Report Calls New Medical
Waste Regulations Too Lax

By AGNES BLUM
Capital News Service
November 18, 1999

BALTIMORE - Proposed regulations of Maryland waste incinerators are a good first step, but they are not stringent enough, according to a report released Thursday by the Maryland Public Interest Research Group.

Incinerators will be allowed to release toxins at too high a level, won't be inspected often enough and will not be required to reduce or recycle waste, according to the report.

On Nov. 23, the Maryland Department of the Environment held a public hearing to decide whether it will adopt the Environmental Protection Agency's standards for medical waste incinerators or tougher standards.

Medical waste incinerators in Maryland burn more than 42,000 tons of waste each year, according the report.

Hospitals contacted had no comment about the pending regulations. Dawn Lyons, a spokeswoman for Franklin Square Hospital said its incinerator will meet any new regulations. That incinerator burns about 1.6 million pounds of waste a year, according to the report.

The EPA's standards would limit dioxin and mercury emissions, but they would still allow four times as much mercury as states like Florida and New York allow, said Lea Johnston, deputy director of MaryPIRG.

Only 10 of the 41 hospital-waste incinerators in Maryland have air pollution control devices, according to the report. Nearly a third of Maryland's incinerators are in Baltimore alone, said Johnston.

When burned, used medical instruments such as thermometers, release mercury, and plastic waste such as disposable cups, syringes and intravenous bags discharge dioxin, according to industry experts. Medical waste incinerators in Maryland release 968 pounds of mercury and up to 447 grams of dioxin each year, according to the report.

Even trace amounts of these toxins are extremely dangerous, and can contribute to cause birth defects and other serious health problems said Dr. Richard Humphrey, of Physicians for Social Responsibility.

Under the EPA's guidelines, incinerators will be tested once a year, too infrequently, critics charge. Plus, those tests will be performed under "artificial conditions," rather than under a regular daily load, charged one critic, Chris Bedford, chairman of the Maryland chapter of the Sierra Club.

"It's like cleaning up for your mother-in-law's visit," he said.

Charlotte Brody, coordinator of the coalition Health Care Without Harm agreed: "Cleaning house once a year is not enough. We breathe every day."

Hospitals should be encouraged to use alternatives to mercury and plastics as well as to recycle waste, she said.

"It's the common sense approach, don't put it in and you won't have to deal with it," she said.

MDE held a public hearing on Nov. 23  for comments on the proposed regulations, said Ann Marie DeBiase, director of MDE's Air and Radiation Management.

 

Here are the incinerators the department has listed in Maryland and the amount of waste each burns.

Most have no pollution controls, according to MDE.

County

Incincerators

Pounds burned each year

Allegany Memorial Hospital, Cumberland

201,780

Sacred Heart Hospital, Cumberland

479,975

Anne Arundel Fort Meade, Fort Meade

52,000

Baltimore Bon Secours Hospital

525,960

Church Hospital

0

Johns Hopkins Hospital

closed

*Johns Hopkins Institutions

416,000

Johns Hopkins University 0
Johns Hopkins University School of Public Health and Hygiene 0
*MedX/BFI 9,072,000
Mercy Medical Center 1,279,950
Montebello Rehab Hospital 0
*Phoenix Services 50,680,000
Sinai Hospital of Baltimore 8,736,000
*University of Maryland,        Baltimore 242,944
University of Maryland at Baltimore Teaching Facility 6,000
Baltimore County Franklin Square Hospital, Rossville 1,621,750
*Northwest Hospital, Randallstown 723,800
*Saint Joseph Hospital, Towson 1,800,000
Towson State University, Towson 1,000
Calvert Calvert Memorial, Prince Frederick 157,820
Carroll Springfield Hospital Center, Sykesville 5,000
Carroll County General Hospital, Westminster 360,720
Cecil Union Hospital of Cecil County, Elkton 357,700
V.A. Medical Center,
Perry Point
0
Charles Physicians Memorial Hospital, LaPlata 0
Frederick Bio-Whittaker, Walkersville 3,900
*Fort Detrick, Frederick 4,023,945
Frederick Memorial Hospital, Frederick 467,740
Garrett Garrett County Memorial Hospital, Oakland 0
Harford Fallston General Hospital, Fallston 0
Harford Memorial Hospital, Havre de Grace 263,895
Howard Howard County General Hospital, Columbia 299,000
Montgomery Montgomery General Hospital, Olney 470,890
Shady Grove Adventist Hospital, Rockville 193,960
Prince George's *Andrews Air Force Base, Washington, DC 467,748
Somerset Edward W. McCready Memorial Hospital, Crisfield 29,916
Talbot Memorial Hospital at Easton 0
Washington *Washington County Hospital, Hagerstown 1,038,044
Western Maryland Center, Hagerstown 155,001
Wicomico Deer's Head Center, Salisbury closed

*Incinerators with pollution controls.
Source: Maryland Department of the Environment