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.     

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...     

Metal accumulation in Raphanus sativus and Brassica rapa: an assessment of potential health risk for inhabitants in Punjab,Pakistan

Pakistan is an agricultural country and due to the shortage of clean water, most of the irrigated area (32,500 ha) of Pakistan was supplied with wastewater (0.876?×?109 m³/year). Concentrations of heavy metals in radish (Raphanus sativus) and turnip (Brassica rapa) taken from vegetable fields in Sargodha, Pakistan, were measured. Untreated wastewater was used persistently for a long time to irrigate these vegetable fields. A control site was selected that had a history of fresh groundwater irrigation. Mean metal concentrations were found for irrigation water, soil, and vegetables. In irrigation water, concentrations of Mo and Pb at three sites and Se at sites II and III were higher than the recommended limits. In vegetables, concentrations of Mo and Pb were above the maximum permissible limits. High bioconcentration factor was observed for Zn (12.61 in R. sativus and 11.72 in B. rapa) at site I and high pollution load index was found for Pb (3.89 in R. sativus and 3.87 in B. rapa) at site II. The differences in metal concentrations found in samples depended upon different soil nature and assimilation capacities of vegetables at different sites which in turn depended upon different environmental cues. The entrance of metal and metalloids to human body may happen through different pathways; however, the food chain is the chief route through which metals are transferred from vegetables to individuals. Health risk index observed for metals, (Mo, As, Ni, Cu, and Pb) higher than 1 indicated high risk through consumption of these vegetables at three sites.

     

Innovation,foreign direct investment (FDI), and the energy–pollution–growth nexus in OECD region: a simultaneous equation modeling approach

Environmental and Ecological Statistics - The paper proposes a new perspective in the environmental and resource economics literature by examining innovation (measured by R&amp;D expenditures),...     

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...     

Modified biochar from Moringa seed powder for the removal of diclofenac from aqueous solution

Environmental Science and Pollution Research - In this study, Moringa seed powder (MSP) was pyrolyzed at 450 °C to synthesize Moringa seed powder biochar (MSPB) and treated with phosphoric...     

Environmental impact assessment (EIA): an overlooked instrument for sustainable development in Pakistan

Environmental impact assessment (EIA) is a policy tool used for evaluating a project proposal from physical and socioeconomic environmental perspectives. Its aim is to reduce the impact of development on environment, hence, ensuring environmental sustainability. It is mandatory to submit an Environmental Impact Statement before starting a mega project as required by Environmental Protection Act of 1997 and Environmental Policy of Pakistan. Public consultation plays a key role in an EIA system, identifying the likely aspects and impacts of a development activity. This aspect has been ignored in effective enactment of environmental legislation in Pakistan. Sufficient legislative instruments are there to support EIA system in the country but the agencies responsible for the enforcement of environmental regulations have failed to do so. The current research gives an insight into the actual status of EIA system in Pakistan along with the feedback of EIA specialists and university teachers of the concerned departments. A new index has been devised on the basis of questionnaire response to work out the overall performance of EIA system in Pakistan or any other country. The weaknesses and deficiencies of each EIA stage have been worked out for Pakistan and elaborated with the help of the controversial Zero point Interchange Project in the capital city of Pakistan.     

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.     

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.