The evaluation of Staphylococcus aureus and Staphylococcus epidermidis in hospital air, their antibiotic resistance and sensitivity of S. aureus to cefoxitin

Staphylococci as a nosocomial infection agent, increases the possibility of contracting diseases such as wound infection, sepsis and skin infections in humans. It was shown that Staphylococcus aureus considered as a commensal organism causing various both endemic and epidemic hospital-acquired infections. Air samples were collected from Sina Hospital, Hamadan city, which dedicated to various respiratory diseases and analysed by biochemical tests. The resistance and sensitivity of bacterial strains to the cefoxitin antibiotic were also determined. Staphylococcus aureus density (CFU/m3) were measured in the air of various wards as follows: infectious 13.35 ± 7.57, poisoning 29.84 ± 33.43, emergency 8.64 ± 2.72, eye operation room 0, recovery room 6.28 ± 4.90, skin outpatient operation room 4.71 ± 2.36, respiratory isolation 0, ICU 0.79 ± 1.36, and the administrative room 6.28 ± 5.93; while the Staphylococcus epidermidis were as follows: infectious 1.57 ± 2.35, poisoning 2.35 ± 4.08, emergency 2.35 ± 2.35, eye operation room 0, recovery room 0.78 ± 1.36, skin outpatient operation room 2.35 ± 2.35, respiratory isolation 0, ICU 2.35 ± 4.08, and the administrative room 1.57 ± 1.36. The positive and negative control samples showed a concentration of 0. Moreover, among the S. aureus isolates, 33.3% were found to be resistant to cefoxitin, while 40.6% showed to be sensitive. Based on the results, the number of active people and the type and quality of ventilation are very effective in the air quality of various wards of hospital. The poisoning section showed the most contaminated air and the highest resistance and sensitivity to the cefoxitin antibiotic.

Investigation of the effects of different substrates on the promotion of the soil microbial consortium, encompassing bacteria and fungi, in the bioremediation of decabromodiphenyl ether (BDE-209)

Decabromodiphenyl ether (BDE-209) is recognized as an emerging and hazardous pollutant in numerous ecosystems. Despite this, only a few studies have concurrently investigated the biodegradation of BDE-209 by a microbial consortium comprising both bacteria and fungi. Consequently, the interactions between bacterial and fungal populations and their mutual effects on BDE-209 degradation remain unclear. Our main objective was to concurrently assess the changes and activity of bacterial and fungal communities during the biodegradation of BDE-209 in a real soil matrix. In the present study, various organic substrates were employed to promote soil biomass for the biodegradation of BDE-209. Soil respiration and molecular analysis were utilized to monitor biological activity and biomass community structure, respectively. The findings revealed that the use of wheat straw in the soil matrix resulted in the highest soil respiration and microbial activity among the treatments. This approach obviously provided suitable habitats for the soil microflora, which led to a significant increase in the biodegradability of BDE-209 (49%). Biomass survival efforts and the metabolic pathway of lignin degradation through co-metabolism contributed to the biodegradation of BDE-209. Microbial community analysis identified Proteobacteria (Alphaproteobacteria-Betaproteobacteria), Firmicutes, Bacteroides (bacterial phyla), as well as Ascomycota and Basidiomycota (fungal phyla) as the key microorganisms in the biological community involved in the biodegradation of BDE-209. This study demonstrated that applying wheat straw can improve both the biological activity and the biodegradation of BDE-209 in the soil of polluted sites.

Short-term effects of air pollution on hospital admissions of respiratory diseases in Hamadan, Iran, 2015 to 2021

The short-term effects of air pollution on respiratory diseases have been reported in many countries. Urban areas are most affected because of the many sources of pollution and the large number of people living there. This study aims to investigate the effect of short-term exposure to air pollutants on respiratory hospital admissions in the city of Hamadan. In this ecological study, daily hospital admission data were collected from Shahid Beheshti Hospital in Hamadan. Daily information on air pollutants (CO, SO2, NO2, O3, PM2.5 and PM10) from Hamadan Department of Environment (DoE) organization and of climate factors from Hamadan Meteorological Office were collected. A negative binomial regression model was used to examine the effect of air pollution on daily respiratory hospitalizations. The effect of exposure to pollutants was measured whit different time lags (0-7 days). Furthermore, the effect of meteorological variables was controlled. Subgroup analyses were performed by sex and age group. A total of 12,454 hospitalizations for respiratory diseases were recorded. Results showed a strong and immediate effect of CO on respiratory hospital admissions with highest association at lag 7 (relative risk (RR) = 1.38, 95% CI: 1.33, 1.42). The effects of CO and SO2 on respiratory hospitalizations are greater for men than women. Regarding the short-term effects of PM2.5, SO2 and O3, adults (aged less than 65) were more prone to hospitalization for respiratory diseases. These results show that exposure to air pollution, particularly CO, may increase hospital admissions due to respiratory illness. So reducing the concentration of these pollutants can reduce the number of hospital admissions.

Evaluation of Seasonal Variation on the Health Risks Using the Quantitative Microbial Risk Assessment Approach in a Wastewater Treatment Plant in Hamadan, Iran

BACKGROUND

Wastewater treatment plants (WWTPs) are a source of airborne bacterial contamination that can pose health risks to staff. The aim of this study was to evaluate seasonal variations in the health risks of exposure to Staphylococcus aureus bioaerosols using the quantitative microbial risk assessment (QMRA) approach in a WWTP in Hamadan, Iran.

STUDY DESIGN

This was a descriptive cross-sectional study.

METHODS

This study determined the emission concentrations of S. aureus bioaerosols in summer and winter. Then, the health risks of three exposure scenarios (the worker, field engineer, and laboratory technician) were evaluated using the QMRA approach. The bioaerosol samples were collected every 12 days in both summer and winter of 2021 with a nutrient agar using a single-stage cascade impactor (Quick Take 30, SKC Inc.) in both outdoor and indoor environments.

RESULTS

The results demonstrated that in both seasons, S. aureus bioaerosol concentrations in outdoor and indoor environments were below the standard established by the American Conference of Governmental Industrial Hygienists (500 CFU/m3 ). While in summer, the annual infection risks and the disease burden for the three exposure scenarios in both outdoor and indoor environments were higher than the United States Environmental Protection Agency (≤10-4 pppy) and the World Health Organization (WHO) (≤10-6 DALYs pppy-1) benchmarks, respectively.

CONCLUSION

The findings provided high health risks for staff in the three exposure scenarios of an indoor environment, which should not be ignored, as well as emphasizing the use of the QMRA approach to estimate health risks caused by occupational exposure to bioaerosols and taking executive measures to protect staff working in the WWTPs.

Estimates, trends, and drivers of the global burden of type 2 diabetes attributable to PM2·5 air pollution, 1990-2019: an analysis of data from the Global Burden of Disease Study 2019

BACKGROUND

Experimental and epidemiological studies indicate an association between exposure to particulate matter (PM) air pollution and increased risk of type 2 diabetes. In view of the high and increasing prevalence of diabetes, we aimed to quantify the burden of type 2 diabetes attributable to PM2·5 originating from ambient and household air pollution.

