Plastic waste management in recycling facilities: Intentionally generated MPs as an emerging contaminant.

There is little knowledge about microplastic (MP) pollution in plastic recycling facility (PRF) wastewater. In this study, MPs in the wastewaters of four PRFs located in Türkiye were characterized for size, shape, color, and polymer types after sieving from 5,000 µm to the lowest 75 µm with seven sieves. The wet peroxide oxidation procedure was applied before attenuated total reflectance fourier transform infrared spectroscopy analysis for polymer identification. Polyethylene, and polypropylene were the dominant (75 % of total count) MP types within 22 polymer types. Average hit qualities of polymers increased from 69 % to above 84 % for the device software (OPUS) and open software (OpenSpecy). The abundance of MPs was determined as 53,987 MPs/L and 0.8 g MP/L for mixed PRFs 7,582 MPs/L and 4.6 g/L for the LDPE recycling facility, and 2,196 MPs/L and 0.06 g MPs/L for the granulation cooling water by count and weight, respectively. Small-sized MPs are found in the bottom sample much more than the surface and effluent samples in the washing tank. This indicated that MPs adsorbed the pollutants settled in the washing tank due to adsorbed pollution/biofilm. A maximum of 4.6 kg MP/ton of plastic recycled can be discharged as MPs that can be recovered. Considering the plastics recycling capacity, discharged MPs in these PRFs are possibly above 30,000 tons.

Shrimp Waste Upcycling: Unveiling the Potential of Polysaccharides, Proteins, Carotenoids, and Fatty Acids with Emphasis on Extraction Techniques and Bioactive Properties.

Shrimp processing generates substantial waste, which is rich in valuable components such as polysaccharides, proteins, carotenoids, and fatty acids. This review provides a comprehensive overview of the valorization of shrimp waste, mainly shrimp shells, focusing on extraction methods, bioactivities, and potential applications of these bioactive compounds. Various extraction techniques, including chemical extraction, microbial fermentation, enzyme-assisted extraction, microwave-assisted extraction, ultrasound-assisted extraction, and pressurized techniques are discussed, highlighting their efficacy in isolating polysaccharides, proteins, carotenoids, and fatty acids from shrimp waste. Additionally, the bioactivities associated with these compounds, such as antioxidant, antimicrobial, anti-inflammatory, and antitumor properties, among others, are elucidated, underscoring their potential in pharmaceutical, nutraceutical, and cosmeceutical applications. Furthermore, the review explores current and potential utilization avenues for these bioactive compounds, emphasizing the importance of sustainable resource management and circular economy principles in maximizing the value of shrimp waste. Overall, this review paper aims to provide insights into the multifaceted aspects of shrimp waste valorization, offering valuable information for researchers, industries, and policymakers interested in sustainable resource utilization and waste-management strategies.

A review on the evaluation models and impact factors of greenhouse gas emissions from municipal solid waste management processes.

The total amount of global municipal solid waste (MSW) will reach 3.5 billion tons by 2050, thereby bringing tremendous environmental pressure, especially global warming. Large amounts of greenhouse gases (GHGs) have been released during MSW management (MSWM). Accounting for GHG emissions is a prerequisite for providing recommendations on appropriate treatment options to mitigate emissions from MSWM systems. There are many methods involved in estimating emissions. This paper summarizes the computing models commonly used in each process of the integrated MSWM system and emphasizes the influence of parameters and other factors. Compared with other disposal methods, landfilling has the highest emissions, commonly estimated using first-order decay (FOD) methods. Emission reduction can be realized through waste to energy (WtE) and resource recovery measures. IPCC is commonly used for calculating direct emissions, while LCA-based models can calculate emissions including upstream and downstream processes, whose results depend on assumptions and system boundaries. The estimation results of models vary greatly and are difficult to compare with each other. Besides, large gaps exist between the default emission factors (EFs) provided by models and those F measured in specific facilities. These findings provide a systematic view for a bettering understanding of MSW emissions as well as the estimating methods and also reveal the key points that need be developed in the future.

Correlation analysis and predicting modeling of pyrolysis gas based on landfill excavated waste pyrolysis characteristics.

