WSD® the new frontier for medical waste treatment

The issue of medical waste is increasingly relevant: the recent Covid-19 pandemic with its resulting economic consequences has underlined how crucial it is to have integrated and definitive solutions.

Hospitals and private healthcare facilities of all sizes are faced with complex, costly and hazardous procedures for medical waste management.

The storage, transport, and treatment of infectious hospital waste constitute one the highest costs for the healthcare industry, both economically/financially and from an environmental standpoint.

We are talking about a production of 144 thousand tons of waste per year in Italy alone. Following the Covid-19 pandemic, medical waste increased by 40% in 2020, up to 300 thousand tons/year. This growth is related to a higher number of hospital admissions and the use of PPEs, which has increased exponentially for well-known reasons. 

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-30/40%

reduction in costs due to waste treatment.

New regulations and guidelines for infectious medical waste

Medical waste, and specifically infectious medical waste, has become a global emergency.

Most countries are developing new rules and guidelines to reduce the cost and environmental impact of infectious waste, paying special attention to the United Nations’ Sustainable Development Guidelines (SDGs).

Generally, new legislation has the following objectives:

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Treating waste at the source (an example of this is the EU waste management legislation: “Proximity: waste should be disposed of as close to the source as possible”).


Reduce waste volumes to limit pollution due to transportation.


Adopt all measures to promote recycling and reuse of present or future waste (End of Waste).

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On-site treatment  C02   Reduction PROCESS CIRCULARITY

The cumulative effect of these guidelines is pushing legislators to promote on-site medical waste sterilization and treatment. Cisa Group is leading the field with the invention of a Waste Sterile Department (WSD®), which is based on and adapts the principle of the CSSD [link], from which the new technology for medical waste treatment is directly derived.


UE

WASTE MANAGEMENT LEGISLATION:
“Proximity: waste should be disposed of as close to the source as possible”.


IT

THE CONVERSION LAW DECREE No.40/2020
Art.30 Bis and the subsequent Legislative Decree 76/2020, Art.63 Bis, establish that medical waste at infectious risk only, subjected to sterilization procedures according to the provisions of Presidential Decree 254 “Medical Waste”, at public and private healthcare facilities, falls under the legal status of urban waste.


UK

HEALTH TECHNICALMEMORANDUM 07-01 INFECTUOUTS WASTE - YELLOW STREAM:
5.31
Infectious waste known or suspected to be contaminated with pathogens classified in Category A in the Carriage Regulations should be treated on- site prior to removal to a disposal facility; on-site treatment may include autoclaving in purpose-built autoclave facilities before being transported.
5.34
Wherever possible, Category A infectious substances (including waste) should be treated on- site (using an autoclave or equivalent).


Simplification for medical waste management

The Italian legislature has recently introduced the Simplification for Medical Waste Management., and many other countries are introducing similar regulations.

The Italian Converted Into Law Decree 40/2020, in Art.30 Bis and the subsequent Italian Legislative Decree 76/2020, in Art.63 Bis, establish that medical waste at infectious risk only, subjected to sterilization procedures according to the provisions of Presidential Decree 254 “Medical Waste”, at public and private healthcare facilities, falls under the legal status of urban waste.

 

The concept of simplification for medical waste management is an important innovation: it means that medical waste, properly sterilized, can be disposed of as undifferentiated waste: without having to be sent to the incinerator, it can be treated as mixed municipal waste according to EWC 20 03 01.

 

In order to implement this smart management of infectious medical waste, the institution must equip itself with appropriate technology. Cisa WSD® allows for the application of this procedure in full compliance with regulations, with safe and environmentally friendly results.

Medical waste management.

Critical issues and risks for healthcare institutions, operators and the environment

 

 

There are many critical issues related to the management of infectious hospital waste.
The storage, transport and treatment of medical waste have a huge environmental impact.

 

1.

CRITICAL ISSUES RELATED TO THE TRANSPORT OF MEDICAL WASTE
CO2 emissions due to an overwhelming number of transports* of medical waste to incinerators result in a logistical and economic burden and have a major impact on the environment and health of all of us.

*In Italy, there were an estimated 200,000 special transports per year before the Covid-19 pandemic.

