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Hospitals and the hazard communication standard.

The previous three articles in this four-part series introduced the need for hazardous waste management in hospitals, the regulatory background, insights for determining which hospital waste streams are hazardous or infectious, and practical aspects of hazardous waste management for hospitals. In this final article in the series, the author focuses on the requirements of the federal Hazard Communication Standard, its relationship with state and local "right to know" laws, and actions a hospital should take to institute a hazard communication program.

Accident Prevention↗

Managing biomedical waste in Ontario: a regional approach.

The lack of landfill space, public perceptions, the escalating costs of disposal, and other factors have created a controversial environment for the disposal of healthcare waste. In the province of Ontario, a proposal has been made that aims to make Ontario self-sufficient in its management of healthcare waste through the use of regional incineration facilities. This article examines this proposal as well as other available options for Ontario's healthcare facilities.

Evaluation Studies as Topic↗

[Waste water management in a health area: environmental hygiene in primary care].

BACKGROUND: Within the scope of the programmes to be developed by the primary health care parties, we consider it interesting to investigate the sewage management in our health area because of its impact on the population health and welfare and the main socioeconomic local activities: agriculture and tourism. METHOD: We carry out an epidemiological descriptive study: we review the most important structural and functional characteristics of the sewage depuration and collection in the municipality of S. Javier (Murcia). RESULTS: The evaluation of the collected data made it obvious that deficiencies exist in the collection system as well as in the sewage processing; both deficiencies were shown in some places of the locality and in particular periods of the year, with a consequent risk of environmental contamination and enteric diseases transmission among population and summer holidaymakers. CONCLUSIONS: A positive corrective action on the installations by the organisms responsible for the local sanitation as a response to these conclusions, which we informed due time, constitutes a good stimulant to go on investigating this question of such a great sanitary and general interest, which is almost unknown in medical literature.

Environmental Health↗

The effect of food waste disposers on municipal waste and wastewater management.

This paper examines the feasibility of introducing food waste disposers as a waste minimization option within urban waste management schemes, taking the Greater Beirut Area (GBA) as a case study. For this purpose, the operational and economic impacts of food disposers on the solid waste and wastewater streams are assessed. The integration of food waste disposers can reduce the total solid waste to be managed by 12 to 43% under market penetration ranging between 25 and 75%, respectively. While the increase in domestic water consumption (for food grinding) and corresponding increase in wastewater flow rates are relatively insignificant, wastewater loadings increased by 17 to 62% (BOD) and 1.9 to 7.1% (SS). The net economic benefit of introducing food disposers into the waste and wastewater management systems constitutes 7.2 to 44.0% of the existing solid waste management cost under the various scenarios examined. Concerns about increased sludge generation persist and its potential environmental and economic implications may differ with location and therefore area-specific characteristics must be taken into consideration when contemplating the adoption of a strategy to integrate food waste disposers in the waste-wastewater management system.

Cities↗

Recent developments in the application of risk analysis to waste technologies.

The European waste sector is undergoing a period of unprecedented change driven by business consolidation, new legislation and heightened public and government scrutiny. One feature is the transition of the sector towards a process industry with increased pre-treatment of wastes prior to the disposal of residues and the co-location of technologies at single sites, often also for resource recovery and residuals management. Waste technologies such as in-vessel composting, the thermal treatment of clinical waste, the stabilisation of hazardous wastes, biomass gasification, sludge combustion and the use of wastes as fuel, present operators and regulators with new challenges as to their safe and environmentally responsible operation. A second feature of recent change is an increased regulatory emphasis on public and ecosystem health and the need for assessments of risk to and from waste installations. Public confidence in waste management, secured in part through enforcement of the planning and permitting regimes and sound operational performance, is central to establishing the infrastructure of new waste technologies. Well-informed risk management plays a critical role. We discuss recent developments in risk analysis within the sector and the future needs of risk analysis that are required to respond to the new waste and resource management agenda.

Environmental Health↗

Health physics challenges involved with opening a "seventeen-inch" concrete waste vault.

This paper describes the various activities involved with opening a sealed legacy "Seventeen-inch" concrete vault and the health physics challenges and solutions employed. As part of a legacy waste stream that was removed from the former Hazardous Waste Management Facility at Brookhaven National Laboratory, the "Seventeen-inch" concrete vault labeled 1-95 was moved to the new Waste Management Facility for ultimate disposal. Because the vault contained 239Pu foils with a total activity in excess of the transuranic waste limits, the foils needed to be removed and repackaged for disposal. Conventional diamond wire saws could not be used because of facility constraints, so this project relied mainly on manual techniques. The planning and engineering controls put in place enabled personnel to open the vault and remove the waste while keeping dose as low as reasonably achievable.

Decontamination↗

A decision theory perspective on the disposal of high-level radioactive waste.

