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.     

The effects of daily cover soils on shear strength of municipal solid waste in bioreactor landfills

Bioreactor landfills are operated to enhance refuse decomposition, gas production, and waste stabilization. The major aspect of bioreactor landfill operation is the recirculation of collected leachate back through the refuse mass. Due to the accelerated decomposition and settlement of solid waste, bioreactor landfills are gaining popularity as an alternative to the conventional landfill. The addition or recirculation of leachate to accelerate the waste decomposition changes the geotechnical characteristics of waste mass. The daily cover soils, usually up to 20–30% of total MSW volumes in the landfill, may also influence the decomposition and shear strength behavior of MSW. The objective of this paper is to study the effects of daily covers soils on the shear strength properties of municipal solid waste (MSW) in bioreactor landfills with time and decomposition. Two sets of laboratory-scale bioreactor landfills were simulated in a laboratory, and samples were prepared to represent different phases of decomposition. The state of decomposition was quantified by methane yield, pH, and volatile organic content (VOC). Due to decomposition, the matrix structure of the degradable solid waste component was broken down and contributed to a significant decrease in the reinforcing effect of MSW. However, the daily cover soil, a non-degradable constituent of MSW, remains constant. Therefore, the interaction between daily cover soil particles and MSW particles will affect shear strength behavior. A number of triaxial tests were performed to evaluate the shear strength of MSW. The test results indicated that the shear strength of MSW was affected by the presence of cover soils. The friction angle of MSW with the presence of cover soil is higher than the friction angle of MSW without any cover soils. The friction angle of MSW increased from 27° to 30° due to the presence of cover soils for Phase 1 samples. The increased strength was attributed to the friction nature of sandy soil that was used as daily covers soils. Therefore, the effects of cover soils on the shear strength properties of MSW should be evaluated and taken into consideration during stability analyses and design.     

Molecular mechanism of zinc neurotoxicity in Alzheimer’s disease

Environmental Science and Pollution Research - Zinc (Zn) is an essential trace element for most organisms, including human beings. It plays a crucial role in several physiological processes such as...     

Approaches for prevention and environmental management of novel COVID-19

Environmental Science and Pollution Research - The World Health Organization (WHO) recognized a novel coronavirus as the causative agent of a new form of pneumonia. It was subsequently named...     

Physiological and biochemical mechanisms of spermine-induced cadmium stress tolerance in mung bean (<Emphasis Type="Italic">Vigna radiata</Emphasis> L.) seedlings

The role of exogenous spermine (0.25 mM Spm, a type of polyamine (PA) in reducing Cd uptake and alleviating Cd toxicity (containing 1 and 1.5 mM CdCl₂ in the growing media) effects was studied in the mung bean (Vigna radiata L. cv. BARI Mung-2) plant. Exogenously applied Spm reduced Cd content, accumulation, and translocation in different plant parts. Increasing phytochelatin content, exogenous Spm reduced Cd accumulation and translocation. Spm application reduced the Cd-induced oxidative damage which was reflected from the reduction of H₂O₂ content, O₂ ^?– generation rate, lipoxygenase (LOX) activity, and lipid peroxidation level and also reflected from the reduction of spots of H₂O₂ and O₂ ^?– from mung bean leaves (compared to control treatment). Spm pretreatment increased non-enzymatic antioxidant contents (ascorbate, AsA, and glutathione, GSH) and activities of antioxidant enzymes such as superoxide dismutase (SOD), catalase (CAT), glutathione S-transferase (GST), monodehydroascorbate reductase (MDHAR), dehydroascorbate reductase (DHAR), and glutathione reductase (GR) which reduced oxidative stress. The cytotoxicity of methylglyoxal (MG) is also reduced by exogenous Spm because it enhanced glyoxalase system enzymes and components. Through osmoregulation, Spm maintained a better water status of Cd-affected mung bean seedlings. Spm prevented the chl damage and increased its content. Exogenous Spm also modulated the endogenous free PAs level which might have the roles in improving physiological processes including antioxidant capacity, osmoregulation, and Cd and MG detoxification capacity. The overall Spm-induced tolerance of mung bean seedlings to Cd toxicity was reflected through improved growth of mung bean seedlings.     

A comparative study of tea waste derived humic-like substances with lignite-derived humic substances on chemical composition,spectroscopic properties and biological activity

Environmental Science and Pollution Research - Emerging demand for humic substances escalated the short supply of coal-related resources from which humic substances are extracted in large...     

Multivariate statistics and entropy theory for irrigation water quality and entropy-weighted index development in a subtropical urban river,Bangladesh

Environmental Science and Pollution Research - Currently, a well-developed combination of irrigation water quality index (IWQIs) and entropy water quality index (EWQIs) for surface water appraisal...     

Unravelling the photoprotective effects of freshwater alga Nostoc commune Vaucher ex Bornet et Flahault against ultraviolet radiations

Environmental Science and Pollution Research - Several studies have suggested the direct relationship between skin complications, air pollution, and UV irradiation. UVB radiations cause various...     

The antiproliferative and apoptotic potential of Clinacanthus nutans against human breast cancer cells through targeted apoptosis pathway

Environmental Science and Pollution Research - Clinacanthus nutans dichloromethane fraction (CN-Dcm) extract has previously been proven to suppress breast cancer (MCF7) cell proliferation. Despite...     

Removal of phenol by activated carbons prepared from palm oil mill effluent sludge

The study was attempted to produce activated carbons from palm oil mill effluent （POME） sludge. The adsorption capacity of the activated carbons produced was evaluated in aqueous solution of phenol. Two types of activation were followed, namely, thermal activation at 300, 500 and 800%, and physical activation at 150% （boiling treatment）. A control （raw POME sludge） was used to compare the adsorption capacity of the activated carbons produced. The results indicated that the activation temperature of 800℃ showed maximum absorption capacity by the activated carbon （POME 800） in aqueous solution of phenol. Batch adsorption studies showed an equilibrium time of 6 h for the activated carbon of POME 800. It was observed that the adsorption capacity was higher at lower values ofpH （2--3） and higher value of initial concentration of phenol （200--300 mg/L）, The equilibrium data were fitted by the Langmuir and Freundlich adsorption isotherms. The adsorption of phenol onto the activated carbon POME 800 was studied in terms of pseudo-first and second order kinetics to predict the rate constant and equilibrium capacity with the effect of initial phenol concentrations. The rate of adsorption was found to be better correlation for the pseudo-second order kinetics compared to the first order kinetics.