Hospital waste management and toxicity evaluation: a case study

Hospital waste management is an imperative environmental and public safety issue, due to the waste's infectious and hazardous character. This paper examines the existing waste strategy of a typical hospital in Greece with a bed capacity of 400-600. The segregation, collection, packaging, storage, transportation and disposal of waste were monitored and the observed problematic areas documented. The concentrations of BOD, COD and heavy metals were measured in the wastewater the hospital generated. The wastewater's toxicity was also investigated. During the study, omissions and negligence were observed at every stage of the waste management system, particularly with regard to the treatment of infectious waste. Inappropriate collection and transportation procedures for infectious waste, which jeopardized the safety of staff and patients, were recorded. However, inappropriate segregation practices were the dominant problem, which led to increased quantities of generated infectious waste and hence higher costs for their disposal. Infectious waste production was estimated using two different methods: one by weighing the incinerated waste (880 kg day(-1)) and the other by estimating the number of waste bags produced each day (650 kg day(-1)). Furthermore, measurements of the EC(50) parameter in wastewater samples revealed an increased toxicity in all samples. In addition, hazardous organic compounds were detected in wastewater samples using a gas chromatograph/mass spectrograph. Proposals recommending the application of a comprehensive hospital waste management system are presented that will ensure that any potential risks hospital wastes pose to public health and to the environment are minimized.     

Evaluation of methods for sorting CCA-treated wood

Construction and demolition (C&D) wood frequently contains treated wood including wood treated with chromated copper arsenate (CCA). Many recycling options for such wood require that the product be essentially free of preservative chemicals. The objectives of this study were to document the characteristics of the wood waste stream and to evaluate the effectiveness of sorting methods for identifying treated wood. Sorting methods evaluated included visual sorting and visual sorting augmented with the use of PAN indicator stain and/or hand-held X-ray fluorescence (XRF) units. Experiments were conducted on two types of construction and demolition (C&D) wood: source separated loads containing only C&D wood and wood hand-picked from commingled loads of general C&D waste. Results showed that 77% of the treated wood was CCA-treated. For uncontaminated piles (<1% treated wood) of source separated C&D wood, visual sorting was found to effectively remove the small amounts of treated wood present. For piles of source separated wood that were contaminated (approximately 50% treated wood), visual sorts were not accurate and benefited from augmented sorting using PAN indicator stain. The handheld XRF devices were found to be effective for sorting commingled C&D wood, as PAN indicator stain was not as effective due to the excessive amount of surface dirt associated with commingled wood waste. Visual sorting of source separated wood was estimated to cost between US$21 to US$96 per metric ton. These costs depended upon the amount of treated wood and whether or not augmentation with PAN indicator was necessary. Visual sorting augmented with hand-held XRF units was estimated at US$113 per metric ton. The bulk of these costs were associated with labor. Future efforts should focus on reducing labor costs by mounting automated XRF units on conveyor systems.     

Landfill leachate treatment using a rotating biological contactor and an upward-flow anaerobic sludge bed reactor

This paper describes the feasibility of an aerobic system (rotating biological contactor, RBC) and a biological anaerobic system (upward-flow anaerobic sludge bed reactor) at small scale for the treatment of a landfill leachate. In the first phase of the aerobic system study, a cyclic-batch RBC system was used to select perforated acetate discs among three different acetate disc configurations. These discs were chosen on the basis of high COD removal (65%) and biological stability. In the second phase, the RBC system (using four stages) was operated continuously at different hydraulic retention times (HRT), at different rotational speeds, and with varying organic concentrations of the influent leachate (2500-9000mgL(-1)). Forty percent of the total surface area of each perforated disc was submerged in the leachate. A COD removal of about 52% was obtained at an HRT of 24h and a rotational speed of 6rpm. For the anaerobic system, the reactor was evaluated with a volumetric organic load of 3273g-COD m(-3) day(-1) at an HRT of 54, 44, 39, 24 and 17h. At these conditions, the system reached COD removal efficiencies of 62%, 61%, 59%, 44% and 24%, respectively.     

