Levels of polycyclic aromatic hydrocarbons in different types of hospital waste incinerator ashes

Effect of bacteria on strength properties and toxicity of incinerated biomedical waste ash concrete

A large amount of biomedical waste is generated worldwide, and this waste is hazardous and infectious. The ultimate solution for the issue of disposal of such waste is incineration and then landfill. This incinerated waste is called incinerated biomedical waste ash (IBWA). After incineration, the IBWA is still toxic because of the presence of heavy metals and alkaline metals as they get leached out and have a lethal effect on the environment. This study aims at the use of IBWA in concrete as fine aggregate replacement material. The IBWA was given bacterial treatment to stabilise it against alkalinity and heavy metals leaching. Fine aggregate was replaced with IBWA with ratios having replacement levels from 0%, 5%, 10%, 15%, and 20%. Strength tests performed were compressive strength and splitting tensile strength up to the age of 365 days. United States Environmental Protection Agency's (U.S. EPA) toxicity characteristic leaching procedure, SEM-EDS, and XRD tests were performed. Leachate generated from the concrete mix incorporating IBWA (with and without bacterial treatment) was studied, and the aim was to bind the metals to ensure that the metals leached out are within permissible limits.

Emission and distribution profiles of polycyclic aromatic hydrocarbons in solid residues of municipal and industrial waste incinerators, Northern Vietnam

The concentrations and profiles of 18 polycyclic aromatic hydrocarbons (PAHs) in particulate matter (PM₁₀), fly ash (FA), and bottom ash (BA) were examined in three incineration residues. Samples were collected from different municipal and industrial solid waste incinerators in Northern Vietnam. The average concentrations of total PAHs in PM₁₀, fly ash, and bottom ash were 9.55 × 10³ ng/Nm³, 215 × 10³ ng/g, and 2.38 ng/g, respectively. Low-molecular-weight PAHs (2 to 3 rings) were predominant in most samples. The emission factor of total PAHs decreased in the order of FA > BA > PM₁₀. A higher concentration of total PAHs was found in industrial facilities than that in municipal ones. The high carcinogenic proportion of PAHs together with significantly high annual emissions reflect the high pollution risk to the ecosystem by PAHs in the case of reuse of incineration ashes (e.g., brick production). Regarding the carcinogenic risk of PAH-bounded ashes or particles, calculations from this study imply the significant threat for workers who have been manipulated in the incineration facilities, directly exposed to fly and bottom ashes. Meanwhile, the risk from PAH-bound particulate was not considered a significant threat for both normal adults and children. Further study on PAHs contained in incinerator waste dumps should be conducted in Vietnam to assess the potential contamination risk of these incineration by-products.

Profiling and occupational health risk assessment study on coal ashes in terms of polycyclic aromatic hydrocarbons (PAHs)

Profiling and cancer risk assessment on the polycyclic aromatic hydrocarbons (PAHs) content of coal ashes produced by the major coal combustion plants from the eastern coalfield region in India was conducted. Thirteen PAHs were detected on coal ashes collected from ash deposition sites of major thermal power plants and the profiling of the PAHs was done. Benzo[a]pyrene equivalents (BaP_eq) for individual PAHs were calculated and applied to the probabilistic assessment model from US EPA (1989). Monte Carlo simulations were conducted to assess the risk of inhabitants exposed to PAHs through the dust of the coal ash deposition site. In fly ash, the range of total amount of carcinogenic PAHs was from 3.50 to 6.72 µg g^-1 and for the bottom ash, the range was 8.49 to 14.91 µg g^-1. Bottom ashes were loaded with ample amounts of 5- and 6-ring carcinogenic PAHs, whereas fly ashes were dominated by medium molecular weight PAHs. The simulated mean cancer risks from fly ashes were 2.187 E-06 for children and 3.749 E-06 for adults. For the case of bottom ash, the mean risks were 1.248 E-05 and 2.173 E-05 respectively for children and adults. Among all the three exposure routes, dermal contact was the major and caused 81% of the total cancer risk. The most sensitive parameters were exposure duration and relative skin adherence factor for soil, which contributed the most to total variation. The 90% risks calculated from the bottom ashes (2.617 E-05 for children and 4.803 E-05 for adults) are marginally above the acceptable limit (>1.000 E-06) according to US EPA. In this study, a comprehensive risk assessment on carcinogenic PAHs present in coal ashes was done for the first time that may be helpful to develop potential strategies against occupational cancer risk.

