Management of COVID-19 healthcare waste based on the circular economy hierarchy: A critical review.

IF 3.7 4区 环境科学与生态学 Q3 ENGINEERING, ENVIRONMENTAL Waste Management & Research Pub Date : 2024-11-01 Epub Date: 2023-09-27 DOI:10.1177/0734242X231198424
Evangelos A Voudrias
{"title":"Management of COVID-19 healthcare waste based on the circular economy hierarchy: A critical review.","authors":"Evangelos A Voudrias","doi":"10.1177/0734242X231198424","DOIUrl":null,"url":null,"abstract":"<p><p>The overall objective of this work was to conduct a critical literature review on the application of the circular economy (CE) hierarchy for the management of COVID-19 healthcare waste (HCW). To describe the problem created by COVID-19 HCW, first, the subsystems of the overall management system, including generation, segregation, classification, storage, collection, transport, treatment and disposal, were reviewed and briefly described. Then, the CE hierarchy using the 10R typology was adapted to the management of COVID-19 HCW and included the strategies Refuse, Reduce, Resell/Reuse, Repair, Reprocess, Refurbish, Remanufacture, Repurpose, Recycle and Recover (energy). Disposal was added as a sink of residues from the CE strategies. Using the detailed 10R CE hierarchy for COVID-19 HCW management is the novelty of this review. It was concluded that R-strategy selection depends on its position in the CE hierarchy and medical item criticality and value. Indicative HCW components, which can be managed by each R-strategy, were compiled, but creating value by recovering infectious downgraded materials contaminated with body fluids and tissues is not currently possible. Therefore, after applying the circular solutions, the end of pipe treatment and disposal would be necessary to close material cycles at the end of their life cycles. Addressing the risks, knowledge gaps and policy recommendations of this article may help to combat COVID-19 and future pandemics without creating environmental crises.</p>","PeriodicalId":23671,"journal":{"name":"Waste Management & Research","volume":" ","pages":"977-996"},"PeriodicalIF":3.7000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Waste Management & Research","FirstCategoryId":"93","ListUrlMain":"https://doi.org/10.1177/0734242X231198424","RegionNum":4,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/9/27 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"ENGINEERING, ENVIRONMENTAL","Score":null,"Total":0}
引用次数: 0

Abstract

The overall objective of this work was to conduct a critical literature review on the application of the circular economy (CE) hierarchy for the management of COVID-19 healthcare waste (HCW). To describe the problem created by COVID-19 HCW, first, the subsystems of the overall management system, including generation, segregation, classification, storage, collection, transport, treatment and disposal, were reviewed and briefly described. Then, the CE hierarchy using the 10R typology was adapted to the management of COVID-19 HCW and included the strategies Refuse, Reduce, Resell/Reuse, Repair, Reprocess, Refurbish, Remanufacture, Repurpose, Recycle and Recover (energy). Disposal was added as a sink of residues from the CE strategies. Using the detailed 10R CE hierarchy for COVID-19 HCW management is the novelty of this review. It was concluded that R-strategy selection depends on its position in the CE hierarchy and medical item criticality and value. Indicative HCW components, which can be managed by each R-strategy, were compiled, but creating value by recovering infectious downgraded materials contaminated with body fluids and tissues is not currently possible. Therefore, after applying the circular solutions, the end of pipe treatment and disposal would be necessary to close material cycles at the end of their life cycles. Addressing the risks, knowledge gaps and policy recommendations of this article may help to combat COVID-19 and future pandemics without creating environmental crises.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
基于循环经济层级的新冠肺炎医疗废物管理:一项关键审查。
这项工作的总体目标是对循环经济(CE)层级在新冠肺炎医疗废物(HCW)管理中的应用进行批判性文献综述。为了描述新冠肺炎HCW造成的问题,首先回顾并简要描述了总体管理系统的子系统,包括生成、分离、分类、储存、收集、运输、处理和处置。然后,使用10R类型的CE层次结构适用于新冠肺炎HCW的管理,包括拒绝、减少、转售/再利用、修复、再加工、翻新、再制造、再利用、回收和回收(能源)策略。处置被添加为CE策略的残留物汇。将详细的10R CE层次结构用于新冠肺炎HCW管理是本综述的新颖之处。得出的结论是,R策略的选择取决于其在CE层次结构中的位置以及医疗项目的关键性和价值。已编制了可由每种R策略管理的指示性HCW成分,但目前还不可能通过回收被体液和组织污染的传染性降级材料来创造价值。因此,在应用循环解决方案后,有必要进行管道末端处理和处置,以在材料生命周期结束时关闭材料循环。解决本文的风险、知识差距和政策建议可能有助于在不造成环境危机的情况下抗击新冠肺炎和未来的流行病。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
Waste Management & Research
Waste Management & Research 环境科学-工程:环境
CiteScore
8.50
自引率
7.70%
发文量
232
审稿时长
4.1 months
期刊介绍: Waste Management & Research (WM&R) publishes peer-reviewed articles relating to both the theory and practice of waste management and research. Published on behalf of the International Solid Waste Association (ISWA) topics include: wastes (focus on solids), processes and technologies, management systems and tools, and policy and regulatory frameworks, sustainable waste management designs, operations, policies or practices.
期刊最新文献
A review on European sustainable practices in end-of-life vehicles management. Shifting perceptions of informal operators in the service and value chains: A retrospective of 40 years of observation and advocacy for informal recyclers and waste service providers, through the eyes of five global participant-researchers. Sustainable waste management approach towards efficient resource utilization. Developing WasteSAM: A novel approach for accurate construction waste image segmentation to facilitate efficient recycling. Risk minimizing framework for solar photovoltaics.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1