Management of hospitals solid waste in Khartoum State

This research had been conducted during year 2012 to review existing data on hospital waste management for some of Khartoum town hospitals and to try to produce appropriate proposals acceptable for waste management and final treatment methods. The overall status of hospital waste management in Khartoum has been assessed through direct visits and designated questionnaires. Eight main hospitals were covered in the study with an overall bed capacity of 2,978. The current waste management practice observed at all studied hospitals was that most of waste, office, general, food, construction debris, and hazardous chemical materials were all mixed together as they are generated, collected, and finally disposed of. Only a small portion of waste in some hospitals (part of potentially infectious, body parts, and sharps) are collected separately and treated in a central incinerator. The estimated value of per bed generation rate in the studied hospitals was found to be 0.87 kg/day, which lies within the range for the low-income countries. In all studied hospitals, it was found that workers were working under very poor unsafe conditions with very low salaries ($35 to $45 per month on average). About 90 % were completely illiterate or had very low education levels. At the national level, no laws considering hospital waste, or even hazardous waste, were found; only some federal general environmental regulations and some procedures from town and city localities for controlling general municipal waste exist. At the hospital level, no policies or rules were found, except in the radiotherapy center, where they manage radioactive wastes under the laws of the Sudanese Atomic Agency. Urgent actions are needed for the remediation and prevention of hazards associated with this type of waste.     

Hygienic guidance values for wipe sampling of antineoplastic drugs in Swedish hospitals

The use of antineoplastic drugs in health care steadily increases. Health care workers can be occupationally exposed to antineoplastic drugs classified as carcinogenic or teratogenic. Monitoring of surface contamination is a common way to assess occupational exposure to antineoplastic drugs, since wipe sampling is used as a surrogate measure of dermal exposure. Since no occupational limits for antineoplastic drugs in work environments exist, 'hygienic guidance values' (HGVs) should be used instead. HGVs are practicable, achievable levels, not health based, and can be calculated from exposure data from representative workplaces with good occupational hygiene practices. So far, guidance values for surface monitoring of antineoplastic drugs only exist for pharmacies where antineoplastic drugs are prepared. The objective was to propose HGVs for surface monitoring of cyclophosphamide (CP) and ifosfamide (IF) in Swedish hospitals where antineoplastic drugs are administered to patients. In total, 17 workplaces located at six hospitals in Sweden were surveyed by wipe sampling. Wipe samples were collected, worked up and then analyzed with liquid chromatography tandem mass spectrometry. Surface contamination of CP and IF was found on 80% and 73% of the sampled surfaces, thus indicating that there is potential for health care workers to be exposed to CP and IF via the skin. The median surface load of CP was 3.3 pg cm(-2) (range <0.05-10,800 pg cm(-2)). The corresponding value for IF was 4.2 pg cm(-2) (range <0.13-95,000 pg cm(-2)). The highest surface loads were found on the floors. The proposed HGVs were set at 90th percentile values, and can be applicable to hospital workplaces where patients are treated with CP or IF. Surface monitoring combined with HGVs is a useful tool for health care workers to regularly benchmark their own surface loads which could control and reduce the occupational exposure to CP and IF in hospital workplaces. Thus, the occupational safety of the health care workers will be increased.     

Source to sink tracking of selected human pharmaceuticals from two Oslo city hospitals and a wastewater treatment works

