Sustainable management measures for healthcare waste in China

This paper discusses actions aimed at sustainable management of healthcare wastes (HCW) in China, taking into account the current national situation in this field, as well as the requirements deriving from the Stockholm Convention on Persistent Organic Pollutants and the WHO recommendations. By the end of 2005, there were 149 low-standard HCW disposal facilities in operation in China, distributed throughout different areas. According to the National Hazardous Waste and Healthcare Waste Disposal Facility Construction Plan, 331 modern, high-standard, centralized facilities will be built up in China in municipal level cities. Although incineration is still the main technical option for HCW disposal in China, it is expected that, especially for medium and small size facilities, non-incineration technologies will develop quickly and will soon become the main technical option. The basic management needs – both from the point of view of pollution control and final disposal – have been defined, and a system of technical and environmental standards has been formulated and implemented; however, there are still some shortages. This is particularly true when considering the best available techniques and best environmental practices developed under the Stockholm Convention, with which the present technological and managing situations are not completely compliant. In this framework, the lifecycle (from generation to final disposal of wastes) of HCW and holistic approaches (technology verification, facilities operation, environmental supervision, environmental monitoring, training system, financial mechanism, etc.) towards HCW management are the most important criteria for the sustainable and reliable management of HCW in China.     

Drivers and constraints of waste-to-energy incineration for sustainable municipal solid waste management in developing countries

Journal of Material Cycles and Waste Management - Implementation of waste-to-energy (WtE) incineration has recently surged in developing countries, but the drivers of this growth and the...     

The current situation of solid waste management in China

With economic development, the quantity of solid waste is increasing rapidly in China; the total quantities of municipal solid waste (MSW), industrial solid waste (ISW), and hazardous waste (HW) in 2002 were 136.5 million tons, 945 million tons, and 10 million tons, respectively. In 2002, the quantity of MSW disposed of was 74.04 million tons, 89.30% of which was landfilled, 3.72% was incinerated, and 6.98% was composted. There are currently 651 disposal facilities for MSW in China. Mining gangue is the largest component of ISW, making up 27.5% of the total. In the Chinese industrial sector, the coal mining and processing industry contributed most to the total quantity of ISW, with 16.0% of the total quantity of ISW generated by this sector. In total, 44% of HW was recycled, 27% was stored, 13.5% was disposed of, and 15.4% was discharged. Of the total HW generated, 40% was produced by the chemical materials and chemical products industry. Five categories of HW, i.e., waste alkali, waste acid, inorganic fluoride waste, copper waste, and inorganic cyanide waste, made up 57.8% of the total HW generated. Solid waste pollution has become a huge challenge faced by those involved in Chinese environmental management, but this can be seen as an opportunity to improve environmental quality. This article introduces the strategies taken to improve solid waste management in China.     

An overview of municipal solid waste management in China

Municipal solid waste management (MSWM) in China warrants particular attention as China has become the largest MSW generator in the world and the total amount of MSW it produces continues to increase. In recent years, central and local governments have made great efforts to improve MSWM in China. New regulations and policies have been issued, urban infrastructure has been improved, and commercialization and international cooperation have been encouraged. Considering these developments, an overview is necessary to analyze the current state as well as new opportunities and challenges regarding MSWM in China. This paper shows that since the late 1990s, the amount of MSW collected has been largely decoupled from economic growth and incineration has become an increasingly widespread treatment method for MSW. We identify and discuss four major challenges and barriers related to China’s MSWM, and propose an integrated management framework to improve the overall eco-efficiency of MSWM.     

Current status and future focus of hazardous waste management in China

 Rapid social and economic development in China has caused the amount of hazardous wastes being generated to increase drastically. The necessary regulations and systems regarding the management of hazardous wastes are currently still not in place. Based on an analysis of the characteristics of hazardous waste pollution and pollution trends in China, this paper reports on China's current status regarding hazardous waste management, and introduces the main difficulties to be faced. The principles and objectives, and the action plan for hazardous waste pollution control in China are also explained in detail. These principles and objectives have been stipulated in the Technological Policies on Hazardous Waste Pollution Control, which is issued by China State EPA, State ETC, and the Science and Technology Ministry. Received: April 30, 2002 / Accepted: October 17, 2002     

Municipal solid waste management in China: a comparative analysis

This paper illustrates an overview of the past and present MSWM strategies in China. A comparison is made with MSWM in China, and other developed and developing countries to identify and analyze the problems of existing MSWM, and evaluate some effective suggestion to overcome the limitations. Rapid urbanization and economic growth are the main factors of increasing MSW generation in China. The generating MSW has 55.86 % food waste with high moisture contain due to unavailable source separation. Chinese MSWM is dominated by 60.16 % landfilling, whereas incineration, untreated discharge, and other treatments are 29.84, 8.21, and 1.79 %, respectively. In 2014, a total of 604 sanitary landfills, 188 incineration plants, and 26 other units were used for MSWM. With the magnitude of timing, the increasing rate of incineration unit and disposal capacity is higher than the landfill. In 2004–2014, the disposal capacity of landfill and incineration is increased from 68.89 to 107.44 and 4.49 to 53.3 million tons, respectively. However, the heating value in the majority of Chinese incineration plants is 3000–6700 kJ/kg and the inappropriate leachate treatment can be found in 47 % landfill sites. A proper taxation system for MSW disposal is not fully implemented in China, which has a negative impact on overall MSW recycling. From the comparative study of MSWM, it is revealed that the source separation MSW collection, high energy recovery from incineration plants, appropriate leachate treatment, effective landfill location and management, increase waste recycling and proper taxation system for MSW disposal are essential to improve MSWM in China.     

