Health Effects of Waste Incineration: A Review of Epidemiologic Studies

ABSTRACT

There is an increasing trend toward using incineration to solve the problem of waste management; thus, there are concerns about the potential health impact of waste incineration. A critical review of epidemiologic studies will enhance understanding of the potential health effects of waste incineration and will provide important information regarding what needs to be investigated further. This study reviews the epidemiologic research on the potential health impact of waste incineration. Previous studies are discussed and presented according to their study population, incinerator workers or community residents, and health end points. Several studies showed significant associations between waste incineration and lower male-to-female ratio, twinning, lung cancer, laryngeal cancer, ischemic heart disease, urinary mutagens and pro-mutagens, or blood levels of certain organic compounds and heavy metals. Other studies found no significant effects on respiratory symptoms, pulmonary function,twinning, cleft lip and palate, lung cancer, laryngeal cancer,or esophageal cancer. In conclusion, these epidemiologic studies consistently observed higher body levels of some organic chemicals and heavy metals, and no effects on respiratory symptoms or pulmonary function. The findings for cancer and reproductive outcomes were inconsistent. More hypothesis-testing epidemiologic studies are needed to investigate the potential health effects of waste incineration on incinerator workers and community residents.     

垃圾焚烧过程中影响重金属分布因素的研究

在转式垃圾焚烧炉和固定床加热炉中,研究了有机垃圾焚烧过程中温度、水分、无机氯及有机氯对几种重金属分布的影响。研究结果表明,焚烧垃圾过程中焚烧温度对重金属分布特性的影响特性不一,重金属锌和铅容易转移到气相中去,而重金属镍和铬大部分是以固态形式残留在底渣中;水能与重金属及其化合物发生反应,引起物质转变,影响重金属的分布;氯的存在也影响重金属的分布特性,氯的参与使重金属更易向飞灰或烟气中迁移。     

Waste incineration and pulmonary function: an epidemiologic study of six communities

This study investigated the chronic effects of emissions from three different waste incinerators on pulmonary function of both healthy and sensitive subjects with chronic respiratory symptoms. Participants were 8-80 years old, not currently smoking, and living in one of three communities each with an incinerator or one of three matched comparison communities. In total, 1018 subjects underwent a spirometric test once a year during 1992-1994. Exposure was assessed by three methods: living in an incinerator community; distance from the incinerator; and an incinerator exposure index, a function of the distance and direction of each subject's residence to the incinerator, days downwind, and average time spent outdoors. The results generally showed no statistically significant association between pulmonary function and these three incinerators, adjustment for gas oven/range use at home, length of residency, and smoking history in the mixed linear models. Two significant associations were that exposure to the hazardous waste incinerator in 1994 and to the municipal waste incinerator in 1993 were related to poor forced vital capacity. Sensitive subjects were not more adversely affected by incineration emissions than were hay fever or normal subjects. Possible explanations for the negative findings are low exposure levels and bias due to nondifferential misclassification of exposures.     

Waste Incineration and Pulmonary Function: An Epidemiologic Study of Six Communities

ABSTRACT

This study investigated the chronic effects of emissions from three different waste incinerators on pulmonary function of both healthy and sensitive subjects with chronic respiratory symptoms. Participants were 8-80 years old, not currently smoking, and living in one of three communities each with an incinerator or one of three matched comparison communities. In total, 1018 subjects underwent a spirometric test once a year during 1992-1994. Exposure was assessed by three methods: living in an incinerator community; distance from the incinerator; and an incinerator exposure index, a function of the distance and direction of each subject's residence to the incinerator, days downwind, and average time spent outdoors. The results generally showed no statistically significant association between pulmonary function and these three incinerators, adjustment for gas oven/range use at home, length of residency, and smoking history in the mixed linear models. Two significant associations were that exposure to the hazardous waste incinerator in 1994 and to the municipal waste incinerator in 1993 were related to poor forced vital capacity. Sensitive subjects were not more adversely affected by incineration emissions than were hay fever or normal subjects. Possible explanations for the negative findings are low exposure levels and bias due to nondifferential misclassification of exposures.     

