Tag: incineration

An Unexpected Ebola Infrastructure Problem: Waste



Patients with this debilitating virus produce 440 gallons of medical waste daily, including instruments, gowns, gloves, body fluids, sheets, mattresses and more. That’s a substantial amount of medical waste in any situation, but it’s especially daunting in this case because it needs to be disposed of extremely cautiously, to avoid the risk of spreading infection. What do you do with a problem like Ebola waste? Because you don’t want to toss it in the garbage.

Somewhat surprisingly, says Bausch, the United States actually faces bigger problems when it comes to safely disposing of Ebola waste, which is simply burned in large pits in Africa: “In the United States, of course, we are somewhat beholden to higher tech solutions, which in some ways are a little bit more problematic in terms of treating all that waste, and we need autoclaves or incinerators that can handle that sort of thing. It’s not the actual inactivation that’s particularly difficult; it’s just the process of getting the waste from, of course, the frontline of care and interaction with the patients safely to the place where it can be incinerated or autoclaved.”

The problem in the United States is ironically compounded by the increased access to medical care, and the higher quality of medical services, available. In the United States, patients are treated by medical teams with access to a huge volume of supplies they use for protection, including masks, gowns, booties, and gloves, along with sanitizers and other tools. Moreover, patients receive extensive medical interventions that generate waste like needles, tubing, medical tape, empty IV bags, and more. The very care that has helped most of the handful of Ebola patients in the United States conquer the disease has contributed to the huge amount of waste generated, highlighting a critical hole in U.S. medical infrastructure — while African hospitals may have lacked the supplies and personnel needed to supply aid to Ebola patients, they’re at least prepared to handle the waste.

The CDC just issued guidelines to help clinicians and administrators decide upon how to handle Ebola waste, but The New York Times notes that many facilities don’t have the autoclave, and incinerator, capacity to handle medical waste on this scale. Some states prohibit the burning of medical waste altogether, or have barred incineration of Ebola waste, leading to the transport of waste across state borders to facilities that can handle it, which poses its own risks; with every mile added to transport, there’s a greater risk of spreading disease to previously unexposed communities.

Surprisingly, defenders of burning the waste come from surprising corners. Environmentals like Allen Hershkowitz, National Resources Defense Council senior scientist, point out that: “There’s no pollutant that’s going to come out of a waste incinerator that’s more dangerous than the Ebola virus. When you’re dealing with pathogenic and biological hazards, sometimes the safest thing to do is combustion.”

The argument in defense of incineration can be bolstered by the fact that medical waste companies specialize in high-efficiency incineration with equipment designed to minimize and trap byproducts of combustion, reducing overall pollution considerably. Fears about Ebola, rather than genuine environmental or public health concerns, are driving the decision to push against incineration of ebola waste in many regions, but eventually, the United States is going to have to face facts: The mounting waste that accumulates in facilities where Ebola patients receive treatments needs to be disposed of safely, and promptly.

 

by: http://www.care2.com/causes/an-unexpected-ebola-infrastructure-problem-waste.html



MEDICAL WASTE INCINERATOR (50 C 60kg/hr)



