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Functional relationships of landfill and landraise capacity with design and operation parameters.

Solid waste management presses for effective landfill design and operation. While planning and operating a landfill (LF) or a landraise (LR), choices need to be made regarding: (1) LF-LR morphology (base shape, side slopes, final cover thickness, LR/LF height/depth); (2) cell geometry (height, length, slopes); and (3) operation parameters (waste density, working face length, cover thicknesses). These parameters affect LF/LR capacity, operation lifespan and construction/ operation costs. In this paper, relationships are generated between capacity (C, space available for waste) and the above parameters. Incorporating real data into simulation kgamma A1.38, runs, two types of functions are developed: first, C = where A is the LF/LR base area size and kgamma a base shape-dependent coefficient; and second, C = alpha(p,gamma,A) + delta(p,gamma,A)Xp for every parameter p, where Xp is the value of p and alpha(p,gamma,A) and delta(p,gamma,A) are parameter- and base (shape/size)-specific coefficients. Moreover, the relationship between LF depth and LR height that balances excavation volume with cover material, is identified. Another result is that, for a symmetrical combination of LF/LR, with base surface area shape between square and 1:2 orthogonal, and final density between 500 and 800 kg m(-3), waste quantity placed ranges from 1.76A1.38 to 2.55A1.38 tons. The significance of such functions is obvious, as they allow the analyst to investigate alternative LF/LR schemes and make trade-off analyses.

Environment Design↗

Society's valuation of life saving in radiation protection and other contexts.

Various situations are described in which societal action may be interpreted as a dollar value placed on averting a human fatality, and numerical values are derived in each case. Situations included are a variety of medical screening and medical care programs and of automobile and highway safety measures, food for overseas relief, air pollution control, fire prevention, industrial safety, and several radiation-related activities including standards for radium in drinking water, radwaste systems in nuclear plants, and defense and civilian high-level waste management. Values varying from a few thousand dollars to hundreds of millions of dollars per fatality averted are obtained. An attempt to derive data of this type from polling is described. The problem of discounting when money is spent now to save lives far in the future (as with nuclear waste) is discussed. It is concluded that nearly all of the vast variation in the results is unjustified and represents a need for educating the public, especially in the area of radiation protection.

Accidents, Traffic↗

Probabilistic assessment of contamination using the two-phase flow model.

A physically motivated model is indispensable for a successful analysis of the impact of leaching from nuclear waste storage sites on the environment and public health. While most analyses use the single-phase flow model for modelling unsaturated flow and solute transport, the two-phase flow model considering the resistance of gas to water flow is a more realistic one. The effect of the two-phase flow model on the water content is theoretically investigated first in this study. Then, by combining a geostatistical generator using the turning bands method and a multi-phase transport code TOUGH2, an automatic process is used for Monte Carlo simulation of the solute transport. This stochastic approach is applied to a potentially polluted site by low-level nuclear waste in Taiwan. In the simulation, the saturated hydraulic conductivity is treated as the random variable. The stochastic approach provides a probabilistic assessment of contamination. The results show that even though water content from the two-phase flow model is only 1.5% less than the one from the single-phase flow model, the two-phase flow causes a slower movement but a wider lateral spreading of the plume in the unsaturated zone. The stochastic approach provides useful probability information which is not available from the deterministic approach. The probability assessment of groundwater contamination provides the basis for more informed waste management, better environmental assessment and improved evaluation of impact on public health.

Forecasting↗

Survey of local environmental health programs in Alberta.

As part of a larger initiative to develop a contemporary model for local environmental health services, a survey of Alberta health unit-based programs was undertaken. The objectives were to (a) obtain a comprehensive profile of environmental health services, and (b) identify current and emerging issues in these programs. Three survey instruments were designed for three respondent groups: chief executive officers, program managers and environmental health officers/public health inspectors. Results suggest an expanding scope of activities and issues faced by these programs. The most prevalent emerging issues noted were in the areas of chemical/ toxic exposures, injury prevention, indoor air quality and public risk perception. Issues receiving the greatest attention were food safety and waste management. Review of program management capacities suggested difficulties in coping with the increased pressures faced by these programs. Improvements recommended by respondents included increased resources, more educational and professional development opportunities, improved information systems and improved legislation.