METHODS

We systematically compiled all relevant cohort and case-control studies assessing the effect of exposure to household and ambient fine particulate matter (PM2·5) air pollution on type 2 diabetes incidence and mortality. We derived an exposure-response curve from the extracted relative risk estimates using the MR-BRT (meta-regression-Bayesian, regularised, trimmed) tool. The estimated curve was linked to ambient and household PM2·5 exposures from the Global Burden of Diseases, Injuries, and Risk Factors Study 2019, and estimates of the attributable burden (population attributable fractions and rates per 100 000 population of deaths and disability-adjusted life-years) for 204 countries from 1990 to 2019 were calculated. We also assessed the role of changes in exposure, population size, age, and type 2 diabetes incidence in the observed trend in PM2·5-attributable type 2 diabetes burden. All estimates are presented with 95% uncertainty intervals.

FINDINGS

In 2019, approximately a fifth of the global burden of type 2 diabetes was attributable to PM2·5 exposure, with an estimated 3·78 (95% uncertainty interval 2·68-4·83) deaths per 100 000 population and 167 (117-223) disability-adjusted life-years (DALYs) per 100 000 population. Approximately 13·4% (9·49-17·5) of deaths and 13·6% (9·73-17·9) of DALYs due to type 2 diabetes were contributed by ambient PM2·5, and 6·50% (4·22-9·53) of deaths and 5·92% (3·81-8·64) of DALYs by household air pollution. High burdens, in terms of numbers as well as rates, were estimated in Asia, sub-Saharan Africa, and South America. Since 1990, the attributable burden has increased by 50%, driven largely by population growth and ageing. Globally, the impact of reductions in household air pollution was largely offset by increased ambient PM2·5.

INTERPRETATION

Air pollution is a major risk factor for diabetes. We estimated that about a fifth of the global burden of type 2 diabetes is attributable PM2·5 pollution. Air pollution mitigation therefore might have an essential role in reducing the global disease burden resulting from type 2 diabetes.

FUNDING

Bill & Melinda Gates Foundation.

Evaluation of SARS-CoV-2 in Indoor Air of Sina and Shahid Beheshti Hospitals and Patients' Houses

Side by side air sampling was conducted using a PTFE filter membrane as dry sampler and an impinger containing a suitable culture medium as a wet sampler. Most of the samples were collected from two hospitals and few air samples were collected from private houses of non-hospitalized confirmed COVID-19 patients. The collected air samples were analyzed using RT-PCR. The results indicated that all air samples collected from the hospitals were PCR negative for SARS-CoV-2. While two of four air samples collected from the house of non-hospitalized patients were PCR positive. In this study, most of the hospitalized patients had oxygen mask and face mask, and hence this may be a reason for our negative results regarding the presence of SARS-CoV-2 in indoor air of the hospitals, while non-hospitalized patients did not wear oxygen and protective face masks in their houses. Moreover, a very high concentration of particles in the size range of droplet nuclei (< 5 µm) was identified compared to particles in the size range of respiratory droplets (> 5-10 µm) in the areas where patients were hospitalized. It can be concluded that using face mask by patients can prevent the release of viruses into the indoor air, even in hospitals with a high density of patients.

Enhanced degradation of Rhodamine B dye by Fenton/peracetic acid and photo-Fenton/peracetic acid processes

In this research, the efficiency of advanced oxidation processes (AOPs) including Fenton−Peracetic Acid (PAA) and photo-Fenton− PAA in the removal of the Rodamine B (RhB) dye from aqueous solutions were studied. Investigating the effect of operating parameters such as pH (3–9), contact time (2–30 min), PAA concentration (10–80 mg/L), FeCl3.7H2O concentration (10–100 mg/L), and dye concentration (25–500 mg/L) on the performance of AOPs in removal of RhB was considered. The results showed that by decreasing pH and dye concentration, RhB removal efficiency increased. The optimal conditions for removal of RhB using Fenton− PAA process were determined to be as follows: dye concentration = 50 mg/L, pH = 3, PAA concentration = 50 mg/L, contact time = 10 min, and FeCl3 = 50 mg/L; in these conditions, removal efficiency of the RhB was 99.9%. In contrast, the photo-Fenton− PAA process was able to remove this amount of dye in just 5 min. The high performance of the system in a short time is attributed to the synergistic effect of the photo-Fenton− PAA process in the presence of UV. Finally, RhB dye was completely degraded by the photo-Fenton− PAA process and converted into CO2 and H2O products. In general, the photo-Fenton− PAA process compared to other methods can be used as a suitable and reliable method for the treatment of effluents of the dyeing industry and discharge them to the environment.

Pesticide residues levels as hematological biomarkers-a case study, blood serum of greenhouse workers in the city of Hamadan, Iran

The cultivation of greenhouse crops is the most severe form of crop production in Iran, and vast quantities of unreasonable pesticides are being utilized to control the pests. The residual level of blood pesticides and their correlation with multibiomarkers were determined to evaluate the adverse health consequences on greenhouse workers in the Hamadan, west of Iran. Participants were 180 adult males, including 90 greenhouse workers exposed to pesticides and 90 control individuals. Blood samples were taken from all subjects for pesticide residues analysis, and hematological and biochemical parameters. The blood pesticide residues were analyzed using gas chromatography (GC) with a flame ionization detector. Hematological and biochemical parameters were determined using hematology cell counter and auto analyze, respectively. Statistical analyses were done with STATA version 14.2 software. The multivariate regression was used for relationship between various pesticide concentrations in blood and changes in biomarkers in pesticide exposed group. The analyses revealed that 64 out of the 90 workers had residues of dichlorvos, diazinon, and chlorpyrifos in their blood serum, and 56.25% out of these workers were exposed for >15-year period. The residues of all three pesticides were higher than the no observable adverse effect level (NOAEL) in all the exposure duration categories. Comparisons of hematological parameters showed that mean monocyte (0.76±0.41, P < 0.001), lymphocyte (3.52±1.20, P < 0.001) and platelet counts (278.18±66.05, P=0.001), mean platelet volume (10.18±0.59, P=0.002), and plateletcrit (PCT) (0.275±0.05, P<0.001) were significantly higher in workers than the controls, whereas hemoglobin (HB) (14.61±1.28, P=0.028), mean corpuscular hemoglobin (MCH), and mean corpuscular hemoglobin concentrations (MCHC) (32.44±0.90, P<0.001) were lower in workers than controls. These results indicate that the exposed individuals have experienced significant hemotoxic effects during the pesticide exposure. The study also predicts the risk to exposed individuals in developing countries like Iran and demands realization of safety measures to prevent such dangerous effects of pesticide exposures.

Effect of household processing on pesticide residues in post-harvested tomatoes: determination of the risk exposure and modeling of experimental results via RSM

This study aimed to investigate the acute and chronic hazard quotients of chlorpyrifos and diazinon for tomatoes in preharvest and postharvest conditions, and to evaluate the relationship between the main variables, including temperature and contact time and pesticide dissipation at different conditions using response surface methodology for the first time. The qualification analyses were conducted by a gas chromatography-tandem mass spectrometry. The Monte Carlo simulation technique was utilized to evaluate the variability and uncertainty and achieve more accurate results in the health risk assessment process. A quadratic model and the second-order polynomial analysis were employed to investigate the mutual effect of time and temperature on removing diazinon and chlorpyrifos. Based on findings, the chronic hazard quotient values of chlorpyrifos and diazinon residues ranged from 0.43 - 1.33 to 0.13 - 2.27 for boiling, 0.65 - 1.49 to 3.05 - 7.15 for room condition, and 0.63 - 1.92 to 3.28 - 7.47 for refrigerator condition, respectively. According to the Monte Carlo simulation, the hazard quotient and estimated daily intake values were more affected by the consumption rate, pesticide concentration, and body weight. The results of response surface methodology showed that the effect of temperature variations on the dissipation of both pesticides was more than that of contact time variations.

