米国における医療廃棄物処理、封じ込め、管理および処分市場

Abstract

INTRODUCTION

A trend is continuing to evolve worldwide with the regulation of medical waste, and in particular infectious medical waste. After the closing of more than 3,600 medical waste incinerators in the United States since 1995, the industry was faced with finding alternatives to incineration, noted by most as the most cost-effective and efficient method of disposing of medical waste. Now facilities turn to service companies, autoclave methods, and even some microwave solutions to meet the steady flow of medical waste generated by a growing health care and pharmaceutical industry.

Several challenges still exist in the medical waste market, including limited options in on-site treatment and extravagant costs for removal of waste by service companies. Industry experts have stressed the benefits of reducing the waste generated and taking advantage of recycling opportunities to be the most beneficial to saving. However, this approach can take years to implement in many facilities, particularly high bed count hospitals. The need for cost-effective, efficient solutions is in high demand by facilities nationwide.

SCOPE OF STUDY

This report contains:

• Descriptions of various types of medical waste treatment, containment, management and disposal products, with current and potential applications for each
• The current market status of medical waste treatment, containment, management and disposal products and forecasts of growth over the next 5 years
• Technological issues, including the latest developments
• A discussion of the increased regulatory requirements for incineration methods and an overview of services and containment options used by health care companies in the United States
• An examination of the risks of contact with medical waste.

METHODOLOGY

The information for this report was obtained through primary and secondary data collection methods. Primary sources included interviews with more than 50 key executives, product managers, industry specialists, and other related key personnel involved with the medical waste industry. Secondary sources included published literature, investment reports, company literature, and various business journals that have emphases on waste management and related areas.

Market data for this report pertains to the world market in U.S. dollars at the manufacturers' level. The base year of the report is 2007, with historical data provided for 2005 and 2006, and forecast data provided for 2012. Historical, base year and forecast data are provided for each market segment of the report. Growth rates are determined through a compilation of data, including past trends, future trends, demographics, incidence, mortality, technology developments, current product growth, etc. Competitor market share estimates are provided for each market segment for the 2007 base year

ANALYST CREDENTIALS

Melissa Elder is an experienced health care market analyst specializing in prescription and over-the-counter pharmaceuticals, medical devices, and emerging health care technologies. Ms. Elder has more than 13 years of experience in the health care industry, specializing in market research for the past 10 years. This experience has given her substantial insights into pharmaceutical market analysis. Her work in the medical community, including emergency room medical training and health care information system coordination, has enhanced her ability to provide insight into many health care markets.

