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.

COVID-19 in Renal Transplant Recipients - A Single Center Experience from India.

Introduction: The information on the clinical outcome of renal transplant recipients getting COVID-19 infection is sparse. The aim of this study is to report a single-center experience of renal transplant recipients with COVID-19 from India. Methods: This was a retrospective study of 23 consecutive renal transplant recipients with COVID-19 infection presenting to our center from May 2020 to August 2020. Clinical parameters, laboratory values, imaging characteristics, and outcome of the patients were collected and analyzed. Results: Median follow-up duration was 36 (range: 10-110) days. Median age of patients was 54 (23-70) years, and 87% were male. Median duration since transplant was 69 (range: 15-132) months. The most common presenting feature was fever (82.6%), followed by breathlessness (43.5%) and cough (30.4%). Hospitalization rate was 52.2%, while 34.8% required ICU care. Severe to critical disease was seen in 39.1% of patients, and 17.4% required mechanical ventilation. Patients with severe disease had a higher incidence of lymphopenia (P = 0.005) when compared to the ones with mild to moderate disease. Acute kidney injury was seen in 39.1% of patients, and 13% required dialysis. Mortality rate was 13% overall, and 25% in those hospitalized. Conclusion: Renal transplant recipients with COVID-19 have a poor outcome. Although not all of them need hospitalization, they should be monitored closely. Immunosuppression minimization is an important part of the treatment strategy.

Human health risk assessment of heavy metal and pathogenic contamination in surface water of the Punnakayal estuary, South India.

Variation in levels of toxic heavy metals in river system during the COVID-19 pandemic lockdown might potentially assist in development of a public health risk mitigation system associated with the water consumption. The water quality of Punnakayal estuary in the Thamirabarani River system from the south India, a vital source of water for drinking and domestic purposes, industrial usage, and irrigation was assessed here. A comparitive assessment of physico-chemical variables (pH, EC, TDS, DO, BOD, turbidity and NO3), microbiological parameters (total coliform bacteria, fecal coliform bacteria, fecal streptococci and escherichia coli) and toxic metals (As, Cr, Fe, Cu, Zn, Cd, and Pb) suggested a decrease of 20% in the contaminant ratio during the lockdown period in comparison to the pre-lockdown period. The Health risk assessment models (HQ, HI, and TCR) highlighted carcinogenic and non-carcinogenic hazards for both children and adults through the ingestion and dermal adsorption exposures. The HI values for both As and Cr exceeded the acceptable limit (>1) during the lockdown period, but the potential risk for children and adults remained low in compaisio with the pre-lockdown period. Our results suggested that the Thamirabarani River system remained hostile to human health even during the lockdown period, and it requires regular monitoring through a volunteer water quality committee with private and government participations.

Conducting mass gathering events during the COVID-19 pandemic: a case study of Kumbh Mela 2021 as a potential 'super spreader event'.

BACKGROUND: With the emergence of novel pathogens, there is a worldwide debate on the cancellation or conduction of mass gathering events. METHODS: In the current coronavirus disease-2019 (COVID-19) pandemic situation, this study assesses the challenges in the conduction of the recently held Kumbh Mela mass gathering (MG), which took place from 14th January 2021 to 29th April 2021 at Haridwar, the capital city of the state of Uttarakhand, India. The correlation between increased cases of COVID-19 and the Kumbh Mela MG has been highlighted through statistical analysis and growth curves using the available data. RESULTS: The Kumbh Mela-2021 emerged as a potential super spreader event with an increase of 37 cases per day to 144 cases per day (276%) in the COVID-19 cases in Haridwar. An increase from 138 to 480 cases per day (236%) and from 45 600 to 92 754 cases per day (92%) was noted in Uttarakhand and India respectively during this MG. A very strong correlation of 'more than 0.99' was seen between the number of cumulative cases of COVID-19 in Uttarakhand and Haridwar, and Haridwar and India during the Kumbh Mela in the third wave of the pandemic. CONCLUSIONS: The direct influence of Kumbh Mela on the increase in the overall number of COVID-19 cases is observed. Although, the socio-cultural, psychological and economical advantages of MGs are considerable in a developing nation like India, but organization of such events can be a huge health hazard. The lack of efficient implementation and observance of COVID-19 guidelines elevates the necessity of cancellation of such MGs to prevent the outbreak of diseases. Thus, a well-conducted risk assessment prior to the hosting of a MG event during a pandemic is required with strict application of precautionary measures towards prevention of super-spreader events.

