Emerging COVID waste and its impact on the aquatic environment in India

A highly transmissible and pathogenic Coronavirus SARS-CoV-2 has caused the COVID-19 pandemic, which severely affected human health and impacted negatively on the environment. In this review, we discuss the extent of the generation of COVID waste, and how its disposal can influence the environment. We have especially emphasized the COVID-related biomedical waste management. An attempt has also been made to identify several challenges encountered in India. Studies have indicated an altered water usage pattern, which increased megacities' water footprint in India. Enhanced domestic sewage discharge resulted in higher fecal coliform count in water bodies. Disposal of COVID biomedical waste (CBW) and personal protective equipment (PPE) resulted in a huge amount of single-use plastics (SUPs);which in turn cause the long-term risk of micro- and nano-plastic in the environment. This review also aims to put up the need for well-equipped infrastructure, efficient treatment facility, and public availability of CBW data in India to make effective policies and sustainable solutions for long-term goals. © 2023 Elsevier Inc. All rights reserved.

Microplastics from face masks: A potential hazard post Covid-19 pandemic.

The tremendous use of plastic products to averse the infection rate during Covid-19 pandemic has developed great pressure on the management and disposal systems of plastic waste. The compulsory use of face masks to curb the infection and prevent transmission of the virus has led to addition of millions of face masks into the terrestrial and marine environment. The current study attempts to assess and quantify the rate of infection in coherence with the annual usage of face masks in various nations across the globe. The ecological footprint of the plastic waste generated from used and discarded face masks along with their potential impacts have also been discussed. The current study has quantified the total annual face masks across thirty-six nations to be more than 1.5 million ton. The total estimated figure for annual plastic waste and microplastics in all these nations was ∼4.2 million tonnes and 9774 thousand tonnes, which emerges as a great threat to the global efforts towards reduction of plastic usage. The emergence of Covid-19 pandemic has modified the living habits with new enterprises being set up for Covid essential products, but the associated hazard of these products has been significantly ignored. Hence this study attempts to present a quantitative baseline database towards interpretation and understanding of the hazards associated with microplastics and increased dependence on plastic products.

IoT Methods for Determining PPE Mask Fitness

The COVID-19 pandemic showed the importance of Personal Protective Equipment (PPE), which has been instrumental in providing efficient and effective protection against exposure to the virus for its users. The widespread use of face masks has highlighted the shortcomings of single-use PPE, in particular, the fit of a mask has a large impact on its effectiveness. The research presented in this paper focuses on automatically determining the fitness of masks on an individual with any face structure. The approach in this paper is to use IoT sensors attached to PPE masks in order to detect the tightness and fit of the mask. This approach was tested using three different types of commercially available masks and showed that it is feasible to detect their tightness and fit of them. This study concludes that IoT-based methods can be used effectively to improve the safety of PPE masks. © 2022 IEEE.

Microplastic pollution and associated health hazards: Impact of COVID-19 pandemic.

The COVID-19 pandemic led to an increase in plastic used for medical purposes such as personal protective equipment and packaging materials. A very low share of plastics is recycled while the majority is sent to landfills. This plastic may degrade over time to form microplastics which may pollute land, air, and water sources. An increase in microplastics can increase the disease risk in human well-being's. The ultimate fate of microplastic is accumulation inside the human body posing the risk of different health conditions like cancer, diabetes, and allergic reactions. Hence, proper detection and disposal methods should be devised to deal with the rise in microplastic pollution.

The energy assessment of COVID-19 medical waste as a potential fuel

The COVID-19 pandemic has caused huge health and economic damages. Various protective face masks, such as single-use, cotton, and the most widespread FFP2 or KN95 masks, are used to prevent the spread of this virus. However, these face masks are usually packaged in plastic packaging, which increases the amount of plastic waste. Plastic gloves are also often used in the connection of the pandemic. All this leads to a large production of protective equipment, but their use contributes to the increase of this type of waste, which presents a new challenge in waste management. This article investigates a complete element analysis of these mentioned materials and observes potential harmful substances. Further, pellets, as a potential fuel for combustion or pyrolysis purposes, were produced with the content of 5% and 10% of face masks. FFP2 were firstly separated from ear straps and wires, then disintegrated, added to spruce sawdust, and compressed into pellets. A series of experiments were realized and aimed at elemental, thermogravimetric, and calorific value analyses of produced pellets. Based on the results, it can be concluded that the presence of face masks FFP2 in pellets increases the content of carbon, hydrogen, and nitrogen, volatile matter, and calorific values, but decreases the content of fixed carbon. According to elemental analysis of produced pellets, no significant amounts of harmful elements were found. © 2023 The Author(s)

