Health risks of solid waste management practices in rural Ghana: A semi-quantitative approach toward a solid waste safety plan

A critical review of innovative strategies for the sustainable management of solid waste generated in the health institutions of Zimbabwe

Innovative frameworks and strategies for solid waste management have been brought forward by researchers to solve the phenomenon of accumulating waste in the environment globally. The sustainability of medical waste management then pivots on the ability of waste management in a way that proves harmless to humans, animals, plants and the environment at large. This review looks into the strategies for the sustainable management of solid waste generated in the health institutions of Zimbabwe. Waste management includes waste generation, waste segregation, waste storage, waste collection and transportation, waste treatment and disposal and waste reuse and recycling. Exhaustive literature review was conducted as the methodology for this review soliciting information on the solid medical waste management status worldwide. In Zimbabwe, hazardous medical solid waste segregation, storage, transportation and disposal is a responsibility of the medical institutions generating the waste. These include trip and fall hazards, infectious hazards, cuts and lacerations, drugs addictions and radioactive hazards. The environment also faces contamination to the land, underground water bodies through leaching, surface water bodies, damage to flora, poisoning of fauna and contamination of the atmosphere by methane and carbon monoxide. Findings of the study show that innovations for medical solid waste management include frameworks such as the Ladder of Lansink and the three 'R's. Innovative technologies include rotary kiln incinerators, automated segregation and engineered landfills. Therefore, the framework addresses issues impeding the adoption of these innovative strategies in Zimbabwe.

The perils of open landfill: a study on environmental risk assessment in Dharamshala, Himachal Pradesh, India

Improper and unscientific management of municipal solid waste (MSW) landfill sites has increasingly become a pressing environmental issue especially in the mountainous regions worldwide. In view of this, an attempt was made to assess the detrimental effects of MSW landfill on the natural water sources at Dharamshala, Himachal Pradesh. Further, the suitability of potential landfill site and dispersion of pollutant air masses were stipulated using Arc GIS and HYSPLIT model. The findings show a discernible increase in electrical conductivity (323-858 μS/cm) and total dissolved solids (1086-1144 mg/kg levels) during sampling period. The results exhibited a notable increasing trend in the mean concentrations of heavy metals viz. As (0.13 mg/kg and 0.10 mg/kg), Hg (0.52 mg/kg and 0.65 mg/kg), Pb (0.10 mg/kg and 0.06 mg/kg), Zn (30.40 mg/kg and 0.22 mg/kg), Cd (0.46 mg/kg and 0.04 mg/kg), Cr (0.10 mg/kg and 0.05 mg/kg), Ni (0.28 mg/kg and 0.10 mg/kg), Mn (24.40 mg/kg and 0.35 mg/kg) and Fe (1.81 mg/kg and 0.96 mg/kg) during monsoon and post monsoon. High HPI values were observed at the sampling location near to landfill drain (9060), followed by spring site (7338). However, most of sampling points consistently exceeding the critical HPI value, across all seasons, indicated a severe level of heavy metal pollution, where sampling sites near to landfill drain pose significant environmental health risks of 63%. An overwhelming 93% population in vicinity of MSW site expressed their concern that the current landfill site poses substantial threat to their health and livestock. Furthermore, the obtained forward trajectories showed the downhill dispersion of polluted air arising from solid waste burning. A continuous monitoring of landfill leachate dynamics, atmospheric pollutants due to burning of waste and their potential impact on regional climate followed by appropriate adaptation strategies will be a promising step towards a sustainable future for the Indian Himalayan Region (IHR).

Exploring compost production potential and its economic benefits and greenhouse gas mitigation in Addis Ababa, Ethiopia

