Quantifying the spatiotemporal evolution characteristics of medical waste generation during the outbreak of public health emergencies

Journal of Material Cycles and Waste Management - Based on the medical waste quantity and patient data during the corona virus disease 2019 (COVID-19) outbreak in China, this study used...     

Inulin–Niacin Conjugates: Preparation,Characterization, Kinetic and In Vitro Release Studies

Journal of Polymers and the Environment - Niacin, an essential B-complex vitamin, used in the treatment of nonalcoholic fatty liver disease is the first perceived lipid regulating medication,...     

Controlled Release 7-Methoxytacrine-Polycaprolactone Nanocapsules Drug-Delivery System for Alzheimer's Disease Treatment: Synthesis and Physico-Chemical Characterization

Journal of Polymers and the Environment - Alzheimer’s disease is the most prevalent cause of dementia in aging people. 7-Methoxytacrine (7-MEOTA) is one of the approved drugs for the...     

The hygienic aspects of wastewater reuse

Historically drinking water contaminated with wastewater discharged from nearby communities has been a major public health problem whose solution was directed towards the treatment of drinking water rather than of the source of contamination. The increased need for deliberate wastewater reuse has stimulated greater interest in the ability of wastewater treatment processes to produce a product in which the risk of infection, upon reuse, is reduced to an acceptable level. A brief overview of the disease agents involved, human dose-response considerations, microbial standards, and treatment plant reliability is presented. Selected experiences with the question as to how our terrestrial experience can be applicable to advanced life support systems is addressed.     

Field scale evaluation of volatile organic compound production inside biosecure swine mortality composts

Emergency mortality composting associated with a disease outbreak has special requirements to reduce the risks of pathogen survival and disease transmission. The most important requirements are to cover mortalities with biosecure barriers and avoid turning compost piles until the pathogens are inactivated. Temperature is the most commonly used parameter for assessing success of a biosecure composting process, but a decline in compost core temperature does not necessarily signify completion of the degradation process. In this study, gas concentrations of volatile organic compounds (VOCs) produced inside biosecure swine mortality composting units filled with six different cover/plant materials were monitored to test the state and completion of the process. Among the 55 compounds identified, dimethyl disulfide, dimethyl trisulfide, and pyrimidine were found to be marker compounds of the process. Temperature at the end of eight weeks was not found as an indicator of swine carcass degradation. However, gas concentrations of the marker compounds at the end of eight weeks were found to be related to carcass degradation. The highest gas concentrations of the marker compounds were measured for the test units with the lowest degradation (highest respiration rates). Dimethyl disulfide was found to be the most robust marker compound as it was detected from all composting units in the eighth week of the trial. Concentration of dimethyl disulfide decreased from a range of 290–4340 ppmv to 6–160 ppbv. Dimethyl trisulfide concentrations decreased to a range of below detection limit to 430 ppbv while pyrimidine concentrations decreased to a range of below detection limit to 13 ppbv.     

Storage,collection and disposal of Kariakoo market wastes in Dar es Salaam,Tanzania

In many developing countries, the market is still the most important source of commerce for traders and provisions for the general public. The transmission of disease in the market place involves factors relating to the host, the agent and the environment. This study examines the quality of solid waste management in Kariakoo market, Dar es Salaam. The main problems identified were poor market design and lack of a well organized waste storage, collection and disposal systems. Two-thirds of the waste consists of vegetable matter. Proposals for improved design of storage and collection facilities are described. Experiments revealed wastes from the market are readily decomposable by composting. A change in the design of covered markets and improvements in waste handling are essential to reduce the potential health hazards in developing countries.     

Fungal-modification of Natural Fibers: A Novel Method of Treating Natural Fibers for Composite Reinforcement

Growing interest in green products has provided fresh impetus to the research in the field of renewable materials. Plant fibers are not only renewable but also light in weight and low in cost. Polymer composites manufactured using them find applications in diverse fields such as automobiles, housing, and furniture. However, their hydrophilic nature and inadequate adhesion with matrix limits their use in high performance applications. In this study, a novel method for improving adhesion characteristics of natural fibers has been developed. This method is carried out by treating hemp fibers with a fungus: Ophiostoma ulmi, obtained from elm tree infected with Dutch elm disease. Treated fibers showed improved acid–base characteristics and resistance to moisture. Improved acid–base interactions between fiber and resin are expected to improve the interfacial adhesion, whereas improved moisture resistance would benefit the durability of the composites. Finally, composites were prepared using untreated/treated fibers and unsaturated polyester resin. Composites with treated fibers showed slightly better mechanical properties, which is most probably due to improved interfacial adhesion.     