Effect-directed analysis for revealing aryl hydrocarbon receptor agonists in sediment samples from an electronic waste recycling town in China

Exposure to electronic and electrical waste (e-waste) has been related to a few adverse health effects. In this study, sediment samples from an e-waste recycling town in China were collected, and aryl hydrocarbon receptor (AhR) agonists in the samples were identified using an effect-directed analysis (EDA) strategy. The CBG2.8D cell line reporter gene bioassay was used as a toxicity test, while suspect screening against chemical databases was performed for potential AhR agonist identification where both gas chromatography- and liquid chromatography-high resolution mass spectrometry analyses were run. When the original sample extract showed high AhR-mediated activity, sample fractionation was performed, and fractions exhibiting high bioactivity were chemically analyzed again to reveal the corresponding AhR agonists. In total, 23 AhR agonists were identified, including 14 commonly known ones and 9 new ones. Benzo [k]fluoranthene and 6-nitrochrysene were the dominant AhR agonists, covering 16-71% and 2.7-12%, respectively, of the AhR activation effects measured in the parent extracts. The newly identified AhR-active chemicals combined explained 0.13-0.20% of the parent extracts' effects, with 7,12-dimethylbenz [a]anthracene and 8,9,11-trimethylbenz [a]anthracene being the major contributors. A diagnostic isomer ratio analysis of polycyclic aromatic hydrocarbons suggested that the major source of AhR agonists identified in these e-waste related sediment samples were probably petroleum product combustion and biomass combustion. In the future, for a more comprehensive AhR agonist investigation, in-house chemical synthesis and purification, and, when necessary, a secondary sample fractionation, would be beneficial.

Leaching characteristics and hazard evaluation of bottom ash generated from common biomedical waste incinerators

India has more than 202 biomedical waste incinerators, however, knowledge on the chemical characteristics of incinerator ash is lacking. The objective of this study was to evaluate the lecahablility characteristics of bottom ash and to study the levels of incineration by-products viz. polycyclic aromatic hydrocarbons (PAHs), and polychlorinated biphenyls (PCBs). Bottom ash samples from 13 common biomedical waste treatment facilities (CBMWTF) were colleted and subjected to leachig test, sequential extraction procedure (SEP) and PAHs and PCBs analysis. Among metals, cadmium, chromium, manganese, lead and zinc were found higher than the regulatory limits indicating its hazardous nature. SEP showed that substantial fraction of Cd (30%) and Zn (25%) were associated with leachable fractions, whereas metals such as Cr, Fe, Mn, and Ni were mainly associated with reducible, organics and residual fractions. Concentrations of USEPA 16 priority PAHs ranged between 0.17-12.67 mg kg^-1 and the total toxic equivalents (TEQ) were in the range of 0.9-421.9 ng TEQ/g. PAHs with 4-rings dominated all the samples and accounted for 68% to total PAHs concentrations. Concentration of Σ₁₉ PCB congeners ranged from 420.4 to 724.3 µg kg^-1. PCBs homologue pattern was dominated by mono- to tetra chlorinated congeners (60-86%). The findings indicate the need for segregation of plastics from biomedical waste, improvement of combustion efficiency, and efficient air pollution control devices for the existing incinerators in CBMWTFs.