The occurrence of twenty pharmaceutical compounds was quantitatively determined in effluents from two major Oslo city hospitals, Rikshospitalet and Ullev?l, along with influent, sludge and final effluent from the city's VEAS wastewater treatment works (WTW). Composite hospital effluents were collected over a twelve week period and were showed to contain paracetamol, metoprolol, diclofenac, ibuprofen, 17beta-Estradiol, estriol, estrone, oxytetracycline, tetracycline, doxycycline, chlorotetracycline, demeclocycline, trimethoprim, ciprofloxacin, sulfamethoxazole, cyclophosphamide and ifosfamide. Three pharmaceuticals were not detected above the limit of detection; cefuroxime, 17alpha-ethinylestradiol and meclocycline. Composite influent, sludge and effluent samples were collected from VEAS WTW over a seven week period. The influent into VEAS WTW contained all of the same selected substances detected in the hospital effluents, except for oxytetracycline, chlorotetracycline, demeclocycline, cyclophosphamide and ifosfamide. The percentage of pharmaceuticals entering the works from the hospitals was <10% for all of the selected compounds. VEAS sludge samples contained a different profile of substances reflecting their physico-chemical properties. Hydrophobic antibiotics, such as oxytetracycline, tetracycline and ciprofloxacin, were detected in all of the collected sludge samples. Their absence in the collected influent samples suggests that they enter the works bound to effluent particles, with the dissolved fraction observed in the hospital effluents partitioning onto particulate matter within the sewerage network. The final effluent from VEAS WTW contained reduced concentrations of many pharmaceuticals, including paracetamol, ibuprofen and sulfamethoxazole. For other compounds, such as metoprolol, diclofenac and trimethoprim, there were often higher concentrations in the effluent than the influent. These effluent concentrations represent median inputs varying from low g day(-1) (e.g. paracetamol and ibuprofen) to nearly 200 g day(-1) (e.g. metoprolol and trimethoprim) into Oslofjord. A simple risk assessment showed that the antibiotic ciprofloxacin may at times pose an acute risk to the Oslofjord aquatic environment.     

Assessment of plastic waste generation and its potential recycling of household solid waste in Can Tho City, Vietnam

Plastic solid waste has become a serious problem when considering the disposal alternatives following the sequential hierarchy of sound solid waste management. This study was undertaken to assess the quantity and composition of household solid waste, especially plastic waste to identify opportunities for waste recycling. A 1-month survey of 130 households was carried out in Can Tho City, the capital city of the Mekong Delta region in southern Vietnam. Household solid waste was collected from each household and classified into ten physical categories; especially plastic waste was sorted into 22 subcategories. The average household solid waste generation rate was 281.27 g/cap/day. The compostable and recyclable shares respectively accounted for high percentage as 80.74% and 11%. Regarding plastic waste, the average plastic waste generation rate was 17.24 g/cap/day; plastic packaging and plastic containers dominated with the high percentage, 95.64% of plastic waste. Plastic shopping bags were especially identified as the major component, accounting for 45.72% of total plastic waste. Relevant factors such as household income and household size were found to have an existing correlation to plastic waste generation in detailed composition. The household habits and behaviors of plastic waste discharge and the aspects of environmental impacts and resource consumption for plastic waste disposal alternatives were also evaluated.     

Municipal solid waste generation in growing urban areas in Africa: current practices and relation to socioeconomic factors in Jimma, Ethiopia

As one of cities in the developing countries, a rapid population growth and industrial activities pose many environmental challenges for Jimma city, Ethiopia. One aspect of urban growth posing a threat on sustainable development is poor solid waste management, which results in environmental pollution. The purpose of this study is to evaluate the quantity, composition, sources of waste generated, their current disposal practices, and to recommend appropriate management technologies. The total waste generated daily in Jimma city was ca. 88,000 kg, and the average per capita generation rate was 0.55?±?0.17 kg/capita/day. Eighty-seven percent of the waste was produced by households and 13% by institutions, and a negligible fraction (0.1%) was generated by street sweepings. During the rainy season, 40% more waste was generated than in the dry season because of the increased availability of agricultural food product. Further analysis showed that biodegradable organic waste constitutes 54% by weight with an average moisture content of 60% that falls within the required limits for composting. The nonbiodegradable components constitute 46% of which 30% of it was nonrecyclable material. Only 25% of the community uses municipal containers for disposal at the selected landfill site. Fifty-one percent of the households disposed their waste in individually chosen spots, whereas 22% burned their waste. Finally 2% of households use private waste collectors. The socioeconomic analysis showed that higher family income and educational status is associated more with private or municipal waste collection and less with the application of backyard or open dumping. These insights into generated waste and management practice in Jimma city allow making suggestions for improved collection, treatment, and disposal methods. A primary conclusion is that the biodegradable waste is a major fraction having suitable properties for recycling. As such an economic benefit can be obtained from this waste while avoiding the need for disposal.     

