A multi-criteria assessment of scenarios on thermal processing of infectious hospital wastes: A case study for Central Macedonia

Karagiannidis, A.; Papageorgiou, Asterios; Perkoulidis, G.; Sanida, G.; Samaras, P.

doi:10.1016/j.wasman.2009.08.015

Cited by 96 publications

(75 citation statements)

References 10 publications

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“…Thus, IHCW management is a particularly high priority environmental concern, because inappropriate management of this type of waste may cause damage to human through injury by sharp instruments, infectious diseases such as HIV infection and hepatitis transmitted to humans due to proliferation of micro-organisms, environmental pollution and as well as contamination of ground water (Jang et al, 2006;Marinković et al, 2008;Yong et al, 2009;Graikos et al, 2010;Ferreira and Teixeira, 2010;Dursun et al, 2011 HCW management is one of component reflecting the ability of hospital to provide a good standard of care . Hospitals, particularly in developing countries, usually face difficulties in monitoring HCW management in a manner to avoid wrong practices, like inappropriate HCW sorting or disposing IHCW untreated and mixed with municipal waste in landfills (Tsakona et al, 2007;Diaz et al, 2008;Karagiannidis et al, 2010;Ferreira and Teixeira, 2010). The management of HCW requires source-separation of the hazardous fraction and sorting of this into infectious and toxic sub fractions (Graikos et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

Health Care Waste generation rates and patterns: The case of Lebanon

et al. 2015

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The objective of this study is to analyze Infectious Health Care Waste generation rates and patterns in Lebanon. Therefore, the quantities generated during five years by 57 hospitals from a total of 163 in the country have been analyzed. The seasonal evolution of Infectious Health Care Waste production and the evolution of the evaluation of the trends over years have been studied. Besides, the generation per capita have been estimated and compared to other countries. The variance between categories and the correlation between number of beds and Infectious Health Care Waste generation have been analyzed. The obtained results showed that the large private hospitals (over 200 beds) are characterized by their high generation rate: an average of 2.45kg per occupied bed(-1)day(-1), whereas the average generation rate for other categories is 0.94kg per occupied bed(-1)day(-1). The weighted mean is 1.14 per occupied kgbed(-1)day(-1). Small public hospitals (i.e. less than 100 beds) have the smallest standard deviation: 0.13, whereas large private hospitals (i.e. over than 200 beds) have the highest standard deviation: 0.40. Infectious Health Care Waste generation has been estimated to 1.42kg/capita/year. The correlation between the numbers of hospitals beds in hospitals and the generation rate per bed is weak. The correlation between Infectious Health Care Waste generation per day and beds number is stronger. The total quantity produced by hospitals has increased over the five past years. These results suggest that the quantities of medical waste are not well controlled, and that hospitals have a defective monitoring management system of their waste. Annual peaks are observed in June, July, and December. Thus, this study, for the first time in Lebanon, has provided information on the infectious waste generation, allowing benchmarking between hospitals and between countries.

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Section: Introductionmentioning

confidence: 99%

Health Care Waste generation rates and patterns: The case of Lebanon

et al. 2015

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“…Quantitative information for technology comparison was used, based on relevant literature sources when available (e.g., Zhao et al, 2009;Ozkan, 2013;Karagiannidis et al, 2010;Tudor et al, 2009). The author's judgment was used when specific information was partially available in the literature.…”

Section: Resultsmentioning

confidence: 99%

“…The method was developed by Saaty (1980) and has been applied to waste management applications, including evaluation of treatment technologies or companies (Hsu et al, 2008;Karagiannidis et al, 2010;Ho, 2011;Achillas et al, 2013). The AHP software Expert Choice 2000, version 2 (Expert Choice Inc., Pittsburgh, PA), was used for the analysis.…”