The contribution of excavated waste to waste management is multifaceted, including minimization, non-hazardous disposal, access to useable land resources, improved waste management techniques and public environmental awareness, consistent with recent circular economy initiatives. Pyrolysis can be converted into tar, pyrolysis gas and char with recyclable utilization, enriching the application of pyrolysis technology in the field of excavation waste. In this study, the pyrolysis system includes horizontal tube furnace, gas collection device and Micro GC. The excavated waste was pyrolyzed at a temperature of 500∼900 °C with a heating rate of 10 °C/min. Pyrolysis gases include H2, CO, CO2, CH4, C2H4, C2H6 and C3H8. Pyrolysis was divided into four stages, the main decomposition range is 230∼500 °C, with a weight loss rate of 68.49% and a co-pyrolysis behavior. As the temperature increases, the tar and char decreased and the gas production increased significantly, and the pyrolysis gas reached 47.02% at 900 °C. According to Pearson correlation coefficient analysis, the generation of H2 and CO is positively correlated with temperature. Therefore, the target products can be influenced by changing the parameters, when considering the practical utilization of the excavated waste pyrolysis products. On this basis, the prediction models were built by polynomial fitting method. This model can reduce the experimental exploration cycle, reduce the cost, and accurately predict the pyrolysis gas, which has practical guidance for the application of pyrolysis industry, and provides a theoretical basis for the resource recycling and energy recovery of landfill.

Techniques for hazing and deterring birds during an oil spill.

Preventing wildlife from becoming oiled is the priority in an oiled wildlife response. This is achieved through diverting spilled oil away from wildlife, or hazing, deterring, or excluding wildlife from oiled areas. This paper undertakes an international review of techniques deployed for hazing and deterring birds, the taxa most affected, during oil spills. Using these techniques as a baseline it then compares what techniques are used in New Zealand at airports, in agriculture, and at waste management facilities, to assess what could readily be deployed in New Zealand during oil spills, as currently there are few options planned for. As international literature suggests, the best technique is to use a variety of methods for targeted species to reduce habituation. This review highlights international practices that could be tested and implemented, to allow for planning for effective hazing and deterrence practices in New Zealand.

Lifecycle of surgical devices: Global, environmental, and regulatory considerations.

BACKGROUND: Technological advancements, improved surgical access, and heightened demand for surgery have fueled unprecedented device and supply turnover impelling wealthy hospitals to upgrade continually and sell, donate, recycle, or dispose of used, expired, antiquated, or surplus goods. This paper reviews the issues related to device and supply lifecycles and discusses the opportunities and challenges they present for sustainable surgical growth in low- and middle-income (LMICs) countries. OBSERVATIONS: This review found, in LMICs countries, regulatory disparities persist that limit effective harmonization secondary to highly variable national policies and a lack of prioritized enforcement. Heterogeneity in the regulatory landscape, specifically in the classification, nomenclature, and identification of medical devices, encumbers effective regulation and distribution. Once devices are sold, donated, or reused in LMICs countries, complexities arise in regulatory compliance, maintenance, and appropriate use of these technologies. At the end of the lifecycle, waste management poses significant obstacles with limited resources hindering the implementation of best practices. CONCLUSION: There are major disparities in access to quality surgical equipment and supplies around the world. Improved communication between relevant stakeholders and harmonization of manufacture and disposal regulations will be needed to ensure adequate and appropriate responses to these challenges. TRIAL REGISTRATION NUMBER: Not applicable.

Solid waste management practices and challenges in Besisahar municipality, Nepal.

