Abstract
The sudden outbreak of COVID-19 has brought a tremendous burden on the world’s healthcare system. The extra load on the biomedical waste (BMW) management system compelled the regulatory bodies to implement new guidelines to tackle the severe problem. Therefore, the current study aimed to assess the generation and emissions of various air pollutants and health risk assessment associated with BMW treatment procedures during COVID-19 in India. This article computed the increment of total biomedical waste (TBMW) generation, i.e., 30.58% during the first wave of COVID-19 (incinerator neutralizes waste infectivityFWC) and 34.85% during the second wave of COVID-19 (SWC). The utilization of incinerators during the pandemic increased by 72% and 75% during the FWC and SWC, respectively, leading to the compromised efficiency situation of the BMW incinerator units. This resulted in a 17.37 to 68.79% increase in flue gas emissions compared to before the pandemic. Regarding toxic heavy metals, lead (Pb) emissions were computed to be the highest, i.e., 3743.15 kg and 2169.34 kg during FWC and SWC, respectively. Health risk assessment due to exposure to increased levels of toxic pollutants revealed that Cd poses a lifetime cancer risk in adults. Hence, the study urges strict compliance with BMW guidelines in the post-COVID-19 era, including the application of emerging technologies to minimize toxic emissions during BMW treatment to promote green recovery.
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References
Adama, M., Esena, R., Fosu-Mensah, B., & Yirenya-Tawiah, D. (2016). Heavy Metal Contamination of Soils around a Hospital Waste Incinerator Bottom Ash Dumps Site. Journal of Environmental and Public Health, 2016, 6. https://doi.org/10.1155/2016/8926453
Amoatey, P., Omidvarborna, H., Baawain, M. S., & Al-Mamun, A. (2019). Emissions and exposure assessments of SOX, NOX, PM10/2.5 and trace metals from oil industries: A review study (2000–2018). Process Safety and Environmental Protection, 123, 215–228. https://doi.org/10.1016/j.psep.2019.01.014
Alami, H., Lehoux, P., Miller, F. A., Shaw, S. E., & Fortin, J. P. (2023). An urgent call for the environmental sustainability of health systems: A ‘sextuple aim’to care for patients, costs, providers, population equity and the planet. The International Journal of Health Planning and Management, 38(2), 289–295.
Bhalla, G. S., Bandyopadhyay, K., & Sahai, K. (2019). Keeping in pace with the new Biomedical Waste Management Rules: What we need to know! Med. Medical Journal Armed Forces India, 75, 240–245. https://doi.org/10.1016/j.mjafi.2018.12.003
Bokhoree, C., Beeharry, Y., Makoondlall-Chadee, T., Doobah, T., & Soomary, N. (2014). Assessment of environmental and health risks associated with the management of medical waste in Mauritius. APCBEE procedia, 9, 36–41. https://doi.org/10.1016/j.apcbee.2014.01.007
Boningari, T., & Smirniotis, P. G. (2016). Impact of nitrogen oxides on the environment and human health: Mn-based materials for the Nox abatement. Current Opinion in Chemical Engineering, 13, 133–141. https://doi.org/10.1016/j.coche.2016.09.004
Cabral Pinto, M. M., Silva, M. M., Ferreira da Silva, E. A., & Marinho-Reis, A. P. (2017). The cancer and non-cancer risk of Santiago Island (Cape Verde) population due to potential toxic elements exposure from soils. Geosciences, 7(3), 78.
Capoor, M. R., & Parida, A. (2021). Current perspectives of biomedical waste management in context of COVID-19. Indian Journal of Medical Microbiology, 39(2), 171–178. https://doi.org/10.1016/j.ijmmb.2021.03.003
Central Pollution Control Board (CPCB), (2019a). Annual report on biomedical waste management. (Accessed on: 20 April, 2022). https://cpcb.nic.in/uploads/Projects/Bio-Medical-Waste/AR_BMWM_2019.pdf.
Central Pollution Control Board (CPCB), (2020). Annual report on biomedical waste management. (Accessed on: 22 April, 2022). https://cpcb.nic.in/uploads/Projects/Bio-Medical-Waste/AR_BMWM_2020.pdf.
Central Pollution Control Board (CPCB), (2021a). Generation of COVID19 related biomedical waste in states/UTs. (Accessed on: 25 October, 2021). https://cpcb.nic.in/uploads/Projects/Bio-Medical-Waste/COVID19_Waste_Manage ment_status_ Jul_Dec_2021.pdf.
