Hazardous waste management in Victoria Australia

The current hazardous waste management policy in Victoria, Australia is presented. A basic strategy includes waste minimisation, cradle to grave control, State regulated, privately owned waste treatment plants and a planned high temperature incinerator to be located in New South Wales. Public participation at all levels has been encouraged.     

Factors associated with medical waste under pandemic situation: a case study of the Kingdom of Bahrain

Journal of Material Cycles and Waste Management - Exploring the factors influencing medical waste generation is vital for proper management due to its hazardous nature. Improper treatment would...     

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.     

Hazardous industrial waste management in Vietnam: current status and future direction

This article concentrates on the existing situation of hazardous industrial waste management in Vietnam. To realize the importance of the development of a Vietnam national strategy based on the reduce, reuse, recycle (3R) concept to the year 2020, the author summarizes the practice of recycling activities of hazardous industrial waste and discusses the challenges arising from increases in the quantity and types of waste and the level of hazard of the waste generated considering that the technical infrastructure for handling and managing the waste is inadequate and the legal system on environmental protection is lacking. In order to improve the existing situation of hazardous industrial waste management, the Vietnamese Government recently has played an increasing role in promoting regional and international cooperation on environmental protection through ratifying the international conventions on the environment including the Basel Convention on the Control of Trans-boundary Movements of Hazardous Waste and their Disposal and the International Labor Organization Convention on Safety in the Use of Chemicals at Work and by adhering to the concept of the material-cycle society. These steps are key opportunities for applying the principles of 3R to the recovery of value from hazardous waste in the future.     

Hazardous waste incineration emissions in perspective

There has been increasing concern over the stack emissions of toxic substances from hazardous waste incinerators, and with improved sampling and analytical technology, measurements are being made at lower and lower levels to support risk assessment and various types of decision-making. However, it is generally difficult to visualize these levels of emissions, which span many orders of magnitude. Data on stack emissions were compiled from various research and compliance testing programs, and representative examples of various types of emissions were plotted on a series of graphs that spans the entire range of concentrations that may be encountered. The result is an illustrative tool for communication as to what emissions from hazardous waste incinerators are actually like.     

A total quality management approach to healthcare waste management in Namazi Hospital,Iran

BackgroundHealthcare waste comprises all wastes generated at healthcare facilities, medical research centers and laboratories. Although 75–90% of these wastes are classified as household waste posing no potential risk, 10–25% are deemed to be hazardous, representing a potential threat to healthcare workers, patients, the environment and even the general population, if not disposed of appropriately. If hazardous and non-hazardous waste is mixed and not segregated prior to disposal, costs will increase substantially. Medical waste management is a worldwide issue. In Iran, the majority of problems are associated with an exponential growth in the healthcare sector together with low- or non-compliance with guidelines and recommendations. The aim of this study was to reduce the amounts of infectious waste by clear definition and segregation of waste at the production site in Namazi Hospital in Shiraz, Iran.Materials and methodsNamazi Hospital was selected as a study site with an aim to achieving a significant decrease in infectious waste and implementing a total quality management (TQM) method. Infectious and non-infectious waste was weighed at 29 admission wards over a 1-month period.ResultsBefore the introduction of the new guidelines and the new waste management concept, weight of total waste was 6.67 kg per occupied bed per day (kg/occupied bed/day), of which 73% was infectious and 27% non-infectious waste. After intervention, total waste was reduced to 5.92 kg/occupied bed/day, of which infectious waste represented 61% and non-infectious waste 30%. The implementation of a new waste management concept achieved a 26% reduction in infectious waste.ConclusionA structured waste management concept together with clear definitions and staff training will result in waste reduction, consequently leading to decreased expenditure in healthcare settings.     

Resolving complexities in healthcare waste management: a goal programming approach.

