Rationale for Solid Waste Management

Some countries have achieved considerable success in solid waste management. But the rest of the world is grappling to deal with its wastes. In these places, improper management of solid waste continues to impact public health of entire communities and cities; pollute local water, air and land resources; contribute to climate change and ocean plastic pollution; hinder climate change adaptation; and accelerate depletion of forests and mines.

Compared to solid waste management, we can consider that the world has achieved significant success in providing other basic necessities like food, drinking water, energy and economic opportunities. Managing solid wastes properly can help improve the above services further. Composting organic waste can help nurture crops and result in a better agricultural yield. Reducing landfilling and building sanitary landfills will reduce ground and surface water pollution which can help provide cleaner drinking water. Energy recovery from non-recyclable wastes can satiate significant portion of a city’s energy requirement.

Inclusive waste management where informal waste recyclers are involved can provide an enormous economic opportunity to the marginalized urban poor. Additionally, a good solid waste management plan with cost recovery mechanisms can free tax payers money for other issues. In the case of India, sustainable solid waste management in 2011 would have provided

  • 9.6 million tons of compost that could have resulted in a better agricultural yield
  • energy equivalent to 58 million barrels of oil from non-recyclable wastes
  • 6.7 million tons of secondary raw materials to industries in the form of recyclable materials and livelihood to the urban poor

Solid waste management until now has only been a social responsibility of the corporate world or one of the services to be provided by the municipality and a non-priority for national governments. However, in Mumbai, the improperly managed wastes generate 22,000 tons of toxic pollutants like particulate matter, carbon monoxide, nitrous and sulfur oxides in addition to 10,000 grams of carcinogenic dioxins and furans every year. These numbers are only for the city of Mumbai. This is the case in cities all across the developing world. There are numerous examples where groundwater is polluted by heavy metals and organic contaminants due to solid waste landfills.

Solid waste management expenditure of above $ 1 billion per year competes with education, poverty, security and other sustainable initiatives in New York City. Fossil fuels for above 500,000 truck trips covering hundreds of miles are required to transport NYC’s waste to landfills outside the city and state. Similarly, New Delhi spends more than half of its entire municipal budget on solid waste management, while it is desperate for investments and maintenance of roads, buildings, and other infrastructure.

Solid waste management is not just a corporate social responsibility or a non-priority service anymore. Improper waste management is a public health and environmental crisis, economic loss, operational inefficiency and political and public awareness failure. Integrated solid waste management can be a nation building exercise for healthier and wealthier communities. Therefore, it needs global attention to arrive at solutions which span across such a wide range of issues.

Importance of Waste-to-Energy

Waste-to-energy has been evolving over the years and there are many new developments in this technology, moving in mainly one direction – to be able to applied to smaller size waste streams. Not only is it a strategy that has real importance for the current public policy, it is a strategy that will definitely present itself to additional areas.

More than 50% of waste that is burnt in waste-to-energy facilities is already part of the short carbon cycle. In which case, it has an organic derivative and it doesn’t add to climate change, to begin with. The long form carbon that is burned, things like plastics that have come out of the ground in the form of oil do add to climate change. But, they have already been used once. They have already been extracted once and what we are doing is taking the energy out of them after that physical use, capturing some of that (energy), thereby offsetting more carbon from natural gas or oil or coal. So, the net effect is a reduction in carbon emissions.

Waste-to-energy and recycling are complementary depending on the results of analyses of the First and Second Laws of Thermodynamics, which are absolutely valid. One can decide in specific situations whether waste-to-energy or whether some type of recycling technology would be more appropriate. It is not an either/or option.

In Austria, it was possible to have an absolute ban on landfilling wastes exceeding 5% organic carbon. This is written in law since 1996. There were some exceptions for some period of time, but landfills of organic wastes are just banned, not just in Austria but also in other cultures similar to Austria – like Switzerland and Germany.

Note: This excerpt is being published with the permission of our collaborative partner Be Waste Wise. The original excerpt and its video recording can be found at this link

Solid Waste Management – India’s Burning Issue

For the first time in the history of India, the year 2012 saw several public protests against improper solid waste management all across India – from the northernmost state Jammu and Kashmir to the southernmost Tamil Nadu. A fight for the right to clean environment and environmental justice led the people to large scale demonstrations, including an indefinite hunger strike and blocking roads leading to local waste handling facilities. Improper waste management has also caused a Dengue Fever outbreak and threatens other epidemics. In recent years, waste management has been the only other unifying factor leading to public demonstrations all across India, after corruption and fuel prices. Public agitation resulted in some judicial action and the government’s remedial response, but the waste management problems are still unsolved and might lead to a crisis if this continues for too long without any long term planning and policy reforms.

