Hazardous medical waste generation rates of different categories of health-care facilities

Goal of this work was to calculate the hazardous medical waste unit generation rates (HMWUGR), in kg bed(-1)d(-1), using data from 132 health-care facilities in Greece. The calculations were based on the weights of the hazardous medical wastes that were regularly transferred to the sole medical waste incinerator in Athens over a 22-month period during years 2009 and 2010. The 132 health-care facilities were grouped into public and private ones, and, also, into seven sub-categories, namely: birth, cancer treatment, general, military, pediatric, psychiatric and university hospitals. Results showed that there is a large variability in the HMWUGR, even among hospitals of the same category. Average total HMWUGR varied from 0.012 kg bed(-1)d(-1), for the public psychiatric hospitals, to up to 0.72 kg bed(-1)d(-1), for the public university hospitals. Within the private hospitals, average HMWUGR ranged from 0.0012 kg bed(-1)d(-1), for the psychiatric clinics, to up to 0.49 kg bed(-1)d(-1), for the birth clinics. Based on non-parametric statistics, HMWUGR were statistically similar for the birth and general hospitals, in both the public and private sector. The private birth and general hospitals generated statistically more wastes compared to the corresponding public hospitals. The infectious/toxic and toxic medical wastes appear to be 10% and 50% of the total hazardous medical wastes generated by the public cancer treatment and university hospitals, respectively.     

Characterisation of urban inhalation exposures to benzene,formaldehyde and acetaldehyde in the European Union

BACKGROUND, AIM AND SCOPE: All across Europe, people live and work in indoor environments. On average, people spend around 90% of their time indoors (homes, workplaces, cars and public transport means, etc.) and are exposed to a complex mixture of pollutants at concentration levels that are often several times higher than outdoors. These pollutants are emitted by different sources indoors and outdoors and include volatile organic compounds (VOCs), carbonyls (aldehydes and ketones) and other chemical substances often adsorbed on particles. Moreover, legal obligations opposed by legislations, such as the European Union's General Product Safety Directive (GPSD) and Registration, Evaluation, Authorisation and Restriction of Chemicals (REACH), increasingly require detailed understanding of where and how chemical substances are used throughout their life-cycle and require better characterisation of their emissions and exposure. This information is essential to be able to control emissions from sources aiming at a reduction of adverse health effects. Scientifically sound human risk assessment procedures based on qualitative and quantitative human exposure information allows a better characterisation of population exposures to chemical substances. In this context, the current paper compares inhalation exposures to three health-based EU priority substances, i.e. benzene, formaldehyde and acetaldehyde. MATERIALS AND METHODS: Distributions of urban population inhalation exposures, indoor and outdoor concentrations were created on the basis of measured AIRMEX data in 12 European cities and compared to results from existing European population exposure studies published within the scientific literature. By pooling all EU city personal exposure, indoor and outdoor concentration means, representative EU city cumulative frequency distributions were created. Population exposures were modelled with a microenvironment model using the time spent and concentrations in four microenvironments, i.e. indoors at home and at work, outdoors at work and in transit, as input parameters. Pooled EU city inhalation exposures were compared to modelled population exposures. The contributions of these microenvironments to the total daily inhalation exposure of formaldehyde, benzene and acetaldehyde were estimated. Inhalation exposures were compared to the EU annual ambient benzene air quality guideline (5 microg/m3-to be met by 2010) and the recommended (based on the INDEX project) 30-min average formaldehyde limit value (30 microg/m3). RESULTS: Indoor inhalation exposure contributions are much higher compared to the outdoor or in-transit microenvironment contributions, accounting for almost 99% in the case of formaldehyde. The highest in-transit exposure contribution was found for benzene; 29.4% of the total inhalation exposure contribution. Comparing the pooled AIRMEX EU city inhalation exposures with the modelled exposures, benzene, formaldehyde and acetaldehyde exposures are 5.1, 17.3 and 11.8 microg/m3 vs. 5.1, 20.1 and 10.2 microg/m3, respectively. Together with the fact that a dominating fraction of time is spent indoors (>90%), the total inhalation exposure is mostly driven by the time spent indoors. DISCUSSION: The approach used in this paper faced three challenges concerning exposure and time-activity data, comparability and scarce or missing in-transit data inducing careful interpretation of the results. The results obtained by AIRMEX underline that many European urban populations are still exposed to elevated levels of benzene and formaldehyde in the inhaled air. It is still likely that the annual ambient benzene air quality guideline of 5 microg/m3 in the EU and recommended formaldehyde 30-min average limit value of 30 microg/m3 are exceeded by a substantial part of populations living in urban areas. Considering multimedia and multi-pathway exposure to acetaldehyde, the biggest exposure contribution was found to be related to dietary behaviour rather than to inhalation. CONCLUSIONS: In the present study, inhalation exposures of urban populations were assessed on the basis of novel and existing exposure data. The indoor residential microenvironment contributed most to the total daily urban population inhalation exposure. The results presented in this paper suggest that a significant part of the populations living in European cities exceed the annual ambient benzene air quality guideline of 5 microg/m3 in the EU and recommended (INDEX project) formaldehyde 30-min average limit value of 30 microg/m3. RECOMMENDATIONS AND PERSPECTIVES: To reduce exposures and consequent health effects, adequate measures must be taken to diminish emissions from sources such as materials and products that especially emit benzene and formaldehyde in indoor air. In parallel, measures can be taken aiming at reducing the outdoor pollution contribution indoors. Besides emission reduction, mechanisms to effectively monitor and manage the indoor air quality should be established. These mechanisms could be developed by setting up appropriate EU indoor air guidelines.     

