Assessment of medical wastes management practice: a case study of the northern part of Jordan

This study includes a survey of the procedures available, techniques, and methods of handling and disposing of medical waste at medium (between 100 and 200 beds) to large (over 200 beds) size healthcare facilities located in Irbid city (a major city in the northern part of Jordan). A total of 14 healthcare facilities, including four hospitals and 10 clinical laboratories, serving a total population of about 1.5 million, were surveyed during the course of this research. This study took into consideration both the quantity and quality of the generated wastes to determine generation rates and physical properties. Results of the survey showed that healthcare facilities in Irbid city have less appropriate practices when it comes to the handling, storage, and disposal of wastes generated in comparison to the developed world. There are no defined methods for handling and disposal of these wastes, starting from the personnel responsible for collection through those who transport the wastes to the disposal site. Moreover, there are no specific regulations or guidelines for segregation or classification of these wastes. This means that wastes are mixed, for example, wastes coming from the kitchen with those generated by different departments. Also, more importantly, none of the sites surveyed could provide estimated quantities of waste generated by each department, based upon the known variables within the departments. Average generation rates of total medical wastes in the hospitals were estimated to be 6.10 kg/patient/day (3.49 kg/bed/day), 5.62 kg/patient/day (3.14 kg/bed/day), and 4.02 kg/patient/day (1.88 kg/bed/day) for public, maternity, and private hospitals, respectively. For medical laboratories, rates were found to be in the range of 0.053-0.065 kg/test-day for governmental laboratories, and 0.034-0.102 kg/test-day for private laboratories. Although, based on the type of waste, domestic or general waste makes up a large proportion of the waste volume, so that if such waste is not mixed with patient derived waste, it can be easily handled. However, based on infections, it is important for healthcare staff to take precautions in handling sharps and pathological wastes, which comprises only about 26% of the total infectious wastes. Statistical analysis was conducted to develop mathematical models to aid in the prediction of waste quantities generated by the hospitals studied, or similar sites in the city that are not included in this study. In these models, the number of patients, number of beds, and hospital type were determined to be significant factors on waste generation. Such models provide decision makers with tools to better manage their medical waste, given the dynamic conditions of their healthcare facilities.     

Road soil retention of Pb leached from MSWI bottom ash

Municipal solid waste incinerator (MSWI) bottom ash may be used as a road construction material; it potentially contains however a sizable quantity of heavy metals, which under the effect of rainfall infiltration through the road structure can be leached out from the material and infiltrate into the underlying soil. An eco-compatibility assessment of MSWI bottom ash reuse in road construction applications necessitates examining the solubility and retention of heavy metals in road soils. This study is dedicated to Pb transfer, sorption and desorption (NEN 7341 standard test) within various soils. These experiments yield results relative to the interaction between road soils and an MSWI bottom ash leachate representative of a "fresh" product, with a high leaching potential. For the soils investigated, the sorption of lead varies between 90% and 99%. For an extraction at pH 7, Pb release is very low (<2%) for all soils, while at pH 4 leaching varies between 4% and 47%. This work shows that Pb may be fixed by some types of road soil in mostly stable forms.     

Composition of a Spanish sewage sludge and effects on treated soil and olive trees

The effects of sewage sludge (SL) application on the soil and olive trees (Olea europaea L., cultivar: cornicabra) were studied. The plants were grown in 8.5L pots and subjected to the following treatments: 0, 3.66, 7.32, 14.65, 29.3, 58.6, and 117.2 g SL kg(-1) soil that corresponded, respectively, to 0, 4, 8, 16, 32, 64 and 128 M g ha(-1) dry weight of sewage sludge. The application of SL at the rates 64 and 128 M g ha(-1) produced leaf tip burning and leaf drop after 120 days, although cumulative metal pollutant loading rates was below USEPA and European regulations. This toxicity symptom could be caused by the high sodium levels in the leaves (over 0.19%), which can damage olive tree development. The Na contents of leaves were well correlated with soil Na content (r2: 0.91). In general, SL rates significantly increased the level of Cr, Ni, Cu, Zn, Cd and Pb in soil and plants, but these concentrations were in the normal ranges, except for the Zn concentration, which was over the critical soil content for the rates of 32, 64, 128 Mg ha(-1) but not in the leaves. Results suggested that regulations about the utilization of sewage sludge on agricultural land should consider the limit values for salt, and not only metals, that may be added to soil, in order to minimize the risk of negative effects to plant health.     