Step-scheme BiVO4/WO3 heterojunction photocatalyst under visible LED light irradiation removing 4-chlorophenol in aqueous solutions

In the present study, photodegradation of 4-chlorophenol (4-CP) using a step-scheme BiVO₄/WO₃ heterostructure under visible LED light irradiation (Vis LED) from aqueous solutions was investigated. The photocatalyst was synthesized through the hydrothermal process and characterized physically and chemically via X-ray diffraction (XRD), field emission scanning electron microscope (FE-SEM), energy-dispersive X-ray (EDX), and Brunnauer-Emmett-Teller (BET) techniques. The effects of the operational parameters i.e., solution pH, contact time, nanocomposite dosage, and initial 4-CP concentration were evaluated. Results indicated that BiVO₄/WO₃/Vis LED process has higher efficiency in 4-CP degradation than BiVO₄/Vis LED, WO₃/Vis LED, and BiVO₄/WO₃ systems. At BiVO₄/WO₃ concentration of 0.125 g/L, initial pH of 7, and initial 4-CP concentration of 25 mg/L, complete degradation of 4-CP (>97%) was achieved in reaction time of 60 min. The phenol, chlorobenzene, catechol, 4-chlorocatechol, 5-chloro-1,2,4-benzenetriol, hydroquinone, hydroxyhydroquinone, p-benzoquinone, o-benzoquinone, formic acid, acetic acid, and oxalic acid were identified as the major intermediates of 4-CP degradation. In optimal condition, 67.5% and 88.5% of TOC and COD removal rates were obtained in 120 min contact time, respectively. The degradation of 4-CP was pseudo-first-order kinetics. Through the use of tert-Butyl alcohol (TBA) and ethylenediamine tetraacetic acid (EDTA) as radical scavengers, hydroxyl radicals and holes were identified as the main active species in photocatalytic degradation. Also, a tentative pathway for 4-CP degradation using the Vis LED/BiVO₄/WO₃ process was proposed.

Short-term effect of multi-pollutant air quality indexes and PM2.5 on cardiovascular hospitalization in Hamadan, Iran: a time-series analysis

Air pollutants are the most important environmental factors that contributed to cardiovascular disease (CVD). The present study aimed to investigate the number of hospitalization due to heart failure (HF) and myocardial infarction (MI) following the air pollutant exposure using a time-series regression analysis with a distributed lag model in Hamadan, Iran (2015-2019). A total of 2091 cases of CVD were registered. Based on the findings, the highest health effects on HF hospitalization were observed with air quality health index (AQHI) at lag 9 (RR = 1.043, 95% CI 0.991-1.098), and air quality index (AQI) at lags 2, 7, and 9 (RR = 1.001, 95% CI 0.998-1.002), for an increase in 1 unit of the indexes, and with PM_2.5 at lag 0 (RR = 1.001, 95% CI 0.996-1.004) for 10 μg/m³ increase in PM_2.5 levels. The highest health effects on MI hospitalization were calculated with AQHI at lag 10 (RR = 1.059, 95% CI 1.001-1.121) and AQI at lags 1 and 2 (RR = 1.001, 95% CI 0.998-1.002), for an increase in 1 unit of the indexes, and with PM_2.5 at lag 8 (RR = 1.002, 95% CI 0.997-1.005) for 10 μg/m³ increase in PM_2.5 levels. According to a seasonal classification, results showed that hospitalization in the warm season was higher than that of the cold season. Based on our knowledge, the current study is the first study that investigated the effect of air quality indexes on hospitalization due to HF and MI in Iran. Findings can provide basic information to plan preventive measures for reducing exposure chance and hospitalization rate in high-risk people.

Electrocatalytic degradation of diuron herbicide using three-dimensional carbon felt/β-PbO2 anode as a highly porous electrode: Influencing factors and degradation mechanisms

Traditional planar PbO₂ anodes have been used extensively for the electrocatalytic degradation process. However, by using porous PbO₂ anodes that have a three-dimensional architecture, the efficiency of the process can be significantly upgraded. In the current study, carbon felt (CF) with a highly porous structure and a conventional planar graphite sheet (G) were used as electrode substrate for PbO₂ anodes. Both CF/β-PbO₂ and G/β-PbO₂ anodes were prepared by the anodic deposition method. The main properties of the electrodes were characterized by XRD, EDX-mapping, FESEM, and BET-BJH techniques. The electrocatalytic degradation of diuron using three-dimensional porous CF/β-PbO₂ anode was modeled and optimized by a rotatable central composite design. After optimizing the process, the ability of porous CF/β-PbO₂ and planar G/β-PbO₂ anodes to degrade and mineralize diuron was compared. The electrocatalytic degradation of the diuron was well described by a quadratic model (R² > 0.99). Under optimal conditions, the kinetics of diuron removal using CF/β-PbO₂ anode was 3 times faster than the G/β-PbO₂ anode. The energy consumed for the complete mineralization of diuron using CF/β-PbO₂ anode was 2077 kWh kg^-1 TOC. However, the G/β-PbO₂ anode removed only 65% of the TOC by consuming 54% more energy. The CF/β-PbO₂ had more stability (115 vs. 91 h), larger surface area (1.6287 vs. 0.8565 m² g^-1), and higher oxygen evolution potential (1.89 vs. 1.84 V) compared to the G/β-PbO₂. In the proposed pathways for diuron degradation, the aromatic ring and groups of carbonyl, dimethyl urea, and amide were the main targets for HO^• radical attacks.

Phase distribution and risk assessment of PAHs in ambient air of Hamadan, Iran

In the present study, both gaseous and particulate (PM with dae <2.5 µm) phases of polycyclic aromatic hydrocarbons (PAHs) were measured in the ambient air of Hamadan city, Iran. For this reason, two low-volume samplers equipped with glass fiber filters were used for sampling of particulate phase (N = 30) and XAD-2 sorbent tubes were applied for sampling gaseous phase of PAHs (N = 30). The sampling was conducted during warm and cold seasons in 2019. The average of cold/warm season ratios for Σ₁₆PAH and PM concentrations were 1.14 and 0.62, respectively. Summed PAHs concentration were determined to be in the range 0.008-59.46 (mean: 11.61) ng/m³ and 0.05-40.83 (mean: 10.22) ng/m³ for the cold and warm seasons, respectively. A negative Pearson correlation coefficient was obtained for wind speed and relative humidity. The average Benzo (a) Pyrene equivalent carcinogenic (BaP_eq) levels in the cold season were lower than the maximum permissible risk level of 1 ng/m³ for BaP. The BaP toxicity equivalency (ΣBaP_TEQ) and BaP mutagenicity equivalency (ΣBaP_MEQ) appeared to be significantly higher in the cold season (averaging 0.35 and 1.65 ng/m³, respectively) than those in warm season. Health risk assessment was performed for children and adults based on BaP_eq, inhalation cancer risk. The diagnostic ratios of individual PAHs concentration showed that the significant sources of PAH emissions may be related to light duty vehicles (LDVs) in Hamadan. Although, some other sources such as pyrogenic source and petrol combustion were also suggested.

