Infectious waste management in Japan: assessment of current trends in waste measurement and reporting in general and psychiatric hospitals

Infectious waste (IW) may include waste contaminated with blood and other bodily fluids, cultures of infectious agents from laboratory work, or waste from patients with infections. Accurate and standardized measurement is an important aspect of waste management. In Japan, data on infectious waste generated by hospitals are limited. Therefore, we aimed to identify the current status of infectious waste management and disposal in hospitals. To this end, data on the amount of IW generated and IW disposal costs from 54 public hospitals—25 general hospitals and 29 psychiatric hospitals—between April 2015 and March 2016 were analyzed. The results revealed the absence of a standardized unit of IW measurement, with 33 hospitals reporting IW in kilograms and 21 hospitals reporting it in liters. As expected, the amount of IW generated at psychiatric hospitals was significantly lower than that generated at general hospitals. The amount of IW produced correlated positively with the number of in-patients. Disposal costs varied not only by hospital type and prefecture but also across hospitals of the same type within the same prefecture. A system that consolidates IW data management using standardized units is necessary.

     

Addressing sustainability through waste management: a perspective from higher education institutions in Southeast Asia

Journal of Material Cycles and Waste Management - Waste management is vital for global sustainable development. Sustainable development goals of a country would not be achieved if the waste...     

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.     

Strategy for separation and treatment of disaster waste: a manual for earthquake and tsunami disaster waste management in Japan

Shortly after the March 11th earthquake and tsunami in eastern Japan, a Task Team for Disaster Waste Management and Reconstruction was established within the Japan Society of Material Cycles and Waste Management (JSMCWM). One of the major tasks undertaken by the team was to create a manual entitled, Strategies for Separation and Treatment of Disaster Waste. In this paper, this JSMCWM manual is introduced, followed by a review of existing guidelines for disaster waste management in various countries. We identify useful guidelines created by international agencies, national and local governments. The JSMCWM manual adds our new experiences, especially characterized by a huge scale of disaster and tsunami information, to the existing knowledge with an emphasis on separation and subsequent treatment options. It should be desirable to share our knowledge and experiences, not only domestically but also with other countries in the world, especially regions that could be affected by large earthquake and tsunami events.     

Recent trends in recycling activities and waste management in Japan

Japan's basic approach to municipal solid waste (MSW) is (1) waste reduction, (2) promotion of recycling, (3) volume reduction by intermediate treatment, and (4) environmentally sound final disposal. A brief history of legislative trends in waste management is given as background for current waste management and recycling activities. The material recovery rate for MSW collected by local municipalities was only 5.6% in 1996. More than half of MSW, on a volume basis, consists of containers and packages, while great amounts of landfill space are also taken up by bulky wastes such as electric appliances. Therefore, in order to promote recycling and decrease landfill waste, Japan is targeting containers, packages, and electric appliances. A law promoting separate collection and recycling of containers and packages (Packaging Waste Recycling Law) and a law requiring the recycling of specific home electric appliances into new products (Home Electric Appliance Recycling Law) were introduced in June 1995 and June 1998, respectively. These laws are in line with the OECD policy Extended Producer Responsibility (EPR). Received: September 16, 1998 / Accepted: March 10, 1999     

Consumer perspectives on household hazardous waste management in Japan

We give an overview of the management systems of household hazardous waste (HHW) in Japan and discuss the management systems and their risks. To get basic information, we conducted a survey of consumers to discover their behavior and awareness of HHW items throughout the entire life cycle, which is made up of the purchase, use, and disposal of a product. The results showed that many people hold end-of-life batteries, fluorescent lamps, empty spray cans, and others in their houses after use. Also, the results showed that a lot of such waste items were discarded in waste streams different from those stipulated by local governments. In particular, many people do not remove NiCd batteries inside products such as shavers or cordless phones before discarding. On the other hand, people’s knowledge of and concern regarding the risks, collection, and recycling of HHW were high. When information about the risks was specifically presented in the questionnaire, people tended to show a more positive intention to participate in a collection and recycling system compared to those who were not presented with such information. Our studies on NiCd batteries and fluorescent lamps showed that it is important to collect and recycle HHW to control the domestic and international flows of cadmium and mercury.     

Construction and demolition waste management process modeling: a framework for the Brazilian context

Journal of Material Cycles and Waste Management - In Brazil, municipal public authorities are responsible for construction and demolition (C&D) waste management. However, there is a lack of...     

Importance of patient education on home medical care waste disposal in Japan

To determine current practices in the disposal and handling of home medical care (HMC) waste, a questionnaire was mailed to 1965 offices nationwide. Of the office that responded, 1283 offices were analyzed. Offices were classified by management configuration: those attached to hospitals were classified as ”attached offices” and others as “independent offices”. More nurses from attached offices recovered medical waste from patients’ homes than those from independent offices. Most nurses educated their patients on how to store HMC waste in their homes (79.3% of total) and on how to separate HMC waste (76.5% of total). On the other hand, only around half of nurses (47.3% from attached offices and 53.2% from independent offices) educated their patients on where to dispose of their HMC waste. 66.0% of offices replied that patients had separated their waste appropriately. The need for patient education has emerged in recent years, with education for nurses under the diverse conditions of HMC being a key factor in patient education.     

