The health impacts of waste incineration: a systematic review

Mechanistic insight into the decomposition of sulfone compounds in supercritical water

Supercritical water gasification (SCWG) is famous for the clean utilization of organic wastes without SOx emission. Investigating the decomposition mechanism of sulfone compounds, the dominant organic sulfur compounds of organic wastes, in supercritical water (SCW) is conducive to the development of SCWG technology. Herein, the comparative decomposition mechanism of phenyl vinyl sulfone (PVS), diphenyl sulfone (DS), and benzo[b]thiophene 1,1-dioxide (BD) are explored via experiments and density functional theoretical (DFT) calculations. Experiments on the decomposition characteristics of sulfone compounds in pyrolysis and SCW are conducted using a quartz tube reactor system at temperatures ranging from 400 °C to 700 °C. It is indicated that SCW can inhibit the generation of SO2 during the decomposition of sulfone compounds. The multi-step decomposition pathways that sulfone compounds thermal decompose in pyrolysis and react with H2O, H2, and free radicals (H•/OH•) in SCW are proposed by DFT calculations. It is proved that the presence of H• and OH• in SCW changes the decomposition pathways of sulfone compounds to suppress the release of SO2. This work contributes to a deeper understanding of the sulfur transformation of organic sulfur compounds and provides a theoretical foundation for the clean utilization of organic wastes in SCWG.

Waste to energy, indispensable cornerstone for circular economy: A mini-review

This mini-review aims at proving that waste-to-energy (WtE) is an essential cornerstone for circular economy (CE). Based on literature, the history of thermal waste treatment over the last 150 years is investigated, from open burning to WtE with resource recovery and final sink function. The results show that in the past incineration solved the issues it was designed for but often created new and sometimes even worse problems: The introduction of incineration in the 19th century improved urban sanitation, decreased waste volume and prolonged operational life of landfills. But it also polluted the environment, triggering an unprecedented scientific and engineering effort of all stakeholders. Today, WtE is one of the best investigated and optimized technologies in waste management. It enables the recovery of energy as heat and electric power and facilitates the 'cleaning' of cycles by the destruction of hazardous organic substances. Recent developments in resource recovery from WtE residues allow to recycle metals and, in the case of sewage sludge, even phosphorus by thermal recycling. Combined with carbon capture and storage technology, WtE stands for a quantifiable contribution to greenhouse gas reduction. Today, WtE is indispensable to reach the goals of CE, namely recycling of energy and materials, supplying safe final sinks for persistent organic substances and minimizing the need for sinks for hazardous inorganic substances.

Mediating effect of respiratory symptoms on the association between residential distance and the quality of life among residents living near waste incineration plants in Dongguan, Southern China

BACKGROUND

Living near waste incineration plants (WIPs) may have adverse effects on health associated with quality of life (QOL) among local residents. This study was undertaken to measure the QOL of residents living near WIPs in China, identify the association between residential distance from the WIPs and QOL, and assess the mediating effect of respiratory symptoms on the association between residential distance and QOL.

METHODS

A cross-sectional study was conducted in communities surrounding three municipal WIPs in Dongguan, China. The QOL using the WHOQOL-BREF and respiratory symptoms using the Medical Research Council Questionnaire (MRCQ) on Respiratory Symptoms were measured in 881 residents (454 living 3 km of their local WIP vs. 427 living 3-8 km from the WIP). Differences in respiratory symptoms and QOL in two separate items and four domains were analyzed. The associations of distance with respiratory symptoms and QOL were evaluated by multiple linear regression and logistic regression, respectively. Mediating effect of respiratory symptoms on the association between distance and QOL were tested using mediation analysis.

RESULTS

Compared with the 3-8 km group, residents in the 0-3 km group had significantly lower scores in the physical health domain (β= - 2.02, p = 0.027), social relationships domain (β= - 2.47, p = 0.016) and environment domain (β= - 3.55, p < 0.001). There were no significant associations between distance and psychological domain, overall QOL, and satisfaction with health after adjusting for other variables. Residents in the 0-3 km group were more likely to report respiratory symptoms than residents in the 3-8 km group (OR = 1.46, 95%CI 1.09-1.96, p = 0.011). Respiratory symptoms had a significant effect on physical health (β= - 7.48, p < 0.001), social relationships (β= - 5.02, p < 0.001) and environment domains (β= - 7.28, p < 0.001). Respiratory symptoms fully mediated the association of residential distance on physical health (31.7%), and partially mediated the associations of residential distance on social relationships (18.8%) and environment domains (17.3%).

CONCLUSIONS

Residential distance from a WIP was significantly associated with QOL, and the association between residential distance and QOL was mediated by respiratory symptoms. Future longitudinal studies on adverse respiratory health effects of exposure to WIP emissions are required using objective assessments.

