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Mine Spews Toxic Fumes: NWT Air Regulations Not in Place

Snap Lake Mine, 220 kilometres northeast of Yellowknife, where elevated levels of dioxins and furans were pumped into the air. | Photo Fire Prevention Services

Last July, two incinerators at De Beers’ Snap Lake Mine were belching out clouds of black smoke, one sending an average of 65 times the accepted national limit of cancer-causing toxins into the air.

The hugely elevated levels of dioxins and furans — released when plastic is burned or garbage is not fully incinerated — were recorded during a four-day “stack test.” According to the World Health Organization, “dioxins are highly toxic and can cause reproductive and developmental problems, damage the immune system, interfere with hormones and also cause cancer.” The Canada-Wide Standards recommends emission levels for dioxins and furans not exceed 80 picograms per cubic metre. The company contracted to do the testing at Snap Lake found that one of the mine’s incinerators was emitting 6.5 times the acceptable limit, while the other incinerator was emitting a whopping 65 times the acceptable limit (5,220 picograms per cubic metre on average, as

emission

 

It’s unclear how long this was going on for, though the report noted the problem was clearly visible: “Black opaque smoke was noted for all tests early in the incineration cycle.”

De Beers did not respond to EDGE’s request for an interview by the time of publication. However, according to a letter from De Beers’ Environment and Permitting Superintendent, Alexandra Hood, sent to the GNWT and Environment Canada in January, the root cause of the problem was “not following standardized work practices,” and running the incinerators, which were only installed in 2013, at too low a temperature.

Since flunking the test, De Beers has retrained staff, rewritten operating procedures and brought in new policy to shut down the incinerators if they’re not meeting the correct temperatures (if it’s safe to do so), according to Hood’s letter. An inspection of the Snap Lake incinerators by a GNWT Lands Officer in March suggests De Beers has ameliorated the problem, at least in part: “No concerns were noted during this inspection,” it states, and “the west incinerator which was burning waste at the time of inspection was emitting clear exhaust gas with no black smoke coming from the stack.”

Whether or not sufficient steps have been taken, however, won’t be known for years: the next stack test is not scheduled until 2019, according to a source close to the issue wishing to remain anonymous.

No GNWT regulation

The fact that, for an undetermined period of time around July 2014, the Snap Lake incinerators were pumping out unacceptable levels of toxic emissions is troublesome in itself. But it points to a much larger problem in the territory; the GNWT does not regulate emissions, require companies to meet the CWS, or mandate stack testing. (The Mackenzie Valley Land and Water Board, likewise, does not regulate air emissions.)

At several points in her letter, Hood notes the lack of regulation, claiming De Beers “will conform with any regulatory requirements regarding incinerator stack testing once enabling legislation is developed and approved in the NWT.”

Without legislation in place, there is nothing to force De Beers or other groups using incinerators (i.e. every single mine in the territory), to keep their emissions at a safe level or undertake stack testing on a regular basis. Each mine has an Air Quality and Emissions Management Plan as part of its environmental agreement, but these plans only dictate reporting requirements, not actual emission targets. And while Hood claims “deficiencies, as measured against the Canada Wide Standards, will be managed through adaptive management and continuous improvement by De Beers,” there’s little government oversight of this “continuous improvement” and no fines or other mechanisms to force polluting companies to remedy their ways.

This problem has been going on for years. According to a Canadian Press report from 2011, the scientific journal Integrated Environmental Assessment and Management found sediments in a lake near the Ekati Mine that had levels of dioxins and furans 10 times higher than those collected from an uncontaminated lake. The same report cited a 2007 study commissioned by Environment Canada which suggested “extensive, uncontrolled burning of wastes could result in substantial accumulations of dioxins and furans in the local ecosystem, some of which will persist for some 8½ years at levels approaching those considered to be of toxicological concern.”

“In most cases we’re below the level that health agencies would (watch) for…” the study continues, “but we’re getting there. And if you have more incinerators and more burning, you may well exceed those levels.”

The GNWT’s Department of Environment and Natural resources did not return EDGE’s request for comment on the lack of regulation.

Why no regulation?

Back in 2001, the GNWT did sign on to the Canada-Wide Standards of dioxins and furans with all other provinces and territories (except Quebec) as part of a national Accord on Environmental Harmonization.

The document says: “Parties are required to take measures to reduce total releases from anthropogenic sources of dioxins, furans… with the goal of their continuing minimization and where feasible (technically and socio-economically), ultimate elimination.” However, it adds, “each jurisdiction will determine the exact means of ensuring compliance” – basically defanging the document by letting provinces and territories renege on their commitment with no repercussions.

Other jurisdictions have taken proactive steps, bringing in legislation to regulate emissions in line with the CWS. The GNWT has not. They did bring in guidelines for managing biomedical waste in 2005, but they have been unwilling to regulate incinerators at mine sites. Their reason? The “waste incinerators operating at remote industrial sites within the NWT… are located on federal crown land and are not regulated by the Government of the Northwest Territories,” says a report from 2009.

This may have been true in 2009, but post-devolution it’s no longer the case. Since April of last year, the mines are on land managed by the GNWT, yet there have been no moves from legislators to start regulating toxic emissions from mine or other industrial incinerators. The last time the issue was discussed in the legislative assembly in 2011, Weledeh MLA Bob Bromley said a “loophole in environmental rules is allowing a growing number of unregulated waste incinerators to release extremely toxic chemicals into the land and water.” He suggested, “when we take on new powers, we must be ready to move with new law.”

Devolution has come, and incinerators are still operating in an unregulated environment. With all the talk of fracking and opening up new mining projects in the territory, it’s now time, more than ever, for the GNWT to get its act together.

 

from: https://edgeyk.com/article/mine-spews-toxic-fumes-nwt-air-regulations-not-in-place/

 

County scraps plans for waste-to-energy incinerator

The Board of County Commissioners struck down plans Thursday for a regional waste-to-energy incinerator, opting to haul the county’s waste to a landfill with a short-term contract instead.

In a 3-2 vote, Commissioners President Blaine Young and commissioners Kirby Delauter and David Gray voted to kill the $471 million incinerator project by canceling the contract and related permits. Commissioners Paul Smith and Billy Shreve cast the dissenting votes to keep the project on the table while the county explores its options.

“It is absolutely no cost to the county to keep these options open,” Smith said. “To do away with these options is crazy.”

Terminating the project will not cost the county any money as the Northeast Maryland Waste Disposal Authority, a quasi-governmental agency that helps the county meet its trash disposal needs, will pay the $500,000 termination fee. Any remaining funds after this payment will be divided between Frederick County and Carroll County, which was once a partner in the project. These funds are from payments the authority has received from Wheelabrator after the service contract was executed in 2010.

However, Young said he saw no point in voting to keep plans for an incinerator, which would burn trash into energy, open since County Executive-elect Jan Gardner planned to scrap the facility after taking office Dec. 1.

“If the county executive-elect says terminate the project, what are you going to do within the next 30 to 60 days to convince her not to?” Young said.

County Attorney John Mathias said Gardner held the power to determine the fate of the incinerator project, not the County Council, if a decision was not made Thursday.

“I think you should terminate the whole thing,” Gardner testified in front of the board and roughly 100 people gathered at Winchester Hall, garnering some applause.

The board unanimously voted in favor of hauling the county’s trash to an out-of-state landfill for $50.95 per ton with a maximum five-year contract.

After considering five proposals, including three out-of-state landfills and two waste-to-energy facilities outside of Maryland, the commissioners narrowed down their options between two landfills with varying contracts.

Commissioners previously leaned toward the first option, which offered contracts extending 25 years at an average of $54.97 per ton, although that cost could escalate annually with the consumer price index and fuel prices. However, the board unanimously chose the second option, which Gardner also favored.

About 30 people testified in front of the board regarding the incinerator project, with a little more than half in favor of scrapping it and the rest advocating for keeping the project on the table to consider it more deeply.

“The incinerator is a waste of energy, a waste of resources (and) a waste of money,” Brunswick resident Ellis Burruss testified. “It would be good to not waste any more time on it.”

Other residents noted the proposed location of the incinerator, near Monocacy National Battlefield, would ruin the park’s beauty and tourism.

However, resident Greg Brown voiced his support for a regional incinerator, noting it was more environmentally friendly than the other options commissioners were considering.

“Even the best landfills … are at least three times more pollutant than a waste-to-energy facility,” Brown said.

Another resident said Europe has been building waste-to-energy facilities for years without the negative consequences that many have brought up.

Jim Warner, CEO of the Lancaster County Solid Waste Management Authority in Pennsylvania, pitched a proposal for hauling the county’s trash, but the commissioners decided to go with an undisclosed out-of-state landfill with a short contract.

“I was actually for this (incinerator project), but with the energy prices and Carroll County dropping out … I’m not,” Delauter said, echoing the sentiments of Young and Gray.

by: http://besttopics.net/link/214519_county-scraps-plans-for-waste-to-energy-incinerator-politics-and-government-frederick-news-post

SWRHA chairman: Delay in payment causes medical waste back-up

Chairman of the South West Regional Health Authority (SWRHA) Dr Lackram Bodoe said a back-up of medical waste at the San Fernando General Hospital had to do with a delay in payment to a contractor and not the malfunctioning of the incinerator.

Responding to complaints about the dangers posed by the accumulated medical waste, which included amputated limbs, needles, and bloodstained items, Bodoe assured that the $9 million incinerator installed last year was functioning well.

He said it was allowed to accumulate because daily paid workers refused to work on Tuesday.

Speaking with members of the media at SWRHA’s symposium on leadership at the Southern Academy of Performing Arts on Wednesday, Bodoe said:

“I want to give the assurance that the incinerator itself is working well.

“It is a new incinerator that was installed last year and the issue had to do with a contractor who was supposed to remove the garbage and there was a delay of funding and that is what created a temporary situation yesterday.”

Asked how soon the situation will be rectified, he said: “I have just been given the assurance by the CEO that the matter is being dealt with as we speak, so I expect by the end of the day it will be sorted out.”

In addition, Bodoe said the SWRHA was also considering introducing a new type of technology, called the radio wave technology for incineration, which was much more atmosphere friendly.

However, a Public Service Association representative, who wished to remain anonymous, said the incinerator had been breaking down on a regular basis since it was installed last year and was not working at this time.

“They even had to revert to the old incinerator and that is unsafe and unhealthy to people operating that incinerator. Since last week Thursday the incinerator (new one) is down,” he added.

He said workers took the action on Tuesday because since last week they were assured that the garbage problem would have been sorted out.

from: http://www.guardian.co.tt/news/2015-06-19/swrha-chairman-delay-payment-causes-medical-waste-back

incinerators to install on the island of Aruba

incinerators to install on the island of Aruba.
the island does not have medical waste & other waste incinerators.
we are in the process of exploring the feasabilty and setting up an incinerator facility
on the island of Aruba.
this is an island of 120.000 habitants.
we have 2 hospitals,more then 20 dentist offices,and over 50 doctor offices.
would it be possible to give us info on the capacity of incinerator we need
on this island.

