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.     

Developments in application technology

Pesticides are applied in diverse situations, but in each, careful consideration has to be given to applying the optimum dosage accurately with minimal exposure of the active substance to the operator. Emphasis is given to ways in which application equipment, suitable for both small-scale and large farms has been adapted to meet health and safety requirements. New developments in nozzle design provide users with greater flexibility in optimising pesticide delivery, while minimising spray volumes. Changes in equipment design that influence dose transfer are discussed.     

Dispersion modeling to compare alternative technologies for odor remediation at swine facilities

The effectiveness of 18 alternative technologies for reducing odor dispersion at and beyond the boundary of swine facilities was assessed in conjunction with an initiative sponsored through agreements between the Attorney General of North Carolina and Smithfield Foods, Premium Standard Farms, and Frontline Farmers. The trajectory and spatial distribution of odor emitted at each facility were modeled at 200 and 400 m downwind from each site under two meteorological conditions (daytime and nighttime) using a Eulerian-Lagrangian model. To predict the dispersion of odor downwind, the geographical area containing the odorant sources at each facility was partitioned into 10-m2 grids on the basis of satellite photographs and architectural drawings. Relative odorant concentrations were assigned to each grid point on the basis of intensity measurements made by the trained odor panel at each facility using a 9-point rating scale. The results of the modeling indicated that odor did not extend significantly beyond 400 m downwind of any of the test sites during the daytime when the layer of air above the earth's surface is usually turbulent. However, modeling indicated that odor from all full-scale farms extended beyond 400 m onto neighboring property in the evenings when deep surface cooling through long-wave radiation to space produces a stable (nocturnal) boundary layer. The results also indicated that swine housing, independent of waste management type, plays a significant role in odor downwind, as do odor sources of moderate to moderately high intensity that emanate from a large surface area such as a lagoon. Human odor assessments were utilized for modeling rather than instrument measurements of volatile organic compounds (VOCs), hydrogen sulfide, ammonia, or particulates less than 10 microm in diameter (PM10) because these physical measurements obtained simultaneously with human panel ratings were not found to accurately predict human odor intensity in the field.     

Beyond sustainability indicators

Sustainability indicators are an increasingly popular tool for the identification of policies and monitoring of progress towards sustainable development. The need for indicators is clearly set out in Agenda 21 and has been taken up by the Commission for Sustainable Development. Devising alternative measures of progress to gross national product has been the subject of much research in the past few years. There are many local sustainability indicator initiatives now under way, co-ordinated by local authorities and involving local communities. However useful these exercises have been (not least to those engaged in them) there is little evidence, so far, that sustainability indicators are leading to substantial shifts in policy at national or local level. Evidence points, in fact, to substantial barriers to progress in several key areas: for example, the necessity for the greater integration of environmental, social and economic policy, the tackling of inequality and poverty and the encouragement of greater public participation in action on sustainable development. In order for indicators to make any progress in surmounting these barriers there is a need to address issues of trust and to examine existing institutional structures and practices. In parallel with the development of indicators, national, and particularly local, government will need to experiment with new and creative techniques for community participation in decision making, engage in dialogue with new cultural networks and implement practical initiatives to improve the quality of life in particular communities.     

What do significance tests really tell us about the environment?

Routine application of significance tests does not extract the maximum information from environmental data and can lead to misleading conclusions. Reasons leading to this are: a significant result can often be reached merely by collecting enough samples; a statistically significant result is not necessarily practically significant; and reports of the presence or absence of statistically significant differences for multiple tests are not comparable unless identical sample sizes are used. These problems are demonstrated by application to pH data for grazed and retired fields, and by discussion of significance tests used in recent US regulations for groundwater quality. The advantages of equivalence tests, where the tester must state the difference of practical difference, are discussed and applied to the field pH problem. We recommend that environmental managers and scientists pay more attention to statistical power and decide on what is a practical difference. Confidence intervals for the size of the differences, accompanied where necessary by equivalence tests, are the preferred means of addressing the question: “is there a difference of practical significance?”     

A national critical loads framework for atmospheric deposition effects assessment: II. Defining assessment end points,indicators, and functional subregions

The United States Environmental Protection Agency, with support from the US Department of Energy and the National Oceanographic and Atmospheric Administration, has been evaluating the feasibility of an effects-based (critical loads) approach to atmospheric pollutant regulation and abatement. The rationale used to develop three of the six steps in a flexible assessment framework (Strickland and others, 1992) is presented along with a discussion of a variety of implementation approaches and their ramifications. The rationale proposes that it is necessary to provide an explicit statement of the condition of the resource that is considered valuable (assessment end point) because: (1) individual ecosystem components may be more or less sensitive to deposition, (2) it is necessary to select indicators of ecosystem condition that can be objectively measured and that reflect changes in the quality of the assessment end point, and (3) acceptable status (i.e., value of indicator and quality of assessment end point at critical load) must be defined. The rationale also stresses the importance of defining the assessment regions and subregions to improve the analysis and understanding of the indicator response to deposition. Subregional definition can be based on a variety of criteria, including informed judgment or quantitative procedures. It also depends on the geographic scale at which exposure and effects models are accurate and on data availability, resolution, and quality. The research described in this article has been funded by the US Environmental Protection Agency. This document has been prepared at the EPA Environmental Research Laboratory in Corvallis, Oregon, through contract #68-C8-0006 with ManTech Environmental Technology, Inc., and Interagency Agreement #1824-B014-A7 with the US Department of Energy and at Oak Ridge National Laboratory managed by Martin Marietta Energy Systems, Inc., under Contract DE-AC05-84OR21400 with the US Department of Energy. Environmental Sciences Division Publication No. 3903. It has been subjected to the agency’s peer and administrative review and approved for publication. Mention of trade names or commercial products does not constitute endorsement or recommendation for use.     

Place and personal identity in old age: Observations from Appalachia

This paper explores the phenomenon of attachment to place in old age. Three complementary dimensions of attachment—physical, social and autobiographical insideness—are identified from a three year in-depth study of elderly residents of an Appalachian community. It is argued that autobiographical insideness may be particularly important to old people in sustaining a sense of personal identity and may be adaptive in old age. The paper develops the hypothesis that the increasing mobility of current elderly generations is resulting in changing manifestations of attachment to place. Whereas the old-old (persons over 75 years of age) remain strongly attached to their proximate physical environment, the young-old (those under 75 years of age) appear to be developing identifications with places that involve greater emphasis upon vicarious involvement in displaced settings.     

The resource curse

Countries that possess rich mineral deposits, it is widely assumed, are fortunate. Such deposits are assets, part of a country's natural capital. Mining is the key that converts dormant mineral wealth into schools, homes, ports, and other forms of capital that directly contribute to economic development. Over the past two decades, however, a more negative view of mining has emerged that questions the positive relationship between mineral extraction and economic development. The impetus for the alternative view came from empirical studies suggesting that countries where mining is important have not grown as rapidly as other countries. More recent studies have explored the possible reasons behind the disappointing performance of many mineral producing countries. While the central point of contention between the conventional and alternative views — namely, whether or not mining usually promotes economic development — remains unresolved, there is widespread agreement that rich mineral deposits provide developing countries with opportunities, which in some instances have been used wisely to promote development, and in other instances have been misused, hurting development. The consensus on this issue is important, for it means that one uniform policy toward all mining in the developing world is not desirable, despite the recent suggestions by some to the contrary. The appropriate public policy question is not should we or should we not promote mining in the developing countries, but rather where should we encourage it and how can we ensure that it contributes as much as possible to economic development and poverty alleviation.