Putting biomonitors to work: native moss as a screening tool for solid waste incineration

Solid waste incineration (SWI) can release numerous air pollutants although the geographic reach of emissions is not routinely monitored. While many studies use moss and lichens for biomonitoring trace elements, including around SWIs, few investigate the complex, multi-element footprint expected from SWI emissions. This study develops using native moss as a screening tool for SWI while also informing community concerns about an aging incinerator in rural Oregon, USA. Trained community volunteers helped collect 36 composite samples of epiphytic moss (Orthotrichum s.l.) along a 32-km transect from the SWI. We used ICP-MS to measure 40 elements in moss, including 14 rare earth elements (REEs) previously unexplored for SWI. We compared the elemental signatures of samples with an emissions profile for SWI and modeled relationships between element concentrations and distance from the facility using nonparametric regression. The chemical signatures in moss pointed to SWI as a source, potentially through both stack and fugitive dust emissions. The strongest models described farther-dispersing elements, including mercury and cadmium (xR2 = 0.65 and 0.62, respectively), and suggested most deposition occurs within 5 to 10 km of the facility. Elements often associated with soil and dust, like arsenic and chromium, exhibited localized peaks within 0.2 km of the incinerator (xR2 = 0.14-0.3). Three novel elements-cesium and REEs europium and gadolinium-also showed promise as atmospheric tracers for SWI. Gadolinium, a contrast reagent for MRIs, could reflect medical waste incineration by the facility. We include additional analysis and discussion to help stakeholders use results effectively.

Supporting the investigation of health outcomes due to airborne emission by different approaches: current evidence for the waste incineration sector

Life cycle assessment (LCA) along with a survey on epidemiologic and oxidative potential studies was used for analysing the current evidence of the impact of airborne emissions from municipal solid waste incineration (MSWI) on human health. The correspondence among investigated health outcomes and pollutants was discussed based on the Chemical Abstract Service (CAS) and the International Agency for Research on Cancer (IARC). LCA indicated the ability of MSWI in avoiding human health impact, about - 2 × 10-4 DALY/tonne together with avoided emissions of particulate matter (PM) and resource depletion, about - 2.5 × 10-3 kg Sbeq/tonne and about - 0.11 kg PM2.5 eq/tonne, respectively. Positive emissions were detected for greenhouses (about 900 kg CO2eq/tonne) and ecotoxicity (about 15,000 CTUe/tonne). Epidemiologic studies performed on population exposed to MSWI reported quite contrasting results. In some of these, hazard ratio (HR) ranging from about 0.7 to 2.2 was reported concerning the incidence of stomach, liver, breast and bladder cancer. Larger agreement was detected concerning the incidence of larynx and lung cancer with HR ranging from about 1 to about 2.6. Direct causal nexuses were not definitively identified. Oxidative potential of PM was characterized by a high Pearson correlation > 0.8 to the presence of CrVI, Cu and Zn. These heavy metals were also identified by both CAS and IARC as toxic (i.e. Cu and Zn) and cancerous (i.e. CrVI) substances affecting the organs of both respiratory and digestive apparatus. In general, even if more research is necessary, LCA, oxidative potential and the epidemiologic survey results showed a high level of accordance. This suggests their integrated exploitation for supporting the investigation of both direct and indirect consequences on environment and health related to waste incineration for both retrospective and predictive studies.

Temporal change and impact on air quality of an energy recovery plant using the M-BACI design in Gipuzkoa

A significant concern in our society is the potential impact on both health and the environment of air pollutants released during the incineration of waste. Therefore, it is crucial to conduct thorough control and monitoring measures. In this context, the objective of this research was to study the evolution of particulate matter (PM2.5) and associated trace elements during the period before and after the installation of an Energy Recovery Plant (ERP). For that, a descriptive and temporal analysis of PM2.5 concentration and composition were performed on two similar areas (impact/control) using the Before-After/Control-Impact (BACI) design and two periods (before from January 01, 2018 to February 06, 2020 and after from December 10, 2020 to September 30, 2022). Results showed a decrease in the levels of PM2.5 and associated trace elements is observed in the impact zone (IZ) and in the control zone (CZ) throughout the study period. In the case of PM2.5, the most notable decrease occurred in the period of the start-up of the ERP, a period that coincides with the confinement and restrictions of COVID, with a subsequent increase in both zones, without reaching the levels observed in the period prior to the start-up of the ERP. Selenium is the only trace element that increases significantly in the IZ. In conclusion, a decrease is observed for all pollutants except selenium in both zones, although less pronounced in the IZ. Since selenium already showed an upward trend in the phase prior to the start of the ERP, it is necessary to investigate its evolution and find out the possible cause.

Multi-criteria sustainability assessment of solid waste management in Jordan

This study comprehensively evaluates Jordan's municipal solid waste (MSW) management sector from 2022 to 2030, in alignment with Jordan Vision 2030. This study introduces new sustainability indicators and innovative waste management alternatives to address the challenges of rapid industrialization and population growth. Four strategic scenarios-1) recycling, composting, and sanitary landfilling; 2) recycling, anaerobic digestion, and sanitary landfilling; 3) incineration and sanitary landfilling; and 4) sanitary landfilling alone-were assessed against the business-as-usual scenario. Using multi-criteria decision analysis (MCDA) and sensitivity analysis, this study evaluates net greenhouse gas emissions, annual operating expenses, revenue streams, and employment rates to measure environmental, economic, and social sustainability. The results indicate that Scenario 1 is the optimal scenario for integrating a material recovery facility (MRF) with a composting plant and sanitary landfill, achieving the lowest greenhouse gas emissions, annual costs, and employment opportunities. This study offers practical and sustainable solutions to Jordan's waste management challenges, provides novel insights through the developed MCDA and sensitivity analysis, and significantly contributes to sustainability research.