Report: integrated industrial waste management systems in China.

Various models of urban sustainable development have been introduced in recent years and some of these such as integrated waste management have been proved to be of particular value. Integrated industrial waste management systems include all the administrative, financial, legal, planning and engineering functions involved in solutions to the problems of industrial waste. Even though the pace of the improvement made to China's industrial waste management capacity is impressive, China has been unable to keep up with the increasing demand for waste management. This paper will evaluate the application of integrated industrial waste management systems in promoting urban sustainable development in the context of three case study cities in China (positive case, average case and negative case) by identifying and accessing the factors that affect the success or failure of integrated industrial waste management systems.     

Municipal solid waste management in Pudong New Area, China

The increase in population, the rapid economic growth and the rise in community living standards accelerate municipal solid waste (MSW) generation in developing cities. This problem is especially serious in Pudong New Area, Shanghai, China. The daily amount of MSW generated in Pudong was about 1.11 kg per person in 2006. According to the current population growth trend, the solid waste quantity generated will continue to increase with the city's development. In this paper, we describe a waste generation and composition analysis and provide a comprehensive review of municipal solid waste management (MSWM) in Pudong. Some of the important aspects of waste management, such as the current status of waste collection, transport and disposal in Pudong, will be illustrated. Also, the current situation will be evaluated, and its problems will be identified.     

Local and interregional economic analysis of large US Department of Energy waste management projects

An economic simulation model was used to understand the local and interregional economic impacts of four alternative waste management technologies proposed for the US Department of Energy's Savannah River nuclear weapons site. The simulations of the four technologies, each of which will cost at least a billion dollars, were done for the period 2000-2015. The analyses show that differences in project costs are not directly reflected in local economic impacts because of differences among the technologies during the design, testing and construction phases; differences in locations where the design and pilot-testing would occur; and choices about how any of the technologies would be funded.     

Investigation of health care waste management in Binzhou District,China

In China, national regulations and standards for health care waste management were implemented in 2003. To investigate the current status of health care waste management at different levels of health care facilities (HCF) after the implementation of these regulations, one tertiary hospital, one secondary hospital, and four primary health care centers from Binzhou District were visited and 145 medical staff members and 24 cleaning personnel were interviewed.Generated medical waste totaled 1.22, 0.77, and 1.17 kg/bed/day in tertiary, secondary, and primary HCF, respectively. The amount of medical waste generated in primary health care centers was much higher than that in secondary hospitals, which may be attributed to general waste being mixed with medical waste. This study found that the level of the HCF, responsibility for medical waste management in departments and wards, educational background and training experience can be factors that determine medical staff members’ knowledge of health care waste management policy. Regular training programs and sufficient provision of protective measures are urgently needed to improve occupational safety for cleaning personnel. Financing and administrative monitoring by local authorities is needed to improve handling practices and the implementation of off-site centralized disposal in primary health care centers.     

Medical waste management in China: A case study of Nanjing

Medical waste management is of great importance due to its infectious and hazardous nature that can cause undesirable effects on humans and the environment. The objective of this study was to analyze and evaluate the present status of medical waste management in the light of medical waste control regulations in Nanjing. A comprehensive inspection survey was conducted for 15 hospitals, 3 disposal companies and 200 patients. Field visits and a questionnaire survey method were implemented to collect information regarding different medical waste management aspects, including medical waste generation, segregation and collection, storage, training and education, transportation, disposal, and public awareness.The results indicated that the medical waste generation rate ranges from 0.5 to 0.8 kg/bed day with a weighted average of 0.68 kg/bed day. The segregated collection of various types of medical waste has been conducted in 73% of the hospitals, but 20% of the hospitals still use unqualified staff for medical waste collection, and 93.3% of the hospitals have temporary storage areas. Additionally, 93.3% of the hospitals have provided training for staff; however, only 20% of the hospitals have ongoing training and education. It was found that the centralized disposal system has been constructed based on incineration technology, and the disposal cost of medical waste is about 580 US$/ton. The results also suggested that there is not sufficient public understanding of medical waste management, and 77% of respondents think medical waste management is an important factor in selecting hospital services.The problematic areas of medical waste management in Nanjing are addressed by proposing some recommendations that will ensure that potential health and environmental risks of medical waste are minimized.     

