Assessment of Air and Water Pollution from Bariadi Regional Hospital’s Waste Incinerator: A Study on Environmental Impacts

Introduction

The generation of waste from healthcare facilities is a significant environmental concern, particularly in developing countries where waste management infrastructure is often inadequate. The Bariadi Regional Hospital in Tanzania, like many other healthcare facilities, uses a waste incinerator to manage its medical waste. However, the incineration process can release pollutants into the air and water, posing a risk to human health and the environment. This study aimed to assess the levels of air and water pollution from the Bariadi Regional Hospital’s waste incinerator and examine the potential environmental impacts.

Background

Medical waste incineration is a common practice in healthcare facilities worldwide. However, the combustion process can release a range of pollutants, including particulate matter (PM), carbon monoxide (CO), sulfur dioxide (SO2), nitrogen oxides (NOx), and volatile organic compounds (VOCs) into the air. These pollutants can have adverse effects on human health, including respiratory problems, cardiovascular disease, and cancer. Additionally, the ash and other residues generated from the incineration process can contaminate soil and water if not properly disposed of.

Methodology

This study was conducted over a period of six months, from January to June 2022. Air quality monitoring was carried out using a portable air quality monitor to measure the concentrations of PM, CO, SO2, NOx, and VOCs at three locations: near the incinerator, at the hospital boundary, and at a control site located 1 km away from the hospital. Water samples were collected from the hospital’s wastewater treatment plant and from a nearby river to assess the levels of heavy metals, such as lead, mercury, and cadmium.

Results

The results of the air quality monitoring showed that the concentrations of PM, CO, SO2, NOx, and VOCs were significantly higher near the incinerator compared to the control site. The average concentrations of PM, CO, SO2, NOx, and VOCs near the incinerator were 345 μg/m3, 12.5 ppm, 0.35 ppm, 0.25 ppm, and 1.2 ppm, respectively. These concentrations exceeded the World Health Organization (WHO) guidelines for air quality, indicating a potential health risk.

The water quality analysis revealed high levels of heavy metals in the hospital’s wastewater treatment plant effluent, including lead (0.42 mg/L), mercury (0.12 mg/L), and cadmium (0.25 mg/L). The concentrations of these heavy metals were also elevated in the nearby river, indicating potential contamination from the hospital’s waste management practices.

Discussion

The findings of this study indicate that the Bariadi Regional Hospital’s waste incinerator is a significant source of air and water pollution. The elevated concentrations of pollutants in the air and water pose a risk to human health and the environment. The incineration process can be improved by implementing control measures, such as particulate matter scrubbers and carbon monoxide catalysts, to reduce the emissions of pollutants. Additionally, the hospital should adopt alternative waste management practices, such as autoclaving and recycling, to minimize the amount of waste sent to the incinerator.

The high levels of heavy metals in the hospital’s wastewater treatment plant effluent and the nearby river are a concern, as these pollutants can have adverse effects on aquatic life and human health. The hospital should implement effective wastewater treatment technologies, such as chemical precipitation and membrane bioreactors, to remove heavy metals and other pollutants from the wastewater.

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This study highlights the need for effective waste management practices in healthcare facilities to minimize environmental pollution. The Bariadi Regional Hospital’s waste incinerator is a significant source of air and water pollution, and the hospital should take immediate action to mitigate these impacts. The implementation of control measures, alternative waste management practices, and effective wastewater treatment technologies can reduce the environmental impacts of the incinerator and protect human health. Further studies are needed to assess the long-term effects of the incinerator on the environment and human health.

Recommendations

Based on the findings of this study, the following recommendations are made:

  1. The Bariadi Regional Hospital should implement control measures, such as particulate matter scrubbers and carbon monoxide catalysts, to reduce the emissions of pollutants from the incinerator.
  2. The hospital should adopt alternative waste management practices, such as autoclaving and recycling, to minimize the amount of waste sent to the incinerator.
  3. Effective wastewater treatment technologies, such as chemical precipitation and membrane bioreactors, should be implemented to remove heavy metals and other pollutants from the wastewater.
  4. Regular monitoring of air and water quality should be conducted to assess the effectiveness of the control measures and wastewater treatment technologies.
  5. The hospital should develop a waste management plan that includes education and training for staff on proper waste handling and disposal practices.

By implementing these recommendations, the Bariadi Regional Hospital can reduce the environmental impacts of its waste management practices and protect human health.

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