Controlled Interlayer Binding and Healing Improve the Transverse Properties of Upcycled Disposable Waste Wood

Recovery and reuse of bulk waste wood are particularly challenging because of usage defects and contaminations. Here, we present a robust and efficient strategy for regenerating used wood veneers into high-performance structural materials through micro/nano interface manipulation. Our approach involves using cellulose-based interlayers to bind together two waste wood plates without an external adhesive by partially dissolving and regenerating the interlayer using a solution of ionic liquids and dimethyl sulfoxide. The mechanical properties of the regenerated wood exceed that of natural wood, displaying over a 16 and 20 times increase in transverse tensile strength and modulus, respectively, and 4-6 times improvement in longitudinal tensile strength and modulus. Nanoscale mechanical analyses show that the improvement is possible as a result of several factors, including the robust network structure of the interlayer, the good adhesion at the wood-interlayer interface, the compacted wood structure, and the low stiffness and deformation gradients between the interlayer and the wood structure. The interlayers can be created from waste papers and wood particles by taking advantage of the nanofibrillar structure of cellulose.

The future in the litter bin - bioconversion of food waste as driver of a circular bioeconomy

Bioconversion of organic waste requires the development and application of rather simple, yet robust technologies capable of transferring biomass into energy and sustainable materials for the future. Food waste plays a significant role in this process as its valorisation reduces waste and at the same time avoids additional exploitation of primary resources. Nonetheless, to literally become "litterate". extensive research into such robust large-scale methods is required. Here, we highlight some promising avenues and materials which fulfill these "waste to value" requirements, from various types of food waste as sustainable sources for biogas, bioethanol and biodiesel to fertilizers and antioxidants from grape pomace, from old-fashioned fermentation to the magic of anaerobic digestion.

European waste management regulations and the transition towards circular economy. A shift-and-share analysis

Environmental legislation in the European Union (EU) aims to bolster the transition towards circular economy. However, a recurring limitation in EU regulations, encompassing not only environmental but also economic, social, and demographic aspects, is the lack of consideration for the unique characteristics of individual Member States when establishing common targets. The present work seeks to investigate the impact of EU waste management regulations on the attainment of circular economy objectives, taking into account national-level socio-economic and demographic characteristics. In order to do so, we employ Shift-and-Share Analysis, using data on 28 EU countries between 1995 and 2018. Our findings indicate that some Member States, namely Estonia, Finland, Hungary, Ireland, Italy, Luxembourg and Slovenia, effectively managed to align their regulatory frameworks with EU directives and create a socio-economic context where citizens and governmental bodies foster the necessary levels of cooperation. Cooperation in turn, with widespread pro-environmental attitudes on part of citizens, efficient waste management on part of specialised firms and proper oversight of waste collection activities on part of institutions, facilitated the achievement of significant circular economy goals.

Tracing the barriers to decarbonising ophthalmology: A review

As climate change demands increasingly urgent mitigation of greenhouse gas emissions, the health sector needs to do its part to decarbonise. Ophthalmologists share concerns about climate change and seek opportunities to reduce their environmental impact. When measuring the footprint of ophthalmology, major contributions are from patient travel to clinics, and from the large amounts of single-use disposable materials that are consumed during surgeries and sterile procedures. Ophthalmic services in India have already demonstrated systems that consume far fewer of these products through efficient throughput of patients and the safe reuse of many items, while maintaining equivalent safety and quality outcomes. Choosing these low-cost low-emission options would seem obvious, but many ophthalmologists experience barriers that prevent them operating as Indian surgeons do. Understanding these barriers to change is a crucial step in the decarbonisation of ophthalmology and the health sector more broadly.

Sustainability in the IVF laboratory: recommendations of an expert panel

The healthcare industry is a major contributor to greenhouse gas emissions. Assisted reproductive technology is part of the larger healthcare sector, with its own heavy carbon footprint. The social, economic and environmental costs of this collective carbon footprint are becoming clearer, as is the impact on human reproductive health. Alpha Scientists in Reproductive Medicine and the International IVF Initiative collaborated to seek and formulate practical recommendations for sustainability in IVF laboratories. An international panel of experts, enthusiasts and professionals in reproductive medicine, environmental science, architecture, biorepository and law convened to discuss the topics of importance to sustainability. Recommendations were issued on how to build a culture of sustainability in the workplace, implement green design and building, use life cycle analysis to determine the environmental impact, manage cryostorage more sustainably, and understand and manage laboratory waste with prevention as a primary goal. The panel explored whether the industry supporting IVF is sustainable. An example is provided to illustrate the application of green principles to an IVF laboratory through a certification programme. The UK legislative landscape surrounding sustainability is also discussed and a few recommendations on 'Green Conferencing' are offered.