Quantitative assessment of medical waste generation in the capital city of Bangladesh

There is a concern that mismanagement of medical waste in developing countries may be a significant risk factor for disease transmission. Quantitative estimation of medical waste generation is needed to estimate the potential risk and as a basis for any waste management plan. Dhaka City, the capital of Bangladesh, is an example of a major city in a developing country where there has been no rigorous estimation of medical waste generation based upon a thorough scientific study. These estimates were obtained by stringent weighing of waste in a carefully chosen, representative, sample of HCEs, including non-residential diagnostic centres. This study used a statistically designed sampling of waste generation in a broad range of Health Care Establishments (HCEs) to indicate that the amount of waste produced in Dhaka can be estimated to be 37 ± 5 ton per day. The proportion of this waste that would be classified as hazardous waste by World Health Organisation (WHO) guidelines was found to be approximately 21%. The amount of waste, and the proportion of hazardous waste, was found to vary significantly with the size and type of HCE.     

Vaccinations for waste-handling workers. A review of the literature.

A review of the literature relating to the need for vaccination against infectious disease in the solid waste industry was conducted, focusing on hepatitis A, hepatitis B and tetanus. Databases (Medline, PreMedline, EMBASE, CINAHL, Current Contents, Cochrane Database, HTA Database, DARE, OSHROM) were searched up to and including August 2003. Articles were included in the review if they reported the prevalence of immunity to hepatitis A, hepatitis B or tetanus in solid waste workers or the incidence of clinical infection with any of these diseases. Papers about hazardous or medical waste, incineration or other infectious diseases were excluded. Forty-four papers constituted the evidence database. Only one paper studied the prevalence of antibodies to hepatitis A and hepatitis B in solid waste workers compared with sewage plant workers and office workers, and no difference was found between these groups of workers. There was some evidence to support a theoretical risk of infection with hepatitis A, B and tetanus; however, no studies could be found of the risk of these diseases in solid waste workers. No single cases of these diseases being acquired occupationally in solid waste management were identified in the literature. Workers in the solid waste industry may theoretically be at increased risk of acquiring infectious diseases occupationally. However, at present no studies could be found which have documented this risk.     

Characteristics and management of infectious industrial waste in Taiwan

Infectious industrial waste management in Taiwan is based on the specific waste production unit. In other countries, management is based simply on whether the producer may lead to infectious disease. Thus, Taiwan has a more detailed classification of infectious waste. The advantage of this classification is that it is easy to identify the sources, while the disadvantage lies in the fact that it is not flexible and hence increases cost. This study presents an overview of current management practices for handling infectious industrial waste in Taiwan, and addresses the current waste disposal methods. The number of small clinics in Taiwan increased from 18,183 to 18,877 between 2003 and 2005. Analysis of the data between 2003 and 2005 showed that the majority of medical waste was general industrial waste, which accounted for 76.9%-79.4% of total medical waste. Infectious industrial waste accounted for 19.3%-21.9% of total medical waste. After the SARS event in Taiwan, the amount of infectious waste reached 19,350 tons in 2004, an increase over the previous year of 4000 tons. Waste minimization was a common consideration for all types of waste treatment. In this study, we summarize the percentage of plastic waste in flammable infectious industrial waste generated by medical units, which, in Taiwan was about 30%. The EPA and Taiwan Department of Health have actively promoted different recycling and waste reduction measures. However, the wide adoption of disposable materials made recycling and waste reduction difficult for some hospitals. It has been suggested that enhancing the education of and promoting communication between medical units and recycling industries must be implemented to prevent recyclable waste from entering the incinerator.     