CHANGING LANDSCAPE OF PLASTIC WASTE MANAGEMENT IN INDIA

Plastic waste is one of the long-standing global issues in the recent era. Unfortunately, India is one of the countries which has been affected by the mismanagement of the use of plastics. India has recorded a substantial growth in the production of plastic and is considered a country of increased consumption of plastic. Due to the absence of an appropriate waste collection and segregation process, it has created the major issue of waste management and discarded used plastic items used for packaging application. There are various plastic waste management laws and programmes that have a cascading effect on almost every sector of business. In 2016, two years after the new union government took power in New Delhi, The Ministry of Environment, Forest and Climate Change (MoEFCC) has made some improvements in rules for the collection, segregation, processing, treatment and disposal of the waste. In the pandemic era, effective plastic waste management became more important than ever. The COVID-19 pandemic has created an increased demand for single-use plastic because of pressure on the already out-of-control global plastic waste problem. It is recorded to be large, and the magnitude of this pandemic related to mismanaged plastic waste is unknown. However, understanding the changing landscape and alarming need for effective plastic waste management, the government of India has proposed certain changes to prohibit imports, handling, manufacturing and use of single-use plastics in the country. This is in line with the government's intent to phase out single-use plastic by 2022. Considering this, this chapter highlights the changes in the rules and regulations in India related to plastic waste management and its effects on various sectors of business. © 2023 by Emerald Publishing Limited.

Determinants of proper disposal of single-use masks: knowledge, perception, behavior, and intervention measures.

Background: Although many studies testify to consumer behavior's role in the context of waste-related sustainability objectives, little research examined what people know, think, and feel about the environmental impacts of their personal protective equipment (PPE) or their behavior towards them, in general. Therefore, the present article complements existing information about the public perceptions, knowledge, and behavior of single-use masks in a context where the pandemic has put increasing pressure on waste management public services. From February to June 2020, municipal solid waste increased ten times in Romania. The study identified the factors that predicted the proper disposal of single-use masks and the measures preferred to prevent or minimize the negative impact of single-use mask waste. Method: Data from a representative sample of 705 Romanians were collected using a structured questionnaire. The data were analyzed with SPSS and SmartPLS. The Cochran's Q test was run to determine the existence of differences between percentages of people who preferred various measures. Dunn's test with a Bonferroni correction was used to identify the exact pair of groups where the differences were located. The study utilized structural equation models (SEM) based on at least partial squares with SmartPLS software (3.2.8) to investigate causal links between constructs. The model considered that the dependent variable (environmentally friendly behavior: proper disposal of single-use masks) could be influenced by the knowledge, perception, behavior, and demographics variables. Results: The findings indicated that knowledge of the type of material of single-use masks had a direct positive (ß = 0.173) and significant effect on their proper disposal. The perception of mask waste impact has a negative and significant (ß = -0.153, p < 0.001) impact on the proper disposal of single-use masks. This path coefficient illustrates that the worse the perceived impact of single-use masks on waste management activity, the higher the proper disposal of single-use masks. Gender has a positive (ß = 0.115) and significant (p < 0.001) effect on the proper disposal of single-use masks. Conclusions: It was concluded that the 5Rs waste management approach should be reconsidered for single-use mask waste. For example, "Reuse" and the classic "Recycle" have limited applications since they may lead to virus transmission and possible infection. "Reducing" the use of single-use masks could have repercussions on one's health. Summing up, the study outlined recommendations for effective interventions for the proper disposal of single-use masks from the perspective of behavioral studies.

