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      The interplay of circular economy with industry 4.0 enabled smart city drivers of healthcare waste disposal

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          Abstract

          Generation of healthcare waste from different patient care activities in hospitals, pathology labs and research centers has been a matter of great concern for environmental and social bodies across the world. This concern comes from its infectious and hazardous nature which brings life taking disease such as human immunodeficiency virus and Hepatitis-B. Moreover, with the outbreak of corona virus disease 2019 (COVID-19) pandemic across the world, healthcare waste has become even more infectious like never before and showing its potential for claiming lives if not disposed properly. Additionally, the COVID-19 has put up another challenge in terms of exponentially increasing demand for personal protective equipments for healthcare workers such as doctors, nurses, ward boys, and sanitation workers. In this paper, seven criteria related to smart healthcare waste disposal system infused by circular economy aspects to recover value from disposables are identified and analysed using a decision making trial and evaluation laboratory (DEMATEL) method. The criteria have been prioritised by its importance and net cause and effect relationship through a causal diagram. Two criteria, (i) digitally connected healthcare centres, waste disposal firms and pollution control board, and (ii) providing a pollution control board’s feedback app to public and other stakeholders, feature as strong reasons for a smart healthcare waste disposal system. Conclusively, this study provides a causal relationship model among the intertwined drivers of industry 4.0 and circular economy for developing a smart healthcare waste disposal system enriched with the benefits of circular economy.

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          Most cited references27

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                Author and article information

                Contributors
                Journal
                J Clean Prod
                J Clean Prod
                Journal of Cleaner Production
                Elsevier Ltd.
                0959-6526
                1879-1786
                22 August 2020
                22 August 2020
                : 123854
                Affiliations
                [a ]Indian Institute of Management Bodh Gaya, Bihar, India
                [b ]Indian Institute of Management, Lucknow, Uttar Pradesh, India
                [c ]Indian Institute of Management, Rohtak, Haryana, India
                Author notes
                []Corresponding author. , Indian Institute of Management Lucknow, India skj@ 123456iiml.ac.in
                Article
                S0959-6526(20)33899-3 123854
                10.1016/j.jclepro.2020.123854
                7442911
                32863607
                bc7dbafd-d456-4959-bd4f-9e9e12500620
                © 2020 Elsevier Ltd. All rights reserved.

                Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

                History
                : 25 April 2020
                : 23 July 2020
                : 17 August 2020
                Categories
                Article

                covid-19,healthcare waste,circular economy,industry 4.0,iot,smart city,multi-criteria decision making

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