Moving Towards the Green World – Business Opportunities and Role of Healthcare Industries in Healthcare Waste Management


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An analysis by Brahadeesh Chandrasekaran, Frost & Sullivan.

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Moving Towards the Green World – Business Opportunities and Role of Healthcare Industries in Healthcare Waste Management

  1. 1. Moving Towards the Green World – BusinessOpportunities and Role of Healthcare Industries in Healthcare Waste Management Brahadeesh Chandrasekaran Research Associate, Healthcare
  2. 2. Brahadeesh Chandrasekaran 2
  3. 3. Focus Points Healthcare Waste Management - Overview Simple but Powerful - Minimising Healthcare Waste Environ Share and Care - Environmental Concerns EU Directives and Regulations Drivers Restraints and Challenges Health is Wealth – Business Opportunities and Trends Conclusion Source: Frost and Sullivan 3
  4. 4. Healthcare Waste Management - OverviewAccording to WHO, Healthcare waste (HCW) is defined as the total waste stream from a Healthcarefacility (HCF) that includes sharps, non-sharps, blood, body parts, chemicals, pharmaceuticals, medicaldevices and radioactive materials.In United States of America, hospitals generate approximately 6,600 tons of waste per day. Operatingrooms and labor-and-delivery suites make up 70 percent of total hospital waste.Why we need effective Healthcare Waste Management?Reducing the amount of hazardous waste a hospital produces brings many financial, environmental andhealth benefits. Infectious 17% Others Radioactive 1% 1% Hazardous 2% Patient Generated 8% Municipal 71% Composition of Healthcare Wastes in Europe Source: Frost and Sullivan 4
  5. 5. Healthcare Waste Management - OverviewHow does it work? Hospital Waste Effective segregation keeps ordinary glass, plastic and paper away from infectious materials, allowing them to be Hazardous Non- Hazardous recycled. By separating municipal and genuinely infectious waste, Non- Infectious hospitals minimise the Infectious Eg: Toxic Biodegradable Inorganic amount of waste that Chemicals, Eg: Kitchen Radioactive waste requires the most expensive forms of treatment. Sharps Non-Sharps Recyclable Others Since much infectious waste is incinerated, which pollutes the environment, then segregation reduces a hospitals Patient Care Laboratory environmental footprint. Plastics Specimens Microbiology Anatomical Non-Plastics Lab Waste Parts Segregation of Healthcare Waste Source: Frost and Sullivan 5
  6. 6. Simple but Powerful - Minimising Healthcare Waste Hospitals are massive resource users, Wastes of Resources from Budget to Patients producing tons of waste every daySimple Ways to minimise healthcare waste In a survey around 62% of the surveyed hospitals claimed to segregate the hospital wastes at source. Reducing the amount of Resources However, observations revealed only 30% of the Segregating the Waste hospitals practice some kind of segregation. Recycling Alarmingly 62% of what gets buried is recyclable or compostable Source: Frost and Sullivan 6
  7. 7. An Example – Opole Hospital Poland, 2005 Opole Hospital is a medium-sized regional facility in Poland,with almost 300 beds and 500 staff. Huge spending ontreatment of infectious waste. Trained 327 employees in waste segregation practice. On average, the hospital units reduced infectious wastequantities by 50%. Opole saw a 79% reduction in its waste management costsover three years. Source: Frost and Sullivan 7
  8. 8. Environ Share and Care - Environmental Concerns Health care facility activities have been estimated to represent 3–8% of the climate change footprint in developed-country settings. In an healthcare system, the carbon footprint is accounted by: • Energy consumption in hospitals, devices etc. • Transportation – hospital vehicle fleets, • Waste- Incineration etc • Water Consumption • Food Procurement • Hospital drugs, medical devices procurementWaste Management is a key to reducing carbon emissionPaper – recycling 1 ton of paper saves 17-24 trees and 7,000 gallons of water. It reduces air pollutionby 74% and water pollution by 35%. Source: Frost and Sullivan 8
  9. 9. Environ Share and Care - Leading from the FrontVienna Hospital Association, AustriaThe 14,500-bed hospital group is using green procurement policiesto eliminate PVC from its neonatal departments, is building to greenstandards which include saving energy by using natural light andventilation, and is serving fresh food made with locally-sourced,organic ingredients.Karolinska University Hospital, Sweden.A comprehensive waste segregation programme minimisesinfectious waste, saving money and maximising materialavailable for recycling; is eliminating PVC, especially in medicaldevices used on young children and babies. Karolinska nolonger uses mercury measuring devices, and has a sustainablefood programme delivering healthier, tastier, locally-sourcedmeals to patients. Source: Frost and Sullivan 9
