Technology selection for infectious medical waste treatment using the analytic hierarchy process

The overall objective of this paper was to evaluate five different technologies used for infectious medical waste treatment and select the optimum one by means of multicriteria analysis. Steam disinfection was selected as the optimum treatment technology, among others using incineration, microwave disinfection, chemical disinfection with sodium hypochlorite, and reverse polymerization with microwaves. The evaluation was based on four groups of criteria, specifically, environmental, economic, technical, and social criteria, using the analytic hierarchy process. Selection among four commercial systems using steam disinfection was not possible, because it required additional site-specific criteria, e.g., loading capacity and requirements of local regulations.

Implications: The paper can help health care facilities to select the system for infectious waste treatment that best fits their needs. It was concluded that steam disinfection was the optimum technology, using environmental, economic, technical, and social criteria.     

Climate change impacts on critical international transportation assets of Caribbean Small Island Developing States (SIDS): the case of Jamaica and Saint Lucia

This contribution presents an assessment of the potential vulnerabilities to climate variability and change (CV & C) of the critical transportation infrastructure of Caribbean Small Island Developing States (SIDS). It focuses on potential operational disruptions and coastal inundation forced by CV & C on four coastal international airports and four seaports in Jamaica and Saint Lucia which are critical facilitators of international connectivity and socioeconomic development. Impact assessments have been carried out under climatic conditions forced by a 1.5 °C specific warming level (SWL) above pre-industrial levels, as well as for different emission scenarios and time periods in the twenty-first century. Disruptions and increasing costs due to, e.g., more frequent exceedance of high temperature thresholds that could impede transport operations are predicted, even under the 1.5 °C SWL, advocated by the Alliance of Small Island States (AOSIS) and reflected as an aspirational goal in the Paris Climate Agreement. Dynamic modeling of the coastal inundation under different return periods of projected extreme sea levels (ESLs) indicates that the examined airports and seaports will face increasing coastal inundation during the century. Inundation is projected for the airport runways of some of the examined international airports and most of the seaports, even from the 100-year extreme sea level under 1.5 °C SWL. In the absence of effective technical adaptation measures, both operational disruptions and coastal inundation are projected to increasingly affect all examined assets over the course of the century.     

Transport of cadmium and assessment of phytotoxicity after electrokinetic remediation

The use of ethylene diamine tetraacetic acid (EDTA) on the electrokinetic removal of cadmium-contaminated soil was evaluated. A total of four different tests were conducted using EDTA as a washing solution as well as a purging solution at the electrode compartments. The efficiency of electrokinetic extraction was significantly influenced by the pH of the soil medium. The results show that EDTA was effective in desorbing cadmium at a high pH, with Cd-EDTA(-) anion complexes migrating toward the anode. At low pH values near the anode area, cadmium existed as Cd(2+), migrating toward the cathode. Such contradicting directions of cadmium have resulted in its detrimental removal from the soil cell. However, accumulation of cadmium near the cathode was observed at the end of the tests due to the dominating low pH in the soil cell. The phytotoxicity after the electrokinetic process was investigated using Sorghum saccharatum, Lepidium sativum and Sinapis alba plants. The germination index was a major endpoint estimated by measuring seed germination and shoot elongation. The results obtained show that the phytotoxicity was increased after electrokinetic extraction. Despite, the extensive cadmium removal from two-thirds of the cell, the low pH of the soil was the principal parameter exhibiting the phytotoxicity.     

Composition and production rate of medical waste from a small producer in Greece

The objective of this work was to determine the composition and production rate of medical waste from the health care facility of social insurance institute, a small waste producer in Xanthi, Greece. Specifically, produced medical waste from the clinical pathology (medical microbiology) laboratory, the X-ray laboratory and the surgery and injection therapy departments of the health facility was monitored for six working weeks. A total of 240 kg medical solid waste was manually separated and weighed and 330 L of liquid medical waste was measured and classified. The hazardous waste fraction (%w/w) of the medical solid waste was 91.6% for the clinical pathology laboratory, 12.9% for the X-ray laboratory, 24.2% for the surgery departments and 17.6% for the injection therapy department. The infectious waste fraction (%w/w) of the hazardous medical solid waste was 75.6% for the clinical pathology laboratory, 0% for the X-ray laboratory, 100% for the surgery departments and 75.6% for the injection therapy department. The total hazardous medical solid waste production rate was 64 ± 15 g/patient/d for the clinical pathology laboratory, 7.2 ± 1.6 g/patient/d for the X-ray laboratory, 8.3 ± 5.1 g/patient/d for the surgery departments and 24 ± 9 g/patient/d for the injection therapy department. Liquid waste was produced by the clinical pathology laboratory (infectious-and-toxic) and the X-ray laboratory (toxic). The production rate for the clinical pathology laboratory was 0.03 ± 0.003 L/patient/d and for the X-ray laboratory was 0.06 ± 0.006 L/patient/d. Due to the small amount produced, it was suggested that the most suitable management scheme would be to transport the hazardous medical waste, after source-separation, to the Prefectural Hospital of Xanthi to be treated with the hospital waste. Assuming this data is representative of other small medical facilities, medical waste production can be estimated for such facilities distributed around Greece.     

A European supergrid for renewable energy: local impacts and far-reaching challenges

This article assesses the impact of extensive deployment of indigenous and external renewable energy sources on a local electricity system (Sardinia Island) and discusses the main challenges faced by the European power grids in integrating high shares of renewable-based generation technologies. It presents the 2030 scenarios for the Sardinian power system and the results of steady-state analyses in extreme (renewable) generation and consumption conditions. These results are eventually combined with the assessment of key technology development trends to explain how this can affect the development of a European supergrid. In general, the article stresses that rendering the bulk-power system capable of accommodating high renewable energy penetration not only requires reinforcing the electricity highways but also demands carefully planning the architecture of and the interface with regional power systems.