Status and challenges of hospital solid waste management: case studies from Thailand, Pakistan, and Mongolia

Healthcare waste management is a serious public health concern. In developing countries, compared to developed nations, the management of infectious wastes has not received sufficient attention. Recently, worldwide awareness has grown of the need to impose stricter controls on the handling and disposal of wastes generated by healthcare facilities. This exploratory study attempted in seven selected hospitals to explain the situation of healthcare waste management, with a focus on handling practices, occupational safety, and the implementation status of waste management policy, together with other pertinent policy issues. It was noted that the current system of healthcare waste management was underdeveloped and was in dire need of immediate attention and improvement, especially in Mongolia and Pakistan; the medical waste management practices were better in the hospitals studied in Thailand. This study underscores the importance for improvement of medical waste management of a national regulatory framework, a sound internal management system, and programs to train and ensure the safety of related personnel, as well as programs to estimate quantities of waste generated and to evaluate appropriate techniques of disposal. Once a healthcare waste management plan has been prepared, a regular program of inspection and review can be undertaken within the healthcare institution. A good inspection program can also expose problems and new issues in managing healthcare wastes.     

Safety analysis of slipping barefoot on marble covered wet areas

This study was conducted in order to determine the suitable surface processing techniques which will increase the safety of pedestrians, reducing the risk of slipping on wet floor coverings on which they walk barefoot. In the scope of the study, slip angle of surface-processed marbles in three different dimensions is determined by using DIN 51097 Standard “The determination of the characteristics that reduce slipping on wet, barefoot surfaces”. Slip angles were calculated with the help of an inclined plane method and by using three different surface processing techniques (polishing, honing and tumbling techniques) for five different types of marble. It was found that the parameters which affected slip angle values of the marbles were surface roughness, plate sizes, grain size of the abrasives used for surface processing, physical and mechanical properties. Statistical analysis was used to determine the relationship between these parameters. The marbles were then grouped according to safe utilization places depending on slip angle and surface roughness, according to the statistical results.     

多孔SBA-15颗粒对Cd(Ⅱ)的吸附缝合及其对土壤Cd(Ⅱ)的修复潜力

为拓展多孔硅酸盐等矿物材料在钝化土壤重金属中的应用,以Na2Si O_3为硅源,制备了二氧化硅多孔材料SBA-15,用透射电镜、X射线衍射、氮气吸附-解吸和红外光谱等手段对其结构进行了表征,并在此基础上,以批试验法研究了SBA-15对Cd(Ⅱ)吸附特征和缝合性能,并通过小青菜盆栽试验法探讨了其对土壤Cd的钝化潜力.结果表明,合成的SBA-15具有规则中孔特征,比表面积507.3 m2·g-1,孔径7.38 nm;体系pH≥7.0时,在100 mg·L~(-1)的Cd(Ⅱ)溶液中SBA-15的最大吸附量可达76.43 mg·g-1,吸附过程可用Langmuir模型描述,增加介质离子强度对Cd(Ⅱ)的吸附具有抑制作用.吸附Cd(Ⅱ)后的SBA-15可以用0.1 mol·L~(-1)HNO_3进行再生,但当向吸附Cd(Ⅱ)的SBA-15中引入Na2Si O_3后,可以通过SBA-15的孔隙缝合有效地固定被吸附的Cd(Ⅱ),从而抑制Cd(Ⅱ)向环境中释放.小青菜盆栽试验表明,SBA-15对Cd(Ⅱ)污染土壤的改良效果明显,能有效地降低土壤有效态Cd(Ⅱ)的含量,促进土壤Cd水溶态和交换态向碳酸盐和铁锰氧化物结合态及残渣态的转化,抑制Cd(Ⅱ)在小青菜体内的积累,增加小青菜产量.研究表明,利用SBA-15的吸附缝合能力以SBA-15和Na2Si O_3配合使用,是进行土壤中Cd修复的有效方法.     

Environmental flows and its evaluation of restoration effect based on LEDESS model in Yellow River Delta wetlands

Due to freshwater supplement scarcity and heavy human activities, the fresh water wetland ecosystem in Yellow River Delta is facing disintegrated deterioration, and it is seriously affecting the health of the Yellow River ecosystem. This paper identifies the restoration objectives of wetland aiming to protect ecological and economic values and development as well as the water resources of the Yellow River. The hydraulic and groundwater coupling model and Landscape Ecological Decision and Evaluation Support System (LEDESS) of the Yellow River Delta were established to calculate environmental flows of degraded wetlands. LEDESS is a computer-based model developed and used to assess and evaluate the effects of land-use changes on nature. In this study, LEDESS is used to assess and evaluate the ecological effects and the restoration possibilities considering several environmental flows’ supplement scenarios. This included the changes of suitable habitat conditions and its ecological carrying capacities for indicator species, e.g., Red-crowned crane (Grus japonensis), Oriental stork (Ciconia boyciana), and Saunder’s gull (Larus relictus), and changing of ecological patterns. The results showed that replenishing fresh water to wetlands is one of the effective adaptive measures to mitigate wetland degradation and improve its habitat quality and carrying capacities. This study indicated that landscape ecology approach is not only considered as a good way to solve complex problems in ecosystem management but also can be used to decide on the environmental flows and assess its ecological effects in large-scale wetland rehabilitation. This integrated method could make environmental flows estimated and assessment more rational than the results of hydrologic methods. It could assist decision makers to “see” the ecological effects after water supplementing and so alleviate the contradictions between environmental flows and production water demands, and can facilitate the implementation of environmental flows in most countries with water resources shortage.     