Table of Contents

• Chapter 1 - SUMMARY
  • SUMMARY (CONTINUED)
  • Summary Table: U.S. MEDICAL WASTE TREATMENT, CONTAINMENT, MANAGEMENT, AND DISPOSAL MARKETS, THROUGH 2012 ($ MILLIONS)
  • Summary Figure: U.S. MEDICAL WASTE TREATMENT, CONTAINMENT, MANAGEMENT, AND DISPOSAL MARKETS, 2005-2012 ($ MILLIONS)
• Chapter 2 - INDUSTRY OVERVIEW
  • DEFINITIONS OF INDUSTRY TERMS
  • Table 1 REGULATED MEDICAL WASTE GENERATED IN THE U.S. (%)
  • Table 2 TYPES OF HEALTH CARE WASTE
  • Table 3 REGULATED MEDICAL WASTE GENERATED BY HOSPITALS IN THE U.S., THROUGH 2007 (TONS)
  • Figure 1 REGULATED MEDICAL WASTE GENERATED BY HOSPITALS IN THE U.S. (TONS/DAY)
    • REGULATED MEDICAL WASTE CATEGORIES
      • Human Blood, Blood Products Waste, and Bodily Fluids
      • Contaminated Sharps
      • Pathological and Anatomical Waste
      • Biological Waste
      • Isolation Waste
      • Pharmaceuticals
    • MEDICAL WASTE GENERATORS
      • Small Quantity Generators
      • Large Quantity Generators
    • STRUCTURE AND HISTORY OF THE MEDICAL WASTE MANAGEMENT AND DISPOSAL MARKET
    • Development of the Medical Waste Management and Disposal Market
  • Table 4 HOSPITAL/ MEDICAL INFECTIOUS WASTE INCINERATOR USE IN THE U.S., 1995-2007
  • Figure 2 HOSPITAL/MEDICAL INFECTIOUS WASTE INCINERATOR USE IN THE U.S., 1995-2007 (NUMBER OF INCINERATORS)
    • Development of the Medical Waste (Continued)
    • Table 5 2005 STATE POSITIONS CONCERNING HMIWI REGULATIONS BY EPA REGION
  • Table 5 (CONTINUED)
  • Table 6 NATIONAL INVENTORY OF HMIW INCINERATORS BY EPA REGION
    • On-site Disposal
    • State Comparison of Regulated Medical Waste Environment
  • Table 7 U.S. REGIONS WITH APPROVED OSHA PLANS
  • Table 7 (CONTINUED)
  • Table 8 STATE COMPARISON OF REGULATED MEDICAL WASTE ENVIRONMENT
  • Table 8 (CONTINUED)
  • Table 8 (CONTINUED)
  • Table 8 (CONTINUED)
  • Table 8 (CONTINUED)
  • Table 8 (CONTINUED)
  • Table 8 (CONTINUED)
  • Table 8 (CONTINUED)
  • Table 8 (CONTINUED)
  • Table 8 (CONTINUED)
    • Environmentally Friendly Medical Waste Containment Devices
    • Aging U.S. Population and the Health Care Waste Industry
  • Table 9 U.S. POPULATION ESTIMATES AND PROJECTIONS, BY AGE GROUP, FOR SPECIFIC YEARS, 1900-2050 (THOUSANDS)
  • Figure 3 U.S. POPULATION ESTIMATES AND PROJECTIONS, BY AGE GROUP, FOR SPECIFIC YEARS, 1900-2050 (THOUSANDS)
  • Table 10 ESTIMATED U.S. POPULATION, BY AGE GROUP, 2004-2011 (THOUSANDS)
  • Figure 4 ESTIMATED U.S. POPULATION, BY AGE GROUP, 2004-2011 (THOUSANDS)
    • Elderly and Acute Care Visits
  • Table 11 PERCENTAGE OF OLDER POPULATION WITH ONE OR MORE HOSPITAL VISITS PER YEAR, 1997-2006
  • Figure 5 PERCENTAGE OF OLDER POPULATION WITH ONE OR MORE HOSPITAL VISITS PER YEAR, 1997-2006 (%)
  • Table 12 PERCENTAGE OF OLDER POPULATION WITH TWO OR MORE HOSPITAL VISITS PER YEAR, 1997-2006 (%)
  • Figure 6 PERCENTAGE OF OLDER POPULATION WITH TWO OR MORE HOSPITAL VISITS PER YEAR, 1997-2006 (%)
    • Gender and Age
  • Table 13 ESTIMATES OF U.S. LIFE EXPECTANCY AT BIRTH AND PROJECTIONS, BY SEX, 2000-2011 (YEARS)
  • Figure 7 ESTIMATES OF EXPECTED U.S. LIFE EXPECTANCY AT BIRTH AND PROJECTIONS, BY SEX, 2002-2011 (YEARS)
