Water-based Foam Research Articles

Prevention and Management of Dermatologic Adverse Events Associated With Tumor Treating Fields in Patients With Glioblastoma

Importance: Tumor Treating Fields (TTFields) are an anti-mitotic treatment approved for treating newly diagnosed and recurrent glioblastoma, and mesothelioma. TTFields in glioblastoma comprise alternating electric fields (200 kHz) delivered continuously, ideally for ≥18 h/day, to the tumor bed via transducer arrays placed on the shaved scalp. When applied locoregionally to the tumor bed and combined with systemic temozolomide chemotherapy, TTFields improved overall survival vs. temozolomide alone in patients with newly diagnosed glioblastoma. Improved efficacy outcomes with TTFields were demonstrated, while maintaining a well-tolerated and manageable safety profile. The most commonly-reported TTFields–associated adverse events (AEs) are beneath-array dermatologic events. Since survival benefit from TTFields increases with duration-of-use, prevention and management of skin AEs are critical to maximize adherence. This paper describes TTFields-associated dermatological AEs and recommends prevention and management strategies based on clinical trial evidence and real-world clinical experience.Observations: TTFields–associated skin reactions include contact dermatitis (irritant/allergic), hyperhidrosis, xerosis or pruritus, and more rarely, skin erosions/ulcers and infections. Skin AEs may be prevented through skin-care and shifting (~2 cm) of array position during changes. TTFields–related skin AE management should be based on clinical phenotype and severity. Depending on diagnosis, recommended treatments include antibiotics, skin barrier films, moisturizers, topical corticosteroids, and antiperspirants. Water-based lotions, soaps, foams, and solutions with minimal impact on electrical impedance are preferred with TTFields use over petroleum-based ointments, which increase impedance.Conclusions: Early identification, prophylactic measures, and symptomatic skin AE management help patients maximize TTFields usage, while maintaining quality-of-life and optimizing therapeutic benefit.Implications for practice: TTFields confer a survival benefit in patients with glioblastoma that correlates positively with duration of daily use. Skin events (rash) are the primary treatment-related AE that can limit duration of use. The recommendations described here will help healthcare professionals to recognize, prevent, and manage dermatologic AEs associated with TTFields treatment. These recommendations may improve cutaneous health and support adherence to therapy, both of which would maximize treatment outcomes.

Effect of hydrophobically modified SiO2 nanoparticles on the stability of water-based SDS foam

In the present study, SiO2 nanoparticles were first hydrophobically modified and then added into anionic surfactant sodium dodecyl sulfate (SDS) stabilized water-based foam to improve the foam stability. The foam stability was experimentally evaluated by measuring surface tension, Zeta potential and half-life of the foam. The foam stabilizing mechanism was also studied from a micro perspective by molecular dynamics simulation through analyzing the equilibration configuration and MSD curve of both SDS surfactant and water molecules. The results show that foam exhibits an optimal stability when SiO2 concentration is 0.35 wt% under a specific surfactant concentration (0.5 wt%) in this work. The addition of SiO2 nanoparticles with suitable concentration could improve the adsorption between SDS molecules and nanoparticles, thus limiting the movement of SDS and restricting the movement of surrounding water molecules, which is beneficial to enhance the foam stability.

US military sued to stop PFAS incineration

Environmental groups are asking a federal court to halt the incineration of the US military’s per- and polyfluoroalkyl substances (PFAS) at commercial facilities. The Department of Defense (DOD) has used firefighting foams containing PFAS since the 1970s. In water-based foams used to douse liquid-fuel fires, PFAS allow the foams to flow better over the fuel and extinguish the fire faster. PFAS are extremely stable and environmentally persistent. The handful of nonpolymeric molecules, including some used in the foams, tested so far are toxic. The military is potentially liable for the cleanup of drinking water tainted with PFAS from firefighting foam used at hundreds of sites across the US. During the past 2 years, the DOD awarded contracts to waste-handling companies to incinerate its stockpiles of unused PFAS-containing foams. But in their lawsuit, the environmental groups argue that the contracts violate federal law in part because the DOD failed to conduct

Effects of Powder Carrier on the Morphology and Compressive Strength of Iron Foams: Water vs Camphene

