Airborne bacterial and PM characterization in intensive care units: correlations with physical control parameters.

In this study, the spatial variation of airborne bacteria in intensive care units (ICUs) was characterized. Fine particulate matter and several physical parameters were also monitored including temperature and relative humidity. The results showed that the total bacterial load ranged between 20.4 and 134.3 CFU/m3 across the ICUs. Bacterial cultures of the collected samples did not isolate any multi-drug-resistant Gram-negative bacilli indicating the absence of such aerosolized pathogens in the ICUs. Meanwhile, particulate matter levels in several ICUs were found to exceed the international guidelines set for 24-h PM exposure. Moreover, examining bacterial load contribution by size suggested that bacteria with sizes less than 0.65 µm contributed the least to the total bacterial loads, while those with sizes between 0.65 and 1.1 µm contributed the most. A multiple linear regression model was also built to predict the bacterial loads in the ICUs. The regression analysis explained 77% of the variability observed in the measured bacterial concentrations. The model showed that the level of activity in the ICU rooms as well as its occupancy level had strong positive correlations with bacterial loads, while distance away from the patient had a non-linear relationship with measured loads. No statistically significant correlation was found between bacterial load and particulate matter concentrations.

SWOT risk analysis towards sustainable aquifer management along the Eastern Mediterranean.

This study examines the risks of seawater intrusion (SWI) in data scarce aquifers along the Eastern Mediterranean by quantifying the interaction of the main natural, anthropogenic and climatic drivers, while also considering varying abilities of implementing adaptation and mitigation measures. For this purpose, we conducted a semi-quantitative Strengths, Weaknesses, Opportunities and Threats (SWOT) analysis representing a first attempt at integrating a complex physical process with multi layered influences in a SWOT analysis model that was tested at 26 coastal aquifers with varying levels of SWI severity. The analysis results showed alarming signs of SWI at several eastern and southeastern aquifers, particularly those underlying densely populated centers (i.e. Beirut, Lebanon; Magoza, Cyprus; Gaza, Palestine and the Nile Delta, Egypt). The analysis also highlighted adaptive capabilities that appear to be strong in Cyprus, Israel and Turkey, emerging in Egypt, and weak in Lebanon, Syria, and Palestine. The risks exhibited a strong and statistically significant positive relationship with the reported status of SWI at the tested aquifers thus providing an effective decision-making tool towards the preliminary assessment of SWI in regions with data scarcity. The study concludes with proposing a framework for sustainable aquifer management in the East Med region with emphasis on controlling SWI risks.

Detection of influenza virus in air samples of patient rooms.

BACKGROUND: Understanding the transmission and dispersal of influenza virus and respiratory syncytial virus (RSV) via aerosols is essential for the development of preventative measures in hospital environments and healthcare facilities. METHODS: During the 2017-2018 influenza season, patients with confirmed influenza or RSV infections were enrolled. Room air samples were collected close (0.30 m) to and distant (2.20 m) from patients' heads. Real-time polymerase chain reaction was used to detect and quantify viral particles in the air samples. The plaque assay was used to determine the infectiousness of the detected viruses. FINDINGS: Fifty-one air samples were collected from the rooms of 29 patients with laboratory-confirmed influenza; 51% of the samples tested positive for influenza A virus (IAV). Among the IAV-positive patients, 65% were emitters (had at least one positive air sample), reflecting a higher risk of nosocomial transmission compared with non-emitters. The majority (61.5%) of the IAV-positive air samples were collected 0.3 m from a patient's head, while the remaining IAV-positive air samples were collected 2.2 m from a patient's head. The positivity rate of IAV in air samples was influenced by distance from the patient's head and day of sample collection after hospital admission. Only three patients with RSV infection were recruited and none of them were emitters. CONCLUSION: Influenza virus can be aerosolized beyond 1 m in patient rooms, which is the distance considered to be safe by infection control practices. Further investigations are needed to determine the extent of infectivity of aerosolized virus particles.

Impact of SRT on the performance of MBRs for the treatment of high strength landfill leachate.

