Health care industries: potential generators of genotoxic waste

Health care waste includes all the waste generated by health care establishments, research facilities, and laboratories. This constitutes a variety of chemical substances, such as pharmaceuticals, radionuclides, solvents, and disinfectants. Recently, scientists and environmentalists have discovered that wastewater produced by hospitals possesses toxic properties due to various toxic chemicals and pharmaceuticals capable of causing environmental impacts and even lethal effects to organisms in aquatic ecosystems. Many of these compounds resist normal wastewater treatment and end up in surface waters. Besides aquatic organisms, humans can be exposed through drinking water produced from contaminated surface water. Indeed, some of the substances found in wastewaters are genotoxic and are suspected to be potential contributors to certain cancers. The aim of this study was to evaluate the genotoxic and cytotoxic potential of wastewaters from two hospitals and three clinical diagnostic centers located in Jaipur (Rajasthan State), India using the prokaryotic Salmonella mutagenicity assay (Ames assay) and the eukaryotic Saccharomyces cerevisiae respiration inhibition assay. In the Ames assay, untreated wastewaters from both of the health care sectors resulted in significantly increased numbers of revertant colonies up to 1,000–4,050 as measured by the Salmonella typhimurium TA98 and TA100 strains (with and without metabolic activation) after exposure to undiluted samples, which indicated the highly genotoxic nature of these wastewaters. Furthermore, both hospital and diagnostic samples were found to be highly cytotoxic. Effective concentrations at which 20 % (EC₂₀) and 50 % (EC₅₀) inhibition of the respiration rate of the cells occurred ranged between ～0.00 and 0.52 % and between 0.005 and 41.30 % (calculated with the help of the MS excel software XLSTAT 2012.1.01; Addinsoft), respectively, as determined by the S. cerevisiae assay. The results indicated that hospital wastewaters contain genotoxic and cytotoxic components. In addition, diagnostic centers also represent small but significant sources of genotoxic and cytotoxic wastes.     

Particulate matter concentration in ambient air and its effects on lung functions among residents in the National Capital Region, India

The World Health Organization has estimated that air pollution is responsible for 1.4 % of all deaths and 0.8 % of disability-adjusted life years. NOIDA, located at the National Capital Region, India, was declared as one of the critically air-polluted areas by the Central Pollution Control Board of the Government of India. Studies on the relationship of reduction in lung functions of residents living in areas with higher concentrations of particulate matter (PM) in ambient air were inconclusive since the subjects of most of the studies are hospital admission cases. Very few studies, including one from India, have shown the relationship of PM concentration and its effects of lung functions in the same location. Hence, a cross-sectional study was undertaken to study the effect of particulate matter concentration in ambient air on the lung functions of residents living in a critically air-polluted area in India. PM concentrations in ambient air (PM_1, PM_2.5) were monitored at residential locations and identified locations with higher (NOIDA) and lower concentrations (Gurgaon). Lung function tests (FEV₁, PEFR) were conducted using a spirometer in 757 residents. Both air monitoring and lung function tests were conducted on the same day. Significant negative linear relationship exists between higher concentrations of PM₁ with reduced FEV₁ and increased concentrations of PM_2.5 with reduced PEFR and FEV₁. The study shows that reductions in lung functions (PEFR and FEV₁) can be attributed to higher particulate matter concentrations in ambient air. Decline in airflow obstruction in subjects exposed to high PM concentrations can be attributed to the fibrogenic response and associated airway wall remodeling. The study suggests the intervention of policy makers and stake holders to take necessary steps to reduce the emissions of PM concentrations, especially PM_1, PM_2.5, which can lead to serious respiratory health concerns in residents.     

Performance of a diesel engine with water emulsified diesel prepared with optimized process parameters

An attempt has been made to produce stable water–diesel emulsion with optimal formulation and process parameters and to evaluate the performance and emission characteristics of diesel engine using this stable water–diesel emulsion. A total of 54 samples were prepared with varying water/diesel ratio, surfactant amount and stirring speed and water separation was recorded after 24 and 48 hr of emulsification. The recorded data were used in artificial neural network (ANN)-particle swarm optimization (PSO) technique to find the optimal parameters to produce water–diesel emulsion for engine testing. The predicted optimal parameters were found as 20% water to diesel ratio, 0.9% surfactant and 2200 rpm of stirrer for a water separation of 14.33% in one day with a variation of 6.54% against the actual value of water separation. Water–diesel emulsion fuel exhibited similar fuel properties as base fuel. The peak cylinder gas pressure, peak pressure rise rate and peak heat release rate for water–diesel were found higher as compared to diesel at medium to full engine loads. The improved air-fuel mixing in water–diesel emulsion enhanced brake thermal efficiency (BTE) of engine. The absorption of heat by water droplets present in water–diesel emulsion led to reduced exhaust gas temperature (EGT). With water–diesel emulsion fuel, the mean carbon monoxide (CO), unburned hydrocarbon and oxides of nitrogen (NO_x) emissions reduced by 8.80, 39.60, and 26.11%, respectively as compared to diesel.     