Plastics and the coronavirus pandemic: A behavioral science perspective

With the coronavirus outbreak, new and strengthened norms of plastic dependency emerged in the Middle East and North Africa region through the desperate demand for products like face masks and other personal protective equipment (PPE), highlighting the tradeoffs between health and the environment. While the rise in demand has been considered as temporary, behavioral barriers and misperceptions might make these norms particularly sticky and hinder society's ability to transition to a circular economy. Fortunately, behavioral science offers valuable insights about why the current pandemic can actually be a catalyst to create new eco-conscious behaviors. As some behaviors are often strenuous to change and require enforcement through traditional policy solutions (e.g. regulations), behavioral science offers complementary tools that will make policies more effective. We have an opportunity to start thinking about ways to leverage behavioral insights to create new norms that promote a circular economy while ultimately ensuring proper adherence to hygiene practices to curb the spread of the virus. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Strategies in Small Businesses to Combat Plastic Overproduction

Modern production processes have been increasingly responsible for plastic overproduction for various reasons, not limited to containers and packaging. Said situation has reflected its consequences on human and animal health, especially with the COVID-19 pandemic. Because of this, it is imperative to consider the measures taken to reduce plastic contamination and the role of sustainability in plastic production processes. Previous studies and literature about the effects of plastics, the provisional standards, and programs to reduce contamination caused by this material have been analyzed in order to highlight its importance. Green businesses are also proposed as a more efficient solution to the problem of plastic overproduction. Some examples of small green businesses are presented to demonstrate the adoption of sustainable, eco-friendly measures in their business model and that even after some years, said models have proved to be effective by providing revenues and still following the ecological practices such as recycling different kinds of plastics and wastes. © 2023, The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.

Property assessment of an eco-friendly mortar reinforced with recycled mask fiber derived from COVID-19 single-use face masks

Wearing a face mask is strongly advised to prevent the spread of the virus causing the COVID-19 pandemic, though masks have produced a tremendous amount of waste. As masks contain polypropylene and other plastics products, total degradation is not achievable, and masks may remain in the form of microplastics for several years in the environment. Therefore, this urgent issue ought to be addressed by properly handling waste face masks to limit their environmental impact. In relation to this goal, a novel application of recycled mask fiber (MF) derived from COVID-19 single-use surgical face masks (i.e., shredded mask fiber-SMF and cut mask fiber-CMF) has been undertaken. Eighteen mortar mixes (9 for water and 9 for 10% CO2 concentration curing) were fabricated at 0%, 0.5%, 1.0%, 1.5%, and 2.0% of both SMF and CMF by volume of ordinary Portland cement-based mortar. The compressive strength, flexural strength, ultrasonic pulse velocity, shrinkage, carbonation degree, permeable voids, and water absorption capabilities were assessed. The outcomes reveal that the compressive strength decreased with an increased percentage of MFs due to increased voids of the mixes with MFs as compared to a control mix. In contrast, significantly higher flexural strength was noted for the mortar with MFs, which is augmented with an increased percentage of MFs. Furthermore, the inclusion of MFs decreased the shrinkage of the mortar compared to the control mix. It was also found that MFs dramatically diminished the water absorption rate compared to the control mix, which reveals that MFs can enhance the durability of the mortar. © 2023 Elsevier Ltd

From city to sea: Spatiotemporal dynamics of floating macrolitter in the Tiber River

Rivers are undoubtedly the main pathway of waste dispersed in the environment that from land reaches oceans and seas increasing the amount of marine litter. Major cities are a great source of riverine litter as large urbanization can originate pressure on the integrated waste management resulting in litter entering the rivers. Within this study, we aim to investigate the dynamic of floating riverine macrolitter (items >2.5 cm) in the city of Rome before it reaches the sea by assessing the composition, amount, and seasonal trends of litter transported from the urban centre to the main river mouth of Tiber River. Visual surveys for a whole year (March 2021–February 2022) were conducted from two bridges, Scienza Bridge (in the city) and Scafa Bridge (at the main river mouth) and followed JRC/RIMMEL protocol for riverine litter monitoring. Overall, similar litter composition was observed from the city centre to the mouth with a prevalence of plastic material, mainly related to fragmentation process (i.e. plastic pieces) and single use items, mainly in food and beverage sectors. An extrapolated annual loading of 4 × 105 items/year was estimated at the main mouth of Tiber River. The litter flux seems to be influenced by the seasonal variability and hydrometeorological parameters. The frequency of size classes decreases with increasing size in both sites, and more than half of the recorded items were below 10 cm. Specific categories belonging to "other plastics” have been reported related to anti-Covid-19 behaviour such as face masks and beverage sector, e.g. bottle lids and rings. The main colour of plastics was white, suggesting weathering process of floating riverine litter. This study contributes to increasing knowledge of the origin, composition and spatiotemporal dynamics of riverine floating litter from the city and entering the sea. © 2022 Elsevier B.V.

