Table of Contents

IntroductionCharacterization of Medical WasteHealth Hazard AssessmentEstimated Costs of the Demonstration Program and Improper Demonstration Program Objectives and EvaluationMedical Waste Handling MethodsMedical Waste Treatment MethodsMedical Waste Treatment EffectivenessExisting State and Local RequirementsRegulatory Options for a National ProgramAppropriateness of PenaltiesHome Health Care and Small Quantity Generator WasteMedical Waste Reuse, Recycling and ReductionPart II: EPA Guide for Infectious Waste ManagementIntroductionInfectious Waste CharacterizationInfectious Waste ManagementTreatment of Infectious WasteSuggested Treatment Methods for Each Infectious Waste CategoryPart III: Medical Waste Combustion at Municipal Waste Combustion FacilitiesIntroductionMedical WasteImpact of Medical Waste on Combustor EmissionsImportant ConsiderationsCurrent Practices-U.S. MWCsCurrent Practices-European and Canadian MWCsMWC Manufacturers'/System Suppliers' RecommendationsPreliminary Recommendations and Research NeedsPart IV: Hospital Medical Waste Incinerator Operation and MaintenanceIntroductionHospital Incineration SystemsAir Pollution ControlOperationMaintenanceControl and Monitoring InstrumentationOperational Problems and SolutionsRecordkeepingSafety GuidelinesGlossaryPart V: Waste Minimization Options for Selected Waste StreamsWaste Minimization OptionsToxics, Corrosives, and Miscellaneous Chemicals