Hazardous medical waste generation rates of different categories of health-care facilities

Goal of this work was to calculate the hazardous medical waste unit generation rates (HMWUGR), in kg bed(-1)d(-1), using data from 132 health-care facilities in Greece. The calculations were based on the weights of the hazardous medical wastes that were regularly transferred to the sole medical waste incinerator in Athens over a 22-month period during years 2009 and 2010. The 132 health-care facilities were grouped into public and private ones, and, also, into seven sub-categories, namely: birth, cancer treatment, general, military, pediatric, psychiatric and university hospitals. Results showed that there is a large variability in the HMWUGR, even among hospitals of the same category. Average total HMWUGR varied from 0.012 kg bed(-1)d(-1), for the public psychiatric hospitals, to up to 0.72 kg bed(-1)d(-1), for the public university hospitals. Within the private hospitals, average HMWUGR ranged from 0.0012 kg bed(-1)d(-1), for the psychiatric clinics, to up to 0.49 kg bed(-1)d(-1), for the birth clinics. Based on non-parametric statistics, HMWUGR were statistically similar for the birth and general hospitals, in both the public and private sector. The private birth and general hospitals generated statistically more wastes compared to the corresponding public hospitals. The infectious/toxic and toxic medical wastes appear to be 10% and 50% of the total hazardous medical wastes generated by the public cancer treatment and university hospitals, respectively.     

Characterisation of urban inhalation exposures to benzene,formaldehyde and acetaldehyde in the European Union

BACKGROUND, AIM AND SCOPE: All across Europe, people live and work in indoor environments. On average, people spend around 90% of their time indoors (homes, workplaces, cars and public transport means, etc.) and are exposed to a complex mixture of pollutants at concentration levels that are often several times higher than outdoors. These pollutants are emitted by different sources indoors and outdoors and include volatile organic compounds (VOCs), carbonyls (aldehydes and ketones) and other chemical substances often adsorbed on particles. Moreover, legal obligations opposed by legislations, such as the European Union's General Product Safety Directive (GPSD) and Registration, Evaluation, Authorisation and Restriction of Chemicals (REACH), increasingly require detailed understanding of where and how chemical substances are used throughout their life-cycle and require better characterisation of their emissions and exposure. This information is essential to be able to control emissions from sources aiming at a reduction of adverse health effects. Scientifically sound human risk assessment procedures based on qualitative and quantitative human exposure information allows a better characterisation of population exposures to chemical substances. In this context, the current paper compares inhalation exposures to three health-based EU priority substances, i.e. benzene, formaldehyde and acetaldehyde. MATERIALS AND METHODS: Distributions of urban population inhalation exposures, indoor and outdoor concentrations were created on the basis of measured AIRMEX data in 12 European cities and compared to results from existing European population exposure studies published within the scientific literature. By pooling all EU city personal exposure, indoor and outdoor concentration means, representative EU city cumulative frequency distributions were created. Population exposures were modelled with a microenvironment model using the time spent and concentrations in four microenvironments, i.e. indoors at home and at work, outdoors at work and in transit, as input parameters. Pooled EU city inhalation exposures were compared to modelled population exposures. The contributions of these microenvironments to the total daily inhalation exposure of formaldehyde, benzene and acetaldehyde were estimated. Inhalation exposures were compared to the EU annual ambient benzene air quality guideline (5 microg/m3-to be met by 2010) and the recommended (based on the INDEX project) 30-min average formaldehyde limit value (30 microg/m3). RESULTS: Indoor inhalation exposure contributions are much higher compared to the outdoor or in-transit microenvironment contributions, accounting for almost 99% in the case of formaldehyde. The highest in-transit exposure contribution was found for benzene; 29.4% of the total inhalation exposure contribution. Comparing the pooled AIRMEX EU city inhalation exposures with the modelled exposures, benzene, formaldehyde and acetaldehyde exposures are 5.1, 17.3 and 11.8 microg/m3 vs. 5.1, 20.1 and 10.2 microg/m3, respectively. Together with the fact that a dominating fraction of time is spent indoors (>90%), the total inhalation exposure is mostly driven by the time spent indoors. DISCUSSION: The approach used in this paper faced three challenges concerning exposure and time-activity data, comparability and scarce or missing in-transit data inducing careful interpretation of the results. The results obtained by AIRMEX underline that many European urban populations are still exposed to elevated levels of benzene and formaldehyde in the inhaled air. It is still likely that the annual ambient benzene air quality guideline of 5 microg/m3 in the EU and recommended formaldehyde 30-min average limit value of 30 microg/m3 are exceeded by a substantial part of populations living in urban areas. Considering multimedia and multi-pathway exposure to acetaldehyde, the biggest exposure contribution was found to be related to dietary behaviour rather than to inhalation. CONCLUSIONS: In the present study, inhalation exposures of urban populations were assessed on the basis of novel and existing exposure data. The indoor residential microenvironment contributed most to the total daily urban population inhalation exposure. The results presented in this paper suggest that a significant part of the populations living in European cities exceed the annual ambient benzene air quality guideline of 5 microg/m3 in the EU and recommended (INDEX project) formaldehyde 30-min average limit value of 30 microg/m3. RECOMMENDATIONS AND PERSPECTIVES: To reduce exposures and consequent health effects, adequate measures must be taken to diminish emissions from sources such as materials and products that especially emit benzene and formaldehyde in indoor air. In parallel, measures can be taken aiming at reducing the outdoor pollution contribution indoors. Besides emission reduction, mechanisms to effectively monitor and manage the indoor air quality should be established. These mechanisms could be developed by setting up appropriate EU indoor air guidelines.     

