A preliminary life cycle assessment on healthcare waste management in Chittagong City, Bangladesh
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Abstract
Life cycle assessment is a decision-supporting tool in waste management practice; however, very few researches have been performed on the evaluation of healthcare waste management based on life cycle perspective. So this preliminary life cycle assessment study was conducted on healthcare waste management in Chittagong city. Three scenarios were developed for the present healthcare waste management system based on previous data along with one proposed scenario. All the calculated values of each scenario were put into life cycle assessment database. Then the collected data were analyzed by adopting SimaPro 7 to calculate global warming, human toxicity, freshwater aquatic ecotoxicity and terrestrial ecotoxicity potential from healthcare waste management. Conducting a preliminary life cycle assessment study based on the present waste management scenarios in Bangladesh is very tough task. In contrary, there is a good prospect to conduct life cycle assessment study if appropriate implementation of the laws and technical supports can be ensured. It was found that open burning and incineration of healthcare waste mainly contributed to the global warming and human toxicity potential. Disposal of healthcare waste by dumping (landfilling) mainly contributed to the freshwater aquatic ecotoxicity and terrestrial ecotoxicity potential. The proposed scenario demonstrated remarkable lower impacts for each category than the private and local government healthcare waste management systems.
Keywords
Bangladesh Healthcare waste Impacts Life cycle assessment ProblemsNotes
Acknowledgements
We are indebted to Dr. Mohammad Mosharraf Hossain, Professor, Institute of Forestry and Environmental Sciences, University of Chittagong, Bangladesh, and Dr. Nawshad Haque, Senior Scientist, Team and Project Leader at Australian Government’s Science Laboratory at CSIRO, Australia, for their cordial support in accomplishing this preliminary LCA study on HCWM in Bangladesh.
Supplementary material
References
- Ahmad R, Liu G, Santagata R, Casazza M, Xue J, Khan K, Nawab J, Ulgiati S, Lega M (2019) LCA of hospital solid waste treatment alternatives in a developing country: the case of district Swat, Pakistan. Sustainability 11:3501–3520CrossRefGoogle Scholar
- Akter N, Rahman M, Sharmin L (2005) Medical waste management at Rajshahi City Corporation—public–private partnership model development: a collaborative effort on medical waste management in Bangladesh (Baseline and Status Report). BRAC Research Report, Research and Evaluation Division, Dhaka 1212, BangladeshGoogle Scholar
- Alam O (2016) Life cycle assessment problems and prospects in Bangladesh: a case study of healthcare waste management of Chittagong metropolitan city. In: Life cycle assessment and other assessment tools for waste management and resource optimization. An ECI Conference Series, vol 16AL, Cetraro, Italy, 5–10 June 2016Google Scholar
- Alam O, Hossain MM (2013) A comparative study on the differences between public and private healthcare entities in healthcare waste management in Chittagong, Bangladesh. In: Proceedings of the Waste Safe 2013—3rd international conference solid waste manage in the developing countries 10–12 Feb 2013, Khulna, BangladeshGoogle Scholar
- Alam O, Hossain MM (2015) Private initiatives: the new dimension of healthcare waste management in Chittagong Metropolitan, Bangladesh. Waste Manag 43:1–4CrossRefGoogle Scholar
- Alam MM, Sujauddin M, Iqbal GMA, Huda SMS (2008) Report: healthcare waste characterization in Chittagong Medical College Hospital, Bangladesh. Waste Manag Res 26(3):291–296CrossRefGoogle Scholar
- Alam O, Hossain MM, Hossain E (2013) Climate change adaptation and healthcare waste effect on it in Chittagong Metropolitan Area of Bangladesh. In: Proceedings of international conference on climate change impact and adaptation (I3CIA-2013), DUET, Gazipur, BangladeshGoogle Scholar
- Alam O, Hossain MM, Hossain AKhME (2015) Current scenarios of healthcare waste management in Chittagong Metropolitan City, Bangladesh. ARPN J Sci Technol 5(9):444–456Google Scholar