Hunger Strike in Kerala

The President of Vilappilsala Village Panchayat went on a hunger strike recently, against her counterpart, the Mayor of Thiruvananthapuram. Thiruvananthapuram is the state capital of Kerala, and Vilappilsala is a village 22 km away. Since July 2000, about 80% of the waste generated in Thiruvananthapuram is being transported to a waste composting plant and a dumpsite in Vilappilsala village. Since the same month, respiratory illnesses reported in Vilappil Primary Health Center increased by 10 times from an average of 450 to 5,000 cases per month. People who used to regularly swim in the village’s aquifer started contracting infections; swarms of flies have ever since been pervasive; and a stigma of filth affected households throughout the community. This was a source of frustration as locals who, as Indians, prize the opportunity to feed and host guests, found them unwilling to even drink a glass of water in their homes. Currently, there is not a single household which has not experienced respiratory illnesses due to the waste processing plant and the adjoining dumpsite.

On the other hand, Thiruvananthapuram’s residents had to sneak out at night with plastic bags full of trash to dispose them behind bushes, on streets or in water bodies, and had to openly burn heaps of trash every morning for months. This was because the waste generated was not being collected by the City as it could not force open the composting plant and dumpsite against large scale protests by Vilappilsala’s residents. This is why in August – 2012, about 2,500 police personnel had to accompany trucks to the waste treatment plant as they were being blocked by local residents lying down on the road, and by some, including the village’s President, by going on an indefinite hunger strike.

Municipal Commissioner Replaced in Karnataka

In response to a similar situation in Bengaluru, the state capital of Karnataka, where the streets were rotting with piles of garbage for months, the municipal commissioner of the city was replaced to specifically address the waste management situation. Against the will of local residents, a landfill which was closed following the orders issued by the state’s pollution control board in response to public agitation had to be reopened soon after its closure as the city could not find a new landfill site.

Mavallipura landfill in Bangalore

Population density and the scale of increasing urban sprawl in India make finding new landfill sites around cities nearly impossible due to the sheer lack of space for Locally Unwanted Land Uses (LULUs) like waste management.

Dengue Outbreak in West Bengal

Even if partially because of improper waste management, Kolkata, state capital of West Bengal and the third biggest city in India experienced a Dengue Fever outbreak with 550 confirmed cases and 60 deaths. This outbreak coincides with a 600% increase in dengue cases in India and 71% increase in malarial cases in Mumbai in the last five years. Accumulation of rain water in non biodegradable waste littered around a city act as a major breeding environment for mosquitoes, thus increasing the density of mosquito population and making the transmission of mosquito related diseases like dengue, yellow fever and malaria easier.

Rabies in Srinagar

Rabies due to stray dog bites already kills more than 20,000 people in India every year. Improper waste management has caused a 1:13 stray dog to human ratio in Srinagar (compared to 1 per 31 people in Mumbai and 1 per 100 in Chennai), where 54,000 people were bitten by stray dogs in a span of 3.5 years. Municipal waste on streets and at the dumpsite is an important source of food for stray dogs. The ultimate solution to controlling stray dogs is proper waste management. The public has been protesting about this stray dog menace for months now with no waste management solutions in sight, but only partial short term measures like dog sterilization.

Waste Management in Food Processing Industry

Food processing industry around the world is making serious efforts to minimize by-products, compost organic waste, recycle processing and packaging materials, and save energy and water. The three R’s of waste management – Reduce, Reuse and Recycle – can help food manufacturers in reducing the amount of waste sent to landfill and reusing waste.

EPA’s Food Recovery Hierarchy

EPA’s Food Recovery Hierarchy is an excellent resource to follow for food processors and beverage producers as it provides the guidance to start a program that will provide the most benefits for the environment, society and the food manufacturer.