Administrative Personnel↗

Cardiac implications for the use of beta2-adrenoceptor agonists for the management of muscle wasting.

There are proposals for the implementation of beta(2)-adrenoceptor agonists for the management of muscle wasting diseases. The idea has been initiated by studies in animal models which show that beta(2)-adrenoceptor agonists cause hypertrophy of skeletal muscle. Their use in clinical practice will also need an understanding of possible effects of activation of human heart beta(2)-adrenoceptors. Consequences could include an increased probability of arrhythmias in susceptible patients.

Adrenergic beta-2 Receptor Agonists↗

Hazardous wastes in eastern and central Europe: technology and health effects.

Issues of hazardous waste management are major concerns in the countries of eastern and central Europe. A National Institute of Environmental Health Sciences-supported conference was held in Prague, Czech Republic, as a part of a continuing effort to provide information and promote discussion among the countries of eastern and central Europe on issues related to hazardous wastes. The focus was on incineration as a means of disposal of hazardous wastes, with discussions on both engineering methods for safe incineration, and possible human health effects from incineration by-products. Representatives from government agencies, academic institutions, and local industries from 14 countries in the region participated along with a few U.S. and western European experts in this field. A series of 12 country reports documented national issues relating to the environment, with a focus on use of incineration for hazardous waste disposal. A particularly valuable contribution was made by junior scientists from the region, who described results of environmental issues in their countries.

Environmental Health↗

Healthy environments for healthy people: bioremediation today and tomorrow.

Increases in environmental contamination lead to a progressive deterioration of environmental quality. This condition challenges our global society to find effective measures of remediation to reverse the negative conditions that severely threaten human and environmental health. We discuss the progress being made toward this goal through application of bioremediation techniques. Bioremediation generally utilizes microbes (bacteria, fungi, yeast, and algae), although higher plants are used in some applications. New bioremediation approaches are emerging based on advances in molecular biology and process engineering. Bioremediation continues to be the favored approach for processing biological wastes and avoiding microbial pathogenesis. Bioremediation may also play an increasing role in concentrating metals and radioactive materials to avoid toxicity or to recover metals for reuse. Microbes can biodegrade organic chemicals; purposeful enhancement of this natural process can aid in pollutant degradation and waste-site cleanup operations. Recently developed rapid-screening assays can identify organisms capable of degrading specific wastes and new gene-probe methods can ascertain their abundance at specific sites. New tools and techniques for use of bioremediation in situ, in biofilters, and in bioreactors are contributing to the rapid growth of this field. Bioremediation has already proven itself to be a cost-effective and beneficial addition to chemical and physical methods of managing wastes and environmental pollutants. We anticipate that it will play an increasingly important role as a result of new and emerging techniques and processes.

Animals↗

Wood-ethanol for climate change mitigation in Canada.

The impetus for this paper is Canada's commitment under the United Nations Framework Convention on Climate Change to reduce national greenhouse gas emissions as well as reducing our dependency on fossil fuels. Wood-based ethanol offers an excellent opportunity for greenhouse gas mitigation due to market potential, an ability to offset significant emissions from the transportation sector, a reduction of emissions from CO2-intensive waste-management systems, and carbon sequestration in afforested plantations. While there are technological and economic barriers to overcome, using wood-biomass as a source of ethanol can be an economically viable tool for reducing greenhouse gas levels in the atmosphere. This paper examines the costs and mitigation potential of the production of ethanol from biomass supplied from industrial wood waste as well as from trees harvested from afforested land.

Agriculture↗

Standards of performance for new stationary sources and emission guidelines for existing sources: hospital/medical/infectious waste incinerators--EPA. Final rule.