2.

OVERALL COST OF OPERATION
Management of infectious medical waste is a high cost item. The possibility of reducing the costs related to hospital waste management directly concerns Healthcare Managers and Hospitals. It is estimated that approximately 25% of all medical waste is hazardous infectious waste, which accounts for over 40% of the global hospital waste cost.

3.

CRITICAL ISSUES RELATED TO THE STORAGE OF INFECTIOUS MEDICAL WASTE
The storage and handling of infectious waste are among the most serious hidden hazards in the management of a hospital. When this activity is delegated outside of the hospital facility, hazardous waste must be moved from the hospital warehouse to trucks under strict supervision. This is a high-risk process, which must be carried out following certain procedures in order to protect the health and safety of the healthcare workers involved. Cisa Waste’s solutions for the treatment of medical waste provide maximum protection for the people involved, the facility and the environment, ensuring a safe, economical and sustainable management.

  • Lower waste volumes
  • Waste can be treated as mixed municipal solid waste
  • Up to 30 days of storage time

4.

RESPONSIBILITY OF THE PRODUCER IN THE MANAGEMENT OF INFECTIOUS MEDICAL WASTE


The responsibility of the producer is another sensitive issue related to the storage and treatment of infectious hospital waste. Waste legislation is quite complex in many cases, but on this issue it is clear and specific: hospitals and healthcare facilities are to be considered waste producers, with specific obligations and duties. The responsibility of the Institution or facility does not cease with the transfer to the disposal operator. In Italy, various laws and rulings reaffirm the principle of the waste chain: “the accountability and cooperation of all parties involved, in whatever capacity, not only in the waste management cycle, but also of the goods from which waste originates”. The authority/facility can therefore also be held co-responsible for disposal after the transfer. (Legislative Decree no. 152/2006, Ruling of the Criminal Court of Cassation April 10, 2012, n. 13363). The UK Environment Protection Act 1990 states that all waste producers have a Duty of Care to ensure the proper management of waste, “… the responsibility to take all reasonable steps to ensure that when transferring waste to another waste holder, the waste is properly managed throughout its entire journey to disposal or recovery”. Environment Agency Statutory Guidance.

How to reduce the costs of hospital waste management.

Management of infectious medical waste is a high cost item. The possibility of reducing the costs related to hospital waste management directly concerns Healthcare Managers and Hospitals.
According to research carried out by PWC Italia the average disposal cost of infectious medical waste (before the pandemic) was € 1.81 per kg with an estimated annual expenditure of € 270,000,000.

These numbers have dramatically increased since the Covid-19 pandemic.

 

The new Cisa Waste technology and the application of the simplified procedure for medical waste management provide high savings for the facility.

 

The on-site sterilization of medical waste makes it possible to transform large volumes of waste into small volumes, which can then be treated as mixed municipal waste (from EWC18.01.03 EWC18.02.02 to EWC 20 03 01).

As a result, benefits arise in terms of circular economy and financial management that are truly interesting for any healthcare facility.

  • Reduction of waste volume and hazardousness
  • Increased safety for operators
  • Higher safeguard of the producer’s responsibility

Consequently, there are also economic savings due to simplified and faster handling of medical waste.

 THE CISA WASTE TECHNOLOGY IS ABLE TO GUARANTEE A REDUCTION OF COSTS DUE TO THE TREATMENT OF HOSPITAL WASTE, BRINGING SAVINGS TO THE ORGANIZATION WHICH OSCILLATE BETWEEN 30% AND 40%.

WSM70

€ 0,86

Costo finale a kg


Ammortamento in anni: 7
kg/anno: 100.000
Giorni lavorativi: 250
Ore di attività giornaliera: 8
Staff impiegato: 1

WSD100

€ 0,69

Costo finale a kg


Ammortamento in anni: 5
kg/anno: 140.000
Giorni lavorativi: 250
Ore di attività giornaliera: 8
Staff impiegato:

WSD200

€ 0,50

Costo finale a kg


Ammortamento in anni: 5
kg/anno: 300.000
Giorni lavorativi: 250
Ore di attività giornaliera: 8
Staff impiegato:

WSD400

€ 0,44

Costo finale a kg


Ammortamento in anni: 5
kg/anno: 800.000
Giorni lavorativi: 250
Ore di attività giornaliera: 12
Staff impiegato:

The pluses of medical waste treatment WSD®

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Reduction of waste volume
and hazardousness

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Increased safety
for operators

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Higher safeguard
of the producer’s responsibility

economic-advantages

Econimic benefits

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Reduced environmental impact

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Maximum compliance with regulations

With WSD® the hospital of the future gives
itself a great competitive advantage one step closer to major milestones.