With its well-known popularity in structural applications, considerable attention has recently been paid to iron (Fe) and its oxides for its promising functional applications such as biodegradable implants, water-splitting electrodes, and the anode of lithium-ion batteries. For these applications, iron and its oxides can be even further utilized in the form of porous structures. In order to control the pore size, shape, and amount, we synthesized Fe foams using suspensions of micrometric Fe2O3 powder reduced to Fe via freeze casting in water or liquid camphene as a solvent through sublimation of either ice or camphene under 5 pct H2/Ar gas and sintering. We then compared them and found that the resulting Fe foam using water as a solvent (p = 71.7 pct) showed aligned lamellar macropores replicating ice dendrite colonies, while Fe foam using camphene as a solvent (p = 68.0 pct) exhibited interconnected equiaxed macropores replicating camphene dendrites. For all directions with respect to the loading axis, the compressive behavior of the water-based Fe foam with a directional elongated wall pore structure was anisotropic (11.6 ± 0.9 MPa vs 7.8 ± 0.8 MPa), whereas that of the camphene-based Fe foam with a random round pore structure was nearly isotropic (12.0 ± 1.1 MPa vs 11.6 ± 0.4 MPa).

Carbon Dioxide and Nitrogen Infused Compressed Air Foam for Depopulation of Caged Laying Hens.

Simple SummaryCompressed air, detergent, and water make up compressed air foam. Our laboratory has previously reported that compressed air foam may be an effective method for mass depopulation of caged layer hens. Gases, such as carbon dioxide and nitrogen, have also been used for poultry euthanasia and depopulation. The objective of this study was to produce compressed air foam infused with carbon dioxide or nitrogen to compare its efficacy against foam with air and gas inhalation methods (carbon dioxide or nitrogen) for depopulation of caged laying hens. The study showed that a carbon dioxide-air mixture or 100% nitrogen can replace air to make compressed air foam. However, the foam with carbon dioxide had poor foam quality compared to the foam with air or nitrogen. The physiological stress response of hens subjected to foam treatments with and without gas infusion did not differ significantly. Hens exposed to foam with nitrogen died earlier as compared to methods such as foam with air and carbon dioxide. The authors conclude that infusion of nitrogen into compressed air foam results in better foam quality and shortened time to death as compared to the addition of carbon dioxide. Depopulation of infected poultry flocks is a key strategy to control and contain reportable diseases. Water-based foam, carbon dioxide inhalation, and ventilation shutdown are depopulation methods available to the poultry industry. Unfortunately, these methods have limited usage in caged layer hen operations. Personnel safety and welfare of birds are equally important factors to consider during emergency depopulation procedures. We have previously reported that compressed air foam (CAF) is an alternative method for depopulation of caged layer hens. We hypothesized that infusion of gases, such as carbon dioxide (CO2) and nitrogen (N2), into the CAF would reduce physiological stress and shorten time to cessation of movement. The study had six treatments, namely a negative control, CO2 inhalation, N2 inhalation, CAF with air (CAF Air), CAF with 50% CO2 (CAF CO2), and CAF with 100% N2 (CAF N2). Four spent hens were randomly assigned to one of these treatments on each of the eight replication days. A total of 192 spent hens were used in this study. Serum corticosterone and serotonin levels were measured and compared between treatments. Time to cessation of movement of spent hens was determined using accelerometers. The addition of CO2 in CAF significantly reduced the foam quality while the addition of N2 did not. The corticosterone and serotonin levels of spent hens subjected to foam (CAF, CAF CO2, CAF N2) and gas inhalation (CO2, N2) treatments did not differ significantly. The time to cessation of movement of spent hens in the CAF N2 treatment was significantly shorter than CAF and CAF CO2 treatments but longer than the gas inhalation treatments. These data suggest that the addition of N2 is advantageous in terms of shortening time to death and improved foam quality as compared to the CAF CO2 treatment.

Hydraulic fracturing fluids and their environmental impact: then, today, and tomorrow

