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PubMed2004

Medical wastes characterisation in healthcare institutions in Mauritius.

This study was initiated to characterize solid and liquid wastes generated in healthcare institutions and to provide a framework for the safe management of these wastes. The project was carried at three major medical institutions, namely, the Jeetoo Hospital, the Sir Seewoosagur Ramgoolam National (SSRN) Hospital and the Clinic Mauricienne. A waste audit carried out at these sites revealed that approximately 10% of solid wastes was hazardous in nature, consisting mainly of infectious, pathological and chemical wastes. The average amount of hazardous wastes per patient per day was found to be 0.072 kg at Jeetoo hospital, 0.091 kg at SSRN hospital and 0.179 kg at the clinic. The amount of hazardous wastes generated as a function of the number of occupied beds was found to follow a relationship of type y=0.0006x-0.19, where y was the amount of hazardous wastes generated per bed per day and x was the number of occupied beds. The waste quantifying process also revealed that at SSRN Hospital, 0.654 m(3) of water was being consumed per patient per day and the amount of wastewater produced was 500 m(3)/day. Further analysis revealed that the wastewater was polluting with chemical oxygen demand (COD), biological oxygen demand (BOD(5)), total suspended solids (TSS) and coliform content well above permissible limits.

Hazardous Waste↗
PubMed2005

Cement-based materials as containment systems for ash from hospital waste incineration.

Waste generation has increased considerably worldwide in the last decades. As a consequence, incineration became an alternative for reducing waste volume, leading to the generation of ash as a new type of waste. The new cement-ash composite systems have been tested for future applications in building materials. Having in mind the previous data and scientific reports, the objective of the present study is oriented to evaluate the additions of hospital waste ash in cement matrices to be potentially used as construction elements. This involved the assessment of the effect of the additions (different proportions of ash and metal-spiked ash) on the physico-mechanical properties of the building materials and the leachability of metals. The experiences show the feasibility of including hospital waste ashes in masonry blocks or other similar products.

Construction Materials↗
PubMed2006

Development and application of a resazurin-based biomass activity test for activated sludge plant management.

A rapid, robust and cost-effective method of assaying the metabolic activity of the biomass of activated sludge plants would be a valuable process control tool in the wastewater treatment industry. We have developed and optimised a simple colorimetric test protocol, based on the redox dye resazurin, in which levels of reduction of the dye are proportional to cell biomass and respiration rate in both freshly sampled municipal sludges and in a surrogate activated sludge culture, Polytox. The method has been used to assess the impact of trade wastes on the activities of two municipal activated sludge populations of differing characteristics.

Biodegradation, Environmental↗
PubMed2006

Phosphate and potassium recovery from source separated urine through struvite precipitation.

Phosphate can be recovered as struvite or apatite in fluidised bed reactors. Urine has a much higher phosphate concentration than sludge reject water, allowing simpler (and less expensive) process for precipitation of phosphates. A stirred tank reactor with a special compartment for liquid solid separation was used to precipitate struvite from urine. Magnesium ammonium phosphate as well as potassium magnesium phosphate are two forms of struvite that were successfully precipitated. Liquid/solid separation was very effective, but the compaction of struvite was rather poor in the case of potassium struvite. Crystals did not form clusters and maintained the typical orthorhombic structure. Ammonium struvite had slightly lower effluent phosphate concentrations, but an average of 95% of influent phosphate was removed regardless of ammonium or potassium struvite precipitation. Fluid mechanics is believed to be important and should inform further work.

Chemical Precipitation↗
PubMed2003

Environmental accountability in perioperative settings.

Global environmental problems are connected to patient care issues. The amount and toxicity of medical waste have increased in recent decades. Certain medical products contribute significantly to pollution and contamination of the food chain with persistent, bioaccumulative toxins, including mercury and dioxins. Perioperative nurses need to understand how best to segregate waste and take advantage of opportunities for reuse and recycling. There are many ways nurses can contribute to pollution prevention in health care, some of which are detailed in this article.

Conservation of Natural Resources↗
PubMedDate not supplied

PAH and soot emissions from burning components of medical waste: examination/surgical gloves and cotton pads.

This is a laboratory investigation on the emissions from batch combustion of representative infectious ("red bag") medical waste components, such as medical examination latex gloves and sterile cotton pads. Plastics and cloth account for the majority of the red bag wastes by mass and, certainly, by volume. An electrically heated, horizontal muffle furnace was used for batch combustion of small quantities of shredded fuels (0.5-1.5 g) at a gas temperature of approximately 1000 degrees C. The residence time of the post-combustion gases in the furnace was approximately 1 s. At the exit of the furnace, the following emissions were measured: CO, CO2, NOx, particulates and polynuclear aromatic compounds (PACs). The first three gaseous emissions were measured with continuous gas analyzers. Soot and PAC emissions were simultaneously measured by passing the furnace effluent through a filter (to collect condensed-phase PACs) and a bed of XAD-4 adsorbent (to capture gaseous-phase PACs). Analysis involved soxhlet extraction, followed by gas chromatography-mass spectrometry (GC-MS). Results were contrasted with previously measured emissions from batch combustion of pulverized coal and tire-derived fuel (TDF) under similar conditions. Results showed that the particulate soot) and cumulative PAC emissions from batch combustion of latex gloves were more than an order of magnitude higher than those from cotton pads. The following values are indicative of the relative trends (but not necessarily absolute values) in emission yields: 26% of the mass of the latex was converted to soot, 11% of which was condensed PAC. Only 2% of the mass of cotton pads was converted to soot, and only 3% of the weight of that soot was condensed PAC. The PAC yields from latex were comparable to those from TDF. The PAC yields from cotton were higher than those from coal. A notable exception to this trend was that the three-ring gas-phase PAC yields from cotton were more significant than those from latex. Emission yields of CO and CO2 from batch combustion of cotton were, respectively, comparable and higher than those from latex, despite the fact that the carbon content of cotton was half that of latex. This is indicative of the more effective combustion of cotton. Nearly all of the mass of carbon of cotton gasified to CO and CO2 while only small fractions of the carbon in latex were converted to CO2 and CO (20% and 10%, respectively). Yields of NOx from batch combustions of latex and cotton accounted for 15% and 12%, respectively, of the mass of fuel nitrogen indicating that more fuel nitrogen was converted to NOx in the former case, possibly due to higher flame temperatures. No SO2 emissions were detected, indicating that during the fuel-rich combustion of latex, its sulfur content was converted to other compounds (such as H2S) or remained in the soot.

