Association of the efficiency of hemodialysis instruments in the removal of microbial and chemical pollutant.

Dialysis water is vital because of various harmful contaminants for patients. The aim of this study was to assess the efficiency of hemodialysis instruments in the removal of microbial and chemical pollutant in educational hospitals affiliated to Ahvaz Jundishapur University of medical sciences, Iran during 2018-2019. This cross-sectional descriptive research studied the microbial and chemical water quality of hemodialysis instruments in Razi, Sina, and Golestan hospitals in Ahwaz, Iran. 72 samples of microbial parameters and 24 samples of chemical parameters were collected from water used in hemodialysis instruments, including microbial characteristics (the total coliform, fecal coliform and heterotrophic bacteria counts) and chemical characteristics (pH, turbidity, PO4, Cl, Mg, So4, Ca, NO2, and EC) at Razi, Imam, and Golestan educational hospitals on all weekdays during 2018-2019. In this study, experiments were done according to the current standard methods, EPA from hemodialysis instruments. Finally, using SPSS18 software and descriptive statistics, the relationship between results at the removal of toxic, microbial, and chemical pollutants in different months and hospitals was investigated. this study showed that the average concentration of chemical characteristics during the warm season at Razi, Imam, and Golestan educational hospitals for pH, Turbidity, PO4, Cl, Mg, So4, Ca, NO2, and EC were (6.867, 6.4475, 6.53); (2.985, 3.035, 1.226); (0.075, 0.245, 0.195); (38.5, 21.965, 144.87); (1.552, 1.657, 39.445); (8.6, 4.5, 21.5), (2.09, 3.187, 78.975); (0.0082, 0.038, 0.155), and (125.25, 70.35, 78.35), respectively during 2018. Also, during 2019, results showed that the average levels of amounts for pH, Turbidity, PO4, Cl, Mg, So4, Ca, NO2, and EC in Razi, Imam, and Golestan educational hospitals were (7.077, 7.252, 6.435), (1.725, 0.595, 4.16), (0.0775, 0.0597, 0.0297), (52.33, 138.81, 20.92), (23.52, 18.227, 8.767), (35, 27.25, 4.05), (14.58, 28.152, 9.25), (0.0067, 0.0045, 0.0032), and (210.52, 121.62, 29.16), respectively. According to the results, hemodialysis instruments in Razi and Imam have a 90% efficiency in removing heterotrophic bacteria counts (HPC). Based on these findings, educational hospital hemodialysis equipment effluent in Ahvaz, Iran was mitted to Iran environmental standards for use in hemodialysis machines. The result showed that the removal percentage level of microbial and chemical pollutants by the hemodialysis process is comparatively suitable. It should be mentioned that in the proper operation and reconstruction, hemodialysis systems can have an increased rate of removal of microbial and chemical pollutants.

Health Endpoint of Exposure to Criteria Air Pollutants in Ambient Air of on a Populated in Ahvaz City, Iran.

The presence of criteria air pollutants (CAP) in the ambient air of a populated inhalation region is one of the main serious public health concerns. The present study evaluated the number of cardiovascular mortalities (CM), hospital admissions with cardiovascular disease (HACD), and hospital admissions for respiratory disease (HARD) due to CAP exposure between 2010 and 2014. The study used the Air Q model and descriptive analysis to investigate the health endpoint attributed to the ground level of ozone (O3), nitrogen dioxide (NO2), sulfide dioxide (SO2), and particle matter (PM10). Baseline incidence (BI) and relative risk (RR) are the most important factors in the evaluation of health outcomes from exposure to CAP in the ambient air of a populated area according to EPA and the World Health Organization (WHO) guidelines. Our study showed that annual cases of cardiovascular mortality during the period 2010-2014 relating to particle mater were 478, 506, 469, 427, and 371; ozone was 19, 24, 43, 56, and 49; nitrogen dioxide was 18, 20, 23, 27, and 21; and sulfide dioxide was 26, 31, 37, 43 and 11, in the years 2010 to 2014, respectively. These results indicate that the number of hospital admissions for respiratory disease attributed to PM were 2054, 2277, 2675, 2042, and 1895; O3 was 27, 35, 58, 73, and 63; NO2 was 23, 24, 15, 25, and 18; and SO2 was 23, 24, 25, 30, and 20, in the years from 2010 to 2014, respectively. The results also showed that the number of hospital admissions for cardiovascular disease related to particle mater was 560, 586, 529, 503, and 472; ozone was 22, 32, 38, 55, and 51; nitrogen dioxide was 19, 18, 13, 21, and 14; and sulfide dioxide was 12, 14, 16, 22, and 9, in the same period, respectively. Observations showed that most of the pollution was from outdoor air and in the human respiratory tract. Increased levels of sulfide dioxide, particle matter, nitrogen dioxide, and ozone can cause additional morbidity and mortality for exposed populations. According to the results, it is possible to help increase the level of public health. The use of these findings could also be of great help to health professionals and facilitators at regional and national levels.

Carcinogenic Risk Assessment among Children and Adult due to Exposure to Toxic Air Pollutants.

Health endpoint and risk of carcinogenic among people enhancement due to Exposures to toxic air pollutants. The purpose of this study was investigation of a carcinogenic risk assessment among children and adults due to exposure to toxic pollutants. A review study of literature was performed with seven hundred and twenty-six articles were retrieved based on Google Scholar, Web of Science, PubMed, Elsevier, and Springer databases. Studies reporting data on predetermined consequences potential toxic air pollutants and related to lifetime cancer risk (LCR) and hazard quotient (HQ) were used to assess carcinogenic and non-carcinogenic risk. The literature signs a notable undesirable affect from potential toxic air pollutants related to carcinogenic risk assessment among children and adult. Based on Result this study, the toxic air pollutants can endanger health of children and adult exposure to this pollutant and increase lifetime cancer risk number and carcinogenic risk among exposed people. Useful for health policymaker in order to cope with the incidence of cancer among citizenship Can be the main application the results of this study. Increasing the level of public awareness, especially of sensitive groups, about the incidence of cancer and its important factors and reduce exposures to toxic air pollutants are the main vital government actions for decrease the prevalence of cancer. Further research using more sophisticated methodology is warranted.

Estimation of PM10 pollutant and its effect on total mortality (TM), hospitalizations due to cardiovascular diseases (HACD), and respiratory disease (HARD) outcome.

Dust storms not only affect the quality of life but also pose a serious health and social problem. The main source dust events include central and west Asia, the Taklimakan desert, and Middle East, carrying out high volume of particulate matter, which increased the level of PM10 as representative of dust storm. The purpose of this study was to investigate the number of mortality (TM), hospitalizations due to cardiovascular diseases (HACD) and respiratory diseases (HARD) among the people of Bishkek and Ahvaz. Data validation was performed using the WHO criteria. The average time PM10 in outdoor air was calculated, and its health effects were obtained by entering its annual data and population at risk, baseline incidence (BI), and relative risk index (RR) for IHD outcomes. In our study, AirQ software was used. The number of excess cases in Bishkek and Ahvaz for total mortality and cardiovascular mortality was 63 and 758 and 35 and 478 persons while for HARD and HACD was 84 and 2054 and 33 and 560 persons, respectively. The survey requires the need to enact and enforce permissible PM10 levels/standards due to dust storms to reduce the health effect on humans by relevant environmental authorities both at federal and state levels.