Section: Analytic Hierarchy Processmentioning

confidence: 99%

“…Some key factors to consider for technology selection include loading capacity, waste type, microbial inactivation, environmental emissions and residues, compliance with regulations, size of the system and space requirements, reduction of waste mass and volume, degree of automation, technical reliability, health and safety considerations, and cost (HCWH, 2001). Multicriteria assessment methods have been used to select the most appropriate company or treatment technology for infectious medical waste (e.g., Karagiannidis et al, 2010;Dursun et al, 2011;Ho, 2011;Ozkan, 2013), which is a subcategory of HMW. Evaluated technologies included steam disinfection, microwave disinfection, incineration, and sanitary landfilling.…”

Section: Introductionmentioning

confidence: 99%

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Technology selection for infectious medical waste treatment using the analytic hierarchy process

Voudrias

2016

Journal of the Air & Waste Management Association

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The overall objective of this paper was to evaluate five different technologies used for infectious medical waste treatment and select the optimum one by means of multicriteria analysis. Steam disinfection was selected as the optimum treatment technology, among others using incineration, microwave disinfection, chemical disinfection with sodium hypochlorite, and reverse polymerization with microwaves. The evaluation was based on four groups of criteria, specifically, environmental, economic, technical, and social criteria, using the analytic hierarchy process. Selection among four commercial systems using steam disinfection was not possible, because it required additional site-specific criteria, e.g., loading capacity and requirements of local regulations.Implications: The paper can help health care facilities to select the system for infectious waste treatment that best fits their needs. It was concluded that steam disinfection was the optimum technology, using environmental, economic, technical, and social criteria.PAPER HISTORY

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“…A lot of studies have been carried out in different countries and also Iran about characterization, regulation, management and treatment of medical waste [4,5,7,8,11,14,15,21-25]. Also some of studies have been carried out in comparison of on-site and offsite (central) facilities and determining their advantages and disadvantages for medical waste treatment [17,26-28]. Nevertheless, the selection between on-site and off-site methods for treatment location of medical waste is a controversial subject especially in Iran.…”

Section: Introductionmentioning

confidence: 99%

On-site or off-site treatment of medical waste: a challenge

Taghipour

Mohammadyarei

Jafarabadi

et al. 2014

J Environ Health Sci Engineer

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Treating hazardous-infectious medical waste can be carried out on-site or off-site of health-care establishments. Nevertheless, the selection between on-site and off-site locations for treating medical waste sometimes is a controversial subject. Currently in Iran, due to policies of Health Ministry, the hospitals have selected on-site-treating method as the preferred treatment. The objectives of this study were to assess the current condition of on-site medical waste treatment facilities, compare on-site medical waste treatment facilities with off-site systems and find the best location of medical waste treatment. To assess the current on-site facilities, four provinces (and 40 active hospitals) were selected to participate in the survey. For comparison of on-site and off-site facilities (due to non availability of an installed off-site facility) Analytical Hierarchy Process (AHP) was employed. The result indicated that most on-site medical waste treating systems have problems in financing, planning, determining capacity of installations, operation and maintenance. AHP synthesis (with inconsistency ratio of 0.01 < 0.1) revealed that, in total, the off-site treatment of medical waste was in much higher priority than the on-site treatment (64.1% versus 35.9%). According to the results of study it was concluded that the off-site central treatment can be considered as an alternative. An amendment could be made to Iran’s current medical waste regulations to have infectious-hazardous waste sent to a central off-site installation for treatment. To begin and test this plan and also receive the official approval, a central off-site can be put into practice, at least as a pilot in one province. Next, if it was practically successful, it could be expanded to other provinces and cities.

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A multi-criteria assessment of scenarios on thermal processing of infectious hospital wastes: A case study for Central Macedonia

Cited by 96 publications

References 10 publications

Health Care Waste generation rates and patterns: The case of Lebanon

Health Care Waste generation rates and patterns: The case of Lebanon

Technology selection for infectious medical waste treatment using the analytic hierarchy process

On-site or off-site treatment of medical waste: a challenge

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