Green urbanization.

Large cities are more productive and generate more output per person. Using data from the UK on energy demand and waste generation, we show that they are also more energy-efficient. Large cities are therefore greener than small towns. The amount of energy demanded and waste generated per person is decreasing in total output produced, that is, energy demand and waste generation scale sublinearly with output. Our research provides the first direct evidence of green urbanization by calculating the rate at which per capita electricity use and waste decrease with city population. The energy demand elasticity with respect to city output is 83%: as the total output of a city increases by one percent, energy demand increases less than one percent, and the Urban Energy Premium is therefore 17%. The energy premium by source of energy demand is from households (13%), transport (20%), and industry (16%). Similarly, we find that the elasticity of waste generation with respect to city output is 90%. For one percent increase in total city output, there is a less than one percent increase in waste, with an Urban Waste Premium of 10%. Because large cities are energy-efficient ways of generating output, energy efficiency can be improved by encouraging urbanization and thus green living. We perform a counterfactual analysis in a spatial equilibrium model that makes income taxes contingent on city population, which attracts more people to big cities. We find that this pro-urbanization counterfactual not only increases economic output but also lowers energy consumption and waste production in the aggregate.

Inedible Food Waste Linked to Diet Quality and Food Spending in the Seattle Obesity Study SOS III.

Americans waste about a pound of food per day. Some of this is represented by inedible food waste at the household level. Our objective was to estimate inedible food waste in relation to diet quality and participant socio-economic status (SES). Seattle Obesity Study III participants (n = 747) completed the Fred Hutch Food Frequency Questionnaire (FFQ) and socio-demographic and food expenditure surveys. Education and geo-coded tax-parcel residential property values were measures of SES. Inedible food waste was calculated from diet records. Retail prices of FFQ component foods (n = 378) were used to estimate individual-level diet costs. The NOVA classification was used to identify ultra-processed foods. Multivariable linear regressions tested associations between inedible food waste, SES, food spending, Nutrient Rich Food (NRF9.3) and Healthy Eating Index (HEI-2015) scores. Inedible food waste was estimated at 78.7 g/d, mostly from unprocessed vegetables (32.8 g), fruit (30.5 g) and meat, poultry, and fish (15.4 g). Greater inedible food waste was associated with higher HEI-2015 and NRF9.3 scores, higher food expenditures and lower percent energy from ultra-processed foods. In multivariable models, more inedible food waste was associated with higher food expenditures, education and residential property values. Higher consumption of unprocessed foods were associated with more inedible food waste and higher diet costs. Geo-located estimates of inedible food waste can provide a proxy index of neighborhood diet quality.

Healthcare Waste Status and Handling Practices during COVID-19 Pandemic in Tepi General Hospital, Ethiopia.

Background: Mismanagement of healthcare waste (HCW) during the COVID-19 pandemic can facilitate the transmission of coronavirus. Regarding this problem, there is gap of evidence in Ethiopia, and this study aimed to assess the HCW generation rate and management in Tepi General Hospital, southwest Ethiopia. Methods: Institution-based cross-sectional and case studies were conducted. The total amount of waste generated and its type among various case teams were compared using the Kruskal-Wallis test. Spearman's rank correlation coefficient (r) was used to assess the correlation between the total numbers of patients and the total amount of HCW generated. Qualitative data were transcribed verbatim, translated to English, and analyzed with Open Code version 4.02 software, and content analysis was followed. Results: The total mean weight (±SD) of waste generation rate in all service units of the hospital was 492.5 ± 11.5 kg/day. The higher proportion (61.9%) of the total HCW produced was general waste and the remaining (38.1%) was hazardous waste. There was a statistically significant (X 2 = 82.1, p < 0.001) difference in daily HCW generation rate among different case teams. Similarly, the hospital waste generation amount and total patient flow had a strong positive linear relationship (r = 0.7, p=0.032). COVID-19-related medical wastes were not properly handled, segregated, stored, and disposed. There was a scarcity of resources needed to manage HCW, and available resources were utilized poorly. Overall, healthcare wastes were managed as usual (pre-COVID-19). Conclusion: The mean HCW generation rate in Tepi General Hospital was high. Overall, wastes were mismanaged, and COVID-19-related HCWs have been managed as usual. Availing of important resources and training the concerned bodies should be considered during the crisis of COVID-19.

