Challenges faced in biomedical waste management by waste handlers amidst the COVID-19 pandemic in a tertiary care hospital: a qualitative study

Introduction : Coronavirus disease 2019 (COVID-19) saw an overhaul in the biomedical waste management (BMWM) practices. Waste handlers were at the brunt of these changes. If the challenges pertaining to BMWM at the ground level are better understood, more effective measures to overcome them can be formulated. Objectives: 1. To identify myths and concerns regarding BMWM in the context of COVID-19 pandemic. 2. To explore the challenges faced in BMWM amidst the COVID-19 pandemic. 3.To explore opportunities and future perspectives of BMWM. Method: In-depth interviews were conducted among 17 purposively selected Class IV health care workers during August to November 2021 in a tertiary care institute in Mumbai. Data was reported using thematic analysis. Results: Three major themes - challenges and concerns faced by BMW handlers, enablers/motivators, opportunities and future practices were generated from the transcripts. Various challenges faced by waste handlers were- difficulties in segregation and transport of BMW, exhaustion from PPE usage and fear of acquiring and spreading COVID-19 from work, stigma faced from public, and handling COVID-19 deaths. Support from family and colleagues, incentives and a positive change in public perception enabled them to work. Forming redressal committees, addressing job security concerns and timely provision of good quality equipment can improve hospital waste management measures in the future. Conclusion: It is of utmost importance to address challenges faced by waste handlers in BMWM. Onus should also be on periodic training in BMWM.

Prospects of TiO2-based photocatalytic degradation of microplastic leachates related disposable facemask, a major COVID-19 waste

COVID-19 is one of the serious catastrophes that have a substantial influence on human health and the environment. Diverse preventive actions were implemented globally to limit its spread and transmission. Personnel protective equipment (PPE) was an important part of these control approaches. But unfortunately, these types of PPE mainly comprise plastics, which sparked challenges in the management of plastic waste. Disposable face masks (DFM) are one of the efficient strategies used across the world to ward off disease transmission. DFMs can contribute to micro and nano plastic pollution as the plastic present in the mask may degrade when exposed to certain environmental conditions. Microplastics (MPs) can enter the food chain and devastate human health. Recognizing the possible environmental risks associated with the inappropriate disposal of masks, it is crucial to avert it from becoming the next plastic crisis. To address this environmental threat, titanium dioxide (TiO2)-based photocatalytic degradation (PCD) of MPs is one of the promising approaches. TiO2-based photocatalysts exhibit excellent plastic degradation potential due to their outstanding photocatalytic ability, cost efficiency, chemical, and thermal stability. In this review, we have discussed the reports on COVID-19 waste generation, the limitation of current waste management techniques, and the environmental impact of MPs leachates from DFMs. Mainly, the prominence of TiO2 in the PCD and the applications of TiO2-based photocatalysts in MPs degradation are the prime highlights of this review. Additionally, various synthesis methods to enhance the photocatalytic performance of TiO2 and the mechanism of PCD are also discussed. Furthermore, current challenges and the future research perspective on the improvement of this approach have been proposed.

Evaluation of animal biosafety webinar series for professionals working in animal facilities across Pakistan during the COVID-19 pandemic

Experimental research with animals can help the prevention, cure, and alleviation of human ailments. Animal research facilities are critical for scientific advancement, but they can also pose a higher risk than other biomedical laboratories. Zoonosis, allergic reactions, bites, cuts, and scratches by animals are all substantial concerns that can occur in animal facilities. Furthermore, human error and unexpected animal behavior pose a risk not just to humans, but also to the environment and the animals themselves. The majority of biosafety and biosecurity training programs focus on clinical and biomedical laboratories dealing with human safety factors, with little emphasis on animal biosafety. The current virtual training was designed to improve biosafety and biosecurity capabilities of animal laboratory personnel, researchers, and veterinarians from different regions of Pakistan. The results revealed that understanding was improved regarding triggers for risk assessment in addition to annual and regular reviews (56% to 69%), biosecurity (21% to 50%), decontamination (17% to 35%), safe handling of sharps (21% to 35%), Dual Use Research of Concern (DURC) (17% to 40%), Personal Protective Equipment (PPE) usage by waste handlers (60.9% to 75%), waste management (56% to 85%), animal biosafety levels (40.57% to 45%), and good microbiological practices and procedures (17% to 35%). To bring human and animal laboratories up to the same level in terms of biosafety and biosecurity, it is critical to focus on areas that have been overlooked in the past. Training programs focusing on animal biosafety should be conducted more frequently to strengthen bio risk management systems in animal research facilities.Copyright © 2021