Medical Waste Incinerator, 50 to 60 Kg/hr
Support Health Sector Support Project
Point of Installation (Hospitals) Moi Voi, Makindu, Maragua, Eldama Ravine and Isiolo District Hospitals
1.    General Description
Supply, delivery, installation and commissioning of a medical waste incinerator suitable for disposal of Medical, General and Pathological waste in a safe and clean environment.  The unit shall consist of two chambers and operate on the principal of controlled air and temperature. The unit shall consist a particulate remover (scrubbers) as stipulated in waste management regulations, 2006 (Legal notice NO. 121 of 29th September, 2006).  The Unit shall be fully automatic and controlled by an automatic electronic controlled system except loading system which shall be manual.  The unit shall be capable of incinerating between 50 to 60 kg of solid medical waste per hour.  It shall be constructed from mild or aluminized steel lined with refractory material.
Main unit
Application For incineration, general and pathological
Capacity   50 C 60 kg/h burn rate
Type Two  combustion chambers type; primary  and Secondary, controlled/forced combustion air type with a flue gas emission scrubbing unit
Operating time                Minimum 8 hours daily
Operating temperature     From 850 0C to 1200 0C, Automatic controlled
Residual Ash                    5 to 10%
    3.2     Primary Chamber
Construction Constructed from heavy duty mild or aluminized  steel Or
equal and approved equivalent
Insulation material            Refractory material lining similar or equal to calcium 
Silicate and hot face combination of heavy duty brickwork
Internal Construction        Fixed hearth type complete with gratings, concave bottom
and charging door, lined with refractory material
Charging Door                   Suitable for manual loading of wastes and with smooth 
Dear seal equivalent of Ceramic seals with hinges.
Door Lock                          Automatic, Electric type
Ash removal door    Provided, for removing resultant bottom ash leftovers                              from the Primary chamber
Gratings   Provided
Loading Manual loading of waste
Primary Burner                        Fully automatic, with fuel, temperature and speed controls with ignition system, flame detector, Air fan complete with safety features, flame failure,  Diesel fired fuel injector type and Flange mounted                                                                                                    
Blower Provided. For supplying excess combustion air through the distribution system with speed control system
Temperature Minimum exit 850 0C
Observation port To be provided with protective glass type
Construction   Constructed from heavy duty mild or aluminized steel or equal and approved equivalent
Insulation Refractory material lining
Combustion Temperatures        Above 850 0C, controlled electronically
Gas residue or retention Time       > 2 second at minimum 850 0C
Secondary Burner                    Provided, Diesel fired, fully automatic, with fuel, temperature and speed controls, With ignition system,                                                                  Flame detector, Air fan, Complete with safe
ty features, flame failure Diesel fired fuel injector type.                                                                  Flange mounted
Ejector Provided, Venturi type, for cooling the flue gases
Combustion Air Fan Provided for supplying combustion and creating a negative drift and turbulences
Temperature Maximum  1600 0C


Incinérateur P déchets médicaux à Atmosphere contrôlé conçu pour À 'incinération des déchets biomédicaux



Incinérateur de déchets médicaux à air contrôlé conçu pour l’incinération des déchets biomédicaux générés dans un centre de traitement du sang. Les déchets à traiter comprennent principalement les biodéchets (c’est-à-dire les fluides corporels), les déchets infectieux et dangereux tels que les seringues, les aiguilles et autres déchets médicaux (c’est-à-dire les caoutchoucs de silicone, les plastiques, les textiles, les papiers, les emballages, etc.)

Spécifications opérationnelles Spécifications physiques
Volume de la chambre de combustion (m3) 8,80 m3
Taux de combustion * jusqu’à 1500 kg par heure
Consommation moyenne de carburant 65 kg par heure ou plus (7 brûleurs diesel)
Température opérationnelle 850 à 1320 ° C
Rétention de gaz dans la chambre secondaire Grande chambre secondaire
Surveillance de la température Oui
Résidus de cendres moyen (%) 3%
Dispositif thermostatique Oui
Réservoir de fumée diesel 1000l
Laveur de gaz Venture
Système d’alimentation hydraulique de bélier
Grand incinérateur à moteur diesel
Spécification minimale requise

Normes




Another challenge: disposing of waste



A single Ebola patient treated in a U.S. hospital will generate eight 55-gallon barrels of medical waste each day.

Protective gloves, gowns, masks and booties are donned and doffed by all who approach the patient’s bedside and then discarded. Disposable medical instruments, packaging, bed linens, cups, plates, tissues, towels, pillowcases and anything that is used to clean up after the patient must be thrown away.

Even curtains, privacy screens and mattresses eventually must be treated as contaminated medical waste and disposed of.

Dealing with this collection of pathogen-filled debris without triggering new infections is a legal and logistical challenge for every U.S. hospital now preparing for a potential visit by the virus.

In California and other states, it is an even worse waste-management nightmare.

While the U.S. Centers for Disease Control and Prevention recommends autoclaving (a form of sterilizing) or incinerating the waste as a surefire means of destroying the microbes, burning infected waste is effectively prohibited in California, and banned in several other states.

