Healthcare waste generation and quantification in public health centres in Addis Ababa, Ethiopia.

BACKGROUND: Healthcare waste produced in healthcare activities entails higher risk of infection and injuries than municipal waste. In developing countries healthcare waste has not received much attention and has been disposed of together with municipal wastes. Modern method of disposal of healthcare waste have been introduced to most healthcare institutions mismanagement and increased in production in public health centres in Ethiopia is important issues. The aim of the study was to assess the type of healthcare waste generation and quantification in selected public health centres in Addis Ababa, Ethiopia. METHODS: An institution based cross-sectional study were conducted from January to February 2018. Fifteen health centres in Addis Ababa City Administration were selected for this study. Data were collected by using by different color plastic bags (Black plastic bags for non-hazardous wastes, Yellow plastic bags for hazardous wastes and Yellow safety box for needles and Red bags for pharmaceutical wastes and toxic wastes). The collected wastes were measured by weighing scale and were written to data entry sheet. To assure the data quality calibration of weighing scale was made by the standard weight every morning. EPI INFO TM7 and IBM SPSS were used for data entry, cleaning and analysis. RESULTS: The mean healthcare waste generation was 10.64+5.79Kg/day of which 37.26% (3.96+2.20Kg/day) was general waste and 62.74% (6.68+4.29) was hazardous waste from the studies health centres. Total hazardous waste; sharps, infectious, pathological and pharmaceutical wastes constitutes mean (±SD) 0.97 ±1.03, 3.23 ± 2.60, 2.17±1.92 and 0.25 ±0.34 kg/day respectively. Healthcare waste 29.93% and 0.32% were generated from delivery and post-natal case team and nutrition and growth monitoring case team respectively. The annual mean+ SD of healthcare waste generation rate per health centres were 3807.53+ 2109.84 Kg/year. CONCLUSION: The finding in this study showed there was an increased in hazardous healthcare waste in amount as compared to the WHO standard 85% non-hazardous waste and 10% hazardous waste and 5% toxic wastes. The healthcare waste management practices about segregation, collection, transportation and disposal at the source is crucial to decrease in quantity. Generally unselective handling and disposal of healthcare wastes is a concern.

Influence of chlorine on co-processing of hazardous wastes in brick kilns.

Brick kiln co-treatment is a novel industrial hazardous wastes (IHWs) utilization process. However, the effects of chlorine (Cl) in wastes on heavy metals (HMs) during this process are overlooked. This study investigated the stabilization/solidification (S/S) and volatilization, as well as long and short-term leaching, of HMs in Cl-containing bricks. The results indicated enhanced formations of stable mineral phases (NiFe2O4, Ni2SiO4, Cd3Al2Si3O12, CdSiO3, FeCr2O4, Cr2O3, CuFe2O4, and CuAl2O4) in bricks at a low sintering temperature (800 °C) due to the affinity between Cl and HMs. By comparing HM concentrations before and after sintering in bricks, the study observed that Cl's presence significantly elevated the volatilization rates for Cd and Cu by 30.8% and 14.2%, respectively. In contrast, the effect on volatilization for Ni and Cr was not significant. Additionally, utilizing the NEN 7375 method, the cumulative leaching rates of Ni, Cd, Cr, and Cu over a 64-day experiment under extremely acidic conditions were 0.22%, 7.18%, 0.01%, and 1.46%, respectively. Similarly, higher short-term leaching rates of Cd (4.03%) and Cu (5.73%) than those of Ni (0.94%) and Cr (0.08%) were observed. This finding might be attributed to the lower stability of the Cd and Cu solid phases under acidic environments compared to those of Ni and Cr. Surface wash-off, dissolution, and diffusion were the processes governing HM leaching from bricks. The 10-year projections revealed a minimal release of HMs during future extended leaching, implying the successful S/S of HMs. This study provides a reference for assessing the environmental impacts of brick kiln co-processing of Cl-containing IHWs.

Transformation behavior of heavy metal during Co-thermal treatment of hazardous waste incineration fly ash and slag/electroplating sludge.

