From Waste to Value Stockholm 2018 Susanne Backer Aarhus - PowerPoint PPT Presentation

The Nordic Conference on Sustainable Healthcare From Waste to Value Stockholm 2018 Susanne Backer Aarhus University Hospital, CE Project Manager Tekchnical Department

Aarhus University Hospital (AUH) 1. Indlæg • Clinical departments: 44 Denmark • Number of beds: 1,150 • Staff: 9,400 FTEs • Annual activities : • 803,100 outpatient visits AUH • 41,730 emergency visits • 100,817 discharges • 83,202 surgeries • 44,600 endoscopies • 4,647 births Technical Department

Waste at Aarhus University Hospital 2017: Approx. 3,300 t/y • 20% Recycled • 79% Waste to energy • 1% Landfill • 2030 : t/y - Constant • 70% Recycled • • Tec 29% Waste to energy • 1% Landfill •

Circular economy, plastic and recycling in the EU Technical Department

Project aims at AUH • To increase recycling and circular economy of hospital plastic packaging waste • To develop and test a value chain model for creation of commercial and other kinds of value out of hospital plastic packaging waste in cooperation with stakeholders.

Circular economy (CE) ’The Butterfly Model’ by EMF

Recycling and circular economy at AUH

Results at AUH - clinical sorting, November 2016 Plastic (kg) 1 Solid waste/ Plastic part day/including of plastic (kg.) solid waste (%) Patient ward -child 2.0 n.a. n.a. Patient ward -heart 0.5 n.a. n.a. Patient ward -lung 0.7 n.a. n.a. Patient wards total 4.2 n.a. n.a. Operations Dep. 1 10 64 15% Operations Dep. 2 30 197 15% Operations Dep. 3 20 131 15% Operations Dept. 59 392 15% Pharmacy 7 19 34% Intensive preperations 17 54 32% Radiology 3 32 9% Auxilliary total 27 105 25%

Plastic packaging – a complex fraction Unknown plastic type LDPE (4) Other plastic types (7) Thick shrink plastic (PA+PP+EVOH) PE+PET Thick shrink plastic (PP+HDPE) PET (1) LLDPE (stretch film) PP (5) PA+PE Tyvek (PE+EVA) PS (6) Ethylene Vinyl Copolymer Soft HDPE (2) Thin HDPE (crackling disposable bags) HDPE (2) EPS (6)

Clinical sorting - by type of packaging 20 18 16 14 12 kg/48 hours 10 8 6 4 2 0 Blue wraps Other types Header Peel packs Shrink Films Containers Moulded of soft bags (soft (soft plastic (soft (hard (hard plastic plastic) plastic) plastic) plastic) plastic) LDPE (4) Other plastic (7) Thick shrink plastic (PA+PP+EVOH) PE+PET Thick shrink plastic (PP+HDPE) PET (1) LLDPE (stretch film) PP (5) PA+PE Tyvek (PE+EVA) PS (6) Ethylene Vinyl Copolymer Soft HDPE (2) Thin HDPE (crackling disposable bags) HDPE (2) EPS (6) Unknown plastic type

Suppliers of plastic packaging waste 500 kgs of solid waste contains 90 kgs of plastic packaging 45 kgs with supplier name = 162 different suppliers!!

Value chain approach – keep it simple Value Chain for irrigation fluids

Recycling, circular economy and plastic packaging Poleofin recycling? ? Single polymer recycling? New products? Bottles for re-use? Minimize packaging?

A value chain approach Raw materials Packaging Brand owner Customer 1 Customer 2 Approvals Patient safety Melt flow index? ISO Standards/ Ergonometrics Recycling compatibility Compliance Resources lost! Design guidelines Sustainability One common language:

Tenders - minimum requirements • All materials must be marked with symbols for recycling • Limit and specify the accepted polymers Increase recyclability by reducing complexity

Competitive factors • Full compatibility with plastic recycling guidelines • Accepted by local recycling plant by product end of life • Plastic Recyclers Europe offer on-line assessment tools, guidelines and optional certificate.

Tender requirements ☺☺ AUH More and better sorting ☺ Guidelines for full recyclability Recyclers accros Europe/the Globe Simplify packaging design Brandowners Limit the nos. of polymers Mark for recycling

Contact: Susanne Backer CE Project Manager Aarhus University Hospital suback@rm.dk ++45 40328360