Multivariate Geostatistical Modeling and Risk Analysis of Beach Litter: A Case Study of Playa Blanca Beach, Chile.

Beach litter is a worldwide problem that has several negative effects. A first step in preventing an environmental hazard is to determine and model the level of contamination. In this paper, geostatistical simulation is used to model two main forms of beach litter (cigarette butts and sharp items) in one of the most contaminated beaches in Antofagasta, Chile. A hundred realizations of cigarette butts and broken glass are generated to emulate their joint spatial distribution. The simulation results are used to classify the beach into different areas with respect to the risk of injury by broken glass and the level of contamination by cigarette butts. The models obtained can be used by local authorities in beach clean-up programs and by visitors to beaches in choosing the safest and cleanest areas. The results demonstrate the capability of geostatistical simulation algorithms to model different types of beach litter.

Preschool Healthy Food Policy Did Not Increase Percent of Food Wasted: Evidence from the Carolinas.

This research evaluates the effects of a South Carolina (SC) policy, which changed the nutrition standards for foods served in early care and education (ECE) settings, on wasted food. A two-group pre-test/post-test evaluation was performed in ECE centers serving children age 3-5 from households with lower incomes in SC (n = 102 children from 34 centers, intervention) and North Carolina (NC; n = 99 children from 30 centers, comparison). Direct observation was performed to assess the quantity and kcal of food served and quantity and percent of food discarded, by food group and nutrient, enabling assessment of waste in the absence of intervention. Mixed-effects linear models were fit to estimate, by state, differences in change from baseline to post-implementation at the center level. Covariates were selected a priori, including center enrollment, racial composition, director educational attainment, years in operation, for-profit status, and Child and Adult Care Food Program (CACFP) participation. Waste of food was high across states and time points. The policy was not associated with a change in percent of food discarded in SC compared to NC in adjusted analyses.

Physical wastage of immunobiological products in the state of Ceará, Brazil, 2014-2016. / Perdas físicas de imunobiológicos no estado do Ceará, 2014-2016.

OBJECTIVE: to describe discarded wasted immunobiological products provided by the National Im-munization Program (PNI) to the State of Ceará between 2014 and 2016, and the costs of discarded doses. METHODS: this was a descriptive study using data from suspect im-munobiological product evaluation forms and data from disposal approval forms. RESULTS: a total of 317 forms were included, 72.0% of which had a disposal approval form, and 160,767 discarded doses were identified, at a total cost of BRL 1,834,604.75; wastage accounted for 0.45%, 0.93% and 0.53% of the total cost of vaccines in 2014, 2015 and 2016, respectively; the main reason for the wastage identified was electric power shortage (54.9%). CONCLUSION: we identified a large number of discarded wasted doses, with high absolute cost; tighter control is necessary, as failures in conservation dynamics may interfere with the supply of immunobiologicals.

Food waste tendencies: Behavioral response to cosmetic deterioration of food.

American households discard a significant amount of food that represent a sizable portion of their food expenditures. This study adds to our understanding of product attributes associated with food waste, with a focus on cosmetic deterioration during home storage. Specifically, we profile a sample of U.S. individuals by patterns of common food-related behaviors and determine the effects of product attributes on food waste tendencies at the point of consumption by distinct behavioral profiles. An interactive survey at the Minnesota State Fair (N = 333) was used to obtain measurements on food-related behavior and sociodemographic factors. The survey included a conjoint task to elicit food discard tendencies to construct the food waste proxy. The study considered cosmetic deterioration, date labels, implied shelf life, package size, and prices paid, in fresh, packaged spinach and ground beef products. Factor analysis and latent class modeling categorized the sample into two classes, revealing distinct food-related behavioral patterns. Planners, who constituted a slight majority in our sample, were likely to have established pre-shopping and in-store behavior and food management and cooking skills. Extemporaneous Consumers had inferior food handling routines and were less knowledgeable and skilled in the kitchen. Regression analysis using a random-effects tobit model showed Extemporaneous Consumers were prone to waste a greater portion of the spinach product than Planners. Otherwise, both classes showed similar increases in likelihood to discard the products, as their appearance deteriorated. Their tendency to waste increased with shorter remaining shelf life for spinach but not for ground beef, and was not affected by the date label type. Results suggest an intervention that targets a general audience designed to enhance people's skills to discern edibility of food in home storage by manipulating sensory expectations from cosmetic deterioration could be impactful in efforts to curtail food waste.

