtained using the proposed approach are analyzed in a comparative way.     

Rocky Flats,plutonium, and controversy: Citizen activists provide institutional memory

The U.S. Atomic Energy Commission (AEC) selected Rocky Flats, east of the Rocky Mountains, as the site to fabricate “plutonium pits,” triggers for H‐bombs, and operations began in 1952. Press reports revealed the plant's connection to atomic weapons in 1956. Denver is downwind and “downslope” by about 16 miles. As western suburbs moved closer to Rocky Flats over time, plant accidents sent plutonium and other contaminants offsite. In 1989, armed agents of the U.S. Environmental Protection Agency (EPA) and Federal Bureau of Investigation raided the facility, and the plant operator, Rockwell International, subsequently pleaded guilty to criminal environmental violations. By this time, the U.S. Department of Energy had inherited responsibility for Rocky Flats and atomic weapons production. In 1993, the primary mission at Rocky Flats became cleanup of contamination from plutonium and other hazardous substances. Under Energy's “Accelerated Cleanup” plan, remediation was certified complete in 2005 by the Department's cleanup regulators, EPA, and the Colorado Department of Public Health. But planned uses for the “buffer zone” around the facility's central industrial area, and for off‐site areas continued to generate public controversy. This article examines the controversy and reports on general “stewardship” concepts for long‐term waste management.     

Using an innovative criteria weighting tool for stakeholders involvement to rank MSW facility sites with the AHP

The main aim of this study was to verify the efficacy of using an innovative criteria weighting tool (the “priority scale”) for stakeholders involvement to rank a list of suitable municipal solid waste (MSW) facility sites with the multi-criteria decision-making (MCDM) technique known as analytic hierarchy process (AHP). One of the main objectives of the study was to verify the behaviour of the “priority scale” with both technical and non-technical decision-makers. All over the world, the siting of MSW treatment or disposal plants is a complex process involving politicians, technicians as well as citizens, where stakeholders who are not effectively involved strongly oppose (or even obstruct) the realization of new facilities. In this study, in order to pursue both the technical (select the best site) and social aims (all the stakeholders have to give their aware contribution), the use of the “priority scale” is suggested as a tool to easily collect non-contradictory criteria preferences by the various decision-makers. Every decision-maker filled in “priority scale”, which was subsequently uploaded in the AHP tool in order to indirectly calculate the individual priority of alternatives given by each stakeholder (not using group aggregation techniques). The proposed method was applied to the siting of a composting plant in an area suffering from a serious MSW emergency, which has lasted for over 15 years, in the Campania Region, in Southern Italy. The best site (the “first choice”) was taken as the one that appeared the most times at the first place of each decision-maker ranking list. The involved technical and non-technical decision-makers showed the same behaviour in (indirectly) selecting the best site as well as in terms of the most appraised criteria (“absence of areas of the highest value for natural habitats and species of plants and animals”). Moreover, they showed the same AHP inconsistency ratio as well as the same behaviour in comparison with a “balanced decision-maker” (who assigns identical weights to all the considered criteria). Therefore, the proposed criteria weighting tool could be widely as well as easily used for stakeholders involvement to rank MSW facility sites (or other kinds of alternatives) with the AHP or with other MCDM techniques, taking or not into consideration group aggregation methods.     

Waste treatment integration in space

The circumstances and criteria for space-based waste treatment bioregenerative life-support systems differ in many ways from those needed in terrestrial applications. In fact, the term “waste” may not even be appropriate in the context of nearly closed, cycling, ecosystems such as those under consideration. Because of these constraints there is a need for innovative approaches to the problem of “materials recycling”. Hybrid physico-chemico-biological systems offer advantages over both strictly physico-chemico or biological approaches that would be beneficial to material recycling. To effectively emulate terrestrial cycling, the use of various microbial consortia (“assemblies of interdependent microbes”) should be seriously considered for the biological components of such systems. This paper will examine the use of consortia in the context of a hybrid-system for materials recycling in space.     

Determination of the remediability score for remediation liability allocation among polluters

When a pollution incident occurs, there can be impact liability and/or remediation liability on the polluter. The impact liability pays for the loss of life and property due to pollution. The remediation liability is to pay for remediating the environment in accordance with applicable laws and regulations. If there is only one polluter in a pollution incident, the entire liability can be placed on the sole polluter. However, liability allocation becomes complex when there are multiple polluters. To allocate the fractional remediation liability among multiple polluters, it is important to identify the factors that determine the cost of remediation so that a just distribution of liability can be made based on the contribution of each polluting party to the factors identified. Along with factors such as “quantity of the chemical released by the polluter,” “distribution of the chemical in the environmental medium,” “persistence of the chemical in the environmental medium,” and so forth, the ease with which the chemical pollutant can be separated from the contaminated medium, which we name as “remediability,” is important in deciding the remediation liability. The “remediability” of a chemical is critical in selecting the remediation technologies to be adopted and, consequently, in deciding the cost of remediation. Determination of a remediability score (RS) for each “chemical–environment medium” pair will help in quantifying the ease with which the site can be remediated. The score is envisaged on a 0–100 scale. The higher the score, the more difficult it is to remediate the chemical in the environmental medium under consideration. The score is estimated based on a set of predetermined factors that are characteristic to the technologies available for remediation. The factors are then subjected to a Delphi process to arrive at the weights. The overall RS is determined by determining the weighted impact of the identified factors after the normalization of the magnitudes of factors.     