The increasing amount of municipal organic waste (MOW) and human excreta (HE) has led to socio-economic and environmental challenges in the cities of developing countries. This study estimated MOW and HE, compost production potential from MOW and HE, and compost application potential for urban agriculture fertilization, economic benefits, soil carbon sequestration, and greenhouse gas (GHG) mitigation in Addis Ababa, Ethiopia, for the period 2025-2050. MOW was forecasted using the Holt-Winters forecasting model. HE was estimated using the daily average rate of HE generation. The compost production potential was estimated using the forecasted MOW and HE. Compost fertilization was determined by considering compost nitrogen (N), phosphorus (P), and potassium (K) and the fertilizer requirements of cereals and vegetables. The economic benefits of compost were determined by considering the price of compost-equivalent urea, NPS, and potassium chloride fertilizers. The mitigation of GHG emissions from compost application was estimated using the IPCC Tier 1 method. The forecasted quantities of MOW, HE, and compost for 2050 are 301, 462, and 343 Gg, respectively. The compost could supply 5 Gg of N and 2.2 Gg of P in 2050, sufficient to fertilize 14,129 ha of vegetable fields. The economic benefits of using compost as a substitute for synthetic fertilizers could reach 10 million USD in 2050. Compost production and application could offset the total GHG emissions of Addis Ababa by 13.1 % (10,241Gg CO2-eq year-1) in 2050. The application of compost generated from MOW and HE in Addis Ababa can substitute synthetic fertilizers, provide economic benefits, and mitigate GHG emissions.

The burden and trend of intestinal parasitosis among women at Berekum, Ghana: a 9-year retrospective study

BACKGROUND

Intestinal parasitic infections (IPIs) are serious global public health issues, especially in low and middle-income countries. These parasites can cause high morbidity and mortality, especially in immunocompromised individuals, and can easily be transmitted by consumption of contaminated food or water or by penetration of skin and mucous membranes.

METHODS

We retrospectively analyzed all archived data from stool examination reports at the Parasitology Unit of Precise Health Diagnostic Services, Berekum for the prevalence and trends of parasitic infections spanning a period of 9 years (2013-2021). The data was retrieved and exported to IBM SPSS v.26 for statistical analysis. Descriptive data was summarized as proportions and presented in tables and charts. Pearson Chi-Square test (χ2) or Fisher's exact test was used to test for a statistical association between demographic factors and intestinal parasitic infections. P value was significant at < 0.05.

RESULTS

A total of 9,217 records of stool examinations were retrieved. Almost half (48.45%) of the data were from patients aged between 20 and 29 years. An overall prevalence of intestinal parasitic infections of 21.20% was observed in this study. Patients aged 70 to 79 had the highest prevalence of the IPIs (44.44%). The parasites recovered in this study were intestinal flagellates, Entamoeba coli, Hookworm, Entamoeba histolytica/dispar, Ascaris lumbricoides, Enterobius vermicularis, Strongyloides stercoralis and Hymenolepis nana. The intestinal flagellates had the highest prevalence (98.31%) compared to the other intestinal parasites recovered. Intestinal parasitic infections had the highest prevalence in the year 2020 (28.56%) and lowest in 2018 (11.78%).

CONCLUSION

An overall prevalence of 21.20% of intestinal parasitic infection was found. The majority of the parasites reported were intestinal flagellates (98.31%). The trend analysis revealed that the overall prevalence fluctuated across the entire period from 2013 to 2021.

Geospatial Analysis of Malaria and Typhoid Prevalence Due to Waste Dumpsite Exposure in Kinshasa Districts with and Without Waste Services: A Case Study of Bandalungwa and Bumbu, Democratic Republic of Congo

