A review of waste management practices and their impact on human health

Generation, characterization and reuse of solid wastes from a biodiesel production plant

The aim of this study was to identify and characterize industrial solid wastes generated by a biodiesel production plant in Brazil, as well as to present strategies for the management of these materials. This plant produces every year around 100,000tons of biodiesel from vegetable oils and animal fats. The methodology of the study included technical visits, interviews with the operational and environmental management staff as well as analysis of documents, reports and computerized data systems. An approach to reduce the generation of hazardous waste was investigated. It was take into account the amount of raw material that was processed, reduction of landfill disposal, and the maximization of the their recycling and reuse. The study also identified the sources of waste generation and accordingly prepared an evaluation matrix to determine the types of waste with the higher potential for minimization. The most important residue of the process was the filter material impregnated with oil and biodiesel, requiring, therefore, measures for its minimization. The use of these residues in the production of ceramic artefacts (light bricks) was considered to be very promising, since no significant effect on the physico-chemical and mechanical properties of the artefacts produced was observed. Phytotoxicity test using seeds of Lactuva sativa (lettuce), Brassica juncea (mustard), Abelmoschus esculentus (okra), Chrysanthemum leucanthemum (daisy), Dendranthema grandiflorum (chrysanthemum) and Allium porrum (leek) were carried out. The results clearly show incorporation of the waste material into bricks did not influence relative germination and relative root elongation in comparison to control tests.

Bioaerosols, Noise, and Ultraviolet Radiation Exposures for Municipal Solid Waste Handlers

Few studies have investigated the occupational hazards of municipal solid waste workers, particularly in developing countries. Resultantly these workers are currently exposed to unknown and unabated occupational hazards that may endanger their health. We determined municipal solid waste workers' work related hazards and associated adverse health endpoints. A multifaceted approach was utilised comprising bioaerosols sampling, occupational noise, thermal conditions measurement, and field based waste compositional analysis. Results from our current study showed highest exposure concentrations for Gram-negative bacteria (6.8 × 103 cfu/m3) and fungi (12.8 × 103 cfu/m3), in the truck cabins. Significant proportions of toxic, infectious, and surgical waste were observed. Conclusively, municipal solid waste workers are exposed to diverse work related risks requiring urgent sound interventions. A framework for assessing occupational risks of these workers must prioritize performance of exposure assessment with regard to the physical, biological, and chemical hazards of the job.

Energy potential from rice husk through direct combustion and fast pyrolysis: A review

Rapid population growth and consumption of goods and services imply that demand for energy and resources increases continuously. Energy consumption linked to non-renewable resources contributes to greenhouse gas emissions and enhances resource depletion. In this context, the use of agricultural solid residues such as rice husk, coffee husk, wheat straw, sugar cane bagasse, among others, has been widely studied as an alternative energy source in order to decrease the use of fossil fuels. However, rice husk is among those agricultural residues that are least used to obtain energy in developing countries. Approximately 134 million tonnes of rice husk are produced annually in the world, of which over 90% are burned in open air or discharged into rivers and oceans in order to dispose of them. This review examines the energetic potential of agricultural residues, focused on rice husk. The review describes direct combustion and fast pyrolysis technologies to transform rice husk into energy considering its physical and chemical properties. In addition, a review of existing studies analyzing these technologies from an environmental life cycle thinking perspective, contributing to their sustainable use, is performed.

Participatory health impact assessment used to support decision-making in waste management planning: A replicable experience from Italy

The lack of participatory tools in Health Impact Assessment (HIA) to support decision-makers is a critical factor that negatively affects the impacts of waste policies. This study describes the participatory HIA used in deciding on the possible doubling of the municipal solid waste incinerating plant located near the city of Arezzo, Italy. Within the framework of the new waste management plan, a methodology for the democratic participation of stakeholders was designed adopting the Local Agenda 21 methodology. Communication and participation events with the stakeholders were set up from the plan's development to its implementation. Eleven different categories of stakeholders including individual citizens were involved in 21 local events, reaching over 500 participants in three years. Actions were performed to build the commitment and ownership of the local administrators. Then, together with the environment and health agencies and a representative from the local committees, the local administrators collaborated with scientists and technicians in the knowledge-building and scoping stages. Focus groups of voluntary citizens worked together with the researchers to provide qualitative and quantitative evidence in the assessment stage. Periodic public forums were held to discuss processes, methods and findings. The local government authority considered the HIA results in the final decision and a new waste strategy was adopted both in the short term (increased curbside collection, waste sustainability program) and in the long term (limited repowering of the incinerator, new targets for separate collection). In conclusion, an effective participatory HIA was carried out at the municipal level to support decision makers in the waste management plan. The HIA21 study contributed to evidence-based decisions and to make a broadly participatory experience. The authors are confident that these achievements may improve the governance of the waste cycle and the trust in the public administration.

Assessment of co-composting process with high load of an inorganic industrial waste

This study aims to investigate the co-composting of an inorganic industrial waste (eggshell - ES) in very high levels (up to 60% w/w). Since composting is a process in which solid, liquid and gaseous phases interact in a very complex way, there is a need to shed light on statistical tools that can unravel the main relationships structuring the variability associated to this process. In this study, PCA and data visualisation were used with that purpose. The co-composting tests were designed with increasing quantities of ES (0, 10, 20, 30 and 60%ES w/w) mixed with industrial potato peel and rice husks. Principal component analysis showed that physical properties like free air space, bulk density and moisture are the most relevant variables for explaining the variability due to ES content. On the other hand, variability in time dynamics is mostly driven by some chemical and phytoxicological parameters, such as organic matter decay and nitrate content. Higher ES incorporation (60% ES) enhanced the initial biological activity of the mixture, but the higher bulk density and lower water holding capacity had a negative effect on the aerobic biological activity as the process evolved. Nevertheless, pathogen-killing temperatures (>70°C for 11h) were attained. All the final products obtained after 90days were stable and non-phytotoxic. This work proved that valorisation of high amounts of eggshell by co-composting is feasible, but prone to be influenced by the physical properties of the mixtures.