The wide variety of activities at healthcare facilities generates different types of waste. There is always a danger of spreading infection due to mishandling of infectious waste or sharps. Hence, a variety of policies and actions have been taken to improve healthcare waste management systems. A large body of literature is available which suggests methods for tackling different problematic situations but management is confronted with a variety of complex problems, such as the choice of technological options to control infection, legal and budget restrictions and the timely removal of waste, which can, at times, conflict with each other. Hence, a planning model is presented that is based on a trans-shipment goal programming approach wherein the waste flow is optimized for multiple objectives under different priority structures or with different relative importance (weights). The use of the model is demonstrated as a decision-making tool that would help the management to understand the effects of their policies on the system performance. The model is validated for a case application representing a real-life situation. It can be easily seen that, in the case in which the management is biased toward a higher level of safety protection towards infection control, they have to compromise on cost control and to some extent on environmental pollution control.     

Healthcare waste management: current practices in selected healthcare facilities, Botswana

Healthcare waste management continues to present an array of challenges for developing countries, and Botswana is no exception. The possible impact of healthcare waste on public health and the environment has received a lot of attention such that Waste Management dedicated a special issue to the management of healthcare waste (Healthcare Wastes Management, 2005. Waste Management 25(6) 567-665). As the demand for more healthcare facilities increases, there is also an increase on waste generation from these facilities. This situation requires an organised system of healthcare waste management to curb public health risks as well as occupational hazards among healthcare workers as a result of poor waste management. This paper reviews current waste management practices at the healthcare facility level and proposes possible options for improvement in Botswana.     

Incineration of healthcare wastes: management of atmospheric emissions through waste segregation

The amount of atmospheric pollutants emitted through the incineration of healthcare wastes can be estimated using emission factors. Emission factors have been published without including sufficient information about the types of wastes incinerated. This paper reports the first emission factors estimated for the incineration of wastes segregated into different types according to the Portuguese legislation. One controlled-air incinerator without air pollution control devices was used in the research. The main objectives of the study were: (i) to estimate the emission factors for particulate matter, dioxins, heavy metals and gaseous pollutants, according to the type of waste incinerated; (ii) to evaluate the quality of atmospheric emissions; and (iii) to define a methodology for the management of atmospheric emissions, evaluating the influence of type of waste incinerated and of the segregation method used on the emitted amounts. It was concluded that: (i) when emission factors are not associated with the type of incinerated mixture, the utility of the emission factors is highly doubtful; (ii) without appropriate equipment to control atmospheric pollution, incineration emissions exceed legal limits, neglecting the protection of human health (the legal limit for pollutant concentrations could only be met for NO(x), all other concentrations were higher than the maximum allowed: dioxins, 93-710 times; Hg, 1.3-226 times; CO, 11-24 times; SO(2), 2-5 times; and HCl, 9-200 times); (iii) rigorous segregation methodologies must be used to minimize atmospheric emissions, and incinerate only those wastes that should be incinerated according to the law. A rigorous segregation program can result in a reduction of the amount of waste that should be incinerated by 80%. A reduction in the quantity of waste incinerated results in a reduction on the amounts of pollutants emitted: particulate matter, 98%; dioxins, 99.5%; As, Cd, Cr, Mn and Ni, respectively, 90%, 92%, 84%, 77% and 92%; Hg and Pb, practically eliminated; SO(2) and NO(x), 93%; and CO and HCl, more than 99%.     

Identifying key factors influencing sustainable element in healthcare waste management using the interval-valued fuzzy DEMATEL method

Journal of Material Cycles and Waste Management - With the rapid growth of healthcare waste and improvement of people’s environment awareness, the sustainability of healthcare waste...     

Hazardous waste incineration in context with carbon dioxide.

