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Due to the high necessity of medical face masks and face shields during the COVID-19 pandemic, healthcare centers dealing with infected patients have faced serious challenges due to the high consumption rate face masks and face shields. In this regard, the supply chain of healthcare centers should put all of their efforts into avoiding any shortages of masks and shields as these products are considered as primary ways to prevent the spread of the virus. Since, any shortages in these products would lead to irrecoverable and costly consequences in terms of the mortality rate of patients and medical staff. Therefore, healthcare centers should decide on best supplier to supply required products, considering technical, and sustainability measures. Dynamicity and uncertainty of the pandemic are other factors that add up to the complexity of the supplier selection problem. Therefore, this paper develops a novel decision-making approach using Measuring attractiveness through a categorical-based evaluation technique (MACBETH) and a new combinative distance-based assessment method to address the supplier selection problem during the COVID-19 pandemic. Due to high uncertainty, vague and incomplete information for decision-making problems during the COVID-19 pandemic, the developed decision-making approach is implemented under fuzzy rough numbers as a superior uncertainty set of the traditional fuzzy set and rough numbers. Extensive sensitivity analysis tests are performed based on parameters of the decision-making approach, impacts of weight coefficients, and consistency of results in comparison to other MCDM methods. A real-life case study is investigated for a hospital in Istanbul, Turkey to show the applicability of the developed approach. Based on the results of MACBETH method, job creation and occupational health and safety systems are two top criteria. Results of the case study for five suppliers indicate that supplier (A1) is the best supplier with a distance score of 3.308. [ABSTRACT FROM AUTHOR]

Hazardous healthcare waste (HCW) management system is one of the most critical urban systems affected by the COVID-19 pandemic due to the increase in waste generation rate in hospitals and medical centers dealing with infected patients as well as the degree of hazardousness of generated waste due to exposure to the virus. In this regard, waste network flow would face severe problems without taking care of hazardous waste through disinfection facilities. For this purpose, this study aims to develop an advanced decision support system based on a multi-stage model that was combined with the random forest recursive feature elimination (RF-RFE) algorithm, the indifference threshold-based attribute ratio analysis (ITARA), and measurement of alternatives and ranking according to compromise solution (MARCOS) methods into a unique framework under the Fermatean fuzzy environment. In the first stage, the innovative Fermatean fuzzy RF-RFE algorithm extracts core criteria from a finite set of initial criteria. In the second stage, the novel Fermatean fuzzy ITARA determines the semi-objective importance of the core criteria. In the third stage, the new Fermatean fuzzy MARCOS method ranks alternatives. A real-life case study in Istanbul, Turkey, illustrates the applicability of the introduced methodology. Our empirical findings indicate that "Pendik" is the best among five candidate locations for sitting a new disinfection facility for hazardous HCW in Istanbul. The sensitivity and comparative analyses confirmed that our approach is highly robust and reliable. This approach could be used to tackle other critical multi-dimensional problems related to COVID-19 and support sustainability and circular economy. [ABSTRACT FROM AUTHOR]