Report: Healthcare waste characterization in Chittagong Medical College Hospital, Bangladesh

Healthcare waste management (HCWM) options are inconsistent in Bangladesh. One of the first critical steps in the process of developing a reliable waste management plan requires a comprehensive understanding of the quantities and characteristics of the waste that needs to be managed. This study took into consideration both the quantity and quality of the generated waste to determine the generation rates and physical properties of healthcare waste (HCW) in Chittagong Medical College Hospital (CMCH) and also to estimate the amount of infectious and non-infectious waste generated in different wards. CMCH, the second largest hospital in Bangladesh, comprises 34 wards, 12 of which were selected randomly. Waste materials were collected from these wards and then segregated and weighed. Waste generation per day was found to be 73.22 kg/ward, 1.28 kg/bed and 0.57 kg/patient. A total of 2490 kg of HCW was produced each day in CMCH (37% being infectious and the rest being non-infectious waste). Infectious waste was 27.07 kg per ward, 0.47 kg per bed and 0.21 kg per patient and the non-infectious waste was 46.15 kg per ward, 0.81 kg per bed and 0.36 kg per patient per day. HCW comprised eight categories of waste materials with vegetable/food waste being the largest component (50.21%) and varied significantly (P < 0.05) among the 12 different wards studied. The greatest amount of HCW was recorded (154 kg) in Orthopaedics followed by 96.66 kg in the Medicine Unit-3 and the smallest amount was recorded in Casualty (8.79 kg). The amount of HCW was positively correlated with the number of occupied beds (rxy = 0.79, P < 0.01). There is no structured form of medical waste treatment in CMCH and most waste materials are dumped in open areas for natural degradation or re-sold by scavengers. It is essential to develop a national policy and implement a comprehensive action plan for HCWM that will provide environmentally sound technological measures to improve HCWM in Bangladesh.     

Enhanced uptake of Cd,Cr, and Cu in Catharanthus roseus (L.) G.Don by Bacillus cereus: application of moss and compost to reduce metal availability

Environmental Science and Pollution Research - Heavy metals (HMs) being the notorious and toxic are being introduced into the environment credited to natural and anthropogenic activities. The use...     

Analyzing the role of information and telecommunication technology in human development: panel data analysis

Environmental Science and Pollution Research - Economic growth in modern-day world get attention primarily through innovation and higher productivity, which places technology and knowledge at the...     

Optimization of co-digestion of various industrial sludges for biogas production and sludge treatment: Methane production potential experiments and modeling

Optimal biogas production and sludge treatment were studied by co-digestion experiments and modeling using five different wastewater sludges generated from paper, chemical, petrochemical, automobile, and food processing industries situated in Ulsan Industrial Complex, Ulsan, South Korea. The biomethane production potential test was conducted in simplex-centroid mixture design, fitted to regression equation, and some optimal co-digestion scenarios were given by combined desirability function based multi-objective optimization technique for both methane yield and the quantity of sludge digested. The co-digestion model incorporating main and interaction effects among sludges were utilized to predict the maximum possible methane yield. The optimization routine for methane production with different industrial sludges in batches were repeated with the left-over sludge of earlier cycle, till all sludges have been completely treated. Among the possible scenarios, a maximum methane yield of 1161.53 m³ is anticipated in three batches followed by 1130.33 m³ and 1045.65 m³ in five and two batches, respectively. This study shows a scientific approach to find a practical solution to utilize diverse industrial sludges in both treatment and biogas production perspectives.     