This action promulgates new source performance standards (NSPS or standards) and emission guidelines (EG or guidelines) to reduce air emissions from hospital/medical/infectious waste incinerator(s) (HMIWI) by adding subpart Ec, standards of performance for new HMIWI, and subpart Ce, emission guidelines for existing HMIWI, to 40 CFR part 60. The standards and guidelines implement sections 111 and 129 of the Clean Air Act (CAA) as amended in 1990. The standards and guidelines apply to units whose primary purpose is the combustion of hospital waste and/or medical/infectious waste. Sources are required to achieve emission levels reflecting the maximum degree of reduction in emissions of air pollutants that the Administrator has determined is achievable, taking into consideration the cost of achieving such emission reduction, any nonair-quality health and environmental impacts, and energy requirements. The promulgated standards and guidelines establish emission limits for particulate matter (PM), opacity, sulfur dioxide (SO2), hydrogen chloride (HCl), oxides of nitrogen (NOx), carbon monoxide (CO), lead (Pb), cadmium (Cd), mercury (Hg), dioxins and dibenzofurans (dioxins/ furans), and fugitive ash emissions. Some of the pollutants being regulated are considered to be carcinogens and at sufficient concentrations can cause toxic effects following exposure. The standards and guidelines also establish requirements for HMIWI operator training/qualification, waste management plans, and testing/monitoring of pollutants and operating parameters. Additionally, the guidelines for existing HMIWI contain equipment inspection requirements and the standards for new HMIWI include sitting requirements.

Air Pollutants↗

Minimising waste in the food and drink sector: using the business club approach to facilitate training and organisational development.

The aim of the East Anglian Waste Minimisation in the Food And Drink Industry Project was to develop waste minimisation capability in food and drink sector companies by providing a structured training programme and consultancy support to participating members of a business club. The business club forum provided the structure within which interactive training and development sessions were delivered. Expertise and assistance in implementing waste minimisation and waste management programmes was given to member companies at their sites. The project resulted in pound 1,800,000 per annum of identified savings with pound 1,100,000 of verified savings already achieved. Training and development contributed fundamentally to these project outcomes and achievements. The structured training package used three different approaches or methods. Teaching and workshop sessions were used to present interactive training on waste minimisation practice. These were supplemented by interactive 'report-back' sessions where the 'project champions' presented progress reports to the club on waste minimisation at their sites. An overview of the business club approach is described, together with an account of the successes and challenges of applying a structured training and development programme and the barriers to waste minimisation that were overcome. Training effectiveness was measured according to reaction, learning, application and impact.

Beverages↗

Indoor household pesticides: hazardous waste concern or not?

Many indoor household pesticides are efficient and useful tools for a variety of functions necessary to maintain clean, sanitary, and pleasant homes and institutional facilities, and to provide significant public health benefits. They do so by incorporating active ingredients and formulation technology that have not been associated with significant environmental impact in use or when disposed in landfills. Chemical and environmental fate properties, toxicological characteristics, and use patterns of indoor household pesticides that distinguish them from other categories of pesticides which have been associated with environmental contamination should be recognized when HHW policy is debated and established by governmental agencies. Most indoor household pesticides as defined here should not be considered hazardous waste or HHW because those relatively few containers, often no longer full, that have been disposed with MSW over the years have not been associated with environmental contamination. The tiny amounts of those product residues that will reach MSW landfills have been shown, in general, not to have chemical or environmental fate characteristics that would make them susceptible to leaching. Those that do have the potential to leach based on these characteristics, in most cases, do not represent a threat to human health based on toxicological considerations. However, compounds such as propoxur, which are very mobile and relatively persistent in soil and in addition have been associated with significant potential health effects, may be targeted by the screening process as described here and could be selected for further investigation as candidates for special waste management status (such as HHW). Our analysis and recommendations have not been extended to the many types of lawn and garden pesticides that are commonly used by homeowners and are frequently brought to HHW programs. However, their potential for groundwater contamination could also be judged using the same technical considerations as applied in this review to indoor household pesticides. In light of the very high costs of diverting wastes from the MSW stream and into HHW programs, it is recommended that, as a matter of public policy, all categories of household waste that might be considered as HHW be carefully and objectively evaluated for their potential to harm public health or the environment after disposal at MSW landfills.

Hazardous Waste↗

Warren K. Sinclair keynote address: contemporary issues in risk-informed decision making on the disposition of radioactive waste.