You Know Your Environmental Contractor Is Out of Control When…

Far too often private industry is caught in situations where they become responsible for environmental characterization and remediation projects. The processes involved in successfully completing such tasks may be foreign to the responsible industry. In such cases, an environmental contractor is hired to perform the necessary work. While many environmental contractors claim a high level of ethics and customer orientation, the very essence of their jobs should make the responsible industrial client wary. Far too often, environmental characterizations and remediations become too drawn out and costly. Far too often, environmental contractors need “just a little more data” to complete otherwise simple tasks. To guard against the phenomenon of “never-ending environmental work,” responsible industrial clients that do not have environmental expertise on their staff would do well to retain a senior level independent environmental contractor to watch out for the best interests of the responsible industry. While the hiring of a contractor to watch a contractor may seem redundant and cost inefficient, the truth of the matter is the exact opposite. By bringing in an expert in environmental characterization and remediation, the responsible industrial client essentially hires another technical employee. It is best to hire this person as a member of the company to avoid additional overhead costs. If such an “environmental guardian” cannot be hired or found, then the responsible industrial client must learn to recognize the warning signs of an environmental characterization or remediation project that is out of control and should be stopped and regrouped. These warning signs become more apparent as time goes on (and money is spent). Having an experienced independent environmental contractor “look over the shoulder” of another contractor is just good business sense. One could say that it is the “potentially responsible party's” (PRP's) right to a second opinion.     

Innovative reuse of drinking water sludge in geo-environmental applications

In recent years, the replacement of natural raw materials with new alternative materials, which acquire an economic, energetic and environmental value, has gained increasing importance. The considerable consumption of water has favoured the increase in the number of drinking water treatment plants and, consequently, the production of drinking water sludge. This paper proposes a protocol of analyses capable of evaluating chemical characteristics of drinking water sludge from surface water treatment plants. Thereby we are able to assess their possible beneficial use for geo-environmental applications, such as the construction of barrier layers for landfill and for the formation of “bio-soils”, when mixed with the stabilized organic fraction of municipal solid waste. This paper reports the results of a study aimed at evaluating the quality and environmental aspects of reconstructed soils (“bio-soil”), which are used in much greater quantities than the usual standard, for “massive” applications in environmental actions such as the final cover of landfills. The granulometric, chemical and physical analyses of the sludge and the leaching test on the stabilized organic fraction showed the suitability of the proposed materials for reuse.The study proved that the reuse of drinking water sludge for the construction of barrier layers and the formation of “bio-soils” reduces the consumption of natural materials, the demand for landfill volumes, and offers numerous technological advantages.     

Perils of categorical thinking: “Oxic/anoxic” conceptual model in environmental remediation

Given ambient atmospheric oxygen concentrations of about 21 percent (by volume), the lower limit for reliable quantitation of dissolved oxygen concentrations in groundwater samples is in the range of 0.1–0.5 mg/L. Frameworks for assessing in situ redox condition are often applied using a simple two‐category (oxic/anoxic) model of oxygen condition. The “oxic” category defines the environmental range in which dissolved oxygen concentrations are clearly expected to impact contaminant biodegradation, either by supporting aerobic biodegradation of electron‐donor contaminants like petroleum hydrocarbons or by inhibiting anaerobic biodegradation of electron‐acceptor contaminants like chloroethenes. The tendency to label the second category “anoxic” leads to an invalid assumption that oxygen is insignificant when, in fact, the dissolved oxygen concentration is less than detection but otherwise unknown. Expressing dissolved oxygen concentrations as numbers of molecules per volume, dissolved oxygen concentrations that fall below the 0.1 mg/L field detection limit range from 1 to 10¹⁷ molecules/L. In light of recent demonstrations of substantial oxygen‐linked biodegradation of chloroethene contaminants at dissolved oxygen concentrations well below the 0.1–0.5 mg/L field detection limit, characterizing “less than detection” oxygen concentrations as “insignificant” is invalid. © 2012 Wiley Periodicals, Inc.     

How much heterogeneity? Flow versus area from a big data perspective

Over the past 10 years, there has been an increased recognition that matrix diffusion processes are a significant factor controlling the success of groundwater remediation. New field techniques and modeling tools have, consequently, been developed to understand how contaminants diffuse into and then out of low‐permeability (“low‐k”) zones and assess the resulting impact on groundwater quality. Matrix diffusion, in turn, is driven by one key factor: geologic heterogeneity. The importance of heterogeneity is being emphasized in the groundwater field by general rules of thumb such as “90% of the mass flux occurs in 10%‐20% of the cross‐sectional area” and conceptual models that show most of the groundwater flow occurs through the aquifer's “mobile porosity” which just a small fraction of commonly used effective porosity values (between 0.02 and 0.10 for mobile porosity vs. 0.25 for effective porosity). For this study, 141 boring logs from 43 groundwater remediation sites were evaluated to develop an empirically based estimate of the groundwater flow versus aquifer cross‐sectional area to confirm or reject the general flow versus area rules of thumb. This study indicated that at these 43 sites, an average of 30% of the cross‐sectional area carried 90% of the groundwater flow. Our flow‐only analysis does provide moderate (but not confirmatory) support for the “mobile porosity” concept with an estimated representative mobile porosity value of about 0.11 at the 43 sites.