Central Pollution Control Board (CPCB), (2021b). Revision 2: Guidelines for handle, treatment and disposal of waste generating during treatment/diagnosis/ quarantine of COVID-19 patients. (Accessed on: 25 July, 2021). https://cpcb.nic.in/uploads/Projects/Bio-Medical-Waste/BMW-GUIDELINES-COVID_1.pdf.
Central Pollution Control Board (CPCB), (2021c). Revision 3: Guidelines for handle, treatment and disposal of waste generating during treatment/diagnosis/ quarantine of COVID-19 patients. (Accessed on: 25 July, 2021). https://cpcb.nic.in/uploads/Projects/Bio-Medical-Waste/BMW-GUIDELINES-COVID_1.pdf.
Central Pollution Control Board (CPCB), (2021d). Revision 4: Guidelines for handle, treatment and disposal of waste generating during treatment/diagnosis/ quarantine of COVID-19 patients. (Accessed on: 25 July, 2021). https://cpcb.nic.in/uploads/Projects/Bio-Medical-Waste/BMW-GUIDELINES-COVID_1.pdf.
Chen, C., Chen, J., Fang, R., Ye, F., Yang, Z., Wang, Z., Shi, F., & Tan, W. (2021). What medical waste management system may cope with COVID-19 pandemic: Lessons from Wuhan. Resources, Conservation and Recycling, 170, 105600. https://doi.org/10.1183/13993003.00562-2020
Chen, J., Liu, Z., Yin, Z., Liu, X., Li, X., Yin, L., & Zheng, W. (2023). Predict the effect of meteorological factors on haze using BP neural network. Urban Climate, 51, 101630.
Choudhary, R., & Vishvanayak, D. (2021). An overview on medical waste management. South Asian Journal of Marketing & Management Research, 11(10), 207–212. https://doi.org/10.3390/ijerph19031381
Chowdhury, T., Chowdhury, H., Rahman, M. S., Hossain, N., Ahmed, A., & Sait, S. M. (2022). Estimation of the healthcare waste generation during COVID-19 pandemic in Bangladesh. Science of the Total Environment, 811, 152295. https://doi.org/10.1016/j.scitotenv.2021.152295
Comunian, S., Dongo, D., Milani, C., & Palestini, P. (2020). Air pollution and COVID-19: The role of particulate matter in the spread and increase of COVID-19’s morbidity and mortality. International journal of environmental research and public health, 17(12), 4487. https://doi.org/10.3390/ijerph17124487
Cucinotta, D., & Vanelli, M. (2020). WHO declares COVID-19 a pandemic. Acta bio-medica : Atenei Parmensis, 91(1), 157. https://doi.org/10.23750/abm.v91i1.9397
Das, A. K., Islam, M. N., Billah, M. M., & Sarker, A. (2021). COVID-19 pandemic and healthcare solid waste management strategy–A mini-review. Science of the Total Environment, 778, 146220. https://doi.org/10.1016/j.scitotenv.2021.146220
Das, K. K., Reddy, R. C., Bagoji, I. B., Das, S., Bagali, S., Mullur, L., Khodnapur, J. P., & Biradar, M. S. (2019). Primary concept of nickel toxicity–An overview. Journal of basic and clinical physiology and pharmacology, 30(2), 141–152. https://doi.org/10.1515/jbcpp-2017-0171
Datta, P., Mohi, G., & Chander, J. (2018). Biomedical waste management in India: Critical appraisal. Journal of laboratory physicians, 10(01), 006–014. https://doi.org/10.4103/jlp.jlp_89_17
Dehal, A., Vaidya, A. N., & Kumar, A. R. (2022). Biomedical waste generation and management during COVID-19 pandemic in India: Challenges and possible management strategies. Environmental Science and Pollution Research, 29(10), 14830–14845. https://doi.org/10.1007/s11356-021-16736-8
Devara, P. C. S., Maheskumar, R. S., Raj, P. E., Pandithurai, G., & Dani, K. K. (2002). Recent trends in aerosol climatology and air pollution as inferred from multi-year lidar observations over a tropical urban station. International Journal of Climatology: A Journal of the Royal Meteorological Society, 22(4), 435–449.
Devi, A., Ravindra, K., Kaur, M., & Kumar, R. (2019). Evaluation of biomedical waste management practices in public and private sector of health care facilities in India. Environmental Science and Pollution Research, 26, 26082–26089.