新型冠状病毒肺炎疫情医疗废物应急管理与处置

基于我国新型冠状病毒肺炎疫情医疗废物应急管理与处置体系建立过程，分析疫情初期医疗废物管理与处置短板，预测医疗废物产生量随患者人数发展的变化，提出医疗废物突出问题的解决方案。结果表明：及时构建重大疫情医疗废物全过程应急管理与处置技术体系有利于促进医疗废物分类分流管理与处置，迅速提升医疗废物应急处置能力；修正湖北省涉疫情医疗废物和医疗废物平均产生系数分别为3.35 kg/（人·d）和5.15 kg/（人·d）；截至2020年6月6日，全国医疗废物处置能力从疫情前的4 902.8 t/d增至6 245.4 t/d，湖北省具备的医疗废物处置能力由疫情前的180 t/d增至667.4 t/d；疫情期间积累的医疗废物应急管理与技术经验对后疫情时期建立和强化医疗废物应急管理与处置机制具有借鉴意义。     

Assessment of potential impacts of municipal solid waste treatment alternatives by using life cycle approach: a case study in Vietnam

In Vietnam, most of municipal solid waste (MSW) is disposed of at open dumping and landfill sites, and the methane gas from waste is the un-ignorable source of greenhouse gas (GHG) emission. It is indispensable to explore the possibility for GHG mitigation in MSW management. The objective of this study was to estimate alternative waste treatment practices towards the GHG emission mitigation, energy consumption and generation, reduction of landfill volume, and various benefits for proposing the appropriate selection by scenario analyses for representative Vietnam’s cities. Impacts were calculated by utilizing life cycle assessment (LCA) method. A literature review survey on the current applicability of LCA database for assessing impacts from waste sector in developing countries, especially for Vietnam, was carried out. This study assessed the contribution of alternative solid waste treatment practices. The result showed that, except investment and operation costs, incineration with energy recovery seems the suitable alternative for treating waste from representative cities of Vietnam according to reduction of GHG emission and waste burden to landfill sites and energy recovery and generation. Besides, MSW composition was identified as an important factor directly influencing to impacts as well as other products and benefits of waste treatment alternatives. Reliable data on waste composition are indispensable for assessing to choose, improve, or plan the waste treatment practices towards sustainable development.     

The composition, trend and impact of urban solid waste in Beijing

This paper provides an overview of the trend of generation, composition, and management of municipal solid waste, and estimates the carbon emissions arising from municipal solid waste management in Beijing. The correlation analysis conducted shows that the generation of municipal solid waste in Beijing has been growing steadily, showing high correlations (r > 0.9) to the total GDP, per capita income, and the population. Food waste showed an increasing trend since 1990. Compared with the results of an investigation in 1990, ash and woodchips content in 2003 declined from 56% to 17%, while the percentage of paper and plastic increased from 10% to 29% over the same period. The calorific value of the municipal waste also increased, from 2,686 kJ/kg in 1990 to 4,667 kJ/kg in 2003, indicating that the waste is suitable for incineration. Currently, the source separation ratio of municipal waste is approximately 15%. About 94% of all the collected solid waste goes to the landfill while 4% is composted and 2% is incinerated. A moderate garbage collection fee is applied to both permanent and temporary residents in Beijing, but the willingness to pay for solid waste collection and treatment is still low. Under current treatment mode, the total amounts of carbon emission from waste disposal sites and incineration increased with the increase of municipal solid waste, from 29.8 Gg in 1990 to 84.5 Gg in 2003, including 83.3 Gg of CH₄ and 22.0 Gg of CO₂. The data availability and methodological challenges in monitoring the quantity and characteristics of municipal solid waste are discussed.     