  10. 10. EU Directives and Regulations The EU Directive (2000/76/EC) on Waste Incineration stipulates that medical waste incinerators are required by law to meet the emission limit for dioxins and furans set at 0.1 ng TEQ/m3. However, the incinerators in new European Union member countries and in some Western European countries fail to adhere to this norm. The Basel Convention is a global agreement, ratified by some 160 member countries to address the problems and challenges posed by hazardous waste. The primary objective is to minimise the generation of hazardous wastes in terms of quantity and hazardousness, to dispose of them as close to the source of generation as possible and to reduce the movement of hazardous wastes. Most European countries are signatories of the Stockholm Convention which requires the countries to eliminate the generation of POPs including dioxins as by-products from incinerators (Article 5, Appendix C). EU Landfill Directive banned the land filling of infectious clinical waste, the infectious and therefore hazardous waste must be reassigned to a facility that handles hazardous waste. Source: Frost and Sullivan 10
  11. 11. Healthcare Waste Management – Drivers, Restraints andChallenges Challenges Drivers Restraints No perfect readily The EU Directives and Low Technological achievable solution to International conventions advancements manage healthcare waste will force the countries to exists. adhere to waste management regulations To meet the emission limits Increase in volume of Incinerators are expensive set by EU Directive, the medical waste due to factors and costs are increasing incineration plants have to like increase in population be reconstructed or fitted above 65 years (22.4% by with efficient filters in many 2025, 25% decrease in death cases. This can require an rate and 4.3% increase in life investment of thousands, expectancy from birth) possibly millions of Euros. Source: Frost and Sullivan 11
  12. 12. Health is Wealth – Trends and Business OpportunitiesThe steps in Healthcare Waste management includes: Generation of a hazardous waste,Segregation, storage, transport, treatment, reuse, recycling, Recovery and finaldisposal.Business Opportunities• Increased adoption of New technologies for environmental friendly and efficient waste management (eg. Non-incineration techniques)• Segregation systems and Services• Procurement optimisation technologies and systems• In house/recycling and disposable systems• Outsourcing opportunities for disposal and recycling healthcare waste Source: Frost and Sullivan 12
  13. 13. Health is Wealth - Some Visible Trends Treatment - Alternatives to incineration that are safer, cleaner, effective and less expensive. Healthcare waste incineration is a leading source of dioxin pollution, one of the most potent carcinogens known to science. The International Agency for Research on Cancer (IARC) has classified dioxins as a “known human carcinogen” Eg. Low-heat thermal process, Chemical processes, Irradiative Processes and Biological Processes. This further encourages investments in the development of non-incineration-based medical waste treatment technologies Some of the newer technologies include waste-to-energy initiatives through incinerators that are within emission limits. This not only effectively manages medical waste, but also provides steam and electricity to the host site. Several companies such as Remondis are combining initiatives such as waste-to-energy with the treatment of medical waste. Disposal - The EU land fill directive eliminated the landfill as a mode of waste management for medical waste and creates opportunities for investments in alternative means of waste disposal. Source: Frost and Sullivan 13
  14. 14. Conclusion Global Market for Medical Waste Treatment, Containment, management and disposal is estimated to reach $ 2.6 billion by 2012. Healthcare Waste Management is gaining importance. For highly effective healthcare waste management strong control and understanding of the entire process in required. If opportunities doesn’t knock they can be created. Healthcare institutions has both health and environmental responsibilities. Source: Frost and Sullivan 14
  15. 15. Next Steps Request a proposal for Growth Partnership Services or Growth Consulting Services to support you and your team to accelerate the growth of your company. ( Join us at our annual Growth, Innovation, and Leadership 2011: A Frost & Sullivan Global Congress on Corporate Growth occurring in London on 17 – 18 May 2011. ( Register for Frost & Sullivan’s Growth Opportunity Newsletter and keep abreast of innovative growth opportunities ( 15
  16. 16. Your Feedback is Important to Us What would you like to see from Frost & Sullivan?Growth Forecasts?Competitive Structure?Emerging Trends?Strategic Recommendations?Other? Please inform us by rating this webinar. Frost & Sullivan’s Growth Consulting can assist with your growth strategies 16
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  18. 18. For Additional InformationKatja Feick Siddharth SahaCorporate Communications Director of ResearchHealthcare Healthcare0049 (0) 69 7703343 0044 (0) 207 343 siddharth.saha@frost.comSowmya Rajagopalan Brahadeesh ChandrasekaranProgram Manager Research AssociateHealthcare Healthcare0091 (0) 44 66814196 0091 (0) 44 6160 18