A review and framework for understanding the potential impact of poor solid waste management on health in developing countries

BACKGROUND

The increase in solid waste generated per capita in Africa has not been accompanied by a commensurate growth in the capacity and funding to manage it. It is reported that less than 30% of urban waste in developing countries is collected and disposed appropriately. The implications of poorly managed waste on health are numerous and depend on the nature of the waste, individuals exposed, duration of exposure and availability of interventions for those exposed.

OBJECTIVE

To present a framework for understanding the linkages between poor solid waste management, exposure and associated adverse health outcomes. The framework will aid understanding of the relationships, interlinkages and identification of the potential points for intervention.

METHODS

Development of the framework was informed by a review of literature on solid waste management policies, practices and its impact on health in developing countries. A configurative synthesis of literature was applied to develop the framework. Several iterations of the framework were reviewed by experts in the field. Each linkage and outcomes are described in detail as outputs of this study.

RESULT

The resulting framework identifies groups of people at a heightened risk of exposure and the potential health consequences. Using the iceberg metaphor, the framework illustrates the pathways and potential burden of ill-health related to solid waste that is hidden but rapidly unfolding with our inaction. The existing evidence on the linkage between poor solid waste management and adverse health outcomes calls to action by all stakeholders in understanding, prioritizing, and addressing the issue of solid waste in our midst to ensure that our environment and health are preserved.

CONCLUSION

A resulting framework developed in this study presents a clearer picture of the linkages between poor solid waste management and could guide research, policy and action.

Forecasting municipal solid waste generation using prognostic tools and regression analysis

For an adequate planning of waste management systems the accurate forecast of waste generation is an essential step, since various factors can affect waste trends. The application of predictive and prognosis models are useful tools, as reliable support for decision making processes. In this paper some indicators such as: number of residents, population age, urban life expectancy, total municipal solid waste were used as input variables in prognostic models in order to predict the amount of solid waste fractions. We applied Waste Prognostic Tool, regression analysis and time series analysis to forecast municipal solid waste generation and composition by considering the Iasi Romania case study. Regression equations were determined for six solid waste fractions (paper, plastic, metal, glass, biodegradable and other waste). Accuracy Measures were calculated and the results showed that S-curve trend model is the most suitable for municipal solid waste (MSW) prediction.

Occupational exposure to the municipal solid waste workers in Chandigarh, India

Manual handling of municipal solid waste is of serious concern owing to emerging occupational risks. Considering this, health risks of municipal solid waste workers involved in street sweeping, waste collection, waste processing and rag picking were assessed in Chandigarh, India, using an interview schedule as a study tool. Result shows that the waste worker profession is mainly dominated by males, except in rag pickers, and with a lower literacy rate. Age distribution shows that 16% of waste collectors and 11% of rag pickers were below 18 years of age. Daily income of the waste workers ranges from ₹100 to ₹200. It was observed that 22.2% of waste collectors, 43.2% of street sweepers and 25.5% of rag pickers do not use any type of protective gears owing to their casual attitude, which results in various types of injuries. The major occupational health issues reported by various categories of waste workers were respiratory disorders, injuries and allergies having prevalence of 12.3%-17.6%, 4.9%-44.4% and 35.3%-48.9%, respectively. Waste workers are vulnerable to occupational health hazards and hence there is a need to safeguard them through formulation of new laws and policies.

Source term evaluation model for high-level radioactive waste repository with decay chain build-up

A source term model based on two-component leach flux concept is developed for a high-level radioactive waste repository. The long-lived radionuclides associated with high-level waste may give rise to the build-up of activity because of radioactive decay chains. The ingrowths of progeny are incorporated in the model using Bateman decay chain build-up equations. The model is applied to different radionuclides present in the high-level radioactive waste, which form a part of decay chains (4n to 4n + 3 series), and the activity of the parent and daughter radionuclides leaching out of the waste matrix is estimated. Two cases are considered: one when only parent is present initially in the waste and another where daughters are also initially present in the waste matrix. The incorporation of in situ production of daughter radionuclides in the source is important to carry out realistic estimates. It is shown that the inclusion of decay chain build-up is essential to avoid underestimation of the radiological impact assessment of the repository. The model can be a useful tool for evaluating the source term of the radionuclide transport models used for the radiological impact assessment of high-level radioactive waste repositories.

Application of TiO2-organobentonite modified by cetyltrimethylammonium chloride photocatalyst and polyaluminum chloride coagulant for pretreatment of aging landfill leachate

This study investigated the treatment performance for aging leachate containing refractory organic pollutants by TiO2-organobentonite photocatalyst combined with polyaluminum chloride (PAC) coagulant. TiO2 was immobilized on organobentonite granules as a supporter modified by cetyltrimethylammonium chloride (CTAC). The prepared catalysts were characterized by ESEM, FTIR, and XRD analysis, which showed that TiO2-organobentonite catalyst had uniform coating of TiO2 on support. Chemical oxygen demand (COD) and NH3-N removal rates by combination of TiO2-CTAC2.0 photocatalysis and PAC coagulation were evaluated, optimized, and compared to that by either treatment alone, with respect to TiO2-CTAC2.0 dose, photocatalytic contact time, pH, and PAC dose. Furthermore, higher removal rates (COD 80 %; NH3-N 46 %) were achieved by response surface methodology (RSM) when TiO2-CTAC2.0 photocatalysis was followed by PAC coagulation at optimized conditions. The optimized experimental conditions were TiO2-CTAC2.0 dosage of 5.09 g/L, at pH 5.53, photocatalytic contact time for 180 min, and PAC dosage of 1062 mg/L.