In this study, the behavior of heavy metal transformation during the co-thermal treatment of hazardous waste incineration fly ash (HWIFA) and Fe-containing hazardous waste (including hazardous waste incineration bottom slag (HWIBS) and electroplating sludge (ES)) was investigated. The findings demonstrated that such a treatment effectively reduced the static leaching toxicity of Cr and Pb. Moreover, when the treatment temperature exceeded 1000 °C, the co-thermal treated sample exhibited low concentrations of dynamically leached Cr, Pb, and Zn, indicating that these heavy metals were successful detoxified. Thermodynamic analyses and phase transformation results suggested that the formation of spinel and the gradual disappearance of chromium dioxide in the presence of Fe-containing hazardous wastes contributed to the solidification of chromium. Additionally, the efficient detoxification of Pb and Zn was attributed to their volatilization and entry into the liquid phase during the co-thermal treatment process. Therefore, this study sets an excellent example of the co-thermal treatment of hazardous wastes and the control of heavy metal pollution during the treatment process.

Improving long-term operation performance of hazardous waste rotary kiln incineration facilities: An evaluation with DEA model.

Hazardous waste rotary kiln incineration, as the most effective and comprehensive technology to reduce and detoxify waste, generally faces problems such as low load rate and short continuous operating periods. However, there are few studies on the actual operation of such facilities and evaluation of their technical efficiency. Based on the 77-week time-series data of the case company, this study introduces in-depth key operating parameters and evaluates long-term technical efficiency through the data envelopment analysis (DEA) method. The results show that the continuous operating period of the rotary kiln incineration facility can reach more than half a year, with an average load rate of 91.7%. In the analysis of 9 input indicators, the amount of injected activated carbon could not be effectively evaluated due to the lack of relevant standards and online real-time monitoring of dioxins, which might become a weak link in the control of flue gas pollution. The average comprehensive technical efficiency of rotary kiln incineration facilities was 0.939, of which the average pure technical efficiency was 0.949 while the average scale efficiency was 0.989. With 33 of the 77 decision-making units being invalid, there is scope for improvement. The amount of incineration could be increased by 5.34%, and among the input variables, dosage of urea, calcium hydroxide and lye with a relatively high improvement ratio. Based on the results, targeted suggestions were proposed to advance the scientific and precise compatibility of hazardous waste, strengthen the control of dioxin emissions, and promote the intelligent control of the entire process.

Data-driven models applying in household hazardous waste: Amount prediction and classification in Shanghai.

Precisely predicting the amount of household hazardous waste (HHW) and classifying it intelligently is crucial for effective city management. Although data-driven models have the potential to address these problems, there have been few studies utilizing this approach for HHW prediction and classification due to the scarcity of available data. To address this, the current study employed the prophet model to forecast HHW quantities based on the Integration of Two Networks systems in Shanghai. HHW classification was performed using HVGGNet structures, which were based on VGG and transfer learning. To expedite the process of finding the optimal global learning rate, the method of cyclical learning rate was adopted, thus avoiding the need for repeated testing. Results showed that the average rate of HHW generation was 0.1 g/person/day, with the most significant waste categories being fluorescent lamps (30.6 %), paint barrels (26.1 %), medicine (26.2 %), battery (15.8 %), thermometer (0.03 %), and others (1.22 %). Recovering rare earth element (18.85 kg), Cd (3064.10 kg), Hg (15643.43 kg), Zn (14239.07 kg), Ag (11805.81 kg), Ni (4956.64 kg) and Li (1081.45 kg) from HHW can help avoid groundwater pollution, soil contamination and air pollution. HVGGNet-11 demonstrated 90.5 % precision and was deemed most suitable for HHW sorting. Furthermore, the prophet model predicted that HHW in Shanghai would increase from 794.43 t in 2020 to 2049.67 t in 2025.

Insight into the formation of polychlorinated dibenzo-p-dioxins and dibenzofurans in hazardous waste incineration and incinerators: Formation process and reduction strategy.