Notably, landfill is the least favored disposal option for waste generated in food and beverage producers worldwide. There are sustainable, effective and profitable waste management options including:

  • making animal feed,
  • composting to create nutrient-rich fertilizer,
  • anaerobic digestion to produce energy-rich biogas,
  • recycling/reusing waste for utilization by other industries,
  • feeding surplus food to needy people

Waste Management Options

Food manufacturers has a unique problem – excess product usually has a relatively short shelf life while most of the waste is organic in nature. Food waste created during the production process can be turned into animal feed and sold to goat farms, chicken farms etc. As far as WWTP sludge is concerned, top food manufacturers are recycling/reusing it through land application, anaerobic digestion and composting alternatives.

Organic waste at any food processing plant can be composted in a modern in-vessel composting and the resultant fertilizer can be used for in-house landscaping or sold as organic fertilizer as attractive prices.

Another plausible way of managing organic waste at the food manufacturing plant is to biologically degrade it in an anaerobic digester leading to the formation of energy-rich biogas and digestate. Biogas can be used as a heating fuel in the plant itself or converted into electricity by using a CHP unit while digestate can be used as a soil conditioner. Biogas can also be converted into biomethane or bio-CNG for its use as vehicle fuel.

Items such as cardboard, clean plastic, metal and paper are all commodities that can be sold to recyclers Lots of cardboard boxes are used by food manufacturers for supplies which can be broken down into flat pieces and sold to recyclers.

Cardboard boxes can also be reused to temporarily store chip packages before putting them into retail distribution boxes. Packaging can be separated in-house and recovered using “jet shredder” waste technologies which separate film, carton and foodstuffs, all of which can then be recycled separately.

Organizing a Zero-Landfill Program

How do you develop a plan to create a zero-landfill or zero waste program in food and beverage producing company? The best way to begin is to start at a small-level and doing what you can. Perfect those programs and set goals each year to improve. Creation of a core team is an essential step in order to explore different ways to reduce waste, energy and utilities.

Measuring different waste streams and setting a benchmark is the initial step in the zero-landfill program. Once the data has been collected, we should break these numbers down into categories, according to the EPA’s Food Recovery Challenge and identify the potential opportunities.

For example, inorganic materials can be categorized based on their end lives (reuse, recycle or landfill).  The food and beverage industry should perform a waste sort exercise (or dumpster dive) to identify its key streams.

Nestlé USA – A Case Study

In April 2015, Nestlé USA announced all 23 of its facilities were landfill free. As part of its sustainability effort, Nestlé USA is continually looking for new ways to reuse, recycle and recover energy, such as composting, recycling, energy production and the provision of safe products for animal feed, when disposing of manufacturing by-products.

Employees also work to minimize by-products and engage in recycling programs and partnerships with credible waste vendors that dispose of manufacturing by-products in line with Nestlé’s environmental sustainability guidelines and standards. All Nestlé facilities employ ISO 14001-certified environmental management systems to minimize their environmental impact.

Composting in Qatar

compost-qatarQatar has one of the highest per capita waste generation rates worldwide. In 2012, Qatar generated 8,000 tons of solid waste daily (excluding construction and demolition waste which amounts to 20,000 tons additional waste per day).  This number is predicted to reach 19,000 tons/day in 2032, with an annual growth rate of roughly 4.2%.

Most of these wastes end up in landfills – in 2012, more than 90% of Qatar’s solid waste were sent to landfills although the government is intensifying its efforts to reduce this amount. This percentage is extremely high compared to many industrialized countries in Europe and Asia (e.g. Austria, Denmark, Netherlands and Japan) where less than 10% of solid waste are disposed of in landfills.  These countries have high recycling rates, have invested in technologies that convert waste into energy, and apply composting process to their organic waste, especially food wastes. In some of these nations, as much as 40% of their wastes are composted.

Composting in Qatar

Currently, composting in Qatar is mainly done at the Domestic Solid Waste Management Centre (DSWMC) in Mesaieed, which houses the largest composting facility in the country and one of the largest in the world.  The waste that enters the plant initially goes through anaerobic digestion, which produces biogas that can power the facility’s gas engine and generators, followed by aerobic treatment which yields the final product.

Two types of compost are generated: Grade A (compost that comes from green waste, such as yard/park trimmings, leftovers from kitchen or catering services, and wastes from markets) and Grade B (compost produced from MSW).  The plant started its operation in 2011 and when run at full capacity is able to process 750 tons of waste and produce 52 tons of Grade A compost, 377 tons of Grade B compost, liquid fertilizer which is composed of 51 tons of Grade A compost and 204 tons of Grade B compost, and 129 tons of biogas.