Baltimore teens take out the trash

Youth battle a waste incinerator.

It’s the threat of dangerous air pollution that has students at Curtis Bay’s Benjamin Franklin High School leaving the classroom and demonstrating in the streets of Baltimore.

In Curtis Bay, a neglected waterfront neighborhood at the southwestern fringes of Baltimore, an alliance of environmental activists and neighborhood groups—including an energetic and creative band of high school students—has succeeded in holding off the construction of an enormous trash incinerator project.

The students wowed members of the Baltimore Board of Education this May with a presentation that mixed carefully researched environmental and public health analysis with a hip-hop routine that had board members up on their feet. Greg Sawtell, an organizer with Baltimore-based United Workers (one of several organizations allied against the incinerator), says conversations with school board members since then have left him optimistic that they will oppose the project.

Even though preparation work on the incinerator began last year, full-scale construction is stalled, and the projected completion date has been pushed to 2016 from an initial estimate of 2013. Opponents are reluctant to claim sole credit for the delays, as there have also been financing and regulatory issues, but believe their efforts are sharpening scrutiny and slowing progress.

Talk of the so-called trash-to-energy incinerator plant began some five years ago, after chemical manufacturer FMC Corp closed a pesticide plant, eliminating 130 jobs (including 71 union jobs with the United Steelworkers) and leaving vacant a large parcel of land zoned for heavy industry. The site straddles the Curtis Bay and Fairfield neighborhoods of the city, parts of which have large African-American populations. To many political and community leaders in this deindustrialized and job-starved section of the city—which lies far from the famed Inner Harbor or Fells Point entertainment districts—it seemed like a boon when Energy Answers Inc., an Albany, New York-based power development company, appeared on the scene to propose a plant that would burn commercial and construction waste to produce electricity. Energy Answers billed the plant as a way to restore up to 200 jobs and provide clean, low-cost energy. The proposal came with enthusiastic endorsements from local political leaders, especially Maryland Gov. Martin O’Malley and city Mayor Stephanie Rawlings-Blake.

Initially, Energy Answers struggled to find loans and missed a deadline to secure federal stimulus money. But in May 2011, the project got a big boost when O’Malley signed legislation to help make the plant profitable through a complicated pollution credits scheme that would funnel cash to Energy Answers for generating so-called clean power. (A few days later, Energy Answers gave $100,000 in campaign contributions to the Democratic Governors Association, chaired by O’Malley.)

But for locals, the bloom was already coming off the rose. It had emerged that an estimated 400 to 600 exhaust-spewing trucks carrying waste tires, metals, plastics and construction materials would travel through the streets of Curtis Bay every day to feed the plant. The incinerator itself would burn up to 4,000 tons of waste a day for decades— raising even more alarming public health concerns. In a recent Baltimore Sun op-ed urging cancellation of the project, Gwen DuBois, of Chesapeake Physicians for Social Responsibility, said the plant could emit dioxin, mercury and other heavy metals, which can cause cancer and other diseases.

“What a lot of people don’t realize is just how dirty these plants really are,” says Mike Ewall, founder and co-director of Energy Justice Network, a national organization devoted to helping communities fight dirty energy development. “They are much worse than coal or anything else. And this would be the biggest such plant in the country.” Curtis Bay is already the most polluted zip code in Maryland, Ewall notes, adding that low-income neighborhoods of color are often used as dumping grounds precisely because they lack the political power to fight back.

It’s the threat of dangerous air pollution that has students at Curtis Bay’s Benjamin Franklin High School leaving the classroom and demonstrating in the streets of Baltimore. In their largest action, in late 2013, more than 100 protesters marched from the school to the site of the proposed incinerator—just a mile away. A related petition has garnered more than 2,000 signatures.

Recent Benjamin Franklin graduate Audrey Rozier is a leader of Free Your Voice, the student group agitating to stop the incinerator, as well as the co-author of a rap song devoted to the campaign. “We have our rights according to the amendments / But why do we feel like we’ve been so resented / Ignored, shoved to the side where opinions don’t matter,” goes one verse.

Rozier says the song, which she has performed all over the city, has helped educate the local community and a broader Baltimore audience. “What was amazing to me in the beginning was that people outside the community were going to [build the incinerator], but the people who live here didn’t know anything about it,” she says. “I think that’s changed.”

That disconnect between the political elite and the communities most affected by its decisions is at the heart of the fight over the Curtis Bay incinerator, says Sawtell. In Baltimore and elsewhere, decisions on economic development policies are made by a political and economic elite with little or no input from the working-class residents who must live day-to-day with the consequences. “Community members we’ve talked to say no one asked their opinion before the project was announced,” says Sawtell. “Somehow I think if it was the children of Gov. O’Malley, or the children of Mayor Rawlings-Blake, who were going to be poisoned, the decision would be different.”

The campaign is drawing increasing support, most recently from the nearby Anne Arundel County chapter of the NAACP. Meanwhile, enthusiasm for the plant among politicians seems to have cooled in the face of the protests, Sawtell says, with near-silence on the issue from Mayor Rawlings-Blake in the past few years. The Democratic candidate for governor in this year’s election, Anthony Brown, declined to take a position.

If the construction delays are any indication, even Energy Answers may be losing interest, although the company tells In These Times it’s in “confidential discussions for waste and energy sales” and plans to proceed with the project. Sawtell, however, believes that a major push from opponents now could kill the plan once and for all.

 

by: http://www.radiofree.org/us/baltimore-teens-take-out-the-trash/

Central Australia’s animal graveyard

The figure was revealed in the Alice Springs regional waste management facility report for October.

The dead pet you asked the vet to dispose of will end up buried in landfill, in most places across the country, and Alice Springs is no different.

“It’s a combination of horses, dogs, cats, pigs, any animal that dies,” said Alice Springs council technical services director Greg Buxton. “Road kill, kangaroos and that, the rangers pick them up, and you’ve got to dispose of them somewhere hygienic. So we put them at the back of landfill.”

The facility is on track to exceed last year’s total, with 3.7 tonnes deposited in the first quarter of this financial year.

Mr Buxton said most regional councils across the country dispose of dead animals in landfill.

“In the bigger cities they have an incinerator type setting where they cremate them, whereas we don’t have an incinerator here,” he said.

by: http://www.news.com.au/national/northern-territory/central-australias-animal-graveyard/story-fnn3gfdo-1227123002725

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by: http://voipshoip.com/negozio-tiffany-milano-the-whole-of-europe-has-423-waste-incinerators/

Moving Forward on Open Waste Burning

The permit that allows the Radford Army Ammunitions Plant to burn hazardous waste from firearms outdoors is up for renewal. Community activists see an opportunity to address environmental and health concerns about the open burning – and state regulators see a chance to explore new technology to solve an old problem.
Just a handful of people turned at the Blacksburg Public Library on a recent afternoon for a meeting of the Environmental Patriots of the New River Valley.

“Is there anything we could post to get more people involved? Yes, petitions, a letter campaign… When the EPA was pushed to the wall in Louisiana, they said ‘Uncle.’ So, we want you Senator Kaine and you Senator Warner to do just what Senator Vitter did in Louisiana and write to the EPA and ask them, ‘How is this not a violation of the clean air act?'”

Devawn Oberlender is looking to take a pager from the book of a far away town, where citizen protestors succeeded in stopping outdoor burning explosives of arms and weapons waste at the Louisiana Army Ammunition Plant.

“The opportunity that we have right now only comes up very ten years, because the permit is good for ten years, so what we need to replicate is what they did in north western Louisiana at Camp Minden.

There they formed a “Stop the Burn” movement that ultimately brought together elected officials, state and local regulators and the army for a plan to give up open burning and use a modern indoor incinerator to dispose of the toxic materials. Now, with the open burning permit at the Radford Arsenal up for renewal, the Virginia Department of Environmental Quality is exploring that idea for the first time. William Hayden is spokesman for DEQ in Virginia.

“We have not reached any conclusions yet but that is something that would be looked at as we move forward. We have asked the Arsenal to come up with alternatives to open burning and we do expect to have some options that go beyond the idea of just burning it the open.”

Brian Salvatore is a professor of Organic chemistry at Louisiana State University who argued for using contained incineration.

“This is what we fought for here at camp Minden. And yes it added another 15million dollars and almost doubled the cost of the contract but this was something that, the EPA was willing to go to bat for us for. So I’m glad that the people in the EPA and in the state worked together here and they worked with the Army as well to find the additional money. And we’re quite satisfied here that this alternative — which, in the beginning of this we didn’t know all the details of what these modern incinerators can do. We’re quite confident here that this is going to do the job and the amount of material that’s going to be released total will be on the order of tens of grams as opposed to tons of these emissions.”

A spokesman for the Environmental Protection Agency’s Region 3, which includes Virginia, said it could not comment on the possibility of incinerators like that being adopted at the Radford site, but a spokesperson for BAE Systems, the contractor in charge of the arsenal, confirmed it is “looking for viable alternatives to its current methods of waste disposal.”

The department of Environmental Quality has asked BAE to conduct an environmental impact study on its current open burning practice. William Hayden says it’s the first time DEQ has asked for one.

“Because we’re getting in to an issue that has generated a lot of public interest in the Radford area we knew that the more information we had, the better. People from the public have been asking for us information; they’ve been asking Radford (the arsenal) for information.”

And one of them is Oberlender who says, “We’ve been burning waste out there, open burning it since 1941. You know, it’s not going away.”

And neither are the environmental patriots of the new river valley. Taking another page from the story of Camp Minden Louisiana’s successful effort to get its outdoor burning moved indoors. They’re scheduling meetings with state and federal officials to keep the pressure on. The first is this Friday with U.S. Representative Morgan Griffith who sits on the Committee on Energy and Commerce, which has oversight of the EPA. The group is looking to make a national issue out of one that has for so long been so local and one of the few places where open burning of hazardous waste from explosives is still allowed.

