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Healthcare institutions consume large amounts of energy, ranking the second highest energy-intensive buildings in the commercial sector. Within developed countries, the energy consumption of healthcare institutions may account for up to 18% of the overall energy usage in commercial sectors. Within developing countries, such as South Africa, the energy consumption of healthcare institutions is observed to be a close second to the food service sector. Energy consumption of healthcare institutions per bed typically range from 43–92 kWh per day. In this paper, the largest energy consumers in South African healthcare institutions are identified and appropriate energy-efficiency (EE) initiatives are proposed, in terms of performance, operation, equipment and technology efficiency (POET). Two main thermal energy consumers are identified as heating, ventilation and air conditioning (HVAC) and water-heating systems. These systems are critical to patient health and may be classified as non-deferrable loads. Therefore, several initiatives are suggested to improve the energy efficiency and demand-side management capability of these systems. These initiatives are subdivided into different levels: the conceptual level, active level, technical and further improvement level, as defined in the POET framework. At each level, energy-efficiency initiatives are introduced based on potential energy savings and the effort required to achieve these savings. In addition, model predictive control (MPC) approaches are discussed and reviewed as part of the further improvement section. Average possible energy savings ranged from 50%–70% at the conceptual level, while energy savings of 15%–30% may be expected for energy-efficiency initiatives at the active level. EE activities at the technical level and the further improvement level may result in savings of 50%–70% and 5%–10%, respectively. [ABSTRACT FROM AUTHOR]

Thermal processes represent a considerable part of the total energy consumption in manufacturing industry, in sectors such as steel, aluminium, cement, ceramic and glass, among others. It can even be the predominant type of energy consumption in some sectors. High thermal energy processes are mostly associated to high thermal losses, (commonly denominated as waste heat), reinforcing the need for waste heat recovery (WHR) strategies. WHR has therefore been identified as a relevant solution to increase energy efficiency in industrial thermal applications, namely in energy intensive consumers. The ceramic sector is a clear example within the manufacturing industry mainly due to the fuel consumption required for the following processes: firing, drying and spray drying. This paper reviews studies on energy efficiency improvement measures including WHR practices applied to the ceramic sector. This focuses on technologies and strategies which have significant potential to promote energy savings and carbon emissions reduction. The measures have been grouped into three main categories: (i) equipment level; (ii) plant level; and (iii) outer plant level. Some examples include: (i) high efficiency burners; (ii) hot air recycling from kilns to other processes and installation of heat exchangers; and (iii) installation of gas turbine for combined heat and power (CHP). It is observed that energy efficiency solutions allow savings up to 50–60% in the case of high efficiency burners; 15% energy savings for hot air recycling solutions and 30% in the when gas turbines are considered for CHP. Limitations to the implementation of some measures have been identified such as the high investment costs associated, for instance, with certain heat exchangers as well as the corrosive nature of certain available exhaust heat. [ABSTRACT FROM AUTHOR]