Surveillance of traffic incident management-related occupational fatalities in Kentucky, 2005-2016.

OBJECTIVE: Traffic incidents occurring on roadways require the coordinated effort of multiple responder and recovery entities, including communications, law enforcement, fire and rescue, emergency medical services, hazardous materials, transportation agencies, and towing and recovery. The objectives of this study were to (1) identify and characterize transportation incident management (TIM)-related occupational fatalities; (2) assess concordance of surveillance data sources in identifying TIM occupations, driver vs. pedestrian status, and occupational fatality incident location; and (3) determine and compare U.S. occupational fatality rates for TIM industries. METHODS: The Kentucky Fatality Assessment and Control Evaluation (FACE) program analyzed 2005-2016 TIM occupational fatality data using multiple data sources: death certificate data, Collision Report Analysis for Safer Highways (CRASH) data, and media reports, among others. Literal text analysis was performed on FACE data, and a multiple linear regression model and SAS proc sgpanel were used to estimate and visualize the U.S. TIM occupational mortality trend lines and confidence bounds. RESULTS: There were 29 TIM fatalities from 2005 to 2015 in Kentucky; 41% of decedents were in the police protection occupation, and 21% each were in the fire protection and motor vehicle towing industries. Over one half of the TIM decedents were performing work activities as pedestrians when they died. Media reports identified the majority of the occupational fatalities as TIM related (28 of 29 TIM-related deaths); the use of death certificates as the sole surveillance data source only identified 17 of the 29 deaths as TIM related, and the use of CRASH data only identified 4 of the 29 deaths as TIM related. Injury scenario text analysis showed that law enforcement vehicle pursuit, towing and recovery vehicle loading, and disabled vehicle response were particular high-risk activities that led to TIM deaths. Using U.S. data, the motor vehicle towing industry had a significantly higher risk for occupational mortality compared to the fire protection and police protection industries. CONCLUSIONS: Multiple data sources are needed to comprehensively identify TIM fatalities and to examine the circumstances surrounding TIM fatalities, because no one data source in itself was adequate and undercounted the total number of TIM fatalities. The motor vehicle towing industry, in particular, is at elevated risk for occupational mortality, and targeted mandatory TIM training for the motor vehicle towing industry should be considered. In addition, enhanced law enforcement roadside safety training during vehicle pursuit and apprehension of suspects is recommended.

Reducing the total discharge from a large WWTP by separate treatment of primary effluent overflow.

At many large wastewater treatment plants (WWTPs) the increased hydraulic load, caused by combined sewer systems during storm events, results in primary effluent overflow when the capacity of further treatment is exceeded. Due to stringent effluent standards, regulating the total discharge from the WWTPs, the Rya WWTP in Göteborg and the Sjölunda WWTP in Malmö will have to reduce the impact of primary effluent overflow. Separate, high rate, precipitation processes operated only during high flow conditions have been investigated in pilot units at the two WWTPs. Precipitation in existing primary settlers operated at a surface loading of 3.75 m/h removed phosphorus to 0.35 mg/l. The Actiflo process was also shown to remove suspended solids and phosphorus well. BOD was reduced by 50-60%. With such processes the overall effluent concentrations from the plants can be reduced significantly. Key upgrading features are small footprints, short start up time and high efficiency.

Digestion of sludge and organic waste in the sustainability concept for Malmö, Sweden.

Anaerobic digestion of sludge has been part of the treatment plant in Malmö for many years and several projects on optimisation of the digestion process have been undertaken in full scale as well as in pilot scale. In order to facilitate a more sustainable solution in the future for waste management, solid waste organic waste is sorted out from households for anaerobic treatment in a newly built city district. The system for treatment of the waste is integrated in a centralised solution located at the existing wastewater treatment plant. A new extension of the digester capacity enables separate as well as co-digestion of sludge together with urban organic waste from households, industry, restaurants, big kitchens, food stores, supermarkets, green markets etc. for biogas production and production of fertiliser. Collection and pre-treatment of different types of waste are in progress together with examination of biogas potential for different types of organic waste. Collection of household waste as well as anaerobic digestion in laboratory and pilot scale has been performed during the last year. It is demonstrated that organic household waste can be digested separately or in combination with sludge. In the latter case a higher biogas yield is found than should be expected from digestion of the two materials separately. Household waste from a system based on collection of organic waste from grinders could be digested at mesophilic conditions whereas digestion failed at thermophilic conditions.

Upgrading the Sjölunda WWTP according to a novel process concept.

The Sjölunda wastewater treatment plant in Malmö, Sweden, was upgraded for extended nutrient removal in 1998-1999. The design was based on future effluent standards of 10 mg BOD7/l, 0.3 mg total-P/l and 8 mg total-N/l. The upgrading concept took into consideration existing processes and structures, resulting in a cost-effective and compact upgrading. To introduce nitrification, the existing trickling filters for BOD-removal were converted to a nitrifying mode. A sequencing batch reactor for nitrification of supernatant was necessary to control the ammonia load. Denitrification was accomplished in a moving bed biofilm reactor with addition of external carbon source. The future effluent standards could be met by the upgraded plant. The trickling filters were stable despite varying loading conditions. High rates and low effluent ammonia concentrations were achieved. Essential features for stable post denitrification were control strategies for carbon source dosage and avoiding phosphorus limitation.

Sensitivity of strains of enteropathogenic Escherichia coli to tobramycin and other antibiotics.

The sensitivity patterns of strains of enteropathogenic Escherichia coli associated with diarrhoeal disease of infants to tobramycin and other antibiotics were estimated. The activity of tobramycin and of gentamicin alone and in combinations against recent isolates of enteropathogenic Escherichia coli was investigated. It was found that all the strains included in the present study were sensitive to tobramycin and gentamicin and most of them were sensitive to colistin and furazolidone. No significant differences in minimal inhibitory concentrations (MICs) and rates of killing were found between tobramycin and gentamicin, and they acted in an additive manner against most of the strains tested.