Recovery opportunities for metals and energy from sewage sludges

Limitations on current wastewater treatment plant (WWTP) biological processes and solids disposal options present opportunities to implement novel technologies that convert WWTPs into resource recovery facilities. This review considered replacing or augmenting extensive dewatering, anaerobic digestion, and off-site disposal with new thermo-chemical and liquid extraction processes. These technologies may better recover energy and metals while inactivating pathogens and destroying organic pollutants. Because limited direct comparisons between different sludge types exist in the literature for hydrothermal liquefaction, this study augments the findings with experimental data. These experiments demonstrated 50% reduction in sludge mass, with 30% of liquefaction products converted to bio-oil and most metals sequestered within a small mass of solid bio-char residue. Finally, each technology's contribution to the three sustainability pillars is investigated. Although limiting hazardous materials reintroduction to the environment may increase economic cost of sludge treatment, it is balanced by cleaner environment and valuable resource benefits for society.

Morbidity and mortality of people who live close to municipal waste landfills: a multisite cohort study

BACKGROUND

The evidence on the health effects related to residing close to landfills is controversial. Nine landfills for municipal waste have been operating in the Lazio region (Central Italy) for several decades. We evaluated the potential health effects associated with contamination from landfills using the estimated concentration of hydrogen sulphide (H2S) as exposure.

METHODS

A cohort of residents within 5 km of landfills was enrolled (subjects resident on 1 January 1996 and those who subsequently moved into the areas until 2008) and followed for mortality and hospitalizations until 31 December 2012. Assessment of exposure to the landfill (H2S as a tracer) was performed for each subject at enrolment, using a Lagrangian dispersion model. Information on several confounders was available (gender, age, socioeconomic position, outdoor PM10 concentration, and distance from busy roads and industries). Cox regression analysis was performed [Hazard Ratios (HRs), 95% confidence intervals (CIs)].

RESULTS

The cohort included 242 409 individuals. H2S exposure was associated with mortality from lung cancer and respiratory diseases (e.g. HR for increment of 1 ng/m(3) H2S: 1.10, 95% CI 1.02-1.19; HR 1.09, 95% CI 1.00-1.19, respectively). There were also associations between H2S and hospitalization for respiratory diseases (HR = 1.02, 95% CI 1.00-1.03), especially acute respiratory infections among children (0-14 years) (HR = 1.06, 95% CI 1.02-1.11).

CONCLUSIONS

Exposure to H2S, a tracer of airborne contamination from landfills, was associated with lung cancer mortality as well as with mortality and morbidity for respiratory diseases. The link with respiratory disease is plausible and coherent with previous studies, whereas the association with lung cancer deserves confirmation.

Respiratory hospital admission risk near large composting facilities

BACKGROUND

Large-scale composting can release bioaerosols in elevated quantities, but there are few studies of health effects on nearby communities.

METHODS

A cross-sectional ecological small area design was used to examine risk of respiratory hospital admissions within 2500m of all 148 English large-scale composting facilities in 2008-10. Statistical analyses used a random intercept Poisson regression model at Census Output Area (COA) level (mean population 310). Models were adjusted for age, sex, deprivation and tobacco sales.

RESULTS

Analysing 34,963 respiratory hospital admissions in 4656 COAs within 250-2500m of a site, there were no significant trends using pre-defined distance bands of >250-750m, >750-1500m and >1500-2500m. Using a continuous measure of distance, there was a small non-statistically significant (p=0.054) association with total respiratory admissions corresponding to a 1.5% (95% CI: 0.0-2.9%) decrease in risk if moving from 251m to 501m. There were no significant associations for subgroups of respiratory infections, asthma or chronic obstructive pulmonary disease.

CONCLUSION

This national study does not provide evidence for increased risks of respiratory hospital admissions in those living beyond 250m of an outdoor composting area perimeter. Further work using better measures of exposure and exploring associations with symptoms and disease prevalence, especially in vulnerable groups, is recommended to support regulatory approaches.

Assessing the variables affecting on the rate of solid waste generation and recycling: An empirical analysis in Prespa Park

