The potential health effects of incineration of municipal solid waste (MSW) have been studied by the Swedish National Institute of Environmental Medicine. The greatest concern for health effects relates to the emission of PCDDs and PCDFs ("dioxins"). MSW incineration is presently estimated to be a large source for the emission of these compounds into ambient air. Based upon animal experiments, and by applying safety factors in the range 200-1000, a highest tolerable daily intake (TDI) has been estimated to be 1-5 pg kg-1 of TCDD for humans. This TDI-value has been extended to cover all the congeners of PCDDs and PCDFs by the application of the concept of "TCDD-equivalents" (Eadon et al., 1983). The high concentrations found in human breast milk and fish indicate that the TDI value may be exceeded, especially among breast-milk fed babies. If the emission can be reduced to the proposed Swedish limit value of 0.1 ng m-3n TCDD-equivalents, or less, the contribution from this source will be lowered. MSW incineration can be considered acceptable when the following aspects are taken into account: the risk estimation for TDI is conservative; there is no indication that man belongs to the most sensitive species although infants may be particularly sensitive; available studies indicate that the concept of TCDD-equivalents used overestimates the effect of mixtures of PCDDs and PCDFs; present levels in fish and human milk reflect the cumulative effect of many years of emission. Besides PCDDs and PCDFs, MSW incineration also gives rise to relatively high emissions of PAH, chlorinated PAH, phenols, benzenes and mutagenic substances under less well controlled combustion conditions. The emission of organic compounds is generally dependent on the combustion efficiency. If the combustion process is optimized and advanced flue-gas cleaning is applied so that the emission of TCDD-equivalents does not exceed 0.1 ng m-3, the emission of other organics probably will not cause significant health hazards.