In this paper the problem of high-level nuclear waste disposal is viewed as a five-stage, cascaded decision problem. The first four of these decisions having essentially been made, the work of recent years has been focused on the fifth stage, which concerns specifics of the repository design. The probabilistic performance assessment (PPA) work is viewed as the outcome prediction for this stage, and the site characterization work as the information gathering option. This brief examination of the proposed Yucca Mountain repository through a decision analysis framework resulted in three conclusions: (1) A decision theory approach to the process of selecting and characterizing Yucca Mountain would enhance public understanding of the issues and solutions to high-level waste management; (2) engineered systems are an attractive alternative to offset uncertainties in the containment capability of the natural setting and should receive greater emphasis in the design of the repository; and (3) a strategy of "waste management" should be adopted, as opposed to "waste disposal," as it allows for incremental confirmation and confidence building of a permanent solution to the high-level waste problem.

Bayes Theorem↗

Effective pine bark composting with the dome aeration technology.

In South Africa garden refuse is primarily disposed of in domestic landfills. Due to the large quantities generated, any form of treatment would be beneficial for volume reduction, waste stabilization and resource recovery. Dome Aeration Technology (DAT) is an advanced process for aerobic biological degradation of garden refuse and general waste [Paar, S., Brummack, J., Gemende, B., 1999a. Advantages of dome aeration in mechanical-biological waste treatment. In: Proceedings of the 7th International Waste Management and Landfill Symposium, Cagliari, 4-8 October 1999; Paar, S., Brummack, J., Gemende, B., 1999b. Mechanical-biological waste stabilization by the dome aeration method. Environment Protection Engineering 25 (3/99). Mollekopf, N., Brummack, J., Paar, S., Vorster, K., 2002. Use of the Dome Aeration Technology for biochemical stabilization of waste prior to landfilling. In: Proceedings of the Wastecon 2002, Waste Congress and Exhibition, Durban, South Africa.]. It is a non-reactor open windrow composting process, with the main advantage being that the input material needs no periodic turning. A rotting time of only 3-4 months indicates the high efficiency. Additionally, the low capital/operational costs, low energy inputs and limited plant requirements provide potential for use in aerobic refuse stabilization. The innovation in the DAT process is the passive aeration achieved by thermally driven advection through open windrows caused by temperature differences between the degrading material and the outside environment. This paper investigates the application of Dome Aeration Technology to pine bark composting as part of an integrated waste management strategy. A full-scale field experiment was performed at the Bisasar Road Landfill Site in Durban to assess the influence of climate, waste composition and operational conditions on the process. A test windrow was constructed and measurements of temperature and airflow through the material were taken. The process monitoring revealed that prevailing climatic conditions in a subtropical location do not affect the high efficiency of this technology. However, the composition of the input material can be detrimental for production of high quality compost because of a lack of nitrate.

Conservation of Natural Resources↗

Disposal and degradation of pesticide waste.

Generation of pesticide waste is inevitable during every agricultural operation from storage to use and equipment cleanup. Large-scale pesticide manufacturers can afford sophisticated recovery, treatment, and cleanup techniques. Small-scale pesticide users, for example, single farms or small application businesses, struggle with both past waste problems, including contaminated soils, and disposal of unused product and equipment rinsewater. Many of these problems have arisen as a result of inability to properly handle spills during, equipment loading and rinsewater generated after application. Small-scale facilities also face continued problems of wastewater handling. Old, obsolete pesticide stocks are a vexing problem in numerous developing countries. Pesticide waste is characterized by high concentrations of a diversity of chemicals and associated adjuvants. Dissipation of chemicals at elevated concentrations is much slower than at lower concentrations, in part because of microbial toxicity and mass transfer limitations. High concentrations of pesticides may also move faster to lower soil depths, especially when pore water becomes saturated wish a compound. Thus, if pesticide waste is not properly disposed of, groundwater and surface water contamination become probable. The Waste Management Hierarchy developed as an Australian Code of Practice can serve as a guide for development of a sound waste management plan. In order of desirability, the course of actions include waste avoidance, waste reduction, waste recycling, waste treatment, and waste disposal. Proper management of pesticide stocks, including adequate storage conditions, good inventory practices, and regular turnover of products,. will contribute to waste avoidance and reduction over the long-term. Farmers can also choose to use registered materials that have the lowest recommended application rates or are applied in the least volume of water. Wastewater that is generated during equipment rinsing can be recycled by spraying it onto cropland, thus avoiding a soil contamination problem. If it is not feasible to spray out rinsates, then water treatment becomes necessary. However, for small waste generators, practical technology is still too experimental and not easily implemented on an individual farm or at a small application business. Nevertheless, research has been quite active in application of advanced oxidation processes (UV/ozonation: photoassisted Fenton reaction: photocatalysis using TiO2). Obsolete pesticide stocks in developing countries are being packaged and shipped to developed countries for incineration. Contaminated soil can also be incinerated, but this is not practical nor affordable for small waste generators. Chemical degradation of chlorinated hydrocarbon pesticides may be amenable to dechlorination by alkali polyethylene glycol treatment, but further study is needed to make the technique practical for small waste generators. Contaminated soils may be amenable to cleanup by one of several biological treatment methods, including composting, landfarming, and bioaugmentation/ biostimulation. Composting and landfarming (which may be used in combination with biostimulation) may be the most practical of the biological methods that is immediately ready for implementation by small-scale pesticide waste generators.