Economic development, urbanization, and improved living standards increase the quantity and complexity of generated solid waste. Comprehensive study of the variables influencing household solid waste production and recycling rate is crucial and fundamental for exploring the generation mechanism and forecasting future dynamics of household solid waste. The present study is employed in the case study of Prespa Park. A model, based on the interrelationships of economic, demographic, housing structure and waste management policy variables influencing the rate of solid waste generation and recycling is developed and employed. The empirical analysis is based on the information derived from a field questionnaire survey conducted in Prespa Park villages for the year 2014. Another feature of this study is to test whether a household's waste generation can be decoupled from its population growth. Descriptive statistics, bivariate correlation analysis and F-tests are used to know the relationship between variables. One-way and two-way fixed effects models data analysis techniques are used to identify variables that determine the effectiveness of waste generation and recycling at household level in the study area. The results reveal that households with heterogeneous characteristics, such as education level, mean building age and income, present different challenges of waste reduction goals. Numerically, an increase of 1% in education level of population corresponds to a waste reduction of 3kg on the annual per capita basis. A village with older buildings, in the case of one year older of the median building age, corresponds to a waste generation increase of 12kg. Other economic and policy incentives such as the mean household income, pay-as-you-throw, percentage of population with access to curbside recycling, the number of drop-off recycling facilities available per 1000 persons and cumulative expenditures on recycling education per capita are also found to be effective measures in waste reduction. The mean expenditure for recycling education spent on a person for years 2010 and 2014 is 12 and 14 cents, respectively and it vary from 0 to €1. For years 2010 and 2014, the mean percentage of population with access to curbside recycling services is 38.6% and 40.3%, and the mean number of drop-off recycling centers per 1000 persons in the population is 0.29 and 0.32, respectively. Empirical evidence suggests that population growth did not necessarily result in increases in waste generation. The results provided are useful when planning, changing or implementing sustainable municipal solid waste management.

Risk perception and public acceptance toward a highly protested Waste-to-Energy facility

The application of Waste-to-Energy treatment in Municipal Solid Waste faces strong protest by local communities, especially in cities with high population densities. This study introduces insight into the public awareness, acceptance and risk perception toward Waste-to-Energy through a structured questionnaire survey around a Waste-to-Energy facility in Shanghai, China. The Dichotomous-Choice contingent valuation method was applied to study the willingness to accept of residents as an indicator of risk perception and tolerance. The factors influencing risk perception and the protest response choice were analyzed. The geographical distributions of the acceptance of Waste-to-Energy facility and protest response were explored using geographical information systems. The findings of the research indicated an encouraging vision of promoting Waste-to-Energy, considering its benefits of renewable energy and the conservation of land. A high percentage of protest willingness to accept (50.94%) was highlighted with the effect of income, opinion about Waste-to-Energy, gender and perceived impact. The fuzzy classification among people with different opinions on compensation (valid 0, positive or protest willingness to accept) revealed the existing yet rejected demand of compensation among protesters. Geographical distribution in the public attitude can also be observed. Finally significant statistical relation between knowledge and risk perception indicates the need of risk communication, as well as involving public into whole management process.

Characterizing Urban Household Waste Generation and Metabolism Considering Community Stratification in a Rapid Urbanizing Area of China

The relationship between social stratification and municipal solid waste generation remains uncertain under current rapid urbanization. Based on a multi-object spatial sampling technique, we selected 191 households in a rapidly urbanizing area of Xiamen, China. The selected communities were classified into three types: work-unit, transitional, and commercial communities in the context of housing policy reform in China. Field survey data were used to characterize household waste generation patterns considering community stratification. Our results revealed a disparity in waste generation profiles among different households. The three community types differed with respect to family income, living area, religious affiliation, and homeowner occupation. Income, family structure, and lifestyle caused significant differences in waste generation among work-unit, transitional, and commercial communities, respectively. Urban waste generation patterns are expected to evolve due to accelerating urbanization and associated community transition. A multi-scale integrated analysis of societal and ecosystem metabolism approach was applied to waste metabolism linking it to particular socioeconomic conditions that influence material flows and their evolution. Waste metabolism, both pace and density, was highest for family structure driven patterns, followed by lifestyle and income driven. The results will guide community-specific management policies in rapidly urbanizing areas.

European Code against Cancer 4th Edition: Environment, occupation and cancer

People are exposed throughout life to a wide range of environmental and occupational pollutants from different sources at home, in the workplace or in the general environment - exposures that normally cannot be directly controlled by the individual. Several chemicals, metals, dusts, fibres, and occupations have been established to be causally associated with an increased risk of specific cancers, such as cancers of the lung, skin and urinary bladder, and mesothelioma. Significant amounts of air pollutants - mainly from road transport and industry - continue to be emitted in the European Union (EU); an increased occurrence of lung cancer has been attributed to air pollution even in areas below the EU limits for daily air pollution. Additionally, a wide range of pesticides as well as industrial and household chemicals may lead to widespread human exposure, mainly through food and water. For most environmental pollutants, the most effective measures are regulations and community actions aimed at reducing and eliminating the exposures. Thus, it is imperative to raise awareness about environmental and occupational carcinogens in order to motivate individuals to be proactive in advocating protection and supporting initiatives aimed at reducing pollution. Regulations are not homogeneous across EU countries, and protective measures in the workplace are not used consistently by all workers all the time; compliance with regulations needs to be continuously monitored and enforced. Therefore, the recommendation on Environment and Occupation of the 4th edition of the European Code against Cancer, focusing on what individuals can do to reduce their cancer risk, reads: "In the workplace, protect yourself against cancer-causing substances by following health and safety instructions."

Household Wastes as Larval Habitats of Dengue Vectors: Comparison between Urban and Rural Areas of Kolkata, India

Porcelain and plastic materials constitute bulk of household wastes. Owing to resistibility and slow degradability that accounts for higher residence time, these materials qualify as potential hazardous wastes. Retention of water permits these wastes to form a congenial biotope for the breeding of different vector mosquitoes. Thus porcelain and plastic wastes pose a risk from public health viewpoint. This proposition was validated through the study on the porcelain and plastic household wastes as larval habitats of Dengue vectors (Aedes spp.) in rural and urban areas around Kolkata, India. The wastes were characterized in terms of larval productivity, seasonal variation and a comparison between urban and rural areas was made using data of two subsequent years. The number of wastes positive as larval habitats and their productivity of Aedes spp. varied among the types of household wastes with reference to months and location. Multivariate analysis revealed significant differences in the larval productivity of the household wastes based on the materials, season, and urban-rural context. Results of Discriminant Analysis indicated differences in abundance of Ae. aegypti and Ae. albopictus for the urban and rural areas. The porcelain and plastic wastes were more productive in urban areas compared to the rural areas, indicating a possible difference in the household waste generation. A link between household wastes with Aedes productivity is expected to increase the risk of dengue epidemics if waste generation is continued without appropriate measures to limit addition to the environment. Perhaps, alternative strategies and replacement of materials with low persistence time can reduce this problem of waste and mosquito production.