Diaw, A. K. D., Gningue-Sall, D., & Aaron, J. J. (2011). Usefulness of aqueous micellar media for electrosynthesis of poly (N-phenylpyrrole). Characterization and optical properties. Synthetic metals, 161(15-16), 1483–1495. https://doi.org/10.1016/J.SYNTHMET.2011.04.007
Dockery, D. W., Pope, C. A., Xu, X., Spengler, J. D., Ware, J. H., Fay, M. E., Ferris, B. G., Jr., & Speizer, F. E. (1993). An association between air pollution and mortality in six US cities. New England journal of medicine, 329(24), 1753–1759. https://doi.org/10.1056/nejm199312093292401
Environmental Protection Agency (EPA), (1995). Medical waste incineration. In compilation of air pollutant emission factors In: Stationary Point and Area Emission Units (AP-42), fifth ed., vol. 1 (Chapter 13).2.4. Research Triangle Park, NC. https://www.epa.gov/air-emissions-factors-and-quantification/ap-42-compilation-air-emissions-factors.
Gul, N., Khan, B., Khan, H., Muhammad, S., Ahmad, I., & Gul, N. (2021). Levels of polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs) in municipal waste dumping site, incinerator and brick kiln residues: Evaluation for potential risk assessment. Arabian Journal of Geosciences, 14(9), 1–10. https://doi.org/10.1007/s12517-021-07108-0
Gupta, A., Bherwani, H., Gautam, S., Anjum, S., Musugu, K., Kumar, N., Anshul, A., & Kumar, R. (2021). Air pollution aggravating COVID-19 lethality? Exploration in Asian cities using statistical models. Environment, Development and Sustainability, 23(4), 6408–6417. https://doi.org/10.1007/s10668-020-00878-9
Han, Y., Li, H., Liu, J., Xie, N., Jia, M., Sun, Y., & Wang, S. (2023). Life cycle carbon emissions from road infrastructure in China: A region-level analysis. Transportation Research Part D: Transport and Environment, 115, 103581.
Haque, M. S., Uddin, S., Sayem, S. M., & Mohib, K. M. (2021). Coronavirus disease 2019 (COVID-19) induced waste scenario: A short overview. Journal of Environmental Chemical Engineering, 9(1), 104660. https://doi.org/10.1016/j.jece.2020.104660
Hasija, V., Patial, S., Kumar, A., Singh, P., Ahamad, T., Khan, A. A. P., Raizada, P., & Hussain, C. M. (2022). Environmental impact of COVID-19 vaccine waste: A perspective on potential role of natural and biodegradable materials. Journal of Environmental Chemical Engineering, 107894. https://doi.org/10.1016/j.jece.2022.107894
Hasija, V., Patial, S., Raizada, P., Thakur, S., Singh, P., & Hussain, C. M. (2022). The environmental impact of mass coronavirus vaccinations: A point of view on huge COVID-19 vaccine waste across the globe during ongoing vaccine campaigns. Science of The Total Environment, 813, 151881. https://doi.org/10.1016/j.jece.2022.107894
Ilyas, S., Srivastava, R. R., & Kim, H. (2020). Disinfection technology and strategies for COVID-19 hospital and bio-medical waste management. Science of the Total Environment, 749, 141652.
Jiang, X. Q., Mei, X. D., & Feng, D. (2016). Air pollution and chronic airway diseases: What should people know and do? Journal of thoracic disease, 8(1), E31. https://doi.org/10.3978/j.issn.2072-1439.2015.11.50
Kaur, H., Siddique, R., & Rajor, A. (2019). Influence of incinerated biomedical waste ash on the properties of concrete. Construction and Building Materials, 226, 428–441. https://doi.org/10.1016/j.conbuildmat.2019.07.239
Kenny, C., Priyadarshini, A. (2021). Review of current healthcare waste management methods and their effect on global health. In Healthcare (Vol. 9, No. 3, p. 284). MDPI. https://doi.org/10.3390/healthcare9030284.