WSD® is the treatment of infectious medical waste one step closer to the objectives of the 2030 road map

Cisa Production Srl has always been mindful of the planet’s problems and sensitive to sustainability issues related to the environment, consumption, and the safeguard of persons.

 

The development of the Cisa Group’s Waste technology for the treatment of hospital waste confirms this once again.

 

These are some of the UN’s Sustainable Development Goals (SDGs) for the 2030 roadmap that can be achieved through the implementation of WSD systems within healthcare facilities.

SDG
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Volumes & costs reduction

Process control

Risk management

Aquazero® technology

Thanks to Cisa patented  Grazie Aquazero® technology,

water consumption is extremely limited.

A simple garden hose is sufficient to fill the tank that feeds the entire process. If necessary, the tank can be filled manually with canisters.

TraceWaste Software

THE IMPORTANCE OF TRACEABILITY SOFTWARE IN WASTE TREATMENT PLANTS:

ENHANCED SAFETY WITH TRACEWASTE MONITORING.

The innovative Cisa wsd® solution for treating hospital waste with the TraceWaste software carries out the complete waste traceability process.

TraceWaste also makes it possible to protect facilities against waste management liabilities by ensuring maximum control over management and transport, simplifying the procedures for waste disposal.

Cisa Group’s proprietary TraceWaste is recognised as a leading traceability software.

WSD® is the safe and effective treatment of infectious medical waste. All tests confirm this.

Regulation UNI 10384, introduced in 1994, is the reference Standard for Presidential Decree 254/2003, which regulates the on-site sterilization of potentially infectious medical waste. The Regulation requires specific analyses to be carried out in order to ensure the correct operation of the sterilization system.
WSD has achieved excellent results in the biological and thermometric tests expressly required by the Regulation.
In order to guarantee an even higher safety standard, Cisa Group carried out further analytical tests through third parties and accredited laboratories.
All tests gave positive results, thus confirming the safety and effectiveness of the Waste Sterile Department (WSD®).
The safety of operators and patients and the protection of hospitals and the environment are always at the heart of all of Cisa’s operations.

We care about life.

UNI10384 standard compliance

Biological tests, Thermometric tests, Specific tests related to specific sterilization methods

Compliance with STAATT lev III methodology,  EPR 5.07 Additional guidance and 11737-2:2020, UPD 71, ISO 11737-1:2008 standards
Inactivation of biological spores validation testing and exhaust water microbiological results

High safety standards for operator and community compliance
Chemical tests on effluents, microbiological testing of the processed waste, sound level testing, odour analysis, characterization of the processed waste (this is an analysis that determines the exact waste category)

Cisa has produced a document of tests carried out both in Italy and in the UK by independent laboratories confirming that the Cisa Waste systems:

  • adhere to the highest standards in biological sterilization
  • have clean emissions
  • have clean effluent
  • respect all rules and regulations regarding noise
  • respect all rules and regulations regarding odour

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      dangerous-waste

      Cisa WSD®.
      A step towards important goals!

      WSD® (WASTE STERILIZATION DEPARTMENT)

      is the smart solution for medical waste treatment that allows the healthcare facility to control the entire waste treatment process with proper and complete risk management.

      NO MORE TABLES
      Model capacity type Sterilization Integrated shredding Trolley washing Tracewaste
      WSD 100 UP TO 100 KG/H integrated control unit
      WSD 200 UP TO 200 KG/H integrated control unit
      WSD 400 UP TO 400 KG/H integrated control unit
      WSM 50 UP TO 50 KG/H plug&play
      WSM 70 UP TO 70 KG/H plug&play
      WSN 100 UP TO 100 KG/H plug&play

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