Occupational risk of exposure to methicillin-resistant Staphylococcus aureus (MRSA) and the quality of infection hygiene in nursing homes

• Staff members were not colonised with MRSA. • But staff were exposed to MRSA from air, sedimented dust and surfaces. • MRSA was found in the rooms of MRSA-colonised residents but not in common areas. • Staff worry about MRSA and spreading it to other residents, family, and acquaintances. • The use of protective eyewear and facemasks could be improved. Methicillin-resistant Staphylococcus aureus (MRSA) is an increasing health concern across the globe and is often prevalent at long-term care facilities, such as nursing homes. However, we know little of whether nursing home staff is exposed to MRSA via air and surfaces. We investigated whether staff members at nursing homes are colonised with and exposed to culturable MRSA, and assessed staff members’ self-reported knowledge of MRSA and compliance with infection hygiene guidelines. Five nursing homes with MRSA positive residents were visited in Copenhagen, Denmark. Personal bioaerosol exposure samples and environmental samples from surfaces, sedimented dust and bioaerosols were examined for MRSA and methicillin-susceptible S. aureus (MSSA) to determine occupational exposure. Swabs were taken from staffs’ nose, throat, and hands to determine whether they were colonised with MRSA. An online questionnaire about MRSA and infection control was distributed. No staff members were colonised with MRSA, but MRSA was detected in the rooms of the colonised residents in two out of the five nursing homes. MRSA was observed in air (n = 4 out of 42, ranging from 2.9–7.9 CFU/m³), sedimented dust (n = 1 out of 58, 1.1 × 10³ CFU/m²/d), and on surfaces (n = 9 out of 113, 0.04–70.8 CFU/m²). The questionnaire revealed that half of the staff members worry about spreading MRSA to others. Identified aspects for improvement were improved availability and use of protective equipment, not transferring cleaning supplies (e.g., vacuum cleaners) between residents’ rooms and to reduce worry of MRSA, e.g., through education.     

Simulating the impacts of fire: A computer program

Recurrent fire has played a dominant role in the ecology of southwestern ponderosa pine forests. To assess the benefits or losses of fire in these forests, a computer simulation model, called BURN, considers vegetation (mortality, regeneration, and production of herbaceous vegetation), wildlife (populations and habitats), and hydrology (streamflow and water quality). In the formulation of the model, graphical representations (time-trend response curves) of increases or losses (compared to an unburned control) after the occurrence of fire are converted to fixedterm annual ratios, and then annuities for the simulation components. Annuity values higher than 1.0 indicate benefits, while annuity values lower than 1.0 indicate losses. Studies in southwestern ponderosa pine forests utilized in the development of BURN are described briefly.     

Observed trends for CF3-containing compounds in background air at Cape Meares, Oregon, Point Barrow, Alaska, and Palmer Station, Antarctica

The concentrations of CF(3)-containing compounds in archived air samples collected at Cape Meares, Oregon, from 1978 to 1997, at Point Barrow, Alaska, from 1995 to 1998, and at Palmer Station, Antarctica, from 1991 to 1997, were determined by high resolution gas chromatography and high resolution mass spectrometry. The CF(3)-containing compounds measured by this method and discussed here are: the perfluorinated compound, C(3)F(8) (FC 218); four perhalogenated compounds, CF(3)Cl (CFC 13), CF(3)CF(2)Cl (CFC 115), CF(3)CFCl(2) (CFC 114a), and CF(3)Br (Halon 1301); and three hydrofluorocompounds, CF(3)H (HFC 23), CF(3)CH(3) (HFC 143a), and CF(3)CH(2)F (HFC 134a). For four of these compounds, very few measurements have been previously reported. The atmospheric concentrations of all of the CF(3)-containing compounds continuously increased in time over the sample collection periods. From these data, the annual rates of emission into the atmosphere have been estimated. The emission rates fall into one of three distinct categories. The annual emission rates of C(3)F(8), CF(3)H, CF(3)CH(3), and CF(3)CH(2)F have continuously increased over the last two decades. That of CF(3)CFCl(2) has decreased continuously. Emission rates for CF(3)Cl, CF(3)CF(2)Cl, and CF(3)Br reached maximum levels in the late 1980s, and have been decreasing in the 1990s. The emission rates of C(3)F(8), CF(3)CH(3) and CF(3)CH(2)F were nearly zero 20 years ago but have increased rapidly during the last decade.     