“Storage, transportation and disposal of this waste will be a major problem,” California Hospital Association President C. Duane Dauner warned Sen. Barbara Boxer, D-Calif., in a letter last week.

Even some states that normally permit incineration are throwing up barriers to Ebola waste.

In Missouri, the state attorney general has sought to bar Ebola-contaminated debris from a St. Louis incinerator operated by Stericycle Inc., the nation’s largest medical waste disposal company.

Due to restrictions on burning, California hospital representatives say their only option appears to be trucking the waste over public highways and incinerating it in another state — a prospect that makes some environmental advocates uneasy.

Rules for transport

Under federal transportation guidelines, the material would be designated a Class A infectious substance, or one that is capable of causing death or permanent disability, and would require special approval from the Department of Transportation, hospital representatives say.

“These are some pretty big issues and they need some quick attention,” said Jennifer Bayer, spokeswoman for the Hospital Association of Southern California.

“We fully expect that it’s coming our way,” Bayer said of the virus. “Not to create any sort of scare, but just given the makeup of our population and the hub that we are. It’s very likely.”

The Ebola virus is essentially a string of genetic material wrapped in a protein jacket. It cannot survive a 1,500-degree scorching within an incinerator, or the prolonged, pressurized steam of an autoclave.

“The Ebola virus itself is not particularly hardy,” CDC Director Dr. Thomas Frieden said under questioning on Capitol Hill recently. “It’s killed by bleach, by autoclaving, by a variety of chemicals.”

However, CDC guidelines note that “chemical inactivation” has yet to be standardized and could trigger worker safety regulations.

Getting ready

California health officials recently tried to reassure residents that the state’s private and public hospitals were up to the task and were actively training for the possible arrival of Ebola.

“Ebola does not pose a significant public health risk to California communities at the present time,” said Dr. Gil Chavez, an epidemiologist and deputy director at the California Department of Public Health. “Let me tell you why: Current scientific evidence specifies that people cannot get Ebola through the air, food or water. … The Ebola virus does not survive more than a few hours on impervious surfaces.”

It was unclear whether California officials viewed the waste issue as a potential problem.

Although one-third of the state’s private hospitals and “a few” of its public hospitals reported to Boxer’s office that there would be problems complying with the CDC’s incineration recommendation, and others, a state public health official told reporters he was not aware of any conflicts.

Dr. David Perrott, chief medical officer for the California Hospital Association, said there was also confusion about whether infected human waste could be flushed down the toilet.

“Here’s what we’ve heard from the CDC: It’s OK,” Perrott said. “But then we’ve heard from some sources, that maybe we need to sterilize it somehow and then flush it down the toilet or you have to check with local authorities. It sounds maybe a little gross, but there is a real question about what to do with that waste.”

Overreaction?

Dr. Thomas Ksiazek, a professor of microbiology and immunology of the University of Texas Medical Branch, has said he believes there’s been a lot of overreaction about Ebola medical waste.

“There are other ways to deal with the waste; autoclaving would be chief among them,” Ksiazek said. “The problem is, most hospitals don’t use it for most disposable items. They’re quite happy to bag them up and send them to a regular medical disposal company.”

But Allen Hershkowitz, a senior scientist at the Natural Resources Defense Council, said incineration is simple and effective, and should be available to hospitals to help dispose of the mountain of waste.

Hershkowitz said states began to crack down on medical waste incineration years ago because materials that didn’t need to be burned were being sent to combustors and were emitting dangerous pollutants.

In this case of Ebola medical waste, he said California should reconsider its restrictions.

“There’s no pollutant that’s going to come out of a waste incinerator that’s more dangerous than the Ebola virus,” Hershkowitz said. “When you’re dealing with pathogenic and biological hazards, sometimes the safest thing to do is combustion.”

by: http://www.sfgate.com/news/article/Another-challenge-disposing-of-waste-5909413.php



Incinerator with Capacity of destruction in weight: 60 Kg/h.



Capacity of destruction in weight: 60 Kg/h.

