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.     

Nano-inspired systems in food technology and packaging

Creation of food-based nanomaterials for food processing and packaging applications is actually gaining in importance. Indeed, the design of a suitable food carrier system controls the encapsulation efficiency, the product stability and release of bioactives such as micronutrients, antimicrobial compounds and antioxidants. The smaller size of nanomaterials provides higher thermodynamic and kinetic stability. Whereas the higher surface area enhances compound solubility. Nanoemulsions both encapsulate bioactive compounds effectively and address the food safety concerns of the fresh produce associated with foodborne pathogens. Nanoliposomes encapsulate bioactive whey peptides and fat-soluble vitamins with improved functionalities. Encapsulated bioactive molecules are released by diffusion into the surrounding environment after degradation of the surrounding polymeric matrix.     

Cancer incidence in people with residential exposure to a municipal waste incinerator: An ecological study in Modena (Italy), 1991–2005

We conducted a retrospective ecological study to assess cancer incidence during the period 1991–2005 in proximity of a municipal waste incinerator (MWI) in Modena (Italy). We identified three bands of increasing distance from the MWI, up to a radius of 5 km and used the residence as surrogate marker of the exposure. Residential history for Modena’s population was reconstructed and residents were associated to the most appropriate census unit. Age-standardized incidence ratios (ASR) and standardized incidence ratios (SIR) were estimated for all cancers and selected sites. Variations in cancer incidence were investigated using space and space–time scan statistic. Deprivation index was taken into account as potential confounding factor. During the 15-year study period, 16,443 new cases of cancer were diagnosed among residents in Modena. The space–time clustering test identified three significant clusters but their shapes were not associable to the MWI exposition. The purely spatial analysis not showed statistically significant clusters. The SIR computed for all cancers and selected sites did not show any excess of risk in the area closest to the plant. Higher SIR for leukaemia was found in the second band from MWI (2–3.5 km) for females (SIR, age and DI adjusted: 1.35, 95%CI: 1.01–1.79) and for both sexes (SIR, age and DI adjusted: 1.28, 95%CI: 1.03–1.57), but not a spatial trend was observed, thus excluding a possible link with MWI. In conclusion, bearing in mind the intrinsic limits of the study, the results suggest that there is no detectable increase of cancer risk for people living in proximity to the Modena MWI.     

Quantitative assessment of medical waste generation in the capital city of Bangladesh

There is a concern that mismanagement of medical waste in developing countries may be a significant risk factor for disease transmission. Quantitative estimation of medical waste generation is needed to estimate the potential risk and as a basis for any waste management plan. Dhaka City, the capital of Bangladesh, is an example of a major city in a developing country where there has been no rigorous estimation of medical waste generation based upon a thorough scientific study. These estimates were obtained by stringent weighing of waste in a carefully chosen, representative, sample of HCEs, including non-residential diagnostic centres. This study used a statistically designed sampling of waste generation in a broad range of Health Care Establishments (HCEs) to indicate that the amount of waste produced in Dhaka can be estimated to be 37 ± 5 ton per day. The proportion of this waste that would be classified as hazardous waste by World Health Organisation (WHO) guidelines was found to be approximately 21%. The amount of waste, and the proportion of hazardous waste, was found to vary significantly with the size and type of HCE.     

OPTIMIZATION OF WATER RESOURCES FOR IRRIGATION IN EAST JORDAN1

The paper describes an approach towards optimal allocation of surface and ground water resources to three agricultural areas in the Jordan Valley under conditions of scarce water supply. The optimizing model allocates water from three main rivers, each with reservoir storage, and from two ground water sources to three irrigation regions. Productivity of irrigation water, expressed as the net present value of the regional agricultural output, but allowing for crop water deficits, is first maximized using nonlinear programming. The allocation process then adopts techniques of linear programming to determine the least cost alternative based on the unit cost of water from each resource at each destination, as it varies with time.     

The decline of a regional fishing nation: The case of Ghana and West Africa

Inadequate trade policies, globalization of the fishing industry, dominance of Europe's distant water fleets, declarations of exclusive economic zones (EEZs) by neighbouring West African nations, overfishing and a lack of good governance contributed to the decline of Ghana as a regional fishing nation, a position it had held since the 18^th century. The prohibitive cost of access arrangements limited Ghana's access to distant waters. The country's marine environments have been impacted by overexploitation of stocks and the use of destructive methods. Subsistence fishing has become the sole means of survival for many fishers. The decline of the fishing sector has limited the country's ability to meet domestic demand and threatened the economic and food security of many Ghanaians. The article traces the early history of Ghana's fisheries, their gradual decline during the last four decades, and outlines recommendations for policy changes to address the situation and steer the nation on a course towards sustainable fisheries.     

Nitrogen fertilizer recommendations for corn grown on soils amended with oily food waste

Soil and plant indices of soil fertility status have traditionally been developed using conventional soil and crop management practices. Data on managing N fertilizer for corn (Zea mays L.) produced on soils amended with C-rich organic materials, such as oily food waste (OFW) is scarce. Identification of a reliable method for making N fertilizer recommendations under these conditions is imperative. The objective of this research was to evaluate soil NO(3)-N (0- to 30-cm depth) at preplant and presidedress (PSNT) times of sampling for predicting N requirements for corn grown on fields receiving OFW. Experiments were conducted at two locations in Ontario, Canada over 3 yr (1995-1997) where OFW was applied at different rates (0, 10, and 20 Mg ha(-1)), times (fall and spring), and slope positions (upper, mid, and lower) within the same field. Presidedress soil NO(3)-N contents were higher compared with preplant time of sampling under all OFW management conditions. Corn grain yields were significantly affected by OFW management and N fertilizer application rates. Maximum economic rate of N application (MERN) varied depending on OFW management conditions. Presidedress soil NO(3)-N contents had a higher inverse relationship with MERN (r = -0.88) compared with soil NO(3)-N at preplant (r = -0.74) time of sampling. A linear regression model (Y = 180.1 - 8.22 NO(3)-N at PSNT) is proposed for making N fertilizer recommendations to corn grown on soils amended with OFW in this geographical region.     

Carbon emissions from the peat fire problem—a review

Environmental Science and Pollution Research - Peat fires in tropical peatland release a substantial amount of carbon into the environment and cause significant harm to peatlands and the ecology,...     

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...