Effect of classroom intervention on student food selection and plate waste: Evidence from a randomized control trial.

BACKGROUND: U.S. children are failing to meet the recommended daily 4 cups of fruits and vegetables. New federal guidelines were implemented for healthier school lunches for the National School Lunch Programs (NSLP). Consequently, students waste large amounts of fruits and vegetables. Several organizations advocate implementation of classroom nutrition education programs as a school nutrition policy. METHODS: We conducted a randomized control trial to evaluate the effectiveness of a classroom nutrition education on food consumption behavior of public elementary school students. Our intervention was designed to improve students' preferences for fruits and vegetables. We collected data using digital-photography, and estimated the amount of fruits and vegetables selected and wasted using ordinary least squares. RESULTS: The nutrition education program had no impact on the amount of fruits and vegetables selected by the students in the treatment group. We also find no significant difference in the amount of fruits and vegetables wasted by students in the treatment and control group. CONCLUSION: Nutrition education did not change students' consumption behavior, implying the proposed policy might not be optimal. Inducing a behavioral change in elementary school students is an intricate process and might require more than classroom lessons to change their dietary habits.

The Planning, Implementation, and Evaluation of California's Inaugural Food Waste Prevention Week.

Preventing food waste can divert food from landfills to feed people, combat climate change, preserve natural resources, and save money. In February 2017, the Nutrition Policy Institute and the Public Health Alliance of Southern California initiated a multisector collaboration among California state agencies to raise awareness about food waste. After development and distribution of a Communications Guide, Food Waste Prevention Week was launched successfully in March 2018, with official support from California's Governor, Secretary of Agriculture, Superintendent of Public Instruction, and other leaders. The multiagency shared messaging campaign was estimated to reach millions, based on unique page views via social and traditional media. In a follow-up survey, partners expressed satisfaction with Food Waste Prevention Week and interest in participating in future efforts. Organizing leaders across multiple sectors to raise awareness about food waste is possible; such efforts can contribute to driving behavioral and structural changes to reduce food waste.

Evaluation of microplastics in beach sediments along the coast of Dubai, UAE.

Microplastic contamination in beach sediments along coast of Dubai is un-documented. In this study, microplastic contamination in beach sediments collected from the wrack lines of 16 beaches in Dubai was evaluated. Five samples were collected from each beach along a 100 m stretch using a 0.5 m by 0.5 m, quadrant. The number, color, and shape of microplastics were documented. The polymer types of large fibers and strings were identified through FT-IR analysis. 480 microplastics from each of the 16 beaches were selected to detect heavy metals using XRF analysis. The results showed that the average weight of microplastic is 0.33 mg per gram of dry sediment (or 953 mg·m-2) and the number of microplastic is 59.71 items per kg of dry sediment (or 165 items·m-2). Blue and fibrous microplastics were dominant. Polyethylene strings and fibers were abundantly found. 13 heavy metals were identified of which five are priority pollutants.

Entanglement of northern fur seals (Callorhinus ursinus) in marine debris on Tyuleniy Island (Sea of Okhotsk) in 1998-2013.

