Environmental Health Authorities Research Articles

Capability of Different Multi-Criteria Decision-Making Techniques in the Performance Assessment of the Hospitals in Terms of Medical Waste Management.

Background:Assessing the performance of hospitals in waste management requires considering several criteria of different types. The multiplicity of the criteria and how they are weighed and, ultimately, the ranking of hospitals; are among the most complex challenges faced by the environmental health authorities. This research tried to assess the capability of four commonly used multi-criteria decision-making methods, as well as a hybrid technique for performance assessment of six hospitals in Tehran City, Iran, in 2018 regarding waste management.Methods:The effective criteria and sub-criteria were identified by reviewing the relevant literature. The data collection tool was a self-constructed checklist developed based upon the identified criteria and sub-criteria and analysis of the collected data was done in MATLAB software. The sample hospitals were ranked based on the scores given to the management performance of hospitals.Results:The final rankings by the different techniques did not differ significantly. According to the results of the hybrid method, among six studied hospitals, the top three hospitals were Hospital C, B, and A respectively, regarding hospital waste reduction criteria. These hospitals generally had an acceptable performance in terms of waste management, especially waste disinfection and separation at the origin.Conclusion:In assessing the performance and ranking of hospitals in terms of waste management, hybrid multi-criteria decision-making techniques can be used as a useful tool in waste management planning. By identifying the areas in need of corrective actions and choosing the appropriate strategy, they pave the way for improving the performance of hospitals in the field of waste management.

A site-specific standard for comparing dynamic solar ultraviolet protection characteristics of established tree canopies

A standardised procedure for making fair and comparable assessments of the ultraviolet protection of an established tree canopy that takes into account canopy movement and the changing position of the sun is presented for use by government, planning, and environmental health authorities. The technique utilises video image capture and replaces the need for measurement by ultraviolet radiometers for surveying shade quality characteristics of trees growing in public parks, playgrounds and urban settings. The technique improves upon tree shade assessments that may be based upon single measurements of the ultraviolet irradiance observed from a fixed point of view. The presented technique demonstrates how intelligent shade audits can be conducted without the need for specialist equipment, enabling the calculation of the Shade Protection Index (SPI) and Ultraviolet Protection Factor (UPF) for any discreet time interval and over a full calendar year.•Tree shade UPF measurements are presented using video capture analysis of moving canopies•A standard method for making accurate assessments of tree shade has been developed•Tree shade comparisons are made without the need for specialist equipment

The effects of outdoor air pollution on the respiratory health of Canadian children: A systematic review of epidemiological studies.

Outdoor air pollution is a global problem with serious effects on human health, and children are considered to be highly susceptible to the effects of air pollution. To conduct a comprehensive and updated systematic review of the literature reporting the effects of outdoor air pollution on the respiratory health of children in Canada. Searches of four electronic databases between January 2004 and November 2014 were conducted to identify epidemiological studies evaluating the effect of exposure to outdoor air pollutants on respiratory symptoms, lung function measurements and the use of health services due to respiratory conditions in Canadian children. The selection process and quality assessment, using the Newcastle-Ottawa Scale, were conducted independently by two reviewers. Twenty-seven studies that were heterogeneous with regard to study design, population, respiratory outcome and air pollution exposure were identified. Overall, the included studies reported adverse effects of outdoor air pollution at concentrations that were below Canadian and United States standards. Heterogeneous effects of air pollutants were reported according to city, sex, socioeconomic status and seasonality. The present review also describes trends in research related to the effect of air pollution on Canadian children over the past 25 years. The present study reconfirms the adverse effects of outdoor air pollution on the respiratory health of children in Canada. It will help researchers, clinicians and environmental health authorities identify the available evidence of the adverse effect of outdoor air pollution, research gaps and the limitations for further research.

Sharing Milk but Not Messages: Campylobacteriosis Associated with Consumption of Raw Milk from a Cow-Share Program in Alaska, 2011

Alaska public and environmental health authorities investigated a cluster of campylobacteriosis cases among people who had consumed raw, unpasteurized milk obtained from a cow-share program in Alaska. Although raw milk is not permitted by law to be offered commercially, consumers can enter into cow-share agreements whereby they contribute funds for the upkeep of cows and in turn receive a share of the milk for their personal use. Laboratory testing of stool specimens collected from ill persons and from cows on the farm revealed an indistinguishable strain of Campylobacter. In this outbreak, numerous confirmed and suspected cases were not among cow shareholders; therefore, these individuals had not been advised of the potential health hazards associated with consumption of raw milk nor were they informed of the outbreak developments.

Monitoring of the dissemination of Salmonella in the chicken Frankfurt-sausage productionline of a sausage factory in the state of São Paulo, Brazil

Poultry meat and its derivatives are among the foodstuffs considered by environmental health authorities to present the highest risks to the public. A total of 185 samples were collected in five monthly batches, from different processing stages in a sausage plant that uses mechanically-deboned chicken meat (MDCM), and tested for the presence of Salmonella. Enrichment was carried out in both Kauffman's tetrathionate broth and Rappaport-Vassiliadis broth and isolation on Salmonella-Shigella agar and brilliant-green agar. Live Salmonella bacteria were isolated from six samples of the raw meat and from the emulsion, in batches three, four, and five, but not from any sample in batches one or two. The six isolated strains were all classified as Salmonella Albany, which has not previously been reported in MDCM. Of the two enrichment broths, Rappaport-Vassiliadis gave the better results. The pattern of contamination suggests a probable common source, given that a new supplier was used in the third, fourth, and fifth months. It was also shown that the industrial cooking was effective in preventing Salmonella surviving in the final product.