Mediating Effect of COVID-19 Pandemic on Single Use Plastic Production, Usage and Disposal Management Models Correlations

This research examines the consequences of the COVID-19 epidemic on the production, use, and disposal of single-use plastics. This research explores the intricate relationships between the impacts of COVD-19 on single-use plastic production, usage, and waste management with a focus on the mediating effects of the pandemic related to model parameters and correlations to develop a trustworthy approach. The report examines first the increasing evidence regarding the pandemic's influence on various users and industries, and then the consequences for waste management and the environment. The research then examined the relationships and modelling framework correlations between the variables utilised to estimate the influence of COVID-induced changes in production, consumption, and management on single-use plastics. The study variables captured the influence of production, usage, and disposal on the environment. The study's parameters are equally linked to types of usage, have a pronominal effect, and disposal plays a vital role in the environmental impact, which makes them extremely dynamic for parameters in this study. Single-use plastic aggregation in the environment is predicted to be a dominant mechanism by disposal behaviour. © 2023 Institute of Physics Publishing. All rights reserved.

Flushed But Not Forgotten: The Rising Costs and Opportunities of Disposable Wet Wipes

The increasing popularity of single-use wet wipes across a variety of applications has caused environmental and economic challenges. Due to their convenience and low cost, disposable nonwoven wipes have become a necessity in the lives of many. However, consumers rarely consider the end-of-life of these items. Despite efforts from stakeholders, including wipes manufacturers and wastewater experts, there is frequent confusion among consumers regarding appropriate disposal. Many consumers flush wipes that are not compatible with municipal sewer systems, causing considerable damage. Additionally, wipes have poor environmental outcomes, as they often contain non-renewable plastics or are unable to biodegrade under disposal conditions. Previously, the wet wipes industry was projected to grow an average of 6% between 2021 and 2025;however, the use of these disposable items is projected to be much higher due to the COVID-19 pandemic. This paper reviews the market, key challenges, and technical properties of single-use nonwoven wipes. An emphasis is placed on the unique properties and associated challenges of flushable wipes. With strong market demands, consumers are unlikely to abandon single-use wipes, and therefore innovative solutions are required to solve the main environmental and technical challenges associated with flushable and non-flushable wipes.

Plastic pollution in the Brazilian coast: perceptions from hotel managers on the consumption of disposables

This article identified the perceptions of coast-based accommodation facilities managers regarding single-use plastics (SUPS). The research was predominantly qualitative, exploratory, and transversal applied in 41 companies of 8 accommodation categories located in 11 beach destinations within 6 Brazilian states. As the data collection technique, a semi-structured script was applied, and for interpretation, content analysis. The results indicate that economic-driven decisions take precedence over environmental decisions, and there is not an existing common view around a direct relationship between plastic pollution and the reduction in tourist flows. All companies use SUPS, especially cups, bottles, and bags. Among strategies to manage their use and waste, actions of replacement, reduction, environmental education and staff training stand out. Reducing/replacing items such as packaging and amenities require changes in the industry and consumer's consumption behaviour. The absence of plastic products alternatives while keeping quality and price, resistance from consumers and limited support from investors and leaders appear as obstacles to expanding and improving the management of SUPS. Conclusions indicate that the linear logic of continuous use and disposal prevails against the circular economy. Significant perception variations among the categories of accommodation companies were not noticed, as these are predominantly connected to their management. Finally, the context of the COVID-19 pandemic worsens the problem of plastic pollution, requiring greater attention to the topic.