- Al-Faruq SMA, Kader MA, Alamin M, Hasan MR, Alam S (2013) Life cycle assessment (LCA) of municipal solid waste management system in Dhaka metropolitan city. Int J Sci Eng Res 4(5):291–294Google Scholar
- Ali M, Wang W-P, Chaudhry N (2016) Application of life cycle assessment for hospital solid waste management: a case study. J Air Waste Manag Assoc 66(10):1012–1018CrossRefGoogle Scholar
- Campion N, Thiel CL, Woods N, Swanzy L, Landis AE, Bilec MM (2015) Sustainable healthcare and environmental life-cycle impacts of disposable supplies: a focus on disposable custom packs. J Clean Prod 94:46–55CrossRefGoogle Scholar
- Chen L, Sun JM, Huang ZW (2014) Research on the whole-progress management of medical waste with life cycle assessment. Adv Mater Res 915–916:900–904Google Scholar
- Cheng X, Jian-xin Y, Ru-song W (2000) Life cycle assessment for municipal solid treatment and utilization. J Environ Sci 12(2):225–231Google Scholar
- Curran MA (1996) Environmental life-cycle assessment. The McGraw-Hill Companies, Inc. 11 West 19th Street New York, NY 10011. ISBN: 0-07-015063-XGoogle Scholar
- Department of Environment (DoE) (2010) Hazardous waste management in Bangladesh: a country inventory. Ministry of Environment and Forests, Government of the People’s Republic of Bangladesh, Dhaka, Bangladesh Google Scholar
- Dettenkofer M, Griesshammer R, Scherrer M, Daschner F (1999) Life-cycle assessment of singleuse versus reusable surgical drapes (cellulose/polyethylene-mixed cotton system). Der Chirurg 70(4):485–491CrossRefGoogle Scholar
- Diaz LF, Savage GM, Eggerth LL (2005) Alternatives for the treatment and disposal of healthcare wastes in developing countries. Waste Manag 25:626–637CrossRefGoogle Scholar
- Gautam P (2011) Social life cycle assessment of solid waste management in Kathmandu City Nepal. https://pdfs.semanticscholar.org/3ca0/e645208e3ae5d318d235c953741a3cf002bd.pdf. Accessed on 5 Oct 2019
- Ghodrat M, Rashidi M, Samali B (2017) Life cycle assessments of incineration treatment for sharp medical waste. In: Zhang L et al (eds) Energy technology. The minerals, metals & materials series. Springer, ChamGoogle Scholar
- Hassan MM, Ahmed SA, Rahman KA, Biswas TK (2008) Pattern of medical waste management: existing scenario in Dhaka City Bangladesh. BMC Publ Health 8:36CrossRefGoogle Scholar
- Healthcare Plastic Recycling Council (HPRC) (2015) Environmental impacts of recycling compared to other waste disposal methods. https://docs.wixstatic.com/ugd/49d7a0_6bb3ebb481ec49ceafef92f0b0ba010d.pdf. Accessed on 1 Oct 2019
- Hong J, Zhan S, Yu Z, Hong J, Qi C (2018) Life-cycle environmental and economic assessment of medical waste treatment. J Clean Prod 174:65–73CrossRefGoogle Scholar
- Hossain MM, Alam O (2012a) Existing scenario of solid waste management from healthcare industry in Chittagong Metropolitan Area—a pictorial investigation. In: Proceedings of international conference on industrial waste management and process efficiency (IWMPE 2012), DUET, Gazipur, BangladeshGoogle Scholar
- Hossain MM, Alam O (2012b) A Comparison between public and private approaches of waste management in the healthcare industry of Chittagong City Corporation. In: Proceedings of international conference on industrial waste management and process efficiency (IWMPE 2012), DUET, Gazipur, BangladeshGoogle Scholar
- ISO 14040: 2006(en) (2006) Environmental management—life cycle assessment—principles and framework, 2nd edn. International Standard, pp 1–20Google Scholar
- Kreiger MA, Mulder ML, Glover AG, Pearce JM (2014) Life cycle analysis of distributed recycling of post-consumer high density polyethylene for 3-D printing filament. J Clean Prod 70:90–96CrossRefGoogle Scholar
- Lehtinen H, Saarentaus A, Rouhiainen J, Pitts M, Azapag A (2011) A review of LCA methods and tools and suitability for SMEs. Europe Innova Eco-Innovation BIOCHEMGoogle Scholar
- Li W, Huang Q, Lu S, Wu H, Li X, Yan J (2015) Life cycle assessment of the environmental impacts of typical industrial hazardous waste incineration in eastern China. Aerosol Air Qual Res 15:242–251CrossRefGoogle Scholar
- Martini LC (1993) Medical waste regulation in the United States: a dire need for recognition and reform. Northwest J Int Law Bus 14(1):206–230Google Scholar
- Mukhtar S, Khan H, Kiani Z, Nawaz S, Zulfiqar S, Tabassum N (2018) Hospital waste management: execution in Pakistan and environmental concerns—a review. Environ Contam Rev (ECR) 1(1):13–17CrossRefGoogle Scholar