Metal concentrations in the whole blood of farmers in southeast Brazil

In this study, we measured Ni, Co, Cd, and Pb concentrations in the whole blood of farmers from southeast Brazil to address the factors influencing human exposure in this population. The factors included smoking, alcohol consumption, aging, body composition, gender, and feeding preferences, which were measured through carbon and nitrogen isotopic composition. We also calculated and compared the reference values (RVs) of the measured elements to evaluate ongoing exposure levels. We observed the influence of lifestyle habits on metal exposure; Cd levels were statistically higher in smokers, and alcohol consumption affected only Pb concentrations, with an association also observed with the frequency of alcohol ingestion. The metal levels were positively associated with both isotope values, indicating that feeding may be the dominant source of these elements in this population. We also observed the effect of endogenous sources measured through age, as increased Pb concentrations in both genders and higher Cd levels in older women, which is related to bone, kidney, and liver accumulation. The body mass index was negatively associated with Ni, Co, and Cd in women and positively in men. The negative associations may indicate that body fat may act as a reservoir for metals, reducing their availability in the blood in individuals with higher body mass and possibly influencing the assessment of exposure levels. The evaluated population presented elevated RVs for all elements: Ni 36, Co 3.3, Cd 16, and Pb 149 μg L-1. These values point to higher exposure in this population compared to other studies in Brazil and worldwide. These results emphasize an urgent need for monitoring programs for toxic substances in Brazil and evaluating possible health effects, given the ongoing environmental exposure associated with endogenous exposure and lifestyle habits that promote higher metal levels in this population.

Responsible waste management: using resources efficiently (Part 2)

This chapter aims to describe the types of waste produced in dental practice, the costs associated with disposal of this waste, and the impact that the disposal method has on the environment and on human health. It discusses the waste hierarchy and explores how dental surgeries can reduce their waste generation through simple changes in practice. The chapter continues by highlighting the benefits of performing a waste audit, with examples of how correct segregation of the waste produced in practice is both cost-effective and reduces the environmental impact of its disposal. Finally, we discuss some of the barriers and enablers of changing waste disposal behaviours in the dental practice and identify how the environmentally minded practitioner can encourage pro-environmental behaviour in their dental team.

Community-driven research and capacity building to address environmental justice concerns with industrial air pollution in Curtis Bay, South Baltimore

Introduction

Curtis Bay (CB) is an environmental justice (EJ) community in South Baltimore. With a high concentration of industrial polluters and compounding non-chemical stressors, CB has experienced socioeconomic, quality of life, and health burdens for over 100 years. Today, these polluters include the open-air CSX Coal Terminal, waste-to-energy incinerators, and heavy diesel traffic through residential areas. The Community of Curtis Bay Association, Free Your Voice, and South Baltimore Community Land Trust are local organizations enacting a vision for equitable, healthy, and community-led development without industrial encroachment. In response to community-identified EJ concerns and an explosion at the CSX Coal Terminal, CB community groups partnered with academic researchers to develop a community-driven hyperlocal air monitoring and capacity building approach. This paper describes this approach to characterizing hyperlocal air quality in CB, building bridges between community residents and regulatory agencies, and nurturing a cohesive and effective community-academic partnership toward EJ.

Methods

Using hyperlocal air monitoring, we are collecting real-time air pollution (particulate matter, black carbon, and ground-level gas species) and meteorological data from 15 low-cost sensors in residential and industrial areas of CB. We also use trail cameras to record activities at the CSX Coal Terminal. We merge air pollution and industrial activity data to evaluate the following: overall air quality in CB, multi-air pollutant profiles of elevated events, spatiotemporal changes in air quality in the community, patterns of industrial activity, and potential correlations between air quality and observed industrial activity. Members of our partnership also lead a high school course educating students about the history and ongoing efforts of the EJ movement in their community. Students in this course learn how to employ qualitative and quantitative data collection and analysis methods to bring scientific support to community EJ concerns.

Results and Discussion

Our hyperlocal air monitoring network and community-academic partnership are continuing to evolve and have already demonstrated the ability to respond to community-identified EJ issues with real-time data while developing future EJ leaders. Our reflections can assist other community and academic groups in developing strong and fruitful partnerships to address similar EJ issues.

Advanced IoT Pressure Monitoring System for Real-Time Landfill Gas Management

This research presents a novel stand-alone device for the autonomous measurement of gas pressure levels on an active landfill site, which enables the real-time monitoring of gas dynamics and supports the early detection of critical events. The developed device employs advanced sensing technologies and wireless communication capabilities, enabling remote data transmission and access via the Internet. Through extensive field experiments, we demonstrate the high sampling rate of the device and its ability to detect significant events related to gas generation dynamics in landfills, such as flare shutdowns or blockages that could lead to hazardous conditions. The validation of the device's performance against a high-end analytical system provides further evidence of its reliability and accuracy. The developed technology herein offers a cost-effective and scalable solution for environmental landfill gas monitoring and management. We expect that this research will contribute to the advancement of environmental monitoring technologies and facilitate better decision-making processes for sustainable waste management.

Plastics and Micro/Nano-Plastics (MNPs) in the Environment: Occurrence, Impact, and Toxicity

Plastics, due to their varied properties, find use in different sectors such as agriculture, packaging, pharmaceuticals, textiles, and construction, to mention a few. Excessive use of plastics results in a lot of plastic waste buildup. Poorly managed plastic waste (as shown by heaps of plastic waste on dumpsites, in free spaces, along roads, and in marine systems) and the plastic in landfills, are just a fraction of the plastic waste in the environment. A complete picture should include the micro and nano-plastics (MNPs) in the hydrosphere, biosphere, lithosphere, and atmosphere, as the current extreme weather conditions (which are effects of climate change), wear and tear, and other factors promote MNP formation. MNPs pose a threat to the environment more than their pristine counterparts. This review highlights the entry and occurrence of primary and secondary MNPs in the soil, water and air, together with their aging. Furthermore, the uptake and internalization, by plants, animals, and humans are discussed, together with their toxicity effects. Finally, the future perspective and conclusion are given. The material utilized in this work was acquired from published articles and the internet using keywords such as plastic waste, degradation, microplastic, aging, internalization, and toxicity.

