There are several different waste incinerator source categories controlled by EPA standards under the Clean Air Act (CAA). These include hazardous waste combustors (HWC), sewage sludge incinerators (SSI), municipal solid waste (MSW) incinerators, commercial and industrial solid waste (CISWI) incinerators, and Hospital, Medical, and Infectious Waste Incinerators (HMIWI). Each incinerator type has its own Maximum Achievable Control Technology (MACT) standard which establishes technology based limits for emitted HAPs. MACT standards are part of the National Emission Standards for

Hazardous Air Pollutants (NESHAP) and are applied to source categories that pose adverse risk to human health by the emission of hazardous air pollutants (HAPs). The HMIWI MACT standard for medical waste incinerators is the most challenging of the incinerator source categories. This standard controls particulate (PM), hydrogen chloride (HCl), sulfur dioxide (SO2), lead (Pb), cadmium (Cd), mercury (Hg), dioxins/furans (D/F), nitrous oxide (NOx), and carbon monoxide (CO). Emission limits depend on the incinerator size and weather it is a new or existing source. Small incinerators are less than 200 lb/hr of waste throughput, medium incinerators are between 200 lb/hr and 500 lb/hr, and large incinerators are greater than 500 lb/hr.
Envitech recently completed a project for two medical waste incinerators at a Midwest research facility. These are the first new medical waste incinerators installed in the United States since Envitech installed a 525 lb/hr medical waste incinerator at a research facility in Galveston, TX in 2013.
The scope of supply includes two medical waste incinerator scrubbers and a water treatment system to treat the blowdown from both incinerators. The incinerators are permitted as new, medium size incinerators. Ozone injection is integrated into the system to meet a NOx limit of 67 ppmv. The systems include pre-assembled pumps, piping, valves, and fittings to minimize installation time and cost. The pre-assembly provides long term rigidity, consolidation of space, longer up-time, and improved safety for operators. A description of the process arrangement can be found in this link to an earlier blog post.
Stack testing was performed in June 2021 for both incinerators. Test results confirm the Envitech system reduced emissions well below MACT standard limits, providing a comfortable margin for compliance over the range of operating conditions and waste feed. Below is a summary of stack test performance.
| Parameter | Emission Limit | Result, %Limit |
| PM | < 0.0095 gr/dscf | 17.9 |
| Pb | < 0.018 mg/dscfm | 8.9 |
| Cd | < 0.0098 mg/dscfm | 4.6 |
| Hg | < 0.0035 mg/dscfm | 25.7 |
| D/F | < 0.014 ng/dscm TEQ | < 1 |
| HCl | < 7.7 ppmv dry | < 1 |
| SO2 | < 1.4 ppmv | < 1 |
| NOx | < 67 ppmv dry | 24 |
Click on the link below to download literature on medical waste incinerator scrubbers.



incinerator had been shut down due to safety issues with the granulated activated carbon (GAC) mercury control scrubber. The plant sought expert help to evaluate and recommend a technology solution to replace the GAC and to get the SSI back in operation.
available literature and data to establish a conservative but justifiable design inlet concentration with sufficient capacity to meet a more conservative design condition without structural changes to the equipment.
An example was given for a captive incinerator at the University of Texas Medical Branch (UTMB) in Galveston, TX. It’s one of the only systems in the United States permitted as a “new” medical waste incinerator according to the EPA HMIWI (hospital, medical, and infectious waste incinerator) MACT standard. This standard has the most challenging emission limits found in industry today. That is because in 2009 the EPA completed a source review and revised the standard based on a MACT-on-MACT analysis. Data used to set limits for each pollutant was individually based on waste feed and not incinerator/scrubber technology performance. This resulted in emission limit reductions for lead (Pb), cadmium (Cd), and dioxins/furans (D/F) that were orders of magnitude below the previous standard and below the capability of installed equipment. The impact of the new standard is discussed in greater detail in a
Existing incinerators needed to be upgraded with add-on controls to meet the new standard. New incinerators need air pollution control equipment capable of extraordinarily high removal efficiency for particulate, Pb, Cd, and D/F. A new medium sized incinerator between 200 to 500 lb/hr capacity, has the additional challenge of meeting NOx. A medical waste incinerator can be tuned to a NOx limit of about 130 ppmv. The MACT standard limit for a new medium sized medical waste incinerator was set at 67 ppmv which means NOx abatement is required to guarantee compliance.
e of the condenser/absorber is increased to provide sufficient residence time for ozone-NOx reactions to occur. Ozone is highly selective for NOx relative to other combustion products. The NOx is rapidly converted to water soluble species. NO and O3 react to form NO2 and O2. NO2 and O2 react to form N2O5 and O2. N2O5 and water react to form 2HNO3 which is readily absorbed with caustic solution.
In 2009, the US EPA revised the emission limits for the Hospital, Medical, and Infectious Waste Incinerator (

paper at the International Conference of Thermal Treatment
Technologies and Hazardous Waste Combustors (
Pb reduction for a new large medical waste incinerator is even more dramatic. The emission limit is a mere 0.06% of the 1997 standard. Compared to an existing system permitted to the new standard, a large new medical waste incinerator must emit 2 orders of magnitude less Pb.
ogram

standard. The compliance dates for these rules are fast approaching. Facilities with existing equipment must demonstrate compliance to the new standards by October 2014. Envitech is already under contract with several facilities to retro-fit existing medical waste incinerator scrubbers with add-on control equipment to meet the new standards.
Stack emissions must meet substantially lower limits for Cd, Pb, and Hg. In many cases, this requires add-on controls capable of greater than 90% removal of sub-micron condensed metals. Most facilities are putting on a re-heat and filter package to remove the condensed metals. A few will use wet electrostatic precipitators (WESP) which are more expensive. The ability to meet the new rules using a re-heat and filter package has been demonstrated for lead and cadmium on a commercial and industrial waste incinerator (CISWI). The WESP capability has been demonstrated for reduction of lead emission achieved at a
HEPA filters, and wet scrubbers. Because residential neighborhoods had moved closer to the boundaries of the plant over the years, the stack emission limits were insufficient to meet the cancer risk index. In other words, the facility had to achieve lower emission levels than other similar plants. The WESP system was installed in 2007 and provided a performance guarantee for arsenic, lead, and nickel which were the larger contributors to the cancer risk index.