It should be able to operate not less than 10 hours/day

This incinerator must be able to destruct all combustible wastes produced by hospitals, private clinics, laboratories, institutes, etc…

Design Specification : Types A, B, C, D, and E of medical waste 

“PYROLYTIC” combustion, by controlling the gasification of waste.

The incinerator must avoid the release of black smoke and fine dust, (Smokeless) during the loadings.

It should be able to reduce the volume of wastes by 98%.

It should be able to hold emission in the second burn with gas residence of not less than 2 seconds.

The incineration should be completely free from visible smoke as well as offensive odours.

The lower calorific power (L.C.P) of this waste will be 3,500 kcal/kg

The Temperatures of combustion: Minimum will be 850oC and max 1400oC

Post combustion: >1100oC.

The Internal diameter of the Chimney: Ø 400 and its height: 8 m

The Volume of the combustion chamber: 1.200 L

The Dimension of the door for loading in cm: 70×70.

Burner operation should be Automatic On/Off

Fuel : diesel

The supplier must provide  necessary information for the best of  the installation

This incinerator with “PYROLYTIC” combustion must have:

A combustion chamber of waste:

* Perfectly tight door for the manual loading of waste. The loading should be Manual, Batch Load 

* A burner of lighting which the use is limited to the ignition of waste.

* Frontage of loading with door seals gone up on hinges, wheel of screw plug, flexible joint, and stuffing insulating out of refractory.

* The insulation of the combustion chamber should be composed of refractory bricks, having a high content of aluminium and insulates bricks in order to assure a minimum temperature on   the outside sheet metal.

* Composition of the refractory;

Refractory concrete :

. Thickness : ≥100 mm

. Nature: 42% of Al203

Insulate in fibrous panels :

. Thickness: ≥75 mm

Nature: Calcium silicate.

* Burner of lighting of waste, with fuel, standard mono-bloc casting guiding  plunging flame, lighting and safety of electronic ignition, permanent ventilation, electromagnetic sluice gate of regulation and isolating valve.

* Plate of combustion in Carborundum, avoiding the fixing of glass and slags. 



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by: http://voipshoip.com/negozio-tiffany-milano-the-whole-of-europe-has-423-waste-incinerators/



Adjumani Hospital incinerator blows up



ADJUMANI.
The incinerator at Adjumani Hospital, which was built four years ago, has burst due to overheating.

For the past four months, support staff at the hospital have been dumping medical waste within the enclosure of the incinerator instead of burning it.

The hospital administrator, Mr Michael Ojja, told Daily Monitor on Wednesday that the incinerator broke down due to continuous burning of accumulated waste from the hospital.

“The waste has increased due to the overwhelming number of admissions and people visiting the outpatient department. But we need to find solutions to protect the staff and environment,” Ojja said.

The hospital medical superintendent, Dr Dominic Drametu, said they had asked the government for construction of a new incinerator.

He said the incinerator was too small to dispose of the hospital’s voluminous medical waste.

Patients admitted to the general ward next to the incinerator expressed fear of infections arising from poor disposal of hazardous medical waste.

According to the 2013-2014 annual health sector performance report, Adjumani Hospital registers 11,731 in-patients, 83,953 outpatients and 1,695 deliveries.

Scientific facts
Incineration of heavy metals or materials with high metal content (in particular lead, mercury and cadmium) releases toxic metals to the environment and the burnt medical waste contains micro-organisms that are potentially harmful to human beings, according to WHO.



Incinerator with Capacity of destruction in weight: 60 Kg/h.



Capacity of destruction in weight: 60 Kg/h.

It should be able to operate not less than 10 hours/day

This incinerator must be able to destruct all combustible wastes produced by hospitals, private clinics, laboratories, institutes, etc…

Design Specification : Types A, B, C, D, and E of medical waste 

“PYROLYTIC” combustion, by controlling the gasification of waste.

The incinerator must avoid the release of black smoke and fine dust, (Smokeless) during the loadings.

It should be able to reduce the volume of wastes by 98%.

It should be able to hold emission in the second burn with gas residence of not less than 2 seconds.

The incineration should be completely free from visible smoke as well as offensive odours.