This is a significant and commendable development in Qatar’s implementation of its solid waste management plan, which is to reduce, reuse, recycle and recover from waste, and to avoid disposing in landfills as much as possible.  However, the large influx of workers to Qatar in the coming years as the country prepares to host the World Cup in 2022 is expected to substantially increase solid waste generation and apart from its investments in facilities like the composting plant and in DSWMC in general, the government may have to tap into the efforts of organizations and communities to implement its waste management strategy.

Future Outlook

Thankfully, several organizations recognize the importance of composting in waste management and are raising awareness on its benefits.  Qatar Green Building Council (QGBC) has been actively promoting composting through its Solid Waste Interest Group.  Last year, they were one of the implementers of the Baytna project, the first Passivhaus experiment in the country.

This project entails the construction of an energy-efficient villa and a comparative study will be performed as to how the carbon footprint of this structure would compare to a conventional villa.  The occupants of the Passivhaus villa will also be made to implement a sustainable waste management system which includes composting of food waste and garden waste, which is meant to lower greenhouse gas emissions compared to landfilling.

Qatar Foundation is also currently developing an integrated waste management system for the entire Education City and the Food Services group is pushing for composting to be included as a method to treat food and other organic waste.  And many may not know this but composting can be and has been done by individuals in their own backyard and can even be done indoors with the right equipment.

Katrin Scholz-Barth, previous president of SustainableQatar, a volunteer-based organization that fosters sustainable culture through awareness, skills and knowledge, is an advocate of composting and has some great resources on how to start and maintain your own composting bin as she has been doing it herself.  A simple internet search will also reveal that producing compost at home is a relatively simple process that can be achieved with minimal tools.  At present, very few families in Qatar are producing their own compost and Scholz-Barth believes there is much room for improvement.

As part of its solid waste management plan as stated in the National Development Strategy for 2011-2016, Qatar aims to maintain domestic waste generation at 1.6 kg per capita per day.  This will probably involve encouraging greater recycling and reuse efforts and the reduction of waste from its source.  It would also be worthwhile to include programs that will promote and boost composting efforts among institutions, organizations and individuals, encouraging them with the fact that apart from its capability of significant waste diversion from landfills, composting can also be an attractive source of income.

Note: The article is being republished with the permission of our collaborative partner EcoMENA. The original article can be viewed at this link.

Food Waste Management in UK

Food-Waste-UKFood waste in the United Kingdom is a matter of serious environmental, economic and social concern that has been attracting widespread attention in recent years. According to ‘Feeding the 5K’ organisation, 13,000 slices of crusts are thrown away every day by a single sandwich factory which is featured in the figure above. More recently, Tesco, one of the largest UK food retailers, has published its sustainability report admitting that the company generated 28,500 tonnes of food waste in the first six months of 2013. TESCO’s report also state that 47% of the bakery produced is wasted. In terms of GHG emissions, DEFRA estimated that food waste is associated with 20 Mt of CO2 equivalent/year, which is equivalent to 3% of the total annual GHG emissions.

Globally, 1.2 to 2 billion tonnes (30%-50%) of food produced is thrown away before it reaches a human stomach. Food waste, if conceived as a state, is responsible for 3.3 Bt-CO2 equivalent/year, which would make it the third biggest carbon emitter after China and USA. What makes food waste an even more significant issue is the substantially high demand for food which is estimated to grow 70% by 2050 due to the dramatic increase of population which is expected to reach 9.5 billion by 2075. Therefore, there is an urgent need to address food waste as a globally challenging issue which should be considered and tackled by sustainable initiatives.

A War on Food Waste

The overarching consensus to tackle the food waste issue has led to the implementation of various policies. For instance, the European Landfill Directive (1999/31/EC) set targets to reduce organic waste disposed to landfill in 2020 to 35% of that disposed in 1995 (EC 1999). More recently, the European Parliament discussed a proposal to “apply radical measures” to halve food waste by 2025 and to designate the 2014 year as “the European Year Against Food Waste”. In the light of IMechE’s report (2013), the United Nations Environment Programme (UNEP) in cooperation with FAO has launched the Save Food Initiative in an attempt to reduce food waste generated in the global scale.

