Heavy Metals Identification and Detection in Incinerated Bottom Ash from Biomedical Solid Waste in Selected Healthcare Facilities in Douala, Cameroon

Aims: To identify and detect heavy metals in incinerated bottom ash of Biomedical Solid Waste in selected healthcare facilities in Douala, Cameroon. Study Design: Cross-sectional fieldwork and laboratory based study design approach that involved quantitative and qualitative data collection methods Place and Duration of Study: This study was carried out in the Douala, Littoral region of Cameroon from the month of January 2023 to June 2023. Methodology: 5 grams of filtered incinerated bottom ash from BSW were collected from incinerators of the selected healthcare facilities using labeled plastic polyethylene containers and transported to the laboratory for analysis. Samples were air dried and introduced on polypropylene film to the EDX 7000 spectrometer for sensitive analysis. Results: Both the quantitative and qualitative concentration percentage of the heavy metals detected from Na to Uranium in each HCF was determined by the EDX 7000 spectrometer device. Zinc had a significant concentration percentage in BDH (7.491±0.009333%), LH (4.255±0.009%), GH (7.506±0.013%), AHD (6,903±0.012%) and Iron had a significant concentration percentage in GOHD (3.669±0.013%). Conclusion:  It is concluded that improper disposal of incinerated BA from incinerators may pollute the environment and water bodies through leaching into ground water or being carried into water bodies through runoffs, being inhaled in dust from the dump area, and bioaccumulating in plants and animals that stray to the dump site, potentially having a negative impact on the environment and health risks like cancer and respiratory illnesses. Some of the heavy elements found in bottom ash that had been burned during this investigation were above the USEPA-permitted limits.   Assuring proper BA disposal through hygienic landfills may help reduce the amount of heavy metals and other toxic elements in the environment, hence safeguarding human health. To prevent additional environmental damage and human exposure to these elements, waste management practices must be improved through BA recycling. Additionally, it is advised that waste managers in the healthcare industry receive training in safe incinerator bottom ash handling and disposal techniques. Regulatory organizations should also oversee and implement policies for bottom ash management in neighborhood healthcare facilities. In Cameroon, a developing nation that must concentrate on environmental challenges that also benefit human health, this study is fundamentally significant. Sustainable prevention of waste and heavy metals in various HCFs will result from source segregation, knowledge of the problem, and safeguards taken at every stage of the waste cycle.