Abstract
The unforeseen outbreak of the COVID-19 epidemic has significantly stipulated the use of plastics to minimize the exposure and spread of the novel coronavirus. With the onset of the vaccination drive, the issue draws even more attention due to additional demand for vaccine packaging, transport, disposable syringes, and other allied devices scaling up to many million tonnes of plastic. Plastic materials in personal protective equipment (PPE), disposable pharmaceutical devices, and packaging for e-commerce facilities are perceived to be a lifesaver for the frontline healthcare personnel and the general public amidst recurring waves of the pandemic. However, the same material poses a threat as an evil environmental polluter when attributed to its indiscriminate and improper littering as well as mismanagement. The review not only highlights the environmental consequences due to the excessive use of disposable plastics amidst COVID-19 but also recommends mixed approaches to its management by adopting the combined and step-by-step methodology of adequate segregation, sterilization, sanitization activities, technological intervention, and process optimization measures. The overview finally concludes with some crucial way-forward measures and recommendations like the development of bioplastics and focusing on biodegradable/bio-compostable material alternatives to holistically deal with future pandemics.
Graphical abstract
Keywords: COVID-19, Plastic materials, PPE kit, Environmental consequences, Policy recommendations
Preamble
In the face of the sudden advent of the COVID-19 pandemic, plastic waste management is one of the most serious environmental concerns, as the rapidly growing production of single-use plastic (SUP) products (gloves, masks, etc.) overwhelms the world’s ability to deal with them. Currently, commodity plastic and other polymer-based products are being rigorously used as protective materials and in other related applications, thereby escalating not only the global need for plastics/polymers but also the threat of additional unprecedented solid waste hazards. In view of this scenario, the questions that confront the material designers and environmental experts in order to mitigate the exorbitant plastic waste generation are as mentioned below.
Can the waste to energy approach be implemented?
Can the antiviral surface be integrally developed on bioplastics/biodegradable plastics/agro-based plastic as substrates?
Can COVID-19 waste be recycled post sterilization/sanitization by UV treatment/corona/plasma treatment cost-effectively?
Can the packaging technology of sanitization products for such health exigencies be high-end technology-assisted?
Conceptually such material issues need to be addressed following concerted strategies by resorting to plastic material manufacturers, raw material producers, material technologists, and material processing experts, vis-a-vis life cycle analysis approach-based decision making to minimize ecological footprints. In this time of uncertainty and gloom, despite the launching of many versions of vaccines to counter COVID-19, the challenge before mankind remains still a pin-pointed threat. The intensity of such a threat may be easily comprehended from the fact that there are more than nearly 7 × 109 people to be vaccinated where for example, the storage of the vaccine, the disposable syringes, the hand gloves to be used by the health workers reaching across the length and breadth of every stratum of society is going to be a humongous task.
Moreover, most parts of the world are now experiencing the so-called second wave of COVID-19 since early 2021 due to the rapid spread of various mutations (including the more recent form of delta variant) of deadly coronavirus across countries such as the USA, India, Germany, the UK, and Brazil. The increase in the number of infected individuals and the death rate in the second wave has wreaked havoc, worldwide, and the statistics indicate the outcomes to be worse than in 2020. Moreover, an enormous global increase in the use of medical equipment has simultaneously enhanced the rate of generation and reckless disposal of medical waste (along with generalized single-use plastics (SUP) such as personal protective equipment (PPE)). For instance, as estimated by the central pollution control board (CPCB), the average generation of COVID-19-related biomedical waste in India shot up from 75 tonnes per day in March 2021 to 203 tonnes per day in May 2021, attributing to the sudden rise in the number of infected individuals (Krishnakumar 2021). Thus, the current global status calls for the implementation of stricter regulations (in terms of monitoring, treatment, and disposal of medical waste), not only at the national level but also at the international level, in order to control and improvise the flaws in the present plastic-based medical waste management scenario.
Since the outbreak of the COVID-19 pandemic, some reports and reviews on management and possible strategies that can be adopted to ensure sustainable solid waste practice pertaining to the issue of containment of virus spread vis-a-vis minimizing ecological footprints have come up. For example, Sharma et al. have discussed the critical concerns and worldwide challenges faced by the waste management sector during the COVID-19 pandemic (Sharma and Satapathy 2020). The report suggested innovative solutions to fill existing loopholes in the current waste management system and its viable modifications to avoid and tackle similar problems in probable future pandemics holistically. Similarly, Silva et al. have analyzed the impact of the COVID-19 pandemics on pollution concerns due to plastic and its potential ramifications on human health and the environment considering the short and long-term consequences (Silva et al. 2021). The article further sheds light on global challenges and potential mitigation approaches to overcome them. In another summative report conducted by Kulkarni et al., the prevailing municipal solid waste (MSW) management practices in a few developed and developing countries, which emphasizes the entire MSW treatment cycle from waste collection to disposal, has been commented upon (Kulkarni and Anantharama 2020). Similarly, Tripathi et al. have discussed the effect of COVID-19 on the generation, recycling, and management of solid waste while highlighting the potential strategies taken by different countries to handle solid waste (Tripathi et al. 2020). In an interesting report, Rume et al. reviewed the negative and positive environmental impacts of the current ongoing pandemic, where the adverse consequences like generation of a huge amount of hospital waste, unprecedented use and disposal of the contaminated mask, gloves, and disinfectants, and aspects related to the burden of untreated hazardous medical waste repeatedly endangering the environment has been discussed (Rume and Islam 2020).
With this background understanding of the scenario, it is evident that the revitalization of SUPs and plastic, in general, have been thoroughly put into scrutiny, despite its timely intervention and massive utilization in such an emergency where it so far has proved to be a boon than a bane as perceived by a section of technologists and environmentalists unilaterally. However, it is also crucial to take the disposal, recycling, sterilizing, and management of these classes of solid waste into consideration to sustainably ensure its usage in dealing with such a crisis globally. So far, most of the recommendations did not even foresee or address the pandemic era and presented conflicting reports in one or more cases, which lead to an unclear picture of the whole scenario.
Therefore, this review not only discusses the merits and demerits of SUPs during the COVID-19 pandemic but also highlights the forthcoming challenges and issues as the world inches ahead towards the universal vaccination drive. Contextually, the current report also focuses on the surge in production among packaging sectors, associated negative environmental impacts, and probable challenges in accordance with the aftermath of the ongoing pandemic. Further, the review summarizes several policy recommendations associated with future outlook and research directions to lead to a sustainable waste management approach during and after the outbreak. Besides, countries around the world have started the vaccination program in a phased manner this year. In this connection, the environmental repercussions of the use of SUP syringes and vials in extremely large numbers (leading to ~ 109 tonnes of additional waste as per a conservative estimate) for these massive COVID-19 vaccinations are yet to be explored. Therefore, this article not only delves deeper into the impact of the massive and unprecedented increase of plastic waste associated with the COVID-19 prevention protocol but also the likely consequences of the worldwide COVID-19 vaccination program on environmental sustainability vis-a-vis feasible technological intervention-related concepts, strategies, and practices to be followed and some remarks for the way forward.
Introduction
The rapid spread of contagious novel coronavirus, identified as COVID-19, has currently emerged as a global catastrophe. The total number of reported confirmed coronavirus cases linked to the novel coronavirus has now crossed the 149 × 106 mark (Worldometer 2021). Initially, the coronavirus outbreak was reported in Wuhan city, Hubei Province, China, last December 2019, and announced as a pandemic on the 11th of March 2020 by World Health Organization (WHO) (Taylor and Johnson 2020). It resulted in a complete lockdown in most countries. In a virtual media briefing held on the 13th of April 2020 in Geneva, WHO chief Tedros Adhanom Ghebreyesu declared novel coronavirus (COVID-19) to be ten times deadlier than the 2009 swine flu (H1N1) pandemic (The Economic Times 2020). This infectious disease was allegedly originated from animal sources and is transmitted via aerosols and human contact, causing acute respiratory syndrome (Shereen et al. 2020). Researchers all over the world are progressively aiming to develop effective aids to minimize and/or cease the virus spread (WHO 2020e).
Amid this painful scenario, plastic plays a crucial role in protecting people from the deadly coronavirus, especially the frontline warriors like doctors, nurses, and various healthcare workers fighting the current pandemic. Moreover, it is mandatory for every healthcare personnel to wear PPEs as a general preventive measure while dealing with suspected, symptomatic, and/or asymptomatic COVID-19 carriers. PPEs offering protection against the current pandemic commonly comprise gloves, gowns, head, and shoe covers, masks and respirators, goggles, and face shields. However, surgical gloves, masks, gowns, heads, and shoe covers are usually made of disposable SUPs. As per WHO records, shared on 3rd March 2020, 30 × 106 gowns, 1.6 × 106 goggles, 89 × 106 medical masks, and 76 × 106 gloves are monthly needed for healthcare professionals to outlive the pandemic (WHO 2020a). Moreover, the neurotic mindset developed among individuals owing to the rapid transmission of the highly contagious virus has also escalated the use of PPEs, gloves, and hand sanitizers on a daily basis. Thus, reportedly, 65 × 109 gloves and 129 × 109 face masks are consumed worldwide on a monthly basis (Prata et al. 2020).
The current upsurge in demand for SUP materials and medical supplies in 2020 has significantly escalated from the previous year. A recent case study in Wuhan reported that maximum infectious health care waste is being produced by confirmed COVID-19 patients (~ 3.2 kg/patient) and minimum by the suspects (~ 0.1 kg/patient) (Wang et al. 2021). The global plastic packaging market is projected to grow 5.5% annually, from about $ 909.2 × 109 in 2019 to about $ 1,162.6 × 109 by 2021, attributing to the epidemic response (Markets and Markets, 2020). Moreover, the mismanagement in the disposal of PPEs may contribute to global plastic contamination and incited potential trajectories of COVID-19 spread. The proposed threat is further triggered by overpopulated and polluted areas and/or nations. Such a drastic increase in consumption of SUPs has escalated the rate of plastic waste production and is thus, the most challenging concern in the present scenario. Reportedly, the volume of contaminated medical waste was enhanced by about six hundred percentage, that is, from 40 tonnes per day to 240 tonnes per day, during the pandemic period, in Hubei Province, China (ADB 2020). Furthermore, the average amount of plastic waste being generated increased from ~ 2115 tonnes per day in 2019 to ~ 3432 tonnes per day in between 3 months(January to April 2020) in Bangkok alone (Tanakasempipat 2020). Meanwhile, COVID-19 pandemic-related medical waste being produced per day has outreached to ~ 600 kg in India, which is approximately 10% more waste as compared to pre-pandemic waste (Ramteke and Sahu 2020). Hence, there is an urgent need to adopt radically new approaches for reducing plastic consumption, such as recycling and reusing plastic products and comprehensively managing plastic waste. The effective waste management of medical and household waste can be practiced via appropriate collection, identification, segregation, storage, transportation, handling, and disposal, as well as through standard sterilization, personnel protection, and proper training program.
In particular, PPE and other plastic-based medical devices have loomed as a safeguard to protect the health and safety of various individuals during the pandemic. However, a fair assessment of the pros and cons, handling and mishandling, and associated environmental impacts during and post the COVID-19 pandemic is required. Thus, the paper reflects on the positive and negative roles of plastic in the management of the COVID-19 pandemic, the associated socio-environmental problems. The current review also meticulously summarizes numerous safer practices and some technology-assisted mitigation strategies to support policymakers and legislative bodies to address the current challenges of plastic waste disposal during and aftermath of the pandemic
Transmission dynamics, surface interaction, and viability of COVID-19
The influence of various virus and host factors on the pathogenesis of COVID-19 is schematically summarized in Fig. 1 while the origin of the resembling viruses with their origin, entry receptors, and mode of transmission are detailed in Table 1. A representative structural schematic and microscopic image of a typical COVID-19 virus are shown in Fig. 2. Before discussing the role of plastic in a pandemic scenario, various modes for transmission of COVID-19 virus via plastics and adsorption mechanisms on different inanimate surfaces are elaborately discussed. Moreover, for efficient management of plastic-based waste from households, streets, quarantine centers, or hospitals, the lifecycle of the virus, its transmission, and control pathways are briefly discussed in the subsequent sections.
Table 1.