In the UK, WRAP declared a war on food waste by expanding its organic waste programme in 2008 which was primarily designed to “establish the most cost-effective and environmentally sustainable ways of diverting household food waste from landfill that leads to the production of a saleable product”. DEFRA has also identified food waste as a “priority waste stream” in order to achieve better waste management performance. In addition to governmental policies, various voluntary schemes have been introduced by local authorities such as Nottingham Declaration which aims to cut local CO2 emissions 60% by 2050.

Sustainable Food Waste Management

Engineering has introduced numerous technologies to deal with food waste. Many studies have been carried out to examine the environmental and socio-economic impacts of food waste management options. This article covers the two most preferable options; anaerobic digestion and composting.

In-vessel composting (IVC) is a well-established technology which is widely used to treat food waste aerobically and convert it into a valuable fertilizer. IVC is considered a sustainable option because it helps by reducing the amount of food waste landfilled. Hence, complying with the EU regulations, and producing a saleable product avoiding the use of natural resources. IVC is considered an environmentally favourable technology compared with other conventional options (i.e. landfill and incineration). It contributes less than 0.06% to the national greenhouse gas inventories. However, considering its high energy-intensive collection activities, the overall environmental performance is “relatively poor”.

Anaerobic Digestion (AD) is a leading technology which has had a rapidly growing market over the last few years. AD is a biologically natural process in which micro-organisms anaerobically break down food waste and producing biogas which can be used for both Combined Heat & Power (CHP) and digestate that can be used as soil fertilizers or conditioners. AD has been considered as the “best option” for food waste treatment. Therefore, governmental and financial support has been given to expand AD in the UK.

AD is not only a food waste treatment technology, but also a renewable source of energy. For instance, It is expected that AD would help the UK to meet the target of supplying 15% of its energy from renewable sources by 2020. Furthermore, AD technology has the potential to boost the UK economy by providing 35,000 new jobs if the technology is adopted nationally to process food waste. This economic growth will significantly improve the quality of life among potential beneficiaries and thus all sustainability elements are considered.

Municipal Waste Management in Poland

waste-dump-warsawMunicipal waste management in Poland has changed dramatically since the early ’90s when, as part of Poland’s privatisation program, municipal authorities were freed of their waste management obligations. The combined Polish recycling rate for dry recyclables and organic waste has increased from 5% in 2004 to 21% in 2010, according to a Copenhagen Resource Institute (CRI) study Municipal Waste Management in Poland (2013). Another source provides similar, corroborating statistics, putting the dry recycling rate in Poland at 14% and the composting rate at 7%.

The latest Eurostat data (for 2011) shows that the upward trend continuing, with the total recycled and composted reaching 28%. That is rapid rate of improvement, but leaves Poland well below the latest EU-27 average of 40% (25% recycled and 15% composted) – so what prospect is there of Poland reaching the EU’s mandatory 50% target by 2020?

Responsibility for waste disposal shifted to householders, who were left to individually contract any waste collection company of their choice. In the hard economic climate a ‘cheaper-the-better’ mentality prevailed, which did little to encourage sustainable practices. There wasn’t even an obligation on householders even to sign up for waste collection.

Landfilling was – and remains – the most common way of handling waste, but accompanying reporting and tracking methods were inadequate. Statistically, quantities of waste produced were usually larger than those collected, with the missing tonnages usually being dumped in forests or burned in domestic boilers to avoid waste disposal costs. As a result, waste management became largely uncontrolled, with a 2011 report concluding that ‘’waste management is one of the most badly neglected and at the same time one of the most urgent environmental issues for Poland.’’

Waste Management Legislation

Even after joining the EU in 2005, Poland didn’t rush to introduce reforms to improve practices and help to meet recycling targets. Only recently has Poland introduced several pieces of new waste related legislation, including:

  • Act on maintaining cleanliness and order in municipalities (2012);
  • Act on Waste (2012); and
  • Act on management of packaging and packaging waste (2013).

The first of these was revolutionary in that it gave responsibility for municipal waste collection and disposal back to municipalities. Now they are required to organise garbage collection and the separate collection of biodegradable waste and recyclable materials such as paper, metal, glass and plastic. It is expected that the new law will improve waste management control measures on a local level and greatly reduce the illegal dumping and trash burning.

The Act on Waste helps tackle the previous ‘free for all’ amongst collectors – it obliges waste handlers to act in a manner consistent with waste management principles and plans adopted at national level (by the Council of Ministers), regional level (Voivodeship) and local level (Municipality).

