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Biomedical subjects

H G Rees

Publications and source records attributed to H G Rees.

12 recordsLinked to original sources

Estimating population served by sewage treatment works from readily available GIS data.

Environmental risk assessment of household chemicals at the catchment scale requires an estimate of the load at individual Sewage Treatment Works (STWs). This can be achieved based upon population served and market consumption data. Although the population served is difficult to obtain, this paper shows that reasonable estimates can be made using readily available spatially referenced data. A new method is developed using STW data from the Exe and the Aire and Calder catchments and validated using 193 STWs within the Environment Agency's Anglian region. The estimated populations served were compared with available estimates of Population Equivalents (PEs). The population estimates were broadly similar to PEs for small works but agreement was lower for larger plants. The discrepancy for larger works is consistent with trade influent inclusion in the PE. The method is suitable for application to both rural areas and large urbanised areas, although the interpretation of corroborating data becomes increasingly difficult in very large urban areas serving more than one STW.

Geographic Information Systems↗

1,2-dibromoethane--a toxicological review.

DBE is transported in the UK in road tankers and there is always the possibility of an accident. The consequences could be serious, since this chemical is absorbed by all routes, rapidly penetrates clothing and there is no effective antidote. Severe cases of poisoning are difficult to treat and there is a high mortality. Prevention of exposure is therefore essential.

Animals↗

Response to the discovery of two practising surgeons infected with hepatitis B.

Two surgeons (henceforth called A and B) working in neighbouring district general hospitals were found, on routine testing, to carry hepatitis B e antigen and therefore to be at high risk of transmitting infection. Neither surgeon gave a history of injury at work. The only exposure prone operations performed by surgeon A were 16 repairs of uncomplicated inguinal hernias. Two of the 16 patients were found to have acute hepatitis B. In contrast, 15 cases on whom surgeon B performed exposure prone orthopaedic procedures remained free of hepatitis B virus infection. The follow up protocol for the patients of the two surgeons differed in that all surgeon B's patients were immunised using an accelerated course of hepatitis B vaccine, which had not been offered to patients of surgeon A. The detection of two cases of hepatitis B among patients operated on by an infected surgeon illustrates the importance of evaluating the risk of exposure associated with particular procedures when deciding whether to check patients who may have been exposed to a high risk surgeon. Surgeon A had been vaccinated before arriving in the United Kingdom and this incident highlights the need to verify immunity after vaccination against hepatitis B virus.

Blood-Borne Pathogens↗