| Literature DB >> 33333331 |
Neha Parashar1, Subrata Hait2.
Abstract
The COVID-19 pandemic has reemphasized the indispensable role of plastics in our daily life. Plastics in terms of personal protective equipment (PPEs) and other single-use medical equipment along with packaging solutions owing to their inherent properties have emerged as a life-savior for protecting the health and safety of the frontline health workers and the common citizens during the pandemic. However, plastics have been deemed as evil polluter due to their indiscriminate littering and mismanagement amid increased plastic usage and waste generation during this unprecedented crisis. This article reviews and assesses to dwell upon whether plastics in the time of pandemic are acting as protector of the public health or polluter of the environment. Considering the utilities and limitations of plastic along with its management or mismanagement, and the fate, an equitable appraisal suggests that the consumers' irresponsible behavior, and attitude and poor awareness, and the stress on waste management infrastructure in terms of collection, operation, and financial constraints as the major drivers, leading to mismanagement, turn plastic into an evil polluter of the environment. Plastic can be a protector if managed properly and complemented by the circular economy strategies in terms of reduction, recycle and recovery, and thereby preventing leakage into the environment. To safeguard the supply chain of PPEs, several decontamination techniques have been adopted worldwide ensuring their effective reprocessing to prioritize the circular economy within the system. Policy guidelines encouraging to adopt safer practices and sustainable technical solutions along with consumers' education for awareness creation are the need of the hour for preventing plastic to turn from protector with high utility to polluter.Entities:
Keywords: COVID-19; Circular economy; PPEs decontamination; Personal protective equipment (PPEs); Single-use plastics (SUPs); Sustainable plastic waste management
Year: 2020 PMID: 33333331 PMCID: PMC7726519 DOI: 10.1016/j.scitotenv.2020.144274
Source DB: PubMed Journal: Sci Total Environ ISSN: 0048-9697 Impact factor: 7.963
Fig. 1Usage and the recyclability of various types of plastics during the COVID-19 pandemic.
Demand and usage of plastic-based PPEs during COVID-19 pandemic in various countries.
| Country | Demand and usage of plastic-based PPEs during COVID-19 | References |
|---|---|---|
| China | Plastic manufacturers are producing 116 million surgical masks per day Around 14.8 million facial masks have been produced as of February 2020 | |
| India | Around 25 lakhs PPEs are required per day in the fight against COVID-19 | |
| Thailand | Around 62% more plastic consumption in April 2020 as compared to the amount consumed in the last 12 months About 1.5–2 million masks used daily nationwide | |
| Bangladesh | Around 455 million surgical masks and 1216 million gloves have been used during the first month of COVID-19 pandemic | |
| UK | Per day demand of plastic medical kits ranges between 7.5 and 12 million in the fight against COVID-19 National Health Service Hospital (NHS), UK uses more than 55 thousand masks, aprons, and gowns per day | |
| France | Around 40 million surgical masks are used weekly | |
| Japan | About 600 million facial masks produced per day as of April 2020 | |
| Italy | Monthly demand for facial masks and medical gloves has been increased to 1 billion and 0.5 billion, respectively in the fight against COVID-19 |
Fig. 2Percentage increase in online shopping and takeaway services during the pandemic in some selected countries.
Fig. 3Average daily generation of biomedical waste containing plastic waste in selected Asian countries or their prominent cities during COVID-19 pandemic.
Fig. 4Average daily generation of COVID-19 biomedical waste containing plastic waste in India.
Guidelines issued by various organizations for the management of COVID-19 waste containing plastic waste.