Hematological and biochemical alterations in sprayers occupationally exposed to mixture of pesticides at a mango plantation in Lucknow,India

The aim of this study was to examine the hematological and cholinesterase (ChE) activity levels of pesticide sprayers employed in mango plantations at Lucknow. Fifty-two sprayers from mango plantations who regularly spray mixtures of pesticides including organochlorines (OC), organophosphates (OP), and carbamates were included as exposed group. Twenty residents living close to mango plantations, but not involved in pesticide spraying were taken as controls. Pesticide residues for OC were analyzed in blood by gas chromatography with electron capture detector. There was a significant decrease in acetylcholinesterase and butyrylcholinesterase activities in pesticide sprayers (n?=?52) relative to the control group (n?=?20). A significant difference in the frequency distribution of hematological variations in red blood cell, white blood cell, monocytes, neutrophils, mean corpuscular volume, mean corpuscular hemoglobin, mean corpuscular hemoglobin concentration, and platelet count was observed. Residues of OC pesticides including α-hexachlorocyclohexane (HCH) and total HCH were found to be significantly higher in the blood of sprayers compared to controls. Hematological variations were quantitatively more frequent among the sprayers with 5 years of pesticide exposure compared to the controls and to subjects with less than 5 years of exposure group. Hematological abnormalities in sprayers were correlated with pesticide exposure as evidenced by lower ChE activity as well as the presence of OC pesticides in blood. The poorly controlled use of pesticides in the plantation appeared to have produced sub-clinical intoxication in the sprayers and indicated the need for training and implementation of proper, safer hygiene practices.     

Mercury pollution in the Sonbhadra district of Uttar Pradesh,India, and its health impacts

The Sonbhadra district in the Singrauli area of Uttar Pradesh, India, has many coal mines and thermal power plants and is a critically polluted area. Many residents of this area reported adverse health conditions which may be linked to metal pollution, especially of mercury investigated here.

In May 2012, samples of water (23), soil (7), blood, hair, and nails from persons showing adverse health conditions selected at random were collected and analyzed for total mercury by atomic absorption spectrometry.

Twenty percent drinking water samples contained mercury from 3 to 26 μg L^?1 (3–26 times the permissible limit). Soil samples had 0.5–10.1 mg kg^?1 Hg.

The average concentrations of mercury in human blood, hair, and nails were found to be 34 μg L^?1, 7.4 mg kg^?1, and 0.8 mg kg^?1, respectively. Mercury concentrations in the blood of these persons were 45 and 28 μg L^?1 on average in the case of men and women. This is much higher than the safe level of 5.8 μg L^?1 set by the United States Environmental Protection Agency (USEPA).

It was concluded that all residents of Sonbhadra sampled could be suffering from mercury toxicity as the area is polluted by Hg released from the coal-fired thermal power plants.     

Bioremediation of industrial waste through mushroom cultivation

Handmade paper and cardboard industries are involved in processing of cellulosic and ligno-cellulosic substances for making paper by hand or simple machinery. In the present study solid sludge and effluent of both cardboard and handmade paper industries was collected for developing a mushroom cultivation technique to achieve zero waste discharges. Findings of present research work reveals that when 50% paper industries waste is used by mixing with 50% (w/w) wheat straw, significant increase (96.38%) in biological efficiency over control of wheat straw was observed. Further, cultivated basidiocarps showed normal morphology of stipe and pileus. Cross section of lamellae did not show any abnormality in the attachment of basidiospores, hymenal trama and basidium. No toxicity was found when fruiting bodies were tested chemically.     

Studies on oxidative stress induced nerve conduction deficits in cigarette smokers

An important role of oxidative stress for the development of vascular and neurological complications has encouraged us to undertake a study to assess the oxidative stress induced nerve conduction deficits among cigarette smokers. Eighteen regular male cigarette smokers and twenty nine male non-smokers were diagnosed for clinical neuro-physiological tests viz., motor and sensory nerve conduction velocity (MNCV and SNCV) and redox status. Significant depletion of reduced glutathione (GSH) level (p < 0.05) and significant increase in malondialdehyde (MDA) level (p < 0.01) was found in smokers compared to non-smokers. Motor and sensory nerve conduction velocity showed no significant difference among smokers compared to non-smokers. The present study shows that smoking can induce oxidative stress among smokers but could not exacerbate to nerve conduction deficits.     

Partial replacement of cement with induction furnace dust for enhancing concrete properties with and without Aspergillus niger fungus: a green building approach

Environmental Science and Pollution Research - Induction furnace dust (IFD) is a waste product of the alloy-making process whose disposal by landfill process becomes unsafe due to the presence of...     

A motley of possible therapies of the COVID-19: reminiscing the origin of the pandemic

Environmental Science and Pollution Research - The 2019 outbreak of corona virus disease began from Wuhan (China), transforming into a leading pandemic, posing an immense threat to the global...