Why Doctors ?
Domain of sanitarians and public health
engineers.
Health professional need to have basic
knowledge.
Improper waste disposal cause health hazard
In special situation may be called upon to give
advice.
E.X –In natural disaster when there is
disruption of community health services.
Solid waste
Garbage –food waste
Rubbish –Paper, Plastics, Containers
Demolition products –Bricks
Dead animals
Discarded materials
Strictly it should not contain night soil
Exception -In Indiait is common to see night soil
in collection of solid waste.
Sources and Types
Street refuse
Market refuse
Stable Litter –Contains animal droppings and left
over animal feeds
Industrial refuse –Can range from inert materials to
highly toxic compounds
Domestic -Ash, Rubbish, Garbage.
Garbage contains organic material which decompose
on storage and needs quick removal.
Effects of Improper disposal
Improper disposal means wastes are
accumulated
Health Hazards :
1.Decomposes and favours fly breeding
2.Attracts rodents and vermin
3.Pathogens present in waste may be conveyed
back to mans food
4.Soil and water pollution
5.Is a Nuisance and cause bad odours.
Importance of Proper waste
disposal
Strong correlation between improper waste
disposal and incidence of vector borne diseases.
In all civilized countries there is efficient system
for its periodic collection, removal, and final
disposal without risk to health.
Disposal methods
First step in waste disposal is proper storage.
Steel Dust bin with close fitting cover should be used
for storage
Size of the bin depends on number of users and
frequency of collection.
Recent method is storing in paper sack and sack itself
is removed and replaced with new one
Public bins : Cater for larger population
Usually without cover
Placed on raised platform
Frequently emptied by municipality
Collection
House –House collection is the best
In India people are expected to dump in public bins
which is not followed and is dispersed all around.
Refuse collection vehicle transports the refuse to
place of disposal.
Usually done by open vehicle
Recommended inaddition to collection from public bins
also from individual houses and should transported in
enclosed vehicle.
Types of disposal methods
Different methods
No single method available which is
suitable for all circumstances
Method of disposal depends on cost and
availability of land and labour.
Principal methods
Dumping
Controlled tipping or sanitary land fill
Incineration
Compositing
Manure pits
Burial
Dumping
Dry refuse is disposed by this method
Easy method of disposal
Done in low lying area
As a result of bacterial action refuse decreases in
volume and converted into humus.
Drawbacks:
1.Exposed to flies and rodents
2.Source of nuisance –smell, appearance
3.Dispersed by wind
4.Lead to soil and water pollution
Insanitary methodof disposal
Controlled tipping
Most satisfactory method of waste
disposal
Suitable land should be available
Difference is waste is placed in a trench
and covered with earth.
Three methods are used :
1. Trench method
2. Ramp method
3. Area method
Trench method
Level ground available this method is
chosen.
Trench is dug 6 -10 ft depth and 12-36 ft
wide
Trench is then filled with refuse upto a
height of 6 ft and covered with excavated
earth
Ramp Method
Done in places where land is sloping
Refuse is disposed and covered with excavated
material
Area Method
Refuse is disposed in land depressions such as
disused quarries
Waste is filled in layers upto 6ft depth.
Each layer is covered with mud atleast 12
inches thick
Drawback : Needs supplemental earth from
outside source.
Mechanism of action
Chemical, bacteriological, and physical
changes occur in buried refuse.
Temperature increases to 60
.
C within 7 days
and kills pathogens and hastens decomposition
Takes 2 –3 weeks to cool down.
Normally it takes 4 -6 months for complete
decomposition of organic matter into innocuous
mass.
Sealing prevents infestation by flies and rodents
and suppresses nuisance from smell and dust.
Incineration
Disposed by burning or incineration
Hygienic method
No suitable land
Hospital waste is disposed by this method.
Composting
Natural process
Organic matter is decomposed by bacterial
action into relatively stable humus like material
called compost which has high manurial value.
Byproducts as result of this reaction is co
2
,
water, and heat.
Temperature of 60
.
C is attained during
decomposition which destroys egg, larvae, and
pathogens.
End product compost contain few or no disease
producing organisms
Methods of composting
1. Bangalore method ( Anaerobic )
2. Mechanical method ( Aerobic )
Bangalore method( Hot fermentation
process)
•Satisfactory method
•Trenches are dug 3 ft deep, 5 –8 ft broad and
30 ft long
•Not more than 3 ft depth is recommended
•Located half a mile away from city limit.
Procedure
A layer of refuse about 15 cm thick is spread at
the bottom of trench
Night soil is added corresponding to 5 cm
thickness above the refuse
Alternate layers of refuse and night soil
corresponding to 15 cm and 5 cm in thickness
is added till the heap rises to 1 ft above the
ground.
Top layer should be refuse and it should be
covered with mud.
Mechanical composting
In this compost is manufactured on a large
scale by processing raw materials.
Refuse is first cleared of salvageable material
like bones, rags, metals likely to interfere with
grinding process
This is then pulverised in a pulverising
equipment to reduce the size of particles to <2
inches.