Biomedical waste management during pandemics

For many years, proper biomedical waste (BMW) management in line with the rules was among the overlooked components of health care. Biomedical waste presents a series of environmental contamination. As a result, it must be treated using extreme caution and disposed of properly. There are a few gaps in the handling of biological generated waste, and the coronavirus epidemic has made it very hard. The virus's quick breakout resulted in a massive increase in the amount of biohazardous matter. The COVID-19 epidemic's devastation has altered global waste generation trends, needing special attention. Sudden variations in trash generation and volume need a dynamic response from authorities. This study highlights the problems that the collection and recycling business faces even after a pandemic, as well as the basic possibility to eliminate current framework faults. The study covers specific situations for handling medical waste, polymeric garbage, and recycling bins, which were all major causes of concerns all through this time period. We also go over successful stakeholder involvement and teamwork.The existence of illness sewage treatment in regular effluent created offers significant dangers and liabilities to hygiene workers. Small metal usage is predicted to recover as a result of rising hygiene concerns, particularly from items used for safety precautions and medication. The research further underlines the significance of creating localized, streamlined supply channels to deal with these kinds of situations in the case of unanticipated devastating catastrophes. Despite presenting unique solutions to existing recycling challenges, the paper also presents numerous crucial recommendations to regulators to enable them to cope with any potential outbreaks in a holistic way. © 2023 Author(s).

A fuzzy sustainable model for COVID-19 medical waste supply chain network

The COVID-19 has placed pandemic modeling at the forefront of the whole world's public policymaking. Nonetheless, forecasting and modeling the COVID-19 medical waste with a detoxification center of the COVID-19 medical wastes remains a challenge. This work presents a Fuzzy Inference System to forecast the COVID-19 medical wastes. Then, people are divided into five categories are divided according to the symptoms of the disease into healthy people, suspicious, suspected of mild COVID-19, and suspicious of intense COVID-19. In this regard, a new fuzzy sustainable model for COVID-19 medical waste supply chain network for location and allocation decisions considering waste management is developed for the first time. The main purpose of this paper is to minimize supply chain costs, the environmental impact of medical waste, and to establish detoxification centers and control the social responsibility centers in the COVID-19 outbreak. To show the performance of the suggested model, sensitivity analysis is performed on important parameters. A real case study in Iran/Tehran is suggested to validate the proposed model. Classifying people into different groups, considering sustainability in COVID 19 medical waste supply chain network and examining new artificial intelligence methods based on TS and GOA algorithms are among the contributions of this paper. Results show that the decision-makers should use an FIS to forecast COVID-19 medical waste and employ a detoxification center of the COVID-19 medical wastes to reduce outbreaks of this pandemic. © 2023, Crown.

Health is complex, the solutions are long term

The debate on folic acid fortification of food to prevent neural tube defects in babies, for example, hasn't progressed in more than two decades (doi:10.1136/bmj.p1158).8 The worrying rise in perinatal suicides requires better funded services and support for women and young families to prevent deaths (doi:10.1136/bmj-2023-075414).9 And are the mandatory school inspections that harm the mental health of teaching staff even necessary (doi:10.1136/bmj.p1147)?10 The same applies to overzealous and discriminatory processes implemented by medical regulatory bodies such as the General Medical Council, despite claims of improvement by its chief executive (doi:10.1136/bmj.p1295 doi:10.1136/bmj.p1252).1112 The prevention principle would urge us to support a ban on vaping (doi:10.1136/bmj.p1266) and consider new options for reducing the number of days people experience migraines (doi:10.1136/bmj.p1249).1314 It would also induce bewilderment at the decision to wind down the UK's world leading covid surveillance network when covid-19 is still with us and future pandemics are inevitable (doi:10.1136/bmj.p1157).15 It would not, however, lend support to a non-evidence based screening programme for haemochromatosis (doi:10.1136/bmj.p1264).16 The first steps of an "avoid, reduce, reuse, recycle, research, rethink” framework (doi:10.1136/bmj-2021-069044) focus on better clinical practice that avoids low value care and inappropriate admissions and minimises blood tests and other interventions.17 This latest article in our series on achieving net zero and environmental sustainability in clinical practice examines critical care. The challenge isn't entirely a clinical one, because achieving net zero will depend on commitment across healthcare professions, engineering, waste management, hospital leadership, and beyond. A research paper assessing the value of routine monitoring of people being treated with methotrexate finds that frequency of monitoring should be adjusted according to risk, reducing the burden of work on clinical staff and making life more manageable for patients (doi:10.1136/bmj-2022-074678 doi:10.1136/bmj.p1120).1819 The difficulty here is one of getting research into practice, a timescale of 17 years by some estimates.

