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Dental Hg releases to wastewater can be minimized through best management practices. Dental Survey mailed to 59 dentists at 51 practices in Pueblo that either use or remove mercury-containing amalgam Survey Response Rate: 41 out of 59 respondents (69%) Mercury Removal Projects: $400,000 +mercury switch removal project mercuryhom.asp $100,000 +other pueblo-based mercury pollution prevention projects.
Dental Hg releases to wastewater can be minimized through best management practices. Dental Survey mailed to 59 dentists at 51 practices in Pueblo that either use or remove mercury-containing amalgam Survey Response Rate: 41 out of 59 respondents (69%) Mercury Removal Projects: $400,000 +mercury switch removal project mercuryhom.asp $100,000 +other pueblo-based mercury pollution prevention projects.
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Dental Hg releases to wastewater can be minimized through best management practices. Dental Survey mailed to 59 dentists at 51 practices in Pueblo that either use or remove mercury-containing amalgam Survey Response Rate: 41 out of 59 respondents (69%) Mercury Removal Projects: $400,000 +mercury switch removal project mercuryhom.asp $100,000 +other pueblo-based mercury pollution prevention projects.
Copyright:
Attribution Non-Commercial (BY-NC)
Verfügbare Formate
Als PPT, PDF, TXT herunterladen oder online auf Scribd lesen
Pollution Prevention Projects Why this project, this place? Interest and support from CDPHE Water Quality Control Division Hg in surface water can bioaccumulate in fish tissue, posing risk to wildlife and humans that eat contaminated fish 41 states, including Colorado, have issued fish- advisories due to Hg contamination
POTWs may face increasing challenges meeting
new, lowered discharge limits for Hg (due to new EPA standard test method) Why this project, this place? Dentists are a known source of Hg discharges to wastewater in Colorado An Evaluation of the Source Impacts and Control of Mercury. Al Garcia, Littleton-Englewood Wastewater Treatment Plant, 2002.
Dental Hg releases to wastewater can be
minimized through best management practices Pueblo-based pilot project results may be transferable throughout the state
Project funding: $50,000
Project Phases
Phase 1: Dental Survey/Data Collection
Phase 2: Focused Outreach Effort Phase 3: Measurement of Project Value and Success Phase 1: Dental Survey/ Data Collection
Survey Purpose: To assess the use of
BMP and BAT among Pueblo dentists, and to identify areas for outreach and improvement Survey results are summarized in: Dental Mercury Pollution Prevention Phase I Summary Report, Tetra Tech EMI Inc., February 2004. Phase 1: Dental Survey/ Data Collection
December 2003: Survey mailed to 59
dentists at 51 practices in Pueblo that either use or remove mercury-containing amalgam
Survey Response Rate:
41 out of 59 dentists responded (69%) 40 out of 51 practices responded (78%) Phase 1: Dental Survey Results
How is Mercury–Containing Amalgam
Used in Your Practice? (59 Pueblo dentists surveyed) Number Percent of Description Responses Responses
Pre-capsulated Hg amalgam mixed
with water for each new filling 22 52% Hg is not used in new fillings, but Hg-containing fillings are removed 16 38% Elemental Hg mixed w/ other constituents for each new filling 4 10% Phase 1: Dental Survey Results
What Mercury Recovery Equipment is
Used in Your Practice? (59 Pueblo dentists surveyed) Number Percent Equipment Description Responses Responses Efficiency
Chair-side trap 27 66% 81%
with secondary filter
Chair-side trap 13 32% 68%
alone
Hg amalgam 1 2% >96% separator Mercury Amalgam Separators (The Hg5 Mercury Amalgam Separator System by SolmeteX Inc)
Typically designed for in-line