Sampling and detection of corona viruses in air: A mini review

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a strain of coronaviruses that causes coronavirus disease 2019 (COVID-19). In these days, the spread of the SARS-CoV-2 virus through the air has become a controversial topic among scientists. Various organizations provide standard methods for monitoring biological agents in the air. Nevertheless, there has been no standard recommended method for sampling and determination of viruses in air. This manuscript aimed at reviewing published papers for sampling and detection of corona viruses, especially SARS-Cov-2 as a global health concern. It was found that SARS-Cov 2 was present in some air samples that were collected from patient's rooms in hospitals. This result warrants its airborne transmission potential. However, due to the fact that in the most reviewed studies, sampling was performed in the patient's room, it seems difficult to discriminate whether it is airborne or is transmitted through respiratory droplets. Moreover, some other disrupting factors such as patient distance from the sampler, using protective or oxygen masks by patients, patient activities, coughing and sneezing during sampling time, air movement, air conditioning, sampler type, sampling conditions, storage and transferring conditions, can affect the results. About the sampling methods, most of the used samplers such as PTFE filters, gelatin filers and cyclones showed suitable performance for trapping SARS-Co and MERS-Cov viruses followed by PCR analysis.

An assessment of the occurrence and nutritional factors associated with aflatoxin M1, ochratoxin A, and zearalenone in the breast milk of nursing mothers in Hamadan, Iran

This research investigated the occurrence of aflatoxin M1 (AFM1), ochratoxin A (OTA), and zearalenone (ZEN) in human milk samples in the Hamadan city, Iran. The study was carried out using the milk of nursing mothers from ten governmental health care centers. Mycotoxin content of ninety milk samples measured using enzyme-linked immunosorbent assay (ELISA). All samples that tested positive for AFM1 with the ELISA test were subsequently analyzed by high-performance liquid chromatography (HPLC). The mean ± SD concentrations of AFM1, determined by ELISA and HPLC were 5.98 ± 1.47 and 4.36 ± 1.23 ng/L, respectively. OTA and ZEN levels were below the detection limit (<5 ng/L) in all samples. None of the contaminated samples exceeded the regulation limit set by the European Commission (25 ng/L) for AFM1 in infant formula. We found a significant correlation between the AFM1 concentration in breast milk and infant age and milk consumption by the nursing mother (p < 0.05). These findings revealed that infants are susceptible to AFM1 exposure from their mother's milk. The authors recommend that additional research be conducted on the analysis of foodstuff and biological fluids for various mycotoxins.

Mapping geographical inequalities in access to drinking water and sanitation facilities in low-income and middle-income countries, 2000-17

BACKGROUND

Universal access to safe drinking water and sanitation facilities is an essential human right, recognised in the Sustainable Development Goals as crucial for preventing disease and improving human wellbeing. Comprehensive, high-resolution estimates are important to inform progress towards achieving this goal. We aimed to produce high-resolution geospatial estimates of access to drinking water and sanitation facilities.

METHODS

We used a Bayesian geostatistical model and data from 600 sources across more than 88 low-income and middle-income countries (LMICs) to estimate access to drinking water and sanitation facilities on continuous continent-wide surfaces from 2000 to 2017, and aggregated results to policy-relevant administrative units. We estimated mutually exclusive and collectively exhaustive subcategories of facilities for drinking water (piped water on or off premises, other improved facilities, unimproved, and surface water) and sanitation facilities (septic or sewer sanitation, other improved, unimproved, and open defecation) with use of ordinal regression. We also estimated the number of diarrhoeal deaths in children younger than 5 years attributed to unsafe facilities and estimated deaths that were averted by increased access to safe facilities in 2017, and analysed geographical inequality in access within LMICs.

FINDINGS

Across LMICs, access to both piped water and improved water overall increased between 2000 and 2017, with progress varying spatially. For piped water, the safest water facility type, access increased from 40·0% (95% uncertainty interval [UI] 39·4-40·7) to 50·3% (50·0-50·5), but was lowest in sub-Saharan Africa, where access to piped water was mostly concentrated in urban centres. Access to both sewer or septic sanitation and improved sanitation overall also increased across all LMICs during the study period. For sewer or septic sanitation, access was 46·3% (95% UI 46·1-46·5) in 2017, compared with 28·7% (28·5-29·0) in 2000. Although some units improved access to the safest drinking water or sanitation facilities since 2000, a large absolute number of people continued to not have access in several units with high access to such facilities (>80%) in 2017. More than 253 000 people did not have access to sewer or septic sanitation facilities in the city of Harare, Zimbabwe, despite 88·6% (95% UI 87·2-89·7) access overall. Many units were able to transition from the least safe facilities in 2000 to safe facilities by 2017; for units in which populations primarily practised open defecation in 2000, 686 (95% UI 664-711) of the 1830 (1797-1863) units transitioned to the use of improved sanitation. Geographical disparities in access to improved water across units decreased in 76·1% (95% UI 71·6-80·7) of countries from 2000 to 2017, and in 53·9% (50·6-59·6) of countries for access to improved sanitation, but remained evident subnationally in most countries in 2017.

INTERPRETATION

Our estimates, combined with geospatial trends in diarrhoeal burden, identify where efforts to increase access to safe drinking water and sanitation facilities are most needed. By highlighting areas with successful approaches or in need of targeted interventions, our estimates can enable precision public health to effectively progress towards universal access to safe water and sanitation.

FUNDING

Bill & Melinda Gates Foundation.

Mapping geographical inequalities in childhood diarrhoeal morbidity and mortality in low-income and middle-income countries, 2000-17: analysis for the Global Burden of Disease Study 2017

BACKGROUND

Across low-income and middle-income countries (LMICs), one in ten deaths in children younger than 5 years is attributable to diarrhoea. The substantial between-country variation in both diarrhoea incidence and mortality is attributable to interventions that protect children, prevent infection, and treat disease. Identifying subnational regions with the highest burden and mapping associated risk factors can aid in reducing preventable childhood diarrhoea.

METHODS

We used Bayesian model-based geostatistics and a geolocated dataset comprising 15 072 746 children younger than 5 years from 466 surveys in 94 LMICs, in combination with findings of the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2017, to estimate posterior distributions of diarrhoea prevalence, incidence, and mortality from 2000 to 2017. From these data, we estimated the burden of diarrhoea at varying subnational levels (termed units) by spatially aggregating draws, and we investigated the drivers of subnational patterns by creating aggregated risk factor estimates.