Pandemics | SARS-CoV | MERS-CoV | COVID-19 | References |
---|---|---|---|---|
Place of origin | Foshan, Guangdong, China | Saudi Arabia | Wuhan, Hubei, Province, China | (da Costa et al. 2020) |
Date of emergence | Nov 2002 | June 2012 | December 2019 | (da Costa et al. 2020) |
Entry receptor in human | Angiotensin-converting enzyme 2 (ACE-2) | Dipeptidyl peptidase-4 (DPP4) | (ACE-2) | (Lu et al. 2020) (Wang et al. 2008) (Li et al. 2020) |
Mode of transmission | Droplet contacts with the infected individual | Respiratory droplets, contaminated fomites | Droplet contact with an infected individual (even if asymptotic one), aerosol transmission, blood-borne transmission, child-mother, and sexual transmission contaminated fomites, oral-fecal | (Shashank et al. 2021, Karia et al. 2020) |
Incubation period | 4 days (~ 1–13 days) | 5 days (~ 2–15 days) | 5 days (2–14 days) | – |
Countries and territories affected | 29 | 27 | 268 | (Al-Qahtani 2020) |
Current status | Completely controlled | – | Ongoing pandemic | – |
Fatality ratio | 9.5% | 34.4% | 4.4% | (Petrosillo et al. 2020) |
Mode of transmission
The transmission of COVID-19 via various plastic surfaces is illustrated in Fig. 3. The droplet transmission typically occurs via direct, indirect, or close contact (within ~ 1 m) with the infected individual through their contaminated salivary and respiratory secretions (Jayaweera et al. 2020) (Rahman et al. 2020). Indirect transmission involves contact of a susceptible human or animal with inanimate objects or surfaces contaminated by an infected individual (fomite transmission). Thus, COVID-19 can also be transmitted by Faecal-Oral Route, i.e., through a contaminated environment (Castañ et al. 2021). However, airborne transmission occurs via microbes present in the nuclei of the fine droplets (< 5 μm in diameter), which are formed as a result of the evaporation from the surface of larger droplets. Such microbes remain airborne for a long duration and, thus, can be transmitted over distances > 1 m (Jayaweera et al. 2020) (Kaur et al. 2021). So, wearing face masks offers protection against aerosols (Sterr et al. 2021).
Surface interactions and persistence of coronavirus on various materials surfaces
Apart from human-to-human transmissions, the respiratory droplets carrying the virus that fall on material surfaces or ground also act as a potential source of transmission as the virus tends to remain viable on the exposed surfaces for a considerable duration. Based on the sustainability of viruses on different surfaces, the choice of materials in medical and PPE should be carefully weighted. Warnes et al. scrutinized various types of human coronavirus on the surfaces of common materials. In the study, ~ 20 μl of infected cell lysate was applied on ~ 1cm2 surfaces of test specimens, followed by incubation at ~ 21 °C and ~ 30–40% relative humidity. The results showed that steel, stainless steel, silicone rubber, glass, ceramics, polyvinyl chloride (PVC), and Teflon kept the virus active for 5 days (Warnes et al. 2015). Doremalen et al. also reported a comparative analysis of the stability of both SAR-COV and COVID-19 on various surfaces and in aerosols. The viruses were exposed to the steel, cardboard, plastic and other test surfaces followed by incubation at ~ 21–23 °C, ~ 40% RH for 7 days. Further, the aerosol stability was estimated by aerosolizing the virus in a stationary rotating drum at ~ 65% RH and incubation at ~ 21–23 °C for ~ 3 h. COVID-19 virus was observed to be more stable on stainless steel and plastic (polypropylene) (~ 72 h) than cardboard (~ 24 h) and copper surfaces (~ 4 h). Further, the deadly virus exhibited viability of ~ 3 h in aerosols (van Doremalen et al. 2020) (Sharma et al. 2021a). Chin et al. reported that the persistence of coronavirus on various infected surfaces is dependent on environmental factors. The authors reported the absence of any infectious virus on glass and banknote surfaces beyond 4 days (~96 h) and on stainless steel and plastic surfaces post 7 days of exposure (Chin et al. 2020). In a study, Kampf et al. summarized the persistence of COVID-19 on various types of inanimate surfaces like metal, glass, or plastic and reported the presence of the virus from 2 h to 9 days post-exposure (Kampf et al. 2020). The estimated survival time of the coronavirus on different surfaces is summarized in Fig. 4.
The adsorption mechanism of COVID-19 on various environmental surfaces is not well reported. However, it is assumed to be driven by attractive electrostatic parameters such as pH, isoionic or isoelectric point (pI), and ionic strength, which facilitates in leading to weak interactive forces (e.g., van der Waals forces) and hence induces binding of protein S to solid surfaces. Moreover, the survival of the virus is reported to be higher on non-porous material surfaces such as stainless steel, latex, plastic, and glass than porous material surfaces like paper and cotton (Aydogdu et al. 2021). In a study, Rajneesh et al. (Bhardwaj and Agrawal 2020) reported the effectiveness of larger hydrophilic surfaces in reducing the droplet drying time and hence are considered to be appropriate surfaces for designing masks, PPEs, and other accessories that encounter frequently exposed surfaces. Reportedly, a reduction in contact angle by ~ 10° for N95 masks and PPE bodywear reduces the chances of COVID-19 infection by ~ 38% (Bhardwaj and Agrawal 2020). Thus, COVID-19 infection can be significantly reduced by tailoring the surface wettability and droplet drying time. Topographic irregularities, texture, and roughness of the inanimate surface also play an influencing role in virus deposition (Tiwari et al. 2006) (Hossain et al. 2020). Reducing surface roughness and creating a textured surface at the micro/nanoscale can lead to a reduction in the availability of contact area for viral adhesion and thereby reduce surface stability for COVID-19.
The infected respiratory droplets primarily comprise of saliva, active virus, and mucus. Further, the shape, size, and composition directly influences the viscosity and flow properties of the droplets, thereby governing their persistence on the material surface. The viability of the virus on various surfaces is also dependent on the nature of interfacial interaction between the substrate and the infected respiratory droplet. The wettability of various material surfaces is represented in Fig. 5. Reportedly, the hydrophilic surfaces with contact angle (θ) < 90° promote the interfacial spread of the liquid. However, interfacial retention of droplet shape was observed for relatively more hydrophobic surfaces with θ > 90° (Bracco and Holst 2013). Thus, infected droplets can be easily removed from the hydrophobic surfaces using a sanitizer. Understanding the usages of waterproof materials such as plastics is ideally preferred to avoid contact with infected blood, fluids, and body secretions.
The role of plastics in the pandemic scenario
The extended prevalence of COVID-19 beyond 2020 not only posed a grave threat to humanity but also presented challenges to control the transmissibility of the virus among hygiene compromised communities. Moving beyond the hygiene compromised classes are the medical professionals getting directly exposed to COVID-19 through aerosols, respiratory droplets, and direct handling of contagious secretions like sputum, serum, blood, feces, etc.) of infected patients (Jayaweera et al. 2020) leading to the increased risk of asymptomatic and pre-symptomatic transmission. In such a scenario of gloom, the widespread use of plastic for health and hygiene concerns of healthcare workers and compromised communities became imminent and is obvious due to their cost-effectiveness, light-weightiness, flexibility easy availability, and easy processibility.
Plastic materials are mostly cost-effective, easily available, light-weight, flexible, and processible, and thus have attained a pivotal status in modern society. For example, Ergo plastics are at the forefront of many modern advances owing to their genuinely revolutionary transformative capabilities in numerous emerging fields like biomedical, pharmaceutical, energy, packaging, fishery, and so on (Andrady and Neal 2009) (Narancic et al. 2020). It is due to this versatility that in the last 5 years, the overall plastic production increased from ~ 300 × 106 to ~ 368 × 106 kg globally (Tiseo 2021).
Plastics in the role of COVID-19 care comprise a whole class of complex polymers and copolymers, laminates, composites, and substrates that have been used in PPE, medical instruments, single-use medical devices, and in the packaging (consumer goods, pharmaceuticals) for e-commerce services to ensure and protect human well-being during the coronavirus epidemic. In addition, a specific group of plastics/polymers are not only the most proficient and advantageous for packaging and transporting goods but also are environmental-friendly due to their inherent biodegradability properties apart from being light-weight, durable, low-volume, less expensive, and with good insulating properties (Sharma et al. 2020, Klemeš et al. 2020). Numerous studies have shown that the strength and flexibility of certain polymers, such as films and sheets, reduced the overall weight of a package, which otherwise would have been increased by four times, resulting in up to 60% more plastic waste (Klemeš et al. 2020; Vanapalli et al. 2021). The rapid surge of COVID-19 cases has also accelerated the use and consumption of plastic-based safety kits and packaging solutions. Such a situation has led to an abrupt and unprecedented rise in plastic production. To further emphasize the role of plastic in medical as well as e-commerce packaging applications is further elaborated in the following sections.
Plastics in medical COVID-19 care applications
The major reasons for nosocomial and community transmission attribute to the lack of awareness and preparedness, the dearth of proper training on infection control strategies, and poor compliance with PPEs, for the sudden outbreak of infectious diseases (Blanchard 2007). The common risk factors for coronavirus spread are direct contact in therapy and physical examination of the infected patient, close contact with infectious body fluids and excretory products from infected individuals, cardiopulmonary resuscitation, suctioning of airways, and endotracheal intubation. When observed under an electron microscope, the size of the COVID-19 virus ranges from ~70 to ~90 nm in diameter. However, virus-carrying Flugge droplets, usually produced by coughing and sneezing that are less than 5 μm in size, can travel up to 4.5 m, endangering health care workers who are not even directly involved in patient care (Dhand and Li 2020). As per the COVID-19 report-82 by WHO, the virus infected ~ 22,073 health care workers in 56 countries by 8th April 2020 (WHO 2020b). In order to minimize the virus spread, plastic-based safety kits and packaging solutions play a crucial role in the prevailing pandemic scenario.
Post COVID-19 outbreak, the demand for plastic products is continuously increasing due to growing hygiene concerns, personal protection, and healthcare purposes. The components of PPEs such as gowns, face cover, head cover, shoe cover, gloves, mask or respirators, earplugs or muffs, coveralls, vests, and other packing-shielding materials, and their basic material characteristics are summarized in Table 2. Currently, PPEs are widely being used not only in treatment centers but also in cleaning, maintenance, waste management, burials, and community care to reduce the risk of contamination. PPEs are exclusively made from SUPs and are crucial in the present battle due to the rapid surge of COVID-19 cases worldwide. Reportedly, the use of PPE kits exhibited a remarkable drop in the number of coronavirus cases in China (Cook 2020). However, the lack of availability of PPEs in Sweden resulted in COVID-19 spread among thousands of health care workers (Gunia 2020). Similarly, a report on the spread of Ebola infection among HCWs in Liberia, Sierra Leone, and Guinea from January 2014 to March 2015 deduced that health care personnel are ~ 21–32 times more likely to be infected with Ebola in comparison to the general public. This was attributed to multiple infection prevention and control failures and the lack of availability of adequate PPEs.
Table 2.
Functionally, the face masks covering both mouth and nose helps in preventing the spread of respiratory secretions via breathing, talking, sneezing, or coughing. Generally, coughing produces a comparatively larger number of droplets than are inhaled while breathing (Dhand and Li 2020). Reportedly, the volume of communicating pitch is proportional to the number of salivary aerosols ejected while speaking, irrespective of the language spoken (Asadi et al. 2019). Moreover, about ~ 10 min of conversation, at a standard volume, of a healthy person with an asymptomatic infected individual exposes them to ~ 6000 aerosols, which are subsequently inhaled (Asadi et al. 2020). Therefore, maintaining a distance of at least ~ 1 m and using a protective face mask as an aerosol filter when in close proximity of an infected individual is recommended (WHO 2020c). Therefore, the increase in demand for surgical masks escalated the production of facemasks worldwide. In order to address the cost, non-renewable petrochemical-derived raw materials such as polyethylene (PE), polypropylene (PP) (Potluri and Needham 2005) are widely used in industries for producing the masks (Henneberry 2020).
Household uses of SUPs as domestic precautionary measures to prevent COVID-19
As is known, social distancing and lockdown as alternate approaches have been exceptionally effective in combating the virus spread. However, such lockdowns (complete closure) of eating places (restaurants and cafeterias) and other recreational joints/malls, across the globe led to escalated demand for home delivery services and thereby increasing the production rate of common packaging plastic materials. Plastic packaging has played an important role in food safety as it acts as a protective barrier for food from contamination, minimizes spoilage, and enhances shelf life. Consequently, numerous forms of plastic packaging, including Protective Packaging, Global E-Commerce Packaging, and Global Corrugated Boxes, have increased tremendously (Ncube et al. 2020). Hyun et al. reported a 92.5% increase in online grocery purchases compared to 2019 in South Korea during the pandemic. Moreover, in countries like Germany, Vietnam, China, India, and Italy, online shopping has increased on an average from 12 to 57% during the pandemic period (Hyun 2020). Furthermore, a market research firm, Rakuten Intelligence, has reported a 50% increase in the rate of online shopping in the USA during the lockdown period from March to mid-April 2020 (Rattner 2020). This is attributed to the increase in demand for e-commerce packaging of groceries due to health and hygiene concerns, during the period of outbreak, and typically such packagings are usually made of films, foams, and/or multilayer plastics (UNEP 2018; Ncube et al. 2020).