Preface

The title of the ConferenceXXII Conference of PhD Students and Young Scientists "Interdisciplinary topics in mining and geology”The location and the date of the conferencevirtual event – online conference, June 29th to July 1st, 2022 in Wrocław, PolandXXIInd Conference of PhD Students and Young Scientists "Interdisciplinary topics in mining and geology” continues a series of events that started in 2000 at Wrocław University of Science and Technology. Scientific programme of the Conference focuses on four thematic panels:1. Mining Engineering: sustainable development, digitalisation in mining, problems of securing, protecting and using remnants of old mining works, underground mining, opencast mining, mineral processing, waste management, mining machinery, mine transport, economics in mining, mining aeronautics, ventilation and air conditioning in mines,2. Earth and Space Sciences: geology, hydrogeology, environmental protection, extraterrestrial resources, groundwater and medicinal waters, engineering and environmental protection, geotourism,3. Geoengineering: environmental protection, applied geotechnics, rock and soil mechanics, geohazards,4. Geoinformation: mining geodesy, GIS, photogrammetry and remote sensing, geodata modeling and analysis.The XXII Conference of PhD Students and Young Scientists was held as a virtual event, that is as a virtual, online conference in real-time. The reason why the Organizing Committee decided to change the traditional formula of the event to online formula was related to the concern for the health of the participants due to the COVID-19 epidemic.The XXII Conference of PhD Students and Young Scientists took place from June 29th to July 1st, 2022 in Wroclaw, Poland. That is the organizers worked and managed the event from the Wrocław University of Science and Technology Geocentre building. Because the conference focused on four thematic panels, four different special opening lectures were delivered by wellknown scientists- Professor Jan Zalasiewicz (University of Leicester, England)- Associate Professor Artur Krawczyk (AGH University of Science and Technology, Poland)- Professor Biljana Kovacević-Zelić (University of Zagreb, Croatia)- Assistant Professor Eduard Kan (Tashkent Institute of Irrigation and Agricultural Mechanizations Engineers, Uzbekistan).The Conference was divided into 8 oral sessions (with 33 presentations) and 1 poster session (with 33 posters). The amount of time provided to one presentation was 15 minutes, after presentation there was 5 minutes available for discussion. The poster session was available throughout the event, and the posters were available for online viewing on the Conference's website with the possibility of make discussion and ask questions in real time via zoom meeting application as well. Every day of the Conference one "virtual coffee break” was devoted for discussion between participants and question and answer session for the Organizers.There were 96 registered participants from 13 countries. The online XXII Conference of PhD Students and Young Scientists was conducted using the Zoom meeting platform with commemorative screen shots taken. By tradition two competitions, for the best oral presentation and for the best poster were held. The award for the best oral presentation was given ex aequo to Julia Tiganj (TH Georg Agricola University of Applied Sciences, Germany) for the presentation entitled Post-mining goes international: hurdles to climate neutrality using the example of China and Oksana Khomiak, Jörg Benndorf (TU Bergakademie Freiberg, Germany) for the presentation entitled Spectral analysis of ore hyperspectral images at different stages of the mining value chain, whereas the best poster was awarded to Adam Wróblewski, Jacek Wodecki, Paweł Trybała, Radosław Zimroz (Wrocław University of Science and technology, Poland) for the poster entitled Large underground structures geometry evaluation based on point cloud data analysis.List of Scientific Committee, Organizing Committee, Editorial Team are available i this pdf.

A data-driven optimization model to response to COVID-19 pandemic: a case study.

