Valorization of Medical Waste in Cement-Based Construction Materials: A Systematic Review
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Date
2025
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Abstract
Worldwide, the healthcare industry produces massive quantities of medical waste (MW), most of which is incinerated, releasing large quantities of dioxins, mercury, and other pollutants. Despite this, only a limited number of studies have explored the incorporation of MW into construction materials, with a special focus on cement-based construction materials (CB-CMs). However, to the best of the authors’ knowledge, no existing review formally structures, summarizes, correlates, and discusses the findings of previous studies on MW in CB-CMs to encourage further research and applications of this promising alternative. Therefore, the added value of this study lies in providing an innovative and critical analysis of existing research on the use of MW in CB-CMs, consolidating and evaluating dispersed findings through a systematic literature review, enhancing understanding of the topic, and identifying knowledge gaps to guide future research. A robust systematic literature review was conducted, encompassing 40 peer-reviewed research articles, retrieved from the Web of Science Core Collection database. The methodology involved a three-stage process: a descriptive analysis of the included articles, the identification and synthesis of key thematic areas, and a critical evaluation of the data to ensure a rigorous and systematic report. The selection criteria prioritized peer-reviewed research articles in English with full text availability published in the last 7 years, explicitly excluding conference papers, book chapters, short reports, and articles not meeting the language or accessibility requirements. The results indicate that the influence of MW in CB-CM varies significantly. For example, while the incorporation of face masks as fiber reinforcement in concrete generally enhances its mechanical and durability properties, the use of gloves is less effective and not always recommended. Finally, it was found that further research is needed in this field due to its novelty.
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Keywords
Construction materials, Clinical waste valorization, Waste recycling