Chloroethene dechlorination in acidic groundwater: Implications for combining fenton's treatment with natural attenuation

A sulfuric acid leak in 1988 at a chloroethene‐contaminated groundwater site at the Naval Air Station Pensacola has resulted in a long‐term record of the behavior of chloroethene contaminants at low pH and a unique opportunity to assess the potential impact of source area treatment technologies, which involve acidification of the groundwater environment (e.g., Fenton's‐based in situ chemical oxidation), on downgradient natural attenuation processes. The greater than 75 percent decrease in trichloroethene (TCE) concentrations and the shift in contaminant composition toward predominantly reduced daughter products (dichloroethene [DCE] and vinyl chloride [VC]) that were observed along a 30‐m groundwater flow path characterized by highly acidic conditions (pH = 3.5 ± 0.4) demonstrated that chloroethene reductive dechlorination can continue to be efficient under persistent acidic conditions. The detection of Dehalococcoides‐type bacteria within the sulfuric acid/chloroethene co‐contaminant plume was consistent with biotic chloroethene reductive dechlorination. Microcosm studies conducted with ¹⁴C‐TCE and ¹⁴C‐VC confirmed biotic reductive dechlorination in sediment collected from within the sulfuric acid/chloroethene co‐contaminant plume. Microcosms prepared with sediment from two other locations within the acid plume, however, demonstrated only a limited mineralization to ¹⁴CO₂ and ¹⁴CO, which was attributed to abiotic degradation because no significant differences were observed between experimental and autoclaved control treatments. These results indicated that biotic and abiotic mechanisms contributed to chloroethene attenuation in the acid plume at NAS Pensacola and that remediation techniques involving acidification of the groundwater environment (e.g., Fenton's‐based source area treatment) do not necessarily preclude efficient chloroethene degradation. © 2007 Wiley Periodicals, Inc.     

Use of Natural 35S to Trace Sulphate Cycling in Small Lakes,Flattops Wilderness Area,Colorado, U.S.A.

Measurements of the cosmogenically-produced ³⁵S, a radioisotope of sulphur (t_1/2 = 87 days), are reported for the Ned Wilson Lake watershed in Colorado. The watershed contains two small lakes and a flowing spring presumed to be representative of local ground water. The watershed is located in the Flattops Wilderness Area and the waters in the system have low alkalinity, making them sensitive to increases in acid and sulphate deposition. Time series of ³⁵S measurements were made during the summers of 1995 and 1996 (July–September) at all three sites. The system is dominated by melting snow and an initial concentration of 16–20 mBq L^-1 was estimated for snowmelt based on a series of snow samples collected in the Rocky Mountains. The two lakes had large initial ³⁵S concentrations in July, indicating that a large fraction of the lake water and sulphate was introduced by meltwater from that year's snowpack. In 1995 and 1996, ³⁵S concentrations decreased more rapidly than could be accounted for by decay, indicating that other processes were affecting ³⁵S concentrations. The most likely explanation is that exchange with sediments or the biota was removing ³⁵S from the lake and replacing it with older sulphate devoid of ³⁵S. In September of 1995 and 1996, ³⁵S concentrations increased, suggesting that atmospheric deposition is important in the sulphate flux of these lakes in late summer. Sulphur-35 concentrations in the spring water were highly variable but never higher than 3.6 mBq L^-1 and averaged 2 mBq L^-1. Using a simple mixing model, it was estimated that 75% of the spring water was derived from precipitation of previous years.     

CFD Prediction of Air Quality in the Area between Two City Vehicular Tunnels Considering Moving Cars

Concentration fields of different pollutants that spread outside two roadtunnels predicted with a CFD code will be presented. The solution domain represents the city area located between two tunnel outlets – tunnel Strahov and tunnel Mrazovka in Prague. The vicinity of both tunnels is a heavily built up area with tall buildings forming typical street canyons. The CFD modelling predicts the situation after the tunnel Mrazovka will be finished and traffic will increase considerably between both tunnels. Namely, an interest was given to the prediction of dispersion of emissions leaving both tunnel and the area touched by the traffic. For the CFD predictions, a method previously developed for moving vehicles was used. The method uses combination of Eulerian and Lagrangian approaches to moving objects and is capable of modeling different speeds and traffic rates of cars as well as traffic-induced turbulence. Influence of several meteorological parameters was studied, namely wind speed and direction and traffic parameters, like traffic rates and speed of cars. The method separates contributions from different sources to the total concentration field, namely from background, tunnel outlet and roadway. Results are presented in the form of horizontal and vertical concentration fields of NO_x.     