Characteristics of leachate from pyrolysis residue of sewage sludge

The pyrolysis residue (SP) of sewage sludge (SS) produced at 500 degrees C was subjected to batch and column leaching tests to investigate the release of its organic and inorganic constituents and metals. For comparison, incineration ash (SI) obtained from a SS incinerator was also tested. Pyrolysis and incineration reduced organic matter of SS from 0.78 kg kg(-1)-dry SS to 0.16 and 0.01 kg kg(-1)-dry SS, respectively. Heavy metals remained in SP without being volatilized, although Cd and Pb were transferred into the off-gas during incineration. In the batch leaching test with the leaching liquid-to-solid mass ratio (L/S)=10, the pH of the SS, SP, and SI filtrates was 6.3, 7.9, and 11.0, respectively. The total organic carbon concentrations were in the order SS (877 l mg l(-1))>SP (99 mg l(-1))>SI (26 mg l(-1)). The SP and SI filtrates met the landfill standard for the Cd and Pb concentrations (<0.3 mg l(-1)). In the column tests, although the SP contained more organic matter than that of SI, its carbon discharge into the leachate under aerobic conditions was similar to that of SI under anaerobic conditions. The leaching of heavy metals, such as Cd, Cr, Pb, and Zn, was also suppressed in SP during the active decomposition of organic matter. We demonstrated that pyrolysis reduces the potential release of pollutants from sewage sludge in landfill, making it a promising method of treating sewage sludge before landfilling.     

新型转式垃圾焚烧炉焚烧技术研究

研究了新型转式焚烧炉稳定燃烧工艺和有机垃圾在新型转式焚烧炉中焚烧过程HCl和NOx释放和控制特性。结果表明,新型转式焚烧炉采用二次燃烧技术,能有效控制和降低二次污染物的生成。     

Human health effects of air pollution

Hazardous chemicals escape to the environment by a number of natural and/or anthropogenic activities and may cause adverse effects on human health and the environment. Increased combustion of fossil fuels in the last century is responsible for the progressive change in the atmospheric composition. Air pollutants, such as carbon monoxide (CO), sulfur dioxide (SO(2)), nitrogen oxides (NOx), volatile organic compounds (VOCs), ozone (O(3)), heavy metals, and respirable particulate matter (PM2.5 and PM10), differ in their chemical composition, reaction properties, emission, time of disintegration and ability to diffuse in long or short distances. Air pollution has both acute and chronic effects on human health, affecting a number of different systems and organs. It ranges from minor upper respiratory irritation to chronic respiratory and heart disease, lung cancer, acute respiratory infections in children and chronic bronchitis in adults, aggravating pre-existing heart and lung disease, or asthmatic attacks. In addition, short- and long-term exposures have also been linked with premature mortality and reduced life expectancy. These effects of air pollutants on human health and their mechanism of action are briefly discussed.     

Comparison of CaO’s effect on the fate of heavy metals during thermal treatment of two typical types of MSWI fly ashes in China

Both grate and fluidized bed incinerators are widely used for MSW incineration in China. CaO addition for removing hazardous emissions from MSWI flue gas changes the characteristics of fly ash and affects the thermal behavior of heavy metals when the ash is reheated. In the present work, two types of MSWI fly ashes, sampled from both grate and fluidized bed incinerators respectively, were thermal treated at 1023–1323 K and the fate of heavy metals was observed. The results show that both of the fly ashes were rich in Ca and Ca-compounds were the main alkaline matter which strongly affected the leaching behavior of heavy metals. Ca was mostly in the forms of Ca(OH)₂ and CaCO₃ in the fly ash from grate incinerator in which nascent fly ash particles were covered by Ca-compounds. In contrast, the content of Ca was lower in the fly ash from fluidized bed incinerator and Ca was mostly in the form of CaSO₄. Chemical reactions among Ca-compounds caused particle agglomeration in thermal treated fly ash from grate incinerator, restraining the heavy metals volatilization. In thermal treated fly ash from fluidized bed incinerator, Ca was converted into aluminosilicates especially at 1323 K which enhanced heavy metals immobilization, decreasing their volatile fractions as well as leaching concentrations. Particle agglomeration hardly affected the leaching behavior of heavy metals. However, it suppressed the leachable-CaCrO₄ formation and lowered Cr leaching concentration.     

Decomposition of organohalogen compounds in municipal solid waste incineration plants. Part I: Chlorofluorocarbons

Disposal of chlorofluorocarbons in a municipal solid waste incinerator has been studied. Destruction of CFC-11 (trichloromonofluoromethane) and CFC-113 (trichlorotrifluoroethane) was found to be better than 99.9%. Neither emission limits for hydrogen chloride or hydrogen fluoride specified in the 17^th BImSchV are exceeded during CFC incineration nor could formation of toxic halogenated organic compounds like dibenzo-p-dioxins or dibenzofurans be observed.     

