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CAT3525_C20.qxd  1/27/2005  12:54 PM  Page 602
                       602                       Waste Management Practices: Municipal, Hazardous, and Industrial
                       waste to a small particle size, thereby increasing particle surface area which increases contact with
                       the chemical agent and ultimately sterilizes the waste. Disinfectants (antimicrobial agents) may be
                       used alone or in combination with encapsulating agents.
                          Systems are available for small operations such as laboratories and for large operations such as
                       hospitals. In one disinfection system (Figure 20.9; U.S. EPA, 1991), waste is loaded onto a con-
                       veyor belt that transfers it to a low-speed shredder to break bags and cardboard boxes. Beyond the
                       low-speed shredder is a high-speed hammermill where the waste is pulverized to a fine particle size.
                       During both the initial shredding and pulverization steps, the waste is sprayed with a sodium
                       hypochlorite (NaOCl) solution. Solids are separated from slurry using a perforated conveyor belt.
                       The liquids are diverted to a sanitary sewer and the solids are collected for off-site disposal. Air is
                       drawn from the system and passed through a series of prefilters and a chlorine-resistant HEPA fil-
                       ter after which it is discharged to the air to control airborne contamination. The system can handle
                       up to 675 kg (1,500 lb) of medical waste per hour (U.S. EPA, 1991).


                       20.9.7 TYPES OF DISINFECTION AGENTS
                       Classes of common antimicrobial chemicals and their advantages and disadvantages are listed in
                       Table 20.7. Several different chemical agents are currently being marketed for use in various med-
                       ical waste treatment systems. Some have been used in other applications, for example, in the
                       treatment of drinking water. Example formulations include chlorine dioxide, sodium hypochlorite,
                       a dry calcium oxide mixture, and peracetic acid.

                       20.9.8 TESTING THE EFFICIENCY OF CHEMICAL DISINFECTION
                       Not all microorganisms are affected to the same degree by the same chemical. In addition, genetic
                       mutation and natural selection will result in a pattern of resistance to numerous chemicals. The gen-
                       eral scale of resistance to chemical treatment, from least to most resistant, is:

                           ● Vegetative bacteria
                           ● Vegetative fungi and fungal spores


                                                                                            Blower

                                                                                 HEPA filter

                                                                      Chlorine
                                                                      solution

                                  Conveyor
                                                                     Preshredder


                                                                       Hammermill
                          Waste

                                                                                           Solid
                                                                                           waste
                                                                                          collection
                                                  Chlorine                        Liquid
                                                  storage                                   cart
                                                   tanks                          effluent
                                                                                  to sewer
                       FIGURE 20.9 Combined shredding and disinfection system. Reproduced with kind permission of Medical
                       Safe-Tec, Indianapolis, IN.
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