Healthcare waste management in Asia

The risks associated with healthcare waste and its management has gained attention across the world in various events, local and international forums and summits. However, the need for proper healthcare waste management has been gaining recognition slowly due to the substantial disease burdens associated with poor practices, including exposure to infectious agents and toxic substances. Despite the magnitude of the problem, practices, capacities and policies in many countries in dealing with healthcare waste disposal, especially developing nations, is inadequate and requires intensification. This paper looks upon aspects to drive improvements to the existing healthcare waste management situation. The paper places recommendation based on a 12 country study reflecting the current status. The paper does not advocate for any complex technology but calls for changes in mindset of all concerned stakeholders and identifies five important aspects for serious consideration. Understanding the role of governments and healthcare facilities, the paper also outlines three key areas for prioritized action for both parties – budget support, developing policies and legislation and technology and knowledge management.     

End‐state land uses,sustainably protective systems,and risk management: A challenge for remediation and multigenerational stewardship

This article discusses creating a sustainably protective engineered and human management system in perpetuity for sites with long‐lived radiological and chemical hazards. This is essential at this time because the federal government is evaluating its property as assets and attempting to reduce its holdings, while seeking to assure that health and ecosystems are not put at risk. To assist those who have a stake in the remediation, management, and stewardship of these and analogous privately owned sites, this article discusses current end‐state planning by reviewing the federal government's accelerated efforts to reduce its footprint and how those efforts relate to sustainability. The article also provides a list of questions organized around six elements of risk management and primary, secondary, and tertiary disease and injury prevention. Throughout the article, the U.S. Department of Energy (DOE) is used as an example of an organization that seeks to reduce its footprint, manage its budget, and be a steward of the sites that it is responsible for. However, the approach and questions are appropriate for land controlled by the Department of Defense (DOD), the General Services Administration (GSA), and other public and private owners of sites with residual contamination. © 2005 Wiley Periodicals, Inc.     

Medical waste production at hospitals and associated factors

This study was conducted to evaluate the quantities of medical waste generated and the factors associated with the generation rate at medical establishments in Taiwan. Data on medical waste generation at 150 health care establishments were collected for analysis in 2003. General medical waste and infectious waste production at these establishments were examined statistically with the potential associated factors. These factors included the types of hospital and clinic, reimbursement payment by National Health Insurance, total number of beds, bed occupancy, number of infectious disease beds and outpatients per day. The average waste generation rates ranged from 2.41 to 3.26kg/bed/day for general medical wastes, and 0.19-0.88kg/bed/day for infectious wastes. The total average quantity of infectious wastes generated was the highest from medical centers, or 3.8 times higher than that from regional hospitals (267.8 vs. 70.3Tons/yr). The multivariate regression analysis was able to explain 92% of infectious wastes and 64% of general medical wastes, with the amount of insurance reimbursement and number of beds as significant prediction factors. This study suggests that large hospitals are the major source of medical waste in Taiwan. The fractions of medical waste treated as infectious at all levels of healthcare establishments are much greater than that recommended by the USCDC guidelines.     

Mad cow and related diseases: Challenges for waste management

Mad cow disease and related transmissible spongiform encephalopathy diseases (TSEs) in both animals and humans have received worldwide attention. Interestingly, the issue of managing biohazardous wastes, for which TSE agents are an issue, has received little attention by environmental professionals. The burial of wastes associated with mad cow and related diseases may eventually lead to unusual challenges for remediation professionals. The core challenge is that medical researchers have confirmed the incredible difficulty in destroying TSE infectious agents or pathogens, generally called prions. Risk reduction is certainly possible with treatment technologies, but complete elimination of risk by reliable and verifiable destruction of all TSE agents is probably infeasible. Proving the efficacy of any waste treatment method for TSE-infected wastes is not practical because there is no commercially available test for TSE pathogens (although one is expected soon) and in only a few cases is there a reasonable surrogate approach. These circumstances have contributed to some biohazardous waste managers discounting the TSE issue. The goal of this article is to more thoroughly analyze available information and various risks to identify useful implications for alternative waste management technologies. A number of prudent actions can be taken in recognition of the TSE problem, including more careful assessment of treatment technologies, avoiding any reuse or recycling of waste treatment residues, using air pollution control systems to avoid releases of materials possibly containing infectious agents, and using wastewater pretreatment prior to sewer disposal.     