Incineration technology has been widely adopted to safely dispose of hazardous waste (HW). While the incineration process causes the formation of polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs). Due to its extreme toxicity, many scholars have been committed to determining the PCDD/F formation process and reducing emissions in incinerators. Previous studies ignored the impact of incineration and fluctuation of feeding materials on PCDD/F formation in hazardous waste incinerators (HWIs). In this study, differences in PCDD/F formation between HWIs and municipal solid waste incinerators (MSWIs) were pointed out. The incineration section in HWIs should be carefully considered. Laboratory experiments, conventional analysis and thermogravimetry experiments were conducted. An obvious disparity of PCDD/F formation between 12 kinds of HWs was found. Distillation residue was found with remarkably higher PCDD/F concentrations (11.57 ng/g). Except for the Cl content, aromatic rings and C-O bond organics were also found with high correlation coefficients with PCDD/F concentrations (>0.92). And PCDD/Fs were formed through a chlorination process and structure formation process. All of these are helpful to further understand the PCDD/F formation process during HW incineration, optimize the operation conditions in HWIs and reduce the emission pressure of PCDD/Fs in the future.

Transformer-based enhanced model for accurate prediction and comprehensive analysis of hazardous waste generation in Shanghai: Implications for sustainable waste management strategies.

The escalating generation of hazardous waste (HW) has become a pressing concern worldwide, straining waste management systems and posing significant health hazards. Addressing this challenge necessitates an accurate understanding of HW generation, which can be achieved through the application of advanced models. The Transformer model, known for its ability to capture complex nonlinear processes, proves invaluable in extracting essential features and making precise HW generation predictions. To enhance comprehension of the key factors influencing HW generation, visualization techniques such as SHapley Additive exPlanations (SHAP) provide insightful explanations. In this study, a novel approach combining classical deep learning algorithms with the Transformer model is proposed, yielding impressive results with an R2 value of 0.953 and an RMSE of 7.284 for HW prediction. Notably, among the five key fields considered-demographics, socio-economics, industrial production, environmental governance, and medical health-industrial production emerges as the primary contributor, accounting for over 50% of HW generation. Moreover, a high rate of industrial development is anticipated to further accelerate this process.

Immobilization of chromium ore processing residue by alkali-activated composite binders and leaching characteristics.

Chromium ore processing residue (COPR) is classified as hazardous solid waste because of the leachable Cr(VI). Cementitious materials are often used to solidify and stabilize heavy metals. However, most of them focus on the leaching concentration of particles after solidification and stabilization and lack research on leaching characteristics. This study investigated the leaching characteristics of heavy metals in three simulated environments (HJ557-2010, HJ/T299-2007, TCLP) after immobilizing COPR with composite binders. Industrial solid waste coal fly ash and lead-zinc smelting slag are used to prepare composite binders through alkali activation technology. Compressive strength, particle leaching toxicity, acid neutralization capability, and semi-dynamic leaching test are used to evaluate the performance of the solidified body. The solidified body can be applied to building materials or treated as general industrial waste. Heavy metals are mainly released from the matrix by surface washing at a low rate. The analysis results, including XRD, FTIR, and SEM-EDS, show that chemical binding and physical encapsulation are the main immobilizing mechanisms to realize the coordinated disposal of Zn and Cr(VI).

Review on distribution, fate, and management of potentially toxic elements in incinerated medical wastes.

Medical wastes include all solid and liquid wastes that are produced during the treatment, diagnosis, and immunisation of animals and humans. A significant proportion of medical waste is infectious, hazardous, radioactive, and contains potentially toxic elements (PTEs) (i.e., heavy metal (loids)). PTEs, including arsenic (As), cadmium (Cd), lead (Pb) and mercury (Hg), are mostly present in plastic, syringes, rubber, adhesive plaster, battery wastes of medical facilities in elemental form, as well as oxides, chlorides, and sulfates. Incineration and sterilisation are the most common technologies adopted for the safe management and disposal of medical wastes, which are primarily aimed at eliminating deadly pathogens. The ash materials derived from the incineration of hazardous medical wastes are generally disposed of in landfills after the solidification/stabilisation (S/S) process. In contrast, the ash materials derived from nonhazardous wastes are applied to the soil as a source of nutrients and soil amendment. The release of PTEs from medical waste ash material from landfill sites and soil application can result in ecotoxicity. The present study is a review paper that aims to critically review the dynamisms of PTEs in various environmental media after medical waste disposal, the environmental and health implications of their poor management, and the common misconceptions regarding medical waste.

A Comparative Analysis of Hazardous Medical Waste Management Compliance Before (2019) and During (2020) the COVID-19 Pandemic in Indonesia.