Coordinated effects of air pollution control devices on PAH emissions in coal-fired power plants and industrial boilers

Coal-fired power plants are important sources of polycyclic aromatic hydrocarbon (PAH) emissions in the world. The effects of various air pollution control devices (APCDs) on PAH emissions were investigated by analyzing samples from inlets and outlets of APCDs in six coal-fired power plants (A-F) and two coal-fired industrial boilers (G and H). The APCDs were electrostatic precipitators (ESPs), wet flue gas desulfurization systems (WFGDs), and wet ESPs (WESPs). The PAH congener patterns for the coal-fired plants were similar. Gas-phase PAHs were dominant in flue gases, and the most abundant PAH was naphthalene. Three- and four-ring PAHs were dominant in fly ash. Positive correlations were found between the PAH and total organic carbon contents of fly ash (R² 0.87) and slag (R² 0.92). Plants D-F, equipped with low-low-temperature ESPs (LLT-ESPs) and WESPs discharged the lowest PAHs. Circulating water was an important source of PAHs in the desulfurization except in plant A, which used desalinated seawater rather than circulating water in the desulfurization process. WESPs decreased PAH concentrations by an average of 20.67%, which can be spread to other plants to reduce PAHs.

Suspended fine particulate matter (PM2.5), microplastics (MPs), and polycyclic aromatic hydrocarbons (PAHs) in air: Their possible relationships and health implications

Exposure to fine particulate matter (PM_2.5) and their associated microcontaminants have been linked to increased harmful effects on the human health. In this study, the possible relationships between PM_2.5, microplastics (MPs), and polycyclic aromatic hydrocarbons (PAHs) were analyzed in an urban area of Bushehr port, in the northern part of the Persian Gulf. Presence, sources, and health risks of MPs and PAHs in both normal and dusty days were also investigated. The median of PM_2.5 and ƩPAHs were 52.8 μg/m³ and 14.1 ng/m³, respectively, indicating high pollution levels especially in dusty days. The mean level of MPs in urban suspended PM_2.5 was 5.2 items/m³. Fragments were the most abundant shape of identified MPs and polyethylene terephthalate (PET) was the most plastic types in urban dust of Bushehr port. The results revealed that PM_2.5 and MPs may possibly act as a carrier for airborne MPs and PAHs, respectively. In addition, the significant positive relationships between MPs, wind speed and wind direction, confirmed that the MPs transportation were highly controlled by atmospheric condition. Moreover, the source identification methods and trajectory analyses indicated that petrogenic sources from both proximal and distal origins play an important role in the level of PAHs. The results of chronic health risk evaluation via inhalation revealed that PM_2.5-bound PAHs had high potential cancer risk in winter, while, the estimated risks for non-carcinogenic PAHs were not considerable. In the case of MPs, the assessment of human intake of MPs via inhalation highlighted the possible risks for habitants.

Burn to kill: Wood ash a silent killer in Africa

Aside the emissions, burning of wood in traditional cookstoves (TCs) also generates substantial amount of ash containing hazardous pollutants such as polycyclic aromatic hydrocarbons (PAHs) and toxic metals. But, their concentrations in the ash, particularly in Africa where over 70% of the population utilize TCs, remain unknown. Here, we determined concentrations of sixteen PAHs and eleven heavy metals in ashes from twelve different African TCs, comprising six three-stone fires (TSFs) and six built-in-place cookstoves (BIPCs), burning common African wood species under real world situation. For each TC, ash samples were collected for six consecutive days (Monday-Saturday), and a total of seventy-two daily samples were collected from January-June 2019. Ash yields were measured gravimetrically, and concentrations of the pollutants were determined following standard analytical protocols. The results were used alongside secondary data (annual fuelwood consumption, African fuelwood densities, population proportion using fuelwood and surface human population density) to estimate annual tonnage, exposure potential and risk to health in Africa, using Monte Carlo simulation technique. The ash yields from all TCs studied exceeded 1% on dry weight basis, indicating that ash is a major waste by-product of wood combustion in TCs. TSFs produced more ash (5.7 ± 0.7%) than BIPCs (3.4 ± 1.0%). Concentrations of As, Cd, Hg and Pb in ashes were significantly higher (α = 0.05) for TSFs than BIPCs. In contrast, concentrations of PAHs were higher in ashes from BIPCs than TSFs. Assuming ash consumption rates range from 250 to 500 mg/day for young children weighing 10 to 30 kg, the upper dose (μg/kg-day) of Pb (0.2-3.9) or Σ₁₆PAHs (0.02-0.34), for instance, surpasses the 0.3 μg/kg-day of Pb or PAH recognized as causing adverse effects in children, indicating a concern. The top five countries with the highest annual tonnage or exposure potential to toxic pollutants are Nigeria>Ethiopia>DR-Congo>Tanzania>Uganda, or Rwanda>Burundi>Uganda>Nigeria>Guinea-Bissau, respectively.

