Utilizing a 'systems' approach to improve the management of waste from healthcare facilities: best practice case studies from England and Wales.

Changes in environmental legislation and standards governing healthcare waste, such as the Hazardous Waste Regulations are expected to have a significant impact on healthcare waste quantities and costs in England and Wales. This paper presents findings from two award winning case study organizations, the Cardiff and Vale NHS Trust and the Cornwall NHS Trust on 'systems' they have employed for minimizing waste. The results suggest the need for the development and implementation of a holistic range of systems in order to develop best practice, including waste minimization strategies, key performance indicators, and staff training and awareness. The implications for the sharing of best practice from the two case studies are also discussed.     

Methodological aspects of a national population-based study of persistent organochlorine compounds in serum

Key methodological aspects are presented for a study of concentrations of polychlorinated dibenzo-p-dioxins (PCDDs), polychlorinated dibenzofurans (PCDFs), polychlorinated biphenyls (PCBs), and organochlorine pesticides in the serum of a sample of the New Zealand population aged 15 years and older. The study took advantage of the sampling frame and sample collection and interview processes of the National Nutrition Study (NNS). An additional blood sample for this organochlorines study was collected by the NNS and questions added to the NNS questionnaire. Serum was obtained from the blood and, based on responses to questions in the questionnaire, samples with possible occupational exposure to organochlorines were excluded. Remaining samples providing at least 2 ml of serum were pooled within 80 strata defined according to geographic area, age group, sex and ethnicity. A minimum number of five individual serum samples was required for pooling within a stratum. Within strata with sufficient samples, two or three pooled samples were created for variance calculation. Eligible for inclusion in the study were 2497 individual serum samples. Sixty strata had sufficient serum samples for pooling and chemical analysis. This was the first study of organochlorine compounds with a national population-based sample. Two factors that made the study feasible deserve emphasis. First, being able to "piggy-back" on another study. Second, pooling of samples to reduce analytic expenses. It is hoped that the methods used in this study will form the basis for other studies investigating organochlorine concentrations in national populations.     

Tracing sources of sulfur in the Florida Everglades

We examined concentrations and sulfur isotopic ratios (34S/32S, expressed as delta34S in parts per thousand [/1000] units) of sulfate in surface water, ground water, and rain water from sites throughout the northern Everglades to establish the sources of sulfur to the ecosystem. The geochemistry of sulfur is of particular interest in the Everglades because of its link, through processes mediated by sulfate-reducing bacteria, to the production of toxic methylmercury in this wetland ecosystem. Methylmercury, a neurotoxin that is bioaccumulated, has been found in high concentrations in freshwater fish from the Everglades, and poses a potential threat to fish-eating wildlife and to human health through fish consumption. Results show that surface water in large portions of the Everglades is heavily contaminated with sulfate, with the highest concentrations observed in canals and marsh areas receiving canal discharge. Spatial patterns in the range of concentrations and delta34S values of sulfate in surface water indicate that the major source of sulfate in sulfur-contaminated marshes is water from canals draining the Everglades Agricultural Area. Shallow ground water underlying the Everglades and rain water samples had much lower sulfate concentrations and delta34S values distinct from those found in surface water. The delta34S results implicate agricultural fertilizer as a major contributor to the sulfate contaminating the Everglades, but ground water under the Everglades Agricultural Area (EAA) may also be a contributing source. The contamination of the northern Everglades with sulfate from canal discharge may be a key factor in controlling the distribution and extent of methylmercury production in the Everglades.     

Flotation removal of As(V) onto goethite

Arsenic oxyanions, considered as priority pollutants, were removed from dilute aqueous solutions by sorption onto synthetic goethite, a typical inorganic adsorbent. Flotation was subsequently applied as an effective solid/liquid separation method. The combined process produced a foam concentrate, containing the arsenic-loaded goethite particles. The dispersed-air flotation technique was used for the generation of fine gas bubbles. The main parameters affecting the process were studied and promising results, in terms of arsenic removal and of goethite separation, were obtained.     

Evidence that the rotifer<Emphasis Type="Italic"> Brachionus plicatilis</Emphasis> is not an osmoconformer

The rotifer Brachionus plicatilis is euryhaline (growing between 2 and 97 ppt) and has previously been considered an osmoconformer. We suggest that B. plicatilis is an osmoregulator, exhibiting a pattern of Na⁺/K⁺ ATPase activity in response to salinity consistent with that of other osmoregulating euryhaline invertebrates. To examine salinity tolerance, growth rates between 5 and 60 ppt were determined. The activity of Na⁺/K⁺ ATPase was examined, over the same range of salinities, by measuring ATPase activity in rotifer homogenates in the presence and absence of a Na⁺/K⁺ ATPase inhibitor. Maximum specific growth rate (0.95 day^–1) occurred at 16 ppt, highest mean amictic eggs per female (1.41) occurred at 20 ppt, and both parameters decreased rapidly as salinity increased. Egg development time was constant with salinity at 0.92 days. The activity of Na⁺/K⁺ ATPase per milligram protein increased from 3.9 µmol h^–1 at 5 ppt to 6.8 µmol h^–1 at 50 ppt and accounted for 15 and 30% of total ATPase activity, respectively. We suggest that these observations are consistent with increasing stress at high salinities and the occurrence of a hypo-osmoregulatory response. Given the high ATP consumption of Na⁺/K⁺ ATPase at high salinities, it is possible that a proportion of the corresponding decreases in growth rate and egg production are a direct cost of regulation.Communicated by J.P. Thorpe, Port Erin     

Effect of landfill leachate irrigation on red maple (Acer rubrum L.) and sugar maple (Acer saccharum Marsh.) seedling growth and on foliar nutrient concentrations