FINDINGS

The greatest declines in diarrhoeal mortality were seen in south and southeast Asia and South America, where 54·0% (95% uncertainty interval [UI] 38·1-65·8), 17·4% (7·7-28·4), and 59·5% (34·2-86·9) of units, respectively, recorded decreases in deaths from diarrhoea greater than 10%. Although children in much of Africa remain at high risk of death due to diarrhoea, regions with the most deaths were outside Africa, with the highest mortality units located in Pakistan. Indonesia showed the greatest within-country geographical inequality; some regions had mortality rates nearly four times the average country rate. Reductions in mortality were correlated to improvements in water, sanitation, and hygiene (WASH) or reductions in child growth failure (CGF). Similarly, most high-risk areas had poor WASH, high CGF, or low oral rehydration therapy coverage.

INTERPRETATION

By co-analysing geospatial trends in diarrhoeal burden and its key risk factors, we could assess candidate drivers of subnational death reduction. Further, by doing a counterfactual analysis of the remaining disease burden using key risk factors, we identified potential intervention strategies for vulnerable populations. In view of the demands for limited resources in LMICs, accurately quantifying the burden of diarrhoea and its drivers is important for precision public health.

FUNDING

Bill & Melinda Gates Foundation.

Mapping 123 million neonatal, infant and child deaths between 2000 and 2017

Since 2000, many countries have achieved considerable success in improving child survival, but localized progress remains unclear. To inform efforts towards United Nations Sustainable Development Goal 3.2-to end preventable child deaths by 2030-we need consistently estimated data at the subnational level regarding child mortality rates and trends. Here we quantified, for the period 2000-2017, the subnational variation in mortality rates and number of deaths of neonates, infants and children under 5 years of age within 99 low- and middle-income countries using a geostatistical survival model. We estimated that 32% of children under 5 in these countries lived in districts that had attained rates of 25 or fewer child deaths per 1,000 live births by 2017, and that 58% of child deaths between 2000 and 2017 in these countries could have been averted in the absence of geographical inequality. This study enables the identification of high-mortality clusters, patterns of progress and geographical inequalities to inform appropriate investments and implementations that will help to improve the health of all populations.

A comparative study for the removal of imidacloprid insecticide from water by chemical-less UVC, UVC/TiO2 and UVC/ZnO processes

BACKGROUND

Chloronicotinic insecticide are a class of pesticides that are commonly used as insecticides. Among the frequently used chloronicotinic pesticide, imidacloprid (IM) was developed in 1986. The residual of this insecticide or any pesticides may have serious public health threats.

METHODS

Both degradation and mineralization of the imidacloprid (IM) in aqueous solution was studied under various experimental conditions using different advanced oxidation processes namely, ultraviolet C (UVC), UVC + TiO₂, and UVC + ZnO. All the experiments were performed using a lab-scale batch photoreactor with a working volume of 100 mL equipped with low-pressure mercury vapor lamp (9 W, 18 cm long, Philips Co.), emitting UV radiation with maximum intensity at 254 nm. The possible intermediates and a reaction pathway for photocatalytic degradation of the IM were also evaluated.

RESULTS

It was observed that under optimal condition for UVC/TiO₂ process (C₀ = 100 mg/L, pH = 7.5, t = 20 min, TiO₂ dose = 100 mg/L), IM was effectively degraded (88.15%) and followed the first order kinetics model. The degradation efficiency increased with increasing of illumination time and is more favorable in alkaline pH compared to acidic pH. Degradation of the IM in photocatalytic process was compared with photolysis showing a significant synergy effect in the case of the photocatalytic degradation process, leading at 20 min illumination time to a 36.7% increase of the IM removal efficiency in comparison to the single UVC. The GC/MS chromatograms before and after treatment confirmed the effectiveness of the UVC/TiO₂ process in simplifying the nature of IM and its conversion to more simple and degradable compounds.

CONCLUSION

The heterogeneous UVC/TiO₂ process was found to be an efficient chemical-less method that is appropriate for degradation of IM from aqueous phase.

The Assessment of Trihalomethanes Concentrations in Drinking Water of Hamadan and Tuyserkan Cities, Western Iran and Its Health Risk on the Exposed Population

BACKGROUND

The aim of the present study was to calculate and to assess the potential lifetime cancer risks for trihalomethanes from consuming chlorinated drinking water in Hamadan and Tuyserkan cities, western Iran in 2016-2017.

STUDY DESIGN

A cross-sectional study.

METHODS

Seventy-two water samples were collected from the distribution systems and from the outlet of water treatment plants (WTPs) and the experiments were carried out to determine the desired parameters. All the sampling and measurement methods were according to Standard Methods. The obtained data were analyzed using SPSS software.

RESULTS

The mean concentration of total THMs in the summer and winter was 42.75 and 17.75 μg/L, respectively, below the WHO and Iranian standard. The positive correlation was observed between temperature and THMs levels. Moreover, THMs concentration in Shahid Beheshti's WTP was several times lower than in Ekbatan's WTP. Chloroform, the dominant species of THMs, was identified at different sampling points. The highest cancer risk in Hamadan was 1.4×10-5 and 4.8×10-5 for male and female, respectively; and the cancer risk was obtained to be 5.6×10-7-2.26×10-6 in Tuyserkan.

CONCLUSION

The drinking water obtained from the studied area is safe in terms of THMs concentration. Nevertheless, the highest cancer risk was higher than the EPA's acceptable level of 10-6.

Exposure to heavy metals released to the environment through breastfeeding: A probabilistic risk estimation

Toxic heavy metals released into the environment through various anthropogenic activities, raising concerns over their potential adverse effects on human health and the environment. Biological monitoring studies are of great value in toxicological research for estimation of such health effects. The aim of this study was to evaluate the concentrations of lead (Pb), arsenic (As), and chromium (Cr) in the breast milk of urban mothers in Hamadan city, Iran and the accompanying health risk to infants. A total of 100 lactating mothers were recruited from public health care centers in Hamadan city and breast milk samples were collected at 2, 6, 8, and 12 months postpartum. Inductively coupled plasma mass spectroscopy (ICP-MS) has been used to measure target heavy metal concentrations. The median breast milk concentrations of Pb, As, and Cr were 41.90, 0.50, and 3.95 μg/L, respectively. The highest levels of Pb were observed after two months of delivery (with the mean of 96.69 μg/L and median of 45.70 μg/L). Up to 94% of the breast milk samples exceeded the WHO limit suggested for lead contamination of breast milk (<5 μg/L). The breast milk As and Cr contents were above the limit of detection (LOD) in 19% and 76% of samples, respectively. Unacceptable non-cancer health risk levels or hazard quotient (HQ) were found for Pb and As in 61% and 10% of the samples, respectively. Nevertheless, HQ from Cr was <1.0 for 100% of breastfeeding infants. Finally, our results indicated that there may be a potential risk of toxic metals, especially lead, for infants in Hamadan via the consumption of mothers' breast milk.

