Surveillance to Monitor the Impact of the Trump Administration on the Health of New York City Residents.

CONTEXT: The Trump administration has enacted or proposed many policies that could impact public health. These include attempts to dismantle or repeal the Patient Protection and Affordable Care Act (ACA), restricting funding for women's health care, and loosening of environmental regulations. OBJECTIVE: To develop a surveillance system to monitor the public health impacts of the Trump administration in New York City. DESIGN: Epidemiologic assessment. Public health surveillance system. SETTING: New York City. PARTICIPANTS: New York City residents. MAIN OUTCOMES MEASURES: We identified approximately 25 indicators across 5 domains: access to care, food insecurity, reproductive health, environmental health, and general physical and mental health. Sources of data include the New York City Department of Health and Mental Hygiene's (DOHMH's) health and risk behavior telephone survey, vital statistics, emergency department visits, DOHMH sexual health clinics, Federally Qualified Health Centers, lead and diabetes registries, Medicaid claims, Supplementary Nutrition Assistance Program enrollment, Women, Infant, and Children program enrollment, and 311 call records. Data are collected monthly or quarterly where possible. We identified measures to stratify indicators by individual and area-based measures of immigration and poverty. RESULTS: Since April 2017, we have compiled quarterly reports, including establishing a historical baseline of 10 years to account for secular trends and encompass the establishment and enactment of the ACA. Indicators are interpreted within the context of changes in programming or local policy that might explain trends. CONCLUSIONS: We have successfully established an adaptive surveillance system that is poised to rapidly detect changes in the health of New York City residents resulting from changes by the Trump administration to public health policy. The development of such systems is a critical function for health departments across the country to play a role in the current political and policy environment.

Monitoring of abiotic degradation of photocrosslinked silicone acrylate coatings: the fate of the photoinitiator.

Photocrosslinked silicone acrylates are used in a variety of applications, such as printing inks, adhesives, or adhesive release liners. Their production requires the use of a photoinitiator. Even if the photoinitiator represents a minor mass in the photocurable formulation (2-10%), it is used in excess and residual amounts may therefore remain in the polymerized products and possibly migrate into the environment during the use of the products and/or at their end-of-life stage. Little is known on the possible degradation of silicone acrylate which may increase the potential release. The present study investigated the release of Darocur 1173, the most commonly used photoinitiator, from silicone matrix and the effect of accelerated photoageing on the extent of the phenomenon. Leaching tests in water were conducted on thin-coated plastic film (release liners) made of a mixture of polypropylene and polyethylene. Results showed that 44% of the Darocur 1173 photoinitiator initially used in silicone formulation was released from silicone matrix in the leaching test. Accelerated photoageing obtained by UV irradiation of the films for up to 200 h was found to favor photoinitiator degradation but also induced a strong and fast oxidation of silicone-coated liners as compared to that of uncoated ones. Graphical abstract.

The effect of the origin of MSWI bottom ash on the H2S elimination from landfill biogas.

Municipal Solid Waste Incineration (MSWI) Bottom Ash (BA) is a potential alternative adsorbent for biogas treatment due to its reactivity with hydrogen sulfide (H2S). The quality of BA depends however on the nature of the waste and the process technology of the waste incineration facility. To determine whether the origin of the BA could have an influence on its H2S elimination efficiency, comparative experimental tests were conducted in a landfill site with six bottom ashes from different MSW incinerators. Results showed that one of the BAs (A) had a much higher adsorption capacity than the rest (B-F), with 37g H2S/kg dry BA, compared to 11-16g H2S/kg dry BA for the other bottom ashes. Detailed physico-chemical analyses of the six BA were performed and complemented by principal component analysis to understand the different behaviors. BA iron content and specific surface area provided by the quench product stood out as key factors that promote the elimination of H2S.

Valorization of MSWI bottom ash for biogas desulfurization: Influence of biogas water content.

In this study an alternative valorization of Municipal Solid Waste Incineration (MSWI) Bottom Ash (BA) for H2S elimination from landfill biogas was evaluated. Emphasis was given to the influence of water content in biogas on H2S removal efficiency by BA. A small-scale pilot was developed and implemented in a landfill site located in France. A new biogas analyzer was used and allowed real-time continuous measurement of CH4, CO2, O2, H2S and H2O in raw and treated biogas. The H2S removal efficiency of bottom ash was evaluated for different inlet biogas humidities: from 4 to 24gwater/m3. The biogas water content was found to greatly affect bottom ash efficiency regarding H2S removal. With humid inlet biogas the H2S removal was almost 3 times higher than with a dry inlet biogas. Best removal capacity obtained was 56gH2S/kgdryBA. A humid inlet biogas allows to conserve the bottom ash moisture content for a maximum H2S retention.