Background: As a producer of hazardous waste, hospitals have the responsibility to manage the waste they produce. Hospital non-compliance in managing hazardous waste can have a negative impact on the environment and public health, especially during the COVID-19 pandemic, when the amount of hazardous waste produced by healthcare facilities is increasing. To protect the environment and public health from the negative impact of hazardous medical waste, this study was conducted to determine the level of compliance of hazardous waste management in hospitals in Indonesia before and during the COVID-19 pandemic, from 2019 to 2020. Study design: Cross-sectional. Methods: This study was conducted at 343 hospitals in Indonesia using secondary data obtained from Sikelim (Medical Waste Management Information System), which is owned and operated by the Ministry of Health. The data have been analyzed using chi-square tests and logistic regressions of the determinant model. Results: There was an increase in the level of compliance of hazardous waste management in hospitals from 82% to 86% during the pandemic. Furthermore, the availability of environmental documents and environmental health units were determinant factors of hazardous waste management compliance by hospitals before the pandemic in 2019. The only factor in 2020 was the availability of environmental health units. Conclusions: Despite the good level of compliance, additional efforts are needed to increase the activities of the treatment of hazardous medical waste by hospitals, as before the pandemic (i.e., in a normal situation) only 8% of hospitals was able to independently manage hazardous medical waste using authorized incinerators, a percentage that was reduced to 6% during the pandemic.

Transformation of hazardous sacred incense sticks ash waste into less toxic product by sequential approach prior to their disposal into the water bodies.

Incense sticks ash is one of the most unexplored by-products generated at religious places and houses obtained after the combustion of incense sticks. Every year, tonnes of incense sticks ash is produced at religious places in India which are disposed of into the rivers and water bodies. The presence of heavy metals and high content of alkali metals challenges a potential threat to the living organism after the disposal in the river. The leaching of heavy metals and alkali metals may lead to water pollution. Besides this, incense sticks also have a high amount of calcium, silica, alumina, and ferrous along with traces of rutile and other oxides either in crystalline or amorphous phases. The incense sticks ash, heavy metals, and alkali metals can be extracted by water, mineral acids, and alkali. Ferrous can be extracted by magnetic separation, while calcium by HCl, alumina by sulfuric acid treatment, and silica by strong hydroxides like NaOH. The recovery of such elements by using acids and bases will eliminate their toxic heavy metals at the same time recovering major value-added minerals from it. Here, in the present research work, the effect on the elemental composition, morphology, crystallinity, and size of incense sticks ash particles was observed by extracting ferrous, followed by extraction of calcium by HCl and alumina by H2SO4 at 90-95 °C for 90 min. The final residue was treated with 4 M NaOH, in order to extract leachable silica at 90 °C for 90 min along with continuous stirring. The transformation of various minerals phases and microstructures of incense sticks ash (ISA) and other residues during ferrous, extraction, calcium, and alumina and silica extraction was studied using Fourier transform infrared (FTIR), dynamic light scattering (DLS), X-ray fluorescence (XRF), X-ray diffraction (XRD), field emission scanning electron microscopy (FESEM), and inductively coupled plasma-optical emission spectroscopy (ICP-OES). DLS was used for analyzing the size during the experiments while FTIR helped in the confirmation of the formation of new products during the treatments. From the various instrumental analyses, it was found that the toxic metals present in the initial incense sticks ash got eliminated. Besides this, the major alkali metals, i.e., Ca and Mg, got reduced during these successive treatments. Initially, there were mainly irregular shaped, micron-sized particles that were dominant in the incense sticks ash particles. Besides this, there were plenty of carbon particles left unburned during combustion. In the final residue, nanosized flowers shaped along with cuboidal micron-sized particles were dominant. present in If, such sequential techniques will be applied by the industries based on recycling of incense sticks ash, then not only the solid waste pollution will be reduced but also numerous value-added minerals like ferrous, silica, alumina calcium oxides and carbonates can be recovered from such waste. The value-added minerals could act as an economical and sustainable source of adsorbent for wastewater treatment in future.

How Should Regulations Help Health Care Organizations Manage Waste?

Health care waste is a global problem. While most health care waste is harmless, some of it is hazardous. The volume of hazardous waste generated worldwide is enormous, and its disposal can be environmentally damaging. This article discusses how such waste disposal is regulated and the problems that currently exist with waste disposal regulation. The article also offers possible national and international regulatory solutions.