Temporal trends in the levels of metals, PCDD/Fs and PCBs in the vicinity of a municipal solid waste incinerator. Preliminary assessment of human health risks

The concentrations of PCDD/Fs, PCBs, and metals were determined in soil and air samples collected near a municipal solid waste incinerator (MSWI) located in Mataró (Catalonia, Spain), being the health risks for the population living in the vicinity of the facility subsequently assessed. We also established the temporal trends with respect to previous surveys performed in the same zone. In general terms, the highest environmental levels of the pollutants were found in the city of Mataró and were independent on the distance to the MSWI. Soil levels of metals did not show temporal variations between the current and previous campaigns. However, the concentrations of metals in air samples collected in 2011 and 2013, were lower than those found in our 2008 survey. Regarding PCDD/Fs and PCBs, no differences were noted between the levels of the current survey and those corresponding to 2008. Anyhow, the concentrations of metals, PCDD/Fs, and PCBs in soils and air did not exceed the reference values established by regulatory organizations, being also in the low range of other similar studies recently reported. Finally, the human non-carcinogenic and carcinogenic risks due to exposure to metals, PCDD/Fs, and PCBs, were, for the population living in the neighborhood of the MSWI, considered as acceptable according to international standards.

Heavy element accumulation in Evernia prunastri lichen transplants around a municipal solid waste landfill in central Italy

This paper presents the results of a biomonitoring study to evaluate the environmental impact of airborne emissions from a municipal solid waste landfill in central Italy. Concentrations of 11 heavy elements, as well as photosynthetic efficiency and cell membrane integrity were measured in Evernia prunastri lichens transplanted for 4months in 17 monitoring sites around the waste landfill. Heavy element contents were also determined in surface soils. Analytical data indicated that emissions from the landfill affected Cd, Co, Cr, Cu, Ni, Pb, Sb and Zn concentrations in lichens transplanted within the landfill and along the fallout direction. In these sites moderate to severe accumulation of these heavy elements in lichens was coupled with an increase in cell membrane damage and decrease in photosynthetic efficiency. Nevertheless, results indicated that landfill emissions had no relevant impact on lichens, as heavy element accumulation and weak stress symptoms were detected only in lichen transplants from sites close to solid waste. The appropriate management of this landfill poses a low risk of environmental contamination by heavy elements.

A preliminary analysis of the reduction of chemotherapy waste in the treatment of cancer with centralization of drug preparation

SummaryIntroduction:chemotherapy is essential to treat most types of cancer. Often, there is chemotherapy waste in the preparation of drugs prescribed to the patient. Leftover doses result in toxic waste production.Objective:the aim of the study was to analyze chemotherapy waste reduction at a centralized drug preparation unit.Methods:the study was cross-sectional, observational and descriptive, conducted between 2010 and 2012. The data were obtained from chemotherapy prescriptions made by oncologists linked to a health insurance plan in Curitiba, capital of the state of Paraná, in southern Brazil. Dose and the cost of chemotherapy waste were calculated in each application, considering the dose prescribed by the doctor and the drug dosages available for sale. The variables were then calculated considering a hypothetical centralized drug preparation unit.Results:there were 176 patients with a cancer diagnosis, 106 of which underwent treatment with intravenous chemotherapy. There were 1,284 applications for intravenous anticancer medications. There was a total of 63,824mg in chemotherapy waste, the cost of which was BRL 448,397.00. The average cost of chemotherapy waste per patient was BRL 4,607.00. In the centralized model, there was 971.80mg of chemotherapy waste, costing BRL 13,991.64. The average cost of chemotherapy waste per patient was BRL 132.00.Conclusion:the use of centralized drug preparation units may be a strategy to reduce chemotherapy waste.

Mature landfill leachate treatment by coagulation/flocculation combined with Fenton and solar photo-Fenton processes

This work reports the treatment of a mature landfill leachate through the application of chemical-based treatment processes in order to achieve the discharge legal limits into natural water courses. Firstly, the effect of coagulation/flocculation with different chemicals was studied, evaluating the role of different initial pH and chemicals concentration. Afterwards, the efficiency of two different advanced oxidation processes for leachate remediation was assessed. Fenton and solar photo-Fenton processes were applied alone and in combination with a coagulation/flocculation pre-treatment. This physicochemical conditioning step, with 2 g L(-1) of FeCl3 · 6H2O at pH 5, allowed removing 63% of COD, 80% of turbidity and 74% of total polyphenols. Combining the coagulation/flocculation pre-treatment with Fenton reagent, it was possible to reach 89% of COD removal in 96 h. Moreover, coagulation/flocculation combined with solar photo-Fenton revealed higher DOC (75%) reductions than single solar photo-Fenton (54%). In the combined treatment (coagulation/flocculation and solar photo-Fenton), it was reached a DOC reduction of 50% after the chemical oxidation, with 110 kJ L(-1) of accumulated UV energy and a H2O2 consumption of 116 mM. Toxicity and biodegradability assays were performed to evaluate possible variations along the oxidation processes. After the combined treatment, the leachate under study presented non-toxicity but biodegradability increased.

