Selection of the optimal medical waste incineration facility location: A challenge of medical waste risk management

  • Kristina Stanojević University of Belgrade, Faculty of Organizational Sciences, Serbia
  • Goran Radovanović University of Defence, Rectorate, Belgrade, Serbia
  • Dragana Makajić-Nikolić uUniversity of Belgrade, Faculty of Organizational Sciences, Belgrade, Serbia
  • Gordana Savić University of Belgrade, Faculty of Organizational Sciences, Belgrade, Serbia
  • Barbara Simeunović University of Belgrade, Faculty of Organizational Sciences, Belgrade, Serbia
  • Nataša Petrović University of Belgrade, Faculty of Organizational Sciences, Serbia
Keywords: environment;, incineration;, medical waste;, medical waste disposal;, risk control

Abstract


Background/Aim. Among the other challenges of the 21st century, medical waste (MW) has become an arising problem for both the environment and people because of its increasing amount, variety, and complexity. That is way MW management has become one of the very important ecological imperatives. Serbia with no potential for appropriate disposal of all MW is forced to export MW to countries with MW incineration facilities. Incineration lowers the possible risks of inappropriate disposal and the emission of environmental pollutants, but leads to the need for a “clever” choice of the incinerator facility location which has to meet diverse environmental, economic and technical criteria Methods. The criteria for the choice of optimal locations for a MW incinerator facility were as follows: the amount of MW that needs to be transported, the transport time from other locations, the current pollution of the location, the unemployment rate and the location safety in terms of natural disasters and accidents. By using the obtained results for seven efficient locations gained by Data Envelopment Analysis (DEA), we used a goal programming for the analysis of the most suitable location for a MW incineration facility. Results. In the proposed methodology on the chosen scenario and analysing the criteria relevant for selecting the most suitable location, using the DEA method, seven efficient locations for MW incineration facility were obtained. The optimal location was location 13. Conclusion. Based on the obtained results, we demonstrated that by the use of goal programming it is possible to develop a methodology for selection of optimal MW incineration facility location as one of the necessary activities of MW risk management.

References

Al-Habash M, Al-Zu'bi A. Efficiency and Effectiveness of Medical Waste Management Performance, Health Sector and its Impact on Environment in Jordan Applied Study. World Appl Sci J 2012; 19(6): 880‒93.

Komilis DP. Issues on medical waste management research. Waste Manag 2016; 48: 1‒2.

Makajic-Nikolic D, Petrovic N, Belic A, Rokvic M, Radakovic JA, Tubic V. The fault tree analysis of infectious medical waste management. J Clean Prod 2016; 113: 365‒73.

Mihailović O, Žarkić-Joksimović N, Petrović N, Makajić-Nikolić D, Radaković JA. Economic and environmental effectiveness of infectious medical waste disposal system: A case study of the tertiary health-care institution. In: Ćirović G, editor. SYM-OP-IS 2017: Proceedings of XLIV Symposium on operational re-search International Regional Symposium; 2017 September; Civil Engineering and Geodesy high school, Zlatibor. Bel-grade: Planeta Print; 2017. p. 35‒40.

Windfeld ES, Brooks MS. Medical waste management - A re-view. J Environ Manage 2015; 163: 98‒108.

Stanojević K, Petrović N, Drakulić M, Ćirović M. Attitudes about Medical Waste Management in Serbia: A Case Study. In: Va-siljević D, Đorđević L, editors. SPIN’17: Proceedings of XI Symposium of entrepreneurs and scientists: Lean management of the Republic of Serbia resources, Belgrade. Belgrade: Facul-ty of Organizational Sciences; 2017. p. 286‒92. (Serbian)

World Health Organization. Health-care waste. 2018 [cited 2020 Apr 04]. Available from: https://www.who.int/topics/medical_waste/en/.

Department of Health Service. Medical Waste Management. Man-agement Act. 2004.

RS Official Gazette. Waste management strategy for the period 2010-2019. Nos. 29/2010. 2010 [cited 2020 Jan 28]. Availa-ble from: https://www.ekologija.gov.rs/?wpfb_dl=203. (Ser-bian)

Cheng YW, Sung FC, Yang Y, Lo YH, Chung YT, Li KC. Medi-cal waste production at hospitals and associated factors. Waste Manag 2009; 29(1): 440‒4.

