DOI: https://dx.doi.org/10.18203/2394-6040.ijcmph20220267
Published: 2022-01-28

The crisis of biomedical wastes associated with the COVID-19 pandemic and management using sustainable technologies for sound management of healthcare waste associated with pandemics

Udbhav Sharma, Shekhar Kalra, Srishti Gupta, Nirali Seth, Govind Mawari, Naresh Kumar, Mradul Kumar Daga, M. Meghachandra Singh, Tushar Kant Joshi

Abstract


The outbreak of coronavirus disease 2019 (COVID-19) wreaked havoc all across the world, claiming numerous casualties. Managing the pandemic has resulted in the production of an unprecedented volume of biomedical waste (BMW), in the form of used personal protective equipment (PPE), diagnostic items, etc. It is a matter of utmost urgency that this BMW is treated, using newer and environmentally sustainable methods as compared to the available ones. The inadequacies of the conventional methods of bio medical waste management call for newer and sustainable alternatives for management like simple greenhouse containers, pyrolysis of polypropylene PPE, usage of silk masks, development of novel biodegradable masks, Antimicrobial Photodynamic therapy (aPDT), nano-photocatalysts, etc. These methods have numerous advantages over currently used methods like incineration, landfilling, etc., and can sustainably be used as an adjunct or an alternative to them. 


Keywords


Biomedical waste, COVID-19, Sustainable

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References


Andrews MA, Areekal B, Rajesh KR, Krishnan J, Suryakala R, Krishnan B et al. First confirmed case of COVID-19 infection in India: A case report. The Indian Journal of Medical Research. 2020;151(5):490-2.

WHO (2020). Shortage of personal protective equipment endangering health workers worldwide. Available at: https://www.who.int/news/item/03-03-2020-shortage-of-personal-protective-equipment-endangering-health-workers-worldwide. Accessed on 11 September, 2021.

Bhatt K, Agolli A, Patel MH, Garimella R, Devi M, Garcia E et al. High mortality co-infections of COVID-19 patients: Mucormycosis and other fungal infections. Discoveries. 2020;9(1):e126.

Nzediegwu C, Chang SX. Improper solid waste management increases potential for COVID-19 spread in developing countries. Resources, Conservation, and Recycling. 2020;161:104947.

Bdour A, Altrabsheh B. Hadadin N, Al-Shareif M. Assessment of medical wastes management practice: A case study of the northern part of Jordan. Waste Management (New York, N.Y.). 2007;27(6):746-59.

Yu H, Sun X, Solvang WD, Zhao X. Reverse Logistics Network Design for Effective Management of Medical Waste in Epidemic Outbreaks: Insights from the Coronavirus Disease 2019 (COVID-19) Outbreak in Wuhan (China). International Journal of Environmental Research and Public Health. 2019;17(5):1770.

Chand S, Shastry CS, Hiremath S, Joel JJ, Krishnabhat CH, Mateti UV. Updates on biomedical waste management during COVID-19: The Indian scenario. Clinical Epidemiology and Global Health. 2020;11:100715.

Ahmed W Angel N, Edson J, Bibby K, Bivins A, O’Brien JW et al. First confirmed detection of SARS-CoV-2 in untreated wastewater in Australia: A proof of concept for the wastewater surveillance of COVID-19 in the community. The Science of the Total Environment. 2020;728:138764.

Saawarn B, Hait S. Occurrence, fate and removal of SARS-CoV-2 in wastewater: Current knowledge and future perspectives. Journal of Environmental Chemical Engineering. 2021;9(1):104870.

Casanova L, Rutala WA, Weber DJ, Sobsey MD. Survival of surrogate coronaviruses in water. Water Research. 2009;43(7):1893-8.

Gormley M, Aspray TJ, Kelly DA. COVID-19: Mitigating transmission via wastewater plumbing systems. The Lancet. Global Health. 2020;8(5):e643.

Islam SMD, Huda ME. Water Pollution by Industrial Effluent and Phytoplankton Diversity of Shitalakhya River, Bangladesh. Journal of Scientific Research. 2016;8(2):191-8.