Monitoring quantity and characteristics of municipal solid waste in Dhaka City

A reliable estimate of the quantity of solid waste generation in the city is very important for proper solid waste planning and management. However, reported estimates of solid waste generation vary widely and lead to questionability. The reported values have been derived on the assumption of demography, standard rate of waste generation by households, density values, number of trucks engaged for waste transportation and monitoring of truck movement at dump sites, etc. This diverse nature of the available data and the question of accuracy necessitate a rigorous study that has tried to document the waste quantity in the recently formulated master plan of Dhaka City. The socio-economic parameters, behavioral characteristics, generation sources, seasonality, and per capita growth rate are considered in estimating the waste quantity along with its future projections. The findings from the estimation of waste quantities state that seasonal differences in the municipal solid waste stream are not substantial. The most seasonably variable material in the municipal solid waste stream is food waste. Residential waste is relatively homogeneous. Although there are some differences in waste generation depending on demographic and other local factors, most households dispose of essentially similar types of wastes. Variation occurs in waste composition dependent upon income levels and category of sources. Variation also occurs based upon the extent of source reduction and recycling opportunities. As opportunities exist to recycle wastes, the recycling facilities might have to grow at a similar pace to the generation of waste. Physical and chemical characteristics of solid waste are important to implement the waste disposal and management plan for the selection of resource and energy recovery potentials. A number of studies have been conducted to determine the composition of wastes including moisture content and calorific value. The data show that the moisture content in city waste is significantly higher and the calorific value is much lower, which determines the viability of composting or anaerobic digestions rather than waste combustion.     

Accounting embodied economic potential of healthcare waste recycling—a case study from Pakistan

Proper management of healthcare wastes is a key concern across resource-constrained countries in South Asia. Existing scientific research on this topic usually involves epidemiological and behavioral studies. Similarly, environmental impact assessment of healthcare wastes is mainly conducted from an end-user or anthropocentric point of view. In this study, we took a novel approach by analyzing healthcare wastes using an ecocentric position. Here, we utilize a case study of a general public hospital in a major city of Pakistan to analyze the embodied energy of its waste fractions by category. We used Emergy analysis to assess the true economic potential of recycling these waste items. While doing so, we compared the economic potential of current waste recycling practices with the scenario of 100% recycling of useful waste fractions. We discovered that the latent embodied energy of different recyclable waste fractions made them far more valuable than their existing market prices indicate. This value increased further if the useful waste fractions were completely recycled. In conclusion, this study used empirical evidence to argue in favor of source-segregation and recycling of healthcare wastes so that the higher costs associated with natural resource extraction and processing can be avoided. Future studies considering hazardous healthcare wastes can use the approach taken in this paper to analyze the impact of other practical waste treatment procedures.     

地理3G系统应用于城市固体废物管理的新模式

基于GPS、GPRS、GIS地理3G综合技术,设计城市固体废物综合监管系统,实现对固体废物从收集到再利用全过程的监督管理。该系统由申报信息系统、地面控制系统、处置保障系统、综合分析系统、应急指挥系统和线上“淘宝”系统组成,在固体废物收集站点采集的数据上传至综合分析系统,经分析与匹配后相关信息发布在线上“淘宝”交易平台,平台为买卖双方提供资源配置方案,也为管理部门的宏观调控提供数据支撑。     

Discharge permit market and farm management nexus: an approach for eutrophication control in small basins with low-income farmers