Bokhoree C, Beeharry Y, Makoondlall-Chadee T, Doobah T, Soo-mary N. Assessment of environmental and health risks associ-ated with the management of medical waste in Mauritius. APCBEE Procedia 2014; 9: 36‒41.

Gómez-Mejía LR, Balkin DB, Cardy RL.uis RG. Managing Human Resources. 5th ed. Phoenix, AZ: Arizona State Uni-versity; 2014.

Birchard K. Out of sight, out of mind… the medical waste problem. Lancet 2002; 359(9300): 56.

Taghipour H, Mosaferi M. Characterization of medical waste from hospitals in Tabriz, Iran. Sci. Total Environ 2009; 407(5): 1527‒35.

Mohee R. Medical wastes characterization in healthcare institu-tions in Mauritius. Waste Manag 2005; 25(6): 575‒81.

Baveja G, Muralidhar S, Aggarwal P. Hospital waste manage-ment–an overview. Hospital Today 2000; 5(9): 485‒6.

Almuneef M, Memish ZA. Effective medical waste manage-ment: it can be done. Am J Infect Control 2003; 31(3): 188‒92.

Insa E, Zamorano M, Lopez R. Critical review of medical waste legislation in Spain. Resour Conserv Recycl 2010; 54(12): 1048‒59.

Zhang L, Wu L, Tian F, Wang Z. Retrospection-Simulation-Revision: Approach to the Analysis of the Composition and Characteristics of Medical Waste at a Disaster Relief Site. PLoS One 2016; 11(7): e0159261.

Pruss A, Giroult E, Rushbrook P. Safe Management of Wastes from Healthcare Activities. Geneva: World Health Organiza-tion; 1999.

Ribeiro Paulo JM, de Lemos T, Chaleira A. Risk Management in Medical Waste. 2013 [cited 2020 Feb 18]. Available from: https://www.researchgate.net/profile/Teresa_Lemos/publication/282099580_Risk_Management_in_Medical_Waste_-_Case_Study_of_the_Ilha_do_Pico_-_Azores/links/5602c12e08aeaf867fb759bf/Risk-Management-in-Medical-Waste-Case-Study-of-the-Ilha-do-Pico-Azores.pdf.

Sefouhi L, Kalla M, Bahmed L, Aouragh L. The risk assessment for the healthcare waste in the hospital of Batna city, Algeria. Int J Environ Sci Dev 2013; 4(4): 442‒5.

Nemeth C, Wears RL, Patel S, Rosen G, Cook R. Resilience is not control: healthcare, crisis management, and ICT. Cogn Technol Work 2011; 13(3): 189‒202.

Kešetović Ž, Toth I. Crisis management problems - a scientific monograph. Velika Gorica: Veleučilište Velika Gorica; 2012. (Croatian)

Marković V, Stajić Lj, Stević Ž, Mitrović g, Novarlić B, Radojičić Z. A Novel Integrated Subjective-Objective MCDM Model for Alternative Ranking in Order to Achieve Business Excellence and Sustainability. Symmetry 2020; 12(1): 164.

Klemeš JJ, Van Fan Y, Tan RR, Jiang P. Minimising the present and future plastic waste, energy and environmental footprints related to COVID-19. Renew Sust Energ Rev 2020; 127: 109883.

MacKenzie D. How bad will it get? New Sci 2020; 245(3269): 7.

Ministry of Health of the Republic of Serbia. National guide for safe medical waste management. 2008 [cited 2020 Jan 28]. Available from: http://www.kbs.co.rs/pdf/vodic_medicinski_otpad,.pdf. (Serbian)

Bera M, Mihajlov A, Hodolič J, Agarski B. Analysis of situation of hazardous waste from medical institutions in Serbia and world. Kvalitet 2008; 18(11‒12): 38. (Serbian)

Coutinho M, Pereira M, Rodrigues R, Borrego C. Impact of medi-cal waste incineration in the atmospheric PCDD/F levels of Porto, Portugal. Sci Total Environ 2006; 362(1‒3): 157‒65.

Lee CC. Huffman GL. Medical waste manage-ment/incineration. J Hazard Mater 1996; 48(1‒3): 1‒30.

