Health care system hazard vulnerability analysis: an assessment of all public hospitals in Abu Dhabi

Hazard vulnerability analysis (HVA) is used to risk‐stratify potential threats, measure the probability of those threats, and guide disaster preparedness. The primary objective of this project was to analyse the level of disaster preparedness in public hospitals in the Emirate of Abu Dhabi, utilising the HVA tool in collaboration with the Disaster Medicine Section at Harvard Medical School. The secondary objective was to review each facility's disaster plan and make recommendations based on the HVA findings. Based on the review, this article makes eight observations, including on the need for more accurate data; better hazard assessment capabilities; enhanced decontamination capacities; and the development of hospital‐specific emergency management programmes, a hospital incident command system, and a centralised, dedicated regional disaster coordination centre. With this project, HVAs were conducted successfully for the first time in health care facilities in Abu Dhabi. This study thus serves as another successful example of multidisciplinary emergency preparedness processes.     

Neural stem cell-based in vitro bioassay for the assessment of neurotoxic potential of water samples

Intensive agriculture activities, industrialization and growing numbers of wastewater treatment plants along river banks collectively contribute to the elevated levels of neurotoxic pollutants in natural water reservoirs across Europe. We established an in vitro bioassay based upon neural stem cells isolated from the subventricular zone of the postnatal mouse to evaluate the neurotoxic potential of raw wastewater, treated sewage effluent, groundwater and drinking water. The toxic potential of water samples was evaluated employing viability, proliferation, differentiation and migration assays. We found that raw wastewater could reduce the viability and proliferation of neural stem cells, and decreased the neuronal and astrocyte differentiation, neuronal neurite growth, astrocyte growth and cell migration. Treated sewage water also showed inhibitory effects on cell proliferation and migration. Our results indicated that relatively high concentrations of nitrogenous substances, pesticides, mercuric compounds, bisphenol-A, and phthalates, along with some other pollutants in raw wastewater and treated sewage water, might be the reason for the neuroinhibitory effects of these water samples. Our model successfully predicted the neurotoxicity of water samples collected from different sources and also revealed that the incomplete removal of contaminants from wastewater can be problematic for the developing nervous system. The presented data also provides strong evidence that more effective treatments should be used to minimize the contamination of water before release into major water bodies which may be considered as water reservoirs for human usage in the future.     

Determination of urinary levels of Bisphenol A in a Turkish population

Bisphenol A (BPA) is one of the environmental endocrine disrupting chemicals that is widely used in common consumer products. The aim of this study was to report the total urinary BPA concentrations (free plus conjugated) in 200 urine samples (children: 57; male: 74; female: 69) obtained from residents of a Mediterranean city, Mersin. Analyses were performed by high-performance liquid chromatography tandem mass spectrometry (HPLC-MS/MS) and for assessing environmental exposure to free BPA and its major metabolite bisphenol A glucuronide (BPAG) in human urine were determinated. Our results indicated that the free BPA and BPAG concentrations were in the range of 0.06-0.99 μg/g creatinine and 0.24-615 μg/g creatinine, respectively. No statistically significant difference obtained in BPA concentrations between genders (male and female) or domicile of residence (rural and urban) (p?>?0.05). In our study, the mean level of detected free BPA was 0.46 μg/g creatinine in the urban area and 0.37 μg/g creatinine in the rural area. The average amount of BPAG was 60.56 μg/g creatinine in the urban area and 30.28 μg/g creatinine in the rural area. The data demonstrate that determined amount of total BPA in the present study is lower than the results of similar studies conducted in developed countries. There is no data about the levels of BPA in humans and environment in Turkey. Because of this reason, present study is very important since it is the first study in Turkey which determined the concentrations of free BPA and total BPA in human.     