    • Persistent Organic Pollutants
  • Table 14 INITIAL PERSISTENT ORGANIC POLLUTANTS
  • Table 15 DOMESTIC ACTIONS TAKEN TO REDUCE PERSISTENT ORGANIC POLLUTANTS
    • Developments in Sterilization Standards and Needle Disposal
    • Developments in Sterilization (Continued)Table 16 STATE GUIDELINES FOR SHARPS DISPOSAL
  • Table 16 (CONTINUED)
  • Table 16 (CONTINUED)
  • Table 16 (CONTINUED)
  • Table 16 (CONTINUED)
  • Table 16 (CONTINUED)
  • Table 16 (CONTINUED)
  • Table 16 (CONTINUED)
  • Table 16 (CONTINUED)
    • RMW Reduction
    • Health Care Facility Overview
  • Table 17 TOTAL NUMBER OF U.S. REGISTERED HOSPITALS BY TYPE, 2006
  • Table 18 COMMUNITY HOSPITAL COMPARISONS BY PROFIT TYPE, 2006
  • Table 19 EXAMPLES OF LEADING FOR-PROFIT U.S. HOSPITAL CHAINS
  • Table 20 EXAMPLES OF LEADING LONG-TERM CARE FACILITIES
    • Shifts in Health Care Utilization
  • Table 21 AVERAGE LENGTH OF STAY IN U.S. NON-FEDERAL HOSPITALS (DAYS)
  • Figure 8 AVERAGE LENGTH OF STAY IN U.S. NON-FEDERAL HOSPITALS, 1995-2008 (DAYS)
    • Pharmaceutical Disposal
      • Pharmaceutical Disposal (Continued)
• Chapter 3 - STATE AND FEDERAL GOVERNMENT REGULATION
  • CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC)
  • DEPARTMENT OF TRANSPORTATION (DOT)
    • HAZARDOUS MATERIALS TRANSPORTATION AUTHORIZATION ACT (HMTAA) OF 1994
  • ENVIRONMENTAL PROTECTION AGENCY (EPA)
    • CLEAN AIR ACT (CAA)
    • CLEAN WATER ACT (CWA)
      • The Comprehensive Environmental Response, Compensation and Liability Act (CERCLA) of 1980
      • The Resource Conservation and Recovery Act (RCRA) of 1976
    • MEDICAL WASTE TRACKING ACT (MWTA) OF 1988
  • FOOD AND DRUG ADMINISTRATION (FDA)
  • NUCLEAR REGULATORY COMMISSION (NRC)
  • OCCUPATION SAFETY AND HEALTH ADMINISTRATION (OSHA)
    • OCCUPATIONAL SAFETY AND HEALTH ACT OF 1970
    • OCCUPATIONAL EXPOSURE TO BLOOD BORNE PATHOGENS STANDARD (OEBPS) OF 1991
  • UNITED STATES POSTAL SERVICE (USPS)
  • U.S. DRUG ENFORCEMENT ADMINISTRATION (DEA)
    • CONTROLLED SUBSTANCES ACT (CSA)
      • Controlled Substances Act (CSA) (Continued)
• Chapter 4 - INDUSTRY PRODUCTS AND SERVICES
  • TREATMENT
    • AUTOCLAVE
  • Table 22 WEST VIRGINIA' S ACCEPTABLE AUTOCLAVE DECONTAMINATION SETTINGS
    • ELECTRO-THERMAL DEACTIVATION
    • INCINERATION
      • Incineration (Continued)
    • CHEMICAL AND CHEMICAL/MECHANICAL
    • MICROWAVE AND RADIOFREQUENCY IRRADIATION UNITS
    • HIGH HEAT THERMAL TREATMENTS-PYROLYSIS
    • ELECTRON-BEAM
  • CONTAINMENT
  • MANAGEMENT AND DISPOSAL
    • WASTE COLLECTION AND TRANSFER
    • WASTE TRANSPORT
  • WASTE DISPOSAL
  • RECORDKEEPING AND TESTING
• Chapter 5 - INTERNATIONAL MARKETS AND TRENDS
  • INFECTIOUS MEDICAL WASTE TRACKING AND RFID TECHNOLOGY
  • RECENT DEVELOPMENTS IN SHANGHAI
  • WORLD HEALTH ORGANIZATION (WHO) AND INTERNATIONAL HEALTH CARE WASTE MANAGEMENT
  • INDIA
  • IRAQ
• Chapter 6 - ISSUES AFFECTING THE MARKET
  • RISKS AND CONTACT WITH MEDICAL WASTE
    • DISEASES AND INFECTIONS ASSOCIATED WITH MEDICAL WASTE
      • Hepatitis B
      • Hepatitis C
      • HIV/AIDS
    • INCINERATOR ASH REMOVAL ISSUES
    • MEDICAL WASTE IN THE BATTLEFIELD
      • Medical Waste In The Battlefield (Continued)
