The use of failure mode and effects analysis to construct an effective disposal and prevention mechanism for infectious hospital waste

In recent times, the quality of medical care has been continuously improving in medical institutions wherein patient-centred care has been emphasized. Failure mode and effects analysis (FMEA) has also been promoted as a method of basic risk management and as part of total quality management (TQM) for improving the quality of medical care and preventing mistakes. Therefore, a study was conducted using FMEA to evaluate the potential risk causes in the process of infectious medical waste disposal, devise standard procedures concerning the waste, and propose feasible plans for facilitating the detection of exceptional cases of infectious waste. The analysis revealed the following results regarding medical institutions: (a) FMEA can be used to identify the risk factors of infectious waste disposal. (b) During the infectious waste disposal process, six items were scored over 100 in the assessment of uncontrolled risks: erroneous discarding of infectious waste by patients and their families, erroneous discarding by nursing staff, erroneous discarding by medical staff, cleaning drivers pierced by sharp articles, cleaning staff pierced by sharp articles, and unmarked output units. Therefore, the study concluded that it was necessary to (1) provide education and training about waste classification to the medical staff, patients and their families, nursing staff, and cleaning staff; (2) clarify the signs of caution; and (3) evaluate the failure mode and strengthen the effects.     

The use of enhanced bioremediation at the Savannah River Site to remediate pesticides and PCBs

Enhanced bioremediation is quickly developing into an economical and viable technology for the remediation of contaminated soils. Until recently, chlorinated organic compounds have proven difficult to bioremediate. Environmentally recalcitrant compounds, such as polychlorinated biphenyls (PCBs) and persistent organic pesticides (POPs) such as dichlorodiphenyl trichloroethane (DDT) have shown to be especially arduous to bioremediate. Recent advances in field‐scale bioremedial applications have indicated that biodegradation of these compounds may be possible. Engineers and scientists at the Savannah River Site (SRS), a major DOE installation near Aiken, South Carolina, are using enhanced bioremediation to remediate soils contaminated with pesticides (DDT and its metabolites, heptachlor epoxide, dieldrin, and endrin) and PCBs. This article reviews the ongoing remediation occurring at the Chemicals, Metals, and Pesticides (CMP) Pits using windrow turners to facilitate microbial degradation of certain pesticides and PCBs. © 2003 Wiley Periodicals, Inc.     

The changing character of household waste in the Czech Republic between 1999 and 2009 as a function of home heating methods

The authors of this paper report on the changing character of household waste, in the Czech Republic between 1999 and 2009 in households differentiated by their heating methods. The data presented are the result of two projects, financed by the Czech Ministry of Environment, which were undertaken during this time period with the aim of focusing on the waste characterisation and complete analysis of the physicochemical properties of the household waste. In the Czech Republic, the composition of household waste varies significantly between different types of households based on the methods of home heating employed. For the purposes of these studies, the types of homes were divided into three categories – urban, mixed and rural. Some of the biggest differences were found in the quantities of certain subsample categories, especially fine residue (matter smaller than 20 mm), between urban households with central heating and rural households that primarily employ solid fuel such coal or wood. The use of these solid fuels increases the fraction of the finer categories because of the higher presence of ash. Heating values of the residual household waste from the three categories varied very significantly, ranging from 6.8 MJ/kg to 14.2 MJ/kg in 1999 and from 6.8 MJ/kg to 10.5 MJ/kg in 2009 depending on the type of household and season. The same factors affect moisture of residual household waste which varied from 23.2% to 33.3%. The chemical parameters also varied significantly, especially in the quantities of Tl, As, Cr, Zn, Fe and Mn, which were higher in rural households. Because knowledge about the properties of household waste, as well as its physicochemical characteristics, is very important not only for future waste management, but also for the prediction of the behaviour and influence of the waste on the environment as the country continues to streamline its legislation to the European Union’s solid waste mandates, the results of these studies were employed by the Czech Ministry of Environment to optimise the national waste management strategy.     

Critical evaluation of the use of the hydroxyapatite as a stabilizing agent to reduce the mobility of Zn and Ni in sewage sludge amended soils

The leachability of zinc (Zn) and nickel (Ni) was investigated in various soil types amended with sewage sludge and sewage sludge treated with hydroxyapatite. Sandy, clay and peat soils were investigated. For leachability tests, plastic columns (diameter 9 cm, height 50 cm) were filled with moist samples up to a height of 25 cm. Sewage sludge (1 kg) was mixed with 4.6 kg of clay and sandy soils and with 6.7 kg of peat soil. For sewage sludge mixtures treated with hydroxyapatite, 0.5 kg of the hydroxyapatite was added to 1 kg of the sewage sludge. Neutral (pH 7) and acid precipitation (pH 3.5) were applied. Acid precipitation was prepared from concentrated HNO(3), H(2)SO(4) and fresh doubly distilled water. The amount of precipitation corresponded to the average annual precipitation for the city of Ljubljana, Slovenia. It was divided into eight equal portions and applied sequentially on the top of the columns. The results indicated that the leachabilities of Zn in sewage sludge amended peat and clay soils were low (below 0.3% of total Zn content) and of Ni in sewage sludge amended sandy, clay and peat soil below 1.9% of total Ni content. In sewage sludge amended sandy soil, the leachability of Zn was higher (11% of Zn content). The pH of precipitation had no influence on the leachability of either metal. Treatment of sewage sludge with hydroxyapatite efficiently reduced the leachability of Zn in sewage sludge amended sandy soil (from 11% to 0.2% of total Zn content). In clay and peat sewage sludge amended soils, soil characteristics rather than hydroxyapatite treatment dominate Zn mobility.