Greenhouse gas emission from small clinics solid waste management scenarios in an urban area of an underdeveloping country: A life cycle perspective

This study aimed to investigate the effects on the environment of small clinics solid waste management by applying a life cycle analysis approach. Samples were collected from 371 private clinics situated in densely populated areas of Hyderabad, Pakistan. The solid waste from surveyed clinics was categorically quantified on daily basis for 30 consecutive days. The functional unit for waste was defined as 1 tonne. System limitations were defined as landfilling, incineration, composting, material recovery, and transportation of solid waste. The treatment and disposal methods were assessed according to their greenhouse gas emission rate. For the evaluation, three different scenarios were designed. The second scenario resulted in the highest emission value of 1491.78 kg CO2 eq/tonne of solid waste due to mixed waste incineration, whereas the first scenario could not offer any saving because of uncovered landfilling and 67.5% higher transport fuel consumption than the proposed network. The proposed third scenario was found to be a better solution for urban clinics solid waste management, as it resulted in savings of 951.38 kg CO2 eq/tonne of solid waste. This integrated design is practicable by resource-constrained economy. This system consists of composting, material recovery, and incineration of hazardous waste. The proposed system also includes a feasible transportation method for urban area collection networks. The findings of the present study can play a vital role in documenting evidence and for policymakers to plan the solid waste management of clinics, as previously no studies have been conducted on this particular case.Implications: This study aims to highlight the impact of small clinics solid waste management scenarios on the environment in a developing country’s urban area. Life cycle analysis is used for comparison of greenhouse gase emission from different scenarios, including the purposed integrated method. Small clinics play a very important role in health care, and their waste management is a very serious issue; however, there are no previous studies on this particular case to the best knowledge of the authors. This study can be considered as forerunner effort to quantify the environmental footprint of small clinics solid waste in urban areas of a developing country.