Beginning in the 1860s, fracturing was used to stimulate or rather shoot rock formations for oil production. To increase both initial flow and ultimate extraction, liquid and solidified nitroglycerin was used in these years. The concept of (hydraulic) fracturing with pressure instead of explosives grew in the 1930s. Beginning in 1953, water-based fluids were developed using different types of gelling agents. Nowadays, aqueous fluids such as acid, water, brines, and water-based foams are used in most fracturing treatments. The breakdown of the fluids to decrease viscosity is mostly carried out by use of oxidizing agents. Thereby, the technology is facing concerns regarding microseismicity, air emissions, water consumption, and the endangerment of groundwater due to the risk of perforating protective layers and the ooze of chemicals through the surface. Furthermore, particularly both cross-linking and breaking agents pose serious risks for humans respectively are environmentally hazardous in terms of eco-toxicity—while the degradation effect of common oxidizing agents is relatively low in cases of high-temperature fracturing treatments. According to our comparative viscosity tests, the viscosity of both common hydrogels with and without oxidizing agents can be reduced to the same level when heated to 130 °C or above. Furthermore, in both cases no non-Newtonian behavior could be observed after the temperature treatment (anymore). Therefore, we developed a hydrogel that allows for optimized cross-linking without toxic linkers and that can be dissolved without environmentally hazardous chemicals. Furthermore, it avoids the clogging of pores by hydrogel residues and improves oil and gas exploitation.

Performance of water-based foams affected by chemical inhibitors to retard spontaneous combustion of coal

The micelle generating process of the sodium dodecyl sulfate (SDS) solution with the addition of chemical inhibitors was elucidated using phase separation model, and the descending order of the capacity for the selected chemical inhibitors to reduce the critical micelle concentrations of the solution are MgCl2, CaCl2, NH4HCO3 and NH4Cl. The data to quantitatively describe the foam decay process, including foaming ratio, foam life and decay behaviors, was obtained by pressure measuring system. The results indicate that chemical inhibitors can improve the solution foamability. The capacity of the inhibitors to enhance the solution foamability is sorted as NH4Cl, NH4HCO3, MgCl2 and CaCl2 which can distinctly improve the foam stability as well. The capacity of the inhibitors to enhance the SDS foam stability can be arranged as MgCl2, NH4Cl, NH4HCO3 and CaCl2. It is observed that the gravity drainage plays a leading role in the increase of proportion of diffusion drainage. The oxidation dynamic parameters of the coal samples treated by inhibition foams were investigated using thermal analysis technique, and their synergistic effects on inhibiting coal oxidation were explored.

Non-Aqueous and Crude Oil Foams

Foams produced from non-aqueous media are less common than water-based foams but they play an important role in many industries and engineering processes. The low surface tension of hydrocarbon fluids limits the adsorption of common surface activity substances and different compounds and methods must be considered to generate and stabilize oil-based foam. Likewise, the destruction of unwanted non-aqueous based foam requires specific considerations not found with aqueous systems. Of particular interest are petroleum-based foams, which are highly complex due to the wide variety of compounds and gases that can be found. We provide an overview of the major mechanisms known to be important for non-aqueous foam stability with a spotlight on crude-oil foams.

Comparison of water-based foam and carbon dioxide gas emergency depopulation methods of turkeys

Recommended response strategies for outbreaks of avian influenza and other highly contagious poultry diseases include surveillance, quarantine, depopulation, disposal, and decontamination. The best methods of emergency mass depopulation should maximize human health and safety while minimizing disease spread and animal welfare concerns. The goal of this project was to evaluate the effectiveness of 2 mass depopulation methods on adult tom turkeys. The methods tested were carbon dioxide gassing and water-based foam. The time to unconsciousness, motion cessation, brain death, and altered terminal cardiac activity were recorded for each bird through the use of an electroencephalogram, accelerometer, and electrocardiogram. Critical times for physiological events were extracted from sensor data and compiled in a spreadsheet for statistical analysis. A statistically significant difference was observed in time to brain death, with water-based foam resulting in faster brain death (µ = 190 s) than CO2 gas (µ = 242 s). Though not statistically significant, differences were found comparing the time to unconsciousness (foam: µ = 64 s; CO2 gas: µ = 90 s), motion cessation (foam: µ = 182 s; CO2 gas: µ = 153 s), and altered terminal cardiac activity (foam: µ = 208 s; CO2 gas µ = 242 s) between foam and CO2 depopulation treatments. The results of this study demonstrate that water-based foam can be used to effectively depopulate market size male turkeys.