Characteristics and Treatment Methods of Medical Waste Incinerator Fly Ash: A Review

Medical waste incinerator fly ash (MWIFA) is quite different from municipal solid waste incinerator fly ash (MSWIFA) due to its special characteristics of high levels of chlorines, dioxins, carbon constituents, and heavy metals, which may cause irreversible harm to environment and human beings if managed improperly. However, treatment of MWIFA has rarely been specifically mentioned. In this review, various treatment techniques for MSWIFA, and their merits, demerits, applicability, and limitations for MWIFA are reviewed. Natural properties of MWIFA including the high contents of chlorine and carbonaceous matter that might affect the treatment effects of MWIFA are also depicted. Finally, several commendatory and feasible technologies such as roasting, residual carbon melting, the mechanochemical technique, flotation, and microwave treatment are recommended after an overall consideration of the special characteristics of MWIFA, balancing environmental, technological, economical information.

Vitrified medical wastes bottom ash in cement clinkerization. Microstructural, hydration and leaching characteristics

The present investigation focuses on the utilization of medical wastes incineration bottom ash (MBA), vitrified with soda lime recycled glass (SLRG), as an alternative raw material in cement clinkerization. Bottom ash is recovered from the bottom of the medical wastes incineration chamber, after being cooled down through quenching. It corresponds to 10-15 wt% of the initial medical wastes weight and since it has been classified in the category of hazardous wastes, its safe management has become a major environmental concern worldwide. MBA glasses of various syntheses were initially obtained during the MBA vitrification simultaneously with various amounts of silica scrap (20, 25 and 30 wt% correspondingly). The produced MBA glasses were in turn used for the production of Portland cement clinker, after sintering at 1400 °C, thus substituting traditional raw materials. Both evaluation of vitrification and sintering products was carried out by chemical and mineralogical analyses along with microstructure examination. The final cements were prepared by clinkers co-grinding in a laboratory ball mill with appropriate amounts of gypsum (≈5.0 wt%) and the evaluation of their quality was carried out by determining setting times, standard consistency, expansibility and compressive strength at 2, 7, 28 and 90 days. Finally, the leaching behaviour of the vitrified MBA and hydrated cements, together with the corresponding of the "as received" MBA, was further examined using the standard leaching tests of the Toxicity Characteristic Leaching Procedure (TCLP) and the EN 12457-2. According to the obtained results, the quality of the produced cement clinkers was not affected by the addition of the vitrified MBA in the raw meal, with the trace elements detected in all leachates measured well below the corresponding regulatory limits.

Spatiotemporal distributions of polycyclic aromatic hydrocarbons close to a typical medical waste incinerator

Environmental contaminations by polycyclic aromatic hydrocarbons (PAHs) especially from incinerators occur subtly, and PAH contribution from this source is underestimated. However, as environmental PAH concentrations build up, this may be a serious concern around the incinerator vicinity due to the potential consequences of PAHs on ecosystems and human health. Thus, the contribution of selected (12) PAHs from the Obafemi Awolowo University Teaching Hospital medical waste incinerator (or source, HWI_0) was determined by sampling stack gas and ambient air around incinerator vicinity from June 2014 to May 2015. Results showed that the 12 PAH source (HWI_0) concentrations were in the range of NA (for phenanthrene, pyrene, anthracene, benz[e]acephenanthrylene, and indeno[2,1-b]chromene) to 10.9 ng/m³ (pyrelene) and generally higher than the receptor points (hospital waste incinerators (HWIs)). The average total PAH concentrations per month at HWI_0 and the receptors-HWI_1, HWI_2, HWI_3, HWI_4 and HWI_5-were 73.0 ± 27.9, 60.4 ± 30.8, 42.5 ± 23.6, 38.7 ± 21.9, 35.0 ± 27.2, and 39.2 ± 22.9 ng/m³, respectively. These results and multivariate receptor model analysis indicated high correlations between source PAH contributions and the receptor points. The PAH concentrations in the dry season were higher than the wet season suggesting that hydrological condition affects ambient PAH concentrations. The average PAH concentrations in the HWIs as well as the cumulative exposure concentrations observed throughout the period are of major health concern because PAH concentrations detected are several times higher than both the European Union standard and the WHO guideline level.