This study is a comprehensive assessment of the waste management system in Besisahar municipality. Information and some data have been collected from the municipality of Besisahar, followed by interviews with municipal officials responsible for waste management, stakeholders, waste workers, and residents. A total of 230 households, 20 schools, 10 government and private offices, 10 financial institutions, 60 commercial hotels, restaurants, and shops, and 20 medical shops and healthcare institutions, were selected in this study by random sampling. An extensive field study was conducted within all municipal wards and at dump sites. The results indicated that 42.14% of solid waste was collected through door-to-door collection services, 5.87% was mismanaged in open public places, 11.21% was used as compost manure, and the rest was discarded on riverbanks, dug up, and burned. A large component of the characterization of household waste consisted of organic waste (68.03%), followed by paper/paper products (8.13%), agricultural waste (5.5%), plastic (5.21%), construction (3.81%), textile (2.72%), metals (0.54%), glass (1.01%), rubber (0.10%), electronic (0.05%), pharmaceutical (0.1%) and others (4.78%) in the Besishahar municipality. Solid waste generation was found to be at 197.604 g/capita/day, as revealed by cluster sampling in 230 households. Around 4.285 tons-solid waste/day were generated in urban areas, while 16.13 tons-solid waste/day was estimated for the whole municipality. An important correlation between the parameters of solid waste was found by statistical analysis. Currently, solid waste is dumped on riverbanks, open fields, and springs, creating environmental and health hazards. The findings of this study will be useful to Besisahar municipality and its stakeholders in forming policies that facilitate waste management practices in this region and promote sustainable waste management systems.

Consumer behavior in the model of the circular economy in the field of handling discarded items.

The circular economy is a way of eliminating the shortage of raw materials that Europe is currently facing. However, it is necessary to explicitly identify the problems that prevent greater involvement in the CE. This article is focused on consumers and how they treat discarded or non-functional items. The aim was to fill the research gap, i.e. to compile a suitable CE model and define a methodology that would ensure the efficient disposal of non-functional or unsuitable items by consumers. An original methodology was drawn up to conduct the representative research, designed to lead to the practical application of the proposed CE model. The research explored how consumers treat non-functional or unsuitable items, the costs they incur in discarding, renovating, reusing, and recycling such items, and the alternative costs of unsorted municipal waste. After the data had been implemented into the model the circular economy was proven to have an economic benefit for the national economy in all groups. However, the economic disadvantage for consumers was also calculated, where the cost of involvement in the CE is higher than the cost of unsorted municipal waste. This means that people are motivated to play a part in the CE more by their own responsible approach to life, or social pressure from those around them. Based on this research it may be said that economic aspects are one reason that consumers tend to be reluctant to get more involved in the CE. Unless there is a significant rise in the cost of municipal waste that would motivate consumers to move towards the CE for financial reasons, in order to support the CE consumers need to be better stimulated, educated and informed as much as possible through the media.

Environmental and economic assessment of biodegradable and compostable alternatives for plastic materials in greenhouses.

Plastics and other materials commonly used in horticulture for plant support (e.g. raffia) and soil protection (e.g. mulching film) pose a challenge to achieving a circular economy. These materials contaminate plant residues, hampering their direct reuse due to the need for separation and cleaning. As a result, contaminated plant residues is often landfilled or incinerated. This study investigates the replacement of conventional plastic raffia and mulching film with biodegradable and compostable alternatives. Polypropylene raffia is compared with a biodegradable viscose polymer and compostable jute fibre, while polyethylene mulching film is compared with a biodegradable polylactic acid film. Conventional and novel alternatives are compared economically using Life-Cycle Costing and environmentally using Life-Cycle Assessment. The economic assessment is based on case studies with two horticultural companies in Almeria (south-eastern Spain), while the environmental analysis uses data from the Ecoinvent database. The use of biodegradable and compostable alternatives for raffia and mulching film proved to be 49% more expensive than conventional options. However, when conventional plastic waste is incinerated rather than landfilled, biodegradable and compostable alternatives have a lower carbon footprint. Although biodegradable and compostable options can be more expensive and have higher impacts in certain situations, proper waste management can lead to environmental benefits. With optimisation and incentives, these alternative options support the transition of horticulture to a sustainable circular economy.

Anti-cancer drug waste disposal practices and wastewater management in hospitals: A Lebanese survey.