Municipal solid waste (MSW) management poses substantial challenges in rapidly urbanizing areas, with implications for both the environment and public health. This study focuses on the city of Kinshasa in the Democratic Republic of Congo, investigating whether the presence or absence of solid waste collection services results in varying health and economic impacts, and additionally, seeking to establish a correlation between residing in proximity to dumpsites and the prevalence of diseases like malaria and typhoid, thereby providing a comprehensive understanding of the health implications tied to waste exposure. Health data were collected through survey questionnaires, and the geospatial distribution of 19 dumpsites was analyzed using Google Earth Pro 7.3.1 for satellite imagery and GIS software 10.3.1 to map dumpsites and define 1 km buffer zones around the largest dumpsites for household sampling. Statistical analyses were conducted using R Version 4.2.3, employing Chi-square tests for disease prevalence and logistic regression to assess associations between waste management practices and health outcomes. A multivariate regression was used to evaluate correlations between discomfort symptoms (e.g., nasal and eye irritation) and waste activities. The geospatial analysis revealed significant variation in dumpsite size and location, with larger dumpsites near water bodies and flood-prone areas. The study contributes valuable insights into waste-related health risks, emphasizing the need for improved waste management policies in rapidly urbanizing areas like Kinshasa. The socio-demographic analysis reveals distinct traits within the surveyed populations of two communes, Bandalungwa (Bandal) and Bumbu. Bumbu, characterized by larger open dumpsites and limited waste collection services, exhibits a higher prevalence of certain diseases, particularly typhoid fever, and malaria. This discrepancy is statistically significant (p < 2.2 × 10-16), suggesting a potential link between waste exposure and disease prevalence. In Bandal, self-waste collection is a high risk of exposure to typhoid (OR = 4.834 and p = 0.00001), but the implementation of a waste collection service shows protective effect (OR = 0.206 and p = 0.00001). The lack of waste collection services in Bumbu increases the risk of exposure, although not significantly (OR = 2.268 and p = 0.08). Key findings indicate that waste disposal methods significantly differ between Bandal and Bumbu. Bumbu's reliance on burning and dumping creates environments conducive to disease vectors, contributing to elevated disease transmission risks. However, an in-depth correlation analysis reveals that specific waste management practices, such as burning, burying, and open dumping, do not exhibit statistically significant associations with disease prevalence, underlining the complexity of disease dynamics. This study contributes valuable insights into the importance for urban public health, particularly in rapidly urbanizing cities like Kinshasa, where inadequate waste management exacerbates health risks. By investigating the correlation between proximity to unregulated dumpsites and the prevalence of diseases such as malaria and typhoid fever, the research underscores the urgent need for targeted waste management policies. The stark health disparities between Bandal, with better waste services, and Bumbu, where services are lacking, highlight the protective effect of organized waste collection. These findings suggest that expanding public waste services and enforcing stricter regulations on waste disposal could reduce disease prevalence in vulnerable areas. Additionally, the study supports integrating waste management into urban planning as a critical public health measure. Its evidence-based approach offers valuable insights for policymakers in Kinshasa and other cities facing similar challenges, emphasizing the broader health implications of environmental governance in urban settings.

Waste rubber - Black pollution reframed as a global issue: Ecological challenges and sustainability initiatives

In contrast to "white pollution" originating from waste plastics, waste rubber is often referred to as "black pollution." The quantity and variety of waste rubber are increasing at an alarming rate, with a considerable fraction entering the global ecosystem via various pathways. This study presents the first critical review of waste rubber research with a focus on the risks associated with toxicant discharge and existing problems in waste rubber disposal, management, and recycling practices. We aim to obtain a comprehensive understanding of current research, particularly regarding the ecological impacts of these wastes, highlight major gaps, and propose the most significant research directions. A total of 192 studies published in journals were critically analysed. The importance of conducting long-term and large-scale experiments and developing efficient waste rubber recycling systems is also emphasised. This study highlights the need to address the challenges posed by waste rubber pollution and offers insights and references for undertaking ecological risk assessments and understanding the mechanisms underlying toxicant behaviour. Suggestions and countermeasures are proposed with ecosystem sustainability as the ultimate goal. Further long-term, comprehensive, and systematic research in this area is required.

Global perspective of municipal solid waste and landfill leachate: generation, composition, eco-toxicity, and sustainable management strategies

Globally, more than 2 billion tonnes of municipal solid waste (MSW) are generated each year, with that amount anticipated to reach around 3.5 billion tonnes by 2050. On a worldwide scale, food and green waste contribute the major proportion of MSW, which accounts for 44% of global waste, followed by recycling waste (38%), which includes plastic, glass, cardboard, and paper, and 18% of other materials. Population growth, urbanization, and industrial expansion are the principal drivers of the ever-increasing production of MSW across the world. Among the different practices employed for the management of waste, landfill disposal has been the most popular and easiest method across the world. Waste management practices differ significantly depending on the income level. In high-income nations, only 2% of waste is dumped, whereas in low-income nations, approximately 93% of waste is burned or dumped. However, the unscientific disposal of waste in landfills causes the generation of gases, heat, and leachate and results in a variety of ecotoxicological problems, including global warming, water pollution, fire hazards, and health effects that are hazardous to both the environment and public health. Therefore, sustainable management of MSW and landfill leachate is critical, necessitating the use of more advanced techniques to lessen waste production and maximize recycling to assure environmental sustainability. The present review provides an updated overview of the global perspective of municipal waste generation, composition, landfill heat and leachate formation, and ecotoxicological effects, and also discusses integrated-waste management approaches for the sustainable management of municipal waste and landfill leachate.