Cytotoxicity of municipal solid waste incinerator ash wastes toward mammalian kidney cell lines

In this study, three municipal solid waste incinerator (MSWI) ash wastes-bottom ash, scrubber residue, and baghouse ash-were extracted using a toxicity characteristic leaching procedure (TCLP) extractant. These so-called final TCLP extracts were applied to African green monkey kidney cells (Vero), baby hamster kidney cells (BHK-21), and pig kidney cells (PK-15), multi-well absorption reader analysis was performed to test how the cytotoxicity of the incineration ashes would affect the digestive systems of animals. Ion-coupled plasma analyses indicated that the baghouse ash extract possessed the highest pH and heavy metal concentration, its cytotoxicity was also the highest. In contrast, the bottom ash and the scrubber residue exhibited very low cytotoxicities. The cytotoxicities of mixtures of baghouse ash and scrubber residue toward the three tested cell lines increased as the relative ratio of the baghouse ash increased, especially for the Vero cells. The slight cytotoxicity of the scrubber residue arose mainly from the presence of Cr species, whereas the high cytotoxicity of the baghouse ash resulted from its high content of heavy metals and alkali ions. In addition, it appears that the dissolved total organic carbon content of these ash wastes can reduce the cytotoxicity of ash wastes that collect in animal cells.     

Dioxin incinerator emissions exposure study Times Beach, Missouri

PURPOSE: To determine whether living in the vicinity of a hazardous waste incinerator that was burning material contaminated with 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) increased TCDD and toxicity equivalencies (TEQ) in individuals living near the incinerator. METHODS: Participants were randomly chosen from an area close to the incinerator and compared to participants outside of the exposure area. TCDD and related compounds were measured in blood serum before incineration, four months after incineration started, and at the end of incineration. RESULTS: Lipid adjusted serum levels of TCDD and TEQ decreased from pre-incineration to four months after incineration, and decreased further by the end of incineration. CONCLUSION: Incineration of TCDD did not result in any measurable exposure to the population surrounding the incinerator.     

Impact assessment of waste management options in Singapore

This paper describes the application of life cycle assessment for evaluating various waste management options in Singapore, a small-island city state. The impact assessment method by SimaPro is carried out for comparing the potential environmental impacts of waste treatment options including landfilling, incineration, recycling, and composting. The inventory data include gases and leachate from landfills, air emissions and energy recovery from incinerators, energy (and emission) savings from recycling, composting gases, and transport pollution. The impact assessment results for climate change, acidification, and ecotoxicity show that the incineration of materials imposes considerable harm to both human health and the environment, especially for the burning of plastics, paper/cardboard, and ferrous metals. The results also show that, although some amount of energy can be derived from the incineration of wastes, these benefits are outweighed by the air pollution (heavy metals and dioxins/furans) that incinerators produce. For Singapore, landfill gases and leachate generate minimal environmental damage because of the nation's policy to landfill only 10% of the total disposed wastes. Land transportation and separation of waste materials also pose minimal environmental damage. However, sea transportation to the landfill could contribute significantly to acidification because of the emissions of sulfur oxides and nitrogen oxides from barges. The composting of horticultural wastes hardly imposes any environmental damage. Out of all the waste strategies, the recycling of wastes offers the best solution for environmental protection and improved human health for the nation. Significant emission savings can be realized through recycling.     

Facing Hazardous Matter in Atmospheric Particles with NanoSIMS (2 pp)

Background, Aim and Scope Current scientific studies and evaluations clearly show that an increase of urban dust loads, alone or combined with other pollutants und certain meteorological conditions lead to different significant health effects. Premature death, increased hospital admissions and increased respiratory symptoms and diseases as well as decreased lung function can be observed in combination with high pollutant levels. Sensitive groups like elderly people or children and persons with cardiopulmonary diseases such as asthma are more strongly affected. Because of the direct contact between fine particles and lung tissue more information concerning the surface structure (mapping of toxic elements) is required. Materials and Methods: The NanoSims50 ion microprobe images the element composition at the surface of sub-micrometer air dust particles and documents hot spots of toxic elements as a possible threat for human health. Results: The atmospheric fine dust consists of a complex mixture of organic and inorganic compounds. Heavy metals are fixed on airborn particles in the form of hot spots in a nanometer scale. From a sanitary point of view, the hot spots consisting of toxic elements are particularly relevant as they react directly with the lung tissues. Discussion: To what extent particles can penetrate the various areas of the lungs and be deposited there depends on the one hand on their physical characteristics and on the other on breathing patterns and the anatomy of the lung, which is subject to change as the result of growth, ageing or illness. Once inhaled, some particles can reach the pulmonary alveoli and thus directly expose the lung tissues to toxic elements. Conclusions: Especially the mapping of toxic arsenic or heavy metals like copper on the dust particles shows local hot spots of pollution in the dimension of only 50 nanometers. Recommendations and Perspectives: Imaging of elements in atmospheric particles with NanoSIMS will help to identify the material sources.     