Celis JE, Espejo W, Paredes-Osses E, Contreras SA, Chiang G, Bahamonde P. Plastic residues produced with confirmatory testing for COVID-19: Classification, quantification, fate, and impacts on human health. The Science of the Total Environment. 2021;760:144167.

Tagorti G, Kaya B. Genotoxic effect of microplastics and COVID-19: The hidden threat. Chemosphere. 2022;286:131898.

Thind PS, Sareen A, Singh DD, Singh S, John S. Compromising situation of India’s bio-medical waste incineration units during pandemic outbreak of COVID-19: Associated environmental-health impacts and mitigation measures. Environmental Pollution (Barking, Essex: 1987). 2021;276:116621.

Zhu Y, Xie J, Huang F, Cao L. Association between short-term exposure to air pollution and COVID-19 infection: Evidence from China. The Science of the Total Environment. 2020;727:138704.

Maher OA, Kamal SA, Newir A, Persson KM. Utilization of greenhouse effect for the treatment of COVID-19 contaminated disposable waste—A simple technology for developing countries. International Journal of Hygiene and Environmental Health. 2021;232:113690.

Harussani MM, Sapuan SM, Rashid U, Khalina A, Ilyas RA. Pyrolysis of polypropylene plastic waste into carbonaceous char: Priority of plastic waste management amidst COVID-19 pandemic. Science of The Total Environment. 2022;803:149911.

Vijayakumar A, Sebastian J. Pyrolysis process to produce fuel from different types of plastic – a review. IOP Conference Series: Materials Science and Engineering. 2018;396:012062.

Medical waste disposal equipment (n.d.). Bertin Medical Waste. Available at: https://www.bertin-medical-waste.com/products/biohazardous-waste-management-systems/sterilwave-440/. Accessed on 12 September 2021.

Resilient Environmental Solutions, 2020. Environmental Assessment for the Proposed Establishment of STERILWAVE Apparatus for Treatment of Medical Waste at Rhino Park Private Hospital, Windhoek Screening Report. Available at: http://www.eia.met.gov.na/screening/1371_a_screening_report_rhinopark_hospital_sterilwave.pdf. Accessed on 12 September 2021.

Konda A, Prakash A, Moss GA, Schmoldt M, Grant GD, Guha S. Aerosol Filtration Efficiency of Common Fabrics Used in Respiratory Cloth Masks. ACS Nano. 2020;acsnano.0c03252.

Parlin AF Stratton SM, Culley TM, Guerra PA. A laboratory-based study examining the properties of silk fabric to evaluate its potential as a protective barrier for personal protective equipment and as a functional material for face coverings during the COVID-19 pandemic. PLoS ONE. 2020;15(9):e0239531.

Ravikumar A. Indian silk industry in the global scenario. 2011;1:100-10.

Singh N, Tang Y, Ogunseitan OA. Environmentally Sustainable Management of Used Personal Protective Equipment. Environmental Science & Technology. 2020;acs.est.0c03022.

UBC researchers develop biodegradable medical mask for COVID-19. Available at: https://news.ubc.ca/2020/05/21/ubc-researchers-develop-biodegradable-medical-mask-for-covid-19/. Accessed on 12 September 2021.

Adlakha N. India’s ‘Recycle Man’ makes bricks from discarded face masks. The Hindu. Available at: https://www.thehindu.com/life-and-style/homes-and-gardens/binish-desai-has-designed-bricks-made-from-recycled-face-masks-during-covid-19/art icle32295016.ece. Accessed on 7 August, 2020.

Almeida A, Faustino MAF, Neves MG. Antimicrobial Photodynamic Therapy in the Control of COVID-19. Antibiotics (Basel, Switzerland). 2020;9(6):E320.

Hooshmand S, Kargozar S, Ghorbani A, Darroudi M, Keshavarz M, Baino F et al. Biomedical Waste Management by Using Nanophotocatalysts: The Need for New Options. Materials. 2020;13(16):3511.