  • Table 23 THE DEPARTMENT OF THE ARMY - GUIDELINES FOR FIELD WASTE MANAGEMENT, METHODS OF TREATMENT AND DISPOSAL
    • LEADING MANUFACTURER AND SERVICE PROVIDER STRATEGIES
      • Marketing and Advertising
      • Acquisitions and Collaborations
      • Acquisitions and Collaborations (Continued)
  • Table 24 RECENT MEDICAL WASTE COMPANY ACQUISITIONS
• Chapter 7 - TECHNOLOGY
  • INTRODUCTION
  • U.S. PATENT TRENDS
  • Table 25 UNITED STATES MEDICAL WASTE PATENTS ISSUED BY YEAR RANGE, 1980-2005 FORWARD
  • Figure 9 UNITED STATES MEDICAL WASTE PATENTS FILED BY YEAR RANGE 1980-2005 FORWARD
    • TRENDS BY COMPANY
  • Table 26 MEDICAL WASTE PATENT INFORMATION BY ASSIGNEE
  • Table 26 (CONTINUED)
  • Table 26 (CONTINUED)
  • Figure 10 MEDICAL WASTE PATENT INFORMATION BY ASSIGNEE
    • STERICYCLE
    • DORNOCH MEDICAL SYSTEMS
    • BECTON, DICKINSON AND COMPANY (BD)
    • STERILE TECHNOLOGIES
    • MEDIVATORS, INC.
    • ELECTRO-PYROLYSIS, INC.
    • DEROYAL INDUSTRIES, INC.
    • WR2, INC.
    • SPECIALIZED HEALTH PRODUCTS, INC. (SHPI)
    • BIOPLEXUS, INC.
    • SANITEC, INC.
    • PEAT INTERNATIONAL
    • AEGIS BIO-SYSTEMS
    • TRENDS BY INVENTOR
  • Table 27 HIGHLIGHTED INVENTORS OF PATENTED MEDICAL WASTE TECHNOLOGIES, 1989-2005
    • EMERGING AREAS OF TECHNOLOGY
      • AUTOCLAVE
      • SUPERHEATED STEAM
      • HYDROCLAVING
      • ROTOCLAVE
    • IMPLEMENTED WASTE CONTROL PROGRAMS AT U.S. INSTITUTIONS AND GOVERNMENTS
      • BUSH INTERCONTINENTAL AIRPORT
      • STATE OF RHODE ISLAND
      • RIVERVIEW HOSPITAL
      • CITY OF SAN BERNARDINO, CALIFORNIA
      • CITY OF COLUMBUS, GEORGIA
      • MAIL-BACK PROGRAMS
      • MADISON COUNTY, NEW YORK
      • SAINT LUKE' S HOSPITAL, CEDAR RAPIDS, IOWA
• Chapter 8 - MEDICAL WASTE TREATMENT MARKETS
  • OVERVIEW
  • DESCRIPTION OF PRODUCTS
    • AUTOCLAVE
      • Autoclave (Continued)
    • MICROWAVE
    • CHEMICAL AND MECHANICAL SYSTEMS
    • OTHER TREATMENT TECHNOLOGIES
  • MARKET ANALYSIS
    • OVERVIEW
    • MARKETS BY PRODUCT TYPE
  • Table 28 U.S. MEDICAL WASTE TREATMENT MARKETS BY TOTAL PRODUCT SALES, THROUGH 2012 ($ MILLIONS)
  • Figure 11 U.S. MEDICAL WASTE TREATMENT MARKETS BY TOTAL PRODUCT SALES, 2005-2012 ($ MILLIONS)
    • MARKETS BY WASTE TYPE
  • Table 29 DISTRIBUTION OF U.S. REVENUES FOR MEDICAL WASTE TREATMENT MARKETS BY WASTE TYPE, 2007 (%/$ MILLIONS)
  • Figure 12 DISTRIBUTION OF U.S. REVENUES FOR MEDICAL WASTE TREATMENT MARKETS BY WASTE TYPE, 2007 (%)
    • LEADING SUPPLIERS AND PARTICIPANTS
      • LEADING SUPPLIERS AND PARTICIPANTS (CONTINUED)
  • Table 30 U.S. COMPETITIVE SUMMARY FOR MEDICAL WASTE TREATMENT BY COMPETITORS' REVENUES, 2007 (%/$ MILLIONS)
  • Figure 13 U.S. COMPETITIVE SUMMARY FOR MEDICAL WASTE TREATMENT BY COMPETITORS' REVENUES, 2007 (%)
• Chapter 9 - MEDICAL WASTE CONTAINMENT SYSTEM MARKETS
  • OVERVIEW
  • DESCRIPTION OF PRODUCTS
  • MARKET ANALYSIS
    • OVERVIEW
    • MARKETS BY PRODUCT TYPE
      • Markets by Product Type (Continued)
  • Table 31 U.S. MEDICAL WASTE CONTAINMENT SYSTEM MARKETS BY TOTAL PRODUCT SALES, THROUGH 2012 ($ MILLIONS)
  • Figure 14 U.S. MEDICAL WASTE CONTAINMENT SYSTEM MARKETS BY TOTAL PRODUCT SALES, 2005-2012 ($ MILLIONS)