INTRODUCTION: To achieve continuous environmental sustainability and protect the population's health, healthcare waste (in liquid or solid form) needs appropriate management and suitable treatment strategies before its final disposal in the environment in order to reduce its adverse impacts. This study aims to identify disparities in the waste management of anti-cancer drugs and the wastewater generated in Lebanese hospitals. METHODS: Three questionnaires were designed to evaluate the level of knowledge, awareness and experience of hospital personnel regardless of their job levels. Data was collected in December 2019 from three departments of each participating hospital: pharmacy, oncology and maintenance departments. A descriptive analysis was conducted to summarise the survey results. RESULTS: The results revealed a lack of transparency and awareness of the participants, with a high frequency of 'prefer not to say' responses when asked about the disposal methods of anti-cancer drugs and with only 5.7% of the participants in the pharmacy department sharing their disposal procedures. The same perception was deduced regarding hospitals' wastewater treatment, where responses were often contradicting, preventing making assumptions about the fate of hospital wastewater. CONCLUSION: The results of this survey support the need to establish a more comprehensive waste management programme in Lebanon that would be maintained through regular training and supervision.

The Environmental Impact of Gastrointestinal Procedures: A Prospective Study of Waste Generation, Energy Consumption, and Auditing in an Endoscopy Unit.

BACKGROUND & AIMS: Gastrointestinal (GI) endoscopy procedures are critical for screening, diagnosis, and treatment of a variety of GI disorders. However, like the procedures in other medical disciplines, they are a source of environmental waste generation and energy consumption. METHODS: We prospectively collected data on total waste generation, energy consumption, and the role of intraprocedural inventory audit of a single tertiary care academic endoscopy unit over a 2-month period (May-June 2022). Detailed data on items used were collected, including procedure type (esophagogastroduodenoscopy or colonoscopy), accessories, intravenous tubing, biopsy jars, linen, and personal protective equipment use. Data on endoscope reprocessing-related waste generation and energy use in the endoscopy unit (equipment, lights, and computers) were also collected. We used an endoscopy staff-guided auditing and review of the items used during procedures to determine potentially recyclable items going to landfill waste. The waste generated was stratified into biohazardous, nonbiohazardous, or potentially recyclable items. RESULTS: A total of 450 consecutive procedures were analyzed for total waste management (generation and reprocessing) and energy consumption. The total waste generated during the study period was 1398.6 kg (61.6% directly going to landfill, 33.3% biohazard waste, and 5.1% sharps), averaging 3.03 kg/procedure. The average waste directly going to landfill was 219 kg per 100 procedures. The estimated total annual waste generation approximated the size of 2 football fields (1-foot-high layered waste). Endoscope reprocessing generated 194 gallons of liquid waste per day, averaging 13.85 gallons per procedure. Total energy consumption in the endoscopy unit was 277.1 kW·h energy per day; for every 100 procedures, amounting to 1200 miles of distance traveled by an average fuel efficiency car. The estimated carbon footprint for every 100 GI procedures was 1501 kg carbon dioxide (CO2) equivalent (= 1680 lbs of coal burned), which would require 1.8 acres of forests to sequester. The recyclable waste audit and review demonstrated that 20% of total waste consisted of potentially recyclable items (8.6 kg/d) that could be avoided by appropriate waste segregation of these items. CONCLUSIONS: On average, every 100 GI endoscopy procedures (esophagogastroduodenoscopy/colonoscopy) are associated with 303 kg of solid waste and 1385 gallons of liquid waste generation, and 1980 kW·h energy consumption. Potentially recyclable materials account for 20% of the total waste. These data could serve as an actionable model for health systems to reduce total waste generation and decrease landfill waste and water waste toward environmentally sustainable endoscopy units.

[Sustainable waste management in general surgical operations]. / Nachhaltiges Abfallmanagement bei allgemeinchirurgischen Operationen.

BACKGROUND AND OBJECTIVE OF THE STUDY: Hospitals, especially surgical departments, are among the largest producers of waste in Germany. Data on waste management in the operating room (OR) are largely lacking. The aim of this study was to assess and discuss the possibilities of reducing waste and recovering recyclable materials in general surgery against the background of current practice. METHODOLOGY: Surgical departments throughout Germany were surveyed on waste management. First, the theoretical waste separation possibilities for laparoscopic appendectomy were determined. Subsequently, a simple system for the separation of recyclables was established and practically tested in 35 operations. These were compared with 35 appendectomies without separation. RESULTS: Only 25.7% of hospitals perform waste separation. Theoretically, 20.7% of waste can be recycled, in practice up to 18.9%. Paper, cardboard and plastics, especially polyethylene terephthalate (PET) and high-density polyethylene (HDPE) were separated. This leads to a significant reduction in residual waste without extending the operation time. DISCUSSION: Separation of recyclables can contribute to more sustainable waste management in the OR. High-value recyclables can be recycled and the residual waste mass can be significantly reduced. This is possible without special effort and does not delay the processes in the OR. The opportunities for this have hardly been used in Germany to date.

