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Bromley-Dulfano R, Chan J, Jain N, Marvel J. Switching from disposable to reusable PPE. BMJ 2024; 384:e075778. [PMID: 38499293 DOI: 10.1136/bmj-2023-075778] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/20/2024]
Affiliation(s)
- Rebecca Bromley-Dulfano
- Stanford University School of Medicine, Stanford, CA, USA
- Harvard University, Department of Health Care Policy, Boston, MA
- Stanford Climate and Health, Stanford, CA
| | - Joshua Chan
- Stanford University, Stanford, CA
- Stanford Climate and Health, Stanford, CA
| | - Navami Jain
- Stanford University, Stanford, CA
- Stanford Climate and Health, Stanford, CA
| | - James Marvel
- Stanford University School of Medicine, Stanford, CA, USA
- Stanford Climate and Health, Stanford, CA
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Aslan H, Yılmaz O, Benfield MC, Becan SA. Temporal trends in personal protective equipment (PPE) debris during the COVID-19 pandemic in Çanakkale (Turkey). THE SCIENCE OF THE TOTAL ENVIRONMENT 2023; 898:165377. [PMID: 37422228 DOI: 10.1016/j.scitotenv.2023.165377] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/10/2023] [Revised: 07/05/2023] [Accepted: 07/05/2023] [Indexed: 07/10/2023]
Abstract
This study examines trends in PPE (masks, gloves) and disinfecting wipes over three years of the pandemic. The densities of discarded masks, wet wipes, and gloves (personal protective equipment: PPE), were quantified on the streets of Canakkale, Turkey during similar time periods in 2020, 2021 and 2022. Geotagged images of PPE on the streets and sidewalks were documented with a smartphone, while the track of an observer was recorded using a fitness tracker app along a 7.777 km long survey route in the city center, parallel to the Dardanelles Strait. A total of 18 surveys were conducted over three years, and the survey route was subdivided into three zones based on utilization patterns: pedestrian zone, traffic zone and a recreational park zone. The combined densities of all types of PPE density were high in 2020, lower in 2021 and highest in 2022. The within year trend showed an increase over the three study years. The average density of gloves declined from an initially high level in 2020, when the SARS-CoV-2 virus was thought to be transmitted by contact, to near zero in 2021 and to zero in 2022. Densities of wipes were similar in 2020 and 2021 and higher in 2022. Masks were initially difficult to procure in 2020, and their densities progressively increased during that year reaching a plateau in 2021 with similar densities in 2022. PPE densities were significantly lower in the pedestrian route relative to the traffic and park routes, which were not different from each other. The partial curfews implemented by the Turkish government and the effects of prevention measures taken on the PPE concentration in the streets are discussed along with the importance of waste management practices.
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Affiliation(s)
- Herdem Aslan
- Department of Biology, Faculty of Science, Çanakkale Onsekiz Mart University, Çanakkale, Turkey.
| | - Okan Yılmaz
- Department of Landscape Architecture, Faculty of Architecture and Design, Çanakkale Onsekiz Mart University, Çanakkale, Turkey
| | - Mark C Benfield
- Department of Oceanography and Coastal Sciences, Louisiana State University, Baton Rouge, LA 70803, USA
| | - S Ahmet Becan
- Faculty of Agriculture, Çanakkale Onsekiz Mart University, Çanakkale, Turkey
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Hasan M, Islam ARMT, Jion MMMF, Rahman MN, Peu SD, Das A, Bari ABMM, Islam MS, Pal SC, Islam A, Choudhury TR, Rakib MRJ, Idris AM, Malafaia G. Personal protective equipment-derived pollution during Covid-19 era: A critical review of ecotoxicology impacts, intervention strategies, and future challenges. THE SCIENCE OF THE TOTAL ENVIRONMENT 2023; 887:164164. [PMID: 37187394 PMCID: PMC10182863 DOI: 10.1016/j.scitotenv.2023.164164] [Citation(s) in RCA: 14] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/12/2023] [Revised: 05/09/2023] [Accepted: 05/10/2023] [Indexed: 05/17/2023]
Abstract
