Environmental Life Cycle Assessment of Healthcare Waste Valorisation Alternatives

[1] Janik-Karpinska E. et al. Healthcare Waste – A Serious Problem for Global Health. Healthcare 2023:11(2):242. https://doi.org/10.3390/healthcare11020242 Search in Google Scholar

[2] Pichler P. P., Jaccard I. S., Weisz U., Weisz H. International comparison of health care carbon footprints. Environmental Research Letters 2019:14(6). https://doi.org/10.1088/1748-9326/ab19e1 Search in Google Scholar

[3] Dutchen S. Confronting Health Care’s Carbon Footprint. 2023. [Online]. [Accessed 16.01.2025]. Available: https://magazine.hms.harvard.edu/articles/confronting-health-cares-carbon-footprint Search in Google Scholar

[4] Abbasi K. et al. COP28 climate change conference: time to treat the climate and nature crisis as one indivisible global health emergency. Vet Anaesth Analg 2024:51(2):e1–e4. https://doi.org/10.1016/j.vaa.2023.11.006 Search in Google Scholar

[5] Mol M. P. G. et al. Healthcare waste generation in hospitals per continent: a systematic review. Environmental Science and Pollution Research 2022:29(28):42466–42475. https://doi.org/10.1007/s11356-022-19995-1 Search in Google Scholar

[6] Bannour R. et al. Impact of an educational training about healthcare waste management on practices skills of healthcare workers: a prexperimental study in a tertiary Tunisian hospital. Antimicrob Resist Infect Control 2024:13(1):122. https://doi.org/10.1186/s13756-024-01446-w Search in Google Scholar

[7] Kenny C., Priyadarshini A. Review of current healthcare waste management methods and their effect on global health. Healthcare 2021:9(3):284. https://doi.org/10.3390/healthcare9030284 Search in Google Scholar

[8] European Parliament. Directive 1999/31/EC on the landfill of waste. Official Journal of the European Union 1999/31: L 182. Search in Google Scholar

[9] European Parliament. Directive 2008/98/EC on waste and repealing certain Directives. Official Journal of the European Union 2008: L 312/3. Search in Google Scholar

[10] Zikhathile T., Atagana H., Bwapwa J., Sawtell D. A Review of the Impact That Healthcare Risk Waste Treatment Technologies Have on the Environment. Int J Environ Res Public Health 2022:19(19). https://doi.org/10.3390/ijerph191911967 Search in Google Scholar

[11] United Nations Environment Programme. Compendium of Technologies for the Treatment/Destruction of Healthcare Waste. 2012. [Online]. [Accessed 11.12.2023]. Available: https://wedocs.unep.org/20.500.11822/8628 Search in Google Scholar

[12] Wang X. et al. Emerging waste valorisation techniques to moderate the hazardous impacts, and their path towards sustainability. J Hazard Mater 2022:423:127023. https://doi.org/10.1016/j.jhazmat.2021.127023 Search in Google Scholar

[13] Mushtaq M. H. et al. Environmental Performance of Alternative Hospital Waste Management Strategies Using Life Cycle Assessment (LCA) Approach. Sustainability 2022:14(22). https://doi.org/10.3390/su142214942 Search in Google Scholar

[14] Haque M. A. et al. Sustainable management and valorization of antibiotic waste. Chemical Engineering Journal 2024:498:155372. https://doi.org/10.1016/j.cej.2024.155372 Search in Google Scholar

[15] Zhou J., Ayub Y., Shi T., Ren J., He C. Sustainable co-valorization of medical waste and biomass waste: Innovative process design, optimization and assessment. Energy 2024:288:129803. https://doi.org/10.1016/j.energy.2023.129803 Search in Google Scholar

[16] Chu Y. T., Zhou J., Ren J., Shen W., He C. Conversion of medical waste into value-added products using a novel integrated system with tail gas treatment: Process design, optimization, and thermodynamic analysis. J Hazard Mater 2023:455:131551. https://doi.org/10.1016/j.jhazmat.2023.131551 Search in Google Scholar

[17] Zhao X., You F. Waste respirator processing system for public health protection and climate change mitigation under COVID-19 pandemic: Novel process design and energy, environmental, and techno-economic perspectives. Applied Energy 2021:283:116129. https://doi.org/10.1016/j.apenergy.2020.116129 Search in Google Scholar

[18] Su G., Ong H. C., Ibrahim S., Fattah I. M. R., Mofijur M., Chong C. T. Valorisation of medical waste through pyrolysis for a cleaner environment: Progress and challenges. Environmental Pollution 2021:279:116934. https://doi.org/10.1016/j.envpol.2021.116934 Search in Google Scholar

[19] Chu Y. T., Zhou J., Wang Y., Liu Y., Ren J. Current State, Development and Future Directions of Medical Waste Valorization. Energies 2023:16(3). https://doi.org/10.3390/en16031074 Search in Google Scholar