This study examines the performance and fouling potential of flat sheet (FS) and hollow fiber (HF) membrane bioreactors (MBRs) during the treatment of high strength landfill leachate under varying solid retention times (SRT = 5-20 days). Mixed-liquor bacterial communities were examined over time using 16S rRNA gene sequence analysis in an attempt to define linkages between the system performance and the microbial community composition. Similarly, biofilm samples were collected at the end of each SRT to characterize the microbial communities that evolved on the surface of the FS and HF membranes. In general, both systems exhibited comparable removal efficiencies that dropped significantly as SRT was decreased down to 5 days. Noticeably, ammonia and nitrite oxidizing bacteria were not detected at the tested SRTs. This suggests that the nitrifiers were not enriched, possibly due to the high organic and ammonium content of the leachate that led to low TN and NH3 removal efficiency. The steady-state fouling rate of both membranes increased linearly with the decrease in SRT at an estimated factor of 1.1 and 1.2 for the FS- and HF-MBR, respectively, when the SRT was reduced from 15 to 10 days and from 10 to 5 days. Similar dominant genera were detected in both MBRs, including Pseudomonas, Aequorivita, Ulvibacter, Taibaiella, and Thermus. Aequorivita, Taibaiella; Thermus were the dominant genera in the biofilms. Hierarchical clustering and non-metric multidimensional scaling revealed that while the mixed liquor communities in the FS-MBR and HF-MBRs were dynamic, they clustered separately. Similarly, biofilm communities on the FS and HF membranes differed in the dynamic bacterial community structure, especially for the FS-MBR; however this was less dynamic than the mixed liquor community.

Implications of adopting a biodiversity-based vulnerability index versus a shoreline environmental sensitivity index on management and policy planning along coastal areas.

In this study, a multi-criteria index was developed to assess anthropogenic stressors along the Mediterranean coastline. The index aimed at geo-locating pollution hotspots for informed decision making related to coastal zone management. The index was integrated in a Geographical Information System based geodatabase implemented at several pilot areas along the Northern (Italy and France), Eastern (Lebanon), and Southern (Tunisia) Mediterranean coastlines. The generated stressor maps were coupled with a biodiversity richness index and an environmental sensitivity index to produce vulnerability maps that can form the basis for prioritizing management and mitigation interventions towards the identification of pollution hotspots and the promotion of sustainable coastal zone management. The results identified significant differences between the two assessment methods, which can bias prioritization in decision making and policy planning depending on stakeholders' interests. The discrepancies emphasize the need for transparency and understanding of the underlying foundations behind vulnerability indices and mapping development.

Risk assessment of oil spills along the Mediterranean coast: A sensitivity analysis of the choice of hazard quantification.

Oil pollution in the Mediterranean represents a serious threat to the coastal environment. Quantifying the risks associated with a potential spill is often based on results generated from oil spill models. In this study, MEDSLIK-II, an EU funded and endorsed oil spill model, is used to assess potential oil spill scenarios at four pilot areas located along the northern, eastern, and southern Mediterranean shoreline, providing a wide range of spill conditions and coastal geomorphological characteristics. Oil spill risk assessment at the four pilot areas was quantified as a function of three oil pollution metrics that include the susceptibility of oiling per beach segment, the average volume of oiling expected in the event of beaching, and the average oil beaching time. The results show that while the three pollution metrics tend to agree in their hazard characterization when the shoreline morphology is simple, considerable differences in the quantification of the associated hazard is possible under complex coastal morphologies. These differences proved to greatly alter the evaluation of environmental risks. An integrative hazard index is proposed that encompasses the three simulated pollution metrics. The index promises to shed light on oil spill hazards that can be universally applied across the Mediterranean basin by integrating it with the unified oil spill risk assessment tool developed by the Regional Marine Pollution Emergency Response Centre for the Mediterranean (REMPEC).

Projected climate change impacts upon dew yield in the Mediterranean basin.

