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. 2022 Sep 22;19(19):11967. doi: 10.3390/ijerph191911967

Table 2.

HCRW treatment technologies [64].

Treatment Methods Description Types of Waste Treated Temperature for Treatment Treatment Time Advantages Disadvantages
Incineration High-heat treatment converts waste into ash and exhaust gases. Anatomical, infectious, and pharmaceutical wastes Primary chamber 800–900 °C
Secondary chamber 900–1200 °C
4–6 h per batch Suitable for treatment of all types of hazardous HCRW.
Reduces the volume significantly.
Produces air pollutants, carcinogens (dioxins, polychlorinated biphenyls, polycyclic aromatic compounds) and harmful gases (HCl, HF, SO2).
Very costly.
Autoclave Use saturated steam to disinfect infectious waste. Infectious, pharmaceutical, and sharps 121–140 °C 30–60 min per batch Has better public acceptance than incinerators. The disinfected waste is landfilled.
The discharged moisture contaminates the environment.
Microwave Steam-based technology. Uses microwave disinfection to treat waste. Infectious, pharmaceutical, and sharps 95–100 °C ≥30 min per batch Has better public acceptance than incinerators. The disinfected waste is landfilled.
Reverse polymerization Uses microwave energy to treat waste.
Shredding is applied to the final sterilized carbon residue.
Infectious waste 180–370 °C 50–80 min per batch Decreases the quantities of waste. Use of Sodium Hydroxide (NaOH) and a scrubber to control gaseous emissions.
Production of wastewater.
Extremely costly.
Chemical disinfection Uses a chemical technology with sodium hypochlorite as a disinfectant. Liquid waste 95–155 °C 25 min exposure per batch Low air emissions.
Simple and convenient,
good deodorization effect.
Production of liquid waste containing sodium hypochlorite (NaOCl).
Pyrolysis Heats waste organic components under oxygen-free or -depleted conditions, breaks chemical bonds to transform combustible liquid and gas. Infectious waste 540–830 °C 45 min Pyrolysis technology has a high energy recovery rate, minimal secondary pollution, and sufficient economics. Commonly used for organic materials.
It occurs at high temperatures.
Gasification Gas cloud formed by the ionization of an inert gas, usually referred to as the fourth state of matter. Infectious waste 3000 °C 1/1000 s Treats all HCRW. Expensive.
Energy demanding.