Info from: http://wvtf.org/post/moving-forward-open-burning

 

Envilead 2005 a study on waste incineration

1. The International POPs Elimination Project (IPEP) Fostering Active and Effective Civil Society Participation

in Preparations for Implementation of the Stockholm Convention A Study on Waste Incineration Activities in

Nairobi that Release Dioxin and Furan into the Environment Environmental Liaison, Education and Action for

Development (ENVILEAD) Kenya November 2005 Cannon House Annex Building, Haile Selassie Avenue P.O. Box 45585-

00100, Nairobi, KENYA Tel: +254-20-243914, +254-734-940632 E-mail: [email protected] November 2005
• 2.  About the International POPs Elimination Project On May 1, 2004, the International POPs Elimination

Network (IPEN http://www.ipen.org ) began a global NGO project called the International POPs Elimination Project

(IPEP) in partnership with the United Nations Industrial Development Organization (UNIDO) and the United Nations

Environment Program (UNEP). The Global Environment Facility (GEF) provided core funding for the project. IPEP

has three principal objectives: • Encourage and enable NGOs in 40 developing and transitional countries to ii

engage in activities that provide concrete and immediate contributions to country efforts in preparing for the

implementation of the Stockholm Convention; • Enhance the skills and knowledge of NGOs to help build their

capacity as effective stakeholders in the Convention implementation process; • Help establish regional and

national NGO coordination and capacity in all regions of the world in support of longer-term efforts to achieve

chemical safety. IPEP will support preparation of reports on country situation, hotspots, policy briefs, and

regional activities. Three principal types of activities will be supported by IPEP: participation in the

National Implementation Plan, training and awareness workshops, and public information and awareness campaigns.

For more information, please see http://www.ipen.org IPEN gratefully acknowledges the financial support of the

Global Environment Facility, Swiss Agency for Development and Cooperation, Swiss Agency for the Environment

Forests and Landscape, the Canada POPs Fund, the Dutch Ministry of Housing, Spatial Planning and the Environment

(VROM), Mitchell Kapor Foundation, Sigrid Rausing Trust, New York Community Trust and others. The views

expressed in this report are those of the authors and not necessarily the views of the institutions providing

management and/or financial support. This report is available in the following languages: English International

POPs Elimination Project – IPEP Website- www.ipen.org
• 3.  iii TABLE OF CONTENTS LIST OF

FIGURES…………………………………………………………………………..V LIST OF TABLES

……………………………………………………………………………V ACRONYMS AND

ABBREVIATIONS………………………………………………. VI EXECUTIVE SUMMARY

…………………………………………………………………. 1

INTRODUCTION…………………………………………………………………………….. 2

Background

………………………………………………………………………………………………….

……. 2 Burning and POPs

Generation……………………………………………………………………………. 3 Objectives

of Study

…………………………………………………………………………………………….. 4

Significance of

Study…………………………………………………………………………………………… 5

METHODOLOGY……………………………………………………………………………. 5 Scope of

the

Study……………………………………………………………………………………………..

.. 5 Preparation for the Study

…………………………………………………………………………………… 6 Locations of

Interest

…………………………………………………………………………………………… 6 AREA

OF STUDY…………………………………………………………………………… 6 LITERATURE

REVIEW …………………………………………………………………… 7 Health Effects

………………………………………………………………………………………………….

…. 8 Environmental and Socio-economic Effects

…………………………………………………………. 8 Other Pollutants from Incineration

…………………………………………………………………….. 9 Public Opposition to

Incineration ……………………………………………………………………… 10 Kenya Eggs

Study

…………………………………………………………………………………………….. 10
• 4.  STUDY FINDINGS………………………………………………………………………… 11

Basic

Findings…………………………………………………………………………………………..

………. 11 General

Findings…………………………………………………………………………………………..

….. 12 CHALLENGES TO THE STOCKHOLM CONVENTION: RESPONSIBLE PARTIES –

KENYA……………………………………………………………………….. 15 POPs and Scientific

Development ……………………………………………………………………… 15 POPs and Less

Organized Countries …………………………………………………………………. 15 The

Environment and Economy………………………………………………………………………… 17

ALTERNATIVE PRACTICES …………………………………………………………. 17 Alternative

Technologies for Hazardous Waste Treatment ………………………………… 17

RECOMMENDATIONS………………………………………………………………….. 19 CONCLUSION

……………………………………………………………………………… 21 ANNEX 1: MAPS

………………………………………………………………………….. 24 ANNEX 2: PLATES

………………………………………………………………………. 26 iv
• 5.  v LIST OF FIGURES Fig. 1: Comparison of U-POPs emissions from different source categories in Kenya

………………………………………………………………………………………………….

…………….. 4 Fig. 2: Mean values (PCDD/Fs) found in Eggs Sampled from Dandora – Kenya, compared with

levels in eggs from other contaminated sites in the world………… 11 LIST OF TABLES Table 1. Worldwide

atmospheric emissions of trace metals from waste incineration

………………………………………………………………………………………………….

…… 10 Table 2. Waste disposal methods for various major companies in Nairobi ………. 14 Table 3. Non-

Incineration technologies for hazardous waste treatment…………… 18
• 6.  vi ACRONYMS AND ABBREVIATIONS AFD: Agence Francaise de Développement APCD: Air Pollution Control Devices

BAT: Best Available Techniques BEP: Best Environmental Practices CBO: Community Based Organization CBS: Central

Bureau of Statistics EMCA: Environment Management and Coordination Act EPR: Extended Producer Responsibility

GAIA: Global Anti-Incinerator Alliance/ Global Alliance for Incinerator Alternatives GoK: Government of Kenya

GPCR: Gas Phase Chemical Reduction HCB: Hexachlorobenzene IARC: International Agency for Research on Cancer

IPEN: International POPs Elimination Network IPEP: International POPs Elimination Project ITDG: Intermediate

Technology Group JICA: Japan International Cooperation Agency KAM: Kenya Association of Manufacturers KEBS:

Kenya Bureau of Standards KEPI: Kenya Expanded Programme on Immunization KIPPRA: Kenya Institute for Public

Policy Research and Analysis KNH: Kenyatta National Hospital LOCs: Less Organized Countries NIP: National

Implementation Plan NCT: Non Combustion Technology NGO: Non Governmental Organization PCBs: Polychlorinated

Biphenyls PCDD: Polychlorinated dibenzo-p-dioxins PCDF: Polychlorinated dibenzofurans POPs: Persistent Organic

Pollutants PVC: Polyvinyl Chloride SANE: South Africa New Economics (network) SCWO: Super-Critical Water

Oxidation TCDD: 2,3,7,8 – tetrachlorodibenzodioxin TEQ: Toxic Equivalency Quotient TNT: Trinitrotoluene UNEP:

United Nations Environmental Program U-POPs: Unintentional Persistent Organic Pollutants USEPA: United States

Environmental Protection Agency WHO: World Health Organization
• 7.  EXECUTIVE SUMMARY This report outlines the findings of a study carried out in and around the city of

Nairobi, Kenya by ENVILEAD. The study was carried out between the months of January and March 2005, about the

patterns of practice that are likely to release persistent organic pollutants (POPs) into the environment as

part of the International POPs Elimination Project (IPEP’s) initiatives. The focus of the study was the

practice of medical and municipal waste burning, which research has shown to be a potential source of

unintentional POPs (U-POPs). The study’s objective was to investigate the anatomy of this practice, identify

the key issues involved and make recommendations for the way forward. It was established that burning is the

dominant method of waste disposal in the city, and this is done through industrial incinerators and in the open

air. The main reason for this preferred method of disposal is its convenience in the absence of a functioning

system of waste management (by the City Council) and in the absence of adequate legal guidelines on the disposal

of solid waste by the government. This practice is however also associated with several other factors such as

lack of awareness on the part of the public, economic pressures and the general paucity of administrative

capacity in Less Organized Countries (LOCs). The study was able to establish that the area around the Dandora

dumpsite, the city’s biggest waste burning site, is highly contaminated with POPs. This was established from

the results of U-POPs levels in eggs sampled from the site in a different study. There is also a high likelihood

of other sites, such as the Kenyatta National Hospital (KNH) incinerator, whose maximum temperatures range

between 600°C and 700°C and has no Air Pollution control Devices (APCD), and open-air burning site and

Kitengela open burning site being U-POPs hotspots. The study came up with the following key recommendations for

the way forward: ¾ Additional research needs to be undertaken in order to gather more detailed information

regarding this pattern of practice. Among the additional research required is in the area of relationship

between the socio-economic dynamics and the practice, quantification of the levels of dioxin (as well as other

organic pollutants and heavy metals) emissions from the identified sites, and establishment of the impacts of

the same on public health; ¾ The legal framework for the safe disposal of solid waste, based on Best Available

Techniques (BAT) and Best Environmental Practices (BEP), should to be addressed; ¾ The plastics industry, as a

major contributor of difficult-to-manage waste, needs to be fully engaged in the search for solutions in the

city’s waste management programme; ¾ Greater effort should be placed in the development of alternative

technologies 1 for safe waste disposal, which should be affordable and sustainable;
• 8.  ¾ A popular appreciation of the science of ecology needs to be created in the country, as a means of

ensuring sustained grassroots support for environmental conservation efforts. INTRODUCTION Background Just as

the generation of waste involves a complex interplay of social, cultural, economic and technological processes,

the proper management of waste cannot be divorced from the same processes. While it is necessary, for conceptual

purposes, to view waste management as a clear and distinct category of activity in society, in practice any

successful waste management strategy has to address such diverse issues as patterns of consumption, incentive

systems (the economics of waste management), waste handling technology, and legal frameworks. In its broadest

sense, the issue of waste management is an aspect of the search for sustainable development strategies. This

report seeks to provide an overview of the critical issues regarding the management of municipal and medical

waste in Nairobi, especially in respect of the potential danger of generating unintentional POPs (U-POPs) in the

process of burning such waste. The study’s broader objective is to assist in the development of a comprehensive

waste management strategy for the city and other urban areas in the country, in the context of the provisions of

the Stockholm Convention on Persistent Organic Pollutants (POPs). Annex C of the Stockholm Convention,

identifies waste incinerators, including co-incinerators of municipal, hazardous or medical waste or of sewage

sludge, as source categories with high potential to release U-POPs into the environment. Municipal and medical

waste was selected for study because of its large quantity as a percentage of the total waste generated1, and

the complex nature of issues involved in the proper management of these two types of waste. Nairobi City Council

(2002) admits that it is unable to manage waste effectively in the city, and of particular concern was the

proliferation of informal medical facilities, some of which are located within residential areas. The

Environmental Management and Coordination Act (1999), is well placed to manage waste, including POPs-

contaminated waste, it gives provisions for setting of standards, licensing of waste disposal sites and control

of hazardous waste. However, lack of enforcement mechanism is the biggest challenge facing waste management in

Kenya (Nairobi City Council, 2002). 2 1 A report by NEMA reveals that Nairobi generates approximately 2000

tonnes of waste per day. Of this, 68% is municipal waste generated from households (East Standard 2004)
• 9.  Kenya as a country is in the process of developing a National Health Care Waste Management Plan. The

National AIDS Control Council has just received funds from the World Bank toward the cost of Kenya’s HIV/AIDS

Disaster Response Project, part of the funds are to be used in the development of a National Health Care Waste

Management Plan (Daily Nation, 2005). The lack of enforcement of the relevant environmental law, among other key

factors, has led to a chaotic situation in which almost anything goes as far as the handling of waste is

concerned. A recent report by KIPPRA on solid waste management in Kenya shows that only 25% of the solid waste

generated daily in the city of Nairobi is currently collected (UNEP 2005). The focus of the study was waste

burning, which any casual observation reveals to be the preferred waste disposal option for the Nairobi

residents, which is a consequence of failure on the part of the City Council, and Government, to institute

organized systems waste handling. The study looked at open air burning types and industrial incinerators.