Escalated industrial production of plastics through the pandemic
Most of the packaging companies that were nearly closing down before the coronavirus pandemic are currently back in the market as demand for this industry has surged dramatically. In order to address PPE storage, WHO urged many industries and governments to increase their manufacturing by ~ 40% (WHO 2020a). As reported by World Economic Forum (WEF), the daily usages of PPE kits have reached an astonishing level, even in the areas where the COVID-19 confirmed cases are relatively low (Konov 2020). As such, in February 2020, ~ 1500 gowns, ~ 39,500 facial masks, ~ 4200 filtering facepiece respiratory masks (FFP3), and ~ 11,500 medical gloves were used in the UK alone (Duer 2020). Furthermore, the projected demand for PPEs in the UK is speculated to range from ~ 10 to ~ 16 × 106 PPEs/day, apart from the current supply of ~ 14 × 106 PPEs per day (Gray 2020). Similarly, according to data obtained from - BBC 2020 and LA Times, 2020, the demand for medical gloves in densely populated countries like China is expected to increase by ~ 12.5% in 2020 (Gray 2020, Bengali 2020). Moreover, a leading market research firm, Freedonia Group, has also reported an ~ 312% increase in demand for face shields amid the ongoing pandemic in the USA (BBC 2020, LA Times 2020). Since February 2020, China has reported a significant increase in face mask production by 450% in one month (from 20 to 110 × 106), and demand for N95 respirators has increased from ~200,000 to ~1.6 million (Bown 2020). In China alone, face mask production has climbed up to ~ 116 × 106 in February 2020, which was ~ 12 times more than the production in January 2020 (OECD 2020). As the total population of China is > 1.4 × 109, a substantial gap has also been reported in the rising demand and consequent supply during the pandemic (Gray 2020). A similar trend is expected in countries where an increase in the COVID-19 cases is being reported, combined with safety awareness that has further upsurged the demand for PPE. According to the WWF estimation, in Italy alone, the monthly demand of the general public for PPE during the demodulation phase is estimated at 1 × 109 masks and 0.5 × 109 gloves (Cozier 2021). The conservative expansion of these figures for the entire European population leads to an estimated demand of 7.4 and 3.7 × 109 units of masks and gloves, respectively, per month (Pinto Da Costa et al. 2020). Moreover, it is reported that the demand for plastics rose by ~ 40% in the packaging industry and ~ 17% in other applications, which includes medical uses (Prata et al. 2020). Amid the coronavirus chaos, China escalated the facemask production capacity and is currently the primary producer of face masks worldwide. Moreover, global disposable mask sales are estimated to rise from ~ 800 × 106 in 2019 to ~ 166 × 109 in 2020, as stated by the business consulting firm Grand View Research (Bratovcic 2021). The global disposable mask market is expected to accelerate with a CAGR of ~5.4% to reach $ 28.8 × 109 by 2027. The largest growth increases are expected in 2020 and 2021 at ~ 396.6% and ~ 18.2% CAGR respectively (Research and market 2020).
Not only two-thirds of the world population is experiencing myriad fatalities as a consequence of the COVID-19 pandemic but also it has brought out severe economic threats globally that may lead to irreversible losses. The vital need to boost PPE productivity is accompanied by herculean challenges such as research and implementation of appropriate measures for ensuring its quality and safe disposal. Besides, the price of crude oil has crashed to its all-time low (IEA 2020) due to the reduction of transportation facilities during the pandemic-induced lockdowns. The dramatic reduction in the demand for fuel such as petrol, diesel, and natural gases motivated the oil companies to shift their interest in booming plastic production, specifically for-profit concerns. Similarly, in the current scenario, manufacturing industries are choosing between plastic manufacturing and plastic recycling, and the former has loomed as an economically feasible option over the latter. Thus, the manufacturing industries are producing new classes of virgin plastics and thus further adding up to the unsustainable and mismanaged plastic waste generation at a much lower (trailing) plastic recycling rate. A significant reduction of ~ 30–40% was reported for the consumption of recycled plastics in the southeast Asian countries and is attributed to the plummeting oil prices during the outbreak (BIR 2020). Further, increasingly subtle changes in plastic usage, such as replacing reusable bags with SUP-based bags as a precautionary measure, using disposable sanitizing wipes, and overusing hand sanitizers plastic bottles, are some of the extreme reactions of the public, exaggerating the production of plastics at a phenomenal rate of growth (Kalina and Tilley 2020). Thus, revocation of SUP usage bans and unprecedented use of PPE have created more serious problems in terms of effective waste management in the context of the increased production of plastic waste during the outbreak.
Impact of COVID-19 pandemic on global plastic waste generation
Globally, outbreaks have changed patterns of waste generation and disrupted the dynamics of international recycling markets. The impact of COVID-19 on the various factors attributing to plastic waste generation is schematically illustrated in Fig. 6. However, the major visible aspects that have enormously contributed in terms of human activities are (a) improper disposal of PPEs, (b) surge in e-commerce shopping and takeaway services, (c) reduction in recycling rate of SUPs due to pandemic, and (d) additional piling up of solid waste due to launching of worldwide vaccination drives.
Improper disposal of PPEs
The present COVID-19 outbreak has sparked the consumption and inappropriate management of plastic waste as the risk of infection among the healthcare professionals, essential personnel, and the general public increases without the use of masks, PPE kits, and hand sanitizers. The unprecedented use of plastic-based PPEs by frontline health workers and common citizens has escalated plastic waste generation globally. Reportedly, on 24th February 2020, when the coronavirus transmission rate was at a peak in Wuhan, the city produced ~ 247 tonnes per day of clinical waste, which is estimated to be six times the city's incineration capacity in the dedicated facility per day (Singh et al. 2020). Similarly, in Ahmedabad, India, the amount of hospital waste generated per day increased from ~ 550–600 kg to ~ 1000 kg during the first phase of lockdown (Somani et al. 2020). Moreover, cities like Hanoi, Manila, Kuala Lumpur, and Bangkok, experienced a similar rise and reportedly produced ~ 154–280 × 106 tonnes of additional hospital waste per day than estimated before the pandemic (ADB 2020). Discarding surgical masks every day after use and empty bottles of hand sanitizer along with solid tissue papers have given rise to a massive trail of hospital waste mindlessly scattered in the environment, as illustrated in Fig. 7. The used face masks and coverings are usually found littering in public spaces (e.g., beaches, parking lots, roads) due to the public’s incorrect disposal. According to a WWF report, “if even only one percent of the masks were disposed of inappropriately and perhaps dispersed in nature, this would result in as many as 107 masks per month polluting the environment” (Monella 2020) . Considering the weight of each mask ~ 4 g, it would contribute to ~ 40,000 kg of plastics waste in natural environments. In addition, the disposal of many plastic-based coronavirus RT-PCR (reverse transcription-polymerase chain reaction) testing kits after single-use, for hygiene concerns, has also escalated the rate of plastic waste production. Reportedly, India alone generated 14.5 tonnes per day of plastic waste associated with the RT-PCR testing of coronavirus (Basu 2020). Furthermore, self-medication with over-the-counter drugs (non-prescription drugs), increased the use of medication by the patients and the growing demand for popular immune-boosting drugs can potentially upsurge the production of pharmaceutical packaging waste such as bottles, blister packs etc. from both household and hospitals. Thus, the unprecedented global demands for these non-biodegradable SUPs are contributing towards environmental pollution that may in the long run lead to secondary health challenges.
In addition, during the outbreak, the entire Hubei Province in China saw a sharp surge (~ 370%) of hospital waste generation, which contains a substantial portion of plastic with a cumulative mass of ~ 207 kt (Klemeš et al. 2020). Following this trend, American consulting and research firm, Frost & Sullivan, predicted that in just two months during a pandemic, the country could produce as much medical waste majorly comprising of plastic waste (mostly SUPs) as it would normally produce in one entire year (Duer 2020). A recent study by environment and social development organization (ESDO) reveals that at the end of the very first month of official lockdown, to prevent the spread of COVID-19, in Bangladesh, a total of ~ 14,500 tonnes of hazardous plastic waste, with ~ 3076 tonnes in Dhaka alone, has previously escalated due to increased use of disposable surgical face masks, latex gloves, hand sanitizers and polythene bags in communities and health care facilities (Parashar and Hait 2021). Reportedly, ~ 40.9% of this waste is derived from the excessive use of disposable polythene shopping bags used for carrying food items, ~ 21.5% from polythene-based regular hand gloves, ~ 20% from surgical hand gloves, ~ 11.2% from the use of surgical face masks, and ~ 6.4% from empty hand sanitizer bottles (Parashar and Hait 2021). In addition, ~ 250 tonnes of hospital waste containing plastic-based gloves and surgical masks are generated from pathological testing laboratories, and hospitals with ~ 1.1 tonnes of SUPs waste were recorded (Parashar and Hait 2021). In South Korea, ~ 295 tonnes of infectious plastic-based medical were reported from medicals (61%), community treatment facilities (5%), and isolation centers (34%) for a period of one month from February to March 2020 (Rhee 2020).
Surge in e-commerce shopping and takeaway services during the pandemic
The pandemic has introduced not only a new form of consumer demand but also behavioral changes such as stockpiling of groceries as well as food items among the masses as well as panic buying, thereby resulting in an expected surge in requirements for plastic-packed items in many countries. For example, the growing trend of online purchasing and takeaway services has further exaggerated the plastic products demand. This is expected to grow with a sales growth rate of ~ 40% in Spain and ~ 14% in the USA (Duer 2020). The global plastic packaging market is projected to grow 5.5% annually, from about $ 909.2 × 109 in 2019 to about $ 1162.6 × 109 by 2021, attributing to a typical consumer market response to the epidemic response (Markets and Markets, 2020). Furthermore, the food products with short shelf-life when stored without cold storage amenities resulted in an additional generation of waste. For instance, in New York City, the volume of solid waste produced from residential areas increased from ~ 5 to ~ 30%, whereas waste from industrial/commercial has come down, to as low as 50% (Waste Advantage 2020). Similarly, during the eight-week shutdown in Singapore that eased on 1st June 2020, an estimated ~ 5.7 × 106 residents of the island city dumped an additional ~ 1470 tonnes of plastic waste originally produced from the disposal of food delivery and takeout packaging alone (UNCTAD 2020). In Thailand, plastic waste generation increased from ~ 1500 tonnes per day to ~ 6300 tonnes per day amid the pandemic and is also attributed to the soaring rise in takeaway services and online home delivery (Duer 2020). Therefore, the entire world is hit by a tidal wave of plastic waste, especially in the packaging form (~ 44.8%) and other medical waste (~ 13.2%) (UNCTAD 2020). The common plastic packaging waste comprising of high-density polyethylene (HDPE), PP, LDPE, PS, PET, and medical equipment (PPE kits, mask, gloves, etc.) waste composed of PP, PE, or PVC mostly contributes to ongoing pandemic-based plastic pollution.
Reduction in the recycling of single-use plastics during the pandemic
Waste recycling is considered to be an effective means to address the escalated plastic pollution, conserve natural resources, and save energy (Ma et al. 2019). However, numerous countries have already put off waste recycling activities to reduce the risk of virus transmission. For example, many states in the USA are either downsizing or suspending the recycling programs, as the government is more concerned about the risk of transmission of the virus via recycling plants. Similarly, the UK, Italy, and other EU countries have banned infected residents from segregating waste (Zambrano-Monserrate et al. 2020). Such major disruption in the recycling activities is even more exaggerated in developing countries like India, Brazil, Kenya, Haiti, Guatemala, and Indonesia, attributing to the severe crisis of funds in such countries. The reduced collection, along with the dearth in market demand for recycled plastics, has motivated numerous informal recycling sectors in bearing the brunt of the pandemic (Shooshtarian et al. 2020a; Shooshtarian et al. 2021). Therefore, a significant reduction in plastic recycling in the context of unsustainable plastic production and an increase in waste production during a pandemic could pose a serious threat in a post-pandemic scenario.
