Medical waste management in Trachea region of Turkey: suggested remedial action.

The main objective of this paper was to analyse the present status of medical waste management in the Trachea region of Turkey and subsequently to draw up a policy regarded with generation, collection, on-site handling, storage, processing, recycling, transportation and safe disposal of medical wastes. This paper also presents the results of study about awareness on how to handle expired drugs. Initially all health-care establishments in Tekirda?, Edirne and Kyrklareli provinces in Trachea region were identified and the amounts of hospital wastes generated by each of them were determined. Current medical waste-management practices, including storage, collection, transportation and disposal, in surveyed establishments were identified. Finally, according to results, remedial measurements for medical waste management in these establishments were suggested. Unfortunately, medical wastes are not given proper attention and these wastes are disposed of together with municipal and industrial solid wastes. The current disposal method is both a public health and environmental hazard. When landfill sites are visited, many scavengers can be seen sorting for recyclable materials, a practice which is dangerous for the scavengers. In addition, it was found that some staff in health-care establishments are unaware of the hazard of medical wastes. It is concluded that a new management system, which consists of segregation, material substitution, minimization, sanitary landfilling and alternative medical waste treatment methods should be carried out. For the best appropriate medical waste management system, health-care establishment employers, managers and especially the members of house- keeping divisions should be involved in medical waste management practice.     

Cost-benefit ratio and empirical examination of the acceptance of heathland maintenance in the Lueneburg heath nature reserve

The cost-benefit ratio of heathland maintenance measures was assessed in the Lueneburg Heath nature reserve in North-West Germany. This nature reserve contains large areas of heathland and is of substantial ecological and historical importance. The heathland can only be preserved by regular maintenance. For this assessment the costs of the maintenance measures were traced and a survey of visitors was carried out. The willingness-to-pay of the visitors for the heathland maintenance was determined as an assessment of the benefit created. Furthermore, the social acceptance of each maintenance measure was examined as this variable can influence the economic data considerably. These aspects represent a basis for the assessment of the net costs and benefits and for the calculation of the net present value (NPV) provided by the maintenance of the area. The results show a substantial positive net benefit of the heathland maintenance as a whole and varying acceptance of the different maintenance measures.     

Modelling leachate quality and quantity in municipal solid waste landfills.

The operational phase of landfills may last for 20 years or more. Significant changes in leachate quality and generation rate may occur during this operational period. A mathematical model has been developed to simulate the landfill leachate behaviour and distributions of moisture and leachate constituents through the landfill, taking into consideration the effects of time-dependent landfill development on the hydraulic characteristics of waste and composition of leachate. The model incorporates governing equations that describe processes influencing the leachate production and biochemical processes taking place during the stabilization of wastes, including leachate flow, dissolution, acidogenesis and methanogenesis. To model the hydraulic property changes occurring during the development stage of the landfills, a conceptual modelling approach was proposed. This approach considers the landfill to consist of cells or columns of cells, which are constructed at different times, and considers each cell in the landfill to consist of several layers. Each layer is assumed to be a completely mixed reactor containing uniformly distributed solid waste, moisture, gases and micro-organisms. The use of the proposed conceptual model enables the incorporation of the spatial changes in hydraulic properties of the landfill into the model and also makes it possible to predict the spatial and temporal distributions of moisture and leachate constituents. The model was calibrated and partially verified using leachate data from Keele Valley Landfill in Ontario, Canada and data obtained from the literature. Ranges of values were proposed for model parameters applicable for real landfill conditions.     

Bioavailability and toxicological potential of lentil-bound residues of malathion in rats.

Lentil grains treated with malathion and stored under laboratory conditions for 12 months formed bound residues. Bioavailability and the effects of lentil-bound residues of malathion in rats were studied. The amount of bound residues in lentils treated with 14C-malathion at 10 ppm and 50 ppm gradually increased to 9.52% and 13.01% of the initially applied doses after 12 months. When rats were fed these 14C-bound residues, radioactivity excreted in urine accounted for 34.49% of the administered dose. In feces, 26.15% of given dose was methanol-extractable while 18.67% was determined as nonextractable. Various tissues including liver, kidney, fat and lungs contained 8.93% while radioactivity in expired air (14CO2) was low (1.51%). The results indicate that lentil-bound malathion residues are highly bioavailable to rats. Analysis of the lentil material containing bound residues indicated that the main compound was malathion. Lentil-bound malathion residues were administered to albino rats at 0.95 and 6.51 ppm in the feed for 3 months. Body weights were determined during and at the end of the experiment. Terminal organ weights were also determined and a number of blood chemistry parameters were examined. A significant reduction in serum cholinesterase activity and an increase in blood urea nitrogen and in white cell count suggest a toxocological potential of the bound residues.