The systematic annual observations of the northern fur seal rookery on Tyuleniy (= Robben) Island, Sea of Okhotsk, were started in 1958. Since 1975, all seals entangled in marine debris have been registered. Some of the data on this issue, collected on the island in the late 20th century, were published earlier. This report provides data for the period of completion of the commercial sealing (from 1998 to 2013). During this period, a total of 867 fur seals were observed entangled in marine debris, including 212 bulls, 97 half-bulls, 223 bachelors, and 335 females. The estimated mean annual number of entangled fur seals in 1998-2013 is 1113 individuals. Marine debris was found mainly on the neck and, less frequently, on the head and front flippers of the animals. This included pieces of fishing nets, packaging bands, ropes, fishing lines, and other items of anthropogenic origin.

Socio-economic factors of high trash generation in the city of Los Angeles.

Trash is one of major pollutants in urban runoff. Some studies have been conducted to verify the different impacts of land use on trash generation in a qualitative way and focused on the performance of trash control measures. Few studies have explored the human impacts on trash generation or developed a quantitative model to describe the phenomenon. This paper examined the impact of human activity on trash generation. Spatial regimes on high trash generation areas were identified using the selected variables from best subset model regression and validated with Moran's I scatter plot and spatial analysis of variance. Bidirectional spatial lag regression with regimes was performed to develop the final model to explain the spatial distribution of trash generation and identify its major causes. The result showed that economic status and occupation of the population were correlated with trash accumulation and the dominant land use type, and the distance to rivers most affected trash generation. The effects of these indicators were different within and outside the high trash generation areas.

Impact of a Pilot School-Based Nutrition Intervention on Fruit and Vegetable Waste at School Lunches.

OBJECTIVE: To determine the preliminary impact of the Brighter Bites nutrition intervention on decreasing fruit and vegetable (F&V) waste at school lunches among fourth- and fifth-grade children. METHOD: This was a nonrandomized pre-post-controlled study in Houston and Dallas, TX. Two schools received the Brighter Bites intervention (n = 76), and 1 comparison school (n = 39), during the 2017-2018 school year. Brighter Bites is a 16-week school-based nutrition intervention providing weekly distribution of fresh F&V plus nutrition education. Main outcome measures were direct observation and weights to measure the number of F&V dishes selected at school lunches, amount of F&V wasted (gm), and related nutrient waste (4 time points/child). Mixed-effects linear regression analysis was used to determine change in F&V selection and waste over time. RESULTS: There was a significant decrease over time in proportion of F&V selected among those in the comparison school, but not the intervention schools (P < .001). Compared with children in the comparison group, those receiving Brighter Bites showed a significant decrease in the amount of F&V wasted at each meal (P < .001) and per item (P < .05) at the end of both 8 and 16 weeks of intervention. There were significant decreases in waste of energy (kcal); dietary fiber (gm); vitamins B1, B3, and B6 (mg); total folate (µg); and B12 (µg) among those receiving Brighter Bites (P < .05). CONCLUSIONS AND IMPLICATIONS: Although absolute food or nutrient changes were small even when significant, programs such as Brighter Bites may contribute to a healthy intake. Future studies are warranted that include a larger sample size with a stringent, cluster-randomized control trial design and consideration for other covariates.

Cancer chemotherapy drug wastage in a tertiary care hospital in India-A 3-month prospective and 1-year retrospective study.

This study prospectively quantified wastage of cancer chemotherapeutic drugs in an oncology unit to find the associated cost in 3 months. Retrospective analysis of drug usage for 12 months was also conducted to determine the expected drug loss in 1 year. The effect of vial sharing was evaluated under the assumption of sharing. A significant drug wastage of 19.72% (95% confidence interval [CI], 14.52-24.93%) in 3 months and 17.14% (95% CI 14.69-19.59%) in 1 year occurred in our oncology unit. Number of vials purchased (r = 0.362, p < 0.01), weight (r = -0.146, P < .01) and body surface area (r = -0.26, P < .01) correlated with the drug wasted. Vial sharing assumption showed a 9% (95% CI, 2.5-15.5%) reduction in cost in 1 year.

Technical potential and geographic distribution of agricultural residues, co-products and by-products in the European Union.