Moreover, some SUPs are being widely used in commercial sectors, such as protective sheets/films on payment machines, chairs, balconies, desks, to prevent potential droplet transmission at work stations. Similarly, microfibre wipes for surface cleansing, SUP-based shoe protection covering, face and head shields, and cuffs are frequently being used in healthcare clinics and beauty salons. As the current COVID-19 pandemic has drastically changed the dynamics of waste production and composition, it poses a tough challenge for policymakers, service providers, local authorities, and regulatory agencies. These theatrical alterations in the composition and volume of plastic waste during the pandemic have vowed distinct attention to resilient infrastructures and sustainable practices for the proficient disposal of plastics.
Increase in plastic waste generation with the launching of a worldwide vaccination drive
The beginning of 2021 was marked by the initiation of COVID-19 vaccination campaigns worldwide. Governments across the world are frantically trying to vaccinate as many people as possible to reduce and heal the damage caused by the sudden outbreak of coronavirus pandemic. Accordingly, the pace of production of vaccines has been accelerated to meet the global need of facilitating appropriate levels of immunization for the general population against COVID-19. As previously discussed, the unintended exorbitant usage of medical supplies to fight the COVID-19 has escalated the generation of plastic-based medical and household waste, ranging from PPEs to packaging. Furthermore, the intensity of the problem may further be aggravated with the commencement of global vaccination drives, leading to a substantial increase in the amount of rubber, glass, and plastic residues from vaccine containers in the environment. A cumulative estimate leads to the understanding that ~ 1 × 109 tonnes of plastics/rubbers and their associated solid wastes are likely to be generated as the wastes of the COVID-19 vaccinations. The various forms of disposables from the vaccination devices are syringes, droppers, vaccine bottle caps, gloves, etc. However, considering the average weight of syringe ~ 5 g, if the 7 × 109 are to be vaccinated in the coming future, ~ 1 × 109 tonnes of plastic-based solid waste is likely to be generated post completion of COVID-19 vaccination when all the other peripheral plastic materials that are used aside from the syringe, like gloves, masks, etc. are included. For instance, according to On-Site Waste Technologies, a medical waste disposal company, if more than one dose is needed to confer immunity, ~ 650 × 106 doses of COVID-19 vaccine will be required to inoculate the entire US population alone, which would create enough waste, i.e., ~ 1.8 times when wrapped around the Earth, to add to the destabilization of existing pollution challenges (Toussaint 2021). To impress upon such an estimate, a global cumulative statistic of the number of vaccine shots administered post-January 2021 is shown in Fig. 8. Moreover, various forms of disposables, such as syringes, droppers, vaccine vials, bottle caps, gloves, mobile storage containers (portable) with the inside temperature of − 8 to − 20 °C, are required for the storage, filling, and distribution of billions of doses of the vaccines worldwide. Therefore, the emerging challenge of mass vaccination and management of associated biomedical waste, involving hundreds of millions of individuals, needs to be addressed wisely. Furthermore, the real material challenge will potentially be the most significant among developing and low-income countries, which typically absorb the waste management costs with little consideration of the short- and long-term environmental and financial impacts due to lack of proper research and development prerequisites. Thus, if not equally important, the amount of non-degradable waste being generated through these immunization campaigns is a subject of serious environmental concern.
Potential environmental consequences
The worldwide lockdowns brought upon by COVID-19 resulted in numerous positive environmental changes such as clearer skies and cleaner rivers, but the same was not applicable for plastic waste management. Along with the far-reaching benefits of plastics, their massive consumption and waste mismanagement have led to serious environmental concerns, resulting in the addition of large-scale plastic waste into the environment. The implication of plastics and particulate pollution on the environment has been summarized and corroborated by erudite scholars in various literature (Thompson et al. 2009; Okunola et al. 2019) (Suthar et al. 2021) (Tabish et al. 2020). Some of these negative effects include the threat to marine animals, which is a significant component of the human food web. The water-resistant medical wastes made of plastic, such as masks, gloves, etc., once discarded end up in the water bodies (rivers, seas, and oceans) and landfills. The recent flooding in many south Asian countries such as India, Bangladesh, Bhutan, and Nepal escalated the persistence of plastics, as the likely infected litters tend to persist in the environment for decades. The inappropriate disposal of plastic-based masks and gloves resulted in a cumulative increase of plastic debris in the aquatic environment and is potentially carried by the wind, stormwater, wastewater, and drainage systems (Eriksen et al. 2013). Reportedly, ~ 8–13 × 106 tonnes of plastic trash is directly or indirectly disposed of in the water bodies every year (Guern 2019). The inappropriate disposal of PPE does intensify the problem. Gary Stokes (the creator and director of the Ocean Asia NGO) and his team are currently working on the management of ocean surface trash (Chow et al. 2020), according to whom, the used masks and gloves have been seen all along the seashore and high tide line with a cumulative deposition of the new deposits with each current. Reportedly, ~ 5.25 trillion plastic pieces with ~ 3% of global plastic waste are floating on the surface of the ocean (Eriksen et al. 2014). Mostly, this debris is mistakenly consumed by many seabirds and animals, which tend to block their gastrointestinal tract, and may even lead to death. For instance, the potential cause of death of a Magellanic Penguin (Spheniscus magellanicus) in Brazil on 9th September 2020, was reported to be the inappropriate consumption of black face masks (Ewbank et al. 2020). As stated by the Intergovernmental Platform for Science Policy on Biodiversity and Ecosystem Services (IPBES), aquatic plastic pollution has enhanced by 10-fold since 1980 and affects at least ~ 267 species, including ~ 44% of seabirds, ~ 43% of marine mammals, and ~ 86% of marine turtles, and may even indirectly affect human beings via food chains (Ferrier et al. 2019). Similarly, in December 2018, at the Waka Tobi National Park in Indonesia, a sperm whale was found dead with ~ 25 bags, ~ 115 cups, two slippers, and four bottles in its stomach. More than ~ 1000 plastic pieces with an overall weight of ~ 6 kg, was estimated to be trapped (Jensen and Schuettler 2018).
With time, the plastics can also break into small pieces, i.e., microplastics (< 5 mm) under environmental conditions (like UV radiation, wind velocity, sunlight). Such micro/nano-polymeric particles, directly and/or indirectly, are consumed by living organisms and thus are a subject of immense concern for global food safety (Hebner and Maurer-Jones 2020). Currently, plastic-based PPE like face masks and gloves is the major source of microplastic fibers in the environment. For instance, most of the safeguard PPEs such as Tyvek for protective suits, N95 masks, gloves, and protective face shields are made of PP and thus may release dioxin and other toxic elements and may even remain in the environment for a longer duration (WHO 2020f). Plastic waste may also contribute to the emission of carbon which significantly affects global food and climate change (North and Halden 2013). Moreover, the urban plastic waste not only triggers pollution levels but may also escalate the risk of urban flooding, thereby activating numerous zoonotic and biological vector-borne diseases (for example, the vector for dengue and Zika is the mosquito Aedes spp.) (Lindsay et al. 2017).
The inappropriately disposed of plastic waste may also contaminate the soil and groundwater. The leachate generated by waste decomposition contains a large number of substances that are likely to pollute groundwater. The cumulative impacts of such medical wastes on health care workers are far-reaching. Furthermore, the infectious waste is not only disposed from the hospitals and healthcare centers but also produced from households, as the virus-laden waste can also be generated by infected people with minor or negligible symptoms during their home isolation period. The handling of contaminated plastics waste is also a potential mode of virus transmission. Therefore, people involved in waste management (cleansers, trash collectors) are at a higher risk zone due to their repeated contact with infected waste. Such circumstances are extremely critical in developing countries where the rag pickers and informal waste collectors are mostly improperly equipped with PPEs.
Additional challenges associated with disposal practices and plastic waste treatment during the pandemic
Landfilling, incineration, and mechanical recycling are the most commonly used waste disposal techniques worldwide. Globally, between 1950 and 2015, only 9% (600 Mt) of total produced plastic (6300 Mt) was mechanically recycled, 12% (880 Mt) was incinerated, and 60% (4900 Mt) of plastic wastes were disposed of and accumulated in landfills or the natural environment due to mismanagement (Geyer et al. 2017). However, these traditionally used techniques are inefficient for waste disposal and treatment due to an unprecedented increase in waste generation. Table 3 illustrates the various advantages, disadvantages, and challenges in landfilling, incineration, and mechanical recycling during the COVID-19 pandemic.
Table 3.
Waste treatment method | Advantages | Disadvantages | Challenges during COVID-19 scenario |
---|---|---|---|
Incineration |
Relatively mature technology for recovery of energy Disinfection and sterilization is not required Due to the high calorific value of biomedical waste, less fuel is required Low sensitivity to waste composition |
Release of hazardous and toxic gases such as furans and dioxins Only heat is recovered |
Development of Flue gas treatment technology Introducing carbon capture and storage technology into the incinerator |
Landfilling |
Simple operation Less input and transportation cost |
Difficult decomposition Waste of land resources |
Development of the new approaches for safe and sterile landfilling |
Mechanical recycling |
Simple operation Less pollutant produced |
Widespread use of filler, additives, and masterbatches make recycling difficult |
Automation in recycling activities Introduction of new approaches to recycling the multi-layer film and blister packaging Recycling of mixed plastic waste |
In the waste management hierarchy, landfilling is the least preferred option as it consumes scarce, valuable land and squanders limited resources. However, it is still adopted by numerous places around the world, especially in developing countries. Moreover, the increased plastic waste generation and inefficient waste management systems lead to unscientific landfilling and indiscriminate dumping worldwide. The prioritization of landfilling may induce improper littering and open burning of a significant amount of plastic waste, which could lead to an increase in the ecological footprint. In many Indian cities, significantly increased cases of unscientific landfills and open burning of plastic waste were reported during the pandemic (Corburn et al. 2020; Shooshtarian et al. 2020b). Furthermore, a significant reduction in the recycling activities and depletion of incineration capacity in most of the countries during the outbreak indicates the eventual leakage and mishandling of a remarkable amount of plastic waste in landfills, which creates a long-term impact on the environment. Based on pre-pandemic trends, it is estimated that 12,000 × 106 metric tonnes of plastic-based waste will be dumped in landfills by 2050 (Geyer et al. 2017). Zhao et al. in their study also discussed the efficacy of co-incineration in the management and effective disposal of medical waste (Zhao et al. 2021). The current upsurge in demand leading to plastic waste generation will further worsen the situation and pollute our water and land with a drastic increase of SUP fibers and other disposable plastic products.
Incineration as a thermochemical treatment is another waste management practice, where waste materials are combusted at high temperatures to reduce the volume. Incineration of mixed plastic waste, irrespective of impurities and sorting, in the temperature range of ~ 800–1000 °C for safer disposal by providing waste heat recovery may be a wiser choice, considering its lower labor requirement with less risk of contamination (White 2020; Klemeš et al. 2020). The main challenge is that COVID-19 creates a wave of waste that breaches the existing incineration capacity, thus exceeding the processing capacity by a larger margin. For instance, the maximum production of medical waste of ~ 240 tonnes per day in Wuhan, China, exceeded the existing incineration capacity of ~ 49 tonnes per day during the coronavirus pandemic (Silva et al. 2021). Furthermore, incineration is being prioritized over recycling and landfilling to handle the municipal and medical solid waste, which in turn would affect the quality of air in a medium- to long-term scenario. The greenhouse gases (GHG), like CH4 and CO2, are usually released in significant quantities during the burning of plastics waste or the decomposition of plastic waste in landfills. For example, in the UK, municipal solid waste incineration has a carbon footprint of − 0.179 CO2 equivalent/ton municipal solid waste while that from landfilling is 0.395 CO2 equivalent/ton municipal solid waste (Jeswani et al. 2012). Thus, the release of hazardous and toxic gases such as furans and dioxins from the incinerators without purification remains a subject of concern that should also be addressed.