Scavenging demeanor in Bahawalpur,Pakistan: social and health perspective

Social and health issues are now considered as an integral part of waste management system. Scavengers or waste pickers are the main victims in waste management sector. Objective of the cross sectional study carried out for a group of scavengers living in huts was to highlight the socio-demographic characteristic, working conditions and occupational health risks with main emphasis on relation of infectious disease prevalence and waste picking activity in Bahawalpur area. Of the 100 waste pickers and 100 non-waste pickers HIV was not detected in any participant, HBV was detected in 4 and 2 % and HCV in 28 and 6 % respectively. Considerable differences were observed in the detection rates of HCV (OR: 6.09, 95 % CI 2.4, 15.5; p = 0.000) and either markers (OR: 5.4, 95 % CI 2.35, 12.5; p = 0.000) in waste pickers compared to general population. The higher incidence of Hepatitis among waste pickers compared to non waste pickers is a function of their occupation, unhygienic living conditions, lack of immunization, ignorance and need of training regarding waste handling.     

Processes for water reclamation

Water treatments fall into two broad classes; those that remove or destroy specific classes of pollutants, i.e. color, metal ions, hardness, sediment, bacteria, etc., and those that remove water from nearly all of the pollutants. The first class includes sedimentation, biological treatment by microbes, chemical precipitation, adsorption on active carbon or ion exchange resins, and disinfection. The second class includes distillation, freezing and reverse osmosis (RO). The first class are the least expensive in terms of energy and have a long history of successful use on a large scale to reclaim water containing sewage. Most of the second group are energy intensive and have been used primarily on a moderate scale. All processes, except disinfection, leave a residual sludge or brine that contains a substantial quantity of water.Many of the problems of treating waste water for reuse on Earth stem from the fact that waste water carries pathogenic organisms from one location to another and may spread disease over long distances. In a closed group, such as in a Space Station, there are so many other routes for transfer of microorganisms, i.e. in the air, on surfaces, by hand-to-mouth, that undue emphasis on disinfection of water is inappropriate. Successful examples of water reuse on Earth are reviewed in terms of their possible application in space.     

Occupational hygiene in terms of volatile organic compounds (VOCs) and bioaerosols at two solid waste management plants in Finland

Factors affecting occupational hygiene were measured at the solid waste transferring plant at Hyvinkää and at the optic separation plant in Hämeenlinna. Measurements consisted of volatile organic compounds (VOCs) and bioaerosols including microbes, dust and endotoxins.The most abundant compounds in both of the plants were aliphatic and aromatic hydrocarbons, esters of carboxylic acids, ketones and terpenes. In terms of odour generation, the most important emissions were acetic acid, 2,3-butanedione, ethyl acetate, alpha-pinene and limonene due to their low threshold odour concentrations. At the optic waste separation plant, limonene occurred at the highest concentration of all single compounds of identified VOCs. The concentration of any single volatile organic compound did not exceed the occupational exposure limit (OEL) concentration. However, 2,3-butanedione as a health risk compound is discussed based on recent scientific findings linking it to lung disease.Microbe and dust concentrations were low at the waste transferring plant. Only endotoxin concentrations may cause health problems; the average concentration inside the plant was 425 EU/m³ which clearly exceeded the threshold value of 90 EU/m³. In the wheel loader cabin the endotoxin concentrations were below 1 EU/m³. High microbial and endotoxin concentrations were measured in the processing hall at the optic waste separation plant. The average concentration of endotoxins was found to be 10,980 EU/m³, a concentration which may cause health risks. Concentrations of viable fungi were quite high in few measurements in the control room. The most problematic factor was endotoxins whose average measured concentrations was 4853 EU/m³.     

