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.



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.
Wet scrubbers are used to control hazardous air pollutants (HAPs) on many hospital, medical, and infectious waste incinerators (HMIWI). The Maximum Available Control Technology (MACT) standard for these incinerators was revised and became final in 2009. The new standard has the lowest emission limits for incinerators today. The limits exceeded the capability of systems designed to the previous standard with respect to particulate matter (PM), lead (Pd), cadmium (Cd), mercury (Hg), and dioxin/furans (D/F). By 2014 all existing medical waste incinerators were either shut down or upgraded to comply with the new standard. Envitech successfully upgraded four existing medical waste incinerators. A
rward will be new medical waste incinerators which have even more stringent, ultra-low emission limits. Building a new incinerator requires critical decisions on control technologies and permitting. The IT3/HWC paper reviews these issues for specific HAPs and discuss trade-offs between permitting a new medium size incinerator versus a large incinerator. An example is provided of an air pollution control system meeting the emission requirements for a new large medical waste incinerator at the University of Texas Medical Branch (UTMB) in Galveston, TX. Envitech is also building gas cleaning systems for two new medium size medical waste incinerators for a research facility which integrate NOx control using ozone injection.
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.
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