Value waste chain generates a significant amount of different agricultural wastes, co-products and by-products (AWCB) that occur during three major stages of a complex path, from farm to fork. This paper presents stages where and how waste occurs along the path from the ground to the table for a period of 7 years, from 2010 to 2016 in the 28 member countries of the European Union (EU28). Considering the specific conditions of the EU28 community, four different sectors with 26 commodities and waste types that occur in those sectors were analysed: 5 commodities in the Fruit sector, 10 commodities in the Vegetable sector, 7 commodities in the Cereal sector and 4 commodities in the Animal sector. The analysis consists of three stages of waste appearance: production (harvesting, farming), processing and consumption (raw, uncooked food). Production data were taken from Eurostat, import and export data were taken from FAOSTAT. Methodology and calculations consist of relations between specific values. Those specific values for every commodity are the production data, import and export data, and consumption of raw food by the inhabitants of a country. Total consumption of raw food by inhabitant is calculated from the specific consumption per capita and population. The results of the study showed that from 2010 to 2016 in the EU28 the estimated quantity of the AWCB appeared to be around 18.4 billion tonnes, with the sector percentages as follows: Animal ~31%, Vegetable ~44%, Cereal ~22% and Fruit ~2%. In the Animal sector, the most dominant were developed countries, with high population density and high level of industrialisation. The Cereal, Fruit and Vegetable sectors have shown to generate higher AWCB quantities in the countries with more available land area and appropriate climate conditions.

Baseline and power analyses for the assessment of beach litter reductions in the European OSPAR region.

Marine litter pollution is a global environmental problem. Beach litter is a part of this problem, and is widely monitored in Europe. The European Marine Strategy Framework Directive (MSFD) requires a reduction of beach litter. A reduction of 30% has been proposed in the European Plastics Strategy. The aims of this study are to develop (a) a method to calculate sufficiently stable and precise baseline values for beach litter, and (b) to derive a method of power analysis to estimate the number of beach litter surveys, necessary to detect a given reduction, using these baseline values. Beach litter data from the OSPAR (Oslo Paris Convention) region were used, and tailor-made statistical methods were implemented in open source software, litteR. Descriptive statistics and Theil-Sen and Mann-Kendall trend analyses were calculated for the most abundant beach litter types, for 14 survey sites. The length of a baseline period necessary to obtain a specified precision of the mean baseline value, expressed as Coefficient of Variation (CV), was calculated. Power analyses were performed using Monte Carlo simulations combined with Wilcoxon tests to determine significant deviations of the simulated datasets from the baseline mean values. For most survey sites, the mean length of monitoring periods necessary to achieve a CV < 10% amounts to four to five years with four surveys a year. The mean number of surveys necessary to detect a statistically significant reduction of 30% with 80% power ranges from 14 to 20. Power analyses show that a reduction of 10% is difficult to detect, because more than 24 surveys are needed. In contrary, a reduction of 40-50% can be detected easily with a small (<12) number of surveys. The new methods could also be applied to other areas where similar beach litter surveys are performed.

A systematic review on cigarette butt management as a hazardous waste and prevalent litter: control and recycling.

Annually, over 5.5 trillion cigarettes are produced worldwide, and it is estimated that 4.5 trillion cigarette butts (CBs) are still being littered in the world. The dispersal of the CBs has caused this hazardous waste to be considered as one of the most important litters and environmental risks all over the world. This systematic study with the search protocol definition and keyword identification was developed to find the CBs control and recycling methods by searching in five scientific databases. Founded articles were monitored and finally, 35 related articles were selected and studied by the authors. The results of this study showed that CBs recycling methods have been tested in 10 specific categories all over the world. The CBs have been applied without any pre-processing methods in the bricks and asphalt production. However, other applications of the CBs such as the absorbent material production, vector control, and use as a biofilm carrier in wastewater treatment need various processing methods. The researchers also presented models and suggestions such as taxes, penalties, and public education for the control of CBs littering. Despite the innovative methods applied for the CBs recycling in previous studies, CBs have not received much attention in terms of pollutant control and environmental issues in recycling processes.

