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Veterinary waste disposal: practice and policy in Durban, South Africa (2001-2003).

In South Africa, until recently, veterinary waste has not been included in definitions of health care waste, and so has been neglected as a contributor to the hazardous waste stream. Despite the application of, for example, the "Polluter Pays" principle in South African environmental legislation, to generators of waste, which would include veterinarians, there appears to be little awareness of and even less enforcement of the legislation in this regard. This paper reports on a 2001-2003 survey of management practices of the five waste contractors servicing just over half of the veterinarians in Durban, South Africa's second largest city. Some of their activities, when evaluated in terms of the legislation, guidelines and policies relating to waste handling and disposal, were found to be non-compliant. Since any discussion on waste management should take cognisance of waste from generation to final disposal, the responsibility of veterinarians as waste generators is also discussed in the light of the recent developments in health care waste management in South Africa. This study presents a review of past and current policies, legislation and guidelines that have application to veterinary waste. This is the first study to address veterinary waste disposal in any South African city.

Animals↗

Public policy impacts on the generation and disposal of hazardous waste in New York State.

A number of policies adopted by the federal government and the state have been designed to promote waste reduction or influence the choice of waste disposal technologies employed by generators of hazardous waste. Graphic analysis of smoothed time series data for hazardous wastes manifested in New York State for the period between June 1982 and February 1987 suggests that some of these policies have had the intended effects. Significant shifts in manifested waste volumes are evident that coincide with the following policy interventions: (1) increased state waste-end tax rates; (2) state and federal landfill bans; (3) federal restrictions on burning hazardous wastes and waste oils for energy recovery; and (4) changes in the federal regulatory definition of hazardous waste. Other changes in waste generation and management appear to be attributable to such factors as state and regional economic conditions and changes in instate treatment and disposal facility capacity. Analysis of the management of specific waste types supports evidence from the graphic analysis that waste generators changed from land disposal to "higher" waste handling technologies in response to several policy interventions.

Hazardous Waste↗

Deterministic vs. probabilistic analyses to identify sensitive parameters in dose assessment using RESRAD.

The dose assessments for sites containing residual radioactivity usually involve the use of computer models that employ input parameters describing the physical conditions of the contaminated and surrounding media and the living and consumption patterns of the receptors in analyzing potential doses to the receptors. The precision of the dose results depends on the precision of the input parameter values. The identification of sensitive parameters that have great influence on the dose results would help set priorities in research and information gathering for parameter values so that a more precise dose assessment can be conducted. Two methods of identifying site-specific sensitive parameters, deterministic and probabilistic, were compared by applying them to the RESRAD computer code for analyzing radiation exposure for a residential farmer scenario. The deterministic method has difficulty in evaluating the effect of simultaneous changes in a large number of input parameters on the model output results. The probabilistic method easily identified the most sensitive parameters, but the sensitivity measure of other parameters was obscured. The choice of sensitivity analysis method would depend on the availability of site-specific data. Generally speaking, the deterministic method would identify the same set of sensitive parameters as the probabilistic method when 1) the baseline values used in the deterministic method were selected near the mean or median value of each parameter and 2) the selected range of parameter values used in the deterministic method was wide enough to cover the 5th to 95th percentile values from the distribution of that parameter.

Agriculture↗

Performing a hospital hazardous waste audit.

In this two part article, the author considers hazardous materials audits: what they are, why they should be performed, what they should encompass, and who should perform them. He also describes the actual mechanics of the audit process. In this first segment, the author discusses how an audit differs from a compliance inspection, what the auditor will look for, and why it is important that the auditor have both top level commitment to the process and the resources to accomplish the task. Finally; the issue of how broad a scope is appropriate is discussed.

Environmental Monitoring↗

Safety analysis and hazard control during food processing and storage in the BIO-Plex Interconnecting Transfer Tunnel.