Acute toxicity of palm oil mill effluent on zebrafish (Danio rerio Hamilton-Buchanan, 1822): Growth performance, behavioral responses and histopathological lesions.

Evaluating the toxicity of Palm Oil Mill Effluent (POME) is critical as part of the effort to develop waste management regulations for the palm oil industry. In this study, we investigated the acute toxicity of POME on growth performance, behavioral response, and histopathology of gill and liver tissues of zebrafish (Danio rerio). In total, 550 adult male zebrafish were used for the toxicity experiment including range finding test, acute toxicity test, growth performance and behaviour test. Static non-renewal acute toxicity bioassays were conducted by exposing fish to POME (1.584-9.968 mL/L) for 96 h. Growth performance, behavior response, and histopathological lesions in untreated and POME treated (96-h LC50: 5.156 mL/L) fish were measured at 24, 48, 72 and 96 h. Time-dependent significant decline in body length and body weight of POME-exposed zebrafish was observed. Furthermore, several behavioral changes were recorded, including hyperactivity, loss of balance, excessive mucus secretion, and depigmentation. Decreasing operculum movement and oxygen consumption rate as well as alterations in gill tissues (i.e. hyperplasia, hypertrophy, hemorrhage, and necrosis) of POME-exposed zebrafish were observed, suggesting a dysfunction in respiratory performance. On the other hand, liver tissue alterations (congestion, hemorrhage, hyperplasia, shrinkage of hepatocytes, hydrophilic degeneration, and necrosis) indicated a disruption in detoxification performance. We conclude that exposure to POME at acute concentration caused histopathological lesions both in gill and liver tissue along with changes in fish behaviors which disrupted respiratory and detoxification performance, resulting in mortality and reduced growth of zebrafish. These findings might provide valuable information for guiding POME management and regulation.

Adherence to recommended hospital waste management practices by healthcare workers at Murtala Muhammad Specialist Hospital Kano, Nigeria.

Introduction: the aim of this study was to determine what proportion of patients with confirmed esophageal cancer at the largest hospital in the country were recorded in the Zambia National Cancer Registry (ZNCR). Methods: we reviewed esophageal cancer records at the University Teaching Hospital (UTH) and ZNCR, between 2015 and 2017. Using Stata version 15, data were summarised and the Kruskal-Wallis was used to compute comparisons, Kaplan-Meier curves for survival estimates and Cox regression for associated factors. Results: included in the final analysis were records for 222 patients with confirmed esophageal cancer and of these 51/222 (41%) were appearing in the ZNCR. The mean age of the patients was 56.2 years (SD, 13.0) and only 2/222 (1%) were confirmed alive at the time of data analysis. The median time from endoscopic diagnosis to histological confirmation was 12.5 days (IQR 7.5 - 21.5) and arrival at the Cancer Diseases Hospital (CDH) for treatment was 20 days (IQR 10 - 34). The overall median survival time in the study was 259 days (CI 95%; 151 - 501). Age, sex, time to diagnosis, histological classification and grade of tumour did not show any evidence of predicting survival in both the univariate and multivariable cox regression model (p>0.05). Conclusion: a significant proportion of esophageal cancer cases seen at UTH were not included in the national registry suggesting that official figures for the prevalence of esophageal cancer in Zambia are underestimated. There is an urgent need to improve the collection of data on esophageal cancer in Zambia.

Exploring greenhouse gas emissions pathways and stakeholder perspectives: In search of circular economy policy innovation for waste paper management and carbon neutrality in Hong Kong.