A systematic review of coastal zone integrated waste management for sustainability strategies

Coastal areas stand out because of their rich biodiversity and high tourist potential due to their privileged geographical position. However, one of the main problems in these areas is the generation of waste and its management, which must consider technical and sustainable criteria. This work aims to conduct a systematic review of the scientific literature on integrated solid waste management (ISWM) by considering scientific publications on the scientific basis for the proposal of sustainability strategies in the context of use and efficiency. The overall method comprises i) Search strategy, merging and processing of the databases (Scopus and Web of Science); ii) Evolution of coastal zone waste management; iii) Systematic reviews on coastal landfills and ISWM in the context of the circular economy; and iv) Quantitative synthesis in integrated waste management. The results show 282 studies focused on coastal landfills and 59 papers on ISWM with the application of circular economy criteria. Systematic reviews allowed for the definition of criteria for the selection of favorable sites, such as i) sites far from the coastline, ii) impermeable soils at their base to avoid contamination of aquifers, iii) use of remote sensing and geographic information system tools for continuous monitoring, iv) mitigation of possible contamination of ecosystems, v) planning the possibility of restoration (reforestation) and protection of the environment. In coastal zones, it is necessary to apply the ISWM approach to avoid landfill flooding and protect the marine environment, reducing rubbish and waste on beaches and oceans. Therefore, applying the circular economy in ISWM is critical to sustainability in coastal environments, with the planet's natural processes and variations due to climate change.

Data-driven models applying in household hazardous waste: Amount prediction and classification in Shanghai

Precisely predicting the amount of household hazardous waste (HHW) and classifying it intelligently is crucial for effective city management. Although data-driven models have the potential to address these problems, there have been few studies utilizing this approach for HHW prediction and classification due to the scarcity of available data. To address this, the current study employed the prophet model to forecast HHW quantities based on the Integration of Two Networks systems in Shanghai. HHW classification was performed using HVGGNet structures, which were based on VGG and transfer learning. To expedite the process of finding the optimal global learning rate, the method of cyclical learning rate was adopted, thus avoiding the need for repeated testing. Results showed that the average rate of HHW generation was 0.1 g/person/day, with the most significant waste categories being fluorescent lamps (30.6 %), paint barrels (26.1 %), medicine (26.2 %), battery (15.8 %), thermometer (0.03 %), and others (1.22 %). Recovering rare earth element (18.85 kg), Cd (3064.10 kg), Hg (15643.43 kg), Zn (14239.07 kg), Ag (11805.81 kg), Ni (4956.64 kg) and Li (1081.45 kg) from HHW can help avoid groundwater pollution, soil contamination and air pollution. HVGGNet-11 demonstrated 90.5 % precision and was deemed most suitable for HHW sorting. Furthermore, the prophet model predicted that HHW in Shanghai would increase from 794.43 t in 2020 to 2049.67 t in 2025.

Occupational Risk Assessment in Landfills: Research Outcomes from Italy

Industrial production has brought increased wellbeing in the last years, but the amount of solid waste has undoubtedly increased. Thus, open dumpsites and landfills have been created throughout the world, with serious impacts on the environment and public health. In such a context, occupational health and safety (OHS) issues related to workers that have to deal with landfill characterization or management have not been considered sufficiently. To reduce such a research gap, in 2019 a research project started in Italy on OHS risk assessment in landfills. In fact, in such facilities, workers can be subjected to direct contact with the polluted environment and might not be completely aware of the entity and type of pollution (e.g., in open dumpsites). Starting with the analysis of INAIL data on accidents at work which occurred in Italy during the period 2008–2019, a specific risk analysis was carried out with the goal of defining risk determinants and profiles by means of K-means cluster analysis. Such an analysis allowed us to recognize the use of work equipment and the work environment as the main determinants of the accidents on the one hand, and the “driver of the excavator” as the most risky activity on the other. The achieved results take a step forward towards the characterization of occupational health and safety issues in landfills. Accordingly, the research outcomes represent a basis on which to address further research work in this field.