New Hampshire Hospital Hazardous Waste Summary

1
New Hampshire Hospital Hazardous Waste Summary

• 2000 Versus 2005
• NH3E September 2006

2
Overview of N.H. Hospitals

• 26 Acute Care Facilities
• 23 H2E Partners
• 3235 Bed Count

3
Manifested Hazardous Waste

• 2000
• 16 Hospitals manifested 54,236 lbs of waste
• 2005
• 20 Hospitals manifested 66,823 lbs of waste
• Additional data
• Two Hospitals manifested in 2000 but not in 2005
• All acute health care facilities generate
  hazardous waste

4
Mitomycin C U010

• 2000
• 1 Hospital manifested 617 lbs of U010
• 2005
• 4 Hospitals manifested 833 lbs of U010
• Is mitomycin C the only active ingredient?
• Is the mitomycin C expired?

5
Mercury D009

• 2000
• 9 Hospitals manifested 3,298 lbs
• 2005
• 11 Hospitals manifested 1,661 lbs
• Mercury-containing products and devices do not
  need to be manifested.

6
P-Listed Hazardous Waste

• 2000
• 1 Hospital manifested 53 lbs
• 4 compliance
• 2005
• 4 Hospitals manifested 2,071 lbs
• 15 compliance
• All acute care hospitals generate epinephrine
  (P042) through epi-saline IV bags or 1 ml or
  multi-dose vials

7
Formalin Generation2000 VS 2005
5 Hospitals
3 Hospitals
2000
2005

8
Formalin U122

• Eliminated 17,447 lbs 81 reduction
• 3 Hospitals no longer generate formalin
• 1 Hospital started manifesting formalin in 2005
• Formalin can be distilled on site to reduce
  hazardous waste generation

9
Xylene Generation 2000 VS 2005
10 Hospitals
9 Hospitals
2000
2005
10
Xylene Comparison 2000 VS 2005
Total Waste (2000)
Total Waste (2005)
Other Hazardous Waste (59)
Other Hazardous Waste (55)
Xylene (45)
Xylene (41)
11
Xylene D001

• 1 Hospital generated 63 of total waste Xylene in
  2000 and 50 of total waste Xylene in 2005
• EPA and H2E should encourage alternatives to
  Xylene
• Distill and reuse
• Xylene free product use

12
Ignitable Generation 2000 VS 2005
15 Hospitals
10 Hospitals
2000
2005
13
Ignitable D001

• D001 Ignitable is a general waste code used for
  flammable liquid
• 435 increase from 2000 to 2005
• 1 Hospital manifested 62 of ignitable waste in
  2005
• 83 lbs in 2000 and 11,535 lbs in 2005.
• Clean out? Construction project? Spill?

14
Waste Paint D001

• 2000
• 6 Hospitals manifested 2,283 lbs
• 2005
• 6 Hospitals manifested 4,267 lbs
• Is waste paint truly hazardous or just old latex?

15
Self-disclosure to EPA

• 2005
• Portsmouth Regional and Parkland Medical Center
• 2006
• Three more hospitals waiting for EPA to release
  the names

16
Additional Information

• If you would like to know more
• Contact Sara Johnson at
• (603)-271-6460
• sjohnson_at_des.state.nh.us