Economic aspects of thermal treatment of solid waste in a sustainable WM system

This paper offers a systematic review of the literature of the last 15 years, which applies economic analysis and theories to the issue of combustion of solid waste. Waste incineration has attracted the interest of economists in the first place concerning the comparative assessment of waste management options, with particular reference to external costs and benefits. A second important field of applied economic research concerns the market failures associated with the provision of thermal treatment of waste, that justify some deviation from the standard competitive market model. Our analysis discusses the most robust achievements and the more controversial areas. All in all, the economic perspective seems to confirm the desirability of assigning a prominent role to thermal treatments in an integrated waste management strategy. Probably the most interesting original contribution it has to offer concerns the refusal of categorical assumptions and too rigid priority ladders, emphasizing instead the need to consider site-specific circumstances that may favor one or another solution.

Environmental pollution from illegal waste disposal and health effects: a review on the "triangle of death"

The term “triangle of death” was used for the first time by Senior and Mazza in the journal The Lancet Oncology referring to the eastern area of the Campania Region (Southern Italy) which has one of the worst records of illegal waste dumping practices. In the past decades, many studies have focused on the potential of illegal waste disposal to cause adverse effects on human health in this area. The great heterogeneity in the findings, and the bias in media communication has generated great healthcare doubts, anxieties and alarm. This paper addresses a review of the up-to-date literature on the “triangle of death”, bringing together the available information on the occurrence and severity of health effects related to illegal waste disposal. The Scopus database was searched using the search terms “waste”, “Campania”, “Naples”, “triangle of death” and “human biomonitoring”. Despite the methodological and sampling heterogeneity between the studies, this review examines the evidence from published data concerning cancer incidence, childhood mortality and birth defects, so that the current situation, knowledge gaps and research priorities can be established. The review aims to provide a contribution to the scientific community, and to respond to the concerns of the general population.

ESTIMATIVA DO DESCARTE DE RESÍDUOS PASSÍVEIS DE RECICLAGEM NA ÁREA RURAL DE ILHA SOLTEIRA – SP

O município de Ilha Solteira possui diversas pequenas propriedades e, como a maioria das comunidades rurais brasileiras, enfrentam problemas na destinação final dos resíduos sólidos. O objetivo deste trabalho foi estimar a quantidade de resíduos passíveis de reciclagem (RPR) na área rural de Ilha Solteira - SP (Cinturão Verde, Assentamentos Estrela da Ilha e Santa Maria da Lagoa) e como estes resíduos são descartados pelos proprietários. Os resultados mostraram que o Cinturão Verde possui coleta seletiva e que o plástico foi o material mais segregado, no entanto, nem todos os produtores utilizaram esse serviço, utilizando a queima como prática comum. Os Assentamentos não dispõem de coleta seletiva e a queima incompleta dos resíduos nas propriedades foi o método mais utilizado para a disposição final. Concluiu-se que, mesmo onde existe a coleta seletiva, sua utilização plena não ocorreu por parte dos proprietários, sendo que a disposição inadequada de resíduos passíveis de reciclagem ocorreu tanto em locais onde existe e onde não há o serviço de coleta seletiva, podendo causar danos ambientais e problemas de saúde pública na área rural.

Methane production in simulated hybrid bioreactor landfill

The aim of this work was to study a hybrid bioreactor landfill technology for landfill methane production from municipal solid waste. Two laboratory-scale columns were operated for about ten months to simulate an anaerobic and a hybrid landfill bioreactor, respectively. Leachate was recirculated into each column but aeration was conducted in the hybrid bioreactor during the first stage. Results showed that leachate pH in the anaerobic bioreactor maintained below 6.5, while in the hybrid bioreactor quickly increased from 5.6 to 7.0 due to the aeration. The temporary aeration resulted in lowering COD and BOD5 in the leachate. The volume of methane collected from the hybrid bioreactor was 400 times greater than that of the anaerobic bioreactor. Also, the methane production rate of the hybrid bioreactor was improved within a short period of time. After about 10 months' operation, the total methane production in the hybrid bioreactor was 212 L (16 L/kgwaste).

Formaldehyde: a chemical of concern in the vicinity of MBT plants of municipal solid waste

The mechanical-biological treatment (MBT) of municipal solid waste (MSW) has a number of advantages in comparison to other MSW management possibilities. However, adverse health effects related to this practice are not well known yet, as a varied typology of microbiological and chemical agents may be generated and released. In 2010, we initiated an environmental monitoring program to control air levels of volatile organic compounds (VOCs) and microbiological pollutants near an MBT plant in Montcada i Reixac (Catalonia, Spain). In order to assess any temporal and seasonal trends, four 6-monthly campaigns were performed. Important fluctuations were observed in the levels of different biological indicators (total and Gram-negative bacteria, fungi grown at 25 °C and 37 °C, and more specifically, Aspergillus fumigatus). Although overall bioaerosols concentrations were rather low, a certain increase in the mean values of bacteria and fungi was observed in summer. In contrast, higher concentrations of VOCs were found in winter, with the only exception of formaldehyde. Interestingly, although this compound was not detected in one of the sampling campaigns, current airborne levels of formaldehyde were higher than those previously reported in urban areas across Europe. Furthermore, the non-carcinogenic risks (Hazard Quotient), particularly in winter, as well as the cancer risks associated with the inhalation of VOCs, exceeded the threshold values (1 and 10(-5), respectively), reaffirming the need of continuing with the monitoring program, with special emphasis on formaldehyde, a carcinogenic/mutagenic substance.