Development and scale-up of rVSV-SARS-CoV-2 vaccine process using single use bioreactor.

The outbreak of the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) that causes the Coronavirus Disease 2019 (COVID-19) has spread through the globe at an alarming speed. The disease has become a global pandemic affecting millions of people and created public health crises worldwide. Among many efforts to urgently develop a vaccine against this disease, we developed an industrial-scale closed, single use manufacturing process for V590, a vaccine candidate for SARS-CoV-2. V590 is a recombinant vesicular stomatitis virus (rVSV) genetically engineered to express SARS-CoV-2 glycoprotein. In this work, we describe the development and optimization of serum-free microcarrier production of V590 in Vero cells in a closed system. To achieve the maximum virus productivity, we optimized pH and temperature during virus production in 3 liters (L) bioreactors. Virus productivity was improved (by ∼1 log) by using pH 7.0 and temperature at 34.0 °C. The optimal production condition was successfully scaled up to a 2000 L Single Use Bioreactor (SUB), producing a maximum virus titer of ∼1.0e+7 plaque forming units (PFU)/mL. Further process intensification and simplification, including growing Vero cells at 2 gs per liter (g/L) of Cytodex-1 Gamma microcarriers and eliminating the media exchange (MX) step prior to infection helped to increase virus productivity by ∼2-fold.

Single Use or Disposable Flexible Bronchoscopes: Bench Top and Preclinical Comparison of Currently Available Devices.

BACKGROUND: Data regarding the risk of infection related to reusable bronchoscopes, the global drive toward disposable technology and the COVID-19 pandemic have led to an increase in the use and production of single use or disposable bronchoscopes. An in-depth comparison of all available devices has not been published. METHODS: A benchtop comparison of the Ambu®aScopeTM, Boston Scientific® EXALTTM Model B, the Surgical Company Broncoflex© Vortex, Pentax® Medical ONE Pulmo™, and Vathin® H-SteriscopeTM (all 2.8 mm inner dimension other than the Pentax single-use flexible bronchoscope (3 mm)) was undertaken including measurement of maximal flexion and extension angles, thumb force required and suction with and without biopsy forceps. Thereafter, preclinical assessment was performed with data collected including experience, gender, hand size, and scope preference. RESULTS: The Vathin single-use flexible bronchoscope had the biggest range of tip movement from flexion to extension with and without forceps. The Boston single-use flexible bronchoscope required the maximal thumb force but had the least reduction of tip movement with forceps. The Boston single-use flexible bronchoscope significantly outperformed all other scopes including the standard Pentax scope and was the only scope capable of suctioning pseudo-mucus around the forceps. Although there was no significant difference in preference in the overall group, females and those with smaller hand size preferred the Pentax and males the Broncoflex single-use flexible bronchoscope. CONCLUSIONS: Currently available single-use flexible bronchoscopes differ in several factors other than scope sizes and monitor including suction, turning envelope, and handle size. Performance in the clinical setting will be key to their success.

Single‐Use Technology in Biopharmaceutical Manufacture and Beyond

COVID‐19 has accelerated the steadily growing demand for single‐use devices in bioprocessing. A recently published study shows single‐use equipment dominates small‐ and mid‐scale bioprocessing and starting to graduate to adoption for larger scale commercial manufacturing. With advancing technology, knowledge, adoption and experience, future progress and market expansion are expected. The demand for rapid production due to COVID‐19 has virtually mandated the use of single‐use system devices. [ FROM AUTHOR]

Willingness to Pay and Preferences Among Patients Undergoing Cystoscopies: Results from a Large Survey-Based Study in Spain.

