Assessing Physiochemical Characteristics of Agricultural Waste and Ready Compost at Wadi Al-Far'a Watershed of Palestine.

The Wadi Al-Far'a Watershed (WFW) is one of the most important agricultural lands in Palestine where considerable amounts of organic wastes are generated. Yet, mismanagement of agricultural waste, including random disposal and/or burning, is a prevalent practice in the WFW. Such a practice might result in greenhouse gas emissions and leachate penetration into underlying soil and groundwater. To encourage compost production in the WFW as an efficient way for organic agricultural waste treatment and emission reduction, this study aims at evaluating the quality of both raw organic agricultural waste and ready compost, locally produced or imported. The evaluation considers the physiochemical characteristics as well as the heavy metal contents. The analysis of 17 samples of raw organic agricultural waste showed a good potential for compost production due to the high content of organic matter and other nutrients such as nitrogen and phosphorus. The analysis of 15 ready compost samples, however, showed that compost quality is relatively low due to the high electrical conductivity and low moisture content measurements as well as the high levels of sodium, chloride, and potassium. Furthermore, heavy metal contents of both raw organic agricultural waste and ready compost samples are less than the limits specified by the Palestinian and international standards. Therefore, local farmers can safely use raw organic agricultural waste generated in the WFW for compost production. Composting will not only enhance soil reclamation and crop production but also protect human health and the environment and promote sustainable economic development.

Evaluating strategies for sustainable recovery and recycling of plastic waste in the West Bank of Palestine: The perspectives of plastic companies.

The plastic waste (PW) makes up the second largest portion of the total solid waste generated in Palestine. Hence, it is important to consider proper PW management mainly through recovery and recycling and implement appropriate strategies. This study aims to identify and evaluate the social, legal, technological, environmental, and economic strategies that can positively motivate plastic manufacturing and/or recycling companies to recover and recycle PW. A structured questionnaire was developed to address 30 plastic companies in the West Bank. The results indicate that 80% of the companies supported the social strategies that implement community awareness programs. Almost 92% of the companies agreed with legal strategies which enforce legislations to support PW recovery and recycling practices. As for technological strategies, 76% of the companies endorsed the application of modern technologies for PW management. However, only 68% of the companies accepted the environmental strategies which promote life cycle assessment and environmental awareness programs and adopted the use of recycled plastic materials in manufacturing from the context of the economic and market strategies. Palestinians are invited to implement PW recovery and recycling practices to better utilize available resources, achieve sustainable management of solid waste, and promote environmental health.

Assessment of water and sanitation systems at Palestinian healthcare facilities: pre- and post-COVID-19.

The availability of safe drinking water and the proper management of wastewater in healthcare facilities are important pillars for maintaining safety of workers, patients, and visitors and protecting human health and environment. Water and sanitation services at 495 healthcare facilities in the West Bank of Palestine are assessed using the results of PCBS and MoH (2014) survey study. Services are reassessed after the COVID-10 pandemic using personal interviews with experts from healthcare facilities, regulatory authorities, and service providers. The results show that 92.1% of healthcare facilities were connected to public water networks, 12.9% of them purchased water tanks, and 10.8% of them depended on harvested rainwater which may cause contamination and waterborne diseases. Regardless the source of freshwater, the water quality has to be regularly examined and compared to local guidelines and international standards for health promotion. Almost 63.4% of healthcare facilities were not connected to wastewater networks and used either tight or porous cesspits. Once these cesspits are filled off, wastewater is randomly disposed into nearby valleys causing adverse environmental impacts on air, water, and land resources. Medical wastewater of hazardous substances should be treated before discharged to wastewater networks. Experts assured that although heightened procedures have been made by service providers to curb the spread of the COVID-19 disease, yet, more consistent protocols and stringent procedures are crucial. There have not been any new directives or procedures regarding the management of water supplies and wastewater services in the healthcare facilities. Stakeholder collaboration can help prevent the COVID-19 disease.

Inventory of main greenhouse gas emissions from energy sector in Palestine.

This paper analyzes the building process of the main greenhouse gas (GHG) emissions (CO2, CH4 and N2O) inventory from the energy sector in Palestine. The paper includes determination tools, i.e., emission factors, to estimate the amounts of national GHG emissions from sub-sectors of energy including energy industries, manufacturing industries and construction, transport and other sectors (households, agriculture and commerce and public services). The results show that the total amount of national GHG emissions from the energy sector in 2016 was 4131 thousand metric tons of CO2-equivalent (TtCO2e), which represented 0.011% of the total global GHG emissions. The average value of GHG emissions per capita from the energy sector was 0.86 tCO2e in Palestine, and its gross domestic product was estimated at 3212 $/ton of CO2e. The estimated amounts of CO2, CH4 and N2O emission from the energy sector were 4022, 49 and 60 TtCO2e, respectively. The transport and household sub-sectors dominated the national GHG emissions from the entire energy sector by 58 and 32%, respectively. In general, fuels including diesel, gasoline, wood and charcoal and liquefied petroleum gas made most of the total amount of the national GHG emissions from the energy sector at 50, 18, 18 and 12%, respectively. Finally, the mitigation actions included in the first nationally determined contribution of Palestine and recommendations to help lower the national GHG emissions from the Palestinian energy sector are provided.