Burning and POPs Generation Polychlorinated dibenzo-p-dioxins (PCDD) and Polychlorinated dibenzofurans (PCDF),

Hexachlorobenzene (HCB) and Polychlorinated Biphenyls (PCBs) are unintentional persistent organic pollutants

(U-POPs), formed and released from thermal processes involving organic matter and chlorine as a result of

incomplete combustion or chemical reactions. These U-POPs are commonly known as dioxins because of their similar

structure and health effects (Tangri 2003). These U-POPs are both of natural and anthropogenic origin. They

resist photolytic, biological and chemical degradation. They are bio-accumulative, widespread geographically and

are toxic to life. The concentration of U-POPs of anthropogenic origin has greatly increased over the years.

Toxics Link Report (2000) identifies several potential sources of these U-POPs, among them being medical waste

incineration and open burning of domestic waste. According to USEPA estimates, municipal solid waste

incineration and medical waste incineration are among the top sources of dioxins released into the air. They

make up for 1,100gm TEQ/year and 477gm TEQ/year respectively (USEPA 1998). Of all source categories, combustion

sources account for nearly 80% of air emissions. 3
• 10.  4 AIR LAND Waste Incineration Ferrous and Non-Ferrous Metal Production Production of Chemicals and

Consumer Goods* Waste Incineration Uncontrolled Combustion Processes Source: Kenya POPs Inventory Fig. 1:

Comparison of U-POPs emissions from different source categories in Kenya Luscombe and Costner (2003) show how

incinerators endanger public health and the environment in general. They identify the toxic pollutants in

incinerator gases and residues, and enumerate the human health and environmental damage of the various chemicals

in the incinerator releases. Connett (1998) shows how municipal waste incineration is a poor solution to the

waste management problem. He lists the toxic emissions of incineration and shows how dioxins, furans and other

by-products of combustion impact human health and the environment. Objectives of Study The overall goal of the

study was to understand the (social, economic and technological) dynamics of the practice of waste burning in

the city and to find out how this might contribute to the release of U-POPs into the environment. Other critical

issues, such as the public health impact of the pattern of practice, were left for the next phase of the study.

The specific objectives of the study were: i. to assess the extent of waste burning/incineration within Nairobi

ii. to establish the City Council of Nairobi’s role in the prevalence of open burning and incineration as the

preferred methods of waste disposal iii. to identify the location of waste burning/ incineration sites in the

city iv. to find out how chlorine-containing waste (such as PVC plastics) is disposed v. to assess the level of

awareness of the general public about the adverse consequences of waste incineration
• 11.  vi. to examine Government regulatory mechanisms for disposal of chlorine-containing 5 waste vii. to

explore suitable BAT and BEP for waste management in Kenya. Significance of Study Article 5 of the Stockholm

Convention requires parties, Kenya included2, taking measures to reduce or eliminate releases from unintentional

production of POPs. These measures include: i. reduction of annual total releases derived from anthropogenic

sources of U-POPs, with the goal of their continuing minimization and where feasible, ultimate elimination; ii.

the development of an action plan (NIP) by parties. Kenya’s NIP should be ready by 25th December, 2006; and

iii. to promote BEP and incorporate BAT in the NIP. The study’s findings will be incorporated in Kenya’s NIP

of the Stockholm Convention with a view to assisting in the realization of the above measures. METHODOLOGY To

achieve the objectives of this study, both primary and secondary data was used. Primary data comprised local

views, perceptions and opinions related to the waste disposal sites among local community members. Various

Government and other resource persons also provided valuable primary data for the study. The state of the

incinerators and dumpsites as well as the disposal methods were studied through observation by the researchers.

Additional data was gathered through taking photographs of the sites and interviewing workers (where applicable)

at the different sites visited. Secondary data was obtained from both published and unpublished information on

waste burning in Kenya and elsewhere in the world. Previous studies carried out on medical and municipal waste

disposal at the global, regional, national and local levels were reviewed. Descriptive analysis was used to

summarize the collected data. Scope of the Study The study was a preliminary investigation, intended to open the

way for further detailed investigations of the same sites and other similar sites in the country. 2 The

convention came into force on 17th May 2004. Kenya became a party to the convention on 23rd December 2004
• 12.  Preparation for the Study Staff recruitment and training: Two research assistants were recruited and

trained for fieldwork. Stakeholders’ identification: Various stakeholders were identified and approached for

their views on the issue under investigation. These stakeholders included: i. Members of public within Nairobi

ii. Health care professionals iii. The Occupational Health Officer, Ministry of Health iv. National

Environmental Management Authority (NEMA) v. Kenya Association of Manufacturers vi. Major Supermarkets in town

vii. Private waste handlers viii. City Council of Nairobi Locations of Interest For the study of medical waste

management, researchers chose to visit a few health care institutions based in Nairobi. These were: Kenyatta

National Hospital (KNH), Nairobi Hospital, Mater Hospital and Forces Memorial Hospital. For the study of

municipal waste management, the researchers visited the Nairobi City Council’s dump site at Dandora as well as

several residential estates in Nairobi including: Jericho, Kariobangi, Huruma, Ngomongo, Baba dogo, Muthurwa,

Shauri moyo, Kimathi, Buruburu, Lucky Summer and Korogocho all in Eastlands; Westlands, Kangemi, Uthiru and

Kikuyu along Waiyaki Way in the West side of Nairobi, and Kitengela to the south of the city. AREA OF STUDY

Nairobi is the largest town in Kenya and also the country’s capital city. It covers an area of 696 km² and

currently has a population of 2,143,254 and population density 3,079 per square kilometre (GoK, 2000). At 1.5 0

south of the equator, Nairobi is a tropical city. Its altitude of 5,000 to 6,000 feet means that the climate is

temperate. Rainfall is divided between two rainy seasons: the short rains fall in November and early December,

and the long rains between April and mid-June. Because it is virtually on the equator, Nairobi has a constant

twelve hours of daylight per day all year round. The sun rises at 6.30 – 7.00a.m and sets again at 6.30 – 7.00

p.m. 6
• 13.  The average day-time temperature varies only slightly throughout the year, ranging from 85°F (29°C) in

the dry season to 75°F (24°C) during the rest of the year. At night, however, temperatures can drop to as low

as 48°F (9°C), though rarely lower. Founded as a last halt before the Highlands for railway engineers in the

early 1900s, Nairobi, which was then just a few shacks and tracks, now covers 696 square kilometres. This figure

includes 120 square kilometres of the Nairobi Game Park and all of Jomo Kenyatta International Airport. Central

Nairobi barely makes up five square kilometres. LITERATURE REVIEW Tangri (2003), notes that despite intensive

scrutiny over many years, much remains unknown about the releases of pollutants from waste-burning activities.

Waste burning produces hundreds of distinct hazardous by-products of which only a handful of them have been

studied thoroughly. Hundreds remain unidentified. Connett (1998) identifies some of the toxic emissions of

incineration. These include: hydrogen chloride, nitric oxide, heavy metals, dioxins, furans and other U-POPs,

fly ash, bottom ash, stack gas, fugitive emissions plus other residues. Polythene bags and plastics, including

PVC items, make up approximately 225 tonnes out of the 2000 tonnes of solid waste generated daily in Nairobi

(KAM, 2003). This represents about 11% of total waste generated daily, while 75% comprises biodegradable waste

that can be composted. The remaining percentage is made up of other recyclable materials such as textiles, metal

and glass making up 2.7%, 2.6% and 2.3% respectively. Open burning of municipal waste is widely used by the

residents of Nairobi, as a means of disposing solid waste. 7 The following facts regarding plastics were

identified from literature: • According to KAM, consumers and end users are the ones who cause environmental

pollution from plastics; • Not all plastics emanate from the local industry, some is imported; • The plastics

sector currently constitutes approximately 150 industries, and has an annual growth rate of 6%; • Currently,

there are about 70 firms that recycle plastics locally; and • Plastics contribute 28% of all cadmium found in

municipal solid waste and approximately 32% of all lead; substances that are highly toxic to humans and the

environment in general.
• 14.  Health Effects Because of the persistent and bio-accumulative nature of dioxins and furans, these

chemicals exist throughout the environment. Human exposure is mainly through consumption of fatty foods, such as

milk. USEPA (2000) in Tangri (2003) notes that 90-95% of human exposure to dioxins is from food, particularly

meat and dairy products. This is because dioxins accumulate in fats and oils3. Their health effects depend on a

variety of factors, including the level of exposure, duration of exposure and stage of life during exposure.

Some of the probable health effects of dioxins and furans include the development of cancer, immune system

suppression, reproductive and developmental complications, endocrine disruption (GAIA, 2003; Connett, 1998;

Luscombe and Costner, 2003). The International Agency for Research on Cancer (IARC) has identified 2,3,7,8 –

TCDD as the most toxic of all dioxin compounds. Environmental and Socio-economic Effects The accumulation of

dioxins and furans in the environment owing to waste incineration activities can reach levels that render

resources unfit for human consumption. Connett (1989), cited in Connett (2003), reports of an incident in

Netherlands where 16 dairy farmers downwind of a huge incinerator in Rotterdam could not sell their milk because

it contained three times higher dioxin levels than anywhere else in Netherlands. Even low doses of dioxins are

very toxic. In 1998, the WHO lowered its recommended Tolerable Daily Intake (TDI) of dioxins from 10 picograms

TEQ per kilogram of bodyweight per day (pg/kg/day) to a range of 1-4 pg/kg/day (Van Leeuwen and Younes 1998).