Biocrude oils from the fast pyrolysis of poultry litter and hardwood

The safe and economical disposal of poultry litter is becoming a major problem for the USA poultry industry. Current disposal methods such as land application and feeding to cattle are now under pressure because of pollution of water resources due to leaching, runoffs and concern for mad cow disease contamination of the food chain. Incineration or combustion is potentially applicable to large scale operations, but for small scale growers and EPA non-attainment areas, this is not a suitable option because of the high cost of operation. Thus, there is a need for developing appropriate technologies to dispose poultry litter.Poultry litters from broiler chicken and turkey houses, as well as bedding material were converted into biocrude oil in a fast pyrolysis fluidized bed reactor. The biocrude oil yields were relatively low ranging from 36 wt% to 50 wt% depending on the age and bedding material content of the litter. The bedding material (which was mostly hardwood shavings) biocrude oil yield was 63 wt%. The higher heating value (HHV) of the poultry litter biocrude oils ranged from 26 MJ/kg to 29 MJ/kg while that of the bedding material was 24 MJ/kg. The oils had relatively high nitrogen content ranging from 4 wt% to 8 wt%, very low sulfur (<1 wt%) content and high viscosity. The viscosities of the oils appeared to be a function of both the source of litter and the pyrolysis temperature. The biochar yield ranged from 27 wt% to 40 wt% depending on the source, age and composition of the poultry litter. The biochar ash content ranged from 24 wt% to 54 wt% and was very rich in inorganic components such as potassium and phosphorous.     

Disposable diapers biodegradation by the fungus Pleurotus ostreatus

This research assesses the feasibility of degrading used disposable diapers, an important component (5-15% in weight) of urban solid waste in Mexico, by the activity of the fungus Pleurotus ostreatus, also known as oyster mushroom. Disposable diapers contain polyethylene, polypropylene and a super absorbent polymer. Nevertheless, its main component is cellulose, which degrades slowly. P. ostreatus has been utilized extensively to degrade cellulosic materials of agroindustrial sources, using in situ techniques. The practice has been extended to the commercial farming of the mushroom. This degradation capacity was assayed to reduce mass and volume of used disposable diapers. Pilot laboratory assays were performed to estimate the usefulness of the following variables on conditioning of used diapers before they act as substrate for P. ostreatus: (1) permanence vs removal of plastic cover; (2) shredding vs grinding; (3) addition of grape wastes to improve structure, nitrogen and trace elements content. Wheat straw was used as a positive control. After 68 days, decrease of the mass of diapers and productivity of fungus was measured. Weight and volume of degradable materials was reduced up to 90%. Cellulose content was diminished in 50% and lignine content in 47%. The highest efficiency for degradation of cellulosic materials corresponded to the substrates that showed highest biological efficiency, which varied from 0% to 34%. Harvested mushrooms had good appearance and protein content and were free of human disease pathogens. This research indicates that growing P. ostreatus on disposable diapers could be a good alternative for two current problems: reduction of urban solid waste and availability of high protein food sources.     

Determination of the Thermal Efficiency of Pre-boilover Burning of a Slick of Oil on Water

The burning rate of a slick of oil on a water bed is calculated by a simple expression derived from a one-dimensional heat conduction equation. Heat feedback from the flame to the surface is assumed to be a constant fraction of the total energy released by the combustion reaction. The constant fraction (χ) is named the burning efficiency and represents an important tool in assessing the potential of in situ burning as a counter-measure to an oil-spill. The total heat release, as a function of the pool diameter, is obtained from an existing correlation. It is assumed that radiative heat is absorbed close to the fuel surface, that conduction is the dominant mode of heat transfer in the liquid phase and that the fuel boiling temperature remains constant. By matching the characteristic thermal penetration length scale for the fuel/water system and an equivalent single layer system, a combined thermal diffusivity can be calculated and used to obtain an analytical solution for the burning rate. Theoretical expressions were correlated with crude oil and heating oil, for a number of pool diameters and initial fuel layer thickness. Experiments were also conducted with emulsified and weathered crude oil. The simple analytical expression describes well the effects of pool diameter and initial fuel layer thickness permitting a better observation of the effects of weathering, emulsification and net heat feedback to the fuel surface. Experiments showed that only a small fraction of the heat released by the flame is retained by the fuel layer and water bed (of the order of 1%). The effect of weathering on the burning rate decreases with the weathering period and that emulsification results in a linear decrease of the burning rate with water content.