| Organization | Country/region | Guidelines/recommendations | References |
|---|---|---|---|
| World Health Organization (WHO) and UNICEF (WHO-UNICEF) | Worldwide | Single-use masks and gloves must be discarded after each use. Health-care waste including used PPEs (gloves, masks, goggles, fluid-resistant apron) must be collected in clearly marked lined containers and sharp safe boxes, and stored, preferably on-site prior to treatment and safe disposal. Waste produced at home during quarantine needs to be packed in strong black bags and sealed properly prior to collection by the municipal entities. Health-care waste should preferably be treated by autoclaving or high temperature burn incinerators. | |
| Asian Development Bank (ADB) | Worldwide | Infected COVID-19 solid waste (including PPEs) must be double bagged before treatment/disposal. COVID-19 infected domestic/medical waste (plastics included) should not be recycled and must undergo incineration or sanitary landfilling. | |
| United Nations-Habitat (UN-Habitat) | Worldwide | Potentially infectious waste including used PPEs should be placed in colored double bags tied with string or adhesive tape. If potentially infectious waste cannot be separated from other wastes, entire waste is to be placed in double bags and sealed. In such cases, entire waste is to be considered as residual waste not meant for material recovery. Increased frequency of waste collection at regular interval from COVID-19 sources, especially hospitals. On-site temporary storage for 72 h before disposal followed by thermal treatment of infectious waste. Sanitary landfilling is to be done in cases where thermal treatment is not possible. Material recycling in multi-material recovery plants can be adopted after storing the materials for an appropriate time followed by sterilization. | |
| Union Nations Environment Programme (UNEP) | Worldwide | Effective management of biomedical and health-care waste by separate collection, transportation, storage, treatment and disposal with personnel protection and hygiene. Medical waste including contaminated PPEs mixed with garbage from domestic sources should be collected by the municipalities and waste management operators, treated as hazardous waste and disposed of separately. | |
| European Commission | Member States across the European Union (EU) | COVID-19 health-care waste from healthcare facilities, laboratories and other contaminated zones should be treated and managed in accordance to the EU law on waste, especially Directive 2008/98/EC on waste and articles 17, 23, 24, and 25 thereof relating hazardous waste and the European Centre for Diseases prevention and Control (ECDC) advisories. Medical waste including used plastics containing highly and low infectious substances should be treated as category A (UN 2814/UN 2900) and category B (UN 3291), respectively. Waste generated from non-impacted settings must be disposed of with the residual waste. Treatment of medical waste containing used plastics by incineration followed by safe disposal. Separate and safe storage of medical waste in sealed and disinfected containers in secured areas if treatment facility is temporarily unavailable. PPEs used by COVID-19 infected patients and those used by health workers must initially collected in separate bags and not mixed together and then both the bags must be collected in one general double layered bag for appropriate disposal. | |
| Ministry of Ecology and Environment (MEE) | China | Collection and disposal of infectious plastic medical waste generated during the pandemic must be the priority for medical waste disposal units. Treatment facilities like incineration for domestic and hazardous plastic waste generated must take place in accordance with the competent medical health authorities. COVID-19 waste management practices (storage, transportation, and disposal) must not compromise the personal health hygiene. | |
| Occupational Safety and Health Administration (OSHA) | USA | Waste management system must not pay special attention to suspected COVID-19 contaminated plastic waste over the PPEs used by frontline health workers to combat the infection. COVID-19 contaminated municipal solid waste must be treated like other non-contaminated municipal solid waste undergoing strict administrative actions. Use of PPEs and safe work practices must be adopted by workers to prevent the exposure to infection. | |
| Central Pollution Control Board (CPCB) | India | Double layered plastic bags must be used to collect the waste from COVID-19 isolation wards and ICUs. CBWTF operators should be timely informed about the generation of biomedical waste (including face masks, gloves) from quarantine centers for their timely collection and treatment. Plastic BMW must be handed over to urban local bodies (ULBs) waste collector and should finally reach to CBWTF. CBWTF operators must ensure health hygiene while handling COVID-19 infected waste (wearing layered masks, nitrile gloves, gumboots, safety googles and waterproof aprons/gloves). COVID-19 plastic waste (googles, hazmat suits, nitrile gloves) should be disinfected/shredded/recycled. Used masks, head caps, shoe covers must be incinerated. | |
| National System for Environmental Protection (SNPA) | Italy | COVID-19 plastic waste generation has been classified under COVID-19 impacted and COVID-19 non-impacted sources. Impacted COVID-19 plastic waste must be collected in double layered bags with no need to separate the waste on source collection and they should be treated as residual waste. Non-impacted COVID-19 plastic waste must be collected employing separate collection system and treated as residual waste to be delivered via sealed bags. PPEs must be worn by workers handling the COVID-19 waste. | |
| Ministry of Health and Population (MHP) | Nepal | Auxiliary staff and health workers will undergo appropriate training to dispose the plastic-based PPEs. Protective gears including facial masks, gloves, face shields, aprons/gowns must be used to avoid infection at different levels of the health care system. | |
| Ministry of Health and Indigenous Medical Services | Sri Lanka | Infectious waste generated from the impacted and non-impacted sources is advised to be segregated at the source itself using colored-coded containers. On transportation of the solid waste including infectious plastic waste to the treatment facilities, leakage or spillage must be checked to avoid contamination. All the contaminated waste including plastic-based PPEs shall be incinerated or autoclaved following proper safety protocol. |
Fig. 5Fate and management of plastic waste during COVID-19 pandemic.