Evaluation of the diving reflex in response to nonterminal submersion of White Pekin ducks in water-based foam

The mass depopulation of production birds remains an effective means of controlling fast-moving, highly infectious diseases such as avian influenza and virulent Newcastle disease. Water-based fire-fighting foam is a conditionally approved method of depopulating floor-reared gallinaceous poultry such as chickens and turkeys; however, ducks have physiological mechanisms that may make them more resistant to this method of depopulation. The following experiment was designed to assess the physiological responses of White Pekin ducks to nonterminal submersion in water-based foam compared with water. The hypothesis of this experiment was that submersion of ducks in water or water-based foam would trigger the diving reflex and lead to bradycardia. All treatments led to pronounced bradycardia. Heart rate was not significantly different between treatments during the final 30 s of the 60-s treatment period. Heart rate dropped significantly faster for the water dip and foam dip treatments and rose significantly faster than the foam pour treatment after the termination of the 60-s treatment period. Duration of bradycardia approached significance for the foam pour treatment, leading to a longer duration of bradycardia compared with the water pour, water dip, and foam dip treatments. The results of this experiment demonstrated that apnea and bradycardia as a result of the diving reflex can occur as a result of submersion in foam, which may have an impact on the time it takes White Pekin ducks to reach unconsciousness and death during water-based foam depopulation.

Mass Emergency Water-Based Foam Depopulation of Poultry

When an avian influenza or virulent Newcastle disease outbreak occurs within commercial poultry, a large number of birds that are infected or suspected of infection must be destroyed on site to prevent the rapid spread of disease. The choice of mass emergency depopulation procedures is limited, and all options have limitations. Water-based foam mass emergency depopulation of poultry was developed in 2006 and conditionally approved by the U.S. Department of Agriculture and American Veterinary Medical Association. Water-based foam causes mechanical hypoxia and can be used for broilers, layers, turkeys, and ducks. The time to physiologic states was evaluated for broilers, layer hens, turkeys, and ducks, comparing water-based foam and CO2 gas using electroencephalogram (unconsciousness and brain death), electrocardiogram (altered terminal cardiac activity), and accelerometer (motion cessation). In broilers, turkeys, and layer hens, water-based foam results in equivalent times to unconsciousness, terminal convulsions, and altered terminal cardiac activity. With Pekin ducks, however, CO2 gas resulted in shorter times to key physiologic states, in particular unconsciousness, altered terminal cardiac activity, motion cessation, and brain death.

Electroencephalogram-Based Methodology for Determining Unconsciousness During Depopulation

When an avian influenza or virulent Newcastle disease outbreak occurs within commercial poultry, key steps involved in managing a fast-moving poultry disease can include: education; biosecurity; diagnostics and surveillance; quarantine; elimination of infected poultry through depopulation or culling, disposal, and disinfection; and decreasing host susceptibility. Available mass emergency depopulation procedures include whole-house gassing, partial-house gassing, containerized gassing, and water-based foam. To evaluate potential depopulation methods, it is often necessary to determine the time to the loss of consciousness (LOC) in poultry. Many current approaches to evaluating LOC are qualitative and require visual observation of the birds. This study outlines an electroencephalogram (EEG) frequency domain-based approach for determining the point at which a bird loses consciousness. In this study, commercial broilers were used to develop the methodology, and the methodology was validated with layer hens. In total, 42 data sets from 13 broilers aged 5-10 wk and 12 data sets from four spent hens (age greater than 1 yr) were collected and analyzed. A wireless EEG transmitter was surgically implanted, and each bird was monitored during individual treatment with isoflurane anesthesia. EEG data were evaluated using a frequency-based approach. The alpha/delta (A/D, alpha: 8-12 Hz, delta: 0.5-4 Hz) ratio and loss of posture (LOP) were used to determine the point at which the birds became unconscious. Unconsciousness, regardless of the method of induction, causes suppression in alpha and a rise in the delta frequency component, and this change is used to determine unconsciousness. There was no statistically significant difference between time to unconsciousness as measured by A/D ratio or LOP, and the A/D values were correlated at the times of unconsciousness. The correlation between LOP and A/D ratio indicates that the methodology is appropriate for determining unconsciousness. The A/D ratio approach is suitable for monitoring during anesthesia, during depopulation, and in situations where birds cannot be readily viewed.

Comparison of water-based foam and carbon dioxide gas mass emergency depopulation of White Pekin ducks