Greenhouse experiments were conducted to investigate the nature and severity of stresses imposed on northern hardwood tree species (red maple (Acer rubrum L.) and sugar maple (Acer saccharum Marsh.)) by the application of municipal landfill leachate. Red maple seedlings received applications of untreated and pretreated (lime, activated carbon) leachate, to both leaves and soil, at irrigation rates consistent with evapotranspirational demands. Plant height measurements indicated no significant growth effects arising from leachate application over a 7-week period. Stem diameter, however, was positively affected by applications of both untreated and lime-treated leachate diluted to 75% with deionized water. Iron foliar concentrations were significantly higher in seedlings irrigated with untreated leachate applied to leaves and soil, but not in seedlings where leachate was applied to soil only. Nitrogen foliar concentrations were substantially higher in seedlings receiving undiluted and untreated leachate applied to the soil only. The Cu concentration of the red maple foliage decreased appreciably in plants receiving moderate applications of leachate. Foliar Ca concentrations decreased notably in seedlings irrigated with untreated leachate applied to the soil and with diluted, carbon-treated leachate. The Cu concentration of the red maple foliage decreased appreciably in plants receiving applications of undiluted and 50% water-diluted lime-treated leachate while Mn levels were consistently high across all treatments. Leachate application did not cause any discernable changes in foliar concentrations of P, K, Mg, B or Zn. In an ancillary experiment, sugar maple seedlings were subjected to saturation/ drainage treatment cycles with undiluted and untreated leachate. Severe visible symptoms of vegetative stress were apparent within 24 h and 100% seedling mortality occurred after five such waterlogging cycles. Fe assimilation was apparent in both leachate treatments relative to the 24 h water treatment. Despite the short-term nature of the experiments, the results indicate how quickly forest vegetation may respond to altered chemical environments. This underscores the need for correct installation and control of leachate irrigation systems.     

Aftermath of natural disasters: Coping through residential mobility

Most studies of population movement have concentrated on the more developed nations and on trends that have not been influenced by man-made or natural disasters. The experience of developing countries in the Caribbean basin, as studied after the Guatemalan earthquake of 1976 and the impact of Hurricane David in the Dominican Republic of 1979, highlights the importance of socio-economic factors in the decision to make permanent migrations after a disaster, regardless of whether the migrant had personally suffered losses. In many cases the opportunities for personal betterment created by the disaster acted as a catalyst and accelerated a previously-existing trend of migration.     

Necromass production: studies in undisturbed and logged Amazon forests.

Necromass stocks account for up to 20% of carbon stored in tropical forests and have been estimated to be 14-19% of the annual aboveground carbon flux. Both stocks and fluxes of necromass are infrequently measured. In this study, we directly measured the production of fallen coarse necromass (> or = 2 cm diameter) during 4.5 years using repeated surveys in undisturbed forest areas and in forests subjected to reduced-impact logging at the Tapajos National Forest, Belterra, Brazil (3.08 degrees S, 54.94 degrees W). We also measured fallen coarse necromass and standing dead stocks at two times during our study. The mean (SE) annual flux into the fallen coarse necromass pool in undisturbed forest of 6.7 (0.8) Mg x ha(-1) x yr(-1) was not significantly different from the flux under a reduced-impact logging of 8.5 (1.3) Mg x ha(-1) x yr(-1) With the assumption of steady state, the instantaneous decomposition constants for fallen necromass in undisturbed forests were 0.12 yr(-1) for large, 0.33 yr(-1) for medium, and 0.47 yr(-1) for small size classes. The mass weighted decomposition constant was 0.15 yr(-1) for all fallen coarse necromass. Standing dead wood had a residence time of 4.2 years, and approximately 0.9 Mg x ha(-1) x yr(-1) of this pool was respired annually to the atmosphere through decomposition. Coarse necromass decomposition at our study site accounted for 12% of total carbon remineralization, and total aboveground coarse necromass was 14% of the aboveground biomass. Use of mortality rates to calculate production of coarse necromass leads to an underestimation of coarse necromass production by 45%, suggesting that nonlethal disturbance such as branch fall contributes significantly to this flux. Coarse necromass production is an important component of the tropical forest carbon cycle that has been neglected in most previous studies or erroneously estimated.     

Molecular phylogenies help resolve taxonomic confusion with Asian <Emphasis Type="Italic">Crassostrea</Emphasis> oyster species

Identification of oyster species is still largely based on phenotypic characters that are highly plastic. Prompted by the proposed introduction of the Asian oyster species Crassostrea ariakensis into the Chesapeake Bay region of the U.S.A., this study uses molecular genetic information to understand the taxonomic framework surrounding C. ariakensis and to confidently distinguish among various sympatric oyster species. Putative samples of C. ariakensis and other species of cupped oysters from across Asia were collected and phylogenetic analyses were conducted on DNA sequences of both nuclear (ITS-1) and mitochondrial (COI) regions. Trees generated based on the two independent molecular datasets were highly congruent, and indicate that many oysters collected for this study as C. ariakensis were originally misidentified. Results also indicate that C. ariakensis, C. hongkongensis and C. nippona are distinct, but closely related species. There is strong support in both analyses for a close relationship between C. gigas and C. sikamea, as well as between C. belcheri and C. gryphoides, and between C. iredalei and C. madrasensis. The parsimony analyses based on these DNA markers, however, did not provide evidence to support C. angulata as a distinct species from C. gigas. Overall, the results emphasize the need for rigorous species identification, and additional extensive and intensive sampling to more accurately determine relationships among Crassostrea species, define their geographic distributions, and establish existing sympatry patterns.