An Overview of Characterisation, Utilisation, and Leachate Analysis of Clinical Waste Incineration Ash

As industrial globalisation and waste output continue to grow, solid waste management is one of the most pressing worldwide environmental challenges. Solid wastes include both the heterogeneous mass of urban throwaways and the homogeneous accumulations of agricultural, industrial, and mineral wastes. Clinical waste (CW) has a significant negative influence on both human health and the environment. To dispose hazardous CW, a proper waste management system should be necessary, and incineration should be the best possible option for reducing the volume of this hazardous waste. Incineration is being developed in Malaysia as a means of disposing clinical and hazardous waste. Currently, 170 common CW treatment facilities with 140 incinerators are accessible around the country. The combustion procedure kills pathogens and reduces waste volume and weight, but it leaves a solid residue known as clinical waste ash (CWA), which raises heavy metal, inorganic salt, and organic compound levels in the environment. Because metals are not eliminated during incineration, dumping CWA in a landfill could contaminate groundwater. Leachate is the liquid created when waste decomposes in a landfill and water filters through it. The most common method of disposing of CW ashes is to transfer them to a landfill. Landfills should install a top cover after closure for hazardous waste landfills. Due to a lack of space and the high expense of land disposal, recycling technologies and the reuse of ash in various systems have developed. Clinical waste incineration fly ash (CWIFA), a solid waste substance from CW incineration, typically includes mobile heavy metals and can cause significant pollution when reused. The standard requirement for removing CWIFA in dumpsites should be below the metal limit stated by the U.S. Environmental Protection Agency (USEPA). Much recent research on the usage of CWIFA has concentrated on mitigating their effects on the environment. Several studies have confirmed the utilisation of CWIFA in the construction field and agriculture to reduce the leaching of its hazardous components into the environment. Compressive strength decreased with the percentage amount of CWIFA due to the substitution of cement with CWIFA. CWIFA mix with 20% cement is the broad-scale application of CWIFA for geotechnical constructions. Heavy metals (Cd, Cu, Ni, Pb, and Zn) are strongly immobilised by the cementitious matrix. Solidification/stabilisation (S/S) materials can be dumped in landfills with less environmental protection than untreated waste. When utilising a CWIFA in mortar, the primary environmental concern is if any harmful materials leach out during the initial curing process or throughout the life of the mortar. Toxicity characteristic of leaching procedure (TCLP) analysis of all CWIFA specimens found amounts of heavy metals below regulatory limits. Solidification of waste with cement and solidified waste has become a popular way of minimising the atmosphere's emissions. The amount of CWIFA generated is expected to increase nationally and globally. There is an immediate need for further evaluation of ash leachate investigations for proper disposal and usage of ash in construction materials.

Recurrent lung cavities and endobronchial nodules in an adolescent male

Multiple lung cavitations and endobronchial nodules are rare presentations of newly diagnosed and recurrent Hodgkin's disease. The clinical and radiological features can be confused with pulmonary tuberculosis, which can be difficult to exclude in endemic areas. However, the presence of endobronchial nodules point, towards Hodgkin's disease. Differential diagnosis is aided by the fact that these lesions usually respond promptly to specific therapy. We present a case of an adolescent male who had constitutional and pulmonary symptoms associated with pulmonary cavities and endobronchial nodules subsequently confirmed to be Hodgkin's disease.