Khan, B. A., Cheng, L., Khan, A. A., & Ahmed, H. (2019). Healthcare waste management in Asian developing countries: A mini review. Waste management & research, 37(9), 863–875. https://doi.org/10.1177/0734242x19857470
Kollu, V. K. R., Kumar, P., & Gautam, K. (2022). Comparison of microwave and autoclave treatment for biomedical waste disinfection. Systems Microbiology and Biomanufacturing, 1–11. https://doi.org/10.1007/s43393-022-00101-y
Kumar, A., Cabral-Pinto, M., Kumar, A., Kumar, M., & Dinis, P. A. (2020). Estimation of risk to the eco-environment and human health of using heavy metals in the Uttarakhand Himalaya, India. Applied Sciences, 10(20), 7078.
Le, T. T. N., Le, V. T., Dao, M. U., Nguyen, Q. V., Vu, T. T., Nguyen, M. H., Tran, D. L., & Le, H. S. (2019). Preparation of magnetic graphene oxide/chitosan composite beads for effective removal of heavy metals and dyes from aqueous solutions. Chemical Engineering Communications, 206(10), 1337–1352.
Li, W., Ma, Z., Huang, Q., & Jiang, X. (2018). Distribution and leaching characteristics of heavy metals in a hazardous waste incinerator. Fuel, 233, 427–441. https://doi.org/10.1016/j.fuel.2018.06.041
Li, H., Jia, M., Zhang, X., Wang, Z., Liu, Y., Yang, J., Yang, B., Sun, Y., Wang, H., & Ma, H. (2023). Laboratory investigation on fumes generated by different modified asphalt binders. Transportation research part D: Transport and environment, 121, 103828.
Lin, X., Ma, Y., Chen, Z., Li, X., Lu, S., & Yan, J. (2020). Effect of different air pollution control devices on the gas/solid-phase distribution of PCDD/F in a full-scale municipal solid waste incinerator. Environmental Pollution, 265, 114888. https://doi.org/10.1016/j.envpol.2020.114888
Manzoor, J., & Sharma, M. (2019). Impact of biomedical waste on environment and human health. Environmental Claims Journal, 31(4), 311–334. https://doi.org/10.1080/10406026.2019.1619265
Marklund, S., Kjeller, L. O., Hansson, M., Tysklind, M., Rappe, C., Ryan, C., Collazo, H., & Dougherty, R. (2018). Determination of PCDDs and PCDFs in incineration samples and pyrolytic products. In Chlorinated dioxins and dibenzofurans in perspective (pp. 79–92). CRC Press.
Mihai, F. C. (2020). Assessment of COVID-19 waste flows during the emergency state in Romania and related public health and environmental concerns. International Journal of Environmental Research and Public Health, 17(15), 5439. https://doi.org/10.3390/ijerph17155439
Mohammadi, A. A., Zarei, A., Majidi, S., Ghaderpoury, A., Hashempour, Y., Saghi, M. H., Alinejad, A., Yousefi, M., Hosseingholizadeh, N., & Ghaderpoori, M. (2019). Carcinogenic and non-carcinogenic health risk assessment of heavy metals in drinking water of Khorramabad, Iran. MethodsX, 6, 1642–1651. https://doi.org/10.1016/j.mex.2019.07.017
Mor, S., & Ravindra, K. (2023). Municipal solid waste landfills in lower- and middle-income countries: Environmental impacts, challenges and sustainable management practices. Process Safety and Environmental Protection, 174, 510–530. https://doi.org/10.1016/j.psep.2023.04.014
Mor, S., Kaur, K., & Khaiwal, R. (2016). SWOT analysis of waste management practices in Chandigarh, India and prospects for sustainable cities. Journal of Environmental Biology, 37(3), 327.
Park, C., Choi, H., Lin, K. Y. A., Kwon, E. E., & Lee, J. (2021). COVID-19 mask waste to energy via thermochemical pathway: Effect of co-feeding food waste. Energy, 230, 120876. https://doi.org/10.1016/j.energy.2021.120876
Praveena, S. M., & Aris, A. Z. (2021). The impacts of COVID-19 on the environmental sustainability: A perspective from the Southeast Asian region. Environmental Science and Pollution Research, 28(45), 63829–63836. https://doi.org/10.1007/s11356-020-11774-0
Ravindra, K., Goyal, A., & Mor, S. (2021). Does airborne pollen influence COVID-19 outbreak? Sustainable Cities and Society, 70, 102887. https://doi.org/10.1016/j.scs.2021.102887
Ravindra, K., Kaur, K., & Mor, S. (2015). System analysis of municipal solid waste management in Chandigarh and minimization practices for cleaner emissions. Journal of Cleaner production, 89, 251–256.