RS Official Gazette. The rule book for Medical Waste Manage-ment. Nos. 48/2019. 2019 [cited 2020 Feb 23]. Available from: https://www.paragraf.rs/propisi/pravilnik-o-upravljanju-medicinskim-otpadom.html. (Serbian)

Eiselt HA. Locating landfills - Optimization vs. reality. Eur J Oper Res 2007; 179(3): 1040‒9.

Alumur S, Kara BY. A new model for the hazardous waste lo-cation-routing problem. Comput Oper Res 2007; 34(5): 1406‒23.

Erkut E, Neuman S. Analytical models for locating undesirable facilities. Eur J Oper Res 1989; 40(3): 275‒91.

Sinuany-Stern Z, Mehrez A, Tal AG, Shemuel B. The location of a hospital in a rural region: the case of the Negev. Locat Sci 1995; 3(4): 255‒66.

Chen YT, Chen CC. The privatization effect of MSW incinera-tion services by using data envelopment analysis. Waste Manag 2012; 32(3): 595‒602.

Alçada-Almeida L, Coutinho-Rodrigues J, Current J. A multiobjec-tive modeling approach to locating incinerators. Socio-Econ Plan Sci 2009; 43(2): 111‒20.

Faizal UM, Jayachitra R, Vijayakumar P, Rajasekar M. Optimi-zation of inbound vehicle routes in the collection of bio-medical wastes. Materials Today Proceed 2021; 45(2):692‒9.

Wichapa N, Khokhajaikiat P. A Hybrid Multi-Criteria Analysis Model for Solving the Facility Location–Allocation Problem: A Case Study of Infectious Waste Disposal. J Eng Technol Sci 2018; 50(5): 698‒718.

Budak A, Ustundag A. Reverse logistics optimisation for waste collection and disposal in health institutions: the case of Tur-key. Int J Logist Res Appl 2017; 20(4): 322‒41.

Alshraideh H, Qdais HA. Stochastic modeling and optimiza-tion of medical waste collection in Northern Jordan. J Mater Cycles Waste Manag 2017; 19(2): 743‒53.

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). ‎Int J Environ Res Public Health 2020; 17(5): 1770.

Stanojević K, Makajić-Nikolić D, Savić G. Selection of efficient locations for medical wastes incineration plants. In: Jaško O, Marinković S, editors. SymOrg 2016: Reshaping the Future through Sustainable Business Development and Entrepreneur-ship; 2016 Jun 10-13; Faculty of Organizational Sciences; Zlatibor, Srbija. Belgrade: Faculty of Organizational Sciences; 2016. p. 577‒84.

Statistical Office of the Republic of Serbia. Statistical yearbook of the Republic of Serbia. 2019 [cited 2020 Feb 09]. Available from: http://webrzs.stat.gov.rs/WebSite/userFiles/file/Aktuelnosti/God2015.pdf. (Serbian)

Statistical Office of the Republic of Serbia. Population by ethnicity and sex, by municipalities and cities. 2011 [cited 2020 Feb 04]. Available from: http://popis2011.stat.rs/?page_id=2162. (Serbian)

Ministry of Health of the Republic of Serbia. Register of medical institutions. 2020 [cited 2020 Feb 05]. Available from: https://www.rfzo.rs/index.php/linkovi/zdravstvene-ustanove. (Serbian)

Stankovic S, Vaskovic V, Petrovic N, Radojicic Z, Ljubojevic M. Urban traffic air pollution: Case study of Banja Luka. Environ Eng Manag J 2015; 14(12): 2783‒91.

Išljamović S, Jeremić V, Petrović N, Radojičić Z. Colouring the so-cio-economic development into green: I-distance framework for countries’ welfare evaluation. Qual Quant 2015; 49(2): 617‒29.

Charnes A, Cooper WW. Programming with linear fractional functionals. Nav Res Logist Q 1962; 9(3‒4): 181‒6.

Hassaan MA. A gis-based suitability analysis for siting a solid waste incineration power plant in an urban area case study: Alexandria governorate, Egypt. J Geogr Inf Syst 2015; 7: 643‒57.

Koros K. Kenya: Sweet poison - Illegal ripening of fruits expos-es millions of Kenyans to cancer. In AllAfrica. The Star. 2014. [cited 2020 Jun 15]. Available from: https://allafrica.com/stories/201411111021.html.

Published
2022/03/16
Section
Original Paper