Mercury, Lead, Cadmium, and Barium Levels in Human Breast Milk and Factors Affecting Their Concentrations in Hamadan, Iran

Breast milk is considered the best source of nutrition for all infants. However, exposure of newborns to toxic metals is of special interest due to their potential harmful effects. Thus, the primary aims of this study were to determine the concentration of toxic heavy metals including lead, mercury, cadmium, and barium in breast milk samples from Hamadan, Iran, in relation to some sociodemographic variables. A total of 100 breast milk samples were collected and their heavy metal contents were measured by inductively coupled plasma mass spectroscopy (ICP-MS). The median breast milk concentrations of Pb, Hg, and Ba were 41.9, 2.8, and 1.95 μg/L, respectively. Cd levels were < 1 μg/L in all samples. The Pb level in 94% of the samples was higher than the recommended Pb limit of < 5 μg/L in breast milk suggested by World Health Organization (WHO). Hg levels in 54% of the breast milk samples were higher than the normal mean concentration (1.7 μg/L) suggested by WHO. We found no correlation between Hg levels in breast milk and sociodemographic factors. Ba levels in all the breast milk samples were lower than the WHO's proposed health-based drinking water guideline (0.7 mg/L). Considering the results of the present study and the vulnerability of infants, along with the well-known toxicity of these metals, further studies are warranted to identify the main sources of exposure that contribute their concentration in breast milk, establish harmless intake values of toxic metals in breast milk, and develop preventive measures.

Analysis of aluminum, minerals and trace elements in the milk samples from lactating mothers in Hamadan, Iran

The present cross-sectional study is aimed at analyzing the breast milk of lactating mothers in Hamadan, Iran for aluminum and several minerals and trace elements. Ten governmental health care centers were utilized to facilitate collection of breast milk samples. The breast milk samples were collected at 1, 2, 6, 7, and 12 months postpartum from one hundred healthy lactating women, who delivered full-term newborns. Detection of sodium (Na), zinc (Zn), calcium (Ca), iron (Fe), copper (Cu), magnesium (Mg) and aluminum (Al) levels was conducted with the use of Inductively Coupled Plasma Mass Spectrometry (ICP-MS). This method has shown high accuracy, precision, sensitivity, and linearity for the wide range of concentrations. The accumulated data were not normally distributed; thus, the non-parametric Mann-Whitney U test was used in the statistical analysis of the results. Mean concentrations of Fe, Zn, Cu, Ca, Mg, and Na were 0.75, 1.38, 0.35, 255, 34.58, and 155.72 μg/mL, respectively. The mean level of Al, a well-known neurotoxic metal, was determined to be an alarming 0.191 μg/mL. Moreover, 95% of participants contained very harmful concentrations of Al in their milk. This study also revealed Zn deficiency in about 50% of milk samples. Further investigation is needed to elucidate sources of exposure and factors that may influence maternal and fetal exposure to aluminum.

Global, regional, and national age-sex-specific mortality for 282 causes of death in 195 countries and territories, 1980-2017: a systematic analysis for the Global Burden of Disease Study 2017

BACKGROUND

Global development goals increasingly rely on country-specific estimates for benchmarking a nation's progress. To meet this need, the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2016 estimated global, regional, national, and, for selected locations, subnational cause-specific mortality beginning in the year 1980. Here we report an update to that study, making use of newly available data and improved methods. GBD 2017 provides a comprehensive assessment of cause-specific mortality for 282 causes in 195 countries and territories from 1980 to 2017.

METHODS

The causes of death database is composed of vital registration (VR), verbal autopsy (VA), registry, survey, police, and surveillance data. GBD 2017 added ten VA studies, 127 country-years of VR data, 502 cancer-registry country-years, and an additional surveillance country-year. Expansions of the GBD cause of death hierarchy resulted in 18 additional causes estimated for GBD 2017. Newly available data led to subnational estimates for five additional countries-Ethiopia, Iran, New Zealand, Norway, and Russia. Deaths assigned International Classification of Diseases (ICD) codes for non-specific, implausible, or intermediate causes of death were reassigned to underlying causes by redistribution algorithms that were incorporated into uncertainty estimation. We used statistical modelling tools developed for GBD, including the Cause of Death Ensemble model (CODEm), to generate cause fractions and cause-specific death rates for each location, year, age, and sex. Instead of using UN estimates as in previous versions, GBD 2017 independently estimated population size and fertility rate for all locations. Years of life lost (YLLs) were then calculated as the sum of each death multiplied by the standard life expectancy at each age. All rates reported here are age-standardised.

FINDINGS

At the broadest grouping of causes of death (Level 1), non-communicable diseases (NCDs) comprised the greatest fraction of deaths, contributing to 73·4% (95% uncertainty interval [UI] 72·5-74·1) of total deaths in 2017, while communicable, maternal, neonatal, and nutritional (CMNN) causes accounted for 18·6% (17·9-19·6), and injuries 8·0% (7·7-8·2). Total numbers of deaths from NCD causes increased from 2007 to 2017 by 22·7% (21·5-23·9), representing an additional 7·61 million (7·20-8·01) deaths estimated in 2017 versus 2007. The death rate from NCDs decreased globally by 7·9% (7·0-8·8). The number of deaths for CMNN causes decreased by 22·2% (20·0-24·0) and the death rate by 31·8% (30·1-33·3). Total deaths from injuries increased by 2·3% (0·5-4·0) between 2007 and 2017, and the death rate from injuries decreased by 13·7% (12·2-15·1) to 57·9 deaths (55·9-59·2) per 100 000 in 2017. Deaths from substance use disorders also increased, rising from 284 000 deaths (268 000-289 000) globally in 2007 to 352 000 (334 000-363 000) in 2017. Between 2007 and 2017, total deaths from conflict and terrorism increased by 118·0% (88·8-148·6). A greater reduction in total deaths and death rates was observed for some CMNN causes among children younger than 5 years than for older adults, such as a 36·4% (32·2-40·6) reduction in deaths from lower respiratory infections for children younger than 5 years compared with a 33·6% (31·2-36·1) increase in adults older than 70 years. Globally, the number of deaths was greater for men than for women at most ages in 2017, except at ages older than 85 years. Trends in global YLLs reflect an epidemiological transition, with decreases in total YLLs from enteric infections, respiratory infections and tuberculosis, and maternal and neonatal disorders between 1990 and 2017; these were generally greater in magnitude at the lowest levels of the Socio-demographic Index (SDI). At the same time, there were large increases in YLLs from neoplasms and cardiovascular diseases. YLL rates decreased across the five leading Level 2 causes in all SDI quintiles. The leading causes of YLLs in 1990-neonatal disorders, lower respiratory infections, and diarrhoeal diseases-were ranked second, fourth, and fifth, in 2017. Meanwhile, estimated YLLs increased for ischaemic heart disease (ranked first in 2017) and stroke (ranked third), even though YLL rates decreased. Population growth contributed to increased total deaths across the 20 leading Level 2 causes of mortality between 2007 and 2017. Decreases in the cause-specific mortality rate reduced the effect of population growth for all but three causes: substance use disorders, neurological disorders, and skin and subcutaneous diseases.

INTERPRETATION

Improvements in global health have been unevenly distributed among populations. Deaths due to injuries, substance use disorders, armed conflict and terrorism, neoplasms, and cardiovascular disease are expanding threats to global health. For causes of death such as lower respiratory and enteric infections, more rapid progress occurred for children than for the oldest adults, and there is continuing disparity in mortality rates by sex across age groups. Reductions in the death rate of some common diseases are themselves slowing or have ceased, primarily for NCDs, and the death rate for selected causes has increased in the past decade.

FUNDING

Bill & Melinda Gates Foundation.

Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017

BACKGROUND

The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2017 comparative risk assessment (CRA) is a comprehensive approach to risk factor quantification that offers a useful tool for synthesising evidence on risks and risk-outcome associations. With each annual GBD study, we update the GBD CRA to incorporate improved methods, new risks and risk-outcome pairs, and new data on risk exposure levels and risk-outcome associations.

METHODS

We used the CRA framework developed for previous iterations of GBD to estimate levels and trends in exposure, attributable deaths, and attributable disability-adjusted life-years (DALYs), by age group, sex, year, and location for 84 behavioural, environmental and occupational, and metabolic risks or groups of risks from 1990 to 2017. This study included 476 risk-outcome pairs that met the GBD study criteria for convincing or probable evidence of causation. We extracted relative risk and exposure estimates from 46 749 randomised controlled trials, cohort studies, household surveys, census data, satellite data, and other sources. We used statistical models to pool data, adjust for bias, and incorporate covariates. Using the counterfactual scenario of theoretical minimum risk exposure level (TMREL), we estimated the portion of deaths and DALYs that could be attributed to a given risk. We explored the relationship between development and risk exposure by modelling the relationship between the Socio-demographic Index (SDI) and risk-weighted exposure prevalence and estimated expected levels of exposure and risk-attributable burden by SDI. Finally, we explored temporal changes in risk-attributable DALYs by decomposing those changes into six main component drivers of change as follows: (1) population growth; (2) changes in population age structures; (3) changes in exposure to environmental and occupational risks; (4) changes in exposure to behavioural risks; (5) changes in exposure to metabolic risks; and (6) changes due to all other factors, approximated as the risk-deleted death and DALY rates, where the risk-deleted rate is the rate that would be observed had we reduced the exposure levels to the TMREL for all risk factors included in GBD 2017.

FINDINGS

In 2017, 34·1 million (95% uncertainty interval [UI] 33·3-35·0) deaths and 1·21 billion (1·14-1·28) DALYs were attributable to GBD risk factors. Globally, 61·0% (59·6-62·4) of deaths and 48·3% (46·3-50·2) of DALYs were attributed to the GBD 2017 risk factors. When ranked by risk-attributable DALYs, high systolic blood pressure (SBP) was the leading risk factor, accounting for 10·4 million (9·39-11·5) deaths and 218 million (198-237) DALYs, followed by smoking (7·10 million [6·83-7·37] deaths and 182 million [173-193] DALYs), high fasting plasma glucose (6·53 million [5·23-8·23] deaths and 171 million [144-201] DALYs), high body-mass index (BMI; 4·72 million [2·99-6·70] deaths and 148 million [98·6-202] DALYs), and short gestation for birthweight (1·43 million [1·36-1·51] deaths and 139 million [131-147] DALYs). In total, risk-attributable DALYs declined by 4·9% (3·3-6·5) between 2007 and 2017. In the absence of demographic changes (ie, population growth and ageing), changes in risk exposure and risk-deleted DALYs would have led to a 23·5% decline in DALYs during that period. Conversely, in the absence of changes in risk exposure and risk-deleted DALYs, demographic changes would have led to an 18·6% increase in DALYs during that period. The ratios of observed risk exposure levels to exposure levels expected based on SDI (O/E ratios) increased globally for unsafe drinking water and household air pollution between 1990 and 2017. This result suggests that development is occurring more rapidly than are changes in the underlying risk structure in a population. Conversely, nearly universal declines in O/E ratios for smoking and alcohol use indicate that, for a given SDI, exposure to these risks is declining. In 2017, the leading Level 4 risk factor for age-standardised DALY rates was high SBP in four super-regions: central Europe, eastern Europe, and central Asia; north Africa and Middle East; south Asia; and southeast Asia, east Asia, and Oceania. The leading risk factor in the high-income super-region was smoking, in Latin America and Caribbean was high BMI, and in sub-Saharan Africa was unsafe sex. O/E ratios for unsafe sex in sub-Saharan Africa were notably high, and those for alcohol use in north Africa and the Middle East were notably low.

INTERPRETATION

By quantifying levels and trends in exposures to risk factors and the resulting disease burden, this assessment offers insight into where past policy and programme efforts might have been successful and highlights current priorities for public health action. Decreases in behavioural, environmental, and occupational risks have largely offset the effects of population growth and ageing, in relation to trends in absolute burden. Conversely, the combination of increasing metabolic risks and population ageing will probably continue to drive the increasing trends in non-communicable diseases at the global level, which presents both a public health challenge and opportunity. We see considerable spatiotemporal heterogeneity in levels of risk exposure and risk-attributable burden. Although levels of development underlie some of this heterogeneity, O/E ratios show risks for which countries are overperforming or underperforming relative to their level of development. As such, these ratios provide a benchmarking tool to help to focus local decision making. Our findings reinforce the importance of both risk exposure monitoring and epidemiological research to assess causal connections between risks and health outcomes, and they highlight the usefulness of the GBD study in synthesising data to draw comprehensive and robust conclusions that help to inform good policy and strategic health planning.

FUNDING

Bill & Melinda Gates Foundation.

Green synthesis of nano-zero-valent iron from Nettle and Thyme leaf extracts and their application for the removal of cephalexin antibiotic from aqueous solutions

In this study, the removal of cephalexin (CEX) antibiotic from aqueous solution was examined using a novel green adsorbent without employing any toxic chemicals or capping agents. Nettle and Thyme extracts were used to synthesize novel nano-zero-valent iron (NNZVI and TNZVI) for the adsorption of CEX. The nature and morphology of synthesized adsorbent were characterized by Transmission electron microscopy, scanning electron microscope, X-ray diffraction and Fourier transform infrared spectroscopy spectroscopy. Batch experiments were performed to study the influence of various experimental parameters such as contact time, initial concentration of the CEX, solution pH and adsorbent dosage. The adsorption isotherms of CEX by NNZVI and TNZVI were found to fit well with Freundlich and Langmuir models, respectively. The maximum adsorption capacity of CEX onto NNZVI and TNZVI were observed as 1667 and 1428 mg/g, respectively, based on the Langmuir model. The adsorption trend followed the pseudo-first-order kinetics model and equilibrium could be established in about two hours for both adsorbents. The developed nanoparticles in this study have considerable potential for the removal of CEX and could be considered as a promising adsorbent for the removal of other antibiotics also from aqueous solutions.

Health impacts quantification of ambient air pollutants using AirQ model approach in Hamadan, Iran

Iranian western cities, including Hamadan, have been experiencing Middle East Dust Storms (MEDS) phenomenon problems in recent years, so the air quality is getting worse every year in these cities. The aim of this study was to evaluate the human health impacts of criteria air pollutants including PM₁₀, PM_2.5, NO₂, SO₂, CO and O₃ on the citizens of Hamadan using AirQ model software 2.2.3. Considering the determined baseline incidence (BI) and relative risk (RR) rate, the attributable proportion (AP) of deaths due to cardiovascular and respiratory mortality attributed to PM_2.5, PM₁₀, O₃, NO₂, and CO pollutants was estimated to be 4.42%, 3.37%, 1.75%, 1.74% and 0.92% (95% CI) of the total mortality and the excess death cases were respectively estimated to be 131.9, 100.4, 52.1, 51.9 and 27.3 persons. In addition, cardiovascular mortality brings more contribution than respiratory mortality in total death number. The results of our study also showed that PM_2.5 poses the greatest health effects on the citizens. Analyzing the average seasonal concentrations of studied pollutants (PM₁₀, PM_2.5, and NO₂) and the mean seasonal temperature values revealed a positive linear correlation. Significant negative correlations were observed between the studied pollutants (PM₁₀, PM_2.5 and NO₂) and relative humidity, and between PM and wind speed. This study, therefore, provides additional data in decision-makings for the development of strategies for reduction of ambient air pollution which will result in improvements of air quality.