Poland has also this year adopted a new National Waste Management Plan, which states that an essential step towards improving the recycling rate in Poland is to increase landfill fees for recyclable, compostable or recoverable material. If acted upon, this could greatly increase the incentive to divert important municipal waste streams from landfill. The Polish market is clearly responsive to cost: in 2008 after landfill tax was significantly raised, there was a substantial reduction in waste being landfilled.

Declaration of bin-dependence

Although Polish citizens have always had to pay directly for waste collection, the new legislation has made some substantial changes to the payment system. There are now three different calculation methods. Each household is subject to a standard fee, which is then adjusted to reflect either:

  • The number of people living in a household;
  • The number of square metres covered by the property; or
  • The number of cubic metres of water used by the household per month.

The first of these options seems to be the most reasonable and has proven the most popular.

Municipalities are left to determine the standard collection fee, which as a result varies from region to region. Some municipalities charge at little as 3 Polish Zloty (around £0.56) per household, per person, per month, while some charge 20 Zloty (around £3.75).

The standard charge is also affected by a declaration made by the householder regarding waste segregation. If a property owner declares that they have separated out recyclable materials then they pay considerably lower fees. In some municipalities, this could be as low as 50% of the usual charge. Only those who declare that they don’t want to recycle pay full price. It’s rare that people do so: who would pick the most expensive option?

The problem is that some householders declare that they recycle their waste while in reality they don’t. Unfortunately, abusing the system is easy to get away with, especially since the new scheme is still in its early stages and is not yet stable. Monitoring recycling participation in order to crack down on such abuses of the system represents quite a challenging task.

Future Perspectives

Transformation periods are always hard and it is common that they bring misunderstanding and chaos. It isn’t surprising that there are problems with the new system which require ironing out, and the new legislation is nevertheless welcome. However, there is still much work to be done to provide sufficient and sustainable waste management in Poland. This will include such measures as educating the population, improving waste separation at source and securing waste treatment capacity.

Perhaps most importantly, Poland needs to take immediate action to develop its municipal waste treatment capacity across the board. If the 2020 recycling target is to be met, the country will require material recovery facilities, anaerobic digestion and in vessel composting sites, and household waste and recycling centres; and if more waste is to be diverted from landfill it will also need energy from waste (EfW) incinerators and mechanical biological treatment facilities.

According to Eurostat, only 1% of waste in Poland was incinerated in 2011. It has been confirmed so far that an EfW plant will be developed in each of Poland’s 11 biggest cities. Fortunately for Poland, the development of waste treatment installations is quite generously funded by the EU, which covers up to 80% of the total cost: EU subsidy agreements have already been signed for three of the planned EfW plants. The remaining cost will be covered by central, regional and local government.

The CRI paper presents three different scenarios for the future recycling rate in Poland. One of them is very optimistic and predicts that Poland has a chance to meet the 2020 recycling requirements, but each is based simply on a regression analysis of recent trends, rather than an analysis of the likely impact of recent and planned policy measures. What it does make clear, though, is that if Poland continues to progress as it has since 2006, it will reach the 2020 target. How many EU countries can claim that?

Note: The article is being republished with the kind permission of our collaborative partner Isonomia. The original version of the article can be found at this link.

Medical Waste Management in Developing Countries

medical-waste-managementHealthcare sector is growing at a very rapid pace, which in turn has led to tremendous increase in the quantity of medical waste generation in developing countries, especially by hospitals, clinics and other healthcare establishments. The quantity of healthcare waste produced in a typical developing country depends on a wide range of factors and may range from 0.5 to 2.5 kg per bed per day.

For example, India generates as much as 500 tons of biomedical wastes every day while Saudi Arabia produces more than 80 tons of healthcare waste daily. The growing amount of medical wastes is posing significant public health and environmental challenges across the world. The situation is worsened by improper disposal methods, insufficient physical resources, and lack of research on medical waste management. The urgent need of the hour is to healthcare sustainable in the real sense of the word.

Hazards of Healthcare Wastes

The greatest risk to public health and environment is posed by infectious waste (or hazardous medical waste) which constitutes around 15 – 25 percent of total healthcare waste. Infectious wastes may include items that are contaminated with body fluids such as blood and blood products, used catheters and gloves, cultures and stocks of infectious agents, wound dressings, nappies, discarded diagnostic samples, swabs, bandages, disposal medical devices, contaminated laboratory animals etc.

