Experimental Sorting of Municipal-Like Waste in the Hospital “Civico”, Palermo (IT)
American Journal of Environmental Protection
Volume 2, Issue 2, April 2013, Pages: 64-71
Received: Apr. 23, 2013;
Published: May 30, 2013
Views 3141 Downloads 137
Salvatore Nicosia, Dept. of Civil, Environmental, Aerospace and Materials Engineering, Faculty of Engineering – University of Palermo, Palermo, Italy
Placido Alfredo Lanza, Dept. of Civil, Environmental, Aerospace and Materials Engineering, Faculty of Engineering – University of Palermo, Palermo, Italy
Salvatore Prestigiacomo, Consultant Engineer, Palermo, Italy
Rosa Mancuso, Regional Health System, Hospital “Civico and Di Cristina” (ARNAS), Palermo, Italy
Gaspare Viviani, Dept. of Civil, Environmental, Aerospace and Materials Engineering, Faculty of Engineering – University of Palermo, Palermo, Italy
An experiment of source sorting - based management of Health Care Waste (HCW) was carried out in 2011 in 4 Departments of the Public Hospital “Civico” (Palermo, IT), where the basic mandatory separation between hazardous and non-hazardous waste was already going on since year 2000.The experiment consisted in weighing every day for 15 days 4 predefined fractions collected in the Infirmaries (namely paper, plastics, glass and unsorted fraction), and the bags with unsorted waste from the patient’s stay room. Furthermore, in 1 of the 4 Departments also the boxes of Infectious Waste (IW) were weighed for a week.As a result a weighted average value of 0.56 kg of Municipal-like Waste (MLW) per bed and per day was obtained for the Infirmaries of the 4 Departments (1.89 kg for the whole Department). The potentially recoverable waste fractions of MLW were about 65.7 %, the balance being unsorted waste.The actual production of IW − monitored in just one of the Departments, OU 1− brought to a generation rate of 0.74 kg/bed-day with a range 0.50−1.00. This production represents the 54 % of total waste from that Infirmary but just 34 % of the overall waste stream from the Unit. This pilot experiment confirms the wide finding that IW are a minor part of the overall waste stream produced in a health care structure.
Placido Alfredo Lanza,
Experimental Sorting of Municipal-Like Waste in the Hospital “Civico”, Palermo (IT), American Journal of Environmental Protection.
Vol. 2, No. 2,
2013, pp. 64-71.
G. Wolff, "Health care waste management in the European Union," European Medical Waste Conference, Amsterdam (NL), 8 and 9 February 2011. http://www.emwc2011.org/
Directive 2008/98/EC of the European Parliament and of the Council of 19 November 2008 on waste and repealing certain Directives. Official Journal of the European Communities, 22.11.2008.
Commission Decision 2000/532/EC of 3 May 2000 replacing Decision 94/3/EC establishing a list of wastes pursuant to Article 1(a) of Council Directive 75/442/EEC on waste and Council Decision 94/904/EC establishing a list of hazardous waste pursuant to Article 1(4) of Council Directive 91/689/EEC on hazardous waste. Official Journal of the European Communities, 6.9.2000.
A. Prüss, E. Giroult, P. Rushbrook, Safe management of waste from health-care activities, World Health Organization, Geneve (CH), 1999.
E. Vecchi, M. Martignani, S. Ferretti, P. Marchegiano, S. Cencetti, "La Raccolta Differenziata: il caso del Policlinico di Modena," in RS Rifiuti Solidi, XXIII (5), CIPA Editore, Milano( IT), 2009, pp.327–339.
Decreto Presidente della Repubblica 15 Luglio 2003, n. 254: Regolamento recante disciplina della gestione dei rifiuti sanitaria norma dell'articolo 24 della legge 31 luglio 2002, n. 179. G.U. Repubblica Italiana 11.9.2003, n. 211 (Italian legislation)
D. Komilis, A. Fouki, D. Papadopoulos, "Hazardous medical waste generation rates of different categories of health-care facilities," Waste Management, vol. 32, pp.1434–1441, 2012.
M. E. Birpinar, M. S. Bilgili, T. Erdoan, "Medical waste management in Turkey: A case study of Istanbul," Waste Management, vol. 29, pp.445–448, 2009.
ISTAÇ A. . ©, Istanbul Environmental Management in Industry and Trade Inc., an affiliate of Istanbul Metropolitan Municipality, www.istac.com.tr
N. Marinkovi, K. Vitale, N. J. Holcer, A. Dakula, T. Pavi , "Management of hazardous medical waste in Croatia," Waste Management, vol. 28, pp.1049–1056, 2008.
M. M. A. El-Salam "Hospital waste management in El-Beheira Governorate, Egypt," Journal of Environmental Management, vol. 91, pp.618–629, 2010.
S. Altin, A. Altin, B. Elevli, O. Cerit, "Determination of hospital waste composition and disposal methods: a case study," Polish Journal of Environmental Studies, 12, (2), pp.251–255, 2002.
S. R. Soares, A. Rodrigues Finotti, V. P. da Silva, R. A. F. Alvarenga, "Application of life cycle assessment and cost analysis in health care waste management," Waste Management, vol. 33, pp.175–183, 2013.
S. Nicosia, A. Lima, P. A. Lanza, G. Viviani "Physical features of health care waste," in ANDIS Toscana (ed.) Proceedings of the International Symposium of Sanitary and Environmental Engineering "SIDISA’08" ANDIS / ABES / AIDIS. Firenze (IT), 24 – 27 June 2008
S. Nicosia, P. A. Lanza, M. Mosca, A. Lima, "Health care waste production: measures and estimates in "V. Cervello" hospital, Palermo, Italy," in Guzovi Z., Dui N., Ban M. (eds.) Proceedings of the 5th Dubrovnik Conference on Sustainable Development of Energy, Water and Environmental Systems (SDEWES09), Dubrovnik (HR), 29 Sept. – 3 Oct. 2009
G. Hammond, C. Jones, Inventory of Carbon & Energy (ICE) Version 2.0, University of Bath, UK, 2011. http://www.bath.ac.uk/mech-eng/sert/embodied/