Occupational Safety and Health Status of Sanitation Workers in Urban Areas: A Pilot Study From Wuhan,China

Sanitation workers ‘ workload increases quickly with rapid urbanization, but there is almost no evidence or policy recommendations for their management in developing countries. This study describes the health status and occupational protection of sanitation workers; it also explores risk factors related to their health status in Wuhan City, China. Three hundred and eighty-five sanitation workers from 54 streets of Wuhan were surveyed. Their prevalence of 2-week illness and arthritis was relatively higher than in the general population in China. Findings related to occupational protection showed that both sanitation workers (users) and their managers (providers) neglected the role of low-cost protection measures, especially masks, soap/hand sani-tizer and prejob training (use rate of 7.27%, 26.75% and 43.64%, respectively). High-intensity workload was an important risk factor for 2-week illness, and prejob training was an important protective factor against arthritis.     

Water, sanitation and sustainability: lessons from a community project

This paper captures the lessons learned from the implementation of water supply and sanitation interventions in Mayiwane community in the rural northeastern region of the Kingdom of Swaziland, relating to water system rehabilitation, water quantity and quality improvements, and the promotion of latrine construction. The issues examined include both the dimensions of implementation efficiency and project effectiveness: first identifying the inputs, activities and final outputs and, then, tracking the entire project cycle, from design to implementation and monitoring. To draw meaningful lessons for the sustainability of similar interventions, project evaluation involved extensive fieldwork, water sampling and testing, review of documentation, and interviews with community members and officials of governmental, civil society and collaborating external agencies. Readers should send their comments on this paper to BhaskarNath@aol.com within 3 months of publication of this issue.     

Identifying the Institutional Decision Process to Introduce Decentralized Sanitation in the City of Kunming (China)

We conducted a study of the institutional barriers to introducing urine source separation in the urban area of Kunming, China. On the basis of a stakeholder analysis, we constructed stakeholder diagrams showing the relative importance of decision-making power and (positive) interest in the topic. A hypothetical decision-making process for the urban case was derived based on a successful pilot project in a periurban area. All our results were evaluated by the stakeholders. We concluded that although a number of primary stakeholders have a large interest in testing urine source separation also in an urban context, most of the key stakeholders would be reluctant to this idea. However, the success in the periurban area showed that even a single, well-received pilot project can trigger the process of broad dissemination of new technologies. Whereas the institutional setting for such a pilot project is favorable in Kunming, a major challenge will be to adapt the technology to the demands of an urban population. Methodologically, we developed an approach to corroborate a stakeholder analysis with the perception of the stakeholders themselves. This is important not only in order to validate the analysis but also to bridge the theoretical gap between stakeholder analysis and stakeholder involvement. We also show that in disagreement with the assumption of most policy theories, local stakeholders consider informal decision pathways to be of great importance in actual policy-making.     

Development and application of a GIS-based sediment budget model

Accelerated erosion and increased sediment yields resulting from changes in land use are a critical environmental problem. Resource managers and decision makers need spatially explicit tools to help them predict the changes in sediment production and delivery due to unpaved roads and other types of land disturbance. This is a particularly important issue in much of the Caribbean because of the rapid pace of development and potential damage to nearshore coral reef communities. The specific objectives of this study were to: (1) develop a GIS-based sediment budget model; (2) use the model to evaluate the effects of unpaved roads on sediment delivery rates in three watersheds on St. John in the US Virgin Islands; and (3) compare the predicted sediment yields to pre-existing data. The St. John Erosion Model (STJ-EROS) is an ArcInfo-based program that uses empirical sediment production functions and delivery ratios to quantify watershed-scale sediment yields. The program consists of six input routines and five routines to calculate sediment production and delivery. The input routines have interfaces that allow the user to adjust the key variables that control sediment production and delivery. The other five routines use pre-set erosion rate constants, user-defined variables, and values from nine data layers to calculate watershed-scale sediment yields from unpaved road travelways, road cutslopes, streambanks, treethrow, and undisturbed hillslopes. STJ-EROS was applied to three basins on St. John with varying levels of development. Predicted sediment yields under natural conditions ranged from 2 to 7Mgkm(-2)yr(-1), while yield rates for current conditions ranged from 8 to 46Mgkm(-2)yr(-1). Unpaved roads are estimated to be increasing sediment delivery rates by 3-6 times for Lameshur Bay, 5-9 times for Fish Bay, and 4-8 times for Cinnamon Bay. Predicted basin-scale sediment yields for both undisturbed and current conditions are within the range of measured sediment yields and bay sedimentation rates. The structure and user interfaces in STJ-EROS mean that the model can be readily adapted to other areas and used to assess the impact of unpaved roads and other land uses sediment production and delivery.     