The economic concerns of low-income farmers are barriers to nutrient abatement policies for eutrophication control in surface waters. This study brings up a perspective that focuses on integrating multiple-pollutant discharge permit markets with farm management practices. This aims to identify a more economically motivated waste load allocation (WLA) for non-point sources (NPS). For this purpose, we chose the small basin of Zrebar Lake in western Iran and used the soil and water assessment tool (SWAT) for modeling. The export coefficients (ECs), effectiveness of best management practices (BMPs), and crop yields were calculated by using this software. These variables show that low-income farmers can hardly afford to invest in BMPs in a typical WLA. Conversely, a discharge permit market presents a more cost-effective solution. This method saves 64% in total abatement costs and motivates farmers by offering economic benefits. A market analysis revealed that nitrogen permits mostly cover the trades with the optimal price ranging from $6 to $30 per kilogram. However, phosphorous permits are limited for trading, and their price exceeds $60 per kilogram. This approach also emphasizes the establishment of a regional institution for market monitoring, dynamic pricing, fair fund reallocation, giving information to participants, and ensuring their income. By these sets of strategies, a WLA on the brink of failure can turn into a cost-effective and sustainable policy for eutrophication control in small basins.     

Identification and leaching characteristics of sludge generated from metal pickling and electroplating industries by Toxicity Characteristics Leaching Procedure (TCLP)

One of India's major concerns is the increasing level of land pollution largely due to the uncontrolled disposal of industrialsolid and hazardous waste. With rapid industrialization, thegeneration of industrial solid and hazardous waste has increasedappreciably and the nature of waste generated has become complex.Their impacts on the ecological bodies are noticeable. The article describes the details of studies conducted using Toxicity Characteristics Leaching Procedure, to estimate the toxicity effects of the metals viz., chromium, zinc, manganese,iron, nickel, cobalt and copper by the Zero Headspace Extractorfor the sludges generated from effluent treatment plant of steeltube, wire and plating industries on environment constituentslike groundwater, surface water and land. Toxicity Characteristics Leaching Procedure determines the mobility of organic and inorganic analytes of liquid, solid or multiphase waste from hazardous solid wastes in the form of primary and secondary extracts. These extracts are mixed in equal volumeproportion and analyzed by Direct Reading 2000 spectrophotometer.The amount of heavy metals observed during the studies in theleachates were found and the results were compared with HazardousWaste categories as per Indian Standards, TCLP regulatory limitsgiven by United States Environment Protection Agency (USEPA) andGermany Leachate Quality Standards and it was observed that theywere on higher side, needing a proper preventive concept of sludge management including handling, treatment, recovery and disposal.     

A Routing and Scheduling System for Infectious Waste Collection

Most hospitals and clinics in Taiwan do not have on-site treatment facilities for their infectious waste and must rely on outside agencies for their collection and treatment. The problem of optimally routing and scheduling the collection of medical waste from a disperse group of facilities is recognized as a periodic vehicle routing problem. This study develops a computer system to solve the resulting optimization problem based on a two-phased approach proposed earlier. The first phase solves a standard vehicle routing problem to determine a set of individual routes for the collection vehicles. The second phase uses a mixed integer programming method to assign routes to particular days of the week. The computer system is user-friendly and consists of several Visual Basic programs while the geographical information system is incorporated to facilitate input and output interface and database management. An illustrative example for the infectious waste of 348 hospitals in the Tainan City area demonstrates the effectiveness of the system.     

Delineation of soil and groundwater contamination using geophysical methods at a waste disposal site in Çanakkale, Turkey

Direct current (DC) resistivity, self potential (SP) and very low frequency electromagnetic (VLF-EM) measurements are carried out to detect the spread of groundwater contamination and to locate possible pathways of leachate plumes, that resulted from an open waste disposal site of Canakkale municipality. There is no proper management of the waste disposal site in which industrial and domestic wastes were improperly dumped. Furthermore, because of the dumpsite is being located at the catchment area borders of a small creek and is being topographically at a high elevation relative to the urban area, the groundwater is expected to be hazardously contaminated. Interpretations of DC resistivity geoelectrical data showed a low resistivity zone (<5 ohm-m), which appears to be a zone, that is fully saturated with leachate from an open dumpsite. The VLF-EM and SP method, support the results of geoelectrical method relating a contaminated zone in the survey area. There is a good correlation between the geophysical investigations and the results of previously collected geochemical and hydrochemical measurements.     