Ravindra, K., Kaur, K., & Mor, S. (2016). Occupational exposure to the municipal solid waste workers in Chandigarh, India. Waste Management & Research, 34(11), 1192–1195.
Ravindra, K., Sareen, A., Dogra, S., & Mor, S. (2023). Appraisal of biomedical waste management practice in India and associated human health and environmental risk. Journal of Environmental Biology, 44(4), 541–551.
Ravindra, K., Singh, T., Biswal, A., Singh, V., & Mor, S. (2021). Impact of COVID-19 lockdown on ambient air quality in megacities of India and implication for air pollution control strategies. Environmental Science and Pollution Research, 28(17), 21621–21632. https://doi.org/10.1007/s11356-020-11808-7
Ravindra, K., Singh, T., Pandey, V., & Mor, S. (2020). Air pollution trend in Chandigarh city situated in Indo-Gangetic Plains: Understanding seasonality and impact of mitigation strategies. Science of The Total Environment, 729, 138717. https://doi.org/10.1016/j.scitotenv.2020.138717
Sabiha-Javied, Tufail, & M., Khalid S. (2008). Heavy metal pollution from medical waste incineration at Islamabad and Rawalpindi, Pakistan. Microchemical Journal, 90(1), 77–81. https://doi.org/10.1016/j.microc.2008.03.010
Sall, M. L., Diaw, A. K. D., Gningue-Sall, D., Efremova Aaron, S., & Aaron, J. J. (2020). Toxic heavy metals: Impact on the environment and human health, and treatment with conducting organic polymers, a review. Environmental Science and Pollution Research, 27(24), 29927–29942. https://doi.org/10.1007/s11356-020-09354-3
Singh, D., Aryan, Y., Chavan, D., Tembhare, M., Dikshit, A. K., & Kumar, S. (2022). Mask consumption and biomedical waste generation rate during COVID-19 pandemic: A case study of central India. Environmental Research, 212, 113363. https://doi.org/10.1016/j.envres.2022.113363
Singh, N., Tang, Y., & Ogunseitan, O. A. (2020). Environmentally sustainable management of used personal protective equipment. Environmental science & technology, 54(14), 8500–8502. https://doi.org/10.1021/acs.est.0c03022
Singh, N., Tang, Y., Zhang, Z., & Zheng, C. (2020). COVID-19 waste management: Effective and successful measures in Wuhan, China. Resources, conservation, and recycling, 163, 105071. https://doi.org/10.1016/j.resconrec.2020.105071
Su, G., Ong, H. C., Ibrahim, S., Fattah, I. R., Mofijur, M., & Chong, C. T. (2021). Valorisation of medical waste through pyrolysis for a cleaner environment: Progress and challenges. Environmental Pollution, 279, 116934. https://doi.org/10.1016/j.envpol.2021.116934
Subramanian, A., Ohtake, M., Kunisue, T., & Tanabe, S. (2007). High levels of organochlorines in mothers’ milk from Chennai (Madras) city, India. Chemosphere, 68(5), 928–939. https://doi.org/10.1016/j.chemosphere.2007.01.041
Sun, J., Hu, J., Zhu, G., Zhang, D., Zhu, Y., Chen, Z., Li, J., Zhang, H., Tang, J., Nie, J., & Zhang, S. (2017). PCDD/Fs distribution characteristics and health risk assessment in fly ash discharged from MSWIs in China. Ecotoxicology and environmental safety, 139, 83–88. https://doi.org/10.1016/j.ecoenv.2017.01.015
Tait, P. W., Brew, J., Che, A., Costanzo, A., Danyluk, A., Davis, M., Khalaf, A., McMahon, K., Watson, A., Rowcliff, K., & Bowles, D. (2020). The health impacts of waste incineration: A systematic review. Australian and New Zealand journal of public health, 44(1), 40–48. https://doi.org/10.1111/1753-6405.12939
Thakur, V. (2021). Framework for PESTEL dimensions of sustainable healthcare waste management: Learnings from COVID-19 outbreak. Journal of cleaner production, 287, 125562. https://doi.org/10.1016/j.jclepro.2020.125562
Thind, P. S., Sareen, A., Singh, D. D., Singh, S., & John, S. (2021). 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, 276, 116621. https://doi.org/10.1016/j.envpol.2021.116621
Tripathi, A., Tyagi, V. K., Vivekanand, V., Bose, P., & Suthar, S. (2020). Challenges, opportunities and progress in solid waste management during COVID-19 pandemic. Case Studies in Chemical and Environmental Engineering, 2, 100060. https://doi.org/10.1016/j.cscee.2020.100060
United Nations Environment Programme (UNEP), (2020). Waste management during COVID-19 pandemic: From response to recovery. (Accessed on : 1 November, 2021). https://wedocs.unep.org/bitstream/handle/20.500.11822/33416/WMC-19.pdf?sequence=1&isAllowed=y.
