Report: biomedical waste management practices at Balrampur Hospital, Lucknow, India.

Biomedical waste has become a serious health hazard in many countries, including India. Careless and indiscriminate disposal of this waste by healthcare establishments and research institutions can contribute to the spread of serious diseases such as hepatitis and AIDS (HIV) among those who handle it and also among the general public. The present study pertains to the biomedical waste management practices at Balrampur Hospital, a premier healthcare establishment in Lucknow, in North India. The study shows that infectious and non-infectious wastes are dumped together within the hospital premises, resulting in a mixing of the two, which are then disposed of with municipal waste at the dumping sites in the city. All types of wastes are collected in common bins placed outside the patients wards. For disposal of this waste the hospital depends on the generosity of the Lucknow Municipal Corporation, whose employees generally collect it every 2 or 3 days. The hospital does not have any treatment facility for infectious waste. The laboratory waste materials, which are disposed of directly into the municipal sewer without proper disinfection of pathogens, ultimately reach the Gomti River. All disposable plastic items are segregated by the rag pickers from the hospital as well as municipal bins and dumps. The waste is deposited either inside the hospital grounds, or outside in the community bin for further transportation and disposal along with municipal solid waste. The open dumping of the waste makes it freely accessible to rag pickers who become exposed to serious health hazards due to injuries from sharps, needles and other types of material used when giving injections. The results of the study demonstrate the need for strict enforcement of legal provisions and a better environmental management system for the disposal of biomedical waste in the Balrampur Hospital, as well as other healthcare establishments in Lucknow.     

Use of gold mill tailings in making bricks: a feasibility study.

Mill tailings dumps at Kolar Gold Fields, Karnataka, are creating environmental problems. One of the solutions to these problems is to use the mill tailings for some useful purpose. This study examined the possibility of making bricks from the mill tailings with some additives in laboratory experiments. Samples of the mill tailings and the additives were analysed for particle size distribution, Atterberg limits and specific gravity. The plasticity index of the mill tailings being zero, they could not be used directly for making bricks. Therefore some additives that had plasticity or binding properties were mixed with the mill tailings. Ordinary Portland cement, black cotton soils and red soils were selected as additives. Each of the additives was mixed separately with the mill tailings in different proportions by weight and a large number of bricks were prepared using metallic moulds. The bricks were termed as cement-tailings bricks or soil-tailings bricks, depending on the additives used. The cement-tailings bricks were cured for different periods and their corresponding compressive strengths were determined. The bricks with 20% of cement and 14 days of curing were found to be suitable. The soil-tailings bricks were sun-dried and then fired in a furnace at different temperatures. The quality of bricks was assessed in terms of linear shrinkage, water absorption and compressive strength. The cost analysis revealed that cement-tailings bricks would be uneconomical whereas the soil-tailings bricks would be very economical.     

Environmentally conscious manufacturing and product recovery (ECMPRO): A review of the state of the art

Gungor and Gupta [1999, Issues in environmentally conscious manufacturing and product recovery: a survey. Computers and Industrial Engineering, 36(4), 811–853] presented an important review of the development of research in Environmentally Conscious Manufacturing and Product Recovery (ECMPRO) and provided a state of the art survey of published work. However, that survey covered most papers published through 1998. Since then, a lot of activity has taken place in EMCPRO and several areas have become richer. Many new areas also have emerged. In this paper we primarily discuss the evolution of ECMPRO that has taken place in the last decade and discuss the new areas that have come into focus during this time. After presenting some background information, the paper systematically investigates the literature by classifying over 540 published references into four major categories, viz., environmentally conscious product design, reverse and closed-loop supply chains, remanufacturing, and disassembly. Finally, we conclude by summarizing the evolution of ECMPRO over the past decade together with the avenues for future research.     

A multi-period optimization model for energy planning with CO2 emission consideration

A novel deterministic multi-period mixed-integer linear programming (MILP) model for the power generation planning of electric systems is described and evaluated in this paper. The model is developed with the objective of determining the optimal mix of energy supply sources and pollutant mitigation options that meet a specified electricity demand and CO₂ emission targets at minimum cost. Several time-dependent parameters are included in the model formulation; they include forecasted energy demand, fuel price variability, construction lead time, conservation initiatives, and increase in fixed operational and maintenance costs over time. The developed model is applied to two case studies. The objective of the case studies is to examine the economical, structural, and environmental effects that would result if the electricity sector was required to reduce its CO₂ emissions to a specified limit.     

An Ecologically-Sustainable Surface Water Withdrawal Framework for Cropland Irrigation: A Case Study in Alabama

Agricultural production in the state of Alabama, USA, is mostly rain-fed, because of which it is vulnerable to drought during growing season. Since Alabama receives a significant portion of its annual precipitation during winter months, the goal of this study was to evaluate the feasibility of water withdrawal from streams during winter months for irrigation in the growing season. The Soil and Water Assessment Tool (SWAT) was used to estimate the quantity of water that can be sustainably withdrawn from streams during winter high flow periods. The model was successfully calibrated and validated for surface runoff, base flow, and total stream flow. The stream flows generated by the model at several locations within the watershed were then used to examine how much water can be sustainably withdrawn from streams of various orders (first, second and third). Although there was a considerable year-to-year variability in the amount of water that can be withdrawn, a 16-year average showed that first, second, and third order streams can irrigate about 11.6, 10.3, and 10.6% of their drainage areas, respectively. The percentage of drainage area that can be irrigated was not a function of stream order.     

Response of abscisic acid in soybean leaves to NO2 exposure

Soybean (Glycine max L. Merril) cv. 'Williams' plants were exposed 0.0, 0.05, 0.2 and 0.4 microl litre(-1) NO(2) under controlled environment. Amount of abscisic acid (ABA) was measured after either 7 h or 5 days of exposure as well as after 18 h of recovery period. For quantitative analysis of ABA enzyme-linked immunosorbent assay was used. A significant increase (160%) was observed in plants treated with 0.4 microl litre(-1) NO(2) for 5 days compared to an increase of only 82% on exposure for 7 h. Rate of recovery for plants treated with low doses of NO(2) was higher than those treated with higher doses.     

A monitoring study of workers handling pesticides in warehouses and godowns.

Monitoring observations made on 60 operators involved in pesticide application work in godowns and warehouses and 60 matched control workers are reported. Occupational exposure history and medical history are noted. Biochemical investigations, plasma and RBC cholinesterase estimations are included along with medical examination of the workers. Workers were found to be mostly exposed to Celphos, DDVP, Malathion, Pyrethrum, etc, and the use of protective devices were very limited. Cases of significant reduction in plasma and RBC cholinesterase activity were found. Frequency of symptoms like dizziness, headache, lachrymation, burning sensation in eyes, nausea and anorexia, etc, were much more in the exposed workers. No cases of clinical poisoning attributable to occupational exposure to pesticides were reported by the workers.