[20] Chu Y. T., Moktadir M. A., Ren J. Constructing an environmental, social, and governance (ESG) metrics framework for assessing medical waste valorization alternatives: A novel integrated MCDM model under decomposed fuzzy environment. J Environ Manage 2025:373:123457. https://doi.org/10.1016/j.jenvman.2024.123457 Search in Google Scholar

[21] Asim N., Badiei M., Sopian K. Review of the valorization options for the proper disposal of face masks during the COVID-19 pandemic. Environ Technol Innov 2021:23:101797. https://doi.org/10.1016/j.eti.2021.101797 Search in Google Scholar

[22] Mushtaq M. H. et al. Environmental Performance of Alternative Hospital Waste Management Strategies Using Life Cycle Assessment (LCA) Approach. Sustainability 2022:14(22):14942. https://doi.org/10.3390/su142214942 Search in Google Scholar

[23] Rachmawati S., Syafrudin, Budiyono, Chairani E., Suryadi I. Life cycle analysis and environmental cost-benefit assessment of utilizing hospital medical waste into heavy metal safe paving blocks. AIMS Environ Sci 2024:11(5):665–681. https://doi.org/10.3934/environsci.2024033 Search in Google Scholar

[24] Nematollahi H., Ghasemzadeh R., Tuysserkani M., Aziminezhad M., Pazoki M. Comparative life cycle assessment of hospital waste management scenarios in Isfahan, Iran: Evaluating environmental impacts and strategies for improved healthcare sustainability. Results in Engineering 2024:24:102912. https://doi.org/10.1016/j.rineng.2024.102912 Search in Google Scholar

[25] Ün Ç. Examining the environmental and economic dimensions of producing fuel from medical waste plastics. Nigde Omer Halisdemir University Journal of Engineering Sciences 2024:13(1):279–293. https://doi.org/10.28948/ngumuh.1367080 Search in Google Scholar

[26] Latvian Center for Environment, Geology and Meteorology. Public access to the State Environmental Protection Statistical Reports ‘2-Air’, ‘2-Water’ and ‘3-Waste.’ [Online]. [Accessed 10.12.2024]. Available: https://parissrv.lvgmc.lv/#viewType=home_view Search in Google Scholar

[27] Su G., Ong H. C., Ibrahim S., Fattah I. M. R., Mofijur M., Chong C. T. Valorisation of medical waste through pyrolysis for a cleaner environment: Progress and challenges. Environmental Pollution 2021:279:116934. https://doi.org/10.1016/j.envpol.2021.116934 Search in Google Scholar

[28] Zlaugotne B., Pubule J., Gusca J., Kalnins S. N. Quantitative and qualitative assessment of healthcare waste and resource potential assessment. Environmental and Climate Technologies 2022:26(1):64–74. https://doi.org/10.2478/rtuect-2022-0006 Search in Google Scholar

[29] Goedkoop M., Oele M., Leijting J., Ponsioen T., Meijer E. Introduction to LCA with SimaPro. January, 2016. Search in Google Scholar

[30] Huijbregts M. A. J. et al. ReCiPe2016: a harmonised life cycle impact assessment method at midpoint and endpoint level. Int J Life Cycle Assess 2017:22(2):138–147. https://doi.org/10.1007/s11367-016-1246-y Search in Google Scholar

[31] Romagnoli F. et al. Furcellaria lumbricalis macroalgae cascade biorefinery: a Life Cycle Assessment study in the Baltic Sea Region. J Clean Prod 2024:478:143861. https://doi.org/10.1016/j.jclepro.2024.143861 Search in Google Scholar

[32] International Society of Analytical Assessment of Treatment Technologies. State and Territorial Association on Alternative Treatment Technologies (STAATT) III. 2005. [Online]. [Accessed 10.12.2024]. Available: https://www.istaatt.org/index.php?option=com_docman&task=doc_download&gid=5&Itemid=2 Search in Google Scholar

[33] Yue Y., Abdelsalam M., Khater A., Ghazy M. A comparative life cycle assessment of asphalt mixtures modified with a novel composite of diatomite powder and lignin fiber. Constr Build Mater 2022:323:126608. https://doi.org/10.1016/j.conbuildmat.2022.126608 Search in Google Scholar

[34] Heydari S., Hajimohammadi A., Haji Seyed Javadi N., Khalili N. The use of plastic waste in asphalt: A critical review on asphalt mix design and Marshall properties. Constr Build Mater 2021:309:125185. https://doi.org/10.1016/j.conbuildmat.2021.125185 Search in Google Scholar

[35] Machsus M., Chen J. H., Hayati D. W., Khoiri M., Mawardi A. F., Basuki R. Improvement for asphalt mixture performance using plastic bottle waste. International Journal of GEOMATE 2021:20(79):139–146. https://doi.org/10.21660/2021.79.j2035 Search in Google Scholar