Improper management of healthcare wastes from hospitals, clinics and other facilities in developing nations pose occupational and public health risks to patients, health workers, waste handlers, haulers and general public. It may also lead to contamination of air, water and soil which may affect all forms of life. In addition, if waste is not disposed of properly, ragpickers may collect disposable medical equipment (particularly syringes) and to resell these materials which may cause dangerous diseases.

Inadequate healthcare waste management can cause environmental pollution, growth and multiplication of vectors like insects, rodents and worms and may lead to the transmission of dangerous diseases like typhoid, cholera, hepatitis and AIDS through injuries from syringes and needles contaminated with human.

In addition to public health risks associated with poor management of biomedical waste, healthcare wastes can have deleterious impacts on water bodies, air, soil as well as biodiversity. The situation is further complicated by harsh climatic conditions in many developing nations which makes disposal of medical waste more challenging.

The predominant medical waste management method in the developing world is either small-scale incineration or landfilling. However, the WHO policy paper of 2004 and the Stockholm Convention, has stressed the need to consider the risks associated with the incineration of healthcare waste in the form of particulate matter, heavy metals, acid gases, carbon monoxide, organic compounds, pathogens etc.

In addition, leachable organic compounds, like dioxins and heavy metals, are usually present in bottom ash residues. Due to these factors, many industrialized countries are phasing out healthcare incinerators and exploring technologies that do not produce any dioxins. Countries like United States, Ireland, Portugal, Canada and Germany have completely shut down or put a moratorium on medical waste incinerators.

Alternative Treatment Technologies

The alternative technologies for healthcare waste disposal are steam sterilization, advanced steam sterilization, microwave treatment, dry heat sterilization, alkaline hydrolysis, biological treatment and plasma gasification.

Nowadays, steam sterilization (or autoclaving) is the most common alternative treatment method. Steam sterilization is done in closed chambers where both heat and pressure are applied over a period of time to destroy all microorganisms that may be present in healthcare waste before landfill disposal. Among alternative systems, autoclaving has the lowest capital costs and can be used to process up to 90% of medical waste, and are easily scaled to meet the needs of any medical organization.

Advanced autoclaves or advanced steam treatment technologies combine steam treatment with vacuuming, internal mixing or fragmentation, internal shredding, drying, and compaction thus leading to as much as 90% volume reduction. Advanced steam systems have higher capital costs than standard autoclaves of the same size. However, rigorous waste segregation is important in steam sterilization in order to exclude hazardous materials and chemicals from the waste stream.

Microwave treatment is a promising technology in which treatment occurs through the introduction of moist heat and steam generated by microwave energy. A typical microwave treatment system consists of a treatment chamber into which microwave energy is directed from a microwave generator. Microwave units generally have higher capital costs than autoclaves, and can be batch or semi-continuous.

Chemical processes use disinfectants, such as lime or peracetic acid, to treat waste. Alkaline digestion is a unique type of chemical process that uses heated alkali to digest tissues, pathological waste, anatomical parts, or animal carcasses in heated stainless steel tanks. Biological processes, like composting and vermicomposting, can also be used to degrade organic matter in healthcare waste such as kitchen waste and placenta.

Plasma gasification is an emerging solution for sustainable management of healthcare waste. A plasma gasifier is an oxygen-starved reactor that is operated at the very high temperatures which results in the breakdown of wastes into hydrogen, carbon monoxide, water etc. The main product of a plasma gasification plant is energy-rich syngas which can be converted into heat, electricity and liquids fuels. Inorganic components in medical wastes, like metals and glass, get converted into a glassy aggregate.

Solid Waste Management in Kuwait

Kuwait, being one of the richest countries, is among the highest per capita waste generators in the world. Each year more than 2 million tons of solid waste is generated in the tiny Arab nation. High standards of living and rapid economic growth has been a major factor behind very high per capita waste generation of 1.4 to 1.5 kg per day.

Waste Disposal Method

The prevalent solid waste management method in Kuwait is landfill burial. Despite being a small country, Kuwait has astonishingly high number of landfills. There are 18 landfills, of which 14 sites are closed and 4 sites are still in operation. These landfills act as dumpsites, rather than engineered landfills.