The Kyoto Protocol of 1997 demands an emission reduction of climate-affecting gases in various industrial sectors. In this context CO2 is one of the relevant gases and waste management is one of the relevant sectors. Referring to the situation in Europe, waste incineration is one of the major sources of CO2 in the waste management sector. The Kyoto Protocol, however, only covers CO2-emissions originating from fossil fuels, whereas the incineration of renewable materials, e.g. wood, is considered to be climate-neutral since it does not make any net contribution to the CO2 inventory of the atmosphere. Unlike the situation with municipal waste, there is little if any information on the CO2-emissions caused by the incineration of hazardous waste in specialized plants, and the renewable fraction in these materials. The present paper focuses on this gap of knowledge. Taking the full-scale hazardous waste incineration plant in Biebesheim, Germany, as an example, a carbon balance was set up for the whole-plant taking into account all other material flows. Afterwards the determination of the proportion of renewable materials in the hazardous waste incinerated by means of the radiocarbon method (14C) is reported. On the basis of the results, optimization potentials are discussed.     

Healthcare waste management: a case study from the National Health Service in Cornwall, United Kingdom

This paper looks at steps taken towards the development of a 10-year strategy for the management of healthcare waste from the National Health Service (NHS) in Cornwall, United Kingdom. The major issues and challenges that affect the management of waste by the NHS, including its organisational structure and collection infrastructure, are outlined. The waste flows of the main acute medical site are detailed, using waste audits of domestic and clinical bags, redundant equipment, bulky waste, and special waste. Some of the common barriers to change, such as staff habits and public perceptions, are also identified. Recommendations are made with respect to improvements in the overall organisational infrastructure and increased localised control. The recommendations also centre around the formation of strategic partnerships, within the site, between sites and at the broader level between the NHS and its surrounding community. An important challenge to be overcome is the need to progress from the concept of "waste management", to one of sustainable decision making regarding resource use, including methods of waste minimisation at the source and recycling. Staff training and awareness underpin several of the short and medium/long term solutions suggested to reduce the waste at the source and recover value from that produced. These measures could potentially reduce disposal quantities by as much as 20-30% (wt.) and costs by around 25-35%.     

Microwave inactivation of Escherichia coli in healthcare waste

Public healthcare wastes from the city of Ribeirão Preto, SP, Brazil, pre-sterilised in an autoclave, were inoculated with 5 × 10⁵ microorganisms of the species Escherichia coli in vegetative form for microwave processing on a laboratory scale. An analysis was made of the influence of radiation exposure time (15, 25, 30 and 40 min) and power per waste mass unit (60, 80 and 100 W/kg) on the percentage of inactivation of the microorganisms at an incoming waste moisture level of 50%. The experimental results were adjusted based on Chick’s law. The activation energies and the Arrhenius pre-exponential factors were determined by the least squares method. The kinetic parameters obtained allow one to predict the degree of inactivation achieved with E. coli in typical healthcare waste, based on the radiation exposure time and temperature. For example, the waste disinfection time required for the inactivation level equivalent to 4Log10 was estimated to range from 48 to 53 min for wastes processed at 100 W/kg and at temperatures of 90–105 °C, respectively. Thus, under the operational conditions of the equipment currently used in Ribeirão Preto, the process of inactivation is probably ineffective, since the exposure time to radiation is only 30 min at the average power of approximately 80 W/kg.     

Realising resource efficiency in the management of healthcare waste from the Cornwall National Health Service (NHS) in the UK

The quantities of waste generated by the healthcare sector in the United Kingdom (UK) have been shown to be amongst the highest in Europe. Based on a case study undertaken within the Cornwall NHS (National Health Service) in the UK, this paper reports on the results of waste minimisation trials. The schemes were able to achieve significant waste reductions in both clinical and domestic waste quantities. Indeed, a reduction in domestic bag waste in the range of 1.6-33.4%, with an average of 14.8% was realised. For clinical waste, the reduction ranged from 1.8% to 38.3%, at an average of 15.7%, with net cost benefits of nearly US$ 25,000 over the period of 1-3 years. The outcomes suggest that significant resource and financial efficiencies can be attained, but due to the many factors involved, there is a need to focus both on containment and logistics, as well as social factors for success.