Comparison of the microbial load of incoming and distal outlet waters from dental unit water systems in Istanbul

This is a cross-sectional study of the incoming and distal outlet water quality from 41 dental units in Istanbul, carried out to compare the total microbial loads using traditional culture method versus epifluorescence microscopy. The possible presence of Legionella pneumophila using traditional culture method was also analyzed. One hundred and twenty three samples were taken from the high-speed handpiece lines, air-water syringe lines and source (incoming) water supplies from 41 dental units. The samples were assayed for live/dead bacteria, heterotrophic bacterial counts and presence of L. pneumophila bacteria. Thirty nine out of 41 dental units (91%) were not able to meet the standard limit of 200 CFU/ml in dental unit waters. The live bacterial counts were 1-1.5 orders of magnitude higher than aerobic mesophilic heterotrophic bacteria. L. pneumophila (serogroup 2-14) was isolated from five out of 41 units. Some dental units were using commercially bottled (19 l) drinking water as a source. The source water of eight dental unit was heavily contaminated which were fed up by commercially bottled drinking water.     

Hydrochemical characterization and pollution assessment of groundwater in Jammu Siwaliks,India

Physico-chemical groundwater (GW) parameters were evaluated to understand the hydrogeochemical processes in the Siwalik plains of Jammu and Kashmir, India. During the 2012–2013 post-monsoon (POM) and pre-monsoon (PRM) seasons, GW samples (n = 207) from deep bore wells and shallow open wells were chemically analysed. Cations (Ca²⁺, Mg²⁺, Na⁺, K⁺ and Fe²⁺) and anions (HCO₃ ^?, Cl^?, SO₄ ^2? and F^?) showed a wide spatio-temporal variation. Results suggest that weathering and dissolution of carbonates and silicate rocks is the main source of water mineralization. The major hydrochemical facies is characterized by Ca-Mg-HCO₃ and Ca-HCO₃ during the PRM and POM seasons respectively. The presence of sulphate-bearing water in a large number of the samples indicates a significant role of gypsum dissolution and anthropogenic contamination of the GW. Factor analysis (FA) and hierarchical cluster analysis (HCA) revealed that the variability of hydrochemistry is mainly related to rock-water interaction, dissolution of carbonates and other lithological units as well as the influence of anthropogenic activities in the area. Overall, it was found that the GW quality is within the limits of human consumption. The higher concentration of a few chemicals indicates an increasing trend of industrial contamination of the GW. For sustainable development of the portable GW in Siwaliks, it is necessary to minimize the adverse impacts of the anthropogenic and industrial contamination on the GW resources through best management practices and prevent its further contamination to a level that could make GW unsuitable for human uses.     

The influence of substrate and electron acceptor availability on bioactive zone dynamics in porous media

Two approaches were used to investigate the influence of dissolved oxygen (DO) and substrate availability on the formation and dynamics of "bioactive zones" in a water-saturated porous medium. A bioactive zone is defined as a region where a microbial community is sufficiently active to metabolize bioavailable substrates. In the first approach, microbial activity was characterized by monitoring the spatial and temporal variability of DO and aqueous substrate (salicylate and naphthalene) concentrations during miscible-displacement experiments. In the second approach, microbial activity was monitored using multiple fiber optics emplaced in the porous medium to detect luminescence produced by Pseudomonas putida RB1353, a bioluminescent reporter organism that produces light when salicylate (an intermediate of naphthalene degradation) is present. The results of both approaches show that the location and size of the bioactive zones were influenced by in situ DO and substrate availability. When DO was not a limiting factor (i.e., lower substrate input concentrations), the bioactive zone encompassed the entire column, with the majority of the microbial activity occurring between the inlet and midpoint. However, as the availability of DO became limiting for the higher substrate input experiments, the size of the bioactive zone shrank and was ultimately limited to the proximity of the column inlet.     