Menace of Landfills

Infact, landfill sites in Kuwait are notorious for causing severe public health and environmental issues. Besides piling up huge amounts of garbage, landfill sites generate huge amount of toxic gases (methane, carbon dioxide etc) and plagued by spontaneous fires. Due to fast paced urban development, residential areas have expanded to the edges of landfill sites thus causing grave danger to public health.

The total land area of Kuwait is around 17,820 sq. km, out of which more than 18 sq. km is occupied by landfills. Area of the landfill sites ranges from tens to hundreds of hectares with waste deposition depth varying from 3 to 30 meters.

All kind of wastes, including municipal wastes, food wastes, industrial wastes, construction and demolition debris etc are dumped at these sites. Infact, about 90 percent of the domestic waste is sent to landfills which imply that more landfills will be required to tackle rapidly increasing volumes of solid wastes.

Most of the landfill sites have been closed for more than 20 years due to operational problems and proximity to new residential, commercial and industrial areas. These sites include Sulaibiyah, Kabed, Al Qurain, Shuaiba, Jleeb AI Shuyoukh, West Yarmouk, AI Wafra among others. Migration of leachate beyond landfill site boundaries is a frequent problem noticed across Kuwait. Groundwater contamination has emerged as a serious problem because groundwater occurs at shallow depths throughout the country.

The major landfill sites operated by municipality for solid waste disposal are Jleeb AI Shuyoukh, Sulaibiyah and Al-Qurain. The Qurain landfill, with area of 1 sq. km, was used for dumping of municipal solid waste and construction materials from 1975 until 1985 with total volume of dumped waste being 5 million m3.

The Sulaibiyah landfill site received more than 500 tons of waste per day from 1980 to 2000 with area spanning 3 sq. km. Jleeb AI Shuyoukh, largest landfill site in Kuwait with area exceeding 6 sq. km, received 2500 tons per day of household and industrial waste between 1970 and 1993. Around 20 million m3 of wastes was dumped in this facility during its operational period.

Over the years, most of the dumpsites in Kuwait have been surrounded by residential and commercial areas due to urban development over the years. Uncontrolled dumpsites were managed by poorly-trained staff resulting in transformation of dumpsites in breeding grounds for pathogens, toxic gases and spontaneous fires.

Most of the landfill sites have been forced to close, much before achieving their capacities, because of improper disposal methods and concerns related to public health and environment. Due to fast-paced industrial development and urban expansion, some of the landfills are located on the edges of residential, as is the case of Jleeb Al-Shuyoukh and Al-Qurain sites, endangering the lives of hundreds of thousands of people.

Solid Waste Management in Morocco

solid_waste_moroccoSolid waste management is one of the major environmental problems threatening the Kingdom of Morocco. More than 5 million tons of solid waste is generated across the country with annual waste generation growth rate touching 3 percent. The proper disposal of municipal solid waste in Morocco is exemplified by major deficiencies such as lack of proper infrastructure and suitable funding in areas outside of major cities.

According to the World Bank, it was reported that before a recent reform in 2008 “only 70 percent of urban wastes was collected and less than 10 percent of collected waste was being disposed of in an environmentally and socially acceptable manner. There were 300 uncontrolled dumpsites, and about 3,500 waste-pickers, of which 10 percent were children, were living on and around these open dumpsites.”

It is not uncommon to see trash burning as a means of solid waste disposal in Morocco.  Currently, the municipal waste stream is disposed of in a reckless and unsustainable manner which has major effects on public health and the environment.  The lack of waste management infrastructure leads to burning of trash as a form of inexpensive waste disposal.  Unfortunately, the major health effects of burning trash are either widely unknown or grossly under-estimated to the vast majority of the population in Morocco.

The good news about the future of Morocco’s MSW management is that the World Bank has allocated $271.3 million to the Moroccan government to develop a municipal waste management plan.  The plan’s details include restoring around 80 landfill sites, improving trash pickup services, and increasing recycling by 20%, all by the year 2020. While this reform is expected to do wonders for the urban population one can only hope the benefits of this reform trickle down to the 43% of the Moroccan population living in rural areas, like those who are living in my village.

Needless to say, even with Morocco’s movement toward a safer and more environmentally friendly MSW management system there is still an enormous population of people including children and the elderly who this reform will overlook.   Until more is done, including funding initiatives and an increase in education, these people will continue to be exposed to hazardous living conditions because of unsuitable funding, infrastructure and education.