Carbon↗
PubMed2003

Effect of chlorine content in feeding wastes of incineration on the emission of polychlorinated dibenzo-p-dioxins/dibenzofurans.

This study attempts to clarify the effects of chlorine content in waste on the formation mechanisms of polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs) in full scale incinerators by proposing and using the principal component analysis (PCA) to compare the congener profiles of PCDD/Fs in the stack flue gases of 17 emission sources, including incinerators and vehicles. Four incinerators, among these 17 emission sources, were sampled and analyzed in this study, and the data for the other 13 emission sources were selected from previous studies. These 17 emission sources can be classified into four categories, including medical waste incinerators (MWIs, H1-H5), municipal solid waste incinerators (MSWIs, M1-M8), vehicle fuel combustion (unleaded gas-fueled vehicles, UGFV; diesel-fueled vehicles, DFV, n = 2) and polyvinylchloride (PVC) facility vent combustors (PVC1 and PVC2, n = 2). PCA was conducted for these emission sources with the fractions of 17 2,3,7,8-congeners in the stack flue gases as variables to clarify the effect of chlorine content in feeding wastes on the emission of PCDD/Fs. From the results of PCA, we extrapolated that the threshold value of the chlorine content was at 0.8-1.1%, and the formation mechanisms of PCDD/Fs are influenced first by whether the chlorine content in the feeding waste is over or below the threshold value then by other factors, which furnaces or APCDs represent. When the chlorine level in the waste is below the threshold value at 0.8-1.1%, the formation of PCDDs dominates, probably because the chlorine is used to chlorinate the non-substituted phenol to produce chlorophenols, which are important precursors for PCDDs. rather than chlorinate the dibenzofuran. While the chlorine level in the waste exceeds this threshold (0.8-1.1%), the rates of formation of PCDFs increase faster than those of PCDDs, probably because the chlorine content in the waste contributes to the deterioration of combustion conditions, and many products of incomplete combustion (PICs) like PAHs, will grow to a substantial level. When PCDD/Fs are formed from PAHs, the formation rates of PCDFs are higher than those of PCDDs.

Air Pollutants↗
PubMed2001

Particle size analysis of amalgam powder and handpiece generated specimens.

OBJECTIVES: The increasing interest in the elimination of amalgam particles from the dental waste (DW) stream, requires efficient devices to remove these particles. The major objective of this project was to perform a comparative evaluation of five basic methods of particle size analysis in terms of the instrument's ability to quantify the size distribution of the various components within the DW stream. METHODS: The analytical techniques chosen were image analysis via scanning electron microscopy, standard wire mesh sieves, X-ray sedigraphy, laser diffraction, and electrozone analysis. The DW particle stream components were represented by amalgam powders and handpiece/diamond bur generated specimens of enamel; dentin, whole tooth, and condensed amalgam. RESULTS: Each analytical method quantified the examined DW particle stream components. However, X-ray sedigraphy, electrozone, and laser diffraction particle analyses provided similar results for determining particle distributions of DW samples. These three methods were able to more clearly quantify the properties of the examined powder and condensed amalgam samples. Furthermore, these methods indicated that a significant fraction of the DW stream contains particles less than 20 microm. SIGNIFICANCE: The findings of this study indicated that the electrozone method is likely to be the most effective technique for quantifying the particle size distribution in the DW particle stream. This method required a relative small volume of sample, was not affected by density, shape factors or optical properties, and measured a sufficient number of particles to provide a reliable representation of the particle size distribution curve.

Dental Amalgam↗
PubMed2002

Medical waste.

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Environmental Pollution↗
PubMed2003

Solar disinfection of infectious biomedical waste: a new approach for developing countries.

Poor developing countries cannot afford expensive technologies such as incineration for management of infectious biomedical waste. We assessed solar heating as an alternative technology. We immersed simulated infectious waste with added challenge bacteria in water in a box-type solar cooker, which was left in the sun for 6 h. In 24 sets of observations, the amount of viable bacteria was reduced by about 7 log. We also tested infectious medical waste with a heavy load of bacteria (10(8)-10(9)/g) from our hospital's burn unit for solar heat disinfection in 20 experiments. Our results showed a similar 7 log reduction in the amount of viable bacteria. Solar heating thus seems to be a cheap method to disinfect infectious medical waste in less economically developed countries.

Developing Countries↗
PubMed2003

Cooking the waste.

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Developing Countries↗