The lower calorific power (L.C.P) of this waste will be 3,500 kcal/kg

The Temperatures of combustion: Minimum will be 850oC and max 1400oC

Post combustion: >1100oC.

The Internal diameter of the Chimney: Ø 400 and its height: 8 m

The Volume of the combustion chamber: 1.200 L

The Dimension of the door for loading in cm: 70×70.

Burner operation should be Automatic On/Off

Fuel : diesel

The supplier must provide  necessary information for the best of  the installation

This incinerator with “PYROLYTIC” combustion must have:

A combustion chamber of waste:

* Perfectly tight door for the manual loading of waste. The loading should be Manual, Batch Load 

* A burner of lighting which the use is limited to the ignition of waste.

* Frontage of loading with door seals gone up on hinges, wheel of screw plug, flexible joint, and stuffing insulating out of refractory.

* The insulation of the combustion chamber should be composed of refractory bricks, having a high content of aluminium and insulates bricks in order to assure a minimum temperature on   the outside sheet metal.

* Composition of the refractory;

Refractory concrete :

. Thickness : ≥100 mm

. Nature: 42% of Al203

Insulate in fibrous panels :

. Thickness: ≥75 mm

Nature: Calcium silicate.

* Burner of lighting of waste, with fuel, standard mono-bloc casting guiding  plunging flame, lighting and safety of electronic ignition, permanent ventilation, electromagnetic sluice gate of regulation and isolating valve.

* Plate of combustion in Carborundum, avoiding the fixing of glass and slags. 



Supply, Installation and Commissioning of DIESEL FIRED INCINERATORS



Supply, Installation and Commissioning of DIESEL FIRED INCINERATORS
Medical Waste Incinerator, 100 to 120 Kg/hr
Application   For incineration, general and pathological
Capacity    100 C 120 kg/h burn rate
Type Two  combustion chambers type; primary  and Secondary, controlled/forced combustion air type with a flue gas emission scrubbing unit
Operating time                Minimum 8 hours daily
Operating temperature     From 850 0C to 1200 0C, Automatic controlled
Residual Ash                    5 to 10%
Construction Constructed from heavy duty mild or aluminized  steel
Or equal and approved equivalent

Insulation material            Refractory material lining similar or equal to calcium 
Silicate and hot face combination of heavy duty brickwork
Internal Construction        Fixed hearth type complete with gratings, concave bottom and charging door, lined with refractory material
Charging Door                   Suitable for manual loading of wastes and with smooth 
Dear seal equivalent of Ceramic seals with hinges.
Door Lock                          Automatic, Electric type
Ash removal door    Provided, for removing resultant bottom ash leftovers                              from the Primary chamber
Gratings    Provided
Loading Manual loading of waste
Primary Burner                        Fully automatic, with fuel, temperature and speed  controls with ignition system  flame detector                                                         Air fan Complete with safety features, flame failure                                                                    Diesel fired fuel injector type                                               
Flange mounted
Blower   Provided.  3 phase for supplying excess combustion air through the distribution system with speed control system
Temperature Minimum exit 850 0C
Observation port To be provided with protective glass type
     3.3    Secondary chamber


Tinian solid waste: Where to go?



THREE options are on the table for disposing off Tinian solid waste: incineration, Fukuoka method or off-island disposal.

The Marine Forces Pacific recently held an ad hoc committee meeting with the Bureau of Environmental and Coastal Quality, Environmental Protection Agency, Tinian Mayor’s Office, Department of Public Works and Administration representatives at the BECQ office on Middle Road to map out the directions to take relating to the potential solid waste solutions beneficial for both the military and the civilian population.

In light of the ongoing National Environmental Policy Act process on the construction of ranges and training areas on Tinian, the Marine Forces Pacific examined these options and discussed these with the CNMI.

In analyzing these options, the U.S. military held the assumption that the current dumpsite located at Puntan Diablo on Tinian — the area where the Chinese group of investors is planning to develop into an integrated resort — will be closed and that a transfer station is being considered.

MARFORPAC environmental specialist Sherri Eng said the dumpsite is not something that the military will be able to use.

