Assessment of Heavy Metals in Bottom Ashes from Medical Waste Incinerators and their Associated Health Risks in Dar es Salaam
Corresponding Author(s) : Julius Mbuna
Journal of Humanities & Social Science (JHSS),
##issue.vol## 9 ##issue.no## 2 (2020): SPECIAL ISSUE OF SCIENCE, 2020
##article.abstract##
Bottom ashes originating from medical waste incineration contain heavy metals capable of
causing adverse effects to human beings and the environment. The main goal of this study
is to establish levels of heavy metals in bottom ashes from medical waste incinerators to
build a basis for the development of sustainable, safe, and efficient methods for healthcare
waste management. The study assessed the level of heavy metals in the bottom ashes of
thermally treated medical waste from six health care facilities in Dar es Salaam city,
Tanzania. Heavy metal concentrations were determined using Inductively Coupled Plasma -
Optical Emission Spectrometer (ICP-OES). While As, Cd and Hg were below detection limit,
Hg poses particular risk to public health since it may appear as vapour in the environment,
which can be inhaled by human beings. The average concentration of other heavy metals
followed the trend: Fe > Zn > Cr > Ni > Pb > Mn > Cu. All the metals investigated
exceeded the USEPA regulation on maximum permissible levels of heavy metals in good soil
quality, and hence classified as harmful and toxic. Therefore, there is a need to explore
environmentally friendly techniques for proper disposal of ash generated by incinerators,
or consider non-incineration techniques of medical waste management.
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- Anamul, H., M. Tanvir & J. Rahman. 2012. Zinc and Nickel of Bottom Ash as a Potential Diffuse Pollutant
- and their Application as “Fine Aggregate. Journal of Civil Engineering Research 2(6), 64–72.
- ASTM D6009-96. 2006. Standard Guide for Sampling Waste Piles.
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- Waste Ashes from a Solid Waste Incinerator in Taiwan, Journal of Hazardous Materials 165:766–773.
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- Atchasima Municipality. Master in Environmental Engineering, Suranaree University of
- Technology.
- Reinhardt, P. A. & J. G. Gordon. 1991. Infectious and Medical Waste Management, Chelsea,
- Michigan: Lewis Publishers.
- Scuhmacher, M., M. Meneses, S. Granero, J. M. Llobet & J. L. Domingo. 1997. Trace Element
- Pollution of Soils Collected near a Municipal Solid Waste Incinerator: Human Health Risk.
- Bulletin of Environmental Contamination and Toxicology 59: 861–867.
- Stewart-Pinkham, S. M. 1989. The Effect of Ambient Cadmium air Pollution on the Hair Mineral
- Content of Children. The Science of the Total Environment 78:289–96.
- Takata T. 2003. Survey on the Health Effects of Chronic Exposure to Dioxins and its Accumulation
- on Workers of a Municipal Solid Waste Incinerator, Rural Part of Osaka Prefecture & the Results
- of Extended Survey Afterwards. Industrial Health 41-3:189–96.
- TZS. 860: 2005 Municipal and Industrial Wastewaters-General Tolerance Limits for Municipal and
- Industrial Wastewaters.
- USEPA. 2007. Source Reduction, Retrived from http://www.ecomii.com/waste/source-reduction?
- page=2 (12th May 2015).
- World Health Organization (WHO). 1998. WHO Experts Re-evaluate Health Risks from Dioxins,
- WHO/45.
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- : 205–215.
##journal.references##
Ahsan S. A., M. Lackovic, A. Katner & C. Palermo. 2009. Metal Fume Fever: A Review of the
Literature and Cases Reported to the Louisiana Poison Control Center. Journal of the Louisiana
State Medical Society 161(6):348–51.
Anamul, H., M. Tanvir & J. Rahman. 2012. Zinc and Nickel of Bottom Ash as a Potential Diffuse Pollutant
and their Application as “Fine Aggregate. Journal of Civil Engineering Research 2(6), 64–72.
ASTM D6009-96. 2006. Standard Guide for Sampling Waste Piles.
Batterman, S. 2004. Findings on assessment of small-scale incinerators for healthcare waste, World
health organization, Geneva, 2004: 1–65. Available from:
_safety/publications/waste_management/en/Assessment_SSIspdf>, accessed on 20/09/2013.
Bernard, A.M., A. Vyskocil, J. Kriz, M. Kodl & R. Lauwerys. 1995. Renal effects of children Living in
the Vicinity of a Lead Smelter, Environmental Research 68: 91–95.
British Society for Ecological Medicine. 2008. The Health Effects of Waste Incinerators: 4th Report
of the British Society for Ecological Medicine, 2nd Edition. Available at http://www. bsem.
org.uk/uploads/Incinerator Report_v3.pdf (Accessed on the 24th March, 2015).
Chang, C. Y., C. F. Wang, D. T. Mui, M. T. Chen & H. L. Chiang. 2008. Characteristics of Elements in
Waste Ashes from a Solid Waste Incinerator in Taiwan, Journal of Hazardous Materials 165:766–773.
Christophers, E, J. Brasch. 2003. Oral Lichenoid Reactions Associated with Amalgam: Improvement
after Amalgam Removal. The British journal of dermatology 148 (1): 70–6.