Medical waste management at three hospitals in Jenin district, Palestine.

Medical wastes are considered hazardous because they may possess infectious agents and can cause unsafe effects on the environment and human health. This study is to analyze and evaluate the current status of medical waste management at Jenin's district in light of medical waste control regulations recommended by the World Health Organization. The results demonstrated that the average hazardous healthcare waste generation rate ranges from 0.54 to 1.82 kg/bed/day with a weighted average of 0.78 kg/bed/day. There was no established waste segregation of healthcare waste types in all hospitals, and these wastes were finally disposed of in a centralized municipal sanitary landfill, namely Zahrat Al-Finjan. The results suggest that there is a need for activation and enforcement of medical waste laws. This can be achieved through cooperation among key actors: Ministry of Health, Environmental Quality Authority, Ministry of Local Government, and Non-Governmental Organizations working in related fields. Additional remediation measures proposed to tackle the problematic areas of medical waste management in Jenin's district hospitals are addressed. Some recommendations to minimize potential health and environmental risks of medical waste are also introduced.

Bibliometric analysis of global publications in medication adherence (1900-2017).

OBJECTIVES: Medication non-adherence is a worldwide problem. The aim of this study was to assess the global research output, research trends and topics that shaped medication adherence research. METHODS: A bibliometric methodology was applied. Keywords related to 'medication adherence' were searched in Scopus database for all times up to 31 December 2017. Retrieved data were analyzsd, and bibliometric indicators and maps were presented. KEY FINDINGS: In total, 16 133 documents were retrieved. Most frequently encountered author keywords, other than adherence/compliance, were HIV, hypertension, diabetes mellitus, schizophrenia, depression, osteoporosis, asthma and quality of life. The number of documents published from 2008 to 2017 represented 62.0% (n = 10 005) of the total retrieved documents. The h-index of the retrieved documents was 223. The USA ranked first (43.1%; n = 6959), followed by the UK (8.6%; n = 1384) and Canada (4.5%; n = 796). The USA dominated the lists of active authors and institutions. Top active journals in publishing research on medication adherence were mainly in the field of AIDS. Top-cited articles in the field focused on adherence to anti-HIV medications, the impact of depression on medication adherence and barriers to adherence. CONCLUSION: Adherence among HIV patients dominated the field of medication adherence. Research on medication adherence needs to be strengthened in all countries and in different types of chronic diseases. Research collaboration should also be encouraged to increase research activity on medication adherence in developing countries.

Bibliometric analysis of worldwide scientific literature in mobile - health: 2006-2016.

BACKGROUND: The advancement of mobile technology had positively influenced healthcare services. An emerging subfield of mobile technology is mobile health (m-Health) in which mobile applications are used for health purposes. The aim of this study was to analyze and assess literature published in the field of m-Health. METHODS: SciVerse Scopus was used to retrieve literature in m-Health. The study period was set from 2006 to 2016. ArcGIS 10.1 was used to present geographical distribution of publications while VOSviewer was used for data visualization. Growth of publications, citation analysis, and research productivity were presented using standard bibliometric indicators. RESULTS: During the study period, a total of 5465 documents were published, giving an average of 496.8 documents per year. The h-index of retrieved documents was 81. Core keywords used in literature pertaining to m-Health included diabetes mellitus, adherence, and obesity among others. Relative growth rate and doubling time of retrieved literature were stable from 2009 to 2015 indicating exponential growth of literature in this field. A total of 4638 (84.9%) documents were multi-authored with a mean collaboration index of 4.1 authors per article. The United States of America ranked first in productivity with 1926 (35.2%) published documents. India ranked sixth with 183 (3.3%) documents while China ranked seventh with 155(2.8%) documents. VA Medical Center was the most prolific organization/institution while Journal of Medical Internet Research was the preferred journal for publications in the field of m-Health. Top cited articles in the field of m-Health included the use of mobile technology in improving adherence in HIV patients, weight loss, and improving glycemic control in diabetic patients. CONCLUSION: The size of literature in m-Health showed a noticeable increase in the past decade. Given the large volume of citations received in this field, it is expected that applications of m-Health will be seen into various health aspects and health services. Research in m-Health needs to be encouraged, particularly in the fight against AIDS, poor medication adherence, glycemic control in Africa and other low income world regions where technology can improve health services and decrease disease burden.

Factors affecting the sustainability of solid waste management system-the case of Palestine.

Understanding the predictors of sustainability in solid waste management (SWM) systems can significantly contribute to eliminate many waste management problems. In this paper, the sustainability elements of SWM systems of interest are (1) attitudes toward separation at the source, (2) behaviour regarding reuse and/or recycling and (3) willingness to pay for an improved service of SWM. The predictors affecting these three elements were studied in two Palestinian cities: Ramallah and Jericho. The data were collected via structured questionnaires and direct interviews with the respondents, and the analysis utilized a logistic regression model. The results showed that the place of residence and dwelling premises are the significant factors influencing attitudes toward separation at the source; the place of residence and age are the significant factors explaining behaviour regarding reuse and/or recycling; while the dwelling premises, gender, level of education and being received education on waste management are the significant factors affecting willingness to pay for an improved service of SWM.