Effectiveness evaluation of organized screening for esophageal cancer: a case-control study in Linzhou city, China.

In China, esophageal cancer has remained a large burden, and endoscopic screening is expected to reduce esophageal cancer mortality. Therefore, a population-based case-control study was conducted to evaluate the effect of screening. Cases were defined as individuals who had died of esophageal cancer, and controls were residents from the same area (three per case) who had not died of esophageal cancer, matched by gender and birth year. The exposure status (whether cases and controls had ever attended the screening or not) was acquired by inspecting the well documented screening records. A conditional logistic regression model was used to estimate the odds ratios (OR) and their 95% confidence intervals (95% CI). There were 253 cases and 759 controls. The reduction in risk of esophageal cancer mortality in individuals who had ever attended screening was 47% (OR: 0.53, 95% CI: 0.37-0.77). Compared with never-screened subjects, the ORs for screened subjects within 36 and 48 months before the reference date were 0.59(0.39-0.89) and 0.59(0.40-0.87); the ORs for 50-59 year old subjects were 0.48(0.28-0.85). The results suggest a 47% reduction in esophageal cancer mortality risk due to endoscopic screening, which may have significant implications for esophageal cancer screening in China, especially in rural areas.

Volatile organic silicon compounds in biogases: development of sampling and analytical methods for total silicon quantification by ICP-OES.

Current waste management policies favor biogases (digester gases (DGs) and landfill gases (LFGs)) valorization as it becomes a way for energy politics. However, volatile organic silicon compounds (VOSiCs) contained into DGs/LFGs severely damage combustion engines and endanger the conversion into electricity by power plants, resulting in a high purification level requirement. Assessing treatment efficiency is still difficult. No consensus has been reached to provide a standardized sampling and quantification of VOSiCs into gases because of their diversity, their physicochemical properties, and the omnipresence of silicon in analytical chains. Usually, samplings are done by adsorption or absorption and quantification made by gas chromatography-mass spectrometry (GC-MS) or inductively coupled plasma-optical emission spectrometry (ICP-OES). In this objective, this paper presents and discusses the optimization of a patented method consisting in VOSiCs sampling by absorption of 100% ethanol and quantification of total Si by ICP-OES.

Genetic genealogy reveals true Y haplogroup of House of Bourbon contradicting recent identification of the presumed remains of two French Kings.

Genetic analysis strongly increases the opportunity to identify skeletal remains or other biological samples from historical figures. However, validation of this identification is essential and should be done by DNA typing of living relatives. Based on the similarity of a limited set of Y-STRs, a blood sample and a head were recently identified as those belonging respectively to King Louis XVI and his paternal ancestor King Henry IV. Here, we collected DNA samples from three living males of the House of Bourbon to validate the since then controversial identification of these remains. The three living relatives revealed the Bourbon's Y-chromosomal variant on a high phylogenetic resolution for several members of the lineage between Henry IV and Louis XVI. This 'true' Bourbon's variant is different from the published Y-STR profiles of the blood as well as of the head. The earlier identifications of these samples can therefore not be validated. Moreover, matrilineal genealogical data revealed that the published mtDNA sequence of the head was also different from the one of a series of relatives. This therefore leads to the conclusion that the analyzed samples were not from the French kings. Our study once again demonstrated that in order to realize an accurate genetic identification of historical remains DNA typing of living persons, who are paternally or maternally related with the presumed donor of the samples, is required.

Hydrolysis of polydimethylsiloxane fluids in controlled aqueous solutions.

Accelerated degradation tests were performed on polydimethylsiloxane (PDMS) fluids in aqueous solutions and in extreme chemical conditions (pH 2-4 and 9-12). Results confirmed that silicones can be degraded by hydrolysis. Higher degradation levels were achieved in very acidic and alkaline conditions. Degradation products are probably polar siloxanols. In alkaline conditions, the counter-ion was found to have a strong influence on degradation level. Degradation kinetic studies (46 days) were also performed at different pH values. Supposing zeroth-order kinetics, degradation rate constants at 24 °C were estimated to 0.28 mgSi L(-1) day(-1) in NaOH solution (pH 12), 0.07 mgSi L(-1) day(-1) in HCl solution (pH 2) and 0.002 mgSi L(-1) day(-1) in demineralised water (pH 6). From these results, the following hypothesis was drawn: PDMS hydrolysis could occur in wastewater treatment plants and in landfill cells. It may be a first step in the formation of volatile organic silicon compounds (VOSiCs, including siloxanes) in biogas: coupled to biodegradation and (self-) condensation of degradation products, it could finally lead to VOSiCs.