Generation and distribution of PAHs in the process of medical waste incineration

After the deadly earthquake on May 12, 2008 in Wenchuan county of China, several different incineration approaches were used for medical waste disposal. This paper investigates the generation properties of polycyclic aromatic hydrocarbons (PAHs) during the incineration. Samples were collected from the bottom ash in an open burning slash site, surface soil at the open burning site, bottom ash from a simple incinerator, bottom ash generated from the municipal solid waste (MSW) incinerator used for medical waste disposal, and bottom ash and fly ash from an incinerator exclusively used for medical waste. The species of PAHs were analyzed, and the toxicity equivalency quantities (TEQs) of samples calculated. Analysis results indicate that the content of total PAHs in fly ash was 1.8 × 10³ times higher than that in bottom ash, and that the strongly carcinogenic PAHs with four or more rings accumulated sensitively in fly ash. The test results of samples gathered from open burning site demonstrate that Acenaphthylene (ACY), Acenaphthene (ACE), Fluorene (FLU), Phenanthrene (PHE), Anthracene (ANT) and other PAHs were inclined to migrate into surrounding environment along air and surface watershed corridors, while 4- to 6-ring PAHs accumulated more likely in soil. Being consistent with other studies, it has also been confirmed that increases in both free oxygen molecules and combustion temperatures could promote the decomposition of polycyclic PAHs. In addition, without the influence of combustion conditions, there is a positive correlation between total PCDD/Fs and total PAHs, although no such relationship has been found for TEQ.     

Site investigation on medical waste management practices in northern Jordan

This study investigated the medical waste management practices used by hospitals in northern Jordan. A comprehensive inspection survey was conducted for all 21 hospitals located in the study area. Field visits were conducted to provide information on the different medical waste management aspects. The results reported here focus on the level of medical waste segregation, treatment and disposal options practiced in the study area hospitals. The total number of beds in the hospitals was 2296, and the anticipated quantity of medical waste generated by these hospitals was about 1400 kg/day. The most frequently used treatment practice for solid medical waste was incineration. Of these hospitals, only 48% had incinerators, and none of these incinerators met the Ministry of Health (MoH) regulations. As for the liquid medical waste, the survey results indicated that 57% of surveyed hospitals were discharging it into the municipal sewer system, while the remaining hospitals were collecting their liquid waste in septic tanks. The results indicated that the medical waste generation rate ranges from approximately 0.5 to 2.2 kg/bed day, which is comprised of 90% of infectious waste and 10% sharps. The results also showed that segregation of various medical waste types in the hospitals has not been conducted properly. The study revealed the need for training and capacity building programs of all employees involved in the medical waste management.     

Disaster waste management: a review article

Depending on their nature and severity, disasters can create large volumes of debris and waste. The waste can overwhelm existing solid waste management facilities and impact on other emergency response and recovery activities. If poorly managed, the waste can have significant environmental and public health impacts and can affect the overall recovery process.This paper presents a system overview of disaster waste management based on existing literature. The main literature available to date comprises disaster waste management plans or guidelines and isolated case studies. There is ample discussion on technical management options such as temporary storage sites, recycling, disposal, etc.; however, there is little or no guidance on how these various management options are selected post-disaster. The literature does not specifically address the impact or appropriateness of existing legislation, organisational structures and funding mechanisms on disaster waste management programmes, nor does it satisfactorily cover the social impact of disaster waste management programmes.It is envisaged that the discussion presented in this paper, and the literature gaps identified, will form a basis for future comprehensive and cohesive research on disaster waste management. In turn, research will lead to better preparedness and response to disaster waste management problems.     

The treatment of infectious waste arising from home health and medical care services: present situation in Japan

The management of waste materials arising from home health and medical care services (HHMC wastes) in Japan is now receiving greater attention from governmental workers dealing with general household waste materials. In general, HHMC waste materials are collected in a mixed form, transported and disposed of along with municipal solid wastes. As a result, municipal workers are suffering needle stick accidents so that infections associated with HHMC waste materials may occur. The collection and transportation by patients and their families of HHMC waste materials with sharp-edges, such as injection needles, to medical-related facilities can prevent municipal workers from experiencing needle-prick accidents. One of the most important strategies for medical-related facilities is hence the education of patients and their families. Improved rules for handling HHMC waste materials are essential for the safe and effective management.     

Situational analysis of plastic waste management in India and Japan: cross-country learnings to increase plastic circularity

Journal of Material Cycles and Waste Management - Plastic waste is a growing environmental concern. This study compared plastic waste management between India and Japan using SWOT analysis and a...     

National and subnational outcomes of waste management policies for 1718 municipalities in Japan: development of a bottom-up waste flow model and its application to a declining population through 2030

Journal of Material Cycles and Waste Management - Japan has been promoting 3R (reduce, reuse, and recycle) policies for several decades, but the recycling rate of the whole country has leveled off,...     

Neighbourhood-based waste management: a solution for solid waste problems in Jakarta, Indonesia

Municipal solid waste management in the capital city of Indonesia, Jakarta, is examined from a point of view of researchers and waste management practitioners. Major impediments to waste management in Jakarta include non-involvement of stakeholders in planning and decision-making, unskilled staff undertaking the duty, the absence of long-term waste management strategies, and weak coordination between authorities and neighbourhood association workers who undertake primary collection. It was revealed that lack of resources is seen as the least important of all impediments. The success of managing solid waste in Jakarta cannot be separated from the presence and the role of a neighbourhood association, which performs waste collection on a daily basis as well as keeping their respective areas clean by employing their own waste service workers. A neighbourhood-based waste management strategy is a promising solution for Jakarta, because it is more applicable and suitable for Jakarta's context compared to community-based waste management. The performance of this approach is examined and the improvement for wider adoption is discussed for a long-term solution.     

A qualitative descriptive case study on home medical waste management in Brazil

Journal of Material Cycles and Waste Management - This work presents a survey on the management of the home medical care waste (HMCW) from the municipality of Caruaru, an important medical and...     

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.     

日本包装废物管理体系和产生特性分析

介绍了日本的资源循环法律体系和促进容器包装分类回收和再商品化的法律和有关方针,介绍了日本容器和包装的管理体制和主要措施,以及各类包装废物回收利用状况和特点。