Medical waste incineration fly ash (MWIFA) contains heavy metals that are toxic by nature and pose numerous health risks. The paper deals with the suitability of MWIFA as a mineral filler in the bituminous layer as an alternative to conventional stone dust (SD) through an appropriate combination of engineering and environmental assessments. Engineering parameters, such as Marshall stability, stability loss, flow, unit weight, air voids (V), voids filled with asphalt (VFA), and voids in the mineral aggregate (VMA) of the asphalt mixtures, were evaluated with varying filler ratios, from 2% to 10%.
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