Influence of intervention on the menu's nutritional and sensory qualities and on the food waste of children's education center.

The aim was to evaluate the influence of an intervention on the nutritional and sensory quality of the menus and on the food waste of a Children's Educational Center. It is a quasi-experimental study that used the Qualitative Assessment of the Menu Preparations method and performed the waste-ingestion quantities and clean leftovers. The intervention was characterized by the inclusion of new recipes and adequacy of portions according to recommendations for the children's age group. Data were analyzed using the Mann Whitney test with a significance level of p < 0.05. The intervention resulted in a reduction in the occurrence of the side dish supply, color monotony, presence of sweets, presence of fried foods, sweets associated with fried foods, and repetition of the main dish cooking technique. In addition, there was a significant reduction in the average quantities of waste-ingestion/child (from 69.02 ± 11.87g to 37.06 ± 15.57g), clean leftovers /child (from 161.47 ± 44.12g to 35.23 ± 33.73 g) and clean leftovers percentage (from 39.56 ± 7.96 to 21.01 ± 17.15). The positive influence of intervention reinforces the importance of adjustments in recipes and portioning of preparations to meet the nutritional recommendations and to control food waste.

A critical review of the issue of cigarette butt pollution in coastal environments.

Beach anthropogenic litter is a worldwide problem and has been discussed in the specialized literature for decades. Cigarette butts (CB) are the most frequent form of personal item found on beaches. Yearly, 6 trillion cigarettes are smoked worldwide, and 4.5 trillion cigarettes are littered in the environment. The objective of our review was to assess the relevant literature on the issue of CB in costal environments, including urban areas. We compile and discuss studies (1998-2018) of CB sources for coastal environments, composition/degradability, quantification on beaches, toxicity to aquatic organisms and existing strategies to abate the problem. The literature shows that despite the growing interest in marine litter, this specific issue remains little studied and information is limited in time and space. Studies have been undertaken on islands, continental coasts, estuaries and coastal cities. There area wide variety of approaches to classification; for example, CB are considered plastic in 19% of studies and placed in an isolated category in another 16%. It was possible to identify the main sources of CB in coastal environments and access to the marine biota. In conclusion, we list and discuss proposals for reducing smoking, littering and marine pollution as a contribution to reduce the problems caused by CB in coastal and marine environments. CAPSULE: Cigarette butts are a pervasive, toxic and recalcitrant type of marine litter that requires urgent attention from manufacturers, users, authorities and the public to prevent the ingestion of cigarette butts by biota and water pollution from its leachate.

Characteristics and management modes of domestic waste in rural areas of developing countries: a case study of China.

A huge accumulation of domestic waste has caused serious environmental contamination in rural areas of developing countries (RADIC). The characteristics and management of domestic waste are carefully discussed, based on field surveys and a literature review. The results indicate that the generation in most of RADIC is less than the median of 0.521 kg day-1 per capita in China, and much smaller than in rural areas of developed countries (RADEC). Organic waste and inert waste with an accumulative mass percentage of 72.31% are dominant components of domestic waste in the rural areas of China. There are trends of increasing amounts of kitchen waste, paper/cardboard, and plastic/rubber and a decreasing trend of ash waste. The RADIC composition of domestic waste had a high content of organic waste and a low content of recyclable waste compared to the RADEC. Domestic waste has good compressibility and a light bulk density ranging from 40 to 650 kg m-3. The moisture, ash, combustible, and calorific values of domestic waste were 53.31%, 18.03%, 28.67%, and 5368 kJ kg-1, respectively. The domestic waste has an abundance of nutrients including organic matter (39.05%), nitrogen (1.02%), phosphorus (0.50%), and potassium (1.42%). In RADIC, domestic waste can be used as an agricultural manure only after it has been collected and sorted for the potential risk of heavy metal accumulation. Based on these characteristics of domestic waste and the different situations of rural areas, four waste management modes including centralized treatment, decentralized treatment, group treatment, and mobile treatment are designed and discussed.