[36] Kovács R., Lukáčová E., Czímerová A., Csölle M., Mandula J. Use of Recycled Polyethylene in Asphalt Mixture. Selected Scientific Papers – Journal of Civil Engineering 2023:18(1). https://doi.org/10.2478/sspjce-2023-0001 Search in Google Scholar

[37] Ahmadinia E., Zargar M., Karim M. R., Abdelaziz M., Shafigh P. Using waste plastic bottles as additive for stone mastic asphalt. Mater Des 2011:32(10):4844–4849. https://doi.org/10.1016/j.matdes.2011.06.016 Search in Google Scholar

[38] Genet M. B., Sendekie Z. B., Jembere A. L. Investigation and optimization of waste LDPE plastic as a modifier of asphalt mix for highway asphalt: Case of Ethiopian roads. Case Studies in Chemical and Environmental Engineering 2021:4:100150. https://doi.org/10.1016/j.cscee.2021.100150 Search in Google Scholar

[39] Rajca P. et al. Technological and economic aspect of Refuse Derived Fuel pyrolysis. Renewable Energy 2020:161:482–494. https://doi.org/10.1016/j.renene.2020.07.104 Search in Google Scholar

[40] García R., González-Vázquez M. P., Rubiera F., Pevida C., Gil M. V. Co-pelletization of pine sawdust and refused derived fuel (RDF) to high-quality waste-derived pellets. J Clean Prod 2021:328:129635. https://doi.org/10.1016/j.jclepro.2021.129635 Search in Google Scholar

[41] Centi G., Perathoner S. Chemistry and energy beyond fossil fuels. A perspective view on the role of syngas from waste sources. Catalysis Today 2020:342:4–12. https://doi.org/10.1016/j.cattod.2019.04.003 Search in Google Scholar

[42] Segneri V., Ferrasse J. H., Trinca A., Vilardi G. An Overview of Waste Gasification and Syngas Upgrading Processes. Energies 2022:15(17):6391. https://doi.org/10.3390/en15176391 Search in Google Scholar

[43] Buratti C., Belloni E., Lascaro E., Lopez G. A., Ricciardi P. Sustainable Panels with Recycled Materials for Building Applications: Environmental and Acoustic Characterization. Energy Procedia 2016:101:972–979. https://doi.org/10.1016/j.egypro.2016.11.123 Search in Google Scholar

[44] Badida M. et al. Analysis and Research on the Use of Bulk Recycled Materials for Sound Insulation Applications. Sustainability 2022:14(18). https://doi.org/10.3390/su141811539 Search in Google Scholar

[45] Ricciardi P., Belloni E., Cotana F. Innovative panels with recycled materials: Thermal and acoustic performance and Life Cycle Assessment. Applied Energy 2014:134:150–162. https://doi.org/10.1016/j.apenergy.2014.07.112 Search in Google Scholar

[46] Chen P., Zhu G., Kim H.-J., Brown P. B., Huang J.-Y. Comparative life cycle assessment of aquaponics and hydroponics in the Midwestern United States. J Clean Prod 2020:275:122888. https://doi.org/10.1016/j.jclepro.2020.122888 Search in Google Scholar

[47] Parkes M. G., Cubillos J. P. T, Dourado F., Domingos T., Teixeira R. F. M. Life Cycle Assessment of a Prospective Technology for Building-Integrated Production of Broccoli Microgreens. Atmosphere (Basel) 2022:13(8). https://doi.org/10.3390/atmos13081317 Search in Google Scholar

[48] Joseph B., James J., Kalarikkal N., Thomas S. Recycling of medical plastics. Advanced Industrial and Engineering Polymer Research 2021:4(3):199–208. https://doi.org/10.1016/j.aiepr.2021.06.003 Search in Google Scholar

[49] Health Care Without Harm Europe. Sustainable healthcare waste management in the EU Circular Economy model. 2020. [Online]. [Accessed 10.12.2024]. Available: https://europe.noharm.org/sites/default/files/documents-files/6608/2020-11_HCWH-Europe-position-paper-waste.pdf Search in Google Scholar

[50] Health Care Without Harm. Measuring and reducing plastics in the healthcare sector. 2021. [Online]. [Accessed 10.12.2024]. Available: https://europe.noharm.org/sites/default/files/documents-files/6886/2021-09-23-measuring-and-reducing-plastics-in-the-healthcare-sector.pdf Search in Google Scholar

[51] Health Care Without Harm. New sustainability criteria for examination and surgical gloves. Why choose gloves? 2022. [Online]. [Accessed: 15.01.2025]. Available: https://global.noharm.org/media/4607/download?inline=1 Search in Google Scholar

[52] Health Care Without Harm. Plastics and health. An urgent environmental, climate, and health issue. 2022. [Online]. [Accessed 10.12.2024]. Available: https://global.noharm.org/resources/plastics-and-health-urgent-environmental-climate-and-health-issue Search in Google Scholar