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.     

Alteration of DNA,RNA and collagen synthesis in lung organ cultures exposed to mercury ions

We have examined the effect of Hg²⁺ ions on DNA, RNA and collagen synthesis in organ cultures of neo-natal rat lungs. These cultures exhibit many biochemical characteristics of lung in vivo and they continue to synthesize macromolecules at increasing rates up to 6 days. When these cultures were exposed to 1.0μM HgC1₂, the synthesis of DNA was stimulated nearly 3-fold after 72 hr of exposure followed by a decline at 120 hr reflecting cumulative cytotoxicity. Higher concentrations were inhibitory at all times. A nearly 3-fold increase in RNA synthesis occurred after 24 hr exposure to 1.0 μM HgC1₂ and at 72 hr the cultures continued to synthesize RNA at rates comparable to control. There was a decrease in RNA synthesis at 120 hr. Increased collagen synthesis was observed at concentrations up to 10 μM and at all times. The maximal increase, 2–3 fold, occurred at 120 hr in cultures exposed to 0.1 M. These studies suggest that Hg²⁺-induced cell injury in lung organ cultures elicits a reparative response characterized by increased collagen synthesis. This is similar to chemically induced tissue-injury in lungs in vivo. The relevance of these data to the mechanism of induced pulmonary fibrosis is discussed. These studies also point to the usefulness of organ cultures for studying pulmonary toxicity of environmental agents.     

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.     

Pretreatment of cyanided tailings by catalytic ozonation with Mn2+/O3

The increasing amount of cyanided tailings produced as a by-product has gained significant attention in recent years because of the rapid development of the gold industry and extensive exploitation of gold mineral resources. The effective use of these secondary resources is becoming an important and urgent problem for all environmental protection staff. Manganese-catalyzed ozonation for the pre-oxidation of cyanided tailings was studied and the effects of Mn²⁺ dosage, initial sulfuric acid concentration, ozone volume flow, temperature and agitation speed on pretreatment were examined. The optimum reaction conditions were observed to be: ore pulp density 2.5%, agitation speed 700 r/min, temperature 60 ℃, Mn²⁺ dosage 40 g/L, ozone volume flow 80 L/hr, initial sulfuric acid concentration 1 mol/L, and reaction time 6 hr. Under these conditions, the leaching rate of Fe and weight loss could reach 94.85% and 48.89% respectively. The leaching process of cyanided tailings by Mn²⁺/O³ was analyzed, and it was found that the leaching of pyrite depends on synergetic oxidation by high-valent manganese and O³, in which the former played an important part.     

The nexus of renewable and nonrenewable energy consumption,trade openness,and CO2 emissions in the framework of EKC: evidence from emerging economies

Environmental Science and Pollution Research - Emerging economies are experiencing considerable economic changes due to change in energy demand and CO2 emissions. To explore the link between energy...     

Analyzing the role of information and telecommunication technology in human development: panel data analysis

Environmental Science and Pollution Research - Economic growth in modern-day world get attention primarily through innovation and higher productivity, which places technology and knowledge at the...     

Is Globalization Detrimental to CO<Subscript>2</Subscript> Emissions in Japan? New Threshold Analysis

Using annual data from 1970 to 2014, this paper examines the effects of globalization on CO₂ emissions in Japan while accounting for economic growth and energy consumption as potential determinants of carbon emissions. The structural breaks and asymmetries arising due to policy shifts require attention, and hence, an asymmetric threshold version of the ARDL model is utilized. The results show the presence of threshold asymmetric cointegration between variables. Threshold-based positive and negative shocks arising from globalization increase carbon emissions, while the impact of the latter is more profound. Energy consumption (economic growth) also has a significant positive effect on carbon emissions. Globalization, economic growth, and energy consumption significantly increase carbon emissions in the short run. We suggest that policy makers in Japan consider globalization and energy consumption as policy tools in formulating their policies regarding protecting sustainable environmental quality in the long run. Otherwise, the Japanese economy may continue to face environmental consequences such as undesirable climate change and massive warming at the micro and macro levels as a result of potential shocks arising from globalization and energy consumption.     

Adoption of green banking practices and environmental performance in Pakistan: a demonstration of structural equation modelling

Environment, Development and Sustainability - Banking industries are blamed to be among the major factors that affect global climate change both directly and indirectly. The green banking concept...     

Tumor necrosis factor-alpha,prostaglandin-E2 and interleukin-1β targeted anti-arthritic potential of fluvoxamine: drug repurposing

Environmental Science and Pollution Research - Fluvoxamine, a selective serotonin re uptake inhibitor, is used to treat depression. The aim of present study was to evaluate fluvoxamine in acute...