Local physical habitat quality cloud the effect of predicted pesticide runoff from agricultural land in Danish streams

The combination of intensive agricultural activities and the close connectivity between land and stream emphasise the potential risk of pesticide exposure in Danish streams. Benthic macroinvertebrates are applied in the assessment of stream ecological status, and some sensitive species have been shown to respond strongly to brief pulses of pesticide contamination. In this study we investigate the impact of agriculturally derived pesticides on stream macroinvertebrate communities in Denmark. As a measure of toxic pressure we apply the Runoff Potential. We investigated a total of 212 streams. These were grouped into distinct classes according to the magnitude of pesticide contamination in the period from 2003-2006. A total of 24 different macroinvertebrate indices were applied to detect effects of pesticide runoff (e.g. the SPEAR-index and the number of EPT taxa). We found high predicted pesticide runoff in 39% of the streams, but we found no significant effect of predicted pesticide exposure on stream macroinvertebrate indices. We, additionally, examined the influence of a series of environmental parameters ranging from site scale to catchment scale on the macroinvertebrate community. Relative proportions of gravel, sand and silt in bed sediments explained most of the variation in macroinvertebrate indices as well as the upstream riparian habitat quality. We suggest that the Runoff Potential model overestimate pesticide runoff contamination in Danish streams due the presence of buffer strips enforced by Danish legislation. When pesticide runoff contamination is low to moderate, poor physical properties (indirectly related to agricultural activity) are the main impediment for the ecological quality of Danish streams.     

Extending wipe sampling methodologies to elements other than lead

Wipe sampling is the USA regulatory protocol for determination of "dust lead loadings" in residential environments. Few studies have applied the wipe sampling method to metals other than lead (Pb) for the purpose of residential exposure assessments. This study was undertaken to develop and expand the wipe method for quantifying additional metal(loid)s including arsenic (As), cadmium (Cd), chromium (Cr), copper (Cu), nickel (Ni), and antimony (Sb); and to provide information on typical background loadings for these metals in urban Canadian homes. A total of 932 wipe samples, 220 field blanks, and 220 duplicate wipes were collected from 222 homes located in three cities in Ontario, Canada using the ASTM 1728 standard. The wipes were digested using a modified version of the ASTM 1644 standard for Pb, which prescribes a hot nitric acid/hydrogen peroxide digestion. The key modification was the addition of hydrofluoric acid to improve recoveries of the target elements, and determination using Inductively Coupled Plasma-Mass Spectrometry (ICP-MS). Generally, a large proportion of the results fell below the limits of detection (LOD) and quantification (LOQ). To distinguish "elevated" metal loadings from loadings characterized as "urban background", an upper background threshold for each element was derived using a normality (Q-Q) plot. LOQ was determined to be the appropriate minimum threshold based on quality assurance criteria. It is concluded that wipes are a useful sampling option to investigate multi-element loadings in residential environments.     

How much geological detail is needed for gasifier success?

The incipient Underground Coal Gasification (UCG) industry in Queensland, Australia, undertook three trial projects in two Mesozoic basins of southeast Queensland. The experiences of these three operations provide useful retrospective insight into gasifier productivity. This paper identifies key output measures of gasifier ‘success’ including output gas composition, presence of contaminants in groundwater and consistency of chamber operation. Likewise, a review of the geological and hydrogeological understanding of each site prior to gasifier commissioning was undertaken. Productivity parameters from gasification were then correlated against the level of baseline geological/hydrogeological understanding for each site. The aim of the study was to identify the optimum scope of geological and hydrogeological understanding required at the site assessment phase to ensure safe, maximum gasifier output during production phase. This approach allows identification of poor or unexpected performance that is attributable to pre-existing uncertainty. A historical review of gasifier conditions inferred from the three trial projects is presented. Hence from the Queensland experiences it is possible to identify what aspects of baseline geological understanding should be clearly understood at the site selection phase in order to limit anomalous gasifier performance and undesirable deviations, and maximise production output.