Agriculture↗

Hazardous combustion products from municipal waste incineration.

Metropolitan areas are experiencing waste management problems due to the considerable volume of municipal waste generated and the limited space for landfills. Some communities are including incineration as part of their waste management strategy. Incineration is the destruction of materials by the controlled application of heat and is a chemically complex process that leads to the de novo formation of a large number of compounds, many of which have known toxicologic properties. This article explores some of the de novo toxicants formed during incineration of municipal waste and hazardous waste.

Environmental Exposure↗

Options evaluated.

As part of the comprehensive project "Sustainable Health Care Waste Management in Gauteng" en elaborate environmental and financial feasibility study has been made for selected provincial healthcare waste management scenarios. Furthermore, the study assessed the health, safety and socioeconomic impacts of the scenarios qualitatively and comparison was made with the prevailing containerisation and treatment used currently in Gauteng Province. The findings of the feasibility study show that compared to today's system of predominantly using disposable carboard boxes that are incinerated in incinerators with no flue gas cleaning systems and limited control of the combustion process, significant reductions of the emissions to the atmosphere can be achieved by improving the emission standards for incinerators and/or introducing non-burn treatment technologies. Also, it is clearly demonstrated that introduction of safer and reusable containerisation has a significant environmental benefit while providing a better and more occupationally safe service at a similar or slightly reduced cost. Finally the feasibility study demonstrates that while the type and amounts of emissions from incinerators with flue gas cleaning devises and alternative non-burn treatment technologies are materially different in nature and type it is difficult to clearly determine which of the two types of treatment technologies is globally and overall the least damaging in environmental terms.

Disposable Equipment↗

RESEARCH: Motives as Predictors of the Public's Attitudes Toward Solid Waste Issues.

/ Surveys focusing on solid-waste-related issues, conducted over a period of several years, provided data from independent samples of residents of a Midwestern, USA, community. The collection of these data yielded useful information about the relationship between residents' recycling motives and their attitudes toward solid waste management in light of several changes in the solid waste infrastructure of the community over that time. The initial survey assessed baseline beliefs and attitudes, while later surveys were conducted after the implementation of a community educational program and a curbside recycling program. The findings indicated that for recyclers and nonrecyclers, different motives predicted endorsement of solid waste programs and policies. Although a similar percentage of recyclers and nonrecyclers were in support of various proposed programs and policies, concern for the environment was found to be positively related to nonrecyclers' support of proposed programs, particularly before these programs were implemented. Prior to program implementation, motives other than environmental altruism were found to be related to recyclers' support of the programs. Additional findings support the idea that educational programs and increased accessibility to recycling opportunities affect the relationship between people's attitudes toward solid waste management and their recycling motives.

Journal Article↗

Risk management in waste water treatment.

With the continuous restructuring of the water market due to liberalisation, privatisation and internationalisation processes, the requirements on waste water disposal companies have grown. Increasing competition requires a target-oriented and clearly structured procedure. At the same time it is necessary to meet the environment-relevant legal requirements and to design the processes to be environment-oriented. The implementation of risk management and the integration of such a management instrument in an existing system in addition to the use of modern technologies and procedures can help to make the operation of the waste water treatment safer and consequently strengthen market position. The risk management process consists of three phases, risk identification, risk analysis/risk assessment and risk handling, which are based on each other, as well as of the risk managing. To achieve an identification of the risks as complete as possible, a subdivision of the kind of risks (e.g. legal, financial, market, operational) is suggested. One possibility to assess risks is the portfolio method which offers clear representation. It allows a division of the risks into classes showing which areas need handling. The determination of the appropriate measures to handle a risk (e.g. avoidance, reduction, shift) is included in the concluding third phase. Different strategies can be applied here. On the one hand, the cause-oriented strategy, aiming at preventive measures which aim to reduce the probability of occurrence of a risk (e.g. creation of redundancy, systems with low susceptibility to malfunction). On the other hand, the effect-oriented strategy, aiming to minimise the level of damage in case of an undesired occurrence (e.g. use of alarm systems, insurance cover).

