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PubMed2000

Upgrading the conventional grease trap using a tube settler.

Grease traps are widely used by most restaurants and food processing industries in Hong Kong to reduce oil and grease to an acceptable level before it can be discharged to public sewers. To meet demanding effluent standards in the future, it is necessary to polish the effluent by upgrading the conventional trap design. This study evaluated the possibility of upgrading traditional grease traps by installing tube settlers inside the trap. Their efficiency of removing chemical oxygen demand (COD) and oil/grease was examined to justify the performance. It was found that installing a tube settler is a feasible and cheap way to upgrade the conventional grease trap, since it improved oil/grease removal efficiency by 8-10% compared to the conventional design. In addition, a remarkable improvement in COD removal was observed following a very short hydraulic detention time after the installation of tube settlers. This ensured acceptable effluent quality under peak flowrates. Two mathematical models were also proposed to facilitate trap design.

Dietary Fats, Unsaturated↗
PubMed1998

Now wash your hands? A survey of hospital handwashing facilities.

We studied the adequacy of handwashing facilities on elderly-care wards in seven UK hospitals. We found 10.9% of sinks were inaccessible, 12% of sinks did not have any cleansing agent, 93.2% of ward sinks and 79% of treatment room sinks had no antiseptic agent. We conclude that in our survey, handwashing facilities were inadequate and have suggested a standard checklist for hospital sinks.

Geriatrics↗
PubMed1992

Plumbing system shock absorbers as a source of Legionella pneumophila.

BACKGROUND: Water distribution systems have been demonstrated to be a major source of nosocomial legionellosis. We describe an outbreak in our institution in which a novel source of Legionella pneumophila was identified in the plumbing system. METHODS: After an outbreak of 10 cases of legionellosis in our hospital, recommended measures including superheating of the hot water to 80 degrees C, hyperchlorination to 2 ppm, and flushing resulted in no new cases in the following 5 years. Recently, despite these control measures, three new cases occurred. Surveillance cultures of shower heads and water tanks were negative; cultures of tap water samples remained positive. This prompted a search for another reservoir. Shock absorbers installed within water pipes to decrease noise were suspected. RESULTS: One hundred twenty-five shock absorbers were removed and cultured. A total of 13 (10%) yielded heavy growth of L. pneumophila (serogroup 1). Since their removal, no new cases have been found and the percentage of positive results of random tap water culture has dropped from 20% to 5%. CONCLUSIONS: This is the first report that identifies shock absorbers as a possible reservoir for L. pneumophila. We recommend that institutions with endemic legionellosis assess the water system for possible removal of shock absorbers.

Cross Infection↗
PubMed1998

Nosocomial legionnaires' disease discovered in community hospitals following cultures of the water system: seek and ye shall find.

BACKGROUND: The reservoir for hospital-acquired legionnaires' disease is the water distribution system. The Allegheny County (Pa.) Health Department recommended environmental cultures for all health care facilities for the prevention of hospital-acquired Legionella infection including facilities with no known cases of legionnaires' disease. METHODS: Environmental cultures of hot water tanks, faucets, and showerheads were performed in six health care facilities according to health department guidelines. If hot water tanks, faucets, or showerheads yielded Legionella, monitoring with Legionella culture and urinary antigen was performed for all cases of nosocomial pneumonia. RESULTS: Legionella was isolated from the water distribution system in 83% (five of six) of facilities. Three facilities dropped out of the study; two decided to disinfect the water and one had no Legionella in the water system. The other three facilities all discovered cases of legionnaires' disease during the 1-year study period after introduction of Legionella testing. L. pneumophilia, serogroups 1, 3, and 5, caused 12 cases of hospital-acquired legionnaires' disease. Positive diagnostic tests included: 10 of 12 (83%) urinary antigen, 6 of 8 (75%) respiratory cultures, and 2 of 5 (40%) serology. Molecular typing confirmed that the source of infection was the water supply in two hospitals. CONCLUSION: Routine environmental cultures for Legionella in the water distribution system are recommended even if the hospital had not previously recognized cases of hospital acquired legionnaires' disease. The Allegheny County Health Department guidelines were inexpensive to implement and resulted in the discovery of cases that would have otherwise been undiagnosed.

Cross Infection↗
PubMed2002

Polyacrylamide preparations for protection of water quality threatened by agricultural runoff contaminants.