The mass depopulation of production birds remains an effective means of controlling fast-moving, highly infectious diseases such as avian influenza and virulent Newcastle disease. Two experiments were performed to compare the physiological responses of White Pekin commercial ducks during foam depopulation and CO2 gas depopulation. Both experiment 1 (5 to 9 wk of age) and 2 (8 to 14 wk of age) used electroencephalogram, electrocardiogram, and accelerometer to monitor and evaluate the difference in time to unconsciousness, motion cessation, brain death, altered terminal cardiac activity, duration of bradycardia, and elapsed time from onset of bradycardia to onset of unconsciousness between foam and CO2 gas. Experiment 2 also added a third treatment, foam + atropine injection, to evaluate the effect of suppressing bradycardia. Experiment 1 resulted in significantly shorter times for all 6 physiological points for CO2 gas compared with foam, whereas experiment 2 found that there were no significant differences between foam and CO2 gas for these physiological points except brain death, in which CO2 was significantly faster than foam and duration of bradycardia, which was shorter for CO2. Experiment 2 also determined there was a significant positive correlation between duration of bradycardia and time to unconsciousness, motion cessation, brain death, and altered terminal cardiac activity. The time to unconsciousness, motion cessation, brain death, and altered terminal cardiac activity was significantly faster for the treatment foam + atropine injection compared with foam. Both experiments showed that bradycardia can occur as a result of either submersion in foam or exposure to CO2 gas. The duration of bradycardia has a significant impact on the time it takes White Pekin ducks to reach unconsciousness and death during depopulation.

Estudo da eficácia de espuma para a depopulação de aves para situações de emergência sanitária

São inúmeras as dificuldades observadas na depopulação de elevado número de aves e é importante proceder-se à depopulação no interior do próprio aviário por questões de biossegurança do homem em casos de emergência sanitária causada por doenças de aves de elevada transmissibilidade, como a influenza aviária e a doença de Newcastle. Construiu-se o equipamento gerador de espuma para provocar a anóxia física em aves. Verificou-se a eficácia da espuma gerada através do uso de líquido detergente de alta expansão sobre o sacrifício de galinhas, avaliando-se os sinais sensoriais, tempo de morte, letalidade e lesões macro e microscópicas. Duzentas galinhas de postura com 78 semanas de idade foram divididas em dez grupos experimentais e submetidas a diferentes períodos de exposição à espuma, variando de 5min30s minutos a 8min15s minutos. A partir de seis minutos de exposição à espuma 100% das aves foram mortas. A presença de bolhas de espuma na cavidade oral e traqueia foram constatadas em todos os períodos de exposição à espuma, indicando a ocorrência de asfixia física. Congestão nas mucosas da cavidade oral e traqueia foram também observadas em todos os períodos de exposição. No exame histopatológico dos pulmões de todas as aves, observou-se a presença de congestão e hemorragia difusa de moderada intensidade. Nenhuma alteração foi observada na traqueia das aves. A eficácia da espuma como método de depopulação de aves foi constatada neste trabalho, podendo ser recomendada diante da necessidade de atendimento a emergências sanitárias.

Comparison of Water-Based Foam and Inert-Gas Mass Emergency Depopulation Methods

Current control strategies for avian influenza (AI) and other highly contagious poultry diseases include surveillance, quarantine, depopulation, disposal, and decontamination. Selection of the best method of emergency mass depopulation involves maximizing human health and safety while minimizing disease spread and animal welfare concerns. Proper selection must ensure that the method is compatible with the species, age, housing type, and disposal options. No one single method is appropriate for all situations. Gassing is one of the accepted methods for euthanatizing poultry. Whole-house, partial-house, or containerized gassing procedures are currently used. The use of water-based foam was developed for emergency mass depopulation and was conditionally approved by the United States Department of Agriculture in 2006. Research has been done comparing these different methods; parameters such as time to brain death, consistency of time to brain death, and pretreatment and posttreatment corticosterone stress levels were considered. In Europe, the use of foam with carbon dioxide is preferred over conventional water-based foam. A recent experiment comparing CO2 gas, foam with CO2 gas, and foam without CO2 gas depopulation methods was conducted with the use of electroencephalometry results. Foam was as consistent as CO2 gassing and more consistent than argon-CO2 gassing. There were no statistically significant differences between foam methods.

Comparison of Water-Based Foam and Inert-Gas Mass Emergency Depopulation Methods

Comparison of Water-Based Foam and Inert-Gas Mass Emergency Depopulation Methods

Determining cessation of brain activity during depopulation or euthanasia of broilers using accelerometers

The threat of avian influenza virus is a major concern for poultry growers worldwide. In response to avian influenza virus outbreaks in the United States and the existence of zoonotic strains causing human infection and death in Eastern Asia, a mass emergency depopulation method using water-based foam was developed for floor-reared broilers and turkeys. During foam depopulation, birds cannot be observed directly. As a result, several methods for monitoring bird activity during field depopulation research were explored. Accelerometers were found to be a simple, effective means of detecting motion and subsequently the cessation of motion after terminal convulsions ceased. In a previous study, it was shown that motion cessation may coincide with a lack of measureable brain activity. In this study, broilers were monitored with electroencephalograph, electrocardiograph, and motion sensors and treated with 1 of 3 methods of depopulation or euthanasia (Ar-CO2 gas, CO2 gas, or water-based foam). The differences between the accelerometer motion cessation and electrocardiogram signal stabilization were significant, as were the differences between motion cessation and electroencephalogram silence. Although the differences are statistically significant, these do not invalidate the use of an accelerometer to detect cessation of measurable brain activity during depopulation or euthanasia research.