Silicone-based surfactant degradation in aqueous media.

The increasing use of surfactants, such as modified polydimethylsiloxane-graft-polyethylene oxide (PDMS-g-PEO), requires studies on the fate of these compounds in the environment, and in particular in wastewater systems. A kinetic study, performed under three different pH conditions (pH2, 5.3 and 11) and using (1)H NMR (Nuclear Magnetic Resonance), proves that hydrolysis of the siloxane chain takes place in all cases, with higher rates for the two extreme conditions. Steric exclusion chromatography (SEC) clearly showed a decrease in the average molecular weight of the copolymer leading to a new molecular weight distribution, especially in acidic conditions. Degradation products, analyzed by (29)Si NMR, were found to be similar whatever the degradation pathway, namely silanediols and cyclic volatile compounds (degradation products of PDMS) and also PEO-modified silanediols and cyclic compounds. After one year, the siloxane chain completely disappeared under acidic conditions. Real wastewater medium has a strong effect on polymer stability, indicating that pH is not the only parameter which influences degradation rate.

Biogas--municipal solid waste incinerator bottom ash interactions: sulphur compounds removal.

This study focuses on a new way of reusing municipal solid waste incinerator bottom ash: landfill gas purification before energetic valorisation. A pilot plant was designed and operated on a landfill site located in France (Loire). One kilogram bottom ash is able to sequestrate more than 3.0 g of hydrogen sulphide, 44 mg of methyl mercaptan, and 86 mg of dimethyl sulphide. Hydrogen sulphide retention is probably due to acid-basic reactions conducting to sulphur mineralisation under the form of low solubility metal sulphides. The reaction medium is hydration water. The retention mechanism for methyl mercaptan is probably similar but dimethyl sulphide is most likely retained by physical adsorption. As methane is not retained by bottom ash, the landfill gas energetic content will not be lowered. There seems to be no appreciable difference in these results whether bottom ash is fresh or carbonated. These results are encouraging in the perspective of a field scale application of this biogas treatment process.

Volatile organic silicon compounds: the most undesirable contaminants in biogases.

Recently a lot of attention has been focused on volatile organic silicon compounds (VOSiC) present in biogases. They induce costly problems due to silicate formation during biogas combustion in valorisation engine. The cost of converting landfill gas and digester gas into electricity is adversely affected by this undesirable presence. VOSiC in biogases spark off formation of silicate deposits in combustion chambers. They engender abrasion of the inner surfaces leading to serious damage, which causes frequent service interruptions, thus reducing the economic benefit of biogases. It is already known that these VOSiC originate from polydimethylsiloxanes (PDMS) hydrolysis. PDMS (silicones) are used in a wide range of consumer and industrial applications. PDMS are released into the environment through landfills and wastewater treatment plants. There is a lack of knowledge concerning PDMS biodegradation during waste storage. Consequently, understanding PDMS behaviour in landfill cells and in sludge digester is particularly important. In this article, we focused on microbial degradation of PDMS through laboratory experiments. Preliminary test concerning anaerobic biodegradation of various PDMS have been investigated. Results demonstrate that the biotic step has an obvious influence on PDMS biodegradation.

Influence of waste input and combustion technology on MSWI bottom ash quality.

The waste input and the process technology of waste incineration plants appear to have a great influence on bottom ash quality. To better understand how these parameters can affect the characteristics of residues, bottom ash from six plants were tested and compared in this study. Bottom ash physico-chemical characteristics were investigated by chemical analyses, and leaching tests. In order to understand their long-term behavior, accelerated ageing experiments and biodegradation tests were also performed. The whole analyses gave complementary information. It was shown that the six samples do have different properties. Waste inputs have a great influence on Cl and S content in bottom ash, as well as on the Ca/Si ratio. The importance of this ratio on the carbonation process has been demonstrated. Combustion parameters have an influence on the quantity and mobility of the residual organic matter.

Assessment of MSWI bottom ash organic carbon behavior: a biophysicochemical approach.

