| Literature DB >> 34480299 |
Krishna Priyadarshini Das1, Deepika Sharma1, Sampa Saha1, Bhabani K Satapathy2.
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.Entities:
Keywords: COVID-19; Environmental consequences; PPE kit; Plastic materials; Policy recommendations
Mesh:
Substances:
Year: 2021 PMID: 34480299 PMCID: PMC8415439 DOI: 10.1007/s11356-021-16025-4
Source DB: PubMed Journal: Environ Sci Pollut Res Int ISSN: 0944-1344 Impact factor: 4.223
Fig. 1Influence of various virus and host factors on the pathogenesis of COVID-19
A brief summary and comparison of three highly pathogenic human coronaviruses (severe acute respiratory syndrome coronavirus (SARS-CoV), Middle East respiratory syndrome coronavirus (MERS-CoV) and coronavirus disease 2019 (COVID-19)) on the basis of their phylogenetic origin, basic demographic information, and associated events
| Pandemics | SARS-CoV | MERS-CoV | COVID-19 | References |
|---|---|---|---|---|
| Place of origin | Foshan, Guangdong, China | Saudi Arabia | Wuhan, Hubei, Province, China | (da Costa et al. |
| Date of emergence | Nov 2002 | June 2012 | December 2019 | (da Costa et al. |
| Entry receptor in human | Angiotensin-converting enzyme 2 (ACE-2) | Dipeptidyl peptidase-4 (DPP4) | (ACE-2) | (Lu et al. |
| 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. |
| 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 |
| Current status | Completely controlled | – | Ongoing pandemic | – |
| Fatality ratio | 9.5% | 34.4% | 4.4% | (Petrosillo et al. |
Fig. 2a Schematic representation of COVID-19 virion comprising of structural proteins labeled as envelope (E), spike (S), membrane (M), and nucleocapsid (N) genes and b appearance of corona virus under a transmission electron microscope (source: Microbe Notes 2020)
Fig. 3Different modes of COVID-19 transmission
Fig. 4Survival time of COVID-19 on various surfaces
Fig. 5a Schematic representation for hydrophobic and hydrophilic interfaces and b contact angles of the respiratory droplet on various surfaces (Source: Bhardwaj and Agrawal 2020)
Basic characteristics and common materials used in the fabrication of basic components of a typical plastic-based PPE
Fig. 6Impact of COVID-19 pandemic on plastic waste generation
Fig. 7Improper disposal of plastic-based medical waste
Fig. 8a Cumulative COVID-19 vaccine doses administered per 100 peoples in different countries and b weekly global rise in cumulative vaccination rate since January 2021 (Source: Pharmaceutical technology 2021)
Advantages, disadvantages, and challenges in landfilling, incineration, and mechanical recycling
| 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 |
Fig. 9Sustainable COVID-19 plastic waste management practices in waste management during the COVID-19 pandemic
Fig. 10Construction of a pit for onsite burial during COVID-19 pandemic
Fig. 11The vicious cycle for management of COVID-19 vaccine packaging material induced generated waste
Fig. 121(a) plastic vials with the interior lining of a microscopic layer of glass, (b) prefilled syringe for vaccination; 2(a) the EcoStarTM PC50 and HS 1000 by Placon for secondary packaging for diluents ampoules and vaccine vials, (b) corn-starch-based foam for shipping coolers, and (c) cold pack airliner new generation of Airliner® (Source: WHO 2011)
Different guidelines issued by various organizations and agencies for the management of plastic-based COVID-19 waste
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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) |