United Nations Environment Programme (UNEP), (2005). Standardized toolkit for identification and quantification of dioxin and furan releases. http://chm.pops.int/Portals/0/Repository/toolkit1/UNEP-POPS-TOOLKIT.1-4.English.PDF. Accessed 20 Nov 2021
US Environmental Protection Agency (USEPA). (2004). Risk Assessment Guidance for Superfund Volume I: Human Health Evaluation Manual
van Straten, B., Dankelman, J., Van der Eijk, A., & Horeman, T. (2021). A circular healthcare economy; A feasibility study to reduce surgical stainless steel waste. Sustainable Production and Consumption, 27, 169–175. https://doi.org/10.1016/j.spc.2020.10.030
Vishwakarma, A., Dangayach, G. S., Meena, M. L., Gupta, S., Joshi, D., & Jagtap, S. (2022). Can circular healthcare economy be achieved through implementation of sustainable healthcare supply chain practices? Empirical evidence from Indian healthcare sector. Journal of Global Operations and Strategic Sourcing, (ahead-of-print). https://doi.org/10.1108/JGOSS-07-2022-0084
Wang, J., Chen, Z., Lang, X., Wang, S., Yang, L., Wu, X., Zhou, X., & Chen, Z. (2021). Quantitative evaluation of infectious health care wastes from numbers of confirmed, suspected and out-patients during COVID-19 pandemic: A case study of Wuhan. Waste Management, 126, 323–330. https://doi.org/10.3389/fcimb.2021.663884
Wang, P., Hu, Y., & Cheng, H. (2019). Municipal solid waste (MSW) incineration fly ash as an important source of heavy metal pollution in China. Environmental pollution, 252, 461–475. https://doi.org/10.1016/j.envpol.2019.04.082
WHO. (2019). Overview of Technologies for the Treatment of Infectious and Sharp Waste from Health Care Facilities. World Health Organization, Geneva. https://apps.who.int/iris/bitstream/handle/10665/328146/9789241516228-eng.pdf?ua¼1
Windfeld, E. S., & Brooks, M. S. L. (2015). Medical waste management–A review. Journal of environmental management, 163, 98–108. https://doi.org/10.1016/j.jenvman.2015.08.013
Yang, C., Peijun, L., Lupi, C., Yangzhao, S., Diandou, X., Qian, F., & Shasha, F. (2009). Sustainable management measures for healthcare waste in China. Waste Management, 29(6), 1996–2004. https://doi.org/10.1016/j.wasman.2008.11.031
Yang, W., Lang, Y., & Li, G. (2014). Cancer risk of polycyclic aromatic hydrocarbons (PAHs) in the soils from Jiaozhou Bay wetland. Chemosphere, 112, 289–295. https://doi.org/10.1016/j.chemosphere.2014.04.074
Ye, J., Song, Y., Liu, Y., & Zhong, Y. (2022). Assessment of medical waste generation, associated environmental impact, and management issues after the outbreak of COVID-19: A case study of the Hubei Province in China. PloS one, 17(1), e0259207. https://doi.org/10.1371/journal.pone.0259207
Yu, H., Sun, X., Solvang, W. D., & Zhao, X. (2020). 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, 17(5), 1770. https://doi.org/10.2139/ssrn.3538063
Zhao, H., Liu, H., Wei, G., Wang, H., Zhu, Y., Zhang, R., & Yang, Y. (2021). Comparative life cycle assessment of emergency disposal scenarios for medical waste during the COVID-19 pandemic in China. Waste Management, 126, 388–399. https://doi.org/10.1016/j.wasman.2021.03.034
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Ravindra, K., Sareen, A., Dogra, S. et al. Health Risk Evaluation of Toxic Emissions from BMW Incineration Treatment Facilities in India. Water Air Soil Pollut 235, 64 (2024). https://doi.org/10.1007/s11270-023-06843-2
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DOI: https://doi.org/10.1007/s11270-023-06843-2