Inhibition of PCDD/Fs in a full-scale hazardous waste incinerator by the quench tower coupled with inhibitors injection.

The control of polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs) from the flue gas in hazardous waste incinerators (HWIs) is an intractable problem. To figure out the formation mechanism of PCDD/Fs and reduce the emission, a field study was carried out in a full-scale HWI. Ca(OH)2 & (NH4)H2PO4 or CH4N2S & (NH4)H2PO4 were injected into the quench tower, and the detailed inhibition effect on PCDD/Fs formation by the inhibitors coupled with quench tower was studied. Gas and ash samples were collected to analyze PCDD/Fs. XPS, EDS characterization and Principal component analysis were adopted to further analyze the de novo and precursors synthesis. The PCDD/Fs emissions reduced from 0.135 ng I-TEQ/Nm3 to 0.062 or 0.025 ng I-TEQ/Nm3 after the injection of Ca(OH)2 & (NH4)H2PO4 or CH4N2S & (NH4)H2PO4, respectively. The quench tower was found mainly hindering de novo synthesis by reducing reaction time. CP-route was the dominant formation pathway of PCDD/Fs in quench tower ash. Ca(OH)2 & (NH4)H2PO4 effectively inhibit precursors synthesis and reduce proportions of organic chlorine from 4.11% to 2.86%. CH4N2S & (NH4)H2PO4 show good control effects on both de novo and precursors synthesis by reducing chlorine content and inhibiting metal-catalysts. Sulfur-containing inhibitors can cooperate well with the quench tower to inhibit PCDD/Fs formation and will be effective to reduce dioxins formation in high chlorine flue gas. The results pave the way for further industrial application of inhibition to reduce PCDD/Fs emissions in the HWIs flue gas.

Hazardous waste management system for Thailand's local administrative organization via route and location selection.

This study proposed a decision support system (DSS) for optimizing transportation routing and disposal hub location for Thailand's local administrative organizations' hazardous waste management. The first step is to choose the origin and destination, as well as to collect data for each route. Each route's decision criteria were based on traffic quality and risk measures from the perspective of users. An analytic hierarchy process (AHP) was used to compute effective weights for decision criteria. To achieve optimal routing, AHP weights were combined with a zero-one goal programming technique. The DSS operates systematically and successfully, taking into account both transportation risk and socioeconomic factors, and provides appropriate routes. Overall, this waste management system may provide useful information to decision-makers for prioritizing disposal site alternatives and implementing feasible waste management actions. The zero-one location design was then used to determine the best hub location. Based on two scenarios of six and fifteen CoG hubs, the results revealed that the best model for managing a case company's hazardous waste was to establish 15 hubs scattered throughout the country for collecting points and then transporting them to the waste disposal plant in Phitsanulok province. Locating the hub near sink points would reduce transportation costs and backhaul issues, reducing the environmental impact of GHG emissions and increasing system efficiency.Implications: The problem of waste pollution has become increasingly serious all over the world, particularly in developing countries that face significant pollution control challenges. End-of-life wastes cause economic, health, and environmental problems if they are not properly managed. As the world's population and living standards rise, so does the amount of waste produced. The environmental impact is significant, with massive amounts of waste generated each year with only basic or minimal treatment to mitigate its impact. As a result, there is an urgent need for a method that can precisely optimize transportation routing and disposal hub location for Thailand's local administrative organizations' hazardous waste management (LAOs). The proposed decision support system (DSS) may provide useful information to decision-makers in prioritizing disposal site alternatives and implementing feasible waste management actions.

Asbestos cement products and their impact on soil contamination in relation to various sources of anthropogenic and natural asbestos pollution.

