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Adekunle, T O (2019) Field measurements of comfort, seasonal performance and cold stress in cross-laminated timber (CLT) school buildings. Smart and Sustainable Built Environment, 9(04), 655–73.

Aggarwal, A, Rani, A and Kumar, M (2019) A robust method to authenticate car license plates using segmentation and ROI based approach. Smart and Sustainable Built Environment, 9(04), 737–47.

Aggarwal, T and Solomon, P (2019) Quantitative analysis of the development of smart cities in India. Smart and Sustainable Built Environment, 9(04), 711–26.

Agyekum, K, Adinyira, E and Ampratwum, G (2020) Factors driving the adoption of green certification of buildings in Ghana. Smart and Sustainable Built Environment, 9(04), 595–613.

Dell'Anna, F, Bottero, M, Becchio, C, Corgnati, S P and Mondini, G (2020) Designing a decision support system to evaluate the environmental and extra-economic performances of a nearly zero-energy building. Smart and Sustainable Built Environment, 9(04), 413–42.

Dewan, S and Singh, L (2020) Use of blockchain in designing smart city. Smart and Sustainable Built Environment, 9(04), 695–709.

du Toit, J and Wagner, C (2020) The effect of housing type on householders' self-reported participation in recycling. Smart and Sustainable Built Environment, 9(04), 395–412.

Ekemode, B G (2019) Impact of urban regeneration on commercial property values in Osogbo, Osun State, Nigeria. Smart and Sustainable Built Environment, 9(04), 557–71.

Eslamirad, N, Malekpour Kolbadinejad, S, Mahdavinejad, M and Mehranrad, M (2020) Thermal comfort prediction by applying supervised machine learning in green sidewalks of Tehran. Smart and Sustainable Built Environment, 9(04), 361–74.

Hussein, D (2020) A user preference modelling method for the assessment of visual complexity in building façade. Smart and Sustainable Built Environment, 9(04), 483–501.

Khan, N A, Ullah Khan, S, Ahmed, S, Farooqi, I H, Hussain, A, Vambol, S and Vambol, V (2019) Smart ways of hospital wastewater management, regulatory standards and conventional treatment techniques. Smart and Sustainable Built Environment, 9(04), 727–36.

  • Type: Journal Article
  • Keywords: Treatment; Environmental health; Pharmaceuticals; Drugs residues; Ecotoxicity; Hospital wastewater;
  • ISBN/ISSN: 2046-6099
  • URL: https://doi.org/10.1108/SASBE-06-2019-0079
  • Abstract:
    The purpose of this paper is to cover some aspects about the disposal and regulatory standard around the world toward hospital effluent discharge, its managements and treatment technologies that are adopted and best suitable nowadays. Design/methodology/approach Due to large and variety of antibiotics available in the market nowadays it is difficult to control its use, thereby risking the whole ecosystem and its components. The regulation pattern is variable depending upon the various factors in different countries. The permissible limit of these emerging pollutants found in sewage as compared to in hospital effluent streams having active pharmaceutical ingredients is very narrow and is a debatable issue. Findings The disparity in the available legislation for hospital waste management in different countries makes it difficult to compare pro’s and con’s of methods adopted. Strict laws need to be framed for hospital wastewater management and its treatment, as it contains harmful compounds in higher concentrations resulting in development of resistant genes. The guideline applicable nowadays makes it clear that, specific management guidelines with respect to HWW, but also indicate certain characteristics that can be represented to specify their nature and indicator. Research limitations/implications Determination of effluent characteristic for each specialized treatment need to be analyzed for meeting the framed regulatory standards. Up-gradation of existing treatment facilities, adopting new technologies and improving operation, maintained is a viable option. As there are no specific treatment schemes available hence combination and optimization of treatment methods may solve the problem to certain extent. Practical implications There is some flexibility also there so that law framework can be modified accordingly. For any health facilities direct discharges into natural water bodies it effluent need to follow national discharge standards. These are quite strict as compared to indirect standards and generally not meet by such facilities. This is quite logical because they are not being monitored or treated by municipal systems. Social implications The law indicates that hospital needed to collect and treat effluent according to the treatment standards. But on other hand the law was made making it consideration about the HWW collection in water bodies. Originality/value The best way of management as described, is to treat HWW onsite-dividing into primary, secondary and tertiary. The document also provides details about sludge disposal, possible reuse, including the application of new and innovative treatment technologies for HWW. It also provides guidance for minimum approach for HWW management because developing countries patients do not have proper sanitation facilities.

Konstantinou, T, de Jonge, T, Oorschot, L, El Messlaki, S, van Oel, C and Asselbergs, T (2019) The relation of energy efficiency upgrades and cost of living, investigated in two cases of multi-residential buildings in the Netherlands. Smart and Sustainable Built Environment, 9(04), 615–33.

Kumar, A, Jain, S and Yadav, D (2020) A novel simulation-annealing enabled ranking and scaling statistical simulation constrained optimization algorithm for Internet-of-things (IoTs). Smart and Sustainable Built Environment, 9(04), 675–93.

Lau, J L and Hashim, A H (2019) Mediation analysis of the relationship between environmental concern and intention to adopt green concepts. Smart and Sustainable Built Environment, 9(04), 539–56.

Moshtaghian, F, Golabchi, M and Noorzai, E (2020) A framework to dynamic identification of project risks. Smart and Sustainable Built Environment, 9(04), 375–93.

Ndlangamandla, M G and Combrinck, C (2019) Environmental sustainability of construction practices in informal settlements. Smart and Sustainable Built Environment, 9(04), 523–38.

Opawole, A, Babatunde, S O, Kajimo-Shakantu, K and Ateji, O A (2020) Analysis of barriers to the application of life cycle costing in building projects in developing countries. Smart and Sustainable Built Environment, 9(04), 503–21.

Saadi, A and Belhadef, H (2020) Deep neural networks for Arabic information extraction. Smart and Sustainable Built Environment, 9(04), 467–82.

Sahebzadeh, S, Dalvand, Z, Sadeghfar, M and Heidari, A (2018) Vernacular architecture of Iran’s hot regions; elements and strategies for a comfortable living environment. Smart and Sustainable Built Environment, 9(04), 573–93.

Susilo, A, Fitriah, F, Sunaryo, Ayu Rachmawati, E T and Suryo, E A (2020) Analysis of landslide area of Tulung subdistrict, Ponorogo, Indonesia in 2017 using resistivity method. Smart and Sustainable Built Environment, 9(04), 341–60.

Tunji-Olayeni, P, Kajimo-Shakantu, K and Osunrayi, E (2020) Practitioners' experiences with the drivers and practices for implementing sustainable construction in Nigeria: a qualitative assessment. Smart and Sustainable Built Environment, 9(04), 443–65.

van Stijn, A and Gruis, V (2020) Towards a circular built environment. Smart and Sustainable Built Environment, 9(04), 635–53.