Database Management Systems↗

Results of a Program to Control Phosphorus Discharges from Dairy Operations in South-Central Florida, USA

During 1987-1992, a mandatory program to control phosphorus discharges was implemented at dairy operations located to the north of Lake Okeechobee, Florida, USA. Thirty of 48 dairies participated in this program and implemented best management practices (BMPs), which included the construction of intensive animal waste management systems. Eighteen dairies closed their milk-producing operations under a government-funded buyout program. In this paper, we compare trends in runoff total phosphorus (TP) concentrations among the dairies that remained active and implemented BMPs. A central feature of the dairy waste management system is the high intensity area (HIA), defined as the milking barn and adjacent vegetation-free land, encircled by a drainage ditch and dike. Animal waste from the HIA is diverted into anaerobic lagoons and storage ponds, from which water is periodically removed and used for irrigation of field crops. The impacts of BMP construction on runoff TP concentrations were immediate and, in most cases, dramatic. Average TP concentrations declined significantly (P<0.001), from 9.0 to 1.2 mg TP liter-1 at dairies in one basin (Lower Kissimmee River), and from 2.6 to 1.0 mg TP liter-1 in another (Taylor Creek/Nubbin Slough). Some sites experienced greater declines in TP than others. To elucidate possible causes for the difference in response, a multivariate statistical model was utilized. Independent variables included soil pH, soil drainage characteristics, spodic horizon depth, and the areas of different BMP components (pasture, HIA, spray fields). The analysis significantly separated dairies with the highest and lowest runoff TP concentrations. Lowest TP occurred at dairies having particular soil characteristic (shallow spodic horizon) and certain BMP features (large HIA and small heard pastures).

Journal Article↗

A GIS based transportation model for solid waste disposal--a case study on Asansol municipality.

Uncontrolled growth of the urban population in developing countries in recent years has made solid waste management an important issue. Very often, a substantial amount of total expenditures is spent on the collection of solid waste by city authorities. Optimization of the routing system for collection and transport of solid waste thus constitutes an important component of an effective solid waste management system. This paper describes an attempt to design and develop an appropriate storage, collection and disposal plan for the Asansol Municipality Corporation (AMC) of West Bengal State (India). A GIS optimal routing model is proposed to determine the minimum cost/distance efficient collection paths for transporting the solid wastes to the landfill. The model uses information on population density, waste generation capacity, road network and the types of road, storage bins and collection vehicles, etc. The proposed model can be used as a decision support tool by municipal authorities for efficient management of the daily operations for transporting solid wastes, load balancing within vehicles, managing fuel consumption and generating work schedules for the workers and vehicles. The total cost of the proposed collection systems is estimated to be around 80 million rupees for the fixed cost of storage bins, collection vehicles and a sanitary landfill and around 8.4 million rupees for the annual operating cost of crews, vehicles and landfill maintenance. A substantial amount (25 million rupees/yr) is currently being spent by AMC on waste collection alone without any proper storage/collection system and sanitary landfill. Over a projected period of 15 yr, the overall savings is thus very significant.

Costs and Cost Analysis↗

New directions in managing hazardous wastes from an industry perspective.

In past decades waste was left to the lowest level of staff to dispose of at the lowest cost. Today, business managers in leading companies consider waste to be part of their responsibility. There is money to be made by eliminating waste problems. Leading companies are moving to the top of the waste disposal hierarchy and eliminating waste for themselves and their customers.

Hazardous Waste↗

Identification and characterization of location decision factors for relocating dairy farms.

A survey was conducted to determine the importance of various location factors during the site selection process for relocating dairy farms. The objectives were to identify the importance of location decision factors (LDF) and characterize how importance differs among respondents with different demographic characteristics. Information was collected from sampled populations of Grade A milk producers in the top 35 milk-producing states in the United States and from U.S. agribusiness professionals using a mailed questionnaire. Location decision factors (n = 110) were rated on importance using a numerical scale of 0 to 10, where 0 = not important and 10 = critically important. Demographic data were collected from each respondent. Of 906 respondents, 72.4% identified their primary occupation as dairy producer. The five overall most important LDF were 1) availability of fresh water supplies (9.16 +/- 0.05); 2) availability of land for waste management (8.94 +/- 0.05); 3) average mailbox price of milk (8.79 +/- 0.05); 4) quality of fresh water supply (8.41 +/- 0.06); and 5) complexity of laws governing waste management (8.35 +/- 0.06). Factors pertaining to dairy production activities, such as cost of feeds and milk handling, were prevalent among those LDF in the upper quartile of importance. Region and herd size had significant effects on the overall importance of LDF. The relative importance of factors differed between western and eastern regions of the United States. Observed differences in importance of LDF among subclasses of respondents suggest that characteristics of the geographic regions evaluated and dairy production activities at various scales affect perceived importance of certain LDF.

Adult↗