Methodological approach towards the definition of new storage conditions for inert wastes

In 1997, the French Ministry of Environment launched studies aiming to define a specific regulation concerning inert waste disposal in order to limit potential impact of such facilities on the environment by fixing minimum requirements. A model (chemical model/hydrodynamic model) was developed to determine dumping conditions. This model was then applied on two defined scenarios (landfill surface, effective rainfalls...) in order to study the sulphate concentrations in aquifer system immediately downstream from the storage facility. Results allow us to determine in which conditions the sulphates concentrations are compatibles with the potentially drinkable character of the groundwater. They more specifically concern the nature of the waste disposed of, the efficient rainfalls and the landfill area.     

Role of Amino Acids on <Emphasis Type="Italic">In Situ</Emphasis> Photografting of Jute Yarn with 3-(Trimethoxysilyl) Propylmethacrylate

To improve the mechanical performance of natural lignocellulosic jute yarn, grafting with [3-(trimethoxysilyl) propylmethacrylate] (TMSPM) monomer has been performed on in situ UV radiation and optimized the monomer concentration (30%) and irradiation time (30 min). Effect of various amino acids (1%) as additives in TMSPM with photografted jute yarn at optimized system has been studied. The polymer loading (PL) and tensile properties like tensile strength (TS) and elongation at break (Eb) of treated samples were enhanced by incorporation of amino acids and the highest properties (TS = 300% and Eb = 386%) achieved by the sample treated with l-Arginine (Arg) with 32.5% PL value. Weak acid like 3% acetic acid and inorganic acid like 1% sulfuric acid were also incorporated in the optimized system of TMSPM grafting and compared their effect on the tensile properties with amino acid treated samples. Water absorption and weathering resistance of treated and untreated samples were also performed and treated sample showed lesser water uptake as well as less weight loss and mechanical properties as compared to untreated samples.     

Carbonation of MSWI-bottom ash to decrease heavy metal leaching, in view of recycling

The 0.1-2 mm fraction of a MSWI-bottom ash cannot be used as granular construction material because leaching of Cu exceeds Flemish limit values. In addition, leaching of Ba, Mo and Sb exceeds informal limit values. Leaching characteristics thus need to be improved. Carbonation was the chosen treatment method and this was performed by placing samples in a CO2 chamber. The CO2 percentage and the temperature of the chamber atmosphere, as well as the initial humidity of the samples, were varied to optimize carbonation parameters. Metal leaching was tested with the EN 12457 extraction test. Carbonation decreased Cu leaching from 3.3 to 1.0 mg/kg, but not yet to below the official limit value of 0.5 mg/kg. Leaching of Mo and Sb remained fairly constant or even increased after carbonation, but their limit values are only informal. Ba leaching decreased to below the informal limit value. Carbonation also caused Cr leaching to increase, in some cases to above the official limit value. Of the tested parameters, a CO2 percentage of 10% and a carbonation temperature of 50 degrees C in the atmosphere, together with ash humidity between 13% and 25% appeared to give the best leaching results. The main carbonation reactions took place within the first 24 h.     

Infectious waste management in Japan: a revised regulation and a management process in medical institutions

In Japan, the waste management practice is carried out in accordance with the Waste Disposal Law of 1970. The first rule of infectious waste management was regulated in 1992, and infectious wastes are defined as the waste materials generated in medical institutions as a result of medical care or research which contain pathogens that have the potential to transmit infectious diseases. Revised criteria for infectious waste management were promulgated by the Ministry of Environment in 2004. Infectious waste materials are divided into three categories: the form of waste; the place of waste generation; the kind of infectious diseases. A reduction of infectious waste is expected. We introduce a summary of the revised regulation of infectious waste management in this article.