COVID-19 is a highly prevalent disease that has led to numerous predicaments for healthcare systems worldwide. Owing to the significant influx of patients and limited resources of health services, there have been several limitations associated with patients' hospitalization. These limitations can cause an increment in the COVID-19-related mortality due to the lack of appropriate medical services. They can also elevate the risk of infection in the rest of the population. The present study aims to investigate a two-phase approach to designing a supply chain network for hospitalizing patients in the existing and temporary hospitals, efficiently distributing medications and medical items needed by patients, and managing the waste created in hospitals. Since the number of future patients is uncertain, in the first phase, trained Artificial Neural Networks with historical data forecast the number of patients in future periods and generate scenarios. Through the use of the K-Means method, these scenarios are reduced. In the second phase, a multi-objective, multi-period, data-driven two-stage stochastic programming is developed using the acquired scenarios in the previous phase concerning the uncertainty and disruption in facilities. The objectives of the proposed model include maximizing the minimum allocation-to-demand ratio, minimizing the total risk of disease spread, and minimizing the total transportation time. Furthermore, a real case study is investigated in Tehran, the capital of Iran. The results showed that the areas with the highest population density and no facilities near them have been selected for the location of temporary facilities. Among temporary facilities, temporary hospitals can allocate up to 2.6% of the total demand, which puts pressure on the existing hospitals to be removed. Furthermore, the results indicated that the allocation-to-demand ratio can remain at an ideal level when disruptions occur by considering temporary facilities. Our analyses focus on: (1) Examining demand forecasting error and generated scenarios in the first phase, (2) exploring the impact of demand parameters on the allocation-to-demand ratio, total time and total risk, (3) investigating the strategy of utilizing temporary hospitals to address sudden changes in demand, (4) evaluating the effect of disruption to facilities on the supply chain network.

An overview for biomedical waste management during pandemic like COVID-19.

Amid COVID-19, world has gone under environmental reformation in terms of clean rivers and blue skies, whereas, generation of biomedical waste management has emerged as a big threat for the whole world, especially in the developing nations. Appropriate biomedical waste management has become a prime concern worldwide in the pandemic era of COVID-19 as it may affect environment and living organisms up to a great extent. The problem has been increased many folds because of unexpected generations of hazardous biomedical waste which needs extraordinary attentions. In this paper, the impacts and future challenges of solid waste management especially the biomedical waste management on environment and human beings have been discussed amid COVID-19 pandemic. The paper also recommends some guidelines to manage the bulk of medical wastes for the protection of human health and environment. The paper summarizes better management practices for the wastes including optimizing the decision process, infrastructure, upgrading treatment methods and other activities related with the biological disasters like COVID-19. As achieved in the past for viral disinfection, use of UV- rays with proper precautions can also be explored for COVID-19 disinfection. For biomedical waste management, thermal treatment of waste can be an alternative, as it can generate energy along with reducing waste volume by 80-95%. The Asian Development Bank observed that additional biomedical waste was generated ranged from 154 to 280 tons/day during the peak of COVID-19 pandemic in Asian megacities such as Manila, Jakarta, Wuhan, Bangkok, Hanoi, Kuala Lumpur.

Economically viable flower drying techniques to sustain flower industry amid COVID-19 pandemic.

Imposing lockdown amid COVID-19 pandemic has severely affected flower cultivation and their trades. Flower plants are very sensitive to the harvesting, and any unexpected delay may cause great loss (~ 50-60%) to the farmers. In 2018-2019, the worth of total production of floriculture products was ~ Rs 571.38 crore. During lockdown, the availability of human laborers and restricted transport has disrupted the supply of flowers to the market. Hence, some alternative options are suggested here for the farmers, for example, conversion of decorative flowers (e.g., anthurium, China aster, globe amaranthus, sweet-william, anemone, sea lavender, etc.) and inflorescence (e.g., Michaelmas daisy, zinnia, statice, ferns, aspidistra, eucalyptus, magnolia, etc.) can also be into value-added products through drying and dehydration technologies. Many dehydration methods such as hot air oven, solar drying, press drying, freeze-drying, embedded drying, glycerine drying, and microwave oven drying polyester drying can be used for flower drying at room temperature (~ 25 °C). These floral and foliage dehydration techniques are quite simple, which can also be operated by unskilled persons. Moreover, it will generate self-employment for the youth and women along with increased revenue than selling fresh flowers. In this review, different techniques of flower drying have been discussed in detail along with the influencing factors, efficiency, economic feasibility, flower waste management and sustainability. Further, it has also been suggested how these techniques could be useful for farmers, researchers, and traders to create value-added products? Hence, the present paper could be very interesting for the flower growers, retailers, students, as well as floricultural scientists who are involved in flower production worldwide.