Helping small businesses implement toxics use reduction techniques: dry cleaners, auto shops, and floor finishers assisted in creating safer and healthier work places

The Toxics Use Reduction Institute (TURI), Boston Public Health Commission (BPHC), and Vietnamese American Initiative for Development (Viet-AID) have worked with small business sectors to reduce their use of toxic chemicals. Three cases, described here, in dry cleaning, auto shops and floor finishing share common approaches for creating successful models of effective dissemination of toxics use reduction in small businesses. These include direct business support, peer-to-peer training and promotion of alternatives, and collaborations with stakeholders to achieve greener businesses. These results were achieved despite predictable barriers of lack of resources, suspicion of safer alternatives, and language and cultural barriers.     

Pollution and Self-Cleansing of an Urban River in a Developing Country: A Case Study in Dar es Salaam, Tanzania

Pollution and self-purification trends of an urban river namely, Msimbazi River, in Dar es Salaam City, Tanzania, were investigated. Site investigations and water quality analyses were done. The river is polluted in terms of high organic and nutrient concentrations, low dissolved oxygen, and high counts of indicator organisms. Biochemical oxygen demand (BOD₅) concentrations were 27– 340 mg/L. Dissolved oxygen was found to be as low as 0.9 mg O₂/L. Bacteriological pollution increased with distance downstream of the river, a trend attributable to an increase in the catchment of pollution sources, which are on-site sanitation systems. Although the river has an appreciable self-purification capacity, the capacity is strained by persistent pollution overloads. The pollution plight of the river is attributable to its being flanked by expanding human habitats and vibrant industrial, institutional, and socio-economic activities. Provision for pretreatment of discharges into the river is put forward as a remedial measure for the observed pollution. Matching nontechnical and techno-social remedial measures are also recommended. These include sensitization of polluters on merits of environmental protection practices such as cleaner production and strict enforcement of environmental protection laws.     

Comparison of community composition and species diversity of understorey and overstorey tree species in a dry tropical forest of northern India

The study focuses on understorey-overstorey plant community dynamics in a dry tropical forest to facilitate appropriate management decisions. We compare community composition and species diversity of the understorey vegetation among five dry tropical forest sites in northern India. A total of 1500 quadrats distributed over 15 one-ha permanent plots in five sites differing in the degree of disturbance, were used to enumerate the understorey tree species and the results were compared with overstorey tree layer. The non-metric multidimensional scaling (NMS) ordination revealed that human disturbance intensity, as well as the overall disturbance regimes, and soil water holding capacity controlled the organisation of dry tropical forest understorey composition through effects on soil organic matter. The alpha-diversity and its components decreased with increasing human disturbance intensity, reflecting utilisation pressure and decreased soil fertility, as also revealed by the analysis of overstorey tree layer. There was a significant positive relationship between overstorey and understorey diversity. Results suggest that in the future, the existing understorey tree communities may replace the current dry tropical forest communities under prevailing environmental conditions. The study also asserts that the rate of species accumulation will be greater in more disturbed sites as well as at small spatial scale within each disturbance level.     

Elemental concentrations in air, water, and aquatic biota in two rural provinces in northern Vietnam

The present study on environmental pollution in northern Vietnam investigates elemental concentrations in fine particulate matter (PM_2.5), freshwater, and aquatic biota at two sites with differing levels of industrial activities. An Thin is situated 47 km east of Hanoi in the neighbourhood of a coal combustion power plant, whereas the reference site, Duy Minh, is situated in the agricultural province of Ha Nam, 40 km south of Hanoi. Elemental concentrations were analysed using energy-dispersive X-ray fluorescence, total reflection X-ray fluorescence, and graphite furnace atomic absorption spectro-metry. All investigated elements in fine particles (PM_2.5) had significantly higher concentrations in An Thin, thus identifying the air at this site as polluted. In contrast to the aerosol samples, elemental concentrations as well as quantitative differences between the sampling sites were low in freshwater and biota, indicating that the impact of atmospheric deposition was limited.     

论灾害医学及灾后的医疗卫生保障

文中对灾害医学的诞生和发展,灾害医学的特点以及灾害医学的任务进行了论述,并对军队在灾后救援中的作用作出客观的评价。