Radon variations during treatment in thermal spas of Lesvos Island (Greece)

The aim of this paper was to study the variations of radon and daughter nuclei during treatment in the thermal spas of Lesvos Island (Greece). For this purpose, in the thermal spas of Lesvos we have measured the radon concentrations of thermal waters, as well as indoor radon, daughter and coarse particle (>500 nm) concentration. Various instruments and procedures were employed for measurements. Radon concentrations of thermal waters were found to lie in the range 10 and 304 Bq l(-1). Concentration peaks both for radon, radon daughter and coarse particle, were found to appear during filling of baths in the treatment process. The doses delivered to the bathers during treatment were in the range of 0.00670 mSv per year to 0.1279 mSv per year, while the doses delivered to personnel were below 20 mSv per year.     

Frontal impact dummy kinematics in oblique frontal collisions: evaluation against post mortem human subject test data

OBJECTIVE: Today, a predominant percentage of vehicles involved in car crashes are exposed to oblique or frontal offset collisions. The aim of this study is to evaluate the 50th percentile male Hybrid III, THOR 99, and THOR Alpha dummies by comparing them with the corresponding kinematics of post mortem human subjects (PMHS) in this type of collision. METHODS: The PMHS data include results from oblique frontal collision tests. They include sled tests with near-side and far-side belt geometries at 15 degrees , 30 degrees , and 45 degrees angles. The test subjects were restrained with a three-point lap-shoulder belt and the Delta V was 30 km/h. RESULTS: The results from the Hybrid III and THOR 99 tests showed that, in most of the test, the head trajectories were an average of approximately 0.1 m shorter than those from equivalent PMHS. The Hybrid III and THOR 99 far-side belt geometry tests showed that the belt remained in place longer on the shoulder of the Hybrid III than on the THOR 99 and the THOR Alpha. This was probably due to a stiffer lumbar spine in the Hybrid III and to a large groove in the steel of the superior surface of the Hybrid III shoulder structure. The THOR 99 escaped from the shoulder belt about 40-50 ms earlier than the THOR Alpha. The results from the THOR Alpha tests show that the head trajectory accorded fairly well with the PMHS data, as long as the shoulder belt did not slip off the shoulder. Although the THOR Alpha shoulder escaped the shoulder belt in the 45 degrees far-side belt geometry, the PMHS did not. This may be due to the THOR Alpha shoulder design, with approximately 0.05 m smaller superior and medial shoulder range-of-motion, in combination with a relatively soft lumbar spine. CONCLUSIONS: The THOR Alpha provides head trajectories similar to those of the PMHS under these loading conditions, provided the shoulder belt remains in position on the shoulder. When the shoulder belt slipped off the dummy shoulder, the head kinematics was altered. The shoulder range-of-motion may be a contributing factor to the overall kinematics of an occupant in oblique frontal impact situations where the occupant moves in a trajectory at an angle from that of the longitudinal direction of the car.     

PHYSICAL AND CONCEPTUAL SIMULATION OF EFFLUENTS FROM DREDGED MATERIAL CONFINEMENT FACILITIES1

ABSTRACT: Environmental protection dictates that effluents of desired quality should be dischargd from dredged material confinement facilities. In general, this can be accomplished by supplementing the solid-liquid separation obtained by simple sedimentation with appropriate filter systems which provide additional clarification. A methodology to estimate the sedimentation required in a disposal area was developed on the basis of classical sedimentation theories and compared favorably with field data. A procedure was then advanced and documented whereby effluents from dredged material confinement facilities can be successfully modeled for laboratory filtration tests. For these purposes inorganic suspended solids can be simulted reasonably well by adjusting the concentration of commercially available clays, and fresh or saline water environments can be simulated satisfactorily by tap water or sodium chloride solutions, respectively.     

Evaluating Japanese policy instruments for the promotion of renewable energy sources

In Japan, the Renewable Portfolio Standard (RPS) and the Feed-in-Tariff (FIT) have been used for the exploitation of renewable energy sources (RES). Although these are significant to enhance the use of RES, the RES penetration is not reaching the expected percentage. The identification of their strengths/weaknesses will allow their improvement for achieving the target. This paper concerned the evaluation of RPS and FIT using a multi-criteria evaluation method. First, official data/information were used to assess their performance using the method. Second, national experts were asked about their performance to verify the outcomes. We found FIT was more effective than RPS.