Indoor exposure to respirable particulate matter and particulate-phase PAHs in rural homes in North India

In order to evaluate the exposure of the northern India rural population to polyaromatic hydrocarbon (PAH) inhalation, indoor pollution was assessed by collecting and analyzing the respirable particulate matter PM_2.5 and PM₁₀ in several homes of the village Bhithauli near Lucknow, UP. The home selection was determined by a survey. Given the nature of biomass used for cooking, homes were divided into two groups, one using all kinds of biomass and the second type using plant materials only. Indoor mean concentrations of PM_2.5 and associated PAHs during cooking ranged from 1.19 ± 0.29 to 2.38 ± 0.35 and 6.21 ± 1.54 to 12.43 ± 1.15 μg/m³, respectively. Similarly, PM₁₀ and total PAHs were in the range of 3.95 ± 1.21 to 8.81 ± 0.78 and 7.75 ± 1.42 to 15.77 ± 1.05 μg/m³, respectively. The pollutant levels during cooking were significantly higher compared to the noncooking period. The study confirmed that indoor pollution depends on the kind of biomass fuel used for cooking.     

House dust as a source of human exposure to polybrominated diphenyl ethers in Kuwait

This study reports concentrations of polybrominated diphenyl ethers (PBDEs) in dust samples collected from 17 homes in Kuwait. PBDEs were measured in all homes investigated with mean summation operatorPBDEs concentration ranging from 1 to 393 ng g(-1), with a geometric mean of 76 ng g(-1). The dominant congener in all samples was BDE 209 constituting ca. 85% of the summationPBDEs followed by BDE 99 (5%), BDE 47 (4.5%), and BDE 183 (2%). The congener mixture in dust is dominated by those in deca and penta formulations. Using the measured concentrations and estimates of dust ingestion rates for children and adults, estimated human non-dietary exposure based on mean PBDE levels were 14.8 and 1.5 ng day(-1) for children and adults, respectively. The 10-fold difference in exposure estimates between children and adults in this study supports previous reports that children are at greater risk from pollutants that accumulate indoors. The ubiquitous distribution of these chemicals as noted in this study highlights the fact that we are continuously exposed to low doses of chemicals in the indoor environment.     

Impact of anthropogenic activities on physico-chemical parameters of water and mineral uptake in Catla catla from river Ravi, Pakistan

The river Ravi, while passing through Lahore, the second largest city of Pakistan, gets highly polluted owning heavy loads of untreated municipal sewage and industrial effluents of diverse kinds. The fish, Catla catla sampled in two different seasons from three downstream polluted sites were compared with the samples of the same fish from an upstream, a less polluted site, for their physico-chemical parameters. The data were statistically analysed to study the effect of sites, seasons and their interaction on the physico-chemical parameters of waters and mineral uptake in fish muscles. Significant differences (P?<?0.001) among the sampling sites and seasons were observed. The river appeared to be polluted as indicated by the high values of total suspended solids (909 mg/l) and sulphate (964 mg/l) in comparison to the respective values of 150 and 600 mg/l being suggested as the safer values of drinking water of the National Environmental Quality Standards. Most trace and macro elements in fish muscles were increased with the increasing pollution loads from the upstream to the downstream sites of this river. The remarkable increases in the levels of all the investigated minerals in fish muscles from the polluted sites raise concerns about the long-term health of the river Ravi ecosystem and consequently the fish and its consumer’s health. The results contradict the opinion of the local population that the riverine fish are natural, more health-promoting and precious than the pond fish. Therefore, we strongly argue for the utilization of an effect-based monitoring approach to alleviate the detrimental effects of anthropogenic activities on fish and the fish consumers’ health.     

A comparative assessment of the impact of different occupations on workers' static musculoskeletal fitness.

An ergonomic assessment of the involvement of static muscular forces like back strength, grip strength and pinch strength in different occupations was made. A study was conducted on 45 normal adult males (15 subjects per group) which included video display terminal (VDT) operators, industrial workers and safety inspectors. Their maximum back strength, handgrip strength and pinch strength were measured with dynamometers. The observed values of back strength were significantly lower in VDT operators while significantly higher in safety inspectors and moderate in industrial workers. The values of grip strength and pinch strength of all sample groups were more or less similar. The findings clearly indicate that static muscular strength varies significantly in different occupations. Heavy static muscular load might lead to an accumulation of metabolic waste and toxins on the back resulting in lower back strength in VDT operators and industrial workers.