The results of a quantitative analysis of asbestos content in the ground with varying degrees of concentration of this mineral as a result of natural phenomena such as rock weathering, contamination by the manufacture of asbestos and cement products, and the many years of use of "eternit roofs" are presented. Preliminary thermal treatment, soil grinding and sieving were used for the determinations, followed by electrostatic separation in order to obtain the concentration of asbestos in a smaller volume. It was used for microscopic preparations for the identification and planimetry of asbestos. A polarizing optical microscope was used in the qualitative and quantitative analysis. The levels of re-emission of asbestos dust into the air as a result of the exploitation of contaminated soil were estimated. Polluted land in industrially areas, at a distance of up to 1200 m, contains 0.0003 % to 0.02 % asbestos. The content of 0.01 % asbestos does not require remediation in the absence of soil use. It may cause <500 fibres/m3. Removing the facade of asbestos-cement panels from the building at a distance of up to 10 m resulted in concentration <0.007 % of free asbestos in the ground, and for used roofs <0.001 % from above the distance of 3 m. This means that land in the vicinity of buildings with facade or roofing made of a-c products can be safely exploited. The direct discharge of rainwater from the gutter into the ground, however, contaminates it well above this value and those places should be treated as hazardous waste due to the presence of asbestos fibres in unbound form, containing <9,8 %. Ultimately, the size of the threat depends on many factors and can be comparable with the pollution of industrial production.

Treating waste with waste: Metals recovery from electroplating sludge using spent cathode carbon combustion dust and copper refining slag.

Electroplating sludge is a hazardous waste and secondary metal resource because of its heavy metal content, which poses a huge threat to environmental safety if not properly disposed. An innovative process of oxidizing roasting followed by water leaching and smelting reduction to recover Cr, Cu, and Ni from electroplating sludge was proposed in this research, in which other two hazardous wastes of spent cathode carbon combustion dust and copper refining slag were co-treated. The NaF from spent cathode carbon combustion dust could convert Cr2O3 to Na2CrO4 using the oxidizing roasting process, resulting in a Cr recovery through the subsequent water leaching. The Na2CrO4 formation was promoted by CaO owing to it transferring the Cr spinel phase of FeCr2O4 [1+] to CaCrO4 and then to Na2CrO4. Under optimal conditions, the Cr recovery reached 97.1 %, and most 'F' was solidified into CaF2. In the next smelting reduction of the leaching residue, the Cu and Ni were recovered mainly in the form of Cu-Ni alloy. The addition of copper refining slag promoted their recovery, due to it modifying the molten slag and alloy structures and increasing the Cu-Ni alloy separation from molten slag. Some generated high-melting-point Cu-Ni-Fe and Ni-Fe alloys were converted to a Cu-Ni alloy with a low melting point in presence of Co from the copper refining slag, simultaneously with which the Fe was transferred out from Cu-Ni-Fe and Ni-Fe alloys and combined with Co to form a Fe-Co alloy. It increased Cu-Ni alloy droplets aggregation from molten slag and decreased their contents in the residual slag. Under optimized conditions, the Cu and Ni contents in the residual slag decreased to 0.37 and 0.06 wt%, respectively. Besides, the residual slag mainly composed of CaO, CaF2 and SiO2 could be used to prepare building materials rendering it harmless.

Electroplating sludge-derived metal and sulfur co-doping catalyst and its application in methanol production by CO2 catalytic hydrogenation.

Electroplating sludge is a hazardous waste and its recycling is a hot topic. Electroplating sludge usually contains plenty of transition metals and multi-hetero atoms, which are potential resources. For the first time, this work synthesized spinel catalyst from Zn- and Cr-containing electroplating sludges by a simple calcination method, and applied the obtained catalysts in CH3OH production by CO2 catalytic hydrogenation. The spinel was doped by various heteroatoms, including Fe, Mn, Cu, and even S. According to detailed characterizations, the metal doping increased the low-temperature conversion efficiency of CO2 but decreased the CH3OH selectivity at the same time. After a further doping of S, although CO2 conversion efficiency was slightly decreased, the selectivity of CH3OH was significantly increased. After all, the optimized catalyst attained a conversion efficiency of 8.6% (CO2) as well as a selectivity of 73.3% (CH3OH) at 250 °C and 3 MPa. As a result, above results realized high-value-added utilization of hazardous waste and producing valuable product at the same time, which was in favor of circular development.

Healthcare waste generation in hospitals per continent: a systematic review.