Waste paper disposed in landfills notably contributes to greenhouse gas (GHG) emissions and impedes more sustainable, circular alternatives, such as recycling. In Hong Kong, this unsustainable approach is currently dominant as 68% of waste paper products are treated in landfills in 2020. To contextualize the impact of local waste paper management and explore mitigation potentials of circular alternatives, this paper develops a quantitative assessment framework around GHG emissions development trajectories. Combining guidelines of the Intergovernmental Panel on Climate Change (IPCC), national GHG inventories, and local parameters from life cycle analysis, five GHG emissions projections were simulated along the Shared Socioeconomic Pathways (SSPs) until 2060. Most recent baselines indicate that Hong Kong's current waste paper treatment generated 638,360 tons CO2-eq in 2020, comprising 1,821,040 tons CO2-eq from landfill and 671,320 tons CO2-eq from recycling, and -1,854,000 tons CO2-eq from primary material replacement. Proceeding along a Business-as-Usual scenario under SSP5, GHG emissions will dramatically increase to a net 1,072,270 tons CO2-eq by 2060, whereas a recycling-intensive scenario will lead to a net saving of -4,323,190 tons CO2-eq. To complement the quantitative evidence on the benefits of waste paper recycling, field research was conducted to explore the feasibility of circular policy innovation from the perspective of recycling stakeholders. These empirical qualitative and quantitative findings from stakeholders' business routines and material transactions provide crucial indications for policy and institutional innovation: Essentially, for Hong Kong to improve waste paper recycling capacities and facilitate a circular economy (CE), local stakeholders require support via fiscal policy measures (financial subsidies or tax reductions) and infrastructure improvements (delivery access and material storage). In sum, this study employs a novel analytical framework combining original qualitative and quantitative evidence to provide policy innovation towards circular, GHG emission-saving waste paper management.

The clean energy aspect of plastic waste - hydrogen gas production, CO2 reforming, and plastic waste management coincide with catalytic pyrolysis - an extensive review.

Clean hydrogen has future fuel capable of receiving an abundance of carbon-neutral energy from hydrogen. In the recent world, new hydrogen affirmation projects have been launched for a green environment. On another side, plastic waste and CO2 threaten the green environment. Vacuum in plastic waste management, plastic waste leads to exhibiting harmful chemicals to the environment. The growth rate of the CO2 concentration in air is 2.45 ppm per year, steadily increasing in 2022. It is realized that uneven climate change, temperature raising the global level, ocean mean level raising, and frequent acidification are dangerous to living and ecosystems. This review discussed tackling multiple harmful environmental fatly by pyrolysis techniques; catalytic pyrolysis is almost reaching the commercialization stage. Recent pyrolysis upgradation methods with hydrogen gas production and the continuous development and execution of sustainable solutions for plastic waste management and CO2 reforming are discussed. Production of carbon nanotubes by plastic waste, the importance of catalyst modification, and the effect of catalyst deactivation are discussed. From this study, integrating the different applications with catalytic modification creates room for multipurpose pyrolysis, CO2 reforming, and hydrogen gas production by pyrolysis techniques capable of giving a sustainable solution for climate change issues and a clean environment. Additionally, carbon utilization by way of carbon nanotube production is also done. Overall, the review supports achieving clean energy from plastic waste.

Death by compaction in a robotic dumpster.

Robotic waste management automation systems are increasingly utilized around the globe as a user-friendly, ecological and hygienic alternative to waste disposal, simultaneously reducing the volume and frequency of waste collection. The present paper aims to report a case of death by compaction in an automated robotic waste management system and review relevant literature on compactor-related fatalities. The unusual fatal accident involved a 37-year-old male citizen who deliberately entered the robotic dumpster to retrieve his accidentally discarded medication. Upon entering the robotic chamber, the compaction system was automatically activated, although all safety measures were in full operation. This paper highlights the lack of standardized reporting on compactor-related mortality, which however is of importance both in terms of its social impact and public safety. These deaths occur rarely, in scattered areas of the globe, associated with various situations (e.g., occupational fatalities, homeless people, infanticide) and trash compactors of different types, technology, age, maintenance quality, warning signage and safety interlocks. In all previously reported fatalities, the technology involved was considerably older (as in conventional waste containers, garbage compaction trucks, chute-fed compactors in buildings, etc.). The case described in the present report is a rare event in both literature and international news coverage as it encompasses a fully automated technology intended for unsupervised, direct use by the public being located in public spaces where all citizens can interact with it. The aim of this report is to raise awareness and improve knowledge about safety parameters so that similar incidents can be avoided in the future.