According to studies conducted in Netherlands, prenatal exposure to typical daily intake of dioxins and PCBs has

effects on neurodevelopment and thyroid hormones. Deficits of up to four points in IQ and increased

susceptibility to infections in 42 month old children exposed to typical daily intakes of dioxins/PCBs were

observed (Patandin 1999). Incineration produces residues that require treatment and/or disposal, most often in a

landfill. Incinerator ash – either as bottom ash or fly ash – is highly toxic. Tangri (2003) observes that

handling of this ash raises serious concerns because workers are often exposed to the ash, sometimes with little

or no protective gear. In India just like in Kenya, Toxic Link (2000), notes that incineration is rudimentary

and most incinerators are single chambered with a smoke stack. Major reasons for dioxin emissions from such

waste incinerators are: 8 3 WHO (1999) points out that dioxins are highly persistent for they breakdown very

slowly and have a half-life in human body of about 7 years.
• 15.  • almost all of them burn mixed waste; • due to lack of enforcement and monitoring, most of the hospitals

are incinerating their plastic waste and also waste treated with chlorinated disinfectant; • many of the

incinerators still have single chambers, in spite of the fact that the installation of double (secondary)

chambers is needed to eliminate volatile substances by better combustion; and • most of the incinerators do not

operate under stipulated temperature. Under the regulations, primary chambers should operate at 850º C and

secondary chambers should operate at 1000º C or more. Tangri (2003) has enumerated several problems particular

to transferring incineration technology to the developing countries. These problems include: • lack of

monitoring – no ability to regularly monitor stack emissions or 9 incinerator ash toxicity; • lack of technical

capacity to test releases – not able to conduct tests for dioxins and other pollutants; • lack of secure

landfills for ash – toxic incinerator ash dumped in, at best, an unlined pit, where it runs the risk of

contaminating groundwater. Access to the ash land not controlled; • corruption4; • shortage of trained personnel

– necessary number of trained Manpower to manage incinerator operations; • budgetary constraints – hinder

maintenance and replacement of key incinerator functions; and • differing physical conditions and lack of

robustness of technology – where incinerator technology imported from the west is not appropriate to the

Southern conditions. Other Pollutants from Incineration In addition to dioxins, polychlorinated biphenyls (PCBs)

and Hexachlorobenzene (HCB), incinerators are sources of other halogenated organic compounds, toxic metals and

greenhouse gases to name but a few5. Toxic metals released from incineration activities include: Mercury, Lead,

Cadmium, Arsenic, Chromium, Beryllium, Antimony, and Manganese. Stanners and Bourdeau (1995), cited in Tangri

(2003), give a worldwide atmospheric emissions estimate of trace metals from waste incineration; this is

summarized in the Table 1 below: 4 Where there is corruption the likelihood of installing substandard equipment

for kickbacks is high. 5 [Blumenstock et al (2000) in Tangri, (2003)].
• 16.  10 Table 1. Worldwide atmospheric emissions of trace metals from waste incineration Atmospheric emissions

from waste incineration Metal 1000 tons/year % of total emission Antimony 0.67 19.0 Arsenic 0.31 3.0 Cadmium

0.75 9.0 Chromium 0.84 2.0 Copper 1.58 4.0 Lead 2.37 20.7 Manganese 8.26 21.0 Mercury 1.16 32.0 Nickel 0.35 0.6

Selenium 0.11 11.0 Tin 0.81 15.0 Vanadium 1.15 1.0 Zinc 5.90 4.0 Source: Stanners and Bourdeau (1995), in Tangri

(2003), page 17 Public Opposition to Incineration Waste incineration is unpopular in many countries. In the USA,

for example, since 1985, over 300 trash incinerator proposals have been defeated or put on hold due to public

opposition, and several large engineering firms have pulled out of the incinerator business altogether (Connett

1998). In Michigan, all but one of the 290 medical waste incinerators in the state closed down rather than

attempt to meet federal emissions limits imposed in 1997 (Tangri 2003). Tangri (2003) reports that in 2001

alone, major incinerator proposals were defeated by public opposition in France, Haiti, Ireland, Poland, South

Africa, Thailand, UK, Venezuela. Even in poor countries such as Bangladesh, public opposition to incinerators

has yielded changes. A proposal by an American company to build a power station which would burn trash shipped-

in from New York City to Khulna in Bangladesh was defeated by public opposition (Connett 1998). In 2000, GAIA

was launched. GAIA members work both against incineration and for the implementation of alternatives Tangri

(2003). Kenya Eggs Study A study in early 2005 on egg-sampling by ENVILEAD and Arnika (under the Dioxin, PCBs

and Waste Working Group of IPEN) found eggs collected around the Dandora dumpsite in Nairobi, Kenya, to have

dioxin levels over 6 times higher than the EU dioxins limits for eggs. In addition, the sampled eggs
• 17.  exceeded the proposed WHO limits for PCBs by more than 4-fold (Fig. 2). It is estimated that the Dandora

open dumpsite handles 803,000 tons of waste per year (National inventory of POPs, 2004). Fig. 2: Mean values

(PCDD/Fs) found in Eggs Sampled from Dandora – Kenya, compared with levels in eggs from other contaminated

sites in the world Source: The Egg sampling report by ENVILEAD and ARNIKA (2005) STUDY FINDINGS Basic Findings

The study made several basic findings that will be important in the search for waste management solutions in

Nairobi and elsewhere in the country. Among these are: a. The nature of consumer demand: In the Kenyan market,

where more than half the nation’s population lives below the poverty line, plastic constitutes a very

attractive option as the material of choice for numerous domestic, medical and industrial products. The business

organizations that researchers were able to visit, such as supermarkets and plastics’ manufacturers, confirmed

cost attractiveness of plastic to local consumers. There is therefore a basic market-based challenge to the

problem of waste management, 11
• 18.  comprising rational economic action linking consumers, manufacturers and traders. b. Legal framework and

administrative capacity: Waste is a necessary outcome of any production and consumption process. But in the real

world, the quantity of waste a society produces has implications on the resources the society requires for

managing the same. It is therefore necessary, especially where resources for waste management are very limited,

to institute measures that reduce the overall quantity of waste generated, with a special focus on products such

as plastics that are especially problematic in safe disposal. Proper waste management requires enforcement of

the existing legal provisions. The study established that Kenya has a sound legal framework (EMCA, 1999) for

guiding the utilization of BEP and BAP in waste management. However, the law is not enforced to the letter. It

was established that most health institutions, including KNH, do only rudimentary segregation of waste. Of the

hospitals visited, only Nairobi Hospital and Mater Hospital had a thorough waste segregation system. The

existence of suitable legal guidelines is however only one part of the requirements for a proper system of waste

management. The other part has to do with administrative capacity to enforce such law. The study established

that the City Council, which has the legal responsibility for managing solid waste in the city, has an alarming

lack of administrative capacity for this role. For example, the Dandora dumpsite, which is supposed to be under

the management of the Council, is a veritable health and ecological time-bomb for Nairobi and its environs. 12

General Findings The following were the study’s general findings: I. The level of public awareness on the

adverse effects of waste burning activities and U-POPs among the residents is pathetically low. A majority of

the study’s respondents could not link any ill-health to incineration activities and U-POPs as a major health

threat; II. All the main health institutions in Nairobi such as KNH, Nairobi Hospital, Mater Hospital, and

Forces Memorial Hospital either have their own incinerators or hire the services of one. In addition however

some of the institutions are involved in open air burning. For instance, the biggest hospital in Kenya (KNH)

burns some of its waste mostly consisting paper, plastics, clothing etc – usually considered to be of low risk

– in an open pit in front of the incinerator;
• 19.  III. Open burning of municipal waste is widely used by the residents of Nairobi, as a means of disposing

solid waste. In a survey of two blocks’ area around Pumwani in Eastlands, Nairobi, eight small open air waste

burning sites were counted, all of which had assorted plastics; IV. The incinerator at Kenyatta National

Hospital, which is situated just a few metres upwind from the residential homes of low cadre staff of the

hospital and medical students’ hostels, operates at temperatures between 350°C and 650°C and has no APCD. The

incinerator emits noxious fumes that are carried to the homes and hostels, causing considerable distress to the

residents; 13 Plate: Kenyatta National Hospital open dumpsite: At the background are hospital staff quarters V.

The dioxin-rich bottom ash from incinerators around Nairobi is normally deposited at the Dandora dumpsite; VI.

The Dandora dumpsite constitutes the most prominent, and challenging, manifestation of problems arising out of

the waste-burning pattern of practice in Nairobi; VII. The level of waste recovery, reuse and recycling is

grossly inadequate. For example, only 1% of plastics are recycled (KAM, 2003); VIII. The legal framework

regulating waste burning activities is sound. However, the enforcement of the law is weak; and IX. The Nairobi

City Council lacks the capacity to manage the waste generated in the city effectively; Table 2 below shows a

number of major companies in Nairobi that dump their mixed waste in Dandora dumpsite. It is therefore necessary

for the private sector to be involved in the search for waste management solutions as they are major

contributors of waste.
• 20.  14 Table 2. Waste disposal methods for various major companies in Nairobi Company/organization Contents

of waste Estimated weight in tons/month Method of disposal Jomo Kenyatta International Airport (JKIA) Mixed

aircraft waste 300 Waste dumped in Dandora dumpsite Kenya Revenue Authority staff quarters Household/domestic

waste 285 Waste dumped in Dandora dumpsite Kenya Shell Company (Shell & B.P. House) Commercial waste 60 Waste

dumped in Dandora dumpsite Kenya breweries Household and commercial 200 Waste dumped in Dandora dumpsite NAS

Airport Services Food & food packaging 350 Waste dumped in Dandora dumpsite Swan Industries Commercial &

industrial waste 350 Waste dumped in Dandora dumpsite Kenya Shell aviation Stations Commercial & food waste 72

Waste dumped in Dandora dumpsite Orbit Chemicals Polythene sheet cuttings & plastic drums – • Plastics recycled

• Paper & drum sold • Other waste dumped near Athi River. Source: Kenya National Inventory of POPs (2004)

Findings on Health Effects and Exposure Pathways The study was not able to carry out a comprehensive

investigation into the health consequences of the incinerators and open air burning sites visited. There were

however complaints about chest complications and serious smoke irritation for those living downwind from the KNH

incinerator, as well as from those living around the Dandora dumpsite. The main exposure pathways for any

contamination from the sites visited in the study are: • Inhalation of the pollutants-infested smoke and fly ash

carried across by the wind; • Consumption of animal products such as meat, milk and eggs from animals feeding

within and around the sites; • River water from a river flowing next to the Dandora dumpsite and serving

numerous people downstream on its way to the Indian ocean; and • Ground water reserves affected by leachate from

the Dandora dumpsite. It is worth noting that some categories of people are at higher risks of exposure to

dioxins than others. These include children, infants, some workers, people
• 21.  who eat fish as a main staple of their diet and people who live near dioxin release sites. CHEJ (1999)

observes that these groups are likely to be exposed to at least 10 times as much dioxin as the general

population. CHALLENGES TO THE STOCKHOLM CONVENTION: RESPONSIBLE PARTIES – KENYA POPs and Scientific Development

The existence of POPs worldwide is one of the best illustrations of the Frankenstein nature of scientific and

technological development. While progress in science and technology has greatly increased humanity’s power to

modify its environment for its benefit in ways previously unimagined, the same progress has created threats of

similar magnitude to humanity and the planet as a whole. The last century has been called an “era of chemicals

”, where more than 18 million chemicals were synthesized and about 100,000 of them came into commercial use

(Toxics Link 2000). It was not until the publication of Rachel Carson’s book, “The Silent Spring”, that the

general public’s attention was drawn to the dark side of the chemical revolution. The Stockholm Convention is

in many respects an effort to interpret Carson’s thesis into social action. The broader framework of the

Stockholm Convention’s objectives should be viewed as completing the loop of knowledge in chemistry, through

developing the institutional capacity to control the real and potential danger of chemicals. The realization of

the Stockholm Convention’s mandate would be the coming of age of the chemical revolution. As Isaac Asimov put

it, “The saddest aspect of life right now is that science gathers knowledge faster than society gathers wisdom.

