Chemical compositions, polychlorinated dibenzo-p-dioxins and furans (PCDD/Fs) profiles and heavy metals (HMs) leachability of medical waste fly ash (MWFA) from 17 thermochemical treatment facilities in eight Chinese provinces were first investigated. Large-scale and extended monitoring revealed high chloride and Zn contents and similar PCDD/Fs congener profiles in MWFA. Particularly, the PCDD/Fs and HMs concentrations implied greater toxicity than that observed for municipal solid waste incinerator fly ash (MSWIFA). The maximum international toxic equivalent value of PCDD/Fs in MWFA was 40 times that of MSWIFA, and the leaching concentrations of Zn and Hg were 15 and 4 times those of MSWIFA, respectively. Notably, MWFA characteristics suggest the possibility of recycling and sustainable disposal solutions owing to the high Cl and Zn content with good recovery instead of landfill disposal. Similarities in chemical composition, PCDD/Fs homolog distribution, and water-solubility of chloride salts allows co-processing of MWFA and MSWIFA via water-washing detoxification and thermal treatment, such as that used in cement kilns. This study supplements existing literature on the characteristics and risk management of MWFA.
Keywords: Dioxins; Medical waste fly ash; Resource availability; Zn-rich.
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