The impact and effectiveness of the general public wearing masks to reduce the spread of pandemics in the UK: a multidisciplinary comparison of single-use masks versus reusable face masks.

During the coronavirus (COVID-19) pandemic, the UK government mandated the use of face masks in various public settings and recommended the use of reusable masks to combat shortages of medically graded single-use masks in healthcare. To assist decision-making on the choice of masks for future pandemics, where shortages may not be a contributing factor, the University College London (UCL) Plastic Waste Innovation Hub has carried out a multidisciplinary comparison between single-use and reusable masks based on their anatomy, standalone effectiveness, behavioural considerations, environmental impact and costs. Although current single-use masks have a higher standalone effectiveness against bacteria and viruses, studies show that reusable masks have adequate performance in slowing infection rates of respiratory viruses. Material flow analysis (MFA), life cycle assessment (LCA) and cost comparison show that reusable masks have a lower environmental and economic impact than single-use masks. If every person in the UK uses one single-use mask each day for a year, it will create a total of 124,000 tonnes of waste, 66,000 tonnes of which would be unrecyclable contaminated plastic waste (the masks), with the rest being the recyclable packaging typically used for transportation and distribution of masks. Using reusable masks creates >85% less waste, generates 3.5 times lower impact on climate change and incurs 3.7 times lower costs. Further behavioural research is necessary to understand the extent and current practices of mask use; and how these practices affect mask effectiveness in reducing infection rates. Wearing single-use masks may be preferred over reusable masks due to perceptions of increased hygiene and convenience. Understanding behaviour towards the regular machine-washing of reusable masks for their effective reuse is key to maximise their public health benefits and minimise environmental and economic costs.

Ticking time bomb: implications of the COVID-19 lockdown on e-waste management in developing countries.

The COVID-19 pandemic has altered the course of events globally since the outbreak of coronavirus disease (COVID-19) in late 2019 giving further credence to the long-standing belief that the world is indeed a global village. There have been different responses by countries to the raging pandemic including the imposition of lockdowns, quarantine and isolation. The imposition of lockdowns, whether full or partial, has not been without major consequences, which has led to information, communication and technological (ICT)-based measures to minimise the effect of the lockdown and as an alternative to physical interactions. The use of ICT devices to bridge the gaps created by the lockdown on schools, businesses and other sectors has led to the increased use of electronic devices. The challenge of electronic waste (e-waste) management in developing countries has been around for a while and the increased use of electronic devices is likely to compound the challenge during and post COVID-19. Whilst the development of ICT-based options as viable alternatives to face-to-face interactions may not be a negative development, this article argues that the existing frameworks are inadequate to manage the resultant increase in e-waste in most developing countries and that there is need now more than ever before for developing countries to exercise caution in embracing these ICT-based options without putting in place measures to ensure that there is increased capacity to manage and dispose of the e-waste created.

Bringing trust and transparency to the opaque world of waste management with blockchain: A Polkadot parathread application

The majority of countries are currently struggling with unsustainable levels of waste production and low levels of recycling, particularly relating to household waste, and this area is in urgent need of new solutions. In general, the waste management sector has struggled with low consumer trust, fraud, manipulation, significant manual processes, and low levels of information and control. Recent events relating to the COVID-19 pandemic have highlighted, in particular, the role of trust in effective public policy making and consumer behavioural change. Here we propose a hybrid blockchain solution called a Polkadot parachain. Polkadot is a blockchain technology that connects a network of blockchains, each called a parachain, that can be customised to the business needs of a given application. This solution provides the cost benefits, scalability, and control of a permissioned or private blockchain while providing the security, verifiability, and trust of a public blockchain. The solution is developed with a design science approach and combines three typically separate blockchain use cases: supply chain tracking, incentivisation through a payment system, and gamification to achieve a complete solution for waste management. We provide a detailed discussion on the design of this blockchain solution with the use of blockchain functionality assessed against the criteria and development approaches found in the literature. Finally, we demonstrate how such a blockchain can be implemented with the Substrate blockchain development framework.