A consistent and transparent risk-informed approach to managing nuclear waste is plagued with different regulators, different rules and regulations for different waste types, different compliance requirements, and indecisions about probabilistic vs. deterministic models. Low-activity waste management is particularly void of a path forward with respect to being risk-informed. Risk assessment is not referenced in the statutes on low-activity waste even though both the U.S. Environmental Protection Agency and U.S. Nuclear Regulatory Commission (U.S. NRC) have policies to apply consistent risk management approaches to all of their programs. The U.S. NRC has developed guidance on the preparation of probabilistic performance assessments for low-activity waste facilities, but there have been no serious takers and a lack of initiative on the part of licensees. Thus, little to no experience exists on risk-informing low-activity waste. The missed opportunities include establishing a risk basis that would allow for simpler, safer, and much less costly alternatives for low-activity waste disposal while enabling society to have the full benefit of radiation technologies. There is hope that congressional action or regulatory rule making will address some of these issues with the result being the adoption of a more general and unified approach to risk-informed regulation of all types of waste. Just as much of the initiative for risk-informed nuclear power came from industry, it must also be the case for nuclear waste. A start would be the adoption of a basic framework of risk assessment in waste management applicable to all types of waste--radioactive and nonradioactive. The "set of triplets" risk assessment framework that is applicable to any kind of risk is an established alternative. It is believed that such a framework with the support of a regulatory structure made compatible through appropriate rulemaking or congressional action, and the experience of the probabilistic performance assessments for the Waste Isolation Pilot Plant and the proposed Yucca Mountain high-level waste repository, could result in the right path forward for the regulation and management of low-activity waste.

Decision Making↗

Sources of Cd, Cu, Pb and Zn in biowaste.

Biowaste, the separately collected organic fraction of municipal solid waste, can be reused for soil conditioning after composting. In this way, environmentally harmful waste management strategies, such as landfilling or incineration, can be reduced. However, frequent application of composts to soil systems may lead to the accumulation of heavy metals in soils, and therefore legal criteria were laid down in a decree to guarantee the safe use of composts. The heavy metal content of biowaste-composts frequently exceeds the legal standards, and thus raises a conflict between two governmental policies: the recycling of solid waste on the one hand, and the protection of natural ecosystems and public health on the other hand. In this study, the heavy metal content (Cd, Cu, Pb and Zn) of biowaste was compared with the natural background content of Cd, Cu, Pb and Zn in the different constituents of biowaste. For this, the physical entities of biowaste were physically fractionated by wet-sieving and subsequent water-elutriation. In this way, organic and inorganic fractions of different particle sizes were obtained and the content of Cd, Cu, Pb and Zn and the organic matter content of the different fractions were determined. On the basis of particle size, density and visual appearance, the particle-size fractions were assigned to various indoor and outdoor origins of the biowaste. It was found that a large amount of biowaste was not organic, but over 50% was made up of soil minerals due to the collection of biowaste constituents from gardens. The heavy metal content of the various fractions in biowaste was compared with the natural background contents of heavy metals in the constituents of biowaste, i.e. food products, plant material, soil organic matter and soil minerals, by collecting literature data. The heavy metal content in the fractionated physical entities of biowaste corresponded with the natural background concentration of its constituents and indicated that biowaste was not contaminated by other sources. However, the natural background content of biowaste constituents will result in heavy metal contents for biowaste-compost that will exceed the legal standards. It is advised that the legal standards for composts should be critically re-examined. The protection of soil systems could be better guaranteed if the input of heavy metals was evaluated for all inputs of fertilisers and soil conditioners, i.e. animal manures, various types of compost and artificial fertilisers.

Agriculture↗

Politics and scientific expertise: scientists, risk perception, and nuclear waste policy.

To study the homogeneity and influences on scientists' perspectives of environmental risks, we have examined similarities and differences in risk perceptions, particularly regarding nuclear wastes, and policy preferences among 1011 scientists and engineers. We found significant differences (p < 0.05) in the patterns of beliefs among scientists from different fields of research. In contrast to physicists, chemists, and engineers, life scientists tend to: (a) perceive the greatest risks from nuclear energy and nuclear waste management; (b) perceive higher levels of overall environmental risk; (c) strongly oppose imposing risks on unconsenting individuals; and (d) prefer stronger requirements for environmental management. On some issues related to priorities among public problems and calls for government action, there are significant variations among life scientists or physical scientists. We also found that--independently of field of research--perceptions of risk and its correlates are significantly associated with the type of institution in which the scientist is employed. Scientists in universities or state and local governments tend to see the risks of nuclear energy and wastes as greater than scientists who work as business consultants, for federal organizations, or for private research laboratories. Significant differences also are found in priority given to environmental risks, the perceived proximity of environmental disaster, willingness to impose risks on an unconsenting population, and the necessity of accepting risks and sacrifices.

Attitude↗

The nursing process: a tool for healing the environment.