水泥对垃圾焚烧飞灰的固化处理试验研究

对垃圾焚烧飞灰的化学成分、重金属物质的含量及浸出浓度进行测试分析.结果表明,飞灰中Pb和Cr等重金属物质浸出量超过浸出毒性标准,因而被认为是危险废物,必须进行固化处理.还考察了水泥对焚烧飞灰中重金属物质固化的效果,研究表明当飞灰掺量适当时,重金属物质的固化效果良好.重金属物质通过物理固封、替代,沉淀反应和吸附等形式可固化进水泥水化产物结构中.     

垃圾焚烧飞灰有毒重金属固化稳定技术研究综述

采用焚烧法处理生活垃圾正呈快速增长的趋势,焚烧过程产生的飞灰中所含有的大量有毒重金属对自然环境和人类生存都造成极大影响。阐述了目前常用的几种固化稳定垃圾焚烧飞灰有毒重金属的方法,综合分析了其固化特点和优缺点,并初步探索了一种低能耗环境下实现高温熔融处置技术的有效途径,从而为垃圾焚烧飞灰高温固化稳定有毒重金属的实施提供一定的理论基础和技术支持。     

Atmospheric baseline levels of PCDD and PCDF in the region of Oporto

An external monitoring plan (EMP) is being implemented in the region of Oporto, Portugal, to follow the potential effects of a future incinerator of municipal solid waste. Polychlorinated dibenzo-p-dioxins and polychlorinated dibenzofurans (PCDD/PCDF) were measured during 1998 and the first semester of 1999, prior to the working up of the incineration unit. The baseline levels obtained through this intensive monitoring work are presented and discussed in the present paper.     

垃圾焚烧重金属迁移特性及其影响因素

综述了城市固体垃圾(MSW)焚烧过程中的Hg、Cd、Pb、Cu、Zn、As和Cr等几种主要重金属污染源在焚烧过程中的迁移特性及其主要影响因素。将重金属在焚烧过程中的迁变归结为:蒸发、气相和表面反应、冷凝成核团聚和飞灰吸附等4个主要过程;而垃圾中重金属的初始浓度、原始垃圾的基体盐分(如A l、S i和K、Na等的存在形式)、垃圾中的C l(PVC和NaC l)和S的含量、垃圾的含水量以及焚烧过程中的运行参数(温度、滞留时间、氧化-还原气氛)等都会对焚烧过程的迁移规律产生影响。     

超临界水无害化共处理PVC和医疗垃圾焚烧飞灰的可行性探讨

采用超临界水氧化降解PVC同时无害化处理医疗垃圾焚烧飞灰,利用PVC脱氯形成的中间产物盐酸提取医疗垃圾焚烧飞灰中的重金属,达到飞灰无害化的目的。结果显示,超临界水可以将飞灰颗粒打碎,从而提高盐酸提取重金属的速率和效果,但是在超临界水中还存在重金属的固定过程,过长的反应时间和过高的反应温度都会降低重金属的提取效率。在提取过程中,Cu和Zn优先于Pb被盐酸浸出,而Pb被浸出后很容易被超临界水进一步固定。综合考虑重金属在超临界水中的变化特性,总结出超临界水处理飞灰和PVC的最佳条件为:PVC与飞灰质量比0.5:1,温度400℃,提取时间90 min。处理后的飞灰再次经过水洗后,其重金属浸出浓度低于USEPA规定的限制值。本研究为飞灰的无害化处理提供一条新的思路。     

Analysis of heavy metals in foliage near a modern refuse incinerator

Heavy metals such as cadmium and lead are typically found at high levels in fly ash from refuse incinerators. In two earlier studies it was found that such heavy metals on grass or tree foliage in the vicinity of old refuse incinerators with relatively low stacks and limited or no emission control devices showed a high degree of correlation between diminishing foliar concentration and the logarithm of sampling distance from the incinerator. In the study reported here of the concentration of cadmium and lead on foliage near a modern refuse incinerator with a high stack and efficient emission controls, the foliar concentrations of the metals showed no significant diminution with sampling distance from the incinerator. Factors affecting heavy metal emissions from refuse incinerators and contamination of nearby areas are discussed.     

Incineration and human health

After pollutants from an incineration facility disperse into the air, some people close to the facility may be exposed directly through inhalation or indirectly through consumption of food or water contaminated by deposition of the pollutants from air to soil, vegetation, and water. For metals and other pollutants that are very persistent in the environment, the potential effects may extend well beyond the area close to the incinerator. Persistent pollutants can be carried long distances from their emission sources, go through various chemical and physical transformations, and pass numerous times through soil, water, or food.