A cross-jurisdictional comparison on residential waste collection rates during earlier waves of COVID-19.

There is currently a lack of studies on residential waste collection during COVID-19 in North America. SARIMA models were developed to predict residential waste collection rates (RWCR) across four North American jurisdictions before and during the pandemic. Unlike waste disposal rates, RWCR is relatively less sensitive to the changes in COVID-19 regulatory policies and administrative measures, making RWCR more appropriate for cross-jurisdictional comparisons. It is hypothesized that the use of RWCR in forecasting models will help us to better understand the residential waste generation behaviors in North America. Both SARIMA models performed satisfactorily in predicting Regina's RWCR. The SARIMA DCV model's performance is noticeably better during COVID-19, with a 15.7% lower RMSE than that of the benchmark model (SARIMA BCV). The skewness of overprediction ratios was noticeably different between jurisdictions, and modeling errors were generally lower in less populated cities. Conflicting behavioral changes might have altered the residential waste generation characteristics and recycling behaviors differently across the jurisdictions. Overall, SARIMA DCV performed better in the Canadian jurisdiction than in U.S. jurisdictions, likely due to the model's bias on a less variable input dataset. The use of RWCR in forecasting models helps us to better understand the residential waste generation behaviors in North America and better prepare us for a future global pandemic.

Selected Factors Affecting the Amount of Municipal Waste at Different Administrative Levels in Poland

The amount of generated municipal waste depends not only on the population but also on consumption patterns and economic welfare. The aim of this paper was to present the structure of generated waste over the years in the European Union, Poland, in Subcarpathian Voivodeship, and in Rzeszow. It has been assumed that the SARS-CoV-2 pandemic, the political action of the government, and the higher standard of living of the society are the factors influencing the increase in the amount of waste generated by households and waste segregation. The paper analyses the waste management system using the official data collected and published by Statistics Poland – the Local Data Bank (LBD) and Eurostat. The amount of municipal waste and waste collected selectively from households was probably affected to the greatest extent by local regulations. According to the data presented, a sharp increase in the amount of municipal waste, including bulk waste and bio-waste, was observed in 2013 and 2014, which may be related to the amendment in 2013 applicable in Poland of the Act on maintaining order and cleanliness in communes. Unfortunately in the Eurostat database, no accurate data on selectively collected municipal waste is available, and in LBD this data is available for different time spans depending on the administrative level. This makes it difficult to draw unequivocal conclusions on the amount of generated waste and forecast changes. © 2023, Journal of Ecological Engineering. All Rights Reserved.

Waste Management in the Laboratories of the University of Evora (2007-2021)

Waste generated in university laboratories is an important component of university waste management, especially regarding their hazardousness and, also, the cost involved in their forwarding. To make a good management of this waste, it is essential to know the amount generated and the composition. However, this type of information remains scarce. In this work, waste from the laboratories of the University of evora (Portugal) was surveyed from 2007 to 2021, using existing records. In the 15 years under analysis, the laboratories of the University of evora generated about 61 tonnes of waste, 88% of which were hazardous and 66% were in the liquid state. In addition, only 3% of this waste was subjected to recovery operations. Moreover, the COVID-19 pandemic contributed to a double increase in hospital waste generated and to a substantially decreased of hazardous liquid waste from the laboratory activity, especially in the first year of the pandemic. In 2021, the second year of the pandemic, there was a "return to normality", reaching the highest value of waste generated in the laboratories, of 8.6 tonnes. Finally, possible solutions for improving laboratory waste management were also discussed.

