The Impact of COVID-19 on Healthcare Services in Bangladesh: A Qualitative Study on Healthcare Providers'Perspectives.

Objectives: The objective of this study was to explore healthcare providers' experiences in managing the coronavirus disease 2019 (COVID-19) pandemic and its impact on healthcare services. Methods: A qualitative study was conducted with 34 healthcare professionals across 15 districts in Bangladesh. Among the participants, 24 were health managers or administrators stationed at the district or upazila (sub-district) level, and 10 were clinicians providing care to patients with COVID-19. The telephone interviews were conducted in Bangla, audio-recorded, transcribed, and then translated into English. Data were analyzed thematically. Results: Most interviewees identified a range of issues within the health system. These included unpreparedness, challenges in segregating COVID-19 patients, maintaining isolation and home quarantine, a scarcity of intensive care unit (ICU) beds, and ensuring continuity of service for non-COVID-19 patients. The limited availability of personal protective equipment, a shortage of human resources, and logistical challenges, such as obtaining COVID-19 tests, were frequently cited as barriers to managing the pandemic. Additionally, changes in the behavior of health service seekers, particularly increased aggression, were reported. The primary motivating factor for healthcare providers was the willingness to continue providing health services, rather than financial incentives. Conclusions: The COVID-19 pandemic presented a unique set of challenges for health systems, while also providing valuable lessons in managing a public health crisis. To effectively address future health crises, it is crucial to resolve a myriad of issues within the health system, including the inequitable distribution of human resources and logistical challenges.

Acrylic fabrics as a source of microplastics from portable washer and dryer: Impact of washing and drying parameters.

Increasing uses of synthetic textiles are now a concerning issue as these synthetic textiles are shedding microfibers during the laundering of the fabrics and are considered as a potential source of microplastics (size <5 mm). In addition, manmade fibers like polyester, acrylic, and nylon represent 60% of the worldwide consumption of textile fibers. The novelty of this study is to assess the releasing trends of microfibers from acrylic fabrics during washing and drying under different conditions from a portable washer and dryer machine. Washing and drying effluents were filtered out which were further quantified with gravimetric analysis to determine the net weight of the released microfibers. Among different washing parameters, the mean length and diameter of the released microfibers were found to be approximately 2411 ± 1500 µm and 18 ± 4 µm, respectively. The results indicate that the release of microfibers increased by 2 and 1.4 times respectively when washing and drying time increased from 30 min to 60 min due to high mechanical stresses and longer rotational forces on the fabrics. The use of detergent during washing also promoted more microfiber release (162.49 ± 44.21 mg/kg) when compared to without detergent (60.22 ± 13.32 mg/kg). Moreover, microfibers were released approximately 1.8 times higher from washing when washed with 40 °C of water than with 20 °C of water. However, subsequent washing and drying cycles showed decreasing patterns of microfiber release as microfiber released 45% and 67% less during the 7th washing and drying cycle, respectively, compared to the 1st cycle. Results of this study would help to understand the releasing patterns of microfibers which can help to improve the existing systems to reduce the microplastic emissions from laundering.

Plastic pollution during COVID-19: Plastic waste directives and its long-term impact on the environment.

Majority of the million tons of plastic produced each year is being disposed after single-use. Plastic bottle, bags, food containers, gloves, and cup that end up in landfills and environment could linger for hundreds to thousands of years. Moreover, COVID-19 pandemic caused by the novel coronavirus (SARS-CoV-2), will also exacerbate the global plastic pollution as the use of personal protective equipment (PPE i.e., gloves, masks) became mandatory to prevent the spread of the virus. Plastic eventually breaking down in micro & nanoscopic bits due to physical or chemical or biological actions in the environment, can enter animal and human food web. So, plastic management programs need to be more robust with a focus on the prevention of the micro and nanoplastics entrance into the environment and food web. In the present pandemic situation, it is even more necessary to know about how much plastic waste is being generated and how different countries are coping up with their plastic waste management. In this review, we have elucidated how global plastic production rise during COVID-19 and how it would contribute to short and long-term impacts on the environment. Plastic pollution during the pandemic will increase the GHS emissions in the incineration facilities. Improper disposal of plastics into the oceans and lands would endanger the marine species and subsequently human lives. We have also assessed how the increased plastic pollution will aggravate the micro and nanoscale plastic problem, which have now become an emerging concern. This review will be helpful for people to understand the plastic usage and its subsequent consequences in the environment in a pandemic like COVID-19.