” POPs and Less Organized Countries The above-outlined problems are relevant to Kenya and other Less Organized

Countries (LOCs). In addition though, LOCs face several challenges that are unique to their special

circumstances. Among these is the sheer pressure of survival priorities. The immediacy of hunger, debilitating

disease, social and economic dislocation, and other such concerns that affect large sections of society in LOCs

is such that an issue like that of POPs is unlikely to find a place at the fore of the national agenda. The

psychological environment of desperate social and economic circumstances has a tendency to promote fatalism and

other behavioural tendencies that are not conducive to organized long term action based on people’s faith in

their ability to 15
• 22.  influence the course of their destiny. A good illustration of this is the challenge that the behaviour-

change message in the HIV/Aids campaign in Africa has faced, despite the powerful and very public nature of the

AIDS pandemic. Galvanizing community action for the POPs eradication campaign shall require very well thought-

out strategies, and competent leadership. In addition to the problem of priorities, LOCs face a big challenge of

organizational capacity in the campaign against POPs. The low levels of organizational capacity in LOCs

translate to challenges in administrative competence, financial resources, technological resources, monitoring

ability and other such key requirements for an effective POPs eradication campaign. With sufficient support

there are specific organizations within LOCs that can make a real and positive difference in such a campaign. In

the long run, in order for any major campaign such as that of the Stockholm Convention to be truly successful,

the campaign has to be done in the context of an overall sustainable development strategy. Such a campaign would

have implications going beyond specific issue of POPs. For example, a successful POPs elimination campaign may

need to involve fundamental changes in the agricultural sector, waste management approaches and legislation (as

well as enforcement mechanisms) dealing with chemical safety in general. Such an agenda requires very

considerable organizational capacity both within the public sector and civil society, which is the big challenge

for LOCs. 16 The crippling nature of incinerator debt. Capital costs of incinerator projects for instance, drain

the resources of LOCs and increase their indebtedness through the need for foreign financing to build and

maintain such facilities not forgetting continued reliance on manufactured products from other nations. Instead

of allowing nations to develop new industries and reduce foreign imports, incinerators transform these resources

into smoke and ash. Analysis by a local environmental group in Miljoteknik Zychlin, Poland revealed that the

debt for the US$5million proposed incineration facility would have taken the community of 14,000 residents over

100 years to repay! – Brenda Platt (2004)
• 23.  The Environment and Economy While the growth of science and technology has an important bearing on the

dangers to the environment that the Stockholm Convention and similar other Conventions seek to counter, it is

the market economy that provides the framework within which the power of science and technology can be projected

into the world. As is the case with science, measuring economic development in a one-dimensional manner, purely

in terms of (monetary) returns on investment and not the overall impact of the concerned economic activity on

society and the natural environment, is unsatisfactory. In economics, problems arising from the undesirable

consequences of economic activity that are not captured in the pricing structure of products are called negative

externalities. Negative externalities are those situations arising from economic activity that create costs to

the society that are not reflected in the balance sheets of the concerned businesses. For example, in pricing

its products, a given organization may include the cost of labour, energy, marketing, finance and other such

inputs but leave out the cost (borne by the society) of medical and other costs directly attributable to harmful

effects of the organization’s products. POPs ought to be treated as an aspect of the problem of externalities

in economic theory, and solutions sought within the framework of approaches developed in the discipline of

economics to deal with this problem. ALTERNATIVE PRACTICES Other than incineration, landfilling and composting

are alternative methods of waste disposal used in the country, although to a minimal extent. More often than

not, individuals and community-based organizations (CBOs) are the ones involved in composting biodegradable

waste mostly on a commercial basis. Landfilling is commonly practiced in the smaller health facilities such as

District hospitals, health centers and clinics, but most of these landfills are not built to standard. Other

landfills in the country are situated in Mombasa and Nakuru for municipal waste disposal, built through the

assistance of Agence Francaise de Développement (AFD), a French operation that works through the government.

Alternative Technologies for Hazardous Waste Treatment In developed countries, non-incineration technologies for

hazardous waste treatment are available; these include several processes summarized by Crowe and Schade (2002)

in Tangri (2003) in Table 3. 17
• 24.  18 Table 3. Non-Incineration technologies for hazardous waste treatment Technology Process description

Potential Advantages Current Uses Base Catalyzed Dechlorination Wastes reacted with alkali metal hydroxide,

hydrogen and catalyst material. Results in salts, water and carbon. Reportedly high destruction efficiencies. No

dioxin formation. Licensed in the United States, Australia, Mexico, Japan, and Spain. Potential demonstration

for PCBs through United Nations project. Biodegradation (in enclosed vessel) Microorganisms destroy organic

compounds in liquid solutions. Requires high oxygen/nitrogen input. Low temperature, low pressure. No dioxin

formation. Contained process. Chosen for destruction of chemical weapons neutralent in the United States.

Potential use on other military explosive wastes typically used for commercial wastewater treatment. Chemical

Neutralization Waste is mixed with water and caustic solution. Typically requires secondary treatment. Low

temperature, low pressure. Contained and controlled process. No dioxin formation. Chosen for treatment of

chemical agents in the United State. Electrochemical Oxidation (Silver II) Wastes are exposed to nitric acid and

silver nitrate treated in an electrochemical cell. Low temperature, low pressure. High destruction efficiency.

Ability to reuse/ recycle process input materials. Contained process. No dioxin formation. Under consideration

for chemical weapons disposal in the United States. Assessed for treatment of radioactive wastes.

Electrochemical Oxidation (CerOx) Similar to above, but using cerium rather than silver nitrate. Same as above;

cerium is less hazardous than silver nitrate. Demonstration unit at the University of Nevada, USA. Under

consideration for destruction of chemical agent neutralent waste. Gas Phase Chemical Reduction Waste is exposed

to hydrogen and high heat, resulting in methane and hydrogen chloride. Contained, controlled system. Potential

for reprocessing by-products. High destruction efficiency Used commercially in Australia and Japan for PCBs and

other hazardous waste contaminated materials. Currently under consideration for chemical weapons destruction in

the United States. Potential demonstration for PCB destruction through United Nations project. Solvated Electron

Technology Sodium metal and ammonia used to reduce hazardous wastes to salts and hydrocarbon compounds. Reported

high destruction efficiencies. Commercially available in the United States for treatment of PCBs. Supercritical

Water Oxidation Waste is dissolved at high temperature and pressure and treated with oxygen or hydrogen

peroxide. Contained, controlled system. Potential for reprocessing by-products. High destruction efficiencies.

Under consideration for chemical weapons destruction in the United States. Assessed for use on radioactive

wastes in the United States. Wet Air Oxidation Liquid waste is oxidized and hydrolyzed in water at moderate

temperature Contained, controlled system. No dioxin formation. Vendor claims 300 systems worldwide, for

treatment of hazardous sludges and wastewater Source: Crowe and Schade (2002) in Tangri 2003, page 62
• 25.  From the study, we found out that none of the above stated technologies is used in Kenya. RECOMMENDATIONS

The study proposes the following measures: I. Additional studies should be undertaken to acquire additional and

more detailed information about the waste burning and incineration and its consequences in Kenya. This includes

analysis and quantification of U-POPs 19 in biotic and abiotic systems and their impact on public health; II. In

line with Article 10 of the Stockholm Convention, Public information, awareness and education on U-POPs should

be carried out, for a well informed citizenry will make a big contribution on efforts geared towards

elimination/ and reduction of the U-POPs. Proper education and training in waste management must be offered to

all stakeholders in a way best suites their respective circumstances and builds their understanding and changes

their behaviour accordingly; III. Subsidiary legislation addressing waste incineration should be enacted under

the Environmental Management and Coordination Act (1999). This should guard against indiscriminate burning of

waste; IV. A buy-back scheme for used plastics should be instituted. This should not be difficult to do because

the plastics industry is willing to manage waste sites in all major population areas where the manufacturers

will buy plastic waste from the general public. Such collection centres would be set up and fully funded by the

same manufacturers (KAM, 2003); V. A national campaign, financed by the plastics industry should be launched,

giving the public exact details of where to take their plastic waste for recycling. Supermarket chains should

also be encouraged to allocate bins in their branches where customers can bring back plastic carrier bags and

other items for recycling; VI. A zero waste program should be introduced immediately and eventually developed

into policy. It has been tried and tested in other countries and it is rapidly gaining acceptance the world

over. Within the zero waste program, there should be a rigorous national campaign lobbying for an end to open

burning and incineration of waste and in particular waste that contains PVC; VII. Waste segregation at source

should be the standard practice in all households and medical facilities. The current waste management practice

in which waste materials are all mixed together as they are generated, collected, transported and finally

disposed of should be stopped. If proper segregation is achieved through training, clear standards, and tough

enforcement, then resources can be turned to the
• 26.  management of the small portion of the waste stream needing special treatment6; VIII. A policy of

Extended Producer Responsibility (EPR) should be put in place. The basic concept of EPR is that firms must take

responsibility for their products over their entire life cycles (Tangri 2003). This is in harmony with the

“Polluter Pays” principle of the Stockholm Convention; IX. Statutory regulations to force manufacturers to use

at least 15% recycled plastics in their non-food products should be imposed. In this way demand for plastic

waste will be created therefore leaving little if anything for disposal. Since to install capacity for recycling

is expensive however, the plastics’ industry should be given tax incentives for the exercise; X. Cleaner

production based on a circular vision of the economy should be encouraged. Cleaner production aims at

eliminating toxic wastes and inputs by designing products and manufacturing processes in harmony with natural

ecological cycles (Tangri 2003); XI. Product bans ought to be made for certain categories of manufactures.