Key parameters and practices controlling pesticide degradation efficiency of biobed substrates

We studied the contribution of each of the components of a compost-based biomixture (BX), commonly used in Europe, on pesticide degradation. The impact of other key parameters including pesticide dose, temperature and repeated applications on the degradation of eight pesticides, applied as a mixture, in a BX and a peat-based biomixture (OBX) was compared and contrasted to their degradation in soil. Incubation studies showed that straw was essential in maintaining a high pesticide degradation capacity of the biomixture, whereas compost, when mixed with soil, retarded pesticide degradation. The highest rates of degradation were shown in the biomixture composed of soil/compost/straw suggesting that all three components are essential for maximum biobed performance. Increasing doses prolonged the persistence of most pesticides with biomixtures showing a higher tolerance to high pesticide dose levels compared to soil. Increasing the incubation temperature from 15 °C to 25 °C resulted in lower t(1/2) values, with biomixtures performing better than soil at the lower temperature. Repeated applications led to a decrease in the degradation rates of most pesticides in all the substrates, with the exception of iprodione and metalaxyl. Overall, our results stress the ability of biomixtures to perform better than soil under unfavorable conditions and extreme pesticide dose levels.     

Estimation of the volatilization of organic compounds from soil surfaces

Several simple models for the estimation of the half-life (t(1/2)) for the depletion of an organic chemical from a soil surface to air were examined. For moist surfaces, two models are proposed: the first requires knowledge of the soil/organic carbon partition coefficient (K(oc)) and the Henry's law constant (H) and the second the vapor pressure (P(s)) of the chemical involved. Due to uncertainties in the experimental K(oc) values those ones predicted by the group-contribution model of Meylan et al. [Environ. Sci. Technol. 26 (1992) 1560]-and proposed by the U.S. Environmental Protection Agency (EPA)-should be used. If reliable experimental P(s) values are not available, the first model is proposed, where in cases when H values are not available, predicted ones by the Bond-Contribution method of Meylan and Howard [Environ. Toxicol. Chem. 10 (1991) 1283]-and also proposed by EPA-can be used. In general, the agreement of the predicted t(1/2) values with the measured ones is within a factor of 3-5. Similar expressions, but with somewhat poorer results, are presented for dry field soils. In all cases, the obtained results represent a substantial improvement over those obtained with the currently used Dow method: t(1/2) = 1.58 x 10(-8)((K(oc) x S)/P(S)), where S is the solubility of the compound in water.     

Neural Network Model for Predicting Peak Photochemical Pollutant Levels

ABSTRACT

In this paper, an attempt is made for the 24-hr prediction of photochemical pollutant levels using a neural network model. For this purpose, a model is developed that relates peak pollutant concentrations to meteorological and emission variables and indexes. The analysis is based on measurements of O₃ and NO₂ from the city of Athens. The meteorological variables are selected to cover atmospheric processes that determine the fate of the airborne pollutants while special care is taken to ensure the availability of the required input data from routine observations or forecasts. The comparison between model predictions and actual observations shows a good agreement. In addition, a series of sensitivity tests is performed in order to evaluate the sensitivity of the model to the uncertainty in meteorological variables. Model forecasts are generally rather insensitive to small perturbations in most of the input meteorological data, while they are relatively more sensitive in changes in wind speed and direction.     