Purpose: Cystoscopy procedures can cause distress among patients. Patient perspectives on health services are essential inputs in decision-making. This study investigated the patient preferences in Spain regarding single-use cystoscopes (SUC) compared to reusable cystoscopes and their willingness to pay (WTP) for cystoscopy procedures. Patients and Methods: Between May and June 2021, an anonymous survey was distributed to Spanish patients who had previously undergone a cystoscopy. The survey included patient preference measures on reusable cystoscopes compared to SUCs and a discrete choice experiment. The survey was distributed through a human data science company (IQVIA), collected using an online survey tool (QuestionPro®), and analyzed using Stata/MP, StataCorp. Results: Of 300 respondents, 148 (49.33%) were female and 150 (50%) were male, and mainly between 18-49 years (247, 82.33%). Most (265, 88%) preferred to have their procedure performed with a SUC rather than a reusable cystoscope. Among these patients, 215 (80%) could imagine asking their doctor to use a SUC. A total of 231 (77%) respondents indicated an increased level of concern about the risk of exposure to contamination related to their cystoscopy following the COVID-19 pandemic. Patients would pay 62 EUR to have their initial consultation and cystoscopy procedure on the same day (p < 0.001), 59 EUR to reduce the environmental impact, and 57 EUR to reduce the risk of contamination (p < 0.001). Conclusion: Patients prefer to undergo cystoscopy using an SUC on the same day as their initial consultation. The increased contamination concerns due to the COVID-19 pandemic and WTP to reduce the risk of cystoscope contamination may explain patients' preferences for SUCs. The most important attributes related to their cystoscopy procedure are the ability to have their procedure performed on the same day as their initial consultation, the reduction of the environmental impact, and the reduction of the contamination risk.

From city to sea: Spatiotemporal dynamics of floating macrolitter in the Tiber River

Rivers are undoubtedly the main pathway of waste dispersed in the environment that from land reaches oceans and seas increasing the amount of marine litter. Major cities are a great source of riverine litter as large urbanization can originate pressure on the integrated waste management resulting in litter entering the rivers. Within this study, we aim to investigate the dynamic of floating riverine macrolitter (items >2.5 cm) in the city of Rome before it reaches the sea by assessing the composition, amount, and seasonal trends of litter transported from the urban centre to the main river mouth of Tiber River. Visual surveys for a whole year (March 2021–February 2022) were conducted from two bridges, Scienza Bridge (in the city) and Scafa Bridge (at the main river mouth) and followed JRC/RIMMEL protocol for riverine litter monitoring. Overall, similar litter composition was observed from the city centre to the mouth with a prevalence of plastic material, mainly related to fragmentation process (i.e. plastic pieces) and single use items, mainly in food and beverage sectors. An extrapolated annual loading of 4 × 105 items/year was estimated at the main mouth of Tiber River. The litter flux seems to be influenced by the seasonal variability and hydrometeorological parameters. The frequency of size classes decreases with increasing size in both sites, and more than half of the recorded items were below 10 cm. Specific categories belonging to “other plastics” have been reported related to anti-Covid-19 behaviour such as face masks and beverage sector, e.g. bottle lids and rings. The main colour of plastics was white, suggesting weathering process of floating riverine litter. This study contributes to increasing knowledge of the origin, composition and spatiotemporal dynamics of riverine floating litter from the city and entering the sea.

Single-Use or Disposable Flexible Bronchoscopy in Advanced Bronchoscopy Procedures: Experience in a Quaternary Referral Centre.

BACKGROUND: The development of single-use flexible or disposable bronchoscopes (SUFBs) has accelerated in recent years, with the reduced risk of infectious transmission and reduced need for endoscopy staffing particularly advantageous in the COVID-19 pandemic era. OBJECTIVE: The objective of this study was to assess the performance of a novel single-use bronchoscope in an academic quaternary referral centre with on-site interventional pulmonology programme. METHODS: With ethical approval in a quaternary referral centre, we prospectively collected data on sequential bronchoscopy procedures using The Surgical Company Broncoflex© range of SUFBs. Data collected included demographic, procedural, scope performance, user satisfaction, and complication parameters in a tertiary bronchoscopy service. RESULTS: 139 procedures were performed by five pulmonology faculty from January to July 2021. The majority were carried out for infection (45%) and malignancy (32%). Most were performed in the endoscopy suite and 8% were COVID positive or suspected. Most procedures reported the highest score in satisfaction (85%) with technical limitations reported in 15% (predominately related to scope suction or inadequate image quality) reverting to a reusable scope in 2.8 %. CONCLUSION: In our subset of patients in a bronchoscopy unit, SUFBs are safe, and both routine and advanced bronchoscopy procedures can be performed with high satisfaction reported.