Chemical characteristics of bottom ash from biomedical waste incinerators in Ghana

Biomedical waste (BMW) incineration is the most used alternative disposal method in developing countries, such as Ghana. The improper disposal of incinerator-generated bottom ash (BA) is a significant concern due to the hazardous nature of waste. A study was conducted at Tema Hospital (TGH) and Asuogyaman Hospital (VRAH) incinerator sites. The BA samples were sent to the Council for Scientific and Industrial Research, Institute of Industrial Research, Ghana. The BA samples were weighed with fisher analytical balance, ground, and sieved with standard grade meshes of 120, 100, and 80 to determine the BA particle size distribution. The chemical composition and heavy metals were analysed using X-ray fluorescence spectrometry (XRF) and atomic absorption spectroscopy (AAS) techniques. The results indicated the chemical composition of the analysed BA samples was CaCO₃ (49.90%), CaO (27.96%) and MgCO₃ (6.02%) for TGH and CaCO₃ (48.30%), CaO (27.07%), and SiO₂ (6.10%) for VRAH, respectively. The mean concentration (M) (kg m^-3) and standard deviation (SD) for TGH in the BA were 7.082 ± 0.478 (Ti), 4.657 ± 0.127 (Zn) and 4.271 ± 1.263 (Fe), while that of VRAH consisted of 10.469 ± 1.588 (Ti), 7.896 ± 2.154 (Fe) and 4.389 ± 0.371 (Zn). Therefore, the heavy metals' mean concentration at the BA is above the WHO permissible limits of soil, i.e., 0.056 kg m^-3 (Ti), 0.085 kg m^-3 (Pb), 0.100 kg m^-3 (Cr) and 0.036 kg m^-3 (Cu). Furthermore, the heavy metal mean concentrations of TGH and VRAH present in the BA analysed samples were ranked in descending order: Ti > Zn > Fe and Ti > Fe > Zn, respectively. It is therefore recommended that BA must be properly disposed of because of the hazardous nature of heavy metals present in the analysed samples, which are able to cause environmental and public health issues.

Environmental and health impacts assessment of long-term naturally-weathered municipal solid waste incineration ashes deposited in soil-old burden in Bratislava city, Slovakia

Municipal solid waste incineration (MSWI) is an effective method for reducing the volume/mass of waste. However, MSWI ashes contain high concentrations of many substances, including trace metal (loid)s, that could be released into the environment and contaminate soils and groundwater. In this study, attention was focused on the site near the municipal solid waste incinerator where MSWI ashes are deposited on the surface without any control. Here, combined results (chemical and mineralogical analyses, leaching tests, speciation modelling, groundwater chemistry and human health risk assessment) are presented to assess the impact of MSWI ash on the surrounding environment. The mineralogy of ∼forty years old MSWI ash was diverse, and quartz, calcite, mullite, apatite, hematite, goethite, amorphous glasses and several Cu-bearing minerals (e.g. malachite, brochantite) were commonly detected. In general, the total concentrations of metal (loid)s in MSWI ashes were high, following the order: Zn (6731 mg/kg) > Ba (1969 mg/kg) ≈ Mn (1824 mg/kg) > Cu (1697 mg/kg) > Pb (1453 mg/kg) > Cr (247 mg/kg) > Ni (132 mg/kg) > Sb (59.4 mg/kg) > As (22.9 mg/kg) ≈ Cd (20.6 mg/kg). Cadmium, Cr, Cu, Pb, Sb and Zn exceeded the indication or even intervention criteria for industrial soils defined by the Slovak legislation. Batch leaching experiments with diluted citric and oxalic acids that simulate the leaching of chemical elements under rhizosphere conditions documented low dissolved fractions of metals (0.00-2.48%) in MSWI ash samples, showing their high geochemical stability. Non-carcinogenic and carcinogenic risks were below the threshold values of 1.0 and 1 × 10^-6, respectively, with soil ingestion being the most important exposure route for workers. The groundwater chemistry was unaffected by deposited MSWI ashes. This study may be useful in determining the environmental risks of trace metal (loid)s in weathered MSWI ashes that are loosely deposited on the soil surface.