Effects of low concentration biodiesel blends application on modern passenger cars. Part 3: Impact on PAH, nitro-PAH, and oxy-PAH emissions

This study explores the impact of five different types of methyl esters on polycyclic aromatic hydrocarbon (PAH), nitrated-PAH and oxygenated PAH emissions. The measurements were conducted on a chassis dynamometer, according to the European regulation. Each of the five different biodiesels was blended with EN590 diesel at a proportion of 10-90% v/v (10% biodiesel concentration). The vehicle was a Euro 3 compliant common-rail diesel passenger car. Emission measurements were performed over the NEDC and compared with those of the real traffic-based Artemis driving cycles. The experimental results showed that the addition of biodiesel led to some important increases in low molecular-weight PAHs (phenanthrene and anthracene) and to both increases and reductions in large PAHs which are characterised by their carcinogenic and mutagenic properties. Nitro-PAHs were found to reduce with biodiesel whereas oxy-PAH emissions presented important increases with the biodiesel blends. The impact of biodiesel source material was particularly clear on the formation of PAH compounds. It was found that most PAH emissions decreased as the average load and speed of the driving cycle increased. Cold-start conditions negatively influenced the formation of most PAH compounds. A similar trend was observed with particulate alkane emissions.     

Leaching of the organophosphorus nematicide fosthiazate

Fosthiazate is an organophosphorus nematicide which was recently included in Annex I of the Directive 91/414/EEC under the clause that it should be used with special care in soils vulnerable to leaching. Thus, the leaching of fosthiazate was investigated in columns packed with three different soils which represented situations of high (site 2), intermediate (site 1) and low (site 3) leaching potential. The recommended dose of fosthiazate was applied at the surface of the soil columns and fosthiazate fate and transport was investigated for the next two months. Fosthiazate concentrations in the leachate collected from the bottom of the columns packed with soil from site 2 exceeded 0.1 microgl(-1) in most cases. This soil was characterized as acidic, indicating longer fosthiazate persistence, with low organic matter content, indicating weak adsorption, thus representing a situation vulnerable to leaching. In contrast, the lowest concentrations of fosthiazate in the leachate were evident in the columns packed with soil from site 3. This soil was characterized as alkaline, indicating faster degradation, with higher organic matter content, indicating stronger adsorption, thus representing a situation not favoring leaching of fosthiazate. The highest concentration of fosthiazate in the leachate from the columns packed with soil from site 2 was 3.44 microgl(-1) compared to 1.17 and 0.16 microgl(-1), which were the corresponding maximum values measured in columns packed with soil from sites 1 and 3, respectively. The results of the current study further suggest that fosthiazate is mobile in soil and can leach under conducive soil conditions like acidic soils with low organic matter content.     

Soil Erosion Potential after Fire and Rehabilitation Treatments in Greece

Wildland fires are one of the more severe disturbances for natural ecosystems in the Mediterranean basin and can become a critical factor in the process of soil erosion. A quantitative assessment of soil erosion is needed in order to form an assessment on the extent and magnitude of post-fire soil erosion potential and to assess the effectiveness of the rehabilitation treatment. On 21 August 2006, a large wildland fire occurred in the Kassandra Peninsula in northern Greece, which burned one fifth of the Peninsula. After the fire, in order to protect the soil against erosion, the Forest Services applied a hillslope rehabilitation treatment of contour-felled logs and branch piles. In this paper, we report quantitative estimation of the wildland fire and erosion control treatment on soil erosion potential. The coupling of the Universal Soil Loss Equation and the Geographical Information Systems was implemented and the erosion potential was found to be 2.8 t/ha/year pre-fire, 29.5 t/ha/year post-fire, and 21.3 t/ha/year after rehabilitation treatment. The model can successfully contribute in the planning of the rehabilitation treatment but it cannot be used in the quantification of the soil loss after the application of the erosion control measures. The comparisons between the results of the three cases indicate the importance of the immediate erosion control measures in order to mitigate soil loss and restore the natural environment.     

Bioaccumulation of metals (Cd, Cu, Zn) by the marine bivalves M. galloprovincialis, P. radiata, V. verrucosa and C. chione in Mediterranean coastal microenvironments: association with metal bioavailability

The concentrations of Cd, Cu and Zn in both the whole soft tissue and separate organs (gills, mantle, muscle and digestive gland) of wild bivalves (Mytilus galloprovincialis, Pinctada radiata, Venus verrucosa and Callista chione) from three different coastal microenvironments of Greece were monitored from 2003 to 2004. In parallel, by employing appropriate analytical protocols for metal partitioning, the labile fraction of the metals was determined in the dissolved phase, suspended particulate matter and sediments. Differences in the metal levels were detected both among the study areas as well as among the bivalves examined. Significant bioaccumulation was demonstrated regarding Zn in M. galloprovincialis specimens from the highly industrialized Gulf of Elefsis and Cd in P. radiata and V. verrucosa from the Maliakos Gulf, which is influenced by extended agricultural activity occurring at the neighbouring area and a river outflow. Data of the metal levels in the various environmental phases were correlated with their concentrations in bivalves’ tissues. The clear relationships obtained in many cases among the labile metal concentrations and the bioaccumulated concentrations in bivalves point out that the labile fraction of a metal is the most bioavailable. The lack of positive correlation for C. chione confirms the occurrence of effective mechanisms of internal regulation of metal concentrations.