Water scarcity is increasingly raising the need for non-conventional water resources, particularly in arid and semi-arid regions. In this context, atmospheric moisture can potentially be harvested in the form of dew, which is commonly disregarded from the water budget, although its impact may be significant when compared to rainfall during the dry season. In this study, a dew atlas for the Mediterranean region is presented illustrating dew yields using the yield data collected for the 2013 dry season. The results indicate that cumulative monthly dew yield in the region can exceed 2.8mm at the end of the dry season and 1.5mm during the driest months, compared to <1mm of rainfall during the same period in some areas. Dew yields were compared with potential evapotranspiration (PET) and actual evapotranspiration (ET) during summer months thus highlighting the role of dew to many native plants in the region. Furthermore, forecasted trends in temperature and relative humidity were used to estimate dew yields under future climatic scenarios. The results showed a 27% decline in dew yield during the critical summer months at the end of the century (2080).

Operational and environmental determinants of in-vehicle CO and PM2.5 exposure.

This study presents a modeling framework to quantify the complex roles that traffic, seasonality, vehicle characteristics, ventilation, meteorology, and ambient air quality play in dictating in-vehicle commuter exposure to CO and PM2.5. For this purpose, a comprehensive one-year monitoring program of 25 different variables was coupled with a multivariate regression analysis to develop models to predict in-vehicle CO and PM2.5 exposure using a database of 119 mobile tests and 120 fume leakage tests. The study aims to improve the understanding of in-cabin exposure, as well as interior-exterior pollutant exchange. Model results highlighted the strong correlation between out-vehicle and in-vehicle concentrations, with the effect of ventilation type only discerned for PM2.5 levels. Car type, road conditions, as well as meteorological conditions all played a significant role in modulating in-vehicle exposure. The CO and PM2.5 exposure models were able to explain 72 and 92% of the variability in measured concentrations, respectively. Both models exhibited robustness and no-evidence of over-fitting.

Hollow fiber vs. flat sheet MBR for the treatment of high strength stabilized landfill leachate.

The Membrane Bioreactor (MBR) technology is increasingly becoming a prominent process in the treatment of high-strength wastewater such as leachate resulting from the decomposition of waste in landfills. This study presents a performance comparative assessment of flat sheet and hollow fiber membranes in bioreactors for the treatment of relatively stable landfill leachate with the objective of defining guidelines for pilot/full scale plants. For this purpose, a laboratory scale MBR system was constructed and operated to treat a leachate with Chemical Oxygen Demand (COD) (3900-7800mg/L), Biochemical Oxygen Demand (BOD5) (∼440-1537mg/L), Total Phosphorus (TP) (∼10-59mg/L), Phosphate (PO4(3)(-)) (5-58mg/L), Total Nitrogen (TN) (1500-5200mg/L), and ammonium (NH4(+)) (1770-4410mg/L). Both membranes achieved comparable BOD (92.2% vs. 93.2%) and TP (79.4% vs. 78.5%) removals. Higher PO4(3)(-) removal efficiency or percentage (87.3% vs. 81.3%) and slightly higher, but not statistically significant, COD removal efficiency were obtained with the hollow fiber membrane (71.4% vs. 68.5%). On the other hand, the flat sheet membrane achieved significantly higher TN and NH4(+) removal efficiencies (61.2% vs. 49.4% and 63.4% vs. 47.8%, respectively), which may be attributed to the less frequent addition of NaOCl compared to the hollow fiber system.

Vapor-induced transfer of bacteria in the absence of mechanical disturbances.

Transfer of bacteria through water vapor generated at moderate temperatures (30-50°C) in passive solar stills, has scarcely been reported. The objective of this research was to investigate whether bacteria in highly humid atmospheres can get transferred through water vapor in the absence of other transfer media to find their way to the distillate. To achieve this objective, passive solar reactors were chosen as the medium for experimentation, and distillation experiments were conducted by spiking a pure bacterial culture (Escherichia coli, Klebsiella pneumonia or Enterococcus faecalis) in low mineralized water vs. highly mineralized water in the dark under moderate temperatures ranges (30-35°C, 40-45°C and 50-55°C). Results showed that bacteria indeed get transferred with the vapor in stills when not exposed to solar U.V. radiation. The trends observed were adequately explained by a zero-modified Hurdle-Poisson model. The numbers of cultivable bacterial colonies transferred were bacterial size, water type and temperature dependent with highest transfers occurring in E. faecalis>E. coli>K. pneumonia at the 40°C range in low mineralized water. Proper management strategies are recommended to achieve complete disinfection in solar stills.