Periodic characterization of alkyl-naphthalenes in stack gas and ambient air around a medical waste incinerator

Due to the subtle occurrence of environmental polycyclic aromatic hydrocarbon (PAHs) pollution from incinerators, it is seldom considered a significant source of PAH pollution. However, considering the recent build-up of toxics in urban air, this may be a serious concern around the incinerator vicinity due to the potential consequences of PAHs on human health. Hence, this study determined 11 alkyl-naphthalene contributions from a hospital waste incinerator (HWI_0) into ambient air receptor points (HWI_1 to HWI_5) for a 1-year period: June 2014-May 2015. The HWI_0 and ambient gases were sampled using filter-sorbent sampling system and polyurethane foam (PUF) passive samplers, respectively, and all alkyl-naphthalenes were determined using GC-MS. Results showed that the source concentrations were in the range of 0-14.0 ng/m³ and generally higher than the receptor points. The receptor point concentration trends were mainly HWI_1 > HWI_2 ≥ HWI_3 ≥ HWI_5 ≥ HWI_4. Multivariate receptor model analysis suggested high correlations between source and the receptor points though there might be some significant contributions from other emission sources. The average monthly concentrations (∑alkyl-naphthalene) at HWI_0 and the receptors HWI_1, HWI_2, HWI_3, HWI_4 and HWI_5 were 67.4 ± 24.3, 57.9 ± 20.1, 42.8 ± 16.9, 39.7 ± 12.2, 36.5 ± 22.2 and 37.8 ± 15.4 ng/m³, respectively. Though these concentrations were lower than the estimated minimal risk level (MRL) for chronic inhalation exposure to naphthalene and its derivatives 0.003 mg/m³, continuous exposure to these pollutants might result in chronic effects. Finally, this study may be used to evaluate the environmental contribution of alkyl-naphthalenes from typical medical waste incinerator in Nigeria.

Levels and patterns of polycyclic aromatic hydrocarbons in coal-fired power plant bottom ash and fly ash from Huainan, China

Fly ash and bottom ash samples were collected from a coal-fired power plant located in Anhui province, China. Mineral phases and morphologies of the samples were determined by X-ray diffraction and scanning electron microscopy, respectively. Sixteen polycyclic aromatic hydrocarbon (PAH; 16 compounds specified in United States Environmental Protection Agency Method 610) properties in ash samples were investigated. In fly ashes, ∑16PAH (total amount of 16 PAHs) and ∑CPAH (total amount of 8 carcinogenic PAHs) levels varied from 0.93 to 2.08 μg/g and from 0.26 to 0.87 μg/g, respectively. In bottom ashes, ∑16PAH and ∑CPAH levels varied from 2.83 to 5.32 and 1.76 to 3.76 μg/g, respectively. Fly ashes were dominated by medium molecular-weight PAHs and low molecular-weight PAHs, whereas bottom ashes were abundant in 5- and 6-ring PAH species. The CPAHs levels of some ashes, especially bottom ashes, are greater than the limits regulated by several countries, indicating that this type of coal combustion product requires special treatment before landfill. PAH levels and patterns in fly ash were evidently affected by particle size, and total organic content had a closer correlation with PAH content than particle size in bottom and fly ash, which may be due to unburned carbon existing in bottom ash.