Effect of high sulfate concentration on the corrosivity: a case study from groundwater in Harran Plain, Turkey

Corrosion, which tends to increase the concentrations of certain metals in tap water, is one of the most important water quality problems as it can affect public health and public acceptance of water supply and the cost of providing safe water. In this context, this study aimed at investigating the scale formation tendency or corrosivity of groundwater in the semi-arid Harran Plain. The degree of scale formation tendency/corrosivity of water was determined considering pHs, Langelier Index, and Ryznar Index of groundwater samples. Except for well no.4, which is close to a local hot spring, all the wells had corrosive characteristics. The amount of CO₂ from the soil zone respiration and high sulfate concentration in the wells are important factors affecting corrosiveness. Results showed that precipitation, excessive irrigation, and change in groundwater level caused seasonal variation in corrosive characteristics.     

Effect of CO on NO oxidation over platinum based catalysts for hybrid fast SCR process

The oxidation characteristics of NO over Pt/TiO2 (anatase, rutile) catalysts have been determined in a fixed bed reactor as a function of O2, CO and SO2 concentrations in the presence of 8% water. The conversion of NO to NO2 increases with increasing O2 concentration up to 12% and it levels off. This saturation effect is more pronounced over rutile-Pt/TiO2 (r-Pt/TiO2) than that of anatase-Pt/TiO2 (a-Pt/TiO2). The presence of CO increases NO oxidation significantly and this enhanced effect is more pronounced on a-Pt/TiO2 than that on r-Pt/TiO2 with increasing CO concentration at lower temperatures. The same effect is also observed on the catalysts with different Pt and tungsten oxide (WO3) loadings. With increasing Pt and WO3 loadings on TiO2 support (Pt-WO3/TiO2), formation of NO2 is high even at lower temperatures. The presence of SO2 significantly suppresses the oxidation of NO over both r-Pt/TiO2 and a-Pt/TiO2 catalysts but it is less pronounced due to low stability of sulfate on a-Pt/TiO2.     

Profiling of environmental Legionella pneumophila strains by randomly amplified polymorphic DNA method isolated from geographically nearby buildings

Legionella pneumophila (L. pneumophila) which is also known as etiologic agent Legionnaires Disease lives in natural water and man made water systems. These bacteria belonging to Legionellaceae family are divided 15 serogroups. Phenotypical methods used for the identification of Legionella isolates are not very discriminatory. In this study we investigated genotypic features of eight L. pneumophila serogroup 1 and 18 L. pneumophila serogroup 2-14 strains isolated from different buildings in Istanbul by randomly amplified polymorphic DNA (RAPD) method. Eight L. pneumophila serogroup 1 strains (37.5%) were similar RAPD profile and they were isolated from buildings located in a short distance (about 500 m). Four L. pneumophila serogroup 2-14 strains (22%) were identical genotypically. Three of these strains were isolated from buildings located in a short distance.     

Sustainability of winter tourism in a changing climate over Kashmir Himalaya

Mountain areas are sensitive to climate change. Implications of climate change can be seen in less snow, receding glaciers, increasing temperatures, and decreasing precipitation. Climate change is also a severe threat to snow-related winter sports such as skiing, snowboarding, and cross-country skiing. The change in climate will put further pressure on the sensitive environment of high mountains. Therefore, in this study, an attempt has been made to know the impact of climate change on the snow precipitation, water resources, and winter tourism in the two famous tourist resorts of the Kashmir Valley. Our findings show that winters are getting prolonged with little snow falls on account of climate change. The average minimum and maximum temperatures are showing statistically significant increasing trends for winter months. The precipitation is showing decreasing trends in both the regions. A considerable area in these regions remains under the snow and glacier cover throughout the year especially during the winter and spring seasons. However, time series analysis of LandSat MODIS images using Normalized Difference Snow Index shows a decreasing trend in snow cover in both the regions from past few years. Similarly, the stream discharge, comprising predominantly of snow- and glacier-melt, is showing a statistically significant declining trend despite the melting of these glaciers. The predicted futuristic trends of temperature from Predicting Regional Climates for Impact Studies regional climate model are showing an increase which may enhance snow-melting in the near future posing a serious threat to the sustainability of winter tourism in the region. Hence, it becomes essential to monitor the changes in temperature and snow cover depletion in these basins in order to evaluate their effect on the winter tourism and water resources in the region.