
Dioxin Emission Factors for the Incineration of Different Medical Waste Types
Previous research works showed that to protect public health, hospital incinerators should be provided with equipment to reduce atmospheric emissions. Most hospital incinerators do not possess such equipment, so efficient methodologies should be developed to evaluate the safety of incineration procedures. Emission factors can be used for an easy estimation of the parameters defined in legislation. Nevertheless, the actual knowledge is very scarce, mainly because previously published emission factors do not include enough information about the incinerated waste types and the respective proportion in incinerated mixture. The existence of different waste classifications also reduces the usefulness of previously published results. This study reports the first dioxin emission factors estimated for the incineration of medical waste, segregated in different types according to the classification of the Portuguese legislation. The main purpose was to evaluate the influence of waste type on emission factors, assessing how useful they are if not associated to the composition of the incinerated mixture. The study also allowed analyzing the correspondence between different waste classifications that are being used, comparing the estimated emission factors with the sole results previously published for specific waste types but segregated according to a different classification. The influence of the incinerated waste type and segregation practices on the concentration and amount of emitted dioxin was assessed, as well as the influence of segregation practices on the amount of wastes that must be incinerated. To estimate eventual hazards for human health, dioxin concentrations in combustion gas flow were compared with the respective legal limits.
Solid medical waste: a cross sectional study of household disposal practices and reported harm in Southern Ghana
BackgroundSolid medical waste (SMW) in households is perceived to pose minimal risks to the public compared to SMW generated from healthcare facilities. While waste from healthcare facilities is subject to recommended safety measures to minimize risks to human health and the environment, similar waste in households is often untreated and co-mingled with household waste which ends up in landfills and open dumps in many African countries. In Ghana, the management of this potentially hazardous waste stream at household and community level has not been widely reported. The objective of this study was to investigate household disposal practices and harm resulting from SMW generated in households and the community.MethodsA cross-sectional questionnaire survey of 600 households was undertaken in Ga South Municipal Assembly in Accra, Ghana from mid-April to June, 2014. Factors investigated included socio-demographic characteristics, medication related practices, the belief that one is at risk of diseases associated with SMW, SMW disposal practices and reported harm associated with SMW at home and in the community.ResultsEighty percent and 89% of respondents discarded unwanted medicines and sharps in household refuse bins respectively. A corresponding 23% and 35% of respondents discarded these items without a container. Harm from SMW in the household and in the community was reported by 5% and 3% of respondents respectively. Persons who believed they were at risk of diseases associated with SMW were nearly three times more likely to report harm in the household (OR 2.75, 95%CI 1.15–6.54).ConclusionThe belief that one can be harmed by diseases associated with SMW influenced reporting rates in the study area. Disposal practices suggest the presence of unwanted medicines and sharps in the household waste stream conferring on it hazardous properties. Given the low rates of harm reported, elimination of preventable harm might justify community intervention.
Technologies for Environmental Cleanup: Toxic and Hazardous Waste Management
This is the second in a series of EUROCOURSES conducted under the title, “Technologies for Environmental Cleanup.” To date, the series consist of the following Courses: 
 
 
1992: Soils and Groundwater 
 
 
1993: Toxic and Hazardous Waste Management 
 
 
 
The 1993 Course focuses on recent technological developments in the United States and Europe in the areas of waste management policies and regulations, characterization and monitoring of waste, waste minimization and recycling strategies, thermal treatment technologies, photolytic degradation processes, bioremediation processes, medical waste treatment, waste stabilization processes, catalytic organic destruction technologies, risk analyses, and data bases and information networks. It is intended that this Course will serve as a resource of state-of-the-art technologies and methodologies for the environmental protection manager involved in decisions concerning the management of toxic and hazardous waste.