Mixed with sewage, sludge, in a rotating
machine and incubated under certain
temperature, moisture, aeration.
Entire process is complete in 4 –6 weeks.
Manure pits
Problem of refuse disposal in rural area
can be solved by manure pits
Pit is dug in each house hold. Garbage,
cattle dung should be disposed in the pit
and covered with earth after each day
dumping.
In 5 –6 months the refuse is converted
into manure.
Burial
Suitable for camps
Trench is dug. Refuse is disposed and
covered with earth at the end of each day.
Liquid waste
Sources :
1. Wastewater from kitchen and bathroom
( SULLAGE )
2. Industrial waste water
Should be devoid of excreta.
Ill Effects of improper disposal
Waste water is a breeding place for
mosquitoes, Flies, cockroaches
Water pollution
Lowers quality of soil.
Sullage disposal
Facilities available can be disposed into
septic tank, under ground sewerage and
drains
Sufficient land is available in house Kitchen
garden can be developed.
Kitchen garden: Takes care of disposal of
house sullage as well as protective edibles
are grown in house.
Soakage pit: In rural area
Soakage pit
Ideal for sullage disposal in rural area.
Pit is dug at a strategic point in courtyard of house.
Sullage from kitchen and bathroom is admitted into the
pit.
It should be rectangular in shape 1
½
cubic meter.
Filled from bottom to top with large stones, brick and
gravel.
Largest size at bottom most layer and gradually
smaller size as layers are laid towards top.
Top most layer is gravel and sand.
Pit is covered with bamboo matting
Soakage pit
Sullage contains fatty substances from
kitchen and bathroom.
This interferes with functioning of soakage
pit in winter season.
Grease should be removed by installing
grease trap made of tin containing straw and
grass.
Should be periodically replaced every
fortnight when it gets clogged with fats.
No replacement needed in summer season
as fats do not solidify.
Functioning of soakage pit
Sullage passes through grease trapwhere
fats are strained.
Sullage gets surface for attachment around
stones, bricks etc where
1. Biological degradationof waste occurs
2. While straining through pitmechanical
filtrationtakes place
3. Water gets evaporated
4. Water percolatesinto the ground
Compositing –Manure pit
There are two types of waste water generated. These are
Greywater is waste water from bathroom, washing of
clothes and kitchen. Depending on its use, water can
require less treatment than black water and generally
contains fewer pathogens. Treated water can be reused
for garden watering, fodder raising and kitchen
gardening
Black water is water that has been mixed with waste
from the toilet. Black water requires biological or
chemical treatment and disinfection before re-use.
Type of Waste Water
Soak Pit
Soak pit is a dug out pit filled with stones or
preferably over burnt bricks. The large numbers of
stones or bricks increase the surface area over which
biological and chemical action takes place. The water
seeps into the ground and reduces danger of polluting
the ground water sources.
Applicability
Houses without adequate space for kitchen garden.
Action
House owner can construct the pit himself by getting
the information of the design.
Description
Step 1
Excavation of 1m x 1m x 1m pit.
Step 2
Filling of 1m x 1m x 1m fit by boulders from bottom
250mm by 125mm to 150mm boulders; 2nd 250mm layer
by 100mm to 125mm size boulders; 3rd 250mm layer by
50 to 75mm size boulders.
Precautions
• Boulder should be firm (No morum boulders)
• Fill the pit by boulders very loosely
• Brick bats and sand should not be used as filling materials.
Step 3
Place the 225mm earthen pot (or plastic container) over the last
layer of the boulders.
Step 4
• Lay twigs (25mm thick) over the top 250mm boulders of size 50
to 75mm size
• Take a gunny bag, tear it out to make it a bigger piece and lay over
the twig (25mm thick) (Remember to make a hole in the gunny
bag appropriately to place the earthen pot.)
• Give one more layer of twig (25mm thick) over the torn portion
of the gunny bag.
Step 5
Put a layer of mud over the top twig layer.
Step 6
Put some dry soil over the layer of mud; 225mm to 250mm.
Step 7
Make chamber of size 200mm x 200mm around the 225mm
earthen pot and plaster at the inner part of the chamber,
20mm thickness (1:4) and finish it with cement.
Step 8
Connect the bathroom (water) chamber with a 50mm size
diameter non-pressure PVC pipe.
Step 9
Cover the chamber with suitable lid (e.g. wooden plank or a
tile).
Making a filter out of earthen/
Advantages
This is the cheapest
technology for
management of water
at household level
Prevents grey water
stagnation
Prevents vector
breading.
Solid Waste Incinerator System-Dholka,
Gujarat
Integrated Solid Waste Management
Reduction of quantity (Waste
Management Hierarchy)
Collection bins
Open burning
Need for Solid Waste Management
Related to Public Health:
Public Health threats and outbreak of diseases
primarily due to:
??????Poor sanitation condition
??????Waste handling
??????Disposal facilities
About 22 human diseases are linked to improper
solid waste management