WASTE MANAGEMENT IN HOSPITALS

Input-Output Analysen WASTE MANAGEMENT IN HOSPITALS Identification and management of hazardous waste H. Daxbeck, R. Lixia, St. Neumayer Argentiniers...
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Input-Output Analysen

WASTE MANAGEMENT IN HOSPITALS Identification and management of hazardous waste

H. Daxbeck, R. Lixia, St. Neumayer Argentinierstr. 48/2. Stock 1040 Wien Tel. +43 1 913 22 52.0 [email protected], www.rma.at

Hans Daxbeck, Roberta Lixia, Stefan Neumayer

Input-Output Analysen

Introduction

What do Rumenka, in Serbia, and the General hospital of Vienna (AKH) have in common? Products consumption: 6 Millions kg/year

about 6.000 inhabitants

Products consumptions: 6 Millions kg/year

Hans Daxbeck, Roberta Lixia, Stefan Neumayer

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Input-Output Analysen

Why Input-Output-Analyses?

Monetary terms: with accounting and cost accounting, correspondingly sophisticated tools became available

Waste management: waste management decisions are often intuitive, appropriate tools are rarely used

Input-Output Analyses: are a prerequisite for the realization of:

Concepts for waste management and environmental management Hans Daxbeck, Roberta Lixia, Stefan Neumayer

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Input-Output Analysen

Input

Connection buying – disposal

Output

Air

Luft

gefährlicher Abfall waste Hazardous medical Medikamente Medicaments ungefährlich Abfälle Medical waste Lebensmittel Food Glas

Glass Putzmittel Detergents

Papier, Paper,Karton Cardboard sonst. Altstoffe Residual waste Geräte, etc. Products radioaktive Abfälle Radioactive Waste

Abwasser Wastewater Hans Daxbeck, Roberta Lixia, Stefan Neumayer

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Input-Output Analysen

Input

Connection buying – disposal

Output

Air

Luft

gefährlicher Hazardous Abfall medical waste Medikamente Medicaments ungefährlich Abfälle Medical waste Lebensmittel Food Glas

Glass

Putzmittel Detergents Papier, Karton Paper, Cardboard sonst. Altstoffe Residual waste Geräte, etc. Products radioaktive Abfälle Radioactive Waste

Abwasser Wastewater Hans Daxbeck, Roberta Lixia, Stefan Neumayer

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Input-Output Analysen

Why Input-Output-Analyses?

What does the I/O-Analysis enable to?  Connect the bought products with the waste amount  See the possible effects of measures We get to know: - The products, which generate waste - The amount of the different waste fractions - Waste´s composition (product-related and material-related) - Waste´s origin - Correct disposal ways Hans Daxbeck, Roberta Lixia, Stefan Neumayer

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Input-Output Analysen

Products analysis (2)

PRODUCT

Medicine

PACKAGING

Folding box Instruction leaflet

NA CHLORID FRE 1MOLAR AMP 10 ST

Hans Daxbeck, Roberta Lixia, Stefan Neumayer

Plastic packaging

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Ampoule

Input-Output Analysen

Products analysis

Team collecting the data for the analysis

Used instruments: • Computers • Scales • Pictures Hans Daxbeck, Roberta Lixia, Stefan Neumayer

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Article Analysis (1)

Input-Output Analysen

Disposal Paths according to Waste Article to be disposed of Management Plan Medical Waste 37,3 g

Packaging Plastics

2,8 g

Outer Packaging 1 Cardboard

4,3 g

Hans Daxbeck, Roberta Lixia, Stefan Neumayer

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Article Analysis (2)

Input-Output Analysen

Substance Composition Article to be disposed of Medical Waste 37,3 g Plastics PVC 15,4 g Plastics 21,9 g

Packaging Plastics Plastics PE

2,8 g 2,8 g

Outer Packaging 1 Cardboard Pasteboard

4,3 g 4,3 g

Hans Daxbeck, Roberta Lixia, Stefan Neumayer

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Input-Output Analysen

Waste

waste quantities and costs

NZR kg

quantity

%

costs

%

KAT I (hmw)

8.264

2%

10.198

4%

KAT II (nhw)

163.706

34%

88.733

32%

3.970

1%

1.177

0%

KAT IV (msw)

108.214

22%

172.318

63%

KAT V (rec.)

203.589

42%

2.510

1%

Total:

487.743

100%

274.937

KAT III (hw)

Hans Daxbeck, Roberta Lixia, Stefan Neumayer

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100%

Input-Output Analysen

Waste composition

Collected waste fractions NZR (Austria) EAK Code

Waste description

18 01 03 Hazardous hospital Waste 18 01 04 non-hazardous hospital waste 09 01 01 / Developing baths 09 01 03 09 01 04 Fixing baths 20 03 01 Municipal solid waste 15 01 01 Paper 15 01 01 Paper board 20 01 01 Paper with data protection 15 01 07 Transparent glass packaging 2307waste fractions 15 01 Colored glass packaging 8 recycling 15 01 02 Plasticfractions packaging 15 01 04 Metal packaging

BBB (Slovakia) Portion [%]

2% 37% 0,3% 0,4%

40% ofTotal the total is recycled

21% 15% 3% 0,5% 11% 6% 2% 2% 100%

Hans Daxbeck, Roberta Lixia, Stefan Neumayer

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Code

18 01 03 20 03 01 20 01 08

Waste description

Portion [%]

Hazardous hospital waste Municipal solid waste Kitchen and canteen waste

8%

71%

15 01 01

Paper and paper board

15 01 07

Glass packaging

20 01 25

Edible oils and fats

0,1%

18 01 04

One-way Nappies