Porous materials produced from incineration ash using thermal plasma technology

This study presents a novel thermal plasma melting technique for neutralizing and recycling municipal solid waste incinerator (MSWI) ash residues. MSWI ash residues were converted into water-quenched vitrified slag using plasma vitrification, which is environmentally benign. Slag is adopted as a raw material in producing porous materials for architectural and decorative applications, eliminating the problem of its disposal. Porous materials are produced using water-quenched vitrified slag with Portland cement and foaming agent. The true density, bulk density, porosity and water absorption ratio of the foamed specimens are studied here by varying the size of the slag particles, the water-to-solid ratio, and the ratio of the weights of the core materials, including the water-quenched vitrified slag and cement. The thermal conductivity and flexural strength of porous panels are also determined. The experimental results show the bulk density and the porosity of the porous materials are 0.9-1.2 g cm(-3) and 50-60%, respectively, and the pore structure has a closed form. The thermal conductivity of the porous material is 0.1946 W m(-1) K(-1). Therefore, the slag composite materials are lightweight and thermal insulators having considerable potential for building applications.

Review of LCA studies of solid waste management systems--part II: methodological guidance for a better practice

Life cycle assessment (LCA) is increasingly used in waste management to identify strategies that prevent or minimise negative impacts on ecosystems, human health or natural resources. However, the quality of the provided support to decision- and policy-makers is strongly dependent on a proper conduct of the LCA. How has LCA been applied until now? Are there any inconsistencies in the past practice? To answer these questions, we draw on a critical review of 222 published LCA studies of solid waste management systems. We analyse the past practice against the ISO standard requirements and the ILCD Handbook guidelines for each major step within the goal definition, scope definition, inventory analysis, impact assessment, and interpretation phases of the methodology. Results show that malpractices exist in several aspects of the LCA with large differences across studies. Examples are a frequent neglect of the goal definition, a frequent lack of transparency and precision in the definition of the scope of the study, e.g. an unclear delimitation of the system boundaries, a truncated impact coverage, difficulties in capturing influential local specificities such as representative waste compositions into the inventory, and a frequent lack of essential sensitivity and uncertainty analyses. Many of these aspects are important for the reliability of the results. For each of them, we therefore provide detailed recommendations to practitioners of waste management LCAs.

Review of LCA studies of solid waste management systems--part I: lessons learned and perspectives

The continuously increasing solid waste generation worldwide calls for management strategies that integrate concerns for environmental sustainability. By quantifying environmental impacts of systems, life cycle assessment (LCA) is a tool, which can contribute to answer that call. But how, where and to which extent has it been applied to solid waste management systems (SWMSs) until now, and which lessons can be learnt from the findings of these LCA applications? To address these questions, we performed a critical review of 222 published LCA studies of SWMS. We first analysed the geographic distribution and found that the published studies have primarily been concentrated in Europe with little application in developing countries. In terms of technological coverage, they have largely overlooked application of LCA to waste prevention activities and to relevant waste types apart from household waste, e.g. construction and demolition waste. Waste management practitioners are thus encouraged to abridge these gaps in future applications of LCA. In addition to this contextual analysis, we also evaluated the findings of selected studies of good quality and found that there is little agreement in the conclusions among them. The strong dependence of each SWMS on local conditions, such as waste composition or energy system, prevents a meaningful generalisation of the LCA results as we find it in the waste hierarchy. We therefore recommend stakeholders in solid waste management to regard LCA as a tool, which, by its ability of capturing the local specific conditions in the modelling of environmental impacts and benefits of a SWMS, allows identifying critical problems and proposing improvement options adapted to the local specificities.

Literature review of baseline study for risk analysis - the landfill leachate case

There is growing awareness and public concern about environmental impacts of waste management and disposal. Environmental policy instruments have been strengthened and associated governmental programmes have increased in recent years, resulting in high level strategies for waste management. Risk assessment is now an essential tool in the prioritisation of environmental and human health protection. However, regulators need to compare the full range of risks on a sound and consistent basis. Comparing risks from such diverse sources poses a significant challenge, and traditional hazard and risk assessments are no longer sufficient. Consideration now needs to be given to a much wider range of factors if risk assessment is to be used as an aid to more integrated decision-making process. For this purpose, baseline study - the foundation of risk assessment - can play a crucial role. To date limited research has been conducted on the need, parameters, requirements, and constituents of baseline study particularly in the context of how, why, and what information is to be collated in order to render risk assessments more appropriately integrated and complete. To establish the 'state-of-the-art' of baseline study, this paper comprehensively reviews the literature regarding environmental risk assessment in general terms, and then proceeds to review work that is specifically related to landfills and landfill leachate, thereby identifying knowledge gaps and shortfall areas. This review concludes that a holistic baseline study procedure for waste disposal sites, which risk assessors could use for carrying out risk analyses specifically for landfill leachate, does not as yet exist.

Residents' concerns and attitudes toward a municipal solid waste landfill: integrating a questionnaire survey and GIS techniques

The ever-growing industry of municipal solid waste (MSW) disposal appeals to the growing need for disposal facilities, and MSW treatment facilities are increasingly an environmental and public health concern. Residents living near MSW management facilities are confronted with various risk perceptions, especially odour. In this study, in an effort to assist responsible decision-makers in better planning and managing such a project, a structured questionnaire was designed and distributed to assess the nearby residents' concerns and attitudes surrounding the Laogang Landfill in Shanghai. Geographic information system techniques and relevance analysis were employed to conduct the spatial analysis of physical perceptions, especially odour annoyance. The findings of the research indicate that a significant percentage of the responding sample was aware of the negative impacts of landfills on the environment and public health, and residents in close proximity preferred to live farther from the landfill. The results from the spatial analysis demonstrated a definite degree of correlation between odour annoyance and distance to the facility and proved that the benefits of the socially disadvantaged have been neglected. The research findings also direct attention to the important role of public participation, information disclosure, transparency in management, and mutual communication to avoid conflicts and build social trust.