During the COVID-19 pandemic, people used personal protective equipment (PPE) to lessen the spread of the virus. The release of microplastics (MPs) from discarded PPE is a new threat to the long-term health of the environment and poses challenges that are not yet clear. PPE-derived MPs have been found in multi-environmental compartments, e.g., water, sediments, air, and soil across the Bay of Bengal (BoB). As COVID-19 spreads, healthcare facilities use more plastic PPE, polluting aquatic ecosystems. Excessive PPE use releases MPs into the ecosystem, which aquatic organisms ingest, distressing the food chain and possibly causing ongoing health problems in humans. Thus, post-COVID-19 sustainability depends on proper intervention strategies for PPE waste, which have received scholarly interest. Although many studies have investigated PPE-induced MPs pollution in the BoB countries (e.g., India, Bangladesh, Sri Lanka, and Myanmar), the ecotoxicity impacts, intervention strategies, and future challenges of PPE-derived waste have largely gone unnoticed. Our study presents a critical literature review covering the ecotoxicity impacts, intervention strategies, and future challenges across the BoB countries (e.g., India (162,034.45 tons), Bangladesh (67,996 tons), Sri Lanka (35,707.95 tons), and Myanmar (22,593.5 tons). The ecotoxicity impacts of PPE-derived MPs on human health and other environmental compartments are critically addressed. The review's findings infer a gap in the 5R (Reduce, Reuse, Recycle, Redesign, and Restructure) Strategy's implementation in the BoB coastal regions, hindering the achievement of UN SDG-12. Despite widespread research advancements in the BoB, many questions about PPE-derived MPs pollution from the perspective of the COVID-19 era still need to be answered. In response to the post-COVID-19 environmental remediation concerns, this study highlights the present research gaps and suggests new research directions considering the current MPs' research advancements on COVID-related PPE waste. Finally, the review suggests a framework for proper intervention strategies for reducing and monitoring PPE-derived MPs pollution in the BoB countries.
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Affiliation(s)
- Mehedi Hasan
- Department of Disaster Management, Begum Rokeya University, Rangpur 5400, Bangladesh
| | - Abu Reza Md Towfiqul Islam
- Department of Disaster Management, Begum Rokeya University, Rangpur 5400, Bangladesh; Department of Development Studies, Daffodil International University, Dhaka 1216, Bangladesh.
| | | | - Md Naimur Rahman
- Department of Geography and Environmental Science, Begum Rokeya University, Rangpur 5400, Bangladesh
| | - Susmita Datta Peu
- Department of Agriculture, Hajee Mohammad Danesh Science and Technology University, Dinajpur 5200, Bangladesh
| | - Arnob Das
- Department of Mechanical Engineering, Rajshahi University of Engineering & Technology, 6 Rajshahi 6204, Bangladesh
| | - A B M Mainul Bari
- Department of Industrial and Production Engineering, Bangladesh University of Engineering and Technology, Dhaka 1000, Bangladesh
| | - Md Saiful Islam
- Department of Soil Science, Patuakhali Science and Technology University, Dumki, Patuakhali 8602, Bangladesh
| | - Subodh Chandra Pal
- Department of Geography, The University of Burdwan, Bardhaman 713104, West Bengal, India
| | - Aznarul Islam
- Department of Geography, Aliah University, 17 Gorachand Road, Kolkata 700 014, West Bengal, India.
| | - Tasrina Rabia Choudhury
- Analytical Chemistry Laboratory, Chemistry Division, Atomic Energy Centre Dhaka (AECD), Bangladesh Atomic Energy Commission, Dhaka 1000, Bangladesh
| | - Md Refat Jahan Rakib
- Department of Fisheries and Marine Science, Faculty of Science, Noakhali Science and Technology University, Noakhali, Bangladesh
| | - Abubakr M Idris
- Department of Chemistry, College of Science, King Khalid University, Abha 62529, Saudi Arabia; Research Center for Advanced Materials Science (RCAMS), King Khalid University, Abha, Saudi Arabia
| | - Guilherme Malafaia
- Post-Graduation Program in Conservation of Cerrado Natural Resources, Goiano Federal Institute, Urutaí, GO, Brazil; Post-Graduation Program in Ecology, Conservation, and Biodiversity, Federal University of Uberlândia, Uberlândia, MG, Brazil; Post-Graduation Program in Biotechnology and Biodiversity, Federal University of Goiás, Goiânia, GO, Brazil.
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