Summary of studies on the decontamination methods for reprocessing and reuse of pathogen-infected PPEs.
| Country | Medical kits examined | Decontamination methods | Protocol adopted | Effects/impacts | Advantages | References |
|---|---|---|---|---|---|---|
| India | Respirators PPEs | Physical-irradiation and heat treatment | Warm ultraviolet hybrid model (WUVH) based on ultraviolet irradiation and heat treatment applied | 99.99% reduction of infectious coronavirus achieved within 16 min of the decontamination cycle | Degrade other pathogens as well Customized to be used at 3 different modes, for example, standalone warm heat, standalone UV radiation and, hybrid model Sanitization speed in achieving efficacy increased leading to damage of viral DNA and membrane | |
| Belgium | Surgical masks FFRs | Physical-irradiation, chemical, and heat treatment | UGVI, VHP, and dry heat treatment applied | All the 3 methods successfully reduced the infectious load by more than three orders of magnitude | The first investigation of stable decontamination with the use of 3 different techniques Time-efficient and user friendly | |
| USA | N95 respirators Surgical masks Procedure masks | UV irradiation, chemical, and heat treatment | Isopropanol (IPA)-soaking/spraying, UVGI and heat treatment (dry and moist steam) carried out | IPA successfully benefitted the disinfection of N95 respirators UVGI sustained filtration efficiency of all every kit examined Better compatibility of filtering and fit testing efficiency achieved by dry heat treatment | Time-efficient and user friendly Commercial available | |
| USA | PPEs | Chemical treatment | Self-decontamination of SAR-CoV-2 contaminated fabrics made up of dimethyl terephthalate (DMT) & mono-ethylene glycol (MEG) using disinfectant - Duritex (natural biopolymer) were performed | Reduced 99.99% of infectious viral load | Potentially useful for disinfection of clinical PPEs On comparing with other disinfection methods, the decontamination starts before the doffing of the PPEs | |
| USA | N95 respirators | Chemical and heat treatment | Low-temperature sterilization applied with 59% VHP | Successful decontamination of N95 respirators | Filtration and mask fit efficiency were not hampered even after high concentration chemical treatment | |
| China | N95 respirators Surgical masks | Dry heat treatment | Dry heat pasteurization applied for 1 h at the temperature 70 °C | At 60–70 °C, dry heat treatment successfully killed micro-organisms N95 respirators & surgical masks showed no changes in shape and composition Filtering efficiency of N95 respirators and surgical masks were maintained as 98% and 97% respectively | Time-efficient and user friendly Easily operated at homes and clinical centers | |
| Germany | FFRs | Moist heat treatment | Microwave generated heat evaluated for water absorption and filtration efficiency during FFRs disinfection | 99.9% disinfection efficiency observed in inactivating bacteriophage as surrogate pathogen. | Cost effective and commercially available Can be performed at household and healthcare facilities | |
| USA | N95 respirators | Dry and moist heat treatment, chemical treatment, and UV irradiation | Hot air (oven) – 75 °C, 30 min/cycle UV light (254 nm, 30 min/cycle) Hot steam (10 min/cycle) | All 3 methods maintained the filtration efficiency around 95% | No mechanical deformation Commercially available Can be performed at household and healthcare facilities |