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1.
Water Environ Res ; 93(6): 875-886, 2021 Jun.
Article in English | MEDLINE | ID: mdl-33155372

ABSTRACT

This study has elucidated the mechanisms governing water recovery from blackwater using membrane distillation, and has clarified the role of the organic particle fraction on membrane performance. Whilst fecal pathogen growth was initially observed at lower temperatures, pathogen inactivation was demonstrated over time, due to urea hydrolysis which liberated ammonia in excess of its toxic threshold. During the growth phase, membrane pore size <0.45 µm was sufficient to achieve high log reduction values for Escherichia coli, due to size exclusion complimented by the liquid-vapor interface which enhances selective transport for water. Higher feed temperatures benefitted rejection by promoting thermal inactivation and suppressing urea hydrolysis. Whilst the mechanism is not yet clear, suppression of hydrolysis reduced bicarbonate formation kinetics stabilizing the ammonia-ammonium equilibrium which improved ammonium rejection. Blackwater particle concentration was studied by increasing fecal content. Particle fouling improved selectivity for coarse pore membranes but increased mass transfer resistance which reduced flux. Particle fouling induced wetting as noted by an eventual breakthrough of feed into the permeate. We propose that by incorporating upstream solid-liquid separation for particle separation to limit wetting and mass transfer resistance, membrane distillation can be a reliable solution for the recovery of high-quality permeate from blackwater. PRACTITIONER POINTS: Membrane distillation demonstrated for concentrated blackwater. Multiple factors provide robust pathogen separation (pore size, vapor-liquid interface, temperature, free-ammonia). Excellent water quality produced for feed 40 times more concentrated than wastewater. Removing particle fraction will improve separation robustness and operating longevity.


Subject(s)
Distillation , Water Purification , Membranes, Artificial , Temperature , Wastewater
2.
J Public Health (Oxf) ; 40(2): e171-e179, 2018 06 01.
Article in English | MEDLINE | ID: mdl-28633479

ABSTRACT

Background: Small-area analysis of National Health Service (NHS)-funded sight test uptake in Leeds showed significant inequalities in access among people aged <16 or ≥60. Methods: Data were extracted from 604 126 valid General Ophthalmic Services (GOS)1 claim forms for eye examinations for Essex residents between October 2013 and July 2015. Expected GOS1 uptake for each lower super output area was based on England annual uptake. Poisson regression modelling explored associations in GOS1 uptake ratio with deprivation. Results: People aged ≥60 or <16 living in the least deprived quintile were 15% and 26%, respectively, more likely to have an NHS funded eye examination than the most deprived quintile, although all are equally entitled. GOS1 uptake is higher in the more deprived quintiles among 16-59-year old, as means tested social benefits are the main eligibility criteria in this age-group. Inequalities were also observed at local authority level. Conclusions: Inequalities in access among people ≥60 years were not as large as those reported in Leeds, although inequalities in <16-year old were similar. However, demonstrable inequalities in this data set over a longer time period and a larger and more diverse area than Leeds, reinforce the argument that interventions are needed to address eye examination uptake inequalities.


Subject(s)
Health Services Accessibility/statistics & numerical data , Healthcare Disparities/statistics & numerical data , Vision Tests/statistics & numerical data , Adolescent , Adult , Age Distribution , Aged , England , Female , Geography , Humans , Male , Middle Aged , Poisson Distribution , Small-Area Analysis , Socioeconomic Factors , State Medicine , Young Adult
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