- Ozeler D, Yetis U, Demirer GN (2005) Life cycle assessment of municipal solid waste management methods: Ankara case study. Environ Int 32:405–411CrossRefGoogle Scholar
- Patwary MA, O’Hare WT, Street G, Elahi KM, Hossain SS, Sarker M (2009) Quantitative assessment of medical waste generation in the capital city of Bangladesh. Waste Manag 29(8):2392–2397CrossRefGoogle Scholar
- Qing S, Wang H, Wu Z, Zhao P (2006) Life cycle assessment on incineration of medical waste in Kunming. J Wuhan Univ Technol 28(7):55–58Google Scholar
- Rebitzer G, Ekvall T, Frischknecht R, Hunkelerd D, Norris G, Rydberg T, Schmidt W-P, Suh S, Weidema BP, Pennington DW (2004) Life cycle assessment Part 1: framework, goal and scope definition, inventory analysis, and applications. Environ Int 30:701–720CrossRefGoogle Scholar
- Rossi V, Cleeve-Edwards N, Lundquist L, Schenker U, Dubois C, Humbert S, Jolliet O (2015) Life cycle assessment of end-of-life options for two biodegradable packaging materials: sound application of the European waste hierarchy. J Clean Prod 86:132–145CrossRefGoogle Scholar
- Roy P, Shimizu N, Okadome H, Shiina T, Kimura T (2007) Life cycle of rice: challenges and choices for Bangladesh. J Food Eng 79(4):1250–1255CrossRefGoogle Scholar
- Sapkota B, Gupta GK, Mainali D (2014) Impact of intervention on healthcare waste management practices in a tertiary care governmental hospital of Nepal. BMC Public Health 14:1005–1012CrossRefGoogle Scholar
- Soares SR, Finotti AR, da Silva VP, Alvarenga RA (2013) Applications of life cycle assessment and cost analysis in health care waste management. Waste Manag 33(1):175–183CrossRefGoogle Scholar
- Sørensen BL, Wenzel H (2014) Life cycle assessment of alternative bedpans—a case of comparing disposable and reusable devices. J Clean Prod 83:70–79CrossRefGoogle Scholar
- Swarna DI, Jawad A, Ahammad (2012) Life cycle assessment of grid tied SHSs in Bangladesh with respect to conventional sources. Int J Electr Comp Sci 12(5):15–19 Google Scholar
- Thiel CL, Eckelman M, Guido R, Huddleston M, Landis AE, Sherman J, Shrake SO, Copley-Woods N, Bilec MM (2015) Environmental impacts of surgical procedures: life cycle assessment of hysterectomy in the United States. Environ Sci Technol 49(3):1779–1786CrossRefGoogle Scholar
- Twomey J (2011) Life cycle for engineering the healthcare service delivery of imaging. Wichita State University, Wichita, Industrial and Manufacturing EngineeringGoogle Scholar
- Unger S (2015) Sustainable solutions for medical devices and services. A Ph.D. dissertation submitted to Arizona State UniversityGoogle Scholar
- Unger S, Landis A (2016) Assessing the environmental, human health, and economic impacts of reprocessed medical devices in a Phoenix hospital’s supply chain. J Clean Prod 112:1995–2003CrossRefGoogle Scholar
- United Nations Environment Programme (UNEP) (2009) Guidelines for social life cycle assessment of products. ISBN: 978-92-807-3021-0 DTI/1164/PAGoogle Scholar
- Wäger PA, Hischier R (2015) Life cycle assessment of post-consumer plastics production from waste electrical and electronic equipment (WEEE) treatment residues in a Central European plastics recycling plant. Sci Total Environ 529:158–167CrossRefGoogle Scholar
- Waste Concern (2009) Waste database of Bangladesh. http://www.wasteconcern.org/documents/Waste%20Data%20Base_2009.pdf. Accessed 19 Mar 2018
- World Steel Association (WSA) (2011) Methodology report: life cycle inventory study for steel products. ISBN 978-2-930069-66-1Google Scholar
- Yay ASE (2015) Application of life cycle assessment (LCA) for municipal solid waste management: a case study of Sakarya. J Clean Prod 94:284–293CrossRefGoogle Scholar
- Zerin SA, Ahmed MB (2009) Hospital waste management in Dhaka: a threat. Bangladesh Res Publ J 3(1):796–811Google Scholar
- Zhao W, van der Voet E, Zhang Y, Huppes G (2009a) Life cycle assessment of municipal solid waste management with regard to greenhouse gas emissions: case study of Tianjin, China. Sci Total Environ 407:1517–1526CrossRefGoogle Scholar
- Zhao W, van der Voet E, Huppes G, Zhang Y (2009b) Comparative life cycle assessments of incineration and non-incineration treatments for medical waste. Int J Life Cycl Assess 14:114–121CrossRefGoogle Scholar