A UK-wide study to describe resource consumption and waste management practices in skin surgery including Mohs micrographic surgery.

BACKGROUND: There is a lack of national guidance specifying how skin surgery, including Mohs micrographic surgery (MMS), should be conducted, leading to a degree of heterogeneity in the set-up of skin surgery services and how skin surgeries are performed. OBJECTIVES: To provide the first UK-wide cross-sectional study reporting real-world data on the set-up and waste management practices of skin surgery, including MMS. METHODS: A UK-wide service evaluation study was conducted between 1 March 2022 and 30 June 2022 using a standardized data collection pro forma. Twelve participating sites from England, Northern Ireland, Scotland and Wales provided data from 115 skin surgery lists involving 495 patients and 547 skin surgery procedures between 1 March 2022 and 30 June 2022. RESULTS: Mean total weight of nonsharps skin surgery waste was 0.52 kg per procedure (0.39 kg clinical waste, 0.05 kg general waste and 0.08 kg recycling waste). Data from a single site using disposable surgical instruments reported a mean of only 0.25 kg of sharps waste per procedure. The recycling rate ranged between 0% and 44% across the cohort with a mean recycling rate of 16%. CONCLUSIONS: We advocate that staff transition to the British Society of Dermatological Surgery 2022 sustainability guidance, which made wide-ranging recommendations to facilitate staff to transition to sustainable practices in skin surgery.

Cradle-to-grave emissions from food loss and waste represent half of total greenhouse gas emissions from food systems.

Global greenhouse gas (GHG) emissions from food loss and waste (FLW) are not well characterized from cradle to grave. Here GHG emissions due to FLW in supply chain and waste management systems are quantified, followed by an assessment of the GHG emission reductions that could be achieved by policy and technological interventions. Global FLW emitted 9.3 Gt of CO2 equivalent from the supply chain and waste management systems in 2017, which accounted for about half of the global annual GHG emissions from the whole food system. The sources of FLW emissions are widely distributed across nine post-farming stages and vary according to country, region and food category. Income level, technology availability and prevailing dietary pattern also affect the country and regional FLW emissions. Halving FLW generation, halving meat consumption and enhancing FLW management technologies are the strategies we assess for FLW emission reductions. The region-specific and food-category-specific outcomes and the trade-off in emission reductions between supply chain and waste management are elucidated. These insights may help decision makers localize and optimize intervention strategies for sustainable FLW management.

High-resolution mapping and evolution of steel stocks and waste in civil buildings: a case study of Changsha, China.

Systematic estimation of steel stocks and waste in urban areas and analysis of its historical evolution pattern is crucial for urban buildings steel recycling and environmental sustainability. However, it is a challenging task to collect big data from different sources and estimate accurately with high resolution. In this study, we proposed a novel hybrid approach (GMB model) to estimate building steel stocks and the annual waste rate through combining Geographic Information System, Material Flow Analysis, and Big Data Mining techniques. We estimated the civil-building steel stocks and amount of waste in Changsha urban area from 1985 to 2020 based on the GMB model, and analyzed the historical evolution pattern of steel stocks by using standard deviation ellipse and kernel density. The results showed that the cumulative steel stock in civil buildings grew from 0.66 million tons in 1985 to 8.26 million tons in 2020. The amount of waste increased by 2557 times. The spatiotemporal analysis showed that variations in distribution of the steel stocks are mainly concentrated in the central city, indicating a "central-peripheral" distribution, with a southward trend in the standard deviation ellipse and a southeast-northwest direction in the center of gravity of the steel stocks. There is low-high and high-low spatial aggregation patterns. We also compared the experimental results with the observed data to determine the feasibility of the GMB model. Our study can promote the management of steel resources recycling and aid to achieve the green and low-carbon goals in sustainable development policies.