Generation and distribution of PAHs in the process of medical waste incineration

After the deadly earthquake on May 12, 2008 in Wenchuan county of China, several different incineration approaches were used for medical waste disposal. This paper investigates the generation properties of polycyclic aromatic hydrocarbons (PAHs) during the incineration. Samples were collected from the bottom ash in an open burning slash site, surface soil at the open burning site, bottom ash from a simple incinerator, bottom ash generated from the municipal solid waste (MSW) incinerator used for medical waste disposal, and bottom ash and fly ash from an incinerator exclusively used for medical waste. The species of PAHs were analyzed, and the toxicity equivalency quantities (TEQs) of samples calculated. Analysis results indicate that the content of total PAHs in fly ash was 1.8×10(3) times higher than that in bottom ash, and that the strongly carcinogenic PAHs with four or more rings accumulated sensitively in fly ash. The test results of samples gathered from open burning site demonstrate that Acenaphthylene (ACY), Acenaphthene (ACE), Fluorene (FLU), Phenanthrene (PHE), Anthracene (ANT) and other PAHs were inclined to migrate into surrounding environment along air and surface watershed corridors, while 4- to 6-ring PAHs accumulated more likely in soil. Being consistent with other studies, it has also been confirmed that increases in both free oxygen molecules and combustion temperatures could promote the decomposition of polycyclic PAHs. In addition, without the influence of combustion conditions, there is a positive correlation between total PCDD/Fs and total PAHs, although no such relationship has been found for TEQ.

An overview on characterization, utilization and leachate analysis of biomedical waste incinerator ash

Solid waste management is one of the major global environmental issues, as there is continuous increase in industrial globalization and generation of waste. Solid wastes encompass the heterogeneous mass of throwaways from the urban community as well as the homogeneous accumulations of agricultural, industrial and mineral wastes. Biomedical waste pose a significant impact on health and environment. A proper waste management system should be required to dispose hazardous biomedical waste and incineration should be the best available technology to reduce the volume of this hazardous waste. The incineration process destroys pathogens and reduces the waste volume and weight but leaves a solid material called biomedical waste ash as residue which increases the levels of heavy metals, inorganic salts and organic compounds in the environment. Disposal of biomedical waste ash in landfill may cause contamination of groundwater as metals are not destroyed during incineration. The limited space and the high cost for land disposal led to the development of recycling technologies and the reuse of ash in different systems. In order to minimize leaching of its hazardous components into the environment several studies confirmed the successful utilization of biomedical waste ash in agriculture and construction sector. This paper presents the overview on the beneficial use of ash in agriculture and construction materials and its leachate characteristics. This review also stressed on the need to further evaluate the leachate studies of the ashes and slag for their proper disposal and utilization.

PCDD/F formation from oxy-PAH precursors in waste incinerator flyash

The yield of PCDD/F in relation to the presence of oxygenated PAH in model waste incinerator flyash has been investigated in a fixed bed laboratory scale reactor. Experiments were undertaken by thermal treatment of the model flyash at 250 and 350°C under a simulated flue gas stream for 2 h. After reaction, the PCDD/F content of the reacted flyash and the PCDD/F released into the exhaust gas, and subsequently trapped by XAD-II resin in a down-stream condensation system were analyzed. The PAHs investigated were, dibenzofuran and benzo[b]naphtho[2,3-d]furan and were spiked onto the model flyash as reactant precursors for PCDD/F formation. The results showed significant formation of furans from both of the PAH investigated, however except from some highly chlorinated dioxin congeners, the formation of dioxins was not so common. Benzonaphthofuran was significantly more reactive than dibenzofuran in PCDD/F formation, in spite of the fact that dibenzofuran is structurally more similar to that of PCDD/F. Thus, there was no clear attribution between the chemical structure of PAH used and the formation of PCDD/F. There were considerable differences between the yields of PCDD/F congeners in the gaseous species and those in the reacted flyash under the same operational conditions. The concentration of PCDD/Fs was reduced at the higher reaction temperature of 350°C; however, the higher temperature resulted in the majority of the PCDD/F formed on the flyash being released into the gas phase.