In order to understand the influence of organic components on the behavior of municipal solid waste incinerator bottom ash, samples from five French incinerators have been analyzed and compared. Biological and physico-chemical experiments were coupled with a view to developing a new rapid assessment method of bottom ash quality. Bottom ash had different total organic carbon contents ranging from 8.8 g kg(-1) to 37.4 g kg(-1). A part of this organic carbon can be leached into the environment or provide a substrate for microbial activity. Samples showed really different behaviors regarding these processes. Comparative results of leaching tests and biodegradation experiments showed a positive correlation between dissolved organic carbon and microbial activity. However, quantities of biodegraded or leached carbon are not representative of the samples' total organic carbon content. Thermal analyses in oxidizing conditions have revealed the presence of two fractions of organic components, showing different thermal behaviors. The associated mass losses were measured and compared to dissolved organic carbon. One of the two fractions can be directly linked to the leachable and easily biodegradable organic matter fraction. Calorimetric test is then presented as a novel analysis method that allows to provide rapid and global information concerning the characteristics of organic matter in bottom ash and its possible short and long-term evolution.

Influence of organic matter on municipal solid waste incinerator bottom ash carbonation.

The biodegradation of organic matter in municipal solid waste incinerator (MSWI) bottom ash was studied in order to investigate the interaction between the CO(2) produced by microbial respiration and bottom ash. Respiration tests were performed on bottom ash at different moisture contents in an incubator at 30 degrees C. O(2) consumption and CO(2) production were monitored and quantified. Leaching tests were carried out at the end of the experiments. Total organic carbon (TOC) leaching had decreased. Over a period of three weeks, pH decreased from 10.7 to 8.2 and bottom ash was considered to be fully carbonated. This showed that the organic matter found in bottom ash can provide a substrate for microbial activity. The CO(2) produced by microbial respiration was directly dissolved in bottom ash pore water in order to be mineralized in carbonate form. The origin of the carbon dioxide which induces maturation of bottom ash on weathering areas has never been really discussed and is often presumed to be atmospheric CO(2). However, biodegradation of organic matter could contribute for a large part to this phenomenon, depending on field-scale physico-chemical weathering conditions.

Carbon dioxide sequestration in municipal solid waste incinerator (MSWI) bottom ash.

During bottom ash weathering, carbonation under atmospheric conditions induces physico-chemical evolutions leading to the pacification of the material. Fresh bottom ash samples were subjected to an accelerated carbonation using pure CO2. The aim of this work was to quantify the volume of CO2 that could be sequestrated with a view to reduce greenhouse gas emissions and investigate the possibility of upgrading some specific properties of the material with accelerated carbonation. Carbonation was performed by putting 4mm-sieved samples in a CO2 chamber. The CO2 pressure and the humidity of the samples were varied to optimize the reaction parameters. Unsieved material was also tested. Calcite formation resulting from accelerated carbonation was investigated by thermogravimetry and differential scanning calorimetry (TG/DSC) and metal leaching tests were performed. The volume of sequestrated CO2 was on average 12.5L/kg dry matter (DM) for unsieved material and 24 L/kg DM for 4mm-sieved samples. An ash humidity of 15% appeared to give the best results. The reaction was drastically accelerated at high pressure but it did not increase the volume of sequestrated CO2. Accelerated carbonation, like the natural phenomenon, reduces the dangerous nature of the material. It decreases the pH from 11.8 to 8.2 and causes Pb, Cr and Cd leaching to decrease. This process could reduce incinerator CO2 emissions by 0.5-1%.

Removal of polycyclic aromatic hydrocarbons from aged-contaminated soil using cyclodextrins: experimental study.

The removal of polycyclic aromatic hydrocarbons (PAHs) from soil using water as flushing agent is relatively ineffective due to their low aqueous solubility. However, addition of cyclodextrin (CD) in washing solutions has been shown to increase the removal efficiency several times. Herein are investigated the effectiveness of cyclodextrin to remove PAH occurring in industrially aged-contaminated soil. Beta-cyclodextrin (BCD), hydroxypropyl-beta-cyclodextrin (HPCD) and methyl-beta-cyclodextrin (MCD) solutions were used for soil flushing in column test to evaluate some influent parameters that can significantly increase the removal efficiency. The process parameters chosen were CD concentration, ratio of washing solution volume to soil weight, and temperature of washing solution. These parameters were found to have a significant and almost linear effect on PAH removal from the contaminated soil, except the temperature where no significant enhancement in PAH extraction was observed for temperature range from 5 to 35 degrees C. The PAHs extraction enhancement factor compared to water was about 200.