Clinical solid waste management practices and its impact on human health and environment--A review

The management of clinical solid waste (CSW) continues to be a major challenge, particularly, in most healthcare facilities of the developing world. Poor conduct and inappropriate disposal methods exercised during handling and disposal of CSW is increasing significant health hazards and environmental pollution due to the infectious nature of the waste. This article summarises a literature review into existing CSW management practices in the healthcare centers. The information gathered in this paper has been derived from the desk study of open literature survey. Numerous researches have been conducted on the management of CSW. Although, significant steps have been taken on matters related to safe handling and disposal of the clinical waste, but improper management practice is evident from the point of initial collection to the final disposal. In most cases, the main reasons of the mismanagement of CSW are the lack of appropriate legislation, lack of specialized clinical staffs, lack of awareness and effective control. Furthermore, most of the healthcare centers of the developing world have faced financial difficulties and therefore looking for cost effective disposal methods of clinical waste. This paper emphasizes to continue the recycle-reuse program of CSW materials after sterilization by using supercritical fluid carbon dioxide (SF-CO2) sterilization technology at the point of initial collection. Emphasis is on the priority to inactivate the infectious micro-organisms in CSW. In that case, waste would not pose any threat to healthcare workers. The recycling-reuse program would be carried out successfully with the non-specialized clinical staffs. Therefore, the adoption of SF-CO2 sterilization technology in management of clinical solid waste can reduce exposure to infectious waste, decrease labor, lower costs, and yield better compliance with regulatory. Thus healthcare facilities can both save money and provide a safe environment for patients, healthcare staffs and clinical staffs.     

Additional danger of arsenic exposure through inhalation from burning of cow dung cakes laced with arsenic as a fuel in arsenic affected villages in Ganga-Meghna-Brahmaputra plain

In arsenic contaminated areas of the Ganga-Meghna-Brahmaputra (GMB) plain (area 569,749 sq. km; population over 500 million) where traditionally cow dung cake is used as a fuel in unventilated ovens for cooking purposes, people are simply exposed to 1859.2 ng arsenic per day through direct inhalation, of which 464.8 ng could be absorbed in respiratory tract.     

Disaster response preparedness coordination through social networks

Studies of coordination in human networks have typically presented models that require stable working relationships. These models cannot be applied to emergency response management, which demands distributed coordination in volatile situations. This paper argues that changes to interconnectedness of nodes in a network may have implications for the potential to coordinate. A social network‐based coordination model is proposed to explore an organizational actor's state of readiness in extreme conditions. To test this hypothesis, the study investigates survey data from state law enforcement, state emergency services and local law enforcement, presenting agency‐based (macro) and cross‐agency (micro) analysis on 224 completed questionnaires. The main findings are: (i) there is a positive correlation between network connectedness and the potential to coordinate; (ii) the concept of tiers within an emergency response network may exist and be characterized by the sub‐network with which an organization associates; (iii) a range or threshold characterizes how interconnected an organization at a given tier should be.     

Mortality rate and confidence interval estimation in humanitarian emergencies

Surveys are conducted frequently in humanitarian emergencies to assess the health status of the population. Most often, they employ complex sample designs, such as cluster sampling. Mortality is an indicator commonly estimated in such surveys. Confidence limits provide information on the precision of the estimate and it is important to ensure that confidence limits for a mortality rate account for the survey design and utilise an acceptable methodology. This paper describes the calculation of confidence limits for mortality rates from surveys using complex sampling designs and a variety of software programmes and methods. It contains an example that makes use of the SAS, SPSS, and Epi Info software programmes. Of the three confidence interval methods examined—the ratio command approach, the modified rate approach, and the modified proportion approach—the paper recommends the ratio command approach to estimate mortality rates with confidence limits.     

Solid-state bioconversion of organic wastes into compost as bio-organic fertilizer by screened fungal isolates and its performance in agronomic usage

Journal of Material Cycles and Waste Management - Rejuvenation of composting of organic wastes (OW) by application of useful potential microbes is an emerging science of solid waste management....     

Different treatment strategies for highly polluted landfill leachate in developing countries

The aim of this research was to determine appropriate treatment technique for effective treatment of heavily polluted landfill leachate. We accomplished several treatment experiments: (i) aerobic biological treatment, (ii) chemical coagulation, (iii) advanced oxidation process (AOP) and (iv) several combined treatment strategies. Efficiency of these treatment procedures were monitored by analysing COD and colour removal. Leachate used for this study was taken from Matuail landfill site at Dhaka city. With extended aeration process which is currently used in Matuail landfill site for leachate treatment, maximum COD and colour removal of 36% and 20%, respectively could be achieved with optimum retention period of 7days. With optimum aluminium sulphate dose of 15,000mg/L and pH value of 7.0, maximum COD and colour removals of 34% and 66%, respectively were observed by using chemical coagulation. With optimum pH of 5.0 and optimum dosages of reagents having H(2)O(2)/Fe(2+) molar ratio of 1.3 the highest removal of COD and colour were found 68% and 87%, respectively with sludge production of 55%. Fenton treatment which is an advanced oxidation process was the most successful between these three separate treatment procedures. Among the combined treatment options performed, extended aeration followed by Fenton method was the most suitable one.     