Paper waste – Recycling,incineration or landfilling? A review of existing life cycle assessments

A review of existing life cycle assessments (LCAs) on paper and cardboard waste has been undertaken. The objectives of the review were threefold. Firstly, to see whether a consistent message comes out of published LCA literature on optimum disposal or recycling solutions for this waste type. Such message has implications for current policy formulation on material recycling and disposal in the EU. Secondly, to identify key methodological issues of paper waste management LCAs, and enlighten the influence of such issues on the conclusions of the LCA studies. Thirdly, in light of the analysis made, to discuss whether it is at all valid to use the LCA methodology in its current development state to guide policy decisions on paper waste. A total of nine LCA studies containing altogether 73 scenarios were selected from a thorough, international literature search. The selected studies are LCAs including comparisons of different management options for waste paper. Despite claims of inconsistency, the LCAs reviewed illustrate the environmental benefits in recycling over incineration or landfill options, for paper and cardboard waste. This broad consensus was found despite differences in geographic location and definitions of the paper recycling/disposal systems studied. A systematic exploration of the LCA studies showed, however, important methodological pitfalls and sources of error, mainly concerning differences in the definition of the system boundaries. Fifteen key assumptions were identified that cover the three paper cycle system areas: raw materials and forestry, paper production, and disposal/recovery. It was found that the outcome of the individual LCA studies largely depended on the choices made in some of these assumptions, most specifically the ones concerning energy use and generation, and forestry.     

Reusing fly ash in glass fibre reinforced cement: a new generation of high-quality GRC composites

New composite materials based on an alkali-resistant glass-fibre reinforced cement (AR-GRC) system are being developed by using fly ash (FA) produced at coal thermoelectric power plants, and fluid catalytic cracking catalyst residue (FC3R) from the petrol industry as cement replacement materials. These wastes are reactive from the pozzolanic viewpoint, and modify the nature and the microstructure of the cement matrix when a part of the Portland cement is replaced in the formulation of GRC. Several microstructural and mechanical aspects are being studied for AR-GRC systems. The behaviour of composites exposed to ageing shows that the pozzolanic activity of the ground FA added in high amounts and its mixture with the FC3R increase the flexural strength and no evidences of strength decay are observed. Additionally, the fibres due to the high alkalinity of the cementing matrix can be deteriorated. Fibres in the control (only Portland cement) and FC3R containing composites were attacked, whereas composites with FA and their mixture with FC3R show that the fibres have not been attacked, due to the pozzolanic activity of replacing materials that reduce the calcium hydroxide content in the cementing matrix.     

Management of MSW in Spain and recovery of packaging steel scrap

Packaging steel is more advantageously recovered and recycled than other packaging material due to its magnetic properties. The steel used for packaging is of high quality, and post-consumer waste therefore produces high-grade ferrous scrap. Recycling is thus an important issue for reducing raw material consumption, including iron ore, coal and energy. Household refuse management consists of collection/disposal, transport, and processing and treatment - incineration and composting being the most widely used methods in Spain. Total Spanish MSW production exceeds 21 million tons per year, of which 28.1% and 6.2% are treated in compost and incineration plants, respectively. This paper presents a comprehensive study of incineration and compost plants in Spain, including a review of the different processes and technologies employed and the characteristics and quality of the recovered ferrous scrap. Of the total amount of packaging steel scrap recovered from MSW, 38% comes from compost plants and 14% from incineration plants. Ferrous scrap from incineration plants presents a high degree of chemical alteration as a consequence of the thermal process to which the MSW is subjected, particularly the conditions in which the slag is cooled, and accordingly its quality diminishes. Fragmentation and magnetic separation processes produce an enhancement of the scrap quality. Ferrous scrap from compost plants has a high tin content, which negatively affects its recycling. Cleaning and detinning processes are required prior to recycling.     

Where will large amounts of materials accumulated within the economy go? – A material flow analysis of construction minerals for Japan

For all countries analyzed so far, Material Flow Analysis/Accounting (MFA) studies indicate that the overall stock of materials within the economy is growing. Most are construction minerals such as asphalt, cement, sand and gravel, crushed stone, and other aggregates. In the analyses described in this paper, flows and stocks of construction minerals were estimated for Japan from the past to the future to elucidate: (1) the mechanisms by which construction minerals become waste, and (2) the future supply of and demand for recycled crushed stone. The following conclusions were drawn: (1) The amounts of waste construction minerals generated have been and will be at much lower levels than the domestic demand for construction minerals. These differences might indicate consistent growth of the stock of construction minerals, which will become waste in the future. However, certain amounts of materials that we account for as stock can be interpreted already in the environment as dead stock or dissipated waste; such materials can be called "missing stock" or "dissipated stock". Capturing that missing or dissipated stock is very important because it provides information that clarifies the environmental impacts and loss of resources that these materials cause; it allows estimation of appropriate future waste generation. (2) The amount of construction minerals that are recognized as waste was estimated to increase in the future. An imbalance in the supply of and demand for recycled crushed stone will likely occur in the near future if an expected decline in future road construction is considered.     