Use of water-based foam to depopulate ducks and other species

Current control strategies for avian influenza virus, exotic Newcastle disease, and other highly virulent poultry diseases often include surveillance, quarantine, depopulation, disposal, and disinfection. On-farm depopulation and disposal methods reduce potential movement of virus and improve biosecurity. Water-based foam depopulation was developed as a potential alternative mass emergency poultry depopulation procedure. The use of water-based foam is conditionally approved by the USDA Animal and Plant Health Inspection Service for use with floor-reared birds. This study reports on the use of water-based foam to depopulate other species including call ducks, chukars, Pekin ducks, and Japanese quail. Foam caused a rapid onset of airway occlusion. Although all species tested were depopulated with water-based foam, the time to cessation of activity varied by species, with quail being faster than chukars, broilers, and ducks.

Application of In-House Mortality Composting on Viral Inactivity of Newcastle Disease Virus

This paper summarizes the results from 3 simulated in-house catastrophic mortality composting experiments. Experiment 1 evaluated the impact of water-based foam mass depopulation on in-house composting of the carcasses and litter and showed that water-based foam improved windrow temperatures. Experiment 2 evaluated the impact of freezing samples on virus recovery from windrow compost tissue and the choice of tissue for virus sampling within the bird. Experiment 2 documented that freezing the samples had minimal impact on processing and that virus recovery was more consistent among inoculated breast meat than inoculated tracheas. Experiment 3 evaluated the impact of sawdust, straw, and sawdust-straw base layer litter material on in-house mortality composting. All litter materials were able to reach and maintain temperatures in excess of 60 degrees C for multiple days. No viral hemagglutination activity was observed after d 2 during any of the 3 experiments.

Avian Influenza Outbreak Management: Action at Time of Confirmation, Depopulation and Disposal Methods; the ‘Belgian Experience’ during the H7N7 Highly Pathogenic Avian Influenza Epidemic in 2003

Eradication of H5 and H7 influenza in a positive flock will include mass depopulation of birds, containment and inactivation of the virus in the carcasses and litter, and decontamination of the facility. A quick response is desired in the event of a disease outbreak. Ideally, birds should be depopulated within 24 h after detecting the virus. Mass depopulation of birds must be performed in a humane manner while minimizing human health and biosecurity risks. In the framework of the European legislation, a number of methods are authorized for the killing of poultry for processing prior to marketing. However, during emergencies such as a disease outbreak, there are fewer options. The current most commonly used procedures for large-scale emergency depopulation of birds consist of exposing poultry to CO or CO(2) gas. Both gasses have been used in Belgium during the H7N7 crisis in 2003. The gassing procedures include whole house gassing, portable panel enclosures, cage cabinets, containers and polyethylene tent method. Whole house gassing requires sealing the house to prevent gas leakage and, using specialized equipment, introducing large volumes of gas evenly over the birds. All procedures are very labour intensive, create a biosecurity risk and require a large number of personnel. There are considerable region-to-region differences in emergency depopulation techniques and disposal of carcasses and infected material. Because of the differences in bird type and species, management, housing and stocking density, it is difficult to propose a depopulation technique that will be suitable for all circumstances. Safety of the human operators is an increasing concern with all H5 and H7 strains and in particular with the highly pathogenic H5N1 strain. Researchers and commercial poultry companies in the United States recently established that non-toxic water-based foam with a certain bubble size presents a practicable, effective and humane method for mass depopulation. Foam of the right bubble size creates an occlusion in the trachea of birds, causing a rapid onset of hypoxia. The foam that blankets the broiler house induces physical hypoxia - the same cause of death as the approved method using carbon dioxide gas (CO(2)). The article illustrates the different culling and disposal methods with a focus on the methods used during the 2003 H7N7 crisis in Belgium.