Assessment of background levels of trace metals in water and soil from a remote region of Himalaya

Selected trace metals were estimated by atomic absorption spectrometry in the water and soil samples collected from the remote region of Himalaya. The soil samples were analysed for soluble and acid extractable fraction of trace metals. In water samples, Ca, Na, Mg and K emerged as dominant contributors, whereas, Ca, Na, K, Mg, Fe and Pb were estimated at comparatively higher levels in the water extract of the soil. In case of acid extract of the soil samples, Ca, K, Fe, Mg, Mn and Na were found at elevated concentrations. Based on mean levels of the metals, following decreasing concentration order was observed in water samples: Ca > Na > Mg > K > Pb > Co > Cu > Zn > Mn > Cr > Fe > Cd > Li, however, in the acid extract of the soil, following order was noted: Ca > K > Fe > Mg > Mn > Na > Pb > Zn > Cr > Li > Cu > Co > Cd. The correlation study revealed appreciably diverse mutual relationships of trace metals in the water and soil samples. The multivariate cluster analyses exhibited divergent apportionment of trace metals in water and soil samples. Among the trace metals, Cd, Pb, Li, Zn, Cr, Cu, Mn and Co exhibited extreme to significant anthropogenic enrichment in the soil samples, while the rest of the metals were mostly contributed by the natural processes.     

Influence of multi-industrial activities on trace metal contamination: an approach towards surface water body in the vicinity of Dhaka Export Processing Zone (DEPZ)

Industrial wastewater discharged into aquatic ecosystems either directly or because of inadequate treatment of process water can increase the concentrations of pollutants such as toxic metals and others, and subsequently deteriorate water quality, environmental ecology and human health in the Dhaka Export Processing Zone (DEPZ), the largest industrial belt of 6-EPZ in Bangladesh. Therefore, in order to monitor the contamination levels, this study collected water samples from composite effluent points inside DEPZ and the surrounding surface water body connected to effluent disposal sites and determined the environmental hazards by chemical analysis and statistical approach. The water samples were analysed by inductively coupled plasma mass spectrometry to determine 12 trace metals such as As, Ag, Cr, Co, Cu, Li, Ni, Pb, Se, Sr, V and Zn in order to assess the influence of multi-industrial activities on metal concentrations. The composite effluents and surface waters from lagoons were characterized by a strong colour and high concentrations of biochemical oxygen demand, chemical oxygen demand, electrical conductivity, pH, total alkalinity, total hardness, total organic carbon, Turb., Cl(-), total suspended solids and total dissolved solids, which were above the limit of Bangladesh industrial effluent standards, but dissolved oxygen concentration was lower than the standard value. The measurement of skewness and kurtosis values showed asymmetric and abnormal distribution of the elements in the respective phases. The mean trend of variation was found in a decreasing order: Zn > Cu > Sr > Pb > Ni > Cr > Li > Co > V > Se > As > Ag in composite industrial effluents and Zn > Cu > Sr > Pb > Ni > Cr > Li > V > As > Ag > Co > Se in surface waters near the DEPZ. The strong correlations between effluent and surface water metal contents indicate that industrial wastewaters discharged from DEPZ have a strong influence on the contamination of the surrounding water bodies by toxic metals. The average contamination factors were reported to be 0.70-96.57 and 2.85-1,462 for industrial effluents and surface waters, respectively. The results reveal that the surface water in the area is highly contaminated with very high concentrations of some heavy/toxic metals like Zn, Pb, Cu, Ni and Cr; their average contamination factors are 1,460, 860, 136, 74.71 and 4.9, respectively. The concentrations of the metals in effluent and surface water were much higher than the permissible limits for drinking water and the world average concentrations in surface water. Therefore, the discharged effluent and surface water may create health hazards especially for people working and living inside and in the surrounding area of DEPZ.     

Fabrication of Bi2O3/TiO2 nanocomposites and their applications to the degradation of pollutants in air and water under visible-light

A nanoheterojunction composite photocatalyst Bi2O3/TiO2working under visible-light(λ 420 nm) was prepared by combining two semiconductors Bi2O3 and TiO2 varying the Bi2O3/TiO2molar ratio. Maleic acid was employed as an organic binder to unite Bi2O3 and TiO2 nanoparticles. The SEM, TEM, XRD and diffuse reflectance spectra were utilized to characterize the prepared Bi2O3/TiO2nanoheterojunction. The nanocomposite exhibited unusual high photocatalytic activity in decomposing 2-propanol in gas phase and phenol in aqueous phase and, evolution of CO2 under visible light irradiation while the end members exhibited low photocatalytic activity. The composite was optimized to 5 mol% Bi2O3/TiO2. The remarkable high photocatalytic efficiency originates from the unique relative energy band position of Bi2O3 and TiO2 as well as the absorption of visible light by Bi2O3.     

Development of Water-Borne Green Polymer Used as a Potential Nano Drug Vehicle and its In Vitro Release Studies

This paper describes an ecofriendly development of a nanodrug delivery vehicle from seed oil. The entire synthesis, starting from the ZnO nanoparticle to the polymeric vehicle is purely microwave assisted with minimal usage of organic solvents. Multifunctional features like enhanced UV absorbance, antimicrobial properties and appreciable in vitro release can be attributed to the nanoparticle loaded polymeric vehicle. Characterization of the synthesized species was done through FT-IR, ¹HNMR, SEM and XRD. The physical characterizations were carried out using conventional laboratory techniques.