ON BENEFICIAL CONNECTIONS AMONG SHORT AGRI-FOOD SUPPLY CHAINS AND CIRCULAR BIOECONOMY

The concepts of short agri-food supply chains and circular bioeconemy are complementary and mutually reinforcing, while they may play an important role in sustainability transitions. The elimination of middlemen and the possibilities of forward vertical integration of farmers are the key components ofshort agri-food supply chains, while bioeconomy refers to the sustainable production and use of biological resources stemming from forestry, agriculture, fisheries, and waste streams. The development of closed-loop systems where waste is converted into new resources, lies in the core of circular bioeconomy, which seeks to reduce waste and maximize resource usage. A sustainable and regenerative economy where waste is viewed as a resource and the use of finite resources is decreased is what this strategy seeks to achieve. When combined, short agri-food supply chains and circular bioeconomy can support sustainable economic growth, social advancement, and environmental protection by encouraging local manufacturing, minimizing waste, and developing innovative bio-based goods and procedures. In this article, we examine the benefits which occur in short agri-food supply when they adopt the principles of circular bioeconomy. Also, we examine how can the ideas of the circular bioeconomy be applied to short agri-food supply chains in order to minimize waste and maximize resource usage. In addition, we explore the corresponding difficulties and opportunities for creating bio-based goods and procedures in short agri-food supply chains. Last but not least, we discuss the effects of short agri-food supply chains and the circular bioeconomy on global agri-food systems and how these concepts are connected with issues at stake, such as food security and sustainability.

Assessing Ecological and Socio-Economic Attributes in Sustainable Management of Solid Medical Waste in Urban Environment

Unreliable system of solid waste management has hindered performance of public health system in developing countries. This condition was exacerbated by the covid-19 pandemic which posed risk to healthcare staff and public that makes the management of medical waste worsening. This study seeks to analyze the existing conditions of community health centre solid medical waste management from ecological, economic and social aspects in Pekanbaru and to design a solid medical waste management model for community health centres in Pekanbaru by identifying and quantifying ecological and socio-economic attributes to help solid medical monitor waste. A mixed method approach is used in this study with inferential analysis. Data analysis was used to analyze the relationship of ecological, economic and social factors to the management of solid medical waste at community health centres in Pekanbaru. The analysis process included univariate and bivariate analysis using a computerized program. The findings show that monitoring through the waste monitoring application can help monitor waste management in community health centres. As an implication, a solid medical waste management model can be used and implemented to support sustainable solid medical waste management. © 2023 WITPress. All rights reserved.

"The rich will always be able to dispose of their waste": a view from the frontlines of municipal failure in Makhanda, South Africa.

A significant proportion of South African municipalities, who hold the mandate for providing solid waste management (SWM) services for millions of South Africans, appear to be on the brink of collapse. On the frontlines of municipal failure, the city of Makhanda, following two decades of poor governance and mismanagement, has found itself unable to fulfil its mandate, with the state retreating on SWM service provision, and disruptions to waste management services becoming a daily reality. Drawing on embedded, qualitative fieldwork, this article examines how differently placed residents have experienced disruptions to SWM services. This work explores how residents of Makhanda's two halves: the affluent and predominantly white neighbourhoods in the west, and the poor, non-white townships in the east, have (or have not) adapted to manage and dispose of their own waste during periods of disruption. Findings suggest that disruptions to waste management service provision have been broadly experienced by residents. However, the consequences of interruptions to municipal collection have not been evenly borne, as more resourced, western residents have been more successful at managing their own waste disposal, while the residents of Makhanda's townships are less capable of coping, with affected communities coming to resemble a dumping ground, and residents having to adopt unsafe or environmentally harmful disposal practices. These findings are important because they shed light on the challenges of creating cleaner, more equal communities without healthy municipal participation in waste management services, while raising important considerations for a South Africa facing the possibility of widespread municipal collapse.

Optimizing the COVID-19 cold chain vaccine distribution network with medical waste management: A robust optimization approach.

This paper investigates the distribution problem of the COVID-19 vaccine at the provincial level in Turkey and the management of medical waste, considering the cold chain requirements and the perishable nature of vaccines. In this context, a novel multi-period multi-objective mixed-integer linear programming model is initially presented over a 12-month planning horizon for solving the deterministic distribution problem. The model includes newly structured constraints due to the feature of COVID-19 vaccines, which must be administered in two doses at specified intervals. Then, the presented model is tested for the province of Izmir with deterministic data, and the results show that the demand can be satisfied and community immunity can be achieved in the specified planning horizon. Moreover, for the first time, a robust model is created using polyhedral uncertainty sets to manage uncertainties related to supply and demand quantities, storage capacity, and deterioration rate, and it has been analyzed under different uncertainty levels. Accordingly, as the level of uncertainty increases, the percentage of meeting the demand gradually decreases. It is observed that the biggest effect here is the uncertainty in supply, and in the worst case, approximately 30% of the demand cannot be met.