Products and packaging that create waste problems (non-recyclable or hazardous- such as polyvinyl chloride –

PVC) for the society should not be allowed to enter into the economy. Bans are appropriate for materials that

are problematic at every stage of their lifecycles (Ryder 2000 in Tangri 2003); XII. Infrastructure for the safe

disposal and recycling of hazardous materials and municipal solid waste should be developed. Approximately 50%

of all waste is organic, and can therefore be composted. Another large segment of the remainder can be recycled,

leaving only a small portion to be disposed. The remaining portion can then be disposed through sanitary

landfills, sewage treatment plants, and other technologies. To ensure continuity and clarity in the proposed

recommendations, clear plans and policies on management and disposal of waste should be developed. This should

be followed by integrating them into routine workers’ training, continuing education and evaluation processes

for systems and personnel. Involvement of all stakeholders including public interest NGOs and other civil

society in developing and implementing a waste management scheme is necessary for successful implementation of

the Stockholm Convention. 20 6 Platt and Seldman (2000), show how comprehensive waste composting, reuse and

recycling programmes generate ten times as many jobs per tonne of municipal waste as do incinerators.
• 27.  CONCLUSION The burning of waste as a method of waste disposal in Nairobi clearly constitutes a pattern of

practice which contributes to the release of U-POPs into the environment. As suggested by the term “pattern”,

this practice is a complex process involving economic factors, people’s attitudes, governance issues and other

such components. It is a matter requiring detailed study and much creative effort to address satisfactorily. In

its broader context, the issue of waste management is an aspect of the challenge of sustainable development.

Inability to deal with waste in such a way as it does not harm people or the environment is an indication of an

ecologically unsustainable system of social organization. The challenge of sustainable development is to design

an economic and technological system that is in harmony with ecological principles. The current dominant system

of economic and technological organization in the world is powerful and in many respects very successful. It is

however not a sustainable system and in fact constitutes a veritable danger to the survival of life in the

planet. There is need to review some of the system’s most basic organizational principles, as a way out of the

dangerous trajectory it has set for humanity. The poorly formed social structures and systems in LOCs,

especially in sub- Saharan Africa, may ironically make the best hope for the development of fresh, ecologically

sustainable development approaches. LOCs have the opportunity to build their houses with the special benefit of

a wealth of knowledge of the successes, and follies, of the past. LOCs should proceed to build their societies

with energy and enthusiasm, but with the clear understanding that humanity cannot stand outside, or above, the

ecological order that sustains all other life in the planet. 21
• 28.  REFERENCES 1. Alcock R., Gemmill R. and Jones K. (1998), “An updated PCDD/F atmospheric emission

inventory based on recent emissions measurement programme” in Organologen compounds, Vol. 36, pp 105 -108 2.

CHEJ (1999) America’s Choice; Children’s Health or Corporate profit. The American People’s Dioxin Report by

Center for Health, Environment and Justice – www.essential.org/cchw 3. Connett Paul (1998) “Municipal Waste

Incineration: A poor solution for the 21st Century” 4th Annual International Management Conference. Waste – to

– Energy, Nov 24 -25, 1998, Amsterdam. 22 4. Crowe Elizabeth and Schade Mike (June 2002) Learning Not to Burn:

a Primer for Citizens on Alternatives to Burning Hazardous Waste. 5. Daiy Nation, July 15 2005” National AIDS

Control Council: Request for Expressions of Interest Consultant Services- the Kenya HIV/AIDS Disaster Response

Project”` 6. East African standard, June 6 2004: ”Filth is choking up Kenya and pushing the country to the

blink of an Environmental catastrophe” Nairobi. 7. Government of Kenya, 1999, Environmental Management and

Coordination Act (EMCA),1999, Nairobi: Government printers. 8. Government of Kenya, 2000, National Human

Population and Housing Census 1999, Nairobi: Government printers. 9. IPEN, Arnika and ENVILEAD, 2005:

Contamination of Eggs from the Sorroundings of Dandora Dumpsite by Dioxins, PCBs and HCBs; ”Keep the Promise,

Eliminate POPs” campaign reports. 10. KAM (Plastic Sector) Position Paper to NEMA, July 2003. 11. Kenya

National Inventory of Persistent Organic Pollutants under the Stockholm Convention, final report (Unpublished).

12. Luscombe Darryl and Costner Pat, (1998) Technical Criteria for the Destruction of Stockpiled Persistent

Organic Pollutants; Greenpeace International Science Unit. 13. Nairobi City Council 2002: A Survey on medical

Waste in Nairobi (unpublished report) 14. Patandin S. (1999) Effects of environmental exposure to

polychlorinated biphenyls and dioxins on growth and development in young children, A prospective follow-up study

of breast-fed infants from birth until 42 months of age. Thesis, Erasmus University, Rotterdam. 15. Stanners D.

and Bourdeau P. (1995) Europe’s Environment, The Dobris Assessment, Copenhagen: European Environment Agency.

16. Stockholm Convention on Persistent Organic Pollutants (POPs) (www.pops.int) 17. Tangri Neil (2003), Waste

Incineration: A Dying Technology: Essential Action for GAIA: www.no-burn.org 18. Toxics Link (2000) Trojan

Horses: Persistent organic Pollutants in India. Delhi: Toxics Link.
• 29.  19. UNEP (Nairobi): Plastic bag ban in Kenya proposed as part of the New 23 waste strategy” Press

release February 23, 2005. 20. University of Nairobi Enterprises and Services Limited (UNES): National Inventory

of Persistent Organic Pollutants (POPs) under Stockholm Convention. 2004. 21. USEPA (1998) The Inventory of

Sources of Dioxins in the United States, USEPA, Office of Research and Development, EPA/600/P-98/002Aa. External

Review Draft, April. 22. USEPA, Dioxin: Summary of the Dioxin Reassessment Science, 2000a. 23. USEPA (2000)

Exposure and Human Health Reassessment of 2,3,7,8- Tetrachlorodibenzo-p-Dioxin (TCDD) and Related Compounds,

Part I: Estimating Exposure to Dioxin Like Compounds, Volume 2: Sources of Dioxin Like compounds in the United

States, Draft Final Report EPA/600/P-00/001Bb, (http://www.epa.gov/ncea ). 24. Van Leeuwen F and Younnes M.

1998, WHO revises the TDI in for dioxins. In organohalogen compounds, Vol. 38, pp 295 -298; 1998.
• 30.  24 ANNEX 1: MAPS 1. Map of Kenya Note Nairobi’s position and the other major towns (the red dots) which

could have similar environmental challenges.
• 31.  25 2. Map of Nairobi The brown patch at the center of White square is the heart of Nairobi. Note the

Nairobi River, which joins the Athi River on the way to the Indian Ocean.
• 32.  26 ANNEX 2: PLATES 1. Dandora dumpsite This is the Western edge of the Dandora dumpsite. The houses in

the foreground are part of the Korogocho slums. In the background is lucky-summer estate. The dumpsite is

surrounded by densely populated residential quarters. 2. Kitengela Town Dump Notice the persons in the way of

the smoke. These are scavengers at the site who work in this environment on a daily basis.
• 33.  27 3. Waste content of the dumpsites Typical contents of dumpsites around Nairobi. Notice the high

proportion of plastics. 4. Medical Waste awaiting incineration (KNH) The maximum temperature of the hospital’s

incinerator on the right is 700ºC
• 34.  28 5. The Nairobi river (foreground) flowing past the Dandora Dumpsite Note the mountain of burnt ashes

in the background

 

by: http://www.slideshare.net/anhtungdx/envilead-2005-a-study-on-waste-incineration

Kenya: How Toxic and Infectious Medical Waste Is Harming Citizens

A visit to the hospital does not usually reveal what happens at the back. It is here where discarded blood and body tissues and parts from surgeries, pharmaceuticals, medicine bottles — tonnes of hospital waste — go through. In the case of the Kenyatta National Hospital, this could be as much as one tonne a day estimated to be half the medical waste generated in the city. Quite understandably, it is not usually open to the public.

Most of these normally end up in incinerators — the most affordable medical waste disposal method for most hospitals. But a lot of it slips through the system to get us worried.

Incinerating waste at temperatures between 800-1,100 degrees Celsius kills viruses, bacteria and other pathogens but the ash still contains dangerous heavy metals like mercury and cadmium. Best practice dictates that such ash be buried.

But as this writer found out, this is better said than done. Lack of adequate equipment to safely dispose of waste and failure to observe best practices was a common feature in most hospitals visited in this survey.

From releasing dangerous fumes and ash openly to the environment to dumping medical waste together with general waste, the local medical waste management scene still has a long way to go.

Raw medical waste and toxic ash from incinerators ends up in open dumps like Dandora and Eastleigh posing a health risk to thousands of people salvaging plastic and metal for recycling and residents living nearby. Major hospitals like Kenyatta National Hospital which otherwise have good incinerators have run out of grounds to bury toxic ash. Few hospitals have a scrubber system where fumes are filtered to remove potentially toxic gases including dioxins from burning plastic — a common material discarded by hospitals.

A recent report on the global status of waste management ranks Nairobi as one of the worst in waste management. Residents living near Dandora reported a high number of respiratory diseases and were found to have unacceptably high levels of heavy metals like lead in their blood. Dandora dumpsite reeks of heavy metals which can hinder brain development as our independent tests confirmed.

“Most health facilities take ash from their waste to municipal dumpsites directly or through collectors,” says Mary Kinoti, a lecturer on environmental and occupational health at the University of Nairobi.

Walking through the dumpsite opened during the 1970s reveals unlikely materials that end up here. Lying in the pile of an unsightly mix of plastic bags and organic waste, one often finds bloodied gloves, dressing bandages, needles, discarded drugs and a host of other metals tucked away.

From their small quantities, it is easy to conclude that this come from smaller hospitals, clinics and dispensaries not willing to spend on the proper disposal of waste. Level five hospitals, formerly called provincial hospitals like Nakuru, are mostly well equipped with incinerators that can combust pathological waste into water and ashes, says Kinoti.

A peek at the Dandora dumpsite reveals an unsightly mix of plastic, food remains, animal products and all manner of waste the city discards. Every few minutes a truck makes its way through the mountains of garbage the city has accumulated over decades. The steady stream of trucks falls silent at dusk.

But as dark falls, another set, mostly lone trucks hurriedly enter the dumpsite, quickly offload their contents and make their exit, all within a few minutes — well aware of their wrongdoing. A closer look at the dumped material reveals used needles, bloodied bandages, pharmaceuticals and a host of other waste from hospitals. We even found syphilis and HIV test kits.

Early in the morning, a County Government of Nairobi earth mover turns over the waste mixing it with garbage ready to receive the next batch for the day.

Tens of people descend on the site, sorting the garbage with their bare hands. Their interests are different. While some solely focus on milk packets which they wash in a sewage tunnel, others are interested in salvaging metals from the burnings heaps, fuelled by the excessive gas underneath.

Still others are after the food remains which they collect to feed animals — all determined to make a living. A prick from an infected needle and they could end up with serious infections including HIV.

They all seem too aware of the danger, but they have to feed their children, a man, protected only by a pair of gumboots, says.