There are increasing worldwide concerns about the negative impacts of healthcare waste generated in hospitals, especially in low- and middle-income countries. Hazardous type of waste can contribute to adverse effects both in human populations and the environment because of its physical, chemical, and biological characteristics. A comprehensive view on increasing waste in the world has not been conducted to understand the breadth of the issue; thus, this paper sought to provide an analysis of hospitals' healthcare waste generation rate. Comparisons were made with Wilcoxon and Kruskal-Wallis tests for simple and multiple comparisons, to analyze nonparametric data, with post hoc by Nemenyi test. Median values indicated that hospital waste was the highest in North and South America (4.42, 1.64 kg/bed/day, respectively) and was almost nonexistent in Oceania (0.19 kg/bed/day), while the median rates for hazardous waste were the highest in Oceania (0.77 kg/bed/day). Africa was almost the lowest producer of waste in each category (0.19 and 0.39 kg/bed/day for hospital and hazardous waste, respectively). Over time, linear regression indicated that hazardous waste in Asia and Europe has increased, while in Oceania, the total waste also increased. Interestingly, in North America, it was observed a reduction in the generation for both total and hazardous waste. This information highlights the importance of understanding continent-specific characteristics and rates, which can be used to create a more individualized approach to addressing healthcare waste in the world.

Dioxin emission and distribution from cement kiln co-processing of hazardous solid waste.

Cement kiln collaborative disposal technology can not only dispose of hazardous waste but also provide energy for the cement industry. However, the addition of hazardous waste may promote the formation of dioxins in cement kilns. In this study, typical hazardous solid wastes, such as solidified fly ash, electroplating sludge, and industrial residue, were co-processed in a cement kiln with different feeding positions and different feeding amounts. The concentrations of dioxins in the flue gas, clinker, and precalciner furnace slag were investigated. The effect of adding mixed hazardous solid waste on the formation of dioxin was also studied. The results showed that the concentration of dioxin in the flue gas without added hazardous waste was 1.57 ng/m3, and the concentration varied from 1.03 to 6.49 ng/m3 after the addition of hazardous waste. In addition, the concentration of dioxin in the flue gas and solid samples increased substantially when the co-processing ratio doubled. The large amount of Cu in solidified fly ash promoted the formation of dioxins, while the higher S content in the electroplating sludge suppressed the formation of dioxins. Compared with the addition of single hazardous waste, the concentration of dioxin in precalciner furnace slag increases by about 300%. Furthermore, the distributions of isomers in the clinker and precalciner furnace slag were similar. 1,2,3,4,6,7,8-HpCDD and OCDD accounted for a large proportion of the mass concentration, and the contribution rate ranged from 48.7 to 82.0%. Most importantly, correlation analysis showed that the concentration of dioxin was closely related to the copper content, hazardous waste types and additive proportion, with correlation coefficients of 0.79, 0.83, and 0.89, respectively. This study provides a basis for exploring the high environmental benefits of disposing of hazardous solid waste by co-processing in cement kilns.

An all-in-one strategy for resource recovery and immobilization of arsenic from arsenic-bearing gypsum sludge.

Arsenic (As)-bearing gypsum sludge, one of the most prominent hazardous wastes, has created a myriad of critical problems in human health, waters, soils, and sediments at the global scale. Unfortunately, the reclamation and disposal of As-bearing gypsum sludge have been rarely investigated. This paper aims to explore a novel technology for simultaneous value-added utilization and harmless exploitation of As-bearing gypsum sludge. In the experiment, As-bearing gypsum sludge and anthracite were mixed, granulated, and then roasted in Ar atmosphere. Based on the thermodynamic analysis and experimental results, the As migration mechanism in the As-bearing gypsum sludge was determined during the roasting process. Under optimal conditions, 90% of As phase was volatilized and then recovered in the form of elemental As99.5, and it could act as a chemical product. In addition, As99.5 could be further processed into high-purity As and As2O3 using existing chlorination-rectification-reduction process and oxidation process, respectively, which can be widely used in the treatments of semiconductor material, pigment, and wood. Residual As primarily occurred as Fe-As compounds, but the leached As concentration in the toxicity characteristic leaching procedure was only 0.008 mg/L. Correspondingly, a new As immobilization method that generates Fe-As compounds (α-Fe and AsFe2) is first proposed and then verified, which may be widely used for simultaneous As-bearing solid wastes reduction and improved harmlessness. This paper is significant for development of the metallurgical, mining, acid, and thermal power industries, minimizing its environmental risk.