The food system, being designed for the BIO-Plex (Bioregenerative Planetary Life Support Systems Test Complex), will be a plant-based diet that requires most of the food to be grown, processed, and prepared in the BIO-Plex. Conversion of crops to edible foods will require extensive food processing within the closed environment of this habitat. Because all consumables in the BIO-Plex will be recycled and reused, food safety is a primary concern. Multifunctional equipment necessary for food processing of the baseline crops (wheat, soybeans, rice, peanuts, dried beans, potatoes, sweet potatoes, lettuce, chard, tomatoes, green onions, carrots, and radishes) was identified. Recommendations for placement of the food processing equipment in the Interconnecting Transfer Tunnel (ITT) of the BIO-Plex were made to facilitate the processing flow diagrams, increase work efficiency, and prevent cross-contamination of pathogens and antinutrients. Sanitation equipment and procedures necessary during food processing in the ITT are described.

Crops, Agricultural↗

Upgrading the patient environment.

Graham Perry reflects on the recognised need to improve the overall environment in which patients receive their direct, 'hands-on', healthcare. This article is formed from a paper he prepared for this year's International Federation of Hospital Engineering Congress. Graham Perry manages specialist projects for NHS Estates.

Decontamination↗

Management of source and drinking-water quality in Pakistan.

Drinking-water quality in both urban and rural areas of Pakistan is not being managed properly. Results of various investigations provide evidence that most of the drinking-water supplies are faecally contaminated. At places groundwater quality is deteriorating due to the naturally occurring subsoil contaminants or to anthropogenic activities. The poor bacteriological quality of drinking-water has frequently resulted in high incidence of waterborne diseases while subsoil contaminants have caused other ailments to consumers. This paper presents a detailed review of drinking-water quality in the country and the consequent health impacts. It identifies various factors contributing to poor water quality and proposes key actions required to ensure safe drinking-water supplies to consumers.

Communicable Disease Control↗

African catfish, Clarias gariepinus (Burchell, 1822): an ideal candidate for biowaste management.

Juveniles of African catfish, C. gariepinus were fed with different biowastes procured from various stations viz., slaughter houses, poultry sheds, fish markets, hotel kitchens and ware houses. Maximum growth was obtained in the fishes fed with poultry wastes and minimum in the fishes fed with warehouse waste. Total protein, fat, and dry matter contents were high in poultry and butcher wastes fed fishes. Culture of catfishes in controlled conditions by feeding biowaste is an alternative step to control the prevailing wide spreading culture practices of African catfish, which poses a threat to inland aquatic biodiversity. The present approach is ideal for recycling biowastes to fish protein and to keep our environment clean and hygienic.

Animal Feed↗

Influence of temperature on the electrical conductivity of leachate from municipal solid waste.

A bioreactor landfill is designed to manage municipal solid waste, through accelerated waste biodegradation, and stabilisation of the process by means of the controlled addition of liquid, i.e. leachate recirculation. The measurement of electrical resistivity by Electrical Resistivity Tomography (ERT) allows to monitor water content present in the bioreactors. Variations in electrical resistivity are linked to variations in moisture content and temperature. In order to overcome this ambiguity, two laboratory experiments were carried out to establish a relationship between temperature and electrical conductivity: the first set of measurements was made for leachate alone, whereas the second set was made with two different granular media saturated with leachate. Both experiments confirm a well known increase in conductivity of about 2% degrees C(-1). However, higher suspended matter concentrations lead to a lower dependence of electrical conductivity on temperature. Furthermore, for various porous media saturated with an identical leachate, the higher the specific surface of the granular matrix, the lower the effective bulk electrical conductivity. These observations show that a correct understanding of the electrical properties of liquids requires the nature and (in particular) the size of the electrical charge carriers to be taken into account.

Bioreactors↗

Infectious medical wastes. Council on Scientific Affairs.

A number of recent incidents involving improper handling and disposal of hospital waste have prompted the demand for more stringent legislation to cover the management of infectious hospital waste. Resolution 53 (December 1987 Interim Meeting) called for the American Medical Association to promote the passage of federal legislation for the proper disposal of infectious hospital waste. This resolution has prompted a Council on Scientific Affairs report on the current status of infectious hospital waste management and of state and federal regulations to control such waste. The Council has concluded that existing federal and state regulations for the management of hazardous waste--in conjunction with the accreditation program of the Joint Commission on Accreditation of Healthcare Organizations and the guidelines of the Environmental Protection Agency and the Centers for Disease Control, if adhered to and properly enforced--should be adequate to ensure that the public and environment are not endangered. Therefore, the Council does not favor additional federal legislation at this time and recommends that this report be accepted in lieu of Resolution 53.

American Medical Association↗