Center for Earth Systems Engineering and Management
A collection of scholarly work published by and supporting the Center for Earth Systems Engineering and Management (CESEM) at Arizona State University.
CESEM focuses on "earth systems engineering and management," providing a basis for understanding, designing, and managing the complex integrated built/human/natural systems that increasingly characterize our planet.
Works in this collection are particularly important in linking engineering, technology, and sustainability, and are increasingly intertwined with the work of ASU's Global Institute of Sustainability (GIOS).
Filtering by
- All Subjects: Medical wastes
- All Subjects: Waste minimization
Healthcare infection control has led to increased utilization of disposable medical devices, which has subsequently led to increased adverse environmental effects attributed to healthcare and its supply chain. In dental practice, the dental bur is a commonly used instrument that can either be reused or used once and then disposed. To evaluate the disparities in environmental impacts of disposable and reusable dental burs, a comparative life cycle assessment (LCA) was performed. The comparative LCA evaluated a reusable dental bur (specifically, a 2.00mm Internal Irrigation Pilot Drill) reused 30 instances versus 30 identical burs used as disposables.
The LCA methodology was performed using framework described by the International Organization for Standardization (ISO) 14040 series. Sensitivity analyses were performed with respect to ultrasonic and autoclave loading. Findings from this research showed that when the ultrasonic and autoclave are loaded optimally, reusable burs had 40% less of an environmental impact than burs used on a disposable basis. When the ultrasonic and autoclave were loaded to 66% capacity, there was an environmental breakeven point between disposable and reusable burs. Eutrophication, carcinogenic impacts, non-carcinogenic impacts, and acidification were limited when cleaning equipment (i.e., ultrasonic and autoclave) were optimally loaded. Additionally, the bur’s packaging materials contributed more negative environmental impacts than the production and use of the bur itself. Therefore, less materially-intensive packaging should be used. Specifically, the glass fiber reinforced plastic casing should be substituted for a material with a reduced environmental footprint.
This study aims to quantify the environmental impacts of a hospital’s daily BMW disposal in the Phoenix, Arizona area. The sole option to dispose of BMW in Arizona is to sterilize the waste by sending it through an autoclave, and then dispose the sterilized waste in a landfill. This study used a Phoenix area hospital to create a start point for the waste and a general estimation of how much BMW the hospital disposes of. The system boundary for the LCA includes BMW generated at the Phoenix-area Hospital as it is travels to Stericycle, where it is autoclaved, and then transported to a landfill for disposal. The results of this retrospective, end-of-life LCA using this boundary enables hospital employees and policy makers to understand the environmental impact of placing items in the biohazardous waste bin.