Due to the unprecedented increase in waste products as well as hygiene concerns of workers, global plastics recycling declined alarmingly during the pandemic. For instance, many cities in the USA have ceased recycling programs due to concerns about the risk of COVID-19 spreading in the recycling center (Zambrano-Monserrate et al. 2020). Similarly, Singapore has also reduced the frequency of household recyclable waste collection during the circuit breaker period (NEA 2019). Additionally, the low collection efficiency, restricted transportation, unavailability of the market for recycled plastics, and the unorganized recycling sector in developing countries, have affected the organized disposal of plastic waste (Sharma et al. 2020). For instance, among developing countries like India, Kenya, and Brazil with relatively low economic growth, the adequate facilities management of MSW is not well established (Amaral et al. 2020). Therefore, the main challenge is to implement appropriate waste management strategies during and after the COVID-19 pandemic that ensures the continuity in the waste disposal and recycling services along with the safety of service workers for regulated and safe collection, disposal, and treatment of medical waste. Furthermore, the main constraint in the mechanical recycling of waste plastic is the presence of additives and inorganic/nonpolymeric impurities, polymeric cross-contamination, improper separation of waste at source or during collection, and partial polymer degradation (Hopewell et al. 2009). Currently, mechanical recycling facilities are feasible for a small portion of plastics, mainly PET beverage bottles and more rigid containers made of HDPE like milk jugs, but not suitable for the multiplex stream of films, sachets, bags, synthetic fibers, or multilayer containers (Hopewell et al. 2009). Thus, it is challenging in the recycling sector to optimize the use of different resources for improving efficiency and productivity by reducing the quantity of waste produced.
Adopted recommendations
The perils of plastic pollution have mobilized business corporations, governments, and communities around the world to fight against its spread in the environment (Schnurr et al. 2018). In the recent past, there have been communal, technological, and institutional amendments like the progressive reduction of SUPs in various nations, decisions by commercial organizations and companies to lessen the plastic footprint, activities by non-profit organizations to tidy up seashores and sea, and changes in public behavior to minimize the plastic usage and waste generation has raised desire for positive developments (Heidbreder et al. 2019; Xanthos and Walker 2017). In 2017, the united nation also declared plastic pollution as a worldwide crisis which encouraged numerous business establishments to adjust their corporate strategies in order to accelerate the transition to a circular economy (UNEP 2017).
The management of plastic waste around the world has already been insufficient, considering the generation of waste in the pre-pandemic situation. The SUPs present a substantial threat to environmental sustainability, as discussed in the previous section. Moreover, waste management infrastructures are typically designed to operate reliably with average productivity and moderately varying waste composition under normal conditions. But the histrionic change in the dynamics of waste composition and production caused by the pandemic far exceeds current waste management infrastructure and thus disrupts normal operations. Therefore, it is necessary to move away from the traditional linear recycling model and radically reconsider the production, design, use, and reuse of plastics to avoid their conversion into waste. Nowadays, plastic engineers are more focused on the designing and development of ecologically safe, biodegradable, and antimicrobial materials (Moustafa et al. 2019) (Das et al. 2021). Moreover, the research and development of low-cost new-age packaging materials, vis-a-vis risk assessment, and long-term implication of the extensive use of these PPEs, present a potential window to explore in the near future. The general representative practices followed for plastic waste management during the COVID-19 pandemic are illustrated in Fig. 9. However, the present surge in demand for packaging material indicated the need to adopt a radical approach for the vigilant and safe disposal of contaminated plastic waste, highlighting the risk of exposure. Currently, there are no unified international rules and regulations for the management of non-biodegradable plastic waste products, but some countries have already started putting strict measures to mitigate the proliferation of polymer plastic-based waste.
Optimizing new challenges and strategies for effective COVID-19 waste management
The unification of new approaches and technological solutions for the collection, sorting, along with secondary treatment, including sterilization of PPE kits, could be a favorable option to address the crucial challenges during and post-pandemic vaccination drive period. The rising demand for PPE, sanitary products, and other sterilization products by healthcare workers and/or the general public and their improper disposal may lead to the generation of more infectious and hazardous waste, and thus should be stored in properly labeled double-lined sealed bags. Moreover, the amount of non-infectious waste ( ≥ 80% of the total healthcare waste generation) needs to be segregated, collected, and disposed of as municipal waste (Sahiledengle 2019). Furthermore, the food waste and the packaging materials discarded after being used by COVID-19 positive patients also contribute to the spread of disease and thus should be handled with caution. Therefore, such infectious waste can be wrapped in paper wraps for at least 24 h (van Doremalen et al. 2020), as the persistence of the virus on the paper surface is < 24 h, and then, should be buried in double-layer compostable, biodegradable bags. In order to match the requirement, the frequency of collection should be increased as well as a special provision should also be provided for the collection of infectious waste from quarantine homes. Practicing proper segregation at home and following updated waste disposal strategies tend to minimize the recycling workload, the number of local assistants, and the extent of regional support. Concurrently, it becomes an individual’s duty and partly a social responsibility to follow simple guidelines and regulations while discarding used face masks and other medical wastes. In an endeavor to resume MSW management services, some of the developed countries have prioritized the strategy of waste categorization prior to collection and processing. For example, the UK has categorized recyclable waste in medium and low priority belts and is supposed to be collected once in one or two weeks (DEFRA 2020).
Integrating machine learning and robotics for segregating and further processing of recyclable materials tends to improve the recyclability rates and provide qualitative products. Sinha et al. developed a proficient method for the selection of the recycling container based on the waste discarded by the user. The authors introduced an Ontology Web Language (OWL)-based model to ensure the smart sorting of plastic waste products to enhance their recyclability. The model also provides information about the amount of valuable recyclable materials present in mixed waste (Sinha and Couderc 2012). In addition, Chu et al. suggested a multilayer hybrid deep-learning system (MHS) to automatically segregate waste that is disposed of in the urban public area (Chu et al. 2018). Thus, the use of automated waste treatment technologies (AWTT) with minimum operator involvement should be prioritized during the pandemic. Moreover, according to Dente and Hashimoto (2020), “the combination of analytical tools such as LCA, network analysis, input-output analysis, and material flow analysis seems imperative to thoroughly understand the consequences of the COVID-19 epidemics.” Therefore, the need to implement best management practices for waste handling and to maintain hygiene should be re-emphasized to limit the exposure of workers to likely contaminated waste.
Techniques adopted for disinfection of plastic waste
Recognizing and investigating outbreaks of infections in both community and healthcare professions by practicing appropriate preventive measures such as stringent sanitation and hygienic conditions are the main principles to combat the present situation. Therefore, there is a need to sterilize general hospital waste and used PPEs prior to disposal and further treatment. Additionally, prior to waste disposal, the general public should decontaminate the waste with disinfectants, such as alcohol, hydrogen peroxide, and chlorine, to reduce the risk of transmission of infection among rag pickers and sanitation workers. According to the WHO recommendation, two disinfection formulations, namely ~ 75% 2-propanol or ~ 80% ethanol, are suitable to minimize viral outbreaks (Kratzel 2020). Chemical disinfectants like calcium hypochlorite, sodium peroxide, sodium hypochlorite, bleach, chlorine dioxide, etc., can be considered the most feasible options due to their properties like colorless, tasteless, non-corrosiveness, odorless, and ease in water-solubility, with no possible hazardous by-product generation after the treatment (Al-Sayah 2020). Other disinfectant technologies (physical and chemical methods of disinfection) such as UV, ozone, or bioengineering approaches, scientific routes for sterilization of infected biomedical waste (BMW), such as via radio wave/microwave disinfection and autoclaving/steam sterilization, can offer a sustainable strategy to treat such plastic waste (Mohapatra 2017; CU-Boulder 2008). Reportedly, vaporous hydrogen peroxide (VHP), ethylene oxide, and ultraviolet germicidal irradiation (UVGI) can effectively sterilize the used PPEs and medical safety kits (Saini et al. 2020). Further, mechanical crushing of used PPE into smaller fractions followed by chemical disinfection has been reported to be efficient in inactivating infectious microbes. Reportedly, microwave/radio wave disinfection is an energy-efficient technology and is relatively faster, thereby producing high yield with minimal environmental consequences as it does not release any toxic particles or residue upon sterilization. It is also known that an on-site treatment method, which includes an autoclave equipped with high thermal energy (~ 93 to ~ 177 °C) and saturated water vapor, effectively disinfects plastic medical waste (Saini et al. 2020). This is attributed to the latent heat possessed by the steam generated that causes denaturation and coagulation of microorganisms which may lead to their inactivation without any significant release of harmful/toxic gases in the surrounding atmosphere. Most of these methods utilize disinfection equipment and disinfectants, which are readily available in hospitals or clinical centers and can be considered for handling and sterilizing used facemasks and PPE. All in all, these sterilization methods might be helpful in providing better options for reuse and recycling of some commonly used plastic-based protective gears like surgical masks, face shields, respirators, and N95 gloves in developed and developing countries, thereby reducing the transmission rate as well as minimizing the plastic waste generation during this still ongoing and periodically fluctuating intensity of pandemic.
In addition, an appropriate disinfection technology should be chosen based on the amount and composition of the waste, the associated costs, and the maintenance required. In the case of a large amount of infectious waste from the health sector (> 10 tonnes/day), incineration remains the best option, as pathogens cannot tolerate high temperatures (> 800 °C). If the amount of medical waste is low (< 10 tonnes/day), chemical (e.g., using chemical disinfectants) or physical (high-temperature steam sterilization or microwave oven) disinfection methods may be used (WHO 1999).
Reduction/reuse of SUPs and PPE
During the COVID-19 pandemic, both the regional supply and demand chain balance of PPEs is adversely disrupted and this sudden surplus in demand could not be satisfied by the limited indigenous manufacturing potential though many nations have now ensured its plenty assisted by global collaborative efforts. In developed countries like the USA, there was a vast gap in the supply of PPE, as health professionals were demanding PPE like never before at one point in time at the beginning of the outbreak. Concerns pertaining to such unprecedented use of PPE induced SUP generation has altered climate and ecological experts raising flags of potential environmental consequences. Therefore, the focus on the reuse of PPE equipment by facilitating radically new approaches becomes the need of the hour.
Additionally, to reduce the PPE storage, PPE can be reused after proper disinfection. Moreover, the quality of PPE should not be compromised, such that it offers, high potential for disinfection and reuse. This rational use and reuse of materials could lead to a significant reduction in the production of medical plastic waste. Jessop et al. reported that reusable PPE is not only energy-efficient, eco-friendly, and economically viable, but also can reduce the amount of solid waste by 93% and usage of natural resources by 28% (Jessop et al. 2020). For instance, a group of the All India Institute of Medical Sciences (AIIMS) working on the COVID-19 pandemic has developed a customized PPE equipped with the face shield, N95 facemask, goggles, hand gloves, protective gowns, and shoe covers. These types of PPE are manufactured from water-proof warp and weft fabrics made of polyester with the entire interior coverall. It is reported that this customized PPE is reusable, user-friendly, and cost-effective (US$11.00) due to the sufficient availability of the materials used (Sureka et al. 2020).
Reportedly, material scientists, health experts, and analytical ecologists are working towards finding the most effective method for disinfecting used FFP respirators. Some potential chemical and physical methods for disinfection advocate the use of chemicals like chlorine dioxide, ethylene oxide, hydrogen peroxide, alcohol, bleach, ozone decontamination, soap solutions, etc., while another approach advocates the use of heat with dry air or stream, gamma irradiation, microwave, UV rays, etc. (Rubio-Romero et al. 2020; Kchaou et al. 2020).
Innovative solutions for adequate waste disposal
With the restricted choices and burden on the existing waste management infrastructures, it is very challenging to control excessive plastic pollution. Therefore, the integration of new approaches and technology-assisted mitigation strategies could be beneficial in addressing the key challenges during and in the aftermath of the pandemic scenario.
A significant decline in recycling activities and the depletion of existing incineration capacities in many developing/low-income countries during the pandemic may promote deep burial of infectious waste in a safe and secured landfill (UNEP 2020), an example of which is shown for representation in Fig. 10. Additionally, sites where in situ or centralized decontamination facilities are lacking should also use this radically new approach of landfilling. In this method, collected infectious waste can be buried in a close pit that is sealed to the bottom of the existing landfill with clay or a geosynthetic. Briefly, once the waste has been deposited in the pit, the daily cover should be filled with fresh soil and/or a mixture of soil and lime. The top thin layer of the pit should be cemented and/or embedded with a concrete wire mesh cover, followed by ~ 50 cm of soil cover. The pit areas should be sealed with metal wire fencing and should be kept away from humans or animals. Thus, the burial technique can be employed during disaster emergency conditions such as COVID-19 for the safe and secure disposal of infectious waste.