农村生活垃圾产生特征及分类收集模式

以南京市高淳县的一个村为研究对象,依托新建的农村生活垃圾分类收集系统,对该区域生活垃圾的产生量、组成成分及其动态变化进行了调查研究,从垃圾分类收集模式的运行效果和经济可行性对其进行了分析。结果表明,该地区农村人均垃圾产生量为0.4 kg/d ,但随季节有一定的波动,这主要是由食品类消费的季节性变动而引起。垃圾组成以有机垃圾为主,约占55%,可回收垃圾、其他垃圾和有害垃圾所占比例分别为30.5%、14.2%和0.34%。通过认真的宣传和指导,村民在较短的时间内基本都可以做到正确分类;垃圾分类收集系统的户均建设成本为21元,运行费用比分类收集前每户每月增加3.2元 。     

医院废水的连续监测及存在问题探讨

对宁波市7家市属医院废水进行了一年4次的连续监测,发现7家医院废水均严重超标.造成医院废水严重超标的原因有4个方面.同时还探讨了监测规范中存在的三个主要问题,提出了解决办法.文章对南方城市的医院废水监测具有一定的典型性.     

An Interval-Parameter Fuzzy-Stochastic Programming Approach for Municipal Solid Waste Management and Planning

In this study, an integrated fuzzy-stochastic linear programming model is developed and applied to municipal solid waste management. Methods of chance-constrained programming and fuzzy linear programming are incorporated within a general interval-parameter mixed-integer linear programming framework. It improves upon the existing optimization methods with advantages in uncertainty reflection, data availability, and computational requirement. The model can be used for answering questions related to types, times and sites of solid waste management practices, with the objective of minimizing system costs over the planning horizon. The model can effectively reflect dynamic, interactive, and uncertain characteristics of municipal waste management systems. In its solution process, the model is transformed into two deterministic submodels, corresponding to upper and lower bounds of the desired objective function values under a given significance level, based on an interactive algorithm. Results of the method's application to a hypothetical case indicate that reasonable outputs have been obtained. It demonstrates the practical applicability of the proposed methodology.     

Bioaerosol sampling by a personal rotating cup sampler CIP 10-M

High concentrations of bioaerosols containing bacterial, fungal and biotoxinic matter are encountered in many workplaces, e.g. solid waste treatment plants, waste water treatment plants and sewage networks. A personal bioaerosol sampler, the CIP 10-M (M-microbiologic), has been developed to measure worker exposure to airborne biological agents. This sampler is battery operated; it is light and easy to wear and offers full work shift autonomy. It can sample much higher concentrations than biological impactors and limits the mechanical stress on the microorganisms. Biological particles are collected in 2 ml of liquid medium inside a rotating cup fitted with radial vanes to maintain an air flow rate of 10 l min(-1) at a rotational speed of approximately 7,000 rpm. The rotating cup is made of sterilisable material. The sampled particles follow a helicoidal trajectory as they are pushed to the surface of the liquid by centrifugal force, which creates a thin vertical liquid layer. Sterile water or another collecting liquid can be used. Three particle size selectors allow health-related aerosol fractions to be sampled according to international conventions. The sampled microbiological particles can be easily recovered for counting, incubation or further biochemical analysis, e.g., for airborne endotoxins. Its physical sampling efficiency was laboratory tested and field trials were carried out in industrial waste management conditions. The results indicate satisfactory collection efficiency, whilst experimental application has demonstrated the usefulness of the CIP 10-M personal sampler for individual bioaerosol exposure monitoring.     

苏州市固体废物安全自动监控系统构建与实施

通过对苏州市固体废物安全自动监控系统的建立背景、构建目标、系统概述、总体设计等方面的内容进行阐述,说明了苏州市固体废物安全自动监控系统.可以为各级环保部门提供科学、准确的基础数据和决策依据,是提升环境监测监管的必经之路.