Emission of polycyclic aromatic hydrocarbons from selected processes in steelworks

The emission of polycyclic aromatic hydrocarbons from selected processes in steelworks in southern Poland was investigated. Size-segregated samples of air particulate matter (<0.25, 0.25-0.5, 0.5-1.0, 1.0-2.5 and 2.5-10 μm) were collected at the electric arc furnace and rolling mill. The PAHs were sampled with the personal cascade impactor and identified by HPLC with fluorescence detector. The obtained results showed that collected PAH contents were significantly higher at the electric arc furnace. The highest content of total PAHs (93 ng m(-3)) was present in the smallest particles of 0.5 μm aerodynamic diameter or less, indicating that the ultrafine particles have a high contribution in the overall PM(2.5) fine fraction. Concentrations of Py, CH, BbF, BaP and BghiP came to 76% of total PAHs content in <0.25 μm fraction. The five- and six-ring compounds (BbF, BkF, BaP, DBA, BghiP) with 4-ring chrysene presented typical unimodal size distribution with one predominant peak for this particles' diameter. Phenanthrene and fluoranthene exhibited highest concentrations on coarse particles in the range of 10-2.5 μm, decreasing with decrease of a particle size fraction. Using the toxic equivalent factor (TEF), the mean contributions of the carcinogenic potency of BaP to the air samples collected at the arc furnace and rolling mill (fraction below 0.25 μm) were determined to be 66.3% and 50.3%, respectively.

Polycyclic aromatic hydrocarbons (PAHs) in different indoor dusts and their potential cytotoxicity based on two human cell lines

In this study, 55 air-conditioner filter dust samples from six different workplaces including commercial office, secondary school, shopping mall, hospital, electronic factory and manufacturing plant in Hong Kong were collected for analyses of PAH concentration and cytotoxicity. Chemical analyses showed that the total PAHs ranged from 1.17 to 25.5 microg/g, with the dust samples from manufacturing plant having the highest concentration. MTT (3-[4, 5-dimethylthiazol-2-yl]-2, 5-diphenyltetrasodium bromide) assay was performed to evaluate the cytotoxicity of organic dust extracts using human hepatocellular liver carcinoma cell line (HepG2) and human skin keratinocyte cell line (KERTr). Each organic dust extract showed marked dose-related response. Dust samples from the manufacturing plant showed the highest cytotoxicity. Curve estimation indicated that power model was fit for explaining the relationship between the total PAH concentration and lethal concentration 50 (LC(50)). In addition, a significant negative correlation was observed between the total PAH concentration and LC(50) both on HepG2 (r=-0.65, p<0.01) and KERTr (r=-0.63, p<0.01) cell lines. Source analyses demonstrated that the PAHs in dust were derived from pyrogenic origins.

Influence of supercritical water treatment on heavy metals in medical waste incinerator fly ash

In this work, medical waste (MW) incinerator fly ashes from different types of incinerators were subjected to supercritical water (SCW) and SCW+H(2)O(2) (SCWH) treatments. Sequential extraction experiments showed that, after SCW treatment, heavy metals in exchangeable and carbonate forms in the ashes could be transferred into other relatively stable forms, e.g., Ba and Cr into residual fraction, Cu and Pb into organic matter fraction. SCWH treatment could stabilize heavy metals in Fe-Mn oxides and residual fractions. However, the behavior of As was quite different from heavy metals, which could be leached out from residue fraction after SCW and SWCH treatments. The leached As tended to absorb onto Fe-Mn oxides and organic matters under near neutral environment, but it could react with Ca(2+) at lower pH, increasing the mobility of this element. Therefore, it is necessary to neutralize acidic ash to near neutral condition before subjecting it to SCW and SCWH treatments so as to effectively stabilize hazardous elements in the ash. Consequently, it is believed that SCWH treatment is an effective alternative for hazardous elements detoxification in MW fly ash.

Health care waste management: a neglected and growing public health problem worldwide

The objective of this Short Communication is to promulgate an inventory of 87 papers pertaining to health care waste management practices and challenges in 40 low and middle income countries worldwide amassed through a multi-language systematic review. Herein, we discuss the major gaps, failures, and frequently reported themes by geographic region. Following this we outline a proposed research agenda moving forward, and conclude that greater research and attention towards these unintended consequences of technologic progress in medical care delivery is needed to address and understand this growing public health threat around the world.