Depending on the volume of waste, incineration is an ideal alternative for processing waste > 10 tonnes/day, while other thermal techniques such as autoclave, microwave radiation are preferred for the production of waste with a total yield of less than 10 per day (Silva et al. 2021). Furthermore, after an appropriate decontamination cycle by steam sterilization, the residues of biomedical waste can be safely treated according to the regulations for solid non-hazardous waste (Silva et al. 2021). According to the WHO guidelines, mandatory incineration of infectious plastic waste, including used PPE, masks, and gloves, should take place in the temperature range of 900 to 1200 °C (WHO 2020d). In Germany, to ensure safe waste disposal, the incineration process follows a strict procedure and is carried out at ~ 1000 °C (ACR+ 2020). In addition to improving the capacity of the existing incinerators, new approaches and technological solutions are needed to cope with the growing production of plastic waste. In Spain, cement plants are allowed to co-incinerate plastic waste if required (ACR+ 2020). Furthermore, the design capability of the incinerators requires a complete overhaul to deal with the soaring production of plastic waste and the compositional dynamics caused by pandemics. In order to alleviate the toxic gas emission, modern incinerators act as pollution mitigation equipment using fabric filters (often with Teflon membranes) to improve the collection of microplastics that may encapsulate the dioxins present in/on the solid particles (Vejerano et al. 2014). Numerous developed countries, such as Denmark, Poland, and Sweden, have embraced advanced air pollution controlling incineration technologies for treating waste (Malinauskaite et al. 2017).
In order to mitigate the challenges posed by the excessive use of SUP in the present scenario, many industries are currently focused on developing new business models for the collection and vigilant disposal of contaminated non-degradable plastic waste. Such models are the critical bottlenecks to the economics of mechanical recycling and are a potential source of exposure to contamination as well. Thus, initiatives should be implemented at the local level to reconstruct the trust in the safety of sorted/segregated waste and develop clean, homogenous plastic streams for recyclers. In addition, novel systematic technologies need to be formulated in order to recycle mixed plastics waste and other complex forms of plastic waste at a large scale. In order to obtain higher recyclability rates and qualitative products, integrated machine learning should be executed in the sorting and processing of recyclable plastics. Detailed strategies should be planned and implemented for the safe disposal of fancier and multi-layer plastic packaging, which are complex and economically not feasible to be recycled. According to the International Solid Waste Association (ISWA), PPEs such as masks, gloves, and fabric, as well as contaminated residues, are not recyclable (Scheinberg et al. 2020). Thus, packaging companies should contemporize novel product designs with recyclable efficacies before launching them to the market (Dente and Hashimoto 2020). Moreover, very limited research has been reported for the recycling technologies for non-woven textiles, from which most PPEs are made (Karim et al. 2020). It is urgent that efforts in this direction to pull technology development for recycling of non-woven textiles must be taken up aggressively, considering the fact that PPEs may be an integral asset to counter any future biological and medical emergency that mankind may confront unexpectedly. The zero-waste approach would be a radically sustainable solution that enables the members of the European Union to recycle plastic waste between ~ 70 and 80% while declining greenhouse gases (GHG) emissions from disposed of toxic wastes and incineration set-ups (Zero Waste Europe 2020). The zero-waste approach encompasses “the conservation of all resources by means of responsible production, consumption, reuse and recovery of products, packaging, and materials without burning, and with no discharges to land, water or air that threaten the environment or human” (ZWIA Planning Group 2004; Sarkodie and Owusu 2020). In 2019, the Singapore government developed the most awaited zero-waste master plan to address the waste management problem and to develop a sustainable, resource-efficient, and climate-resilient nation. This plan mainly aims to extend the lifespan of Semakau landfill beyond 2035, to reduce the amount of waste disposed of in landfills per capita/day by ~ 30% by 2030, and to reach at least ~ 70% overall recycling rate by enhancing the non-domestic recycling rate from ~ 74% in 2018 to ~ 81% by 2030 and domestic recycling rate from ~ 22% in 2018 to ~ 30% by 2030 (MEWR, NEA 2019).
Thermochemical conversion of COVID-19-related plastic wastes
There is an emerging need to step away from the conventional incineration and landfilling models and to fundamentally rethink the potential of modern technologies in addressing the rising global plastic disposal concern. Therefore, the conversion of the plastics value chain into value-added products (like gases, biofuel, and carbon-based materials) is the best solution for sound waste management which not only needs to be prioritized but also be incorporated among international agreements for the management of the accumulated plastic waste (Saha et al. 2019). Reportedly, thermal conversion technologies facilitate a volume reduction of up to ~ 80–95% (Kumar and Samadder 2017). Ferronato et al. estimated the waste to energy conversion technologies implemented in both developed and developing nations. According to the survey, most of the developed countries have switched from landfills to waste-to-energy technologies for waste management, either due to the unavailability of land area or environmental concerns (Ferronato and Torretta 2019). Chemical treatment consists of various processes like glycolysis, amino-lysis, hydrogenation, pyrolysis, hydrolysis, and gasification. These processes are considered prospective ways of conversion of plastic waste into value-added products.
Pyrolysis
Nowadays, pyrolysis is one of the most frequently used developed waste conversion techniques as this process easily converts the non-recyclable plastic waste into artificial crude oil and value-added petroleum-based products like naphtha, fuel oil, and diesel. Pyrolysis majorly decomposes large macromolecular polymer molecules into smaller simpler molecules, in the absence of oxygen/air at high pressure and temperature, with/without the presence of a catalyst. Although the current waste management system depends on incineration and landfilling, in the future, pyrolysis offers an effective means for addressing the waste management problem. The mechanism and products of pyrolysis usually vary for different types of plastics. Such a thermochemical plastic waste treatment technique is not only a promising alternative to address the plastic pollution and dumping problems but also helps in recovering valuable energy and products such as solid, oil, and gas. The waste conversion processes to solid (carbonization) and gaseous (gasification) products are discussed in the subsequent sections. The ability of pyrolysis to produce a large number of liquid products at a wide range of temperatures and the ease of optimizing process parameters to obtain the products with specific properties enhances its efficiency to volatile polymeric waste. Moreover, pyrolysis is an environment friendly process as it emits very low carbon due to its lower carbon monoxide (~ 0.8–3.9 v/v %) and carbon dioxide (~ 1.0–9.1 v/v %) generation tendency when compared to other combustion processes (Jaski 1973). According to a study, investment in the pyrolysis process for a waste management system could even result in an internal return rate of ~ 43%, thereby attributing to its economic feasibility (Jaski 1973). Pyrolysis does not require any pre-processing requirements, such as segregation/separation of different types of dissimilar waste plastics. Pyrolysis-based conversion of PP-type plastic, which is mostly used in PPEs, into biofuel can help to overcome the sustainability challenge. For instance, pyrolysis of PP usually occurs at high temperatures (573–773 K) in the absence of oxygen to facilitate thermal cracking of macromolecules in the form of liquid, char, and gas (Dwivedi et al. 2019). Many researchers utilize pyrolysis for treating plastic waste due to its ability to produces a large quantity of liquid oil, i.e., up to ~ 80 wt.%, at temperatures ~ 773 K (Abnisa and Wan Daud 2014).
Budsaereechai et al. reported the catalytic pyrolysis of waste plastics such as PP with economical binder-free pelletized bentonite clay. The process yielded pyrolysis oils which can be used as drop-in replacements for commercial liquid fuels such as diesel and gasohol (Budsaereechai et al. 2019). Pyrolysis of PP conducted at ~ 1013 K by the Demirbas team yielded ~ 49.6 wt.% gas, ~ 48.8 wt.% liquid, and ~ 1.6 wt.% residues (Demirbas 2004). Reportedly, the larger content of hydrogen and carbon and the absence of oxygen in the resulting pyrolytic fuel lessens the need for further up-gradation, unlike biofuels. Further, the resulting fuel has a high calorific value due to the absence of water. More so, the absence of oxygen also makes the fuel non-acidic and non-corrosive, unlike biofuel.
In the pyrolysis of plastics such as polystyrene (PS), high yields (> 95 wt.%) of liquid products can be obtained. Onwudili et al. estimated a resulting pyrolytic oil yield of ~ 97 wt.% when hydrolysis was performed at ~ 425 °C (Onwudili et al. 2009). The possibility of treating PE, PP, and PS using pyrolysis elucidates its feasibility in treating some components of PPEs, such as disposable face masks and hand sanitation containers. Meanwhile, current research focused on pyrolysis of PET and PVC, even though they were not easily pyrolyzed like PE, PP, and PS. Currently, pyrolysis of PET provides a low liquid product yield, which is even lower than the gas product yield. Fakhrhoseini and Dastanian obtained a low yield for the liquid product (~ 40 wt.%) than for the gas product (~ 52 wt.%) on pyrolysis of PET. Similar to PET, pyrolysis of PVC has also not been extensively studied (FakhrHoseini and Dastanian 2013). PVC contains ~ 57 wt.% of chlorine thus may lead to the production of hydrochloric acid or chlorine gas. Pyrolysis of PVC also produced low liquid product yield, i.e., < 15 wt% (Miranda et al. 2001). Thus, pyrolysis may not be feasible to treat safety goggles and some components of hand sanitation containers that are often manufactured using PET and PVC.
Carbonization
Nowadays, carbonization is a promising approach for the utilization of waste plastics. The process involves the conversion of polymer precursors into value-added carbon materials like graphite carbon (carbon nanofibers, graphene, etc.) and amorphous carbon (porous carbon, activated carbon, etc.) at high temperatures. The thermal treatment can be varied with reaction conditions (pressure, catalyst, and oxygen content). Thus, carbonization provides excellent resource recovery as well as environmental protection and is suitable for most plastics as the pre-treatment process is very simple, and the carbonized products are valuable and tailorable. Rago et al. performed carbonization of mixed solid wastes with LDPE at ~ 300 °C for ~ 30 min, which resulted in higher char yield and energy content (Rago et al. 2020). Similarly, Hanoglu et al. investigated the carbonization of textile fibers with PEs and acrylic at ~ 300–400 °C and reported the role of temperature in defining the solid product (Hanoğlu et al. 2019). In addition, the carbonization could also produce solid product (char) having high-energy-density (~ 18–25 MJ/kg) but low ash and sulfur content (< 10 wt.%). Recently, the hydrothermal carbonization treatment of waste has attracted great attention as it is considered to be more facile and greener as compared to other conventional decomposition methods. Earlier, the technique was mainly used for bio-based products. But, now, plastics like PP, PVC are being processed through the microwave-assisted hydrothermal carbonization process (Poerschmann et al. 2015; Adolfsson et al. 2018). Advanced recovery of resources (like carbon nanotubes, graphene) from plastic waste appears to be an effective solution to solving the current dilemma of global plastic waste disposal (Yao et al. 2018). However, research related to carbon recovery and large-scale plastic waste carbonization still requires significant contributions.
Gasification
Gasification is a process in which carbon-containing materials are converted into a mixture of hydrogen, carbon dioxide, methane, carbon monoxide, and a larger chain of hydrocarbon gases by heating the materials at a very high temperature (500–1300 °C) in a controlled atmosphere. The catalyst can be used to reduce energy and control the efficiency of the product. On the basis of their composition, the gasification products are used as fuel or chemical feedstock (syngas). Syngas can also be used to make many fuel cell products and fuels used to generate electricity (Saebea et al. 2020). Sansaniwal et al. discussed that the desire to generate energy, fuels, and chemicals from syngas makes gasification an attractive option for the revitalization of plastic waste (Sansaniwal et al. 2017). In addition, gasification has the advantage in the flexibility of the raw material, in which different types of plastics can be used, including a mixture of plastics and a mixture of plastics with other materials, without drastically changing the products (Lopez et al. 2018). Although there has been recent interest in plastic gasification, the technology for the gassing of other raw materials such as carbon has already emerged; thus, the knowledge gained by gasification of other raw materials can be applied in the gasification of plastics. These benefits make it a more attractive choice than the pyrolysis process. Nevertheless, the disadvantage of gasification, especially of plastics, is the high tar content in the gaseous products, which can reach 160 g/Nm3 (Mastellone et al. 2010). However, this disadvantage can be overcomed by developing a gas purification system after production or before the use of gas-based products (Anis and Zainal 2011). Gasification of PE and PP has shown a promising result that can be applied to the treatment of used medical equipment such as masks and disinfectant container lids. Similar to pyrolysis, many studies on the gasification of waste rubber were reported, but the main focus was on used tires and not on waste gloves. The study conducted by Hazan et al. on NBR latex sludge waste showed that the sulfur content reached 0.73% by weight, so it was not possible to use it as a raw material for the gasification process (Hazan et al. 2019).