Simultaneous biofiltration of BTEX and Hg° from a petrochemical waste stream

A biofiltration system was developed to treat benzene, toluene, ethylbenzene, and xylene (BTEX) and Hg° vapour from a petrochemical waste stream during overhaul maintenance. The biofilter compost bed was inoculated with a microbial consortium provided by a petrochemical wastewater treatment plant. The effect of the a BTEX concentration (192.6-973.8 g/m³h) and empty bed residence time (EBRT) of 20-100 s were studied under the conditions of steady state, transient, shock BTEX-loading, and off-restart. The findings revealed that during a biofilter start-up, an increase in the influent BTEX concentration to around 334.3 g/m³h did not notably affect the biofiltration function at an EBRT of 100 s, and the removal efficiency was higher than 98%. Further, the low EBRT of 60 s did not have adverse effects on the BTEX and Hg° biofiltration (the removal efficiency in both was >93%). For the biofiltration system, the BTEX and Hg° critical attenuation capacity were obtained as 663 g_BTEX/m³h and 12.6 g_Hg°/m³h respectively. A maximum attenuation capacity of 774.5 g_BTEX/m³h was achieved in the biofilter when the BTEX loading rate was 973.8 g_BTEX/m³h. The parameters of k_m and r_max of the Michaelis-Menten kinetic model were obtained as 0.099 g/m³ and 0.578 g/m³min respectively. Both BTEX and mercury vapours were completely mass balanced during a continuous biofiltration test. In general, the developed treatment system exhibited a good performance in the treatment of the BTEX stream containing Hg° vapour in the off-gas of a petrochemical company.

Data of furfural adsorption on nano zero valent iron (NZVI) synthesized from Nettle extract

Among various water and wastewater treatment methods, adsorption techniques are widely used to remove certain classes of pollutants due to its unique features. Thus, the aim of this data article is to synthesize zero valent iron nanoparticles (NZVI) from Nettle leaf extract by green synthesis method as an environmentally friendly technique, and to evaluate it's efficiency in the removal of furfural from aqueous solutions. The data of possible adsorption mechanism and isotherm of furfural on the synthesized adsorbent are depicted in this data article. The data acquired showed that the adsorption trend follows the pseudo-second order kinetic model and that the Langmuir isotherm was suitable for correlation of equilibrium data with the maximum adsorption capacity of 454.4 mg/g. The information of initial furfural concentration, pH, adsorbent dosage and contact time effects on the removal efficiency are presented. Considering the findings data, the developed nanoparticle from Nettle leaf extract, as a low cost adsorbent, could be considered as promising adsorbent for furfural and probably similar organic pollutants removal from aqueous solutions.

Adsorption of methylene blue from aqueous solutions using water treatment sludge modified with sodium alginate as a low cost adsorbent

In this research, aluminum-based drinking water treatment sludge is used as a starting material and immobilized by sodium alginate to develop low cost adsorbent for the removal of methylene blue (MB) from aqueous solutions. The studied variables included pH, adsorbent dose, initial MB concentration and contact time. Characteristics of the adsorbent were also studied using scanning electron microscopy and Fourier transform infrared spectroscopy (FTIR). It was revealed from kinetic tests that removal efficiency of MB was 88.5% under the optimum conditions of pH 8, initial MB concentration of 50 mg/L, contact time of 60 min, and adsorbent dose of 0.3 g/L. The oxygen functional groups such as -OH, C-O-C and C=O were found on the surface of developed adsorbent by FTIR. In addition, the adsorption data fitted well the Langmuir adsorption model with the maximum sorption capacity of 909.1 mg/g, and followed the pseudo-second-order kinetics. Findings of this study indicate that the prepared adsorbent is promising for further development of an effective and economical adsorbent material in the near future.

Experimental data of biomaterial derived from Malva sylvestris and charcoal tablet powder for Hg(2+) removal from aqueous solutions

In this experimental data article, a novel biomaterial was provided from Malva sylvestris and characterized its properties using various instrumental techniques. The operating parameters consisted of pH and adsorbent dose on Hg²⁺ adsorption from aqueous solution using M. sylvestris powder (MSP) were compared with charcoal tablet powder (CTP), a medicinal drug. The data acquired showed that M. sylvestris is a viable and very promising alternative adsorbent for Hg²⁺ removal from aqueous solutions. The experimental data suggest that the MSP is a potential adsorbent to use in medicine for treatment of poisoning with heavy metals; however, the application in animal models is a necessary step before the eventual application of MSP in situations involving humans.

Investigation of furfural biodegradation in a continuous inflow cyclic biological reactor

The performance of a continuous inflow cyclic biological reactor (CBR) containing moving media was investigated for the degradation of high concentrations of furfural. The effects of hydraulic retention time (HRT) and furfural initial concentrations (loading rate), as main operating parameters, on the bioreactor performance were studied. The results indicated that the CBR could remove over 98% of furfural and 71% of its chemical oxygen demand (COD) at inlet furfural concentrations up to 1,200 mg L(-1) (2.38 g L(-1) d(-1)), a 6-h cycle time and HRT of 12.1 h. The removal efficiency decreased slightly from 98 to 94% when HRT decreased from 12.1 to 10.5 h. The average removal efficiency of furfural and COD during the 345-day operational period under steady-state conditions were 97.7% and 82.1%, respectively. The efficiency also increased approximately 17.2% after addition of synthetic polyurethane cubes as moving media at a filling ratio of 10%.

The Assessment of Chemical Quality of Drinking Water in Hamadan Province, the West of Iran

BACKGROUND

The aim of present work was to evaluate the drinking water quality from various regions including both urban and rural areas of Hamadan Province, western Iran.

METHODS

In this cross-sectional descriptive study, the samples were collected for a periods of 12 months between January 25, 2014 and January 25, 2015 from frequently used household taps as well as from municipal and communal water supplies. The main parameters investigated were nitrate, fluoride, pH, turbidity and chlorine.

RESULTS

The maximum and minimum values for nitrate concentrations were measured as 140.80 mg/l and 1.56 mg/l, respectively. Nitrate and fluoride content of samples were higher in wet season than in dry season and their concentration was higher in rural areas rather to urban areas. On average, fluoride contents in both urban and rural areas were well compliance with the WHO guidelines. The pH of all samples of the study regions was in the ranges of 6.25 to 8.41 that were in the standard ranges. Twenty three percent of total samples were exceeded Iranian standards of one NTU for turbidity.

CONCLUSIONS

The groundwater of the study area is presently having not serious health risks. However, regarding that disinfection efficiency adversely is affected by turbidity, particular attention and more programs for regular monitoring has to be done, which will not always be done in all regions.