Environmental impact assessment of solid waste management in Beijing City, China

The environmental impacts of municipal solid waste management in Beijing City were evaluated using a life-cycle-based model, EASEWASTE, to take into account waste generation, collection, transportation, treatment/disposal technologies, and savings obtained by energy and material recovery. The current system, mainly involving the use of landfills, has manifested significant adverse environmental impacts caused by methane emissions from landfills and many other emissions from transfer stations. A short-term future scenario, where some of the landfills (which soon will reach their capacity because of rising amount of waste in Beijing City) are substituted by incinerators with energy recovery, would not result in significant environmental improvement. This is primarily because of the low calorific value of mixed waste, and it is likely that the incinerators would require significant amounts of auxiliary fuels to support combustion of wet waste. As for the long-term future scenario, efficient source separation of food waste could result in significant environmental improvements, primarily because of increase in calorific value of remaining waste incinerated with energy recovery. Sensitivity analysis emphasized the importance of efficient source separation of food waste, as well as the electricity recovery in incinerators, in order to obtain an environmentally friendly waste management system in Beijing City.     

Life cycle assessment of four municipal solid waste management scenarios in China

A life cycle assessment was carried out to estimate the environmental impact of municipal solid waste. Four scenarios mostly used in China were compared to assess the influence of various technologies on environment: (1) landfill, (2) incineration, (3) composting plus landfill, and (4) composting plus incineration. In all scenarios, the technologies significantly contribute to global warming and increase the adverse impact of non-carcinogens on the environment. The technologies played only a small role in the impact of carcinogens, respiratory inorganics, terrestrial ecotoxicity, and non-renewable energy. Similarly, the influence of the technologies on the way other elements affect the environment was ignorable. Specifically, the direct emissions from the operation processes involved played an important role in most scenarios except for incineration, while potential impact generated from transport, infrastructure and energy consumption were quite small. In addition, in the global warming category, highest potential impact was observed in landfill because of the direct methane gas emissions. Electricity recovery from methane gas was the key factor for reducing the potential impact of global warming. Therefore, increasing the use of methane gas to recover electricity is highly recommended to reduce the adverse impact of landfills on the environment.     

Identifying optimal regional solid waste management strategies through an inexact integer programming model containing infinite objectives and constraints

The previous inexact mixed-integer linear programming (IMILP) method can only tackle problems with coefficients of the objective function and constraints being crisp intervals, while the existing inexact mixed-integer semi-infinite programming (IMISIP) method can only deal with single-objective programming problems as it merely allows the number of constraints to be infinite. This study proposes, an inexact mixed-integer bi-infinite programming (IMIBIP) method by incorporating the concept of functional intervals into the programming framework. Different from the existing methods, the IMIBIP can tackle the inexact programming problems that contain both infinite objectives and constraints. The developed method is applied to capacity planning of waste management systems under a variety of uncertainties. Four scenarios are considered for comparing the solutions of IMIBIP with those of IMILP. The results indicate that reasonable solutions can be generated by the IMIBIP method. Compared with IMILP, the system cost from IMIBIP would be relatively high since the fluctuating market factors are considered; however, the IMILP solutions are associated with a raised system reliability level and a reduced constraint violation risk level.     

我国废旧家电管理制度体系初探

在对我国废旧家电的属性进行分析的基础上,研究了我国废旧家电管理涉及的对象及主要任务,强调了我国建设废旧家电管理制度体系的必要性,并提出了一系列管理制度的建议.     

Regional medical waste management in China: a case study of Shenyang

Medical waste management is of great importance due to its potential environmental and public health risks, especially in developing countries where both financial and technological resources on medical waste management are still lacking. Although many studies have focused on country-scaled medical waste management, few have paid close attention to regional (city-scale) management, particularly in China. This paper fills such a gap by employing a case study approach. Due to its representative nature, Shenyang was selected as the case study. After a review of China’s medical waste management, an empirical study in Shenyang was conducted in order to analyze the current state as well as identify key challenges on regional medical waste management. Based upon the local realities and aiming to better manage medical wastes, an integrated medical waste management framework is developed. Such a platform encourages the establishment of a specific medical waste management authority, a city scaled capacity building program on improving the general public’s awareness, an information platform, application of state-of-the-art technologies, as well as creation of an effective financial system. The combination of such initiatives can significantly improve the overall eco-efficiency of medical waste management at the regional level and should be promoted to other developing cities.     

Stakeholder coordination analysis in hazardous waste management: a case study in China

Journal of Material Cycles and Waste Management - Hazardous waste management (HWM) in chemical industrial parks is an important issue related to sustainable development. Previous researches...     

Healthcare waste management in Asia

The risks associated with healthcare waste and its management has gained attention across the world in various events, local and international forums and summits. However, the need for proper healthcare waste management has been gaining recognition slowly due to the substantial disease burdens associated with poor practices, including exposure to infectious agents and toxic substances. Despite the magnitude of the problem, practices, capacities and policies in many countries in dealing with healthcare waste disposal, especially developing nations, is inadequate and requires intensification. This paper looks upon aspects to drive improvements to the existing healthcare waste management situation. The paper places recommendation based on a 12 country study reflecting the current status. The paper does not advocate for any complex technology but calls for changes in mindset of all concerned stakeholders and identifies five important aspects for serious consideration. Understanding the role of governments and healthcare facilities, the paper also outlines three key areas for prioritized action for both parties – budget support, developing policies and legislation and technology and knowledge management.