Just by looking at the requirements and the benefits of the options explored, Eng said that the easiest would be the off-island disposal.”

In choosing the off-island disposal option, the parties will have to look into the capacity of the Marpi landfill to accommodate the waste coming from Tinian — both military and civilian waste.

Eng, in a meeting with the local regulatory agencies and officials walked them through the three systems being considered.

Option 1: Incineration

Eng said the system that calls for the use of incinerator or waste-to-energy system requires a “properly sized incinerator,” fenced site, ash landfill, wastewater disposal, trained operators and secondary disposal site for C&D or construction and demolition waste, green waste, recyclables and white goods.

She said that this system could lead to significant waste reduction and energy production.

However, there are challenges to be met: siting and permitting, maintaining consistent operations, the need for sorting and waste monitoring, high initial cost, high maintenance cost and long timeline for construction.

“Construction timeline is long. It is not something that we can set up tomorrow,” said Eng.

Department of Public Works Secretary Martin C. Sablan mentioned about the CNMI getting an incinerator which it never used owing to the difficulty of permitting through the regulatory agencies.

“Permitting was a problem,” said Sablan.

Option 2: Fukuoka Landfill

The Fukuoka landfill is a new approach to handling solid waste. It is a semi-aerobic landfill with a leachate collecting pipe set up at the landfill floor that drains the leachate to a treatment facility.

This method does not require a synthetic liner.

But if this were to be pursued, Tinian will need an additional 15 hectares and the use of specific construction material.

The MARFORPAC representatives said they have conducted research on this method.

It was done in Palau, Yap and American Samoa but nowhere else in the continental United States due to permitting.

“We have to get some kind of waiver,” said Eng citing that it is not a permitted system in the U.S.

But with Fukuoka method, there is a potential to convert the existing dumpsite on Tinian.

As for leachate, the military is considering to upsize its waste water treatment facility to accommodate this if this were the option to consider.

As the Fukuoka landfill will need clay, Eng said their research showed the lack of this material on Tinian; however, it was suggested there’s a source in Papago.

Option 3: Off-island disposal

This option proposes to utilize the existing Marpi landfill.

With this option, Eng said there will be no additional land requirements.

She said this centralizes waste management system on Saipan.

But Eng was quick to point out that among the challenges will be how to deal with the perception that Saipan becomes a dumping ground.

The military also sees the need to upgrade shipping infrastructure.

“We’re willing to accept military waste,” said DPW Secretary Martin C. Sablan.

He said they had excavated the ground to construct the third cell of the landfill facility.

With this option, Eng assured that “whatever we do, we are going to take the Tinian waste with us.”

Asked by DPW if the military were to foot the bill for shipping and transfer of the waste, Eng said, “We agree to find the solution and hope to find the solution.” She said she could not commit to anything.

Sablan said it will cost less for the military to bring their waste to Saipan but the municipality will be needing assistance.

Feasibility study for three options?

Eng pointed out that the options has to be brought down to two.

“I don’t think we have the time and money to do all three,” she said.

Transfer station is key

As they mulled the potential solutions to Tinian’s solid waste issues, Eng said it is assumed that there will be a transfer station.

“Transfer station is important in all these sytems,” she said.

Closure of the dumpsite

Tinian Mayor Ramon M. Dela Cruz pointed out that it is not the responsibility of the developer to close the existing dumpsite at Puntan Diablo.

He, however, said that Alter City has committed to providing up to $5 million in assistance.

Asked by CIP’s Elizabeth Balajadia if they could continue to use the dumpsite for five more years, Tinian Mayor’s Office chief of staff Don Farrell said “five years is too long.”

Mayor Dela Cruz said three years would be reasonable.

“That will allow the developer to work on the adjacent property,” he said.

Alter City Group is proposing to build a golf course at the current site of the dumpsite.

Alter City committed to assist

At a hearing before the CNMI legislature last week, Alter City’s legal counsel Rober Torres said, “Investor is motivated to assist in its removal.”
But he said the government too has to pitch in.
by: http://www.mvariety.com/special-features/business-edge/70491-tinian-solid-waste-where-to-go