Scaling up resource recovery of plastics in the emergent circular economy to prevent plastic pollution: Assessment of risks to health and safety in the Global South

Over the coming decades, a large additional mass of plastic waste will become available for recycling, as efforts increase to reduce plastic pollution and facilitate a circular economy. New infrastructure will need to be developed, yet the processes and systems chosen should not result in adverse effects on human health and the environment. Here, we present a rapid review and critical semi-quantitative assessment of the potential risks posed by eight approaches to recovering value during the resource recovery phase from post-consumer plastic packaging waste collected and separated with the purported intention of recycling. The focus is on the Global South, where there are more chances that high risk processes could be run below standards of safe operation. Results indicate that under non-idealised operational conditions, mechanical reprocessing is the least impactful on the environment and therefore most appropriate for implementation in developing countries. Processes known as 'chemical recycling' are hard to assess due to lack of real-world process data. Given their lack of maturity and potential for risk to human health and the environment (handling of potentially hazardous substances under pressure and heat), it is unlikely they will make a useful addition to the circular economy in the Global South in the near future. Inevitably, increasing circular economy activity will require expansion towards targeting flexible, multi-material and multilayer products, for which mechanical recycling has well-established limitations. Our comparative risk overview indicates major barriers to changing resource recovery mode from the already dominant mechanical recycling mode towards other nascent or energetic recovery approaches.

Cancer risk in the residents of a town near three industrial waste incinerators in Korea: a retrospective cohort study

BACKGROUND

Three industrial waste incinerators (IWIs) were built in 1999, 2001, and 2010, within a 3 km radius of a town with a population of around 5000 in Korea. This study evaluated whether residents near these three IWIs had increased cancer incidence than those from other areas in Korea using regional health data.

METHODS

Standardized incidence ratios (SIR) were calculated using the frequency of cancer cases in the National Cancer Registry of the exposed area (Buki-myeon), Chungcheongbuk-do (Chungbuk, state including Buki-myeon), and whole Korea from 1999 to 2017. A retrospective cohort was created using National Health Insurance System data from 2002 to 2018. The exposed group was defined as those having a residential history in the exposed area. The control group was defined as those having a residential history in nearby towns or counties in Chungbuk, excluding counties having living and cultural areas in other provinces and cities. Hazard ratio (HR) and 95% confidence intervals (CI) were estimated using the Cox proportional hazard model adjusted for age, level of health insurance fee, and smoking history.

RESULTS

In the ecological study using National Cancer Registry data, the risk of all cancers, all cancers excluding thyroid, esophageal, stomach, and lung cancers in the exposed area were 1.13 (95% CI 1.03-1.24), 1.15 (95% CI 1.04-1.26), 1.91 (95% CI 1.13-2.89), 1.39 (95% CI 1.14-1.66), and 1.29 (95% CI 1.03-1.57) times higher than in whole Korea among exposed males, respectively. In the retrospective cohort, 4300 males (26,821 person-years) and 3796 females (24,746 person-years) in exposed group, 150,964 males (1,212,010 person-years) and 134,535 females (1,104,025 person-years) in control group were analyzed. After adjusting for several confounding factors, the risks for gallbladder cancer among males and kidney cancer among females were 2.65 (95% CI 1.38-5.06) and 2.82 (95% CI 1.13-7.03) times higher in the exposed group versus the control group, respectively.

CONCLUSIONS

Cancer risk was higher in Koreans having residential history living near IWIs compared to the other areas. Further study warrants nationwide effects and longer follow-up of WIs for cancers in Korea.

Short-term effects on emergency room access or hospital admissions for cardio-respiratory diseases: methodology and results after three years of functioning of a waste-to-energy incinerator in Turin (Italy)

This study is part of the health surveillance system set up with the construction of a waste-to-energy (WTE) plant in Turin (Italy). Circulatory and respiratory diseases in emergency room (ER) accesses and first hospital admissions were considered. Main concerns of population living in the area near WTE were to know whether single and repeated peaks in emissions would correspond to adverse health effects. We tackle this issue using spatio-temporal analyses, comparing an exposed group (EXP) living near the WTE with a reference group (NOEXP). Age-standardized rates of ER accesses between EXP and NOEXP were temporally compared, testing whether there have been significantly different changes over time. We also examined the relationship between emission peaks and ER accesses in the following days. Finally, with time-series analysis, we investigated variations in ER accesses and pollutants before and after WTE start-up. No significant relationship has been found for the outcome considered.

Air Quality Impact Assessment of a Waste-to-Energy Plant: Modelling Results vs. Monitored Data

The impact of the emissions from a municipal Waste-to-Energy (WtE) plant in Northern Italy on local air quality was assessed using the CALMET-CALPUFF atmospheric dispersion modelling system. Model simulations were based on hourly emission rates measured by continuous stack monitoring systems and considered both air quality-regulated pollutants (nitrogen oxides, particulate matter, toxic elements, benzo(a)pyrene), and other trace pollutants typical of WtE plants (dioxins, furans, and mercury). The model results were compared to both long-term observations from the air quality monitoring network and with short-term measurements from dedicated monitoring campaigns in the vicinity of the WtE plant, in both warm and cold season conditions. Modelling and observational results showed that the estimated plant contributions are very limited. This suggests that the observed concentration levels were the result of the contribution of all the sources distributed over the area and that they were not solely driven by the activity of the plant. Estimated contributions from the plant’s emissions were usually at least two orders of magnitudes lower than the ambient levels at the nearest monitoring site and even lower at the farthest sites.