Developing and implementing bio-based plastics
Contemporary research is rigorously focusing on the development of eco-friendly alternatives to minimize the adverse effects and provide a sustainable solution to polymer/plastic-induced pollution (Sheldon and Norton 2020). Disposable, low-cost, lightweight, and renewable materials with adequate properties for rapid degradation in the environment need to be developed. Bioplastics (polymers that are partially or wholly obtained from biomass) provide innovative, viable, and most importantly, a sustainable but short-term alternative to conventional plastics as it replaces fossil fuels with renewable resources (Song et al. 2009). Bioplastics have the potential to reduce carbon dioxide emissions when breaking down and improve recycling goals (e.g., composting at home) as well as efficiency of waste management, and thereby reducing the massive plastic waste footprint (Oever et al. 2017). For instance, when decomposed in landfills, PLA produces almost 70% fewer greenhouse gases than PET. Biodegradable options offer additional benefits as they degrade by enzymatic or biological activity in open environments. A wide variety of biodegradable polymers such as PLA, polyethylene oxide (PEO), polycaprolactone (PCL), cellulose acetate (CA), polyvinyl alcohol (PVA), poly lactic-co-glycolic acid (PLGA), chitosan, alginate, or their blends are being utilized to develop and replace the SUP materials (Sheldon and Norton 2020, He et al. 2014, Sharma and Satapathy 2019a, 2019b, Sharma et al. 2020, 2021b, 2021c,2021d, Sharma and Satapathy 2021a, 2021b, Pandey et al. 2019). Thus, a key initiative favoring the fabrication of eco-friendly disposable single-use facemasks using microfibers, which can degrade or fragment into smaller particles of < 5 mm, tend to reduce the apparent risk possibility. Presently, aliphatic polyesters like PHA and PLA and furanic-aliphatic polyesters, such as PEF and PEF-co-PLA (polyethylene 2,5-furandicarboxylate–co-polylactic acid) are of particular interest as building-blocks for fabrication of PPE due to their sustainable thermophysical characteristics and tailorable degradation rates (Sousa et al. 2015, Mullapudi et al. 2018, Sharma and Satapathy 2021c).
Nanoparticle-based (polymer modification) strategies to combat COVID-19
Advanced nanotechnology-based materials are the backbone of a multitude of applications from designing masks and PPEs to specialized diagnostic tools to reduce the impact of COVID-19. Moreover, a broad range of physicochemical properties of nanomaterials tends to reduce the spread of COVID-19 infection. Nanotechnology offers new, cheaper, more durable, and safer materials for protection against biological and chemical hazards (Rajasekhar and Kanchi 2018). Protective equipment such as face masks, laboratory, or medical aprons developed via the incorporation of nano-additives tend to improve their physicomechanical performances, such as improving their barrier and antimicrobial properties without compromising the material texture or breathability (O’Dowd et al. 2020, Sharma and Satapathy 2021d, Mirza and Saha 2020, Sharma et al. 2021c). For instance, the use of hydrocarbon-based nanofibers, which are ~ 3 times smaller than cotton fibers, tends to prevent drip absorption due to the increase in surface area of the resultant materials. Similarly, techniques like nanoscale 3D surfaces, material structure, and/or hydrophobic nanoparticles coatings offer tremendous potential. For instance, the use of nanofibers in designing face masks tends to reduce breathing resistance due to a drop in the pressure buildup and protects against small particles (< 50 nm) (Gomollón-Bel 2020). Thus, such engineered face masks provide better protection than traditional surgical masks, which offer protection against particles/microbes with sizes ranging from ~ 10 to 80 nm (Chua et al. 2020). However, N95/filtering facepiece (FFP2) face masks can only filter particles ranging from ~ 100 to ~ 300 nm in size (Chua et al. 2020). Bose developed a biodegradable mask based on cellulose nanofibers capable of protecting against contaminants up to 100 nm in size (Bose 2020). Nanocellulose fibers were extracted from vegetable waste, including sugar cane cake and other agricultural waste. Kim et al. also prepared spike-like (3-(trimethoxy silyl) propyl dimethyl octadecyl ammonium chloride (Si-QAC)-based surface coatings. The authors reported the presence of covalent interaction between Si-QAC and PPE surface and thus evaluated the antiviral properties on various surfaces of PPEs (Kim et al. 2020).
Moreover, the use of textile materials incorporated with appropriate nano-additives tends to enhance the physicochemical attributes of textile materials, such as flame-resistant, self-cleaning, antimicrobial protection, and UV protection (Mao 2019). Fibers embedded in metal nanoparticles, like silver and copper nanoparticles, exhibit antiviral and antimicrobial properties (Sharma and Satapathy 2021e). Mao recently reported the applicability of nano-engineered protective clothing such as lab coats, aprons, and face masks (Mao 2019). The incorporation of metallic nanoparticles among engineered materials offers potential antimicrobial properties attributing to the low viability of the COVID-19 on a metallic surface such as copper. Park et al. demonstrated the applicability of the silver nanoparticles (in the form of hybrid silicon composites) in designing novel filters or membranes (Park et al. 2018). Such nanoparticles can potentially inactivate the influenza virus due to their interaction with the virus membrane (Sharma and Satapathy 2021d). More so, the surface modified by nanoscale biocidal like quaternary ammonium or quaternary phosphonates, peptides, or polymers can control the spread of microorganisms by oxidation of the microbial membrane. Thus, designing materials that can kill bacteria and viruses upon contact is important to prevent the spread of infection. For instance, Hsu et al. proposed an antiviral hydrophobic polycation coating of N, N-dodecyl methyl-polyethyleneimine on the solid surface to disinfect various strains of the virus (Hsu et al. 2011). Thus, polymeric materials can be coated or encapsulated with such antimicrobial biocidal agents, to obtain sterile surfaces. Furthermore, disinfectants with silver salts are currently used for sterilizing purposes (Deshmukh et al. 2019). Bai et al., in their study, prepared (N-(2-hydroxypropyl)-3-trimethylammonium) propyl chitosan chloride (HTCC)-based electrospun fibers with simultaneous addition of graphene to remove ~ 95% of porcine parvovirus (Bai et al. 2013). The hydrophobic and positively charged HTCC and graphene exhibited excellent virus repellent properties. HTCC is able to suppress the common pathogen HCoV-NL63, most likely due to the interaction with protein S, which is necessary for coronavirus penetration (Milewska et al. 2013). Researchers at the Hong Kong University of Science and Technology have developed a multi-layered antimicrobial polymer layer (MAP-1) that effectively kills bacteria, viruses and even hard-to-kill spores and provides long-term protection against microbial infection to the public avenue (Ghosh 2020) . Thus, such novel materials designed for direct contact or release-induced destruction of microbes should be developed to control the spread of microbial infection.
New-age digital manufacturing technology, such as 3D printing is currently being used for designing inexpensive material substitutes using engineered polymeric filaments made of recycled thermoplastics (Sanchez-Rexach et al. 2020). In a recent review, Mikula et al. discussed the efficacy of recycled plastics in designing filaments for 3D printing machines. The authors also summarized the applicability of various commercially available, additive-incorporated filaments made from recycled polymers in food, clothing, packaging, and automobile sectors (Mikula et al. 2020).
Exploring alternative vaccine packaging materials and delivery options: some choices
In response to the increasing environmental concerns and the intricate logistics of mass vaccination, it is necessary to develop smart, innovative, and sustainable packaging materials for the safe storage and transportation of vaccines (Purkayastha et al. 2017). The potential approach for the management of plastic-based vaccine packaging waste is well illustrated in Fig. 11. The primary packaging plays a pivotal role in the preservation and safe transportation of the drug formulation. Nowadays, two plastic-based formats, which are a blow-fill-seal (BFS) syringe, and silicon dioxide (SiO2)-coated plastic vials/syringes, are the potential packaging materials that are currently being used to address mass production and sound economics. Mostly, syringes made of either stainless steel, glass, and plastics are used in the vaccine packaging. Plastic materials are user-friendly and robust with good barrier properties. Thus, it is imperative to scrutinize the use of alternative materials for designing syringes used for vaccination. Usually, syringes are made of polypropylene, which is safe and recyclable, though at the current pace, only ~ 1% is recycled, and the rest is headed for the landfill (Azo Cleantech 2012). However, the non-biodegradability and the possible leaching of the incorporated toxic additives such as lead and cadmium, combined with the release of poisonous dioxins over a period of time and vinyl chlorides are also contributing to serious environmental concerns. Thus, the concept of pre-filled syringes mostly composed of plastic materials such as cycloolefin polymers and cycloolefin copolymers, launched by Cambridge Consultants, should be preferably adopted (Papania et al. 2018). Cycloolefin polymer is free from metal oxide residues resulting in minimum ash production post incineration. Prefilled syringes, unlike overfilled vials (usually ~ 20–30%), minimize product wastage (WHO 2011). Moreover, the non-essential secondary packaging with prefilled syringes tends to reduce the packaging waste by ~ 30% and corresponding overall waste volume by ~ 50% (WHO 2011). Compared with PP, cyclic olefin polymer and copolymers have lower oxygen and water vapor permeability and thereby allowing the possibility of long-term storage of vaccines. Additionally, it exhibits good compatibility with various terminal sterilization processes due to its biocompatibility and heat-resistant nature (Weikart and Langer 2020).
Recently, SiO2 materials science has patented a glass-coated plastic container, i.e., a promising non-traditional primary package with impressive scale-up potential. Borosilicate glass is one of the most widely used packaging materials. However, the questionable sealing integrity of ordinary glass at cold storage temperatures and the omnipresent problem of its breakage has limited its application in vaccine packaging vial production. Though SUPs have naturally received a surge of attention but have their inherent drawbacks that tend to compromise drug efficacy, and stability has always remained an issue. Therefore, SiO2 patented vials, i.e., hybrid glass and plastic materials, may act as potential materials to facilitate the effective storage and distribution of the COVID-19 vaccine. Such engineered vials are prepared by coating the interior of a medical-grade plastic container with pure SiO2-based nano-layers (Weikart and Langer 2020). Here, injection stretched blow-molded medical-grade cyclic olefin copolymer, or cyclic olefin polymer serves as the foundation followed by deposition of a thin (in nm), glass-like barrier on the polymer surface via plasma-enhanced chemical vapor deposition (PECVD). The SiO2 vials, while providing excellent hydrolytic, chemical, mechanical, and thermal resistance, tend to solve significant challenges in the commercialization of vaccines and biological drugs. The SiO2 coated plastic-based packaging material also supports good drug stability, cryo, and cold storage container closure integrity, fill-finish compatibility, the rapid scale-up tendency with a secure supply chain, making it the best possible solution available currently for vaccine packaging (Weikart and Langer 2020).
Similarly, recent improvements in secondary packaging materials for sterile primary packaging such as PC 50 and HS 1000, which are a part of Placon’s EcoStar™ line, rPET (recycled PET) offer exceptional clarity and impact resistance (Placon 2009). Such materials ensure ~ 50–85% recycling rate, heat-sealing compatibilities and are less expensive than virgin polyethylene terephthalate glycol (PETG) and PET. Reportedly, EcoStar™ PC50 is a potential material to be used for designing vials, trays, clamshells, in-process trays, and glucose meter packaging. Similarly, EcoStar ™ HS 1000 is a suitable material for medical environments such as the preparation, filling, and sealing operations which are usually performed indoors. The excellent heat-sealing properties of HS 1000 ensure its successful application as packaging materials for syringes which can further be sealed with foil or paper coating, thereby reducing the extent of plastic usage. HS 1000 can also be used with RF or ultrasonic sealing devices, which are commonly used in dental applications.