Separation and determination of trace levels of aromatic amines by HPLC

Aromatic amines were analysed by normal phase and reverse phase high performance liquid chromatography employing silica gel and octadecyl silane (ODS) columns, respectively. A number of mobile phases were used. The results obtained on silica gel column were compared with those achieved on reverse phase column. Excellent results were obtained on ODS and shoulder peaks were eliminated when a mixture of methyl alcohol and sodium perchlorate was used as mobile phase.     

Elimination des Zytostatikums Ifosfamid während der simulierten Zersetzung von Hausmüll im Labormaßstab

Drugs are emitted into the environment by hospitals, private households, veterinary and human practices. Remnants of these products are primarily disposed of in landfill sites. At the present, there is no information available about the behaviour of pharmaceutical drugs, like their anaerobic biodegradation or adsorption, in sanitary landfills. Some of these drugs, e.g. antineoplastic substances such as ifosfamide, are supposed to be cancerogenic, mutagenic, fetotoxic or embryotoxic. Therefore, we investigated the behaviour of ifosfamide during waste decomposition in a laboratory-scale lysimeter. Up to 50% of the ifosfamide was eliminated under methanogenic conditions; but the mechanism applying for the elimination remains unclear. As far as present day knowledge is concerned, the risk for the environment through the emission of emitting ifosfamide from sanitary landfills should be negligible.     

Use of fungi for the bioconversion of rice straw into cellulase enzyme

Cellulase production was carried out by solid state bioconversion (SSB) method using rice straw, a lignocellulosic material and agricultural waste, as the substrate of three Trichoderma spp. and Phanerochaete chrysosporium in lab-scale experiments. The results were compared to select the best fungi among them for the production of cellulase. Phanerochaete chrysosporium was found to be the best among these species of fungi, which produced the highest cellulase enzyme of 1.43 IU/mL of filter paper activity (FPase) and 2.40 IU/mL of carboxymethylcellulose activity (CMCase). The "glucosamine" and "reducing sugar" parameters were observed to evaluate the growth and substrate utilization in the experiments. In the case of Phanerochaete Chrysosporium, the highest glucosamine concentration was 1.60 g/L and a high concentration of the release of reducing sugar was measured as 2.58 g/L obtained on the 4th day of fermentation. The pH values were also recorded. The range of the pH was about 5.15 to 5.56 in the case of Phanerochaete Chrysosporium.     

Trends and problems of solid waste management in developing countries: a case study in seven Palestinian districts

There is a great interest in solving problems related to municipal solid waste (MSW) management in the Palestinian territory. However, few studies have been done to assess the extent of these problems and suggest the best alternative solutions. This study aims at assessing MSW conditions in the seven major districts in northern West Bank, Palestinian territory. The study focuses on comparing several MSW management elements (such as collection, budget, and disposal) in municipalities, village councils, and refugee camps in the studied districts and the problems faced by these institutions in handling the waste. It also provides information on MSW collection service availability and waste disposal practices in the districts studied. It was found that, although MSW collection service was available for 98% of the residents in the areas surveyed, no proper treatment or landfill procedure was followed for the collected waste in most of these areas. Instead, waste burning in open dumpsites was the most common practice. Moreover, due to inefficient collection of waste disposal fees from the residents, municipalities were forced to sometimes cut the collection service and reduce its labor force, especially in villages. The budget for MSW management was between 2% and 8% of the total budget of the municipalities studied, indicating a low priority for this issue.     

Effect of vehicle exhaust on the quantity of polycyclic aromatic hydrocarbons (PAHs) in soil

PAHs are formed during the incomplete combustion of organic substances containing carbon and hydrogen and are one of the first atmospheric pollutants identified as carcinogens. Most of the PAH environmental burden is found in the soil (95%). Soil samples collected from different roadsides were analyzed for seven polycyclic aromatic hydrocarbons (PAHs). The quantitative and qualitative analysis was carried out by UV Spectrophotometer. The individual PAH value ranged from 0.1 to 18.0 mg/kg. Phenenthrene and Pyrene were found to be the most abundant compounds. Vehicle emissions are the principal source of PAH in the Roadside soils. The highest concentration was found at site S2 (Hasthtnagri Roadside) which shows the highest traffic density.     

Characterization of ionic composition of TSP and PM10 during the Middle Eastern Dust (MED) storms in Ahvaz, Iran

Because of the recent frequent observations of major dust storms in southwestern cities in Iran such as Ahvaz, and the importance of the ionic composition of particulate matters regarding their health effects, source apportionment, etc., the present work was conducted aiming at characterizing the ionic composition of total suspended particles (TSP) and particles on the order of ～10?μm or less (PM(10)) during dust storms in Ahvaz in April-September 2010. TSP and PM(10) samples were collected and their ionic compositions were determined using an ion chromatography. Mean concentrations of TSP and PM(10) were 1,481.5 and 1,072.9?μg/m(3), respectively. Particle concentrations during the Middle Eastern Dust (MED) days were up to four times higher than those in normal days. Ionic components contributed to only 9.5% and 11.3% of the total mass of TSP and PM(10), respectively. Crustal ions were most abundant during dust days, while secondary ions were dominant during non-dust days. Ca(2+)/Na(+) and Cl(-)/Na(+) ratios can be considered as the indicators for identification of the MED occurrence. It was found that possible chemical forms of NaCl, (NH(4))(2)SO(4), KCl, K(2)SO(4), CaCl(2), Ca(NO(3))(2), and CaSO(4) may exist in TSP. Correlation between the anionic and cationic components suggests slight anion and cation deficiencies in TSP and PM(10) samples, though the deficiencies were negligible.