installation between the chair-side water drain and vacuum pump. Removes particles through physical and chemical processes, including: sedimentation, centrifugation, filtration, and ion exchange. Must be at least 96% efficient to be ISO certified. Required by law in Maine. Under consideration in seven other states. Typical cost: $500 - $7,500 (Ref. Journal of ADA) Phase 1: Dental Survey/ Data Collection American Dental Association: “Best Management Practices for Amalgam Waste,” February 2003: “Amalgam should not be disposed of in the garbage, infectious waste ‘red bag,’ or sharps container…. because some communities incinerate municipal garbage, medical waste, and sludge from wastewater treatment plants.” ADA strongly recommends recycling as a primary best management practice Phase 1: Dental Survey Results How is Mercury–Containing Waste Disposed in Your Practice? (59 Pueblo dentists surveyed) Item Disposed Medical Recycled Trash Other Waste Scrap amalgam 40% 46% 14% 0%
Empty amalgam 42% 11% 39% 8%
capsules Hg-containing 85% 7.5% 7.5% 0% extracted teeth Screens 52% 9% 33% 6% Traps 64% 12% 18% 6% Filters 66% 10% 17% 7% Phase 1: Dental Survey Results Under What Circumstances Would You Install an Amalgam Separator? (59 Pueblo dentists surveyed) Number Percent of Circumstance Responses Responses Required by Law 28 46% Encouraging Statement 14 23% from ADA Cost below $500 10 17% No Cost 4 7% Other 4 7% Phase 1: Dental Survey Results How Informed Do You Feel Regarding Hg BMPs and BATs? (59 Pueblo dentists surveyed) Number Percent of How Informed? Responses Responses Highly informed 9 20%
Moderately informed 25 56%
Not well informed 2 4%
Want more information 8 18%
Phase 1: Dental Survey Results What Type of Assistance Would Be Most Helpful? (59 Pueblo dentists surveyed) Number Percent of Type of Assistance Responses Responses Outreach Material 15 27% Financial Assistance 10 18% Workshop 8 15% Implementation Assistance 8 15% Training 6 11% Other 5 9% Trial or Money Back Guar. 3 5% Phase 1: Dental Survey Results
What Form of Recognition (If Any)
Would Be Favorable to You? (59 Pueblo dentists surveyed) Number Percent of Form of Recognition Responses Responses Placard/Certification 10 24% Newspaper 7 17% Other 2 5% Phase 2: Focused Outreach
Dental Hg Fact Sheet
Panel Seminar Increased Involvement by the Colorado Dental Association (CDA) Phase 2: Dental Hg Fact Sheet
Regulatory Outlook for Pueblo Dentists
Mercury Amalgam Separators Vendors, Operation/Maintenance, Cost Mercury Recycling Recyclers, Materials, Methods, Cost BMP Scorecard Phase 2: Panel Seminar May 18, 2004 at Pueblo City-County Library Agenda: Welcome and Introduction by CDA Regulatory Outlook for Pueblo Dentists Mercury Amalgam Separators • Vendors, types of separators, installation considerations, operation/maintenance Mercury Recycling • Vendors, types of recyclables, how to implement a recycling program Breakout Session Phase 3: Measurement of Project Value and Success
Follow-up Survey to Pueblo Dentists – May 2004
Final Summary Report - August 2004 Summary of Project Results: BMPs/BATs implemented, Hg releases prevented, life cycle of Hg captured Lessons Learned: Barriers to amalgam separator implementation Recommendations for project improvement Recommendations for statewide implementation
Project Follow-up – 2005
Overall Conclusions From Dental P2 Effort Surveys Useful for Gauging Interest, Gathering Information Dentists Thought Fact Sheet, BMP Insert, Meetings Worthwhile Voluntary Programs May Limit Need for Regulations Voluntary Programs Allow Participants to Customize Their Role Efforts Transferable Applying Project Results Statewide Pueblo pilot project is a first-step in providing compliance assistance to Colorado POTWs charged with meeting new, lowered discharge permit limits for Hg. Outreach materials, including dental fact-sheet, vendor information, and panel seminar materials, will be made transferable through out the state. Outreach materials and ongoing summary reports available at: http://www.cdphe.state.co.us/hm/mercury/dental.asp Comments/Questions/Ideas? Contact: Mark McMillan CDPHE Mercury Program mark.mcmillan@state.co.us, 303-692-3140 Rick Koplitz Water Quality Control Division, CDPHE rick.koplitz@state.co.us ,303-692-3618 Paul Cozetta Water Quality Control, City of Pueblo pcozzetta@pueblo.us, 729- 544-3453