Evaluation of commercial landscaping mulch for possible contamination from CCA

Wood treated with chromated copper arsenate (CCA) is found in construction and demolition (C&D) debris, and a common use for wood recycled from C&D debris is the production of mulch. Given the high metals concentrations in CCA-treated wood, a small fraction of CCA-treated wood can increase the metal concentrations in the mulch above regulatory thresholds. The objective of this study was to determine the extent of contamination of CCA-treated wood in consumer landscaping mulch and to determine whether visual methods or rapid X-ray fluorescence (XRF) technology can be used to identify suspect mulch. Samples were collected throughout the State of Florida (USA) and evaluated both visually and chemically. Visual analysis focused on documenting wood-chip size distribution, whether the samples were artificially colored, and whether they contained plywood chips which is an indication that the sample was, in part, made from recycled C&D wood. Chemical analysis included measurements of total recoverable metals, leachable metals as per the standardized synthetic precipitation leaching procedure (SPLP), and XRF analysis. Visual identification methods, such as colorant addition or presence of plywood, were found effective to preliminarily screen suspect mulch. XRF analysis was found to be effective for identifying mulch containing higher than 75 mg/kg arsenic. For mulch samples that were not colored and did not contain evidence of C&D wood, none exceeded leachable metal concentrations of 50 microg/L and only 3% exceeded 10 mg/kg for recoverable metals. The majority of the colored mulch made from recycled C&D wood contained from 1% to 5% CCA-treated wood (15% maximum fraction) resulting in leachable metals in excess of 50 microg/L and total recoverable metals in excess of 10 mg/kg. The maximum arsenic concentration measured in the mulch samples evaluated was 230 mg/kg, which was above the Florida residential direct exposure regulatory guideline of 2.1 mg/kg.     

Closed cycle construction: an integrated process for the separation and reuse of C&D waste

In The Netherlands, construction and demolition (C&D) waste is already to a large extent being reused, especially the stony fraction, which is crushed and reused as a road base material. In order to increase the percentage of reuse of the total C&D waste flow to even higher levels, a new concept has been developed. In this concept, called 'Closed Cycle Construction', the processed materials are being reused at a higher quality level and the quantity of waste that has to be disposed of is minimised. For concrete and masonry, the new concept implies that the material cycle will be completely closed, and the original constituents (clay bricks, gravel, sand, cement stone) are recovered in thermal processes. The mixed C&D waste streams are separated and decontaminated. For this purpose several dry separation techniques are being developed. The quality of the stony fraction is improved so much, that this fraction can be reused as an aggregate in concrete. The new concept has several benefits from a sustainability point of view, namely less energy consumption, less carbon dioxide emission, less waste production and less land use (for excavation and disposal sites). One of the most remarkable benefits of the new concept is that the thermal process steps are fuelled with the combustible fraction of the C&D waste itself. Economically the new process is more or less comparable with the current way of processing C&D waste. On the basis of the positive results of a feasibility study, currently a pilot and demonstration project is being carried out. The aim is to optimise the different process steps of the Closed Cycle Construction process on a laboratory scale, and then to verify them on a large scale. The results of the project are promising, so far.     

A mathematical model to predict the composition and generation of hospital wastes in Iran

The aim of this study is to investigate the quality and quantity of hospital wastes in Iran. The generated hospital wastes have been estimated by the number of hospitals and the number of active beds in each province of Iran in 2001. All data and information have been gathered from: (i) Iran Statistics Center, (ii) literature review, and (iii) hospital waste investigations for an average hospital. Physical analyses have been conducted in terms of various materials (plastic, textile, paper, metal, and others) and components (biological, infectious, medical, and regular wastes). Based on the above-mentioned investigation and information, a mathematical model has been developed to calculate the generation of (infectious) hospital wastes for any desired year. Utilizing the model, generated infectious hospital wastes has been estimated as 698,937 tones for 2008 (short-term) and 3,494,387 tones for 2028 (long-term period). If the real infectious wastes are collected separately, then the generated infectious wastes will be reduced by 15.1% of the above-mentioned amount (139,787 tones for 2008, and 698,877 tones for 2028). Results of physical analysis show the components of the hospital waste as: (a) infectious, 67.3%; (b) medical, 8.8%; (c) biological, 1.8%; and (d) common municipal wastes, 22.1%. An appropriate collection method requires training the staff at hospitals along with preparation of the required facilities. Of course, both of these requirements are cost intensive.