Assessing the management of healthcare waste for disease prevention and environment protection at selected hospitals in Kinshasa, Democratic Republic of Congo

Incineration is the most used healthcare waste (HCW) disposal method. Disease outbreaks due to Ebola virus and SARS-CoV2 require attention to HCW management to avoid pathogens spread and spillover. This study describes HCW management prior to incineration and hospital incinerators performance by analysing bottom ashes from hospitals in Kinshasa, Democratic Republic of Congo. We used semi-structured interviews to capture information on pre-incineration waste management and analysed the chemical composition of 27 samples of incinerator bottom ashes using the energy dispersive X-ray fluorescence. Neither sorting nor waste management measures were applied at hospitals surveyed. Incinerator operators were poorly equipped and their knowledge was limited. The bottom ash concentrations of cadmium, chromium, nickel and lead ranged between 0.61-10.44, 40.15-737.01, 9.11-97.55 and 16.37-240.03 mg kg^-1, respectively. Compared to Chinese incinerator performance, the concentrations of some elements were found to be lower than those from China. This discrepancy may be explained by the difference in the composition of HCW. The authors conclude that health care waste in Kinshasa hospitals is poorly managed, higher concentrations of heavy metals are found in incinerator bottom ashes and the incinerators quality is poor. They recommend the strict application of infection prevention control measures, the training of incinerator operators and the use of high-performance incinerators.

Plastic Pollution by COVID-19 Pandemic: An Urge for Sustainable Approaches to Protect the Environment

COVID-19 pandemic has created a prolonged impact globally and destructed the life all over the world. The necessary use of personal protective equipments, masks, gloves and other plastic products has to some extent reduced transmission of virus. However, the impact of plastic waste generated worldwide due to the pandemic has affected the environment globally. The coronavirus disease (COVID-19) has destructed and altered every part of life and environment globally. Potential impacts on the environment are seen due to the transmission of virus as well as a slowdown in economic activities as lockdown prevails. Increased biomedical waste, improper usage and disposal of surgical masks, disinfectants, gloves, and increasing plastics wastes from domestic households continuously endangers environment. Not only it has an impact on environment, but also deteriorates human health in the future. Global environmental sustainability is necessitated to overcome the plastic pollution problem and facilitate strategies to recycle and reuse plastics products. This review highlights the influence of COVID-19 on wastes generated by plastic products along with environmental challenges and repercussions. Also, measures to combat the plastic pollution problem have to be implemented for future protection and safety of the environment.

Municipal Solid Waste Management and Adverse Health Outcomes: A Systematic Review

Municipal solid waste (MSW) can pose a threat to public health if it is not safely managed. Despite prior research, uncertainties remain and refurbished evidence is needed along with new approaches. We conducted a systematic review of recently published literature to update and expand the epidemiological evidence on the association between MSW management practices and resident populations' health risks. Studies published from January 2005 to January 2020 were searched and reviewed following PRISMA guidelines. Eligible MSW treatment or disposal sites were defined as landfills, dumpsites, incinerators, waste open burning, transfer stations, recycling sites, composting plants, and anaerobic digesters. Occupational risks were not assessed. Health effects investigated included mortality, adverse birth and neonatal outcomes, cancer, respiratory conditions, gastroenteritis, vector-borne diseases, mental health conditions, and cardiovascular diseases. Studies reporting on human biomonitoring for exposure were eligible as well. Twenty-nine studies were identified that met the inclusion criteria of our protocol, assessing health effects only associated with proximity to landfills, incinerators, and dumpsites/open burning sites. There was some evidence of an increased risk of adverse birth and neonatal outcomes for residents near each type of MSW site. There was also some evidence of an increased risk of mortality, respiratory diseases, and negative mental health effects associated with residing near landfills. Additionally, there was some evidence of increased risk of mortality associated with residing near incinerators. However, in many cases, the evidence was inadequate to establish a strong relationship between a specific exposure and outcomes, and the studies rarely assessed new generation technologies. Evidence gaps remain, and recommendations for future research are discussed.

Plastic residues produced with confirmatory testing for COVID-19: Classification, quantification, fate, and impacts on human health

In March 2020, several international organizations started making recommendations regarding the need for prompt coronavirus-based diagnosis in order to prevent its spread among the world's population. The most widely used test for confirmation of COVID-19 is real-time PCR (RT-PCR). This technique uses plastic supplies in its procedures, which are 100% disposable to avoid cross-contamination and biological risks. The scientific community has become increasingly worried because of the environmental impacts associated with the current COVID-19 pandemic, such as medical plastic residues. We classified and estimated the amount of plastic residues generated as a consequence of COVID-19 diagnostic tests and analyzed the relationships of the plastics generated with number of confirmed cases, population size, and gross domestic product in each country. We evidenced that the RT-PCR generates 37.27 g of plastic residues per sample. All patients COVID-19 tested with RT-PCR have generated 15,439.59 tons of plastic residue worldwide, until August 2020. The plastic residues generated by the COVID-19 tests have no relation with size population or gross domestic product of the countries. There is also no relationship between the plastic residues generated by the COVID-19 tests and the confirmed cases. About 97% of the plastic residues from diagnostic tests for coronavirus are incinerated due to their hazardous nature to humans, but toxic chemicals are released into the environment during the process. In the short term, there is a need to reduce plastic waste and improve controls of gas emissions from incineration plants in countries where there is a deficit. In the long term, biodegradable biomedical manufacturing that are free of releasing toxic chemicals when they are incinerated, must be considered.