Colombo M.J. H. Juyoung, J. R. Reinfelder & N. Yee. 2013. Anaerobic Oxidation of Hg(0) and
Methylmercury Formation by Desulfovibrio Desulfuricans ND132, Geochimica et Cosmochimica
Acta 112: 166-177
De-Fre, R. & M. Wevers. 1998. Underestimation in Dioxin Inventories, Organohalogen Compounds
:17–20.
European Commission (2003. Project ENV.E.3/ETU/2000/0058, Heavy Metals in Waste http://ec.
europa.eu/environment/waste/studies/pdf/heavy_metalsreport.pdf accessed on 20th May 2015.
Göthberg, A. & M. Greger (2006. Formation of Methyl Mercury in an Aquatic Macrophyte.
Chemosphere 65(11):2096 – 2105
Hickman. 1987. Cadmium and Lead in Bio-Medical Waste Incinerators. Master of Science Thesis,
University of California, Davis.
Hjelman, O. 1996a. Disposal Strategy for Municipal Solid Waste Incineration Residue. Journal of
Hazardous Materials 47:345–368.
Hjelmar, O. 1996b. Waste Management in Denmark, Waste Management 16: 389 – 394.
Jacob, J. O., T. B. Paiko, B. M. Yusuph & F. O. Falowo. 2009. Lead, Copper and Zinc Accumulation in
Soils and Vegetables of Urban Farms in Minna, Nigeria. International Journal of Chemical Sciences,
(2):2006–3350.
Knox, E. G. 2000. Childhood Cancers, Birthplaces, Incinerators and Landfill Sites. International Journal
of Epidemiology, 29:391–397.
Kumar, J. N. 2011. Solid Waste Generation in Gaborone Botswana. Potential for Resource Recovery,
MSc Thesis, University of Linkoping, Sweden.
Libert, L., A. Tursi, N. Costantino, L. Ferrara & G. Nuzzo. 1996. Optimization of Infectious Hospital
Waste Management in Italy: Part II. Waste Characterization by Origin. Waste Management &
Research, 14(5), 417–431.
Mahoney, D.B. & G. C. Moy. 2005. Food Borne Hazards of Particular Concern to Children. In:
Pronczuk de Garbino J. Editor. Children’s Health and the Environment, a Global Perspective: A
Resource Manual for the Health Sector.
Manyele, S. V. & H. Anicetus. 2006. Management of Medical Waste in Tanzanian Hospitals. Tanzania
Health Research Bulletin 8(3):177–82.
Manyele, S. V. & C. M. Mujuni. 2010. Current Status of Sharps Waste Management in the Lowerlevel Health Facilities in Tanzania. Tanzania Journal of Health Research 12(4): 257–264.
Oliver, M. A. 1997. Soil and Human Health: A Review. European Journal of Soil Science 48, 573–592.
Onibokun, A.G. 1999. Managing the Monsters: Urban Waste and Governance in Africa. International
Development Research Centre, Ottawa.
Pirkle, J. L., R.B. Kaufman, D. J. Brody, T. Hickman, E. W. Gunter & D. C. Paschal. 1998. Exposure of the
U.S. Population to Lead, 1991–1994. Environmental Health Perspectives 106(11): 745–750.
Prochazkova, J., I. Sterzl, H. Kucerova, J. Bartova & V. D. Stejskal. 2004. The Beneficial Effect of Amalgam
Replacement on Health in Patients with Autoimmunity. Neuro Endocrinology Letters 25 (3): 211–8.
Racho, P. 2002. A Study of Heavy Metals in Bottom Ash from Medical Waste Incinerator in Nakhonr
Atchasima Municipality. Master in Environmental Engineering, Suranaree University of
Technology.
Reinhardt, P. A. & J. G. Gordon. 1991. Infectious and Medical Waste Management, Chelsea,
Michigan: Lewis Publishers.
Scuhmacher, M., M. Meneses, S. Granero, J. M. Llobet & J. L. Domingo. 1997. Trace Element
Pollution of Soils Collected near a Municipal Solid Waste Incinerator: Human Health Risk.
Bulletin of Environmental Contamination and Toxicology 59: 861–867.
Stewart-Pinkham, S. M. 1989. The Effect of Ambient Cadmium air Pollution on the Hair Mineral
Content of Children. The Science of the Total Environment 78:289–96.
Takata T. 2003. Survey on the Health Effects of Chronic Exposure to Dioxins and its Accumulation
on Workers of a Municipal Solid Waste Incinerator, Rural Part of Osaka Prefecture & the Results
of Extended Survey Afterwards. Industrial Health 41-3:189–96.
TZS. 860: 2005 Municipal and Industrial Wastewaters-General Tolerance Limits for Municipal and
Industrial Wastewaters.
USEPA. 2007. Source Reduction, Retrived from http://www.ecomii.com/waste/source-reduction?
page=2 (12th May 2015).
World Health Organization (WHO). 1998. WHO Experts Re-evaluate Health Risks from Dioxins,
WHO/45.
Zang, F. S., S. I. Yamasaki & M. Nanzyo. 2001. Application of Waste Ashes to Agricultural Land-effect
of Incineration Temperature on Chemical Characteristics. The Science of the Total Environment
: 205–215.