The National Environmental Management Authority and the County Government of Nairobi did not respond to our enquiries.

Yet the danger of medical waste in the country does not start or end here. Medical facilities try to safely dispose of their waste to various levels of success. A large number incinerate their waste, but lack the prerequisite air pollution control equipment to guard against materials such as sulphur, known collectively as flue materials, getting into the environment.

In such cases, residents living near such facilities are prone to respiratory infections. Dioxins from plastics are known to cause serious respiratory complications and cancer. A study carried out by a Yale University student recently found that high levels of toxic fumes from incinerators rending the air were responsible for respiratory infections among residents living near such facilities.

A recent report detailed the high levels of heavy metals such as lead in vegetables grown and sold in Nairobi. Lead is a dangerous metal that can cause retardation in children. Some farmers in Kinangop were recently in the spotlight for using sewage to grow their crops largely sold in the city.

Incinerators below standard

Dumping of toxic ash is not the sole problem facing the medical waste management scene. The state of equipment is wanting, some dating several decades ago and ill equipped to minimize pollution.

Most public hospital below level five have de Montfort incinerators where temperatures are not controlled and are likely to pollute as they lack scrubber systems. “Unfortunately this type of incinerators are common in district hospitals and health centres,” Kinoti says.

“A wet scrubber is a compartment where the emissions are sprinkled with water to dissolve air pollutants, and what is released to the environment is clean,” Kinoti explains. Workers are also not well protected in mid-level hospitals. Because of the design of the incinerators, medical waste is loaded manually and workers who mostly do not have protective gear are exposed, she says.

A medium size incinerator costs an average of Sh20 million before installation, clearly a high shot for hospitals. Add the high maintenance costs and the fact that these facilities guzzles several thousands of litres of fuel to run per day and you end up with a very high bill.

“But the high cost of incinerators is no excuse for polluting the environment,” says Kinoti. “Hospital waste contains mercury and can produce furans which are very toxic and can cause cancer and acute respiratory diseases,” she says.

Medical facilities which do not have incinerators are required to have contracts with specialised waste disposal companies to handle their waste. For some, this is just an unnecessary hurdle they have to undergo before acquiring a license to operate a hospital. Little is done to comply. A number do not follow through with these requirements posing a huge health risk to the public and the environment.

Hospitals categorize their waste differently for their safe handling during transport, storage, treatment and disposal, says Bernard Runyenje, assistant chief public health officer, Kenyatta National Hospital.

Highly infectious waste are those expected to be containing highly infectious pathogenic organisms such as bacteria and viruses while general waste may consist of office paper. Usually in red packages, infectious waste require special care throughout the process of waste disposal and are supposed to be treated at source. It is not however unusual to find a worker carrying a yellow or red disposal bag without gloves or any other protective gear.

Tissues that decompose quickly such as amputated limbs are disposed of quickly or put under refrigeration. Most of these highly infectious waste — except radioactive waste — should most appropriately end up at the incinerator, Dr Runyenje says. Most African countries use incineration to dispose of medical waste.

According to Dr Runyenje, incineration should be a controlled process and should happen in an enclosure. But he also admits that incinerators in rural areas do not meet these specifications.

A good incinerator should have more than one chamber where waste is burned in the first chamber, so that there is increased temperature in the second chamber and gases can be burned in the third chamber, he says. At the end of the process, most of the waste has been burned to an acceptable level. Clinics and dispensaries often operating in highly populated areas often flout the regulations, openly burning their waste using paraffin and charcoal to avoid the cost of safe disposal. Half burned waste is easy to spot in dumps on roadsides and quite visible in municipal dumpsites.

Incineration however does not get rid of toxic fumes and heavy metals — if anything it can disperse toxic fumes to a wide areas if not done properly. The scrubber system is designed to reduce such pollution but the system is expensive and most hospitals visited do not have it. The gas from the incinerator is passed through fluid to remove any particulate matter — inside a scrubber system. Such gases may include carbon monoxide, carbon dioxide, dioxins and furans which can cause serious diseases such as cancer.

The minimum height of a chimney should be at least 10 feet above the tallest building around to minimise direct exposure to residents. Anything that comes out of the chimney should be dispersed away from nearby buildings.

“Sometimes it is difficult to know what you are emitting to the environment. If you release it directly to human beings, then you expect to have some health issues, whether it is inhalation of carbon monoxide, carbon dioxide, dioxins or furans,” Dr Runyenje says. A high chimney should not however be seen as a replacement for a scrubber system, adds Kinoti. A high chimney only disperses fumes further to residents who may not even be aware of them, she observes.

To many, including waste managers interviewed, ash from incinerators, or any ash for that matter is not harmful — a misplaced notion that could be contributing to its dumping. The truth is that they contain harmful metals like mercury, lead and cadmium as our independent tests confirmed.

Incineration reduces the waste to about 10 per cent of the original volume. But the remaining ash usually contains very high content of heavy metals. How hospitals and waste disposal companies handle this will determine the health of our environment. Such should usually be buried in sanitary landfills to prevent it from leaching to the ground, but this practice appears rare in the country.

Whether through sheer negligence, or lack of space and facilities or reluctance to meet the associated costs, medical waste nevertheless ends up in our environment. When disposed in open ground, heavy metals easily leach to the groundwater or make a direct way to our food chain.

Bottom ash under normal circumstances should be buried, but most health facilities do not have disposal grounds. These burial grounds are not present either at Dandora where officials claimed the ash was taken to be buried.

Some companies are licensed to handle hazardous waste. However, Dr Runyenje however notes that not many handle general medical waste.

A number of incinerators in public hospitals were in a state of disrepair leaving tonnes of toxic waste piling up and posing a danger to the public.

Kenyatta National Hospital has a ground where tonnes of waste are kept awaiting disposal. Two of its three incinerators are awaiting repair causing a backlog estimated at 170 tonnes.

Its newly acquired incinerator from India is the most advanced among the hospitals visited consisting of two chambers for maximum combustion. The wide network of smoke pipes leads to a chamber where the smoke is passed through a fluid to remove fumes and other residue.

The resulting black slime contains some of the dangerous metals. But the design and structure of the holding area does not meet specifications and some of it seeps to the ground, a source tells us. Its aging incinerators dating back to when the hospital was started are awaiting repair.

The incinerator cannot be operated during the day because the nursing school is just metres away.

The location of incinerators in relation to hospitals, offices and other residential is a common problem in many facilities. The one at the Chiromo School of Physical and Biological Sciences for example is not in operation as it sits near an embassy.

One incinerator in Nakuru County is perilously close to the maternity ward, some smoke go directly to patients.

The scenario plays out in many other hospitals around the country who also lack additional air pollution control equipment.

Ash dumped in open ground are an open feature in a number of leading facilities that could potentially poison ground water through leaching.

Ideally, ash from such waste should be buried in landfills, a practice that was long abandoned in the country.

With people living near such facilities, they are inevitably exposed, and risk serious respiratory infections and serious diseases including cancer. The Kenyatta National Hospital incinerators operate at night to minimise exposure to the students at the School of Nursing barely a dozen metres away.

A source told this writer that the soils were so contaminated they will have to be skimmed off and buried. Meanwhile, residents will have to contend with dangerous, possibly carcinogenic, ash emanating from such facilities.

Larger hospitals like Nairobi Women’s Hospital are stepping in to help smaller ones incinerate their waste. “The cost of the incinerator is too high for them to afford,” says Thomas Imboywa, who is in charge of one of these at the Nairobi Women’s Hospital, one of the largest in the region. On a daily basis, he oversees the safe disposal of the days waste.

The incinerator, a huge blue structure sits on about 100 square metres of space slightly off the main building and sports a high chimney, towering above the nearby building.

“Medical waste is ideally incinerated within 24 hours,” says Imboywa. But when a clinic or hospital does not turn in any waste for weeks on end, it raises eyebrows, Imboywa says. He is familiar with many such cases and the hospital is quick to repudiate such contracts as per their policy. Some medical facilities may just secure a contract with them to wade through National Environmental Authority (Nema) regulations but have no intention to safely dispose of their waste, Imboywa observes.

Those who do not have incinerators are required by Nema to have a contract with hospitals like Nairobi Women’s Hospital to dispose their waste. However, not all medical waste ends up in such specialised facilities. Instead, in places like Kibera they are doused with paraffin and burned in the open.

“But in this case, sharps will remain and the waste can still remain infectious because they cannot reach the required temperature,” Imboywa said. In fact the material can remain infectious because they may not reach the required temperatures.

Devolution could make it worse

As more hospitals come up in tandem with the growing population, a rethinking how medical waste is handled will be inevitable. The devolution of resources has seen more clinics and dispensaries put up in previously unreached areas. But the resources are so limited to put up waste disposal facilities such as incinerators.

Besides being expensive, Dr Runyenje agrees that even if these facilities were to put up their own incinerators, there would be more pollution and authorities will have more difficulty supervising them.

“There is need to pool incineration facilities for medical and hazardous waste,” he says. These centres can serve as emission monitoring points for authorities. “It will then be easier to put controls from such a central facility. “At the Technical Working Group, we are looking at how counties can pool their facilities together and have their medical waste incinerated at a central point. It will be very expensive in the long run to have every facility to have its own incinerator that cannot run at full capacity,” he says.

The best waste disposal method is controlled tipping being practiced in most of Europe and North America where it is buried in layers, Dr Runyenje says. “The advantage with this method is that the land can still be used for other activities. It is the only assurance of disposal of any form of waste,” he says.

Kariobangi, which now hosts light industries, used to be a controlled tipping site before open dumping at Dandora. “Counties should be thinking of controlled tipping instead of investing heavily in incinerators,” he says.

General waste can have many recyclable materials but proper segregation which can make this possible is still lacking in the country.

The effectiveness of recycling is determined by the effectiveness of segregation.

The problem, according to Kinoti, is enforcement of the law. While bigger hospitals are trying to properly dispose of their waste, some smaller clinics may be spoiling it, she says. The fact that generators cannot monitor their waste once it is given to waste collectors is also another problem according to her.

“There are many quacks doing waste management mixing household waste with hazardous waste. This can pose a serious health problem,” says Kinoti. Since they empty waste bins from homes, waste collectors can cause serious contamination in households. “Waste collectors who are collecting hazardous waste should be dedicated waste handlers and should not handle other general waste,” Kinoti says.

Effluent from the scrubber system should be taken for treatment to remove heavy metals and other pollutants. But the sewerage system is broken and a lot is discharged on the way. Sewage pipes are sometimes deliberately punctured and effluent used as fertiliser for crops.

“The law on sound medical waste disposal should be enforced, district and healthcare centres should install larger incinerators to handle waste from smaller fee. We should have dedicated healthcare waste managers,” Kinoti says.

 

by: http://allafrica.com/stories/201411111021.html