Assessment, planning, implementation and evaluation can be useful in addressing environmental issues. "Eco-teams" can develop comprehensive waste management programs through implementing a "reduce, reuse, recycle, buy recycled" approach. Serious commitment to such behavior can result in significant savings while reducing dramatically the resources, energy and pollution associated with manufacture and disposal of many items commonly used in healthcare settings.

Environmental Health↗

Use of recycling stations in Borlänge, Sweden--volume weights and attitudes.

This paper presents a study of recycling stations in the municipality of Borlänge, Sweden. The main objectives were to measure volume weights of recyclables, to facilitate future planning of collection intervals and bin/container volume, and to investigate the general attitudes among the public towards waste management in general and recycling stations in particular. Volume weights measured in bins/containers were: paper/newsprint: 297 kg/m3, glass packaging: 297 kg/m3, metal packaging: 81.7 kg/m3, paper packaging: 27.8 kg/m3, plastic packaging: 28.1 kg/m3. The recycling stations have been in use since 1994. Most visitors (90%) arrived by car but said the visit to the recycling station was not the main purpose of the trip. The results from the interviews indicated that the people who use the recycling stations have found ways to incorporate waste sorting into their everyday lives, with the help of information, design of the collection system and environmental concerns.

Conservation of Natural Resources↗

Immunisation safety: a priority of the World Health Organization's Department of Vaccines and Biologicals.

In 1999, the World Health Organization (WHO) Department of Vaccines and Biologicals launched the Immunisation Safety Priority Project to boost its activities in this area, with the aim of establishing a comprehensive system to ensure the safety of all immunisations given in national immunisation programmes. Countries are the primary focus of this project. The WHO has a role to play not only because of its technical and normative role but also because of its privileged relationship with country authorities and other partners, its global vision and mandate, and because it is perceived as free from conflicts of interest. There are four areas of focus in the project: quality control and assessment tools to ensure vaccine safety from clinical trials up to and including the point of use;research and development of safer and simpler delivery systems; access to safer and more efficient systems for vaccine delivery and sharps waste management; and mechanisms to respond promptly and effectively to vaccine safety concerns. The project emphasises the importance of advocating safety and developing necessary infrastructure and human resource to properly deal with immunisation related safety issues at a national level.

Clinical Trials as Topic↗

The role of commercial nuclear pharmacy in the future practice of nuclear medicine.

It has been estimated that today 70% to 80% of all radiopharmaceutical doses are dispensed through commercial nuclear pharmacy channels. These services are provided by the approximately 250 facilities in the United States, with some multisite corporations dispensing in excess of 20,000 unit-dose prescriptions per day. As pressures mount within health care institutions to reduce manpower, increase cost-effectiveness, increase participation in managed care contracts, and to seek outside vendors for many services that were previously provided in-house, the future role of the commercial nuclear pharmacy in the practice of nuclear medicine will only continue to increase. The essence of nuclear pharmacy practice is the dispensing of a full range of high quality radiopharmaceuticals in patient-specific unit doses. These doses must be delivered in a timely and cost effective manner, without compromising quality or patient safety. Commercial nuclear pharmacies have expanded to provide such varied functions as radiation safety and waste management, as well as consultative and marketing activities directed towards clinicians within a nuclear medicine practitioners own facility. In-service continuing education programs directed towards physicians and technologists are frequently offered by many commercial nuclear pharmacies. Changes in health care economics, merging and down-sizing in the hospital industry, and the overall impact of managed care on the viability of hospitals in general has resulted in slow growth, or even a small decline in the number of institutionally based nuclear pharmacists. As a result, nuclear medicine practitioners will be looking to the commercial nuclear pharmacies to meet a larger portion of their radiopharmaceutical needs, as well as to value added services, such as education and research and development. Specialized practice settings, such as nuclear cardiology and free-standing nuclear medicine clinics, are especially well suited to the services provided by commercial nuclear pharmacies. Involvement in the distribution of positron-emission tomography radiopharmaceuticals will continue to increase regardless of the results of current regulatory debates on this issue. In the future, nuclear medicine practitioners will look to the commercial nuclear pharmacies for an increasing portion of their radiopharmaceutical needs and the industry should be ready and able to meet these demands in a safe, timely, and cost efficient manner.

Costs and Cost Analysis↗