Health effects associated with the disposal of solid waste in landfills and incinerators in populations living in surrounding areas: a systematic review

OBJECTIVES

Potential health hazards for the environment and people living nearby landfills and incinerators are claimed to be related to several methods of waste management. Independent systematic review of the scientific literature is a key procedure to support the lay public and policy makers to achieve informed decisions.

METHODS

The study design and potential biases of papers retrieved in this comprehensive literature search were analyzed.

RESULTS

The most consistent result is that the risks of congenital anomalies and hospitalization due to respiratory disease are likely to be real nearby special waste landfills. From the very little information on exclusively urban waste depots it is reasonable to say that correct management of landfill does not increase the risk of these health effects. It is confirmed that historically incinerators are an important source of pollution and harm for the health of populations living nearby; however, changes in technology are producing more reassuring results.

CONCLUSIONS

A moderate level of confidence is possible in limited areas of knowledge, implying the need to overcome the limitations of current studies about exposure assessment and to control confounders at the individual level.

A review of exposure assessment methods in epidemiological studies on incinerators

Incineration is a common technology for waste disposal, and there is public concern for the health impact deriving from incinerators. Poor exposure assessment has been claimed as one of the main causes of inconsistency in the epidemiological literature. We reviewed 41 studies on incinerators published between 1984 and January 2013 and classified them on the basis of exposure assessment approach. Moreover, we performed a simulation study to explore how the different exposure metrics may influence the exposure levels used in epidemiological studies. 19 studies used linear distance as a measure of exposure to incinerators, 11 studies atmospheric dispersion models, and the remaining 11 studies a qualitative variable such as presence/absence of the source. All reviewed studies utilized residence as a proxy for population exposure, although residence location was evaluated with different precision (e.g., municipality, census block, or exact address). Only one study reconstructed temporal variability in exposure. Our simulation study showed a notable degree of exposure misclassification caused by the use of distance compared to dispersion modelling. We suggest that future studies (i) make full use of pollution dispersion models; (ii) localize population on a fine-scale; and (iii) explicitly account for the presence of potential environmental and socioeconomic confounding.

A hybrid procedure for MSW generation forecasting at multiple time scales in Xiamen City, China

Accurate forecasting of municipal solid waste (MSW) generation is crucial and fundamental for the planning, operation and optimization of any MSW management system. Comprehensive information on waste generation for month-scale, medium-term and long-term time scales is especially needed, considering the necessity of MSW management upgrade facing many developing countries. Several existing models are available but of little use in forecasting MSW generation at multiple time scales. The goal of this study is to propose a hybrid model that combines the seasonal autoregressive integrated moving average (SARIMA) model and grey system theory to forecast MSW generation at multiple time scales without needing to consider other variables such as demographics and socioeconomic factors. To demonstrate its applicability, a case study of Xiamen City, China was performed. Results show that the model is robust enough to fit and forecast seasonal and annual dynamics of MSW generation at month-scale, medium- and long-term time scales with the desired accuracy. In the month-scale, MSW generation in Xiamen City will peak at 132.2 thousand tonnes in July 2015 - 1.5 times the volume in July 2010. In the medium term, annual MSW generation will increase to 1518.1 thousand tonnes by 2015 at an average growth rate of 10%. In the long term, a large volume of MSW will be output annually and will increase to 2486.3 thousand tonnes by 2020 - 2.5 times the value for 2010. The hybrid model proposed in this paper can enable decision makers to develop integrated policies and measures for waste management over the long term.

Occupational hygiene in terms of volatile organic compounds (VOCs) and bioaerosols at two solid waste management plants in Finland

Factors affecting occupational hygiene were measured at the solid waste transferring plant at Hyvinkää and at the optic separation plant in Hämeenlinna. Measurements consisted of volatile organic compounds (VOCs) and bioaerosols including microbes, dust and endotoxins. The most abundant compounds in both of the plants were aliphatic and aromatic hydrocarbons, esters of carboxylic acids, ketones and terpenes. In terms of odour generation, the most important emissions were acetic acid, 2,3-butanedione, ethyl acetate, alpha-pinene and limonene due to their low threshold odour concentrations. At the optic waste separation plant, limonene occurred at the highest concentration of all single compounds of identified VOCs. The concentration of any single volatile organic compound did not exceed the occupational exposure limit (OEL) concentration. However, 2,3-butanedione as a health risk compound is discussed based on recent scientific findings linking it to lung disease. Microbe and dust concentrations were low at the waste transferring plant. Only endotoxin concentrations may cause health problems; the average concentration inside the plant was 425 EU/m(3) which clearly exceeded the threshold value of 90 EU/m(3). In the wheel loader cabin the endotoxin concentrations were below 1 EU/m(3). High microbial and endotoxin concentrations were measured in the processing hall at the optic waste separation plant. The average concentration of endotoxins was found to be 10,980 EU/m(3), a concentration which may cause health risks. Concentrations of viable fungi were quite high in few measurements in the control room. The most problematic factor was endotoxins whose average measured concentrations was 4853 EU/m(3).