Assessments of Low Frequency Noise Complaints among the Local Environmental Health Authorities and a Follow-up Study 14 Years Later

Interviews among a selection of 37 of the 289 Swedish local Environmental Health Authorities (EHA) were undertaken in order to assess the occurrence of complaints on low frequency noise. The study also aimed to evaluate whether the specific guidelines on low frequency noise, adopted in 1996, were used and how they performed when assessing low frequency noise. The results showed that most complaints of low frequency noise were due to noise from fan- and ventilation installations, amplified music, compressors and laundryrooms. According to 46% of the EHA, complaints due to low frequency noise had increased during the last two years, while the same percentage reported no change. When assessing low frequency noise, 62% of the EHA reported that the specific guidelines on low frequency noise based on third octave band analysis performed better or much better compared to the previous A-weighted guideline, and only one EHA thought it performed worse.

Considerations on contamination of groundwater by waste disposal systems in Nigeria

Abstract The interdependence of water quality parameters with distance from polluting sources and depth of twenty four native wells in Abeokuta, Nigeria is examined in this study. In gross features, the bacteriological quality as monitored by coliform counts showed significant negative correlation of 0.74 and 0.60 with distance from polluting source and depth of well respectively. Most of the wells examined had construction defects and there was evidence of faecal contamination. The results highlight possible environmental impacts of lapses in construction and obvious contamination of this popular water systems. The study probably highlights the much needed awareness on the part of local residents and environmental health authorities to curb dangers inherent in poor sanitation and consumption of contaminated groundwater. The results could serve as a basis for planning and policy formulation on environmental sanitation, drainage systems, native well siting, construction, finishing and maintenance.

Hazardous and solid waste issues in Europe and related who activities

The overall goal of WHO is to co-operate with its Member States, and provide them with assistance on demand or as needed. Towards this end, the WHO Regional Office for Europe has implemented, over many years, programme activities related to the management of municipal and industrial solid waste, sewage sludge, hazardous waste, waste from hospitals and other health care facilities, and radioactive waste. The published results of the various activities include conclusions and recommendations addressed to national public and environmental health authorities and to the scientific and professional community, as a whole. In more specific terms, work has been completed in recent years on the impact on health from microbes and chemicals in sewage sludge applied to land, and from emissions of dioxin, furan, PAH and heavy metal compounds from municipal waste incinerators. Policy guidelines and a code of practice for the management of hazardous waste, prepared together with the United Nations Environment Programme UNEP, were published in six languages, including Chinese. At present, the emphasis is shifting to hazardous waste, and a study is under way on the health impact of hazardous waste containing certain identified “priority chemicals”. A code of practice is currently being used in work for the site selection for hazardous waste facilities, including landfills. There is also a plan for the training of national trainees in the sound management of hazardous waste. WHO/HQ, together with UNEP and the World Bank, are completing a text on the management of hazardous waste in developing countries. The first two volumes are expected to be published in 1988. A third volume with a number of national case studies is also being prepared. To assist WHO in its tasks, increase the effectiveness of results, and avoid duplication of activities, co-operation is being maintained with various individual experts, national institutes and authorities, and other international governmental and non-governmental organizations. Co-ordination of work and exchange of information is a matter of routine by means of periodic interagency consultations, participation in meetings of other organizations and country visits.

Hazardous and Solid Waste Issues in Europe and Related Who Activities

The overall goal of WHO is to co-operate with its Member States, and provide them with assistance on demand or as needed. Towards this end, the WHO Regional Office for Europe has implemented, over many years, programme activities related to the management of municipal and industrial solid waste, sewage sludge, hazardous waste, waste from hospitals and other health care facilities, and radioactive waste. The published results of the various activities include conclusions and recommendations addressed to national public and environmental health authorities and to the scientific and professional community, as a whole. In more specific terms, work has been completed in recent years on the impact on health from microbes and chemicals in sewage sludge applied to land, and from emissions of dioxin, furan, PAH and heavy metal compounds from municipal waste incinerators. Policy guidelines and a code of practice for the management of hazardous waste, prepared together with the United Nations Environment Programme UNEP, were published in six languages, including Chinese. At present, the emphasis is shifting to hazardous waste, and a study is under way on the health impact of hazardous waste containing certain identified "priority chemicals". A code of practice is currently being used in work for the site selection for hazardous waste facilities, including landfills. There is also a plan for the training of national trainees in the sound management of hazardous waste. WHO/HQ, together with UNEP and the World Bank, are completing a text on the management of hazardous waste in developing countries. The first two volumes are expected to be published in 1988. A third volume with a number of national case studies is also being prepared. To assist WHO in its tasks, increase the effectiveness of results, and avoid duplication of activities, co-operation is being maintained with various individual experts, national institutes and authorities, and other international governmental and non-governmental organizations. Co-ordination of work and exchange of information is a matter of routine by means of periodic interagency consultations, participation in meetings of other organizations and country visits.

Disturbance from low-frequency noise in the environment: A survey among the local environmental health authorities in Sweden

This paper presents the results of a survey undertaken among the local environmental health authorities (MHKs) in Sweden on complaints due to low-frequency noise. The results demonstrate that complaints due to low-frequency noise comprised a majority of all complaints due to noise. The most common sources of low-frequency noise reported were mechanical ventilation, heavy traffic, and heat pumps. Concerning changes over time, the number of complaints had increased, particularly those related to heat pumps. Data from this and previous studies suggest that the use of the dB(A) unit to express exposure to low-frequency noise is inadequate from a medical-hygiene and annoyance point of view.