Appraisal of COVID-19 lockdown and unlocking effects on the air quality of North India.

The COVID-19 pandemic lockdown supposedly provided a 'window' of reinstatement to natural resources including the air quality, but the scenario after the phased unlocking is yet to be explored. Consequently, here we evaluated the status of air quality during the 8th phase of unlocking of COVID-19 lockdown (January 2021) at three locations of North India. The first site (S1) was located at Punjab Agricultural University, Ludhiana-PPCB; the second site (S2) at Yamunapuram, Bulandshahr-UPPCB; and the third site (S3) at Okhla Phase-2, Delhi-DPCC. The levels of PM2.5 showed a significant increase of 525.2%, 281.2%, and 185.0% at sites S1, S2 and S3, respectively in the unlock 8 (January 2021), in comparison to its concentration in the lockdown phase. Coherently, the levels of PM10 also showed a prominent increase of 284.5%, 189.1%, and 103.9% at sites S3, S1, and S2, respectively during the unlock 8 as compared to its concentration in the lockdown phase. This rise in the concentration of PM2.5 and PM10 could be primarily attributed to the use of biomass fuel, industrial and vehicular emissions, stubble burning considering the agricultural activities at sites S1 and S2. Site S3 is a major industrial hub and has the highest population density among all three sites. Consequently, the maximum increase (295.7%) in the NO2 levels during the unlock 8 was witnessed at site S3. The strong correlation between PM2.5, PM10, and CO, along with the PM2.5/PM10 ratio confirmed the similar origin of these pollutants at all the three sites. The improvements in the levels of air quality during the COVID-19 lockdown were major overtaken during the various phases of unlocking consequent to the initiation of anthropogenic processes.

Assessment of the impact of COVID-19 lockdown on the heavy metal pollution in the River Gomti, Lucknow city, Uttar Pradesh, India

Abstract In the current study, attempts were made to analyze the effect of COVID-19 lockdown on the heavy metal concentrations in River Gomti through comparison with pre-COVID-19 lockdown status. The concentration of all the six heavy metals (As, Cd, Cr, Fe, Mn, and Pb) clearly shows a significant reduction, highlighting the impact of closure of agricultural, industrial, and commercial activities. The values of heavy metal pollution index (HPI) at all sites have also decreased with the maximum improvement at Site S1 (Chandrika Devi), signifying the impact of reduced agricultural runoff into the river from nearby fields. The correlation analysis stated a strong correlation between HPI and Cd, signifying the relatively high weightage of Cd in pollution levels. Findings from the Caboi diagram suggest classification of all water samples under the ?near neutral-low metal? category.

Effect of COVID-19 lockdown on the water quality index of River Gomti, India, with potential hazard of faecal-oral transmission.

The COVID-19 lockdown has been reported as a "ventilator" for the reinstatement of natural resources across the globe. Hence, the present study attempts to evaluate the impact of COVID-19 lockdown on the water quality of River Gomti across its stretch of ~960 km through the assessment of 'Water Quality Index' (WQI). The study also highlights the potential risk of faecal-oral transmission of COVID-19 through intake of river water facing the issue of direct discharge of domestic sewage. A deterioration in the water quality was witnessed at ~69% sampling locations during the lockdown period (May 2020). Interestingly, none of the water samples during the pre-lockdown, lockdown, and post-lockdown periods across the whole stretch belonged to the "excellent" category (WQI<25). The DO levels fell across ~69% and ~88% of the sites during the lockdown and post-lockdown periods, respectively. Moreover, there was an increase in the BOD5 levels across ~69% and 75% of the sites during lockdown and post-lockdown periods, respectively. These findings indicate that the release of sewage without or with partial treatment is a chief contributor of water pollution in the groundwater fed River Gomti. Thereby, highlighting the possible risk of faecal-oral transmission of the corona virus, and creating a major concern for the residents across its stretch. The urban sprawl and riverfront development in Lucknow city also emerge as potential causes of water quality deterioration in River Gomti, considering that the water quality at five sites within the city was under the "unfit" category regardless of the lockdown situation. Thus, the urgent need of management of domestic sewage release into the river and further research on the potential risk of faecal-oral transmission of COVID-19 have been suggested in the study.