Healthcare Wastes: A World Health Organization Perspective on Waste Treatment and Disposal Options (Abridged)

During the last three decades, the World Health Organization has been actively involved in assisting countries and health authorities to improve their healthcare waste management. Wide disparities exist internationally on the standards of treatment and disposal of healthcare wastes which are achievable and sustainable in individual countries and localities. Three levels of practice can be identified: (i) a 'foundation' level in which some improvement in hospital hygiene and public health is achieved by removing wastes from wards to simple burning grounds and landfills, (ii) an 'intermediate' level whereby more organized collection and treatment is possible, and (iii) a more 'sophisticated' level involving treatment, enforcement of strict emission standards and landfilling regulations.
This paper summarizes the range of practices in use and the options for (a) thermal treatment, (b) alternative technologies, and (c) engineered landfill. Details are also given on some of the activities undertaken by the World Health Organization in the areas of advice and guidance, direct assistance and research.     

Tritium Levels in Leachates and Condensates from Domestic Wastes in Landfill Sites

An extensive review study of leachate composition, from landfills which have received mainly domestic wastes in the UK, has been carried out by Aspinwall & Company on behalf of the Department of the Environment. This work has provided detailed information on concentrations of a wide range of determinands. One set of analyses which has produced particularly interesting results comprises the determination of tritium. Tritium is a natural isotope of hydrogen (³H), with a half-life of 12.43 years, which decays radioactively to form stable ³He atoms, releasing beta particles. Although tritium concentrations can be measured accurately as tritium units (TU), these represent extremely low levels of activity, and concentrations of tritium well in excess of 100 000 TU would be needed before acceptable levels of radio-activity in drinking water were exceeded.
Background levels of tritium in UK rainfall rarely now exceed 50 TU although, in the 1960s, values of up to 3000 TU in rainfall were associated with atmospheric testing of atomic weapons. It was somewhat surprising, therefore, to discover that relatively high concentrations of tritium (>10 000 TU) were widespread in leachates from landfills which had received primarily domestic wastes. This paper presents results from samples taken at 30 representative UK sites, and discusses potential sources of tritium.