    • MARKETS BY WASTE TYPE
  • Table 32 DISTRIBUTION OF U.S. REVENUES FOR MEDICAL WASTE CONTAINMENT SYSTEMS BY WASTE TYPE, 2007 ($ MILLIONS)
  • Figure 15 DISTRIBUTION OF U.S. REVENUES FOR MEDICAL WASTE CONTAINMENT SYSTEMS BY WASTE TYPE, 2007 (%)
    • LEADING SUPPLIERS AND PARTICIPANTS
  • Table 33 U.S. COMPETITIVE SUMMARY FOR MEDICAL WASTE CONTAINMENT BY COMPETITORS' REVENUES, 2007 (%, $ MILLIONS)
  • Figure 16 U.S. COMPETITIVE SUMMARY FOR MEDICAL WASTE CONTAINMENT BY COMPETITORS' REVENUES, 2007 (%)
• Chapter 10 - MEDICAL WASTE MANAGEMENT AND DISPOSAL SERVICE MARKETS
  • OVERVIEW
  • DESCRIPTION OF SERVICES
  • MARKET ANALYSIS
    • OVERVIEW
    • MARKETS BY PRODUCT TYPE
  • Table 34 U.S. MEDICAL WASTE MANAGEMENT AND DISPOSAL SERVICE MARKETS BY SERVICE REVENUES, THROUGH 2012 ($ MILLIONS)
  • Figure 17 U.S. MEDICAL WASTE MANAGEMENT AND DISPOSAL SERVICE MARKETS BY SERVICE REVENUES, 2005-2012($ MILLIONS)
    • Markets by Waste Type
  • Table 35 DISTRIBUTION OF U.S. REVENUES FOR MEDICAL WASTE MANAGEMENT AND DISPOSAL SERVICES BY WASTE TYPE, 2007 (%/$ MILLIONS)
  • Figure 18 DISTRIBUTION OF U.S. REVENUES FOR MEDICAL WASTE MANAGEMENT AND DISPOSAL SERVICES BY WASTE TYPE, 2007 (%)
    • LEADING SUPPLIERS AND PARTICIPANTS
  • Table 36 U.S. COMPETITIVE SUMMARY FOR MEDICAL WASTE MANAGEMENT AND DISPOSAL SERVICE BY COMPETITORS' REVENUES, 2007 (%/$ MILLIONS)
  • Figure 19 U.S. COMPETITIVE SUMMARY FOR MEDICAL WASTE MANAGEMENT AND DISPOSAL SERVICE BY COMPETITORS' REVENUES, 2007 (%)
• Chapter 11 - TOTAL MARKET ANALYSIS
  • OVERVIEW
    • MARKET SEGMENTS ANALYSIS
  • Table 37 U.S. MEDICAL WASTE TREATMENT, CONTAINMENT, MANAGEMENT, AND DISPOSAL MARKETS, THROUGH 2012 ($ MILLIONS)
  • Figure 20 U.S. MEDICAL WASTE TREATMENT, CONTAINMENT, MANAGEMENT, AND DISPOSAL MARKETS, 2005-2012 ($ MILLIONS)
    • INDUSTRY PARTICIPANTS BY TYPE
  • Table 38 U.S. MEDICAL WASTE INDUSTRY PARTICIPANTS BY TYPE AND MAJOR AREA OF PARTICIPATION, 2006-2007
• Chapter 12 - COMPANY PROFILES
  • ADUROMED CORPORATION
  • BECTON, DICKINSON AND COMPANY
  • BONDTECH CORPORATION
  • KENDALL HEALTHCARE
  • THE MARK-COSTELLO COMPANY
  • MCM ENVIRONMENTAL TECHNOLOGIES, INC. (PART OF CAPRIUS, INC.)
  • SAN-I-PAK
  • SANITEC INDUSTRIES, INC.
  • SHARPS COMPLIANCE, INC.
  • STERICYCLE, INC.
  • WR2, INC.
    • WR2, Inc. (Continued)
• Chapter 13 - APPENDIX 1: LEADING PRODUCT AND SERVICE PROVIDERS; LEADING TECHNOLOGY PATENT HOLDERS
  • APPENDIX 1
  • APPENDIX 1 (CONTINUED)
  • APPENDIX 1 (CONTINUED)
  • APPENDIX 1 (CONTINUED)
  • APPENDIX 1 (CONTINUED)
  • APPENDIX 1 (CONTINUED)
  • APPENDIX 1 (CONTINUED)
  • APPENDIX 1 (CONTINUED)
• Chapter 14 - APPENDIX II: INDUSTRY ORGANIZATIONS, REGULATORY AGENCIES, AND ASSOCIATIONS
  • APPENDIX II
  • APPENDIX II (CONTINUED)
• Chapter 15 - APPENDIX III: STATE WASTE PROGRAMS AND DIVISIONS
  • APPENDIX III
  • APPENDIX III (CONTINUED)
  • APPENDIX III (CONTINUED)
  • APPENDIX III (CONTINUED)
  • APPENDIX III (CONTINUED)
  • APPENDIX III (CONTINUED)
  • APPENDIX III (CONTINUED)
  • APPENDIX III (CONTINUED)
  • APPENDIX III (CONTINUED)
  • APPENDIX III (CONTINUED)
  • APPENDIX III (CONTINUED)
  • APPENDIX III (CONTINUED)
  • APPENDIX III (CONTINUED)