Expanded polystyrene (EPS) or Styrofoam is used for designing medical coolers for safe transportation of vaccines and medicines which are stable at low (usually sub-zero) temperatures. Such materials are very difficult to recycle and contribute > 350,000 tonnes of packaging annually. Reportedly, an alternative to EPS foam ClimaCell® can potentially reduce carbon emissions by ~ 65% (Smith 2020). Therefore, biodegradable polymers are a sustainable alternative to these SUPs if they can be produced sustainably and economically. Reportedly, green cell foam technology comprises a biodegradable, starch-based polymer, which provides thermal stability of up to ~ 24 to 48 h (Landaal Packaging systems 2012) (Butschli 2010). Such packaging materials tend to disintegrate within ~ 4 weeks upon dissolution in water and can be incinerated or burned cleanly. For instance, corn-starch-based foam, a potential alternative to EPS, is being used in designing shipping coolers which are nowadays being used to distribute Sandoz pharmaceutical products in overnight mail delivery of temperature-sensitive injectable liquids to customers of the USA. Similarly, a New York-based biomaterials company, Evocative Design LLC, develops compostable plastics from agricultural byproducts and mushroom mycelium (Bayer and McIntyre 2020). In another development, Wool-cool packaging uses such compostable and renewable materials for thermal insulation ( Fischer 2012). Nowadays, Cold pack airliners are being used for thermal insulation comprising of an inflatable insulating film that can be flattened and emptied for waste disposal (WHO 2011). Similarly, Softbox systems, a global enterprise, has developed a new thermal insulation foam that is fabricated using ~ 100% recyclable materials with comparatively higher thermal efficiency than PS. Reportedly, Softbox has been known to maintain the cold chain for more than half of the world’s 50 largest pharmaceutical companies (Softbox 2020). Furthermore, Sonoco ThermoSafe Greenbox is another company exploiting reusable packaging technology based on ~ 100% biodegradable materials. Such phase change packaging materials tend to maintain the cold chain temperature for up to ~ 6 days and can be recycled and reused, thereby eliminating the need for other refrigerants (Fischer 2012). Approximately 20,000 re-uses have confirmed the excellent thermal-regulating properties of such materials. Representative images of some alternative primary and secondary packaging materials are shown in Fig. 12.
Similarly, foldable small-sized packaging materials tend to save space in the storage of goods and warehouses. Thus, the applicability of such materials can significantly reduce the environmental impact of vaccine packaging by reducing the amount of associated waste generated. For instance, Boehringer Ingelheim company is already using innovative blister packs for storage of novel effervescent vaccine tablets in place of traditional freeze-dried vaccine pellets, which otherwise are usually stored in glass vials. These technologies tend to reduce resource consumption and water footprint by ~ 70%, which may impact climate change by ~ 80% (Boehringer 2020). Thus, not only developing novel alternatives but also judiciously selecting and adopting some of the available alternative temperature-sensitive vaccines may minimize the amount of packaging, storage, and transportation-related non-recyclable plastic waste, which otherwise would be heaped due to COVID-19 management.
Implementation of new policies and guidelines towards plastic waste management during the pandemic
The current catastrophe has foisted some challenges, thereby providing an opportunity to introduce concrete solutions to plastic-induced pollution. For efficient management of these infectious and hazardous plastic-based waste during the COVID-19 pandemic, there is a prior need to address the challenges of processes such as identification of sources, collection, segregation, and transportation, handling, and adequate disposal with the hygiene and protection norms of the personnel remaining intact. Therefore, numerous international organizations like the UNICEF, WHO, European Commission, Asian Development Bank (ADB), UN-Habitat, UNEP, national health organizations, and apex pollution monitoring bodies such as Ministry of Ecology and Environment (MEE), China, Occupational Safety and Health Administration (OSHA), USA, Central Pollution Control Board (CPCB), India, Ministry of Health and Indigenous Medical Services, Sri Lanka, National System for Environmental Protection (SNPA), Italy and Ministry of Health and Population (MHP), Nepal, have recently issued a set of new guidelines and advisories to properly handle COVID-19-related biomedical and household wastes. Imperatively, these guidelines are to be implemented on the international and national levels, as summarized in Table 4.
Table 4.
Organization | Policy/recommendation | References |
---|---|---|
International organization | ||
Asian Development Bank (ADB) |
COVID-19 Infectious solid waste (PPE included) should be wrapped twice before disposal/treatment. Recycling activity should be avoided for the treatment of household/medical infectious COVID waste. It should be treated via sanitary landfilling or incineration. |
(ADB 2020) |
World Health Organization (WHO) and UNICEF (WHO-UNICEF) |
Disposable gloves, masks, and gowns should be disposed of as environmentally harmful waste after each use and not reused Contagious Waste generated during patient care, including confirmed infection with COVID-19 (for example, PPE, pathological waste) and must be collected safely in clearly marked lined containers and sharp, safe boxes, and then treated, preferably on-site and then safely disposed of. Waste generated in the house during the quarantine should be packed in strong black bags and closed completely prior to the disposal and final collection by municipal waste services. The most preferred treatment options for this infectious waste are autoclaving or a high-temperature dual-chamber incinerator. |
(WHO 2020d) |
Union Nations Environment Programme (UNEP) |
Efficient disposal of healthcare and biomedical waste requires proper identification, separate collection, segregation, storage, transport, handling, and disposal under the hygiene and protection of personnel. Contaminated medical waste should not be mixed with domestic waste; it must be collected by municipalities and waste disposal companies and disposed of separately from the other household stream and treated as household waste. |
(UNEP 2020) |
United Nations-Habitat (UN-Habitat) |
All potentially infectious waste should be placed in a colored bag (double bag if possible) tied with string or tape. They should be handled as residual waste not intended for material recovery. Temporary local storage and heat treatment of potentially infectious waste of all the identified waste needs to be enforced. When infectious waste cannot be heat treated, an appropriate and safe landfill should be put in place. Enhance the frequency of waste collection and redesign the assets for waste collection based on the mapping of waste generation sources. Prior to the heat treatment of infectious waste, it should be stored temporarily on-site for 72 h. Recycling of materials in multi-material recovery systems can be performed after proper storage of materials and subsequent sterilization. |
(UN-Habitat 2020) |
National organization | ||
Ministry of Ecology and Environment (MEE) |
Management required for emergency disposal of hazardous COVID-19 waste should be a priority for medical waste disposal facilities. Portable medical disposal treatment facilities such as hazardous waste incineration, industrial furnaces, and other facilities should be carried out in consultation with the relevant medical authorities. Personal hygiene should be practiced while handling (storage, transport, and disposal) COVID-19 waste. |
(Ministry of Ecology and Environment 2020) |
Central Pollution Control Board (CPCB) |
COVID-19 waste should be kept in two-layer plastic bags, and a separate color-coded bin must be used in isolation and COVID-19 intensive care center for proper segregation of waste. Bags/containers used for collecting COVID-19 waste should be labeled as “COVID-19 waste.” The waste handler should maintain good hygiene when dealing with the infectious COVID-19 waste, such as used PPE, masks, and gloves. Plastic-based waste should be sterilized, shredded, and then recycled. Non-recyclable plastic waste should go for incineration. |
(CPCB 2020) |
Occupational Safety and Health Administration (OSHA) |
Special attention should not be given to the COVID-19 contaminated waste. Waste management of contaminated waste should be the same as any other non-contaminated solid waste. Safe work practices such as the use of PPE, puncture resistance gloves, eye and face protection must be adopted by workers to prevent exposure to infectious materials. |
(OSHA 2020) |
National System for Environmental Protection (SNPA) |
Based on the source of waste collection (COVID-19 impacted and non-impacted sources), contaminated plastic waste should be categorized. Hazardous COVID-19 waste should be collected in two-layer bags and treated separately. |
(SNPA 2020) |
Ministry of Health and Indigenous Medical Services |
It is recommended to segregate hazardous waste generated from the COVID-19 non-impacted and impacted sources and keep it in a color-coded container. During the transportation of infectious waste to the treatment plant, it is important to check for leakage or spillage in order to avoid contamination. Infectious waste, including plastic-based protective equipment, must be autoclaved or incinerated according to an appropriate safety protocol. |
(Ministry of Health, 2020) |
Apart from the aforementioned guidelines, the new policies or frameworks need to be developed both nationally and internationally, with the integration of current waste minimization and recycling strategies, by considering the massive volumetric generation of plastic-based waste during the outbreak. Furthermore, the global community, material designers, and sustainability experts need to take a fresh look at the current policy to tackle the era of the pandemic. For instance, the recent guidelines of the US Centers for Disease Control and Prevention (CDC 2020), allow fully vaccinated Americans to avoid wearing masks when outdoors. By implementing such types of policies across the globe certainly helps to reduce the face mask-induced waste generation, which will help to develop waste control during this unprecedented COVID-19 outbreak. Thus, strong coordination between society, government, companies, and researchers is needed to achieve the best waste management solution through consumer responsibility, government-friendly policies, and innovative materials and research methods.
Concluding remarks
The COVID-19 pandemic exhibited the potential of plastic materials in safeguarding the health care personnel, and common citizens, especially the generally perceived SUPs stood out as a boon. However, the general perception of plastic as a polluter has continued to grow more rigorously and is attributed to the mismanagement and underutilization of resources resulting in a simultaneous increase in plastic consumption and waste generation. Considering the positive and negative roles of plastic in the time of the pandemic, a fair assessment suggests that irresponsible consumer behavior, poor awareness, and the burden on waste management establishments in terms of collection, segregation, processing, and financial constraints lead to mismanagement in waste treatment practices. Thus, systematic management and implementation of the circular economy strategies in terms of reduction, reuse, recycle, and recovery provide appropriate sustainable solutions. Further, initiatives to design and develop novel products with specific sterilization technologies such as the ones to be used in PPE may favor their large-scale reuse and reprocess. Moreover, the government’s all-out efforts are required to motivate and influence both educational and research institutes in the plastic management domain by promoting new strategies to boost the confidence of millions of researchers and engineers. Such a paradigm shift brings out opportunities for numerous plastic engineers along with several environmental and economic benefits. Thus, the review summarizes the effects of the COVID-19 pandemic on the stupendous amount of plastic waste produced and some urgent appropriate measures to address the challenges in plastic waste treatment and disposal.
Thus, for post-COVID-19 control, several plastics and allied industries need to adopt new radical measures and sustainable approaches to reduce the economic risk, create new opportunities, and enhance the performance of both polymer manufacturers and plastic processors. Some of the salient strategies that may proactively be undertaken as the way forward are as below.
Development of biodegradable, bio-compostable, and body compatible polymers, plastics, products for large-scale usage in packaging, PPEs, and other COVID-19 care accessories for healthcare workers and, if appropriate to extend their usage in clinical environments.
Development of novel antimicrobial eco-friendly surface coatings for COVID-19 care devices.
Process optimization to product design, quality validation, and policy implementation favoring novel agro-based and bio-based products as partly/fully substitutable alternatives to devices that are currently in use for COVID-19 management.
New material consolidation using aliphatic polyesters (PLA, PCL, polyhydroxy butyrates, etc.), surface modified polyolefins (PP, PE): transparent clothing and lightweight, porous breathable fabric alternatives such as non-wovens.
Large scale plastic biomedical waste segregation facility establishment away from human settlements at a distance of significance
Automating the waste segregation to make the COVID-19 waste dump-yard workers less risk-prone
Sanitization facility and sterilization of PPE and other COVID-19 care/prevention-related waste
Developing novel methods for large-scale sterilization of biomedical waste, using UV, ozone, or other cheap, affordable, effective, and portable technologies.
Integrating the recyclability of used/rejected COVID-19 care products, packaging goods, gloves, PPEs, and other vaccination-related plastic wastes conforming to “waste-to-energy or waste-to-use” material life cycle ideology
Promoting newer alternatives to reduce the tonnage by alternative design and production with enhanced breathability, porous structure enabled PPEs and incorporating the use of natural products in the polymers instead of using them virgin.
Nevertheless, a comprehensive victory of the world community over the ongoing crisis dealing with plastic waste generation and its sustainable carbon-neutral policy-based solutions appears to be the urgent need at this hour of recurring waves of Corona. This adoption of a hierarchical prioritization strategy for materials, based on disposability, biodegradability, reusability, and large-scale cost-effective productivity, remains as much in the hands of the technocrats and environmental policymakers as in the hands of material scientists and medical practitioners.
Authors’ contributions
Krishna Priyadarshini Das: conceptualization, methodology, data curation, visualization, writing—original draft preparation; Deepika Sharma: conceptualization, methodology, supervision, formal analysis, writing—reviewing and editing, visualization, validation; Sampa Saha: writing—reviewing, visualization, supervision, validation; Bhabani K. Satapathy: resources, writing—review and editing, visualization, supervision, formal analysis, validation.
Funding
The current research was supported by financial support from MHRD (Ministry of Human Resource and Development), India.
Data availability
All data generated or analyzed during this study are included in this published article.
Declarations
Ethics approval and consent to participate
Not applicable.
Consent for publication
Not applicable.
Competing interests
The authors declare that they have no conflict of interest.
Footnotes
Highlights
• Resurgence of single-use plastic materials in COVID-19 escalation vis-à-vis demand for diagnostic requirements for global vaccination drive is discussed
• Environmental consequences and foreseeable technologically assisted mitigation strategies are highlighted
• Optimal waste management strategies adopted policy frameworks and some implementable way forward steps are discussed
Publisher’s note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
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