Reduction of Management Costs and Avoidance of Air Release of Carcinogens Through a Waste Segregation Program in a Brazilian Medical Institution

Hospital waste management is a current sustainability challenge. Although not always performed, the most applied approach in current protocols is the proper segregation of waste. The incineration of hospital waste is an significant source of emission of specific toxic particles and gases. We highlighted dioxins, whose representatives have been considered carcinogenic agents since 1994. Several experimental and epidemiologic studies have shown greater cancer morbidity and mortality associated with dioxin exposure. In the present study, we presented the impact of a hospital waste management program implemented in an oncology institution based on proper segregation and consequent reduction of incinerated mass. Data were collected for 8 years and the waste was separated into five categories: infectious (A4), chemical (B), recyclable (DR), non-recyclable (DNR), and sharps (E). The classes addressed to incineration were A4, B, and E. A team education starting from the admission process and with a continued education program was essential for a successfully implemented program. We achieved a 66% saving of waste from incineration, equivalent to 76 tons, of which 71.9 tons corresponded to recyclable waste. If the waste separation protocol was not implemented, the biohazardous and chemical material would contaminate the rest of the residues, making incineration as a final destination mandatory for all the waste. This scenario would result in significantly more dioxins release and a 64% higher cost of waste management. This low-cost implementation measure was effective in the cost reduction of waste management and minimization of air release of human carcinogens.

Environment and COVID-19: Pollutants, impacts, dissemination, management and recommendations for facing future epidemic threats

Coronavirus disease 2019 (COVID-19) has become a global pandemic. Its relationship with environmental factors is an issue that has attracted the attention of scientists and governments. This article aims to deal with a possible association between COVID-19 and environmental factors and provide some recommendations for adequately controlling future epidemic threats. Environmental management through ecosystem services has a relevant role in exposing and spreading infectious diseases, reduction of pollutants, and control of climatic factors. Pollutants and viruses (such as COVID-19) produce negative immunological responses and share similar mechanisms of action. Therefore, they can have an additive and enhancing role in viral diseases. Significant associations between air pollution and COVID-19 have been reported. Particulate matter (PM2.5, PM10) can obstruct the airway, exacerbating cases of COVID-19. Some climatic factors have been shown to affect SARS-CoV-2 transmission. Yet, it is not well established if climatic factors might have a cause-effect relationship to the spreading of SARS-CoV-2. So far, positive as well as negative indirect environmental impacts have been reported, with negative impacts greater and more persistent. Too little is known about the current pandemic to evaluate whether there is an association between environment and positive COVID-19 cases. We recommend smart technology to collect data remotely, the implementation of "one health" approach between public health physicians and veterinarians, and the use of biodegradable medical supplies in future epidemic threats.

Adverse health effects for populations living near waste incinerators with special attention to hazardous waste incinerators. A review of the scientific literature

Incinerators of municipal, hazardous and medical wastes are sources of emissions of toxic pollutants, being polychlorinated dibenzo-p-dioxins and dibenzofurans, as well as a number of heavy metals of special concern. Moreover, waste incineration also generates ashes that must be properly disposed. In all countries, waste management is currently being an issue of tremendous importance. While the treatment and disposal of municipal solid waste (MSW) is a problem in the entire world, in industrialized countries, the management of hazardous waste (HW) is an additional issue of important concern. While the available scientific information on the environmental impact and the health risks of MSWIs is quite considerable, that related with the potential adverse health effects for the populations living near HWIs is much more reduced. In this paper, we have reviewed the information on health effects-including the incidence of cancer and cancer mortality-for the people residing in the vicinity of HWIs. For a better understanding of the problem, some studies on cancer and other adverse health effects near MSWIs have been also reviewed. Special attention has been paid to the HWI of Constantí (Catalonia, Spain) on which the most complete information among all HWIs in the entire world is available. In our conclusions, a series of important issues/questions are raised: is really safe the limit value of 0.1 ng TEQ/Nm³ for PCDD/Fs to protect human health? Where are the evidences on this? On the other hand, to date, risk assessment studies have been only focused on certain substances; heavy metals and PCDD/Fs. Studies have not included those chemicals that are not routinely analyzed, being even some of them probably unknown right now. Moreover, what about potential interactions among chemicals in order to estimate the carcinogenic and non-carcinogenic risks for the population living near incinerators? Complete epidemiological studies are clearly necessary.

The impermanent effect of waste incineration on children's development from 6 months to 8 years: A Taiwan Birth Cohort Study

Incineration is a solution to waste problems; however, it has adverse effects on human health. Our study aimed to investigate the direct and indirect effects of living near an incinerator and breastfeeding on children's development at 6, 18, 36 and 66 months, and 8 years of age. The Taiwan Birth Cohort Study dataset used included randomized community data on 19,519 children from 6 months to 8 years old. The Taiwan Birth Cohort Study Developmental Instrument was used to measure children's development at different developmental ages. The results of our study showed that living within 3 km of an incinerator had a negative effect on children's 6-month development, however the effect dissipated after 18 months. Having been breastfed and living in the city had a more persistent and pervasive positive effect on children's development. Conversely, living in the city had an adverse effect on children's social-communication and emotional development when they were 8 years old; possibly due to the Chinese cultural characteristic of collectivism. Further follow-up of the long-term interactive effects of proximity to an incinerator and breastfeeding on children's development and health is needed.