Waste streams associated with a variety of agricultural runoff sources are major contributors of nutrients, pesticides and enteric microorganisms to surface and ground waters. Water soluble anionic polyacrylamide (PAM) was found to be a highly effective erosion-preventing and infiltration-enhancing polymer, when applied at rates of 1-10 g m(-3) in furrow irrigation water. Water flowing from PAM treated irrigation furrows show large reductions in sediment, nutrients and pesticides. Recently PAM and PAM + CaO and PAM + Al(SO4)3 mixtures have been shown to filter bacteria, fungi and nutrients from animal wastewater. Low concentrations of PAM [175-350 g PAM ha(-1) as PAM or as PAM + CaO and PAM + Al(SO4) mixture] applied to the soil surface, resulted in dramatic decreases (10 fold) of total, coliform and fecal streptococci bacteria in cattle, fish and swine wastewater leachate and surface runoff. PAM treatment also filtered significant amounts of NH4, PO4 and total P in cattle and swine wastewater. This points to the potential of developing PAM as a water quality protection measure in combination with large-scale animal feeding operations. Potential benefits of PAM treatment of animal facility waste streams include: (1) low cost, (2) easy and quick application. (3) suitability for use with other pollution reduction techniques. Research on the efficacy of PAM for removal of protozoan parasites and viruses and more thorough assessment of PAM degradation in different soils is still needed to completely evaluate PAM treatment as an effective waste water treatment. We will present analysis and feasibility of using PAM, PAM + Al(SO4)3, and PAM + CaO application for specific applications. Our results demonstrate their potential efficacy in reducing sediment, nutrients and microorganisms from animal production facility effluents.

Acrylic Resins↗
PubMed2002

The performance and potential of faecal separation and urine diversion to recycle plant nutrients in household wastewater.

In household wastewater and biodegradable solid waste, the main proportion of the plant nutrients are found in the toilet water (i.e. in urine and faeces). In order to recover most of these nutrients, with the purpose of decreasing the emission of eutrophicating agents and of increasing their recycling, present waste and wastewater systems have to be changed. If the urine and the faeces are collected, up to 91%, 83%, and 59% for N, P and K, respectively, can be recovered and recycled from the household wastewater. The urine was collected separately in a double flushed urine-diverting toilet and the faeces were separated from the flushwater using two parallel Aquatrons. The Aquatron separates by a combination of a whirlpool effect, gravitation and surface tension. In this study, nitrogen and phosphorus from the faeces were separated to 73% and 58%, respectively, to the dryer fraction. The combination of faecal separation and urine diversion in the house Ekoporten made it possible to collect 60% of N, 46% of P and 43% of K from the wastewater, indicating that this method is an alternative when aiming to recover plant nutrients while still wanting to use water-flushed, urine-diverting toilets, though the potential to collect the nutrients is much higher.

Agriculture↗
PubMed2005

Reducing the burden of malaria in different eco-epidemiological settings with environmental management: a systematic review.

The public health and economic significance of malaria is enormous, and its control remains a great challenge. Many established malaria control methods are hampered by drug resistance and insecticide-resistant vectors. Malaria control measures built around environmental management are non-toxic, cost-effective, and sustainable. However, there has been no comprehensive review of the literature or meta-analysis examining the effect of these interventions. We therefore did a systematic literature review and identified 40 studies that emphasised environmental management interventions and reported clinical malaria variables as outcome measures. Of these 40 studies, environmental modification (measures aiming to create a permanent or long-lasting effect on land, water, or vegetation to reduce vector habitats--eg, the installation and maintenance of drains) was the central feature in 27 studies, environmental manipulation (methods creating temporary unfavourable conditions for the vector--eg, water or vegetation management) in four, and nine quantified the effect of modifications of human habitation. Most of the studies (n=34, 85%) were implemented before the Global Malaria Eradication Campaign (1955-69), which mainly relied on indoor residual spraying with dichlorodiphenyltrichloroethane (DDT). In 16 studies that applied environmental modification and in eight studies on modification of human habitation, the risk ratio of malaria was reduced by 88.0% (95% CI 81.7-92.1) and 79.5% (95% CI 67.4-87.2), respectively. We conclude that malaria control programmes that emphasise environmental management are highly effective in reducing morbidity and mortality. Lessons learned from these past successful programmes can inspire sound and sustainable malaria control approaches and strategies.

Communicable Disease Control↗
PubMed2001

Identification of complex flows in Taylor-Couette counter-rotating cavities.

The transition in confined rotating flows is a topical problem with many industrial and fundamental applications. The purpose of this study is to investigate the Taylor-Couette flow in a finite-length cavity with counter-rotating walls, for two aspect ratios L=5 or L=6. Two complex regimes of wavy vortex and spirals are emphasized for the first time via direct numerical simulation, by using a three-dimensional spectral method. The spatio-temporal behavior of the solutions is analyzed and compared to the few data actually available.

Ecological Systems, Closed↗
PubMed1972

Water-borne typhoid fever caused by an unusual Vi-phage type in Edinburgh.

Investigation of a small series of cases of typhoid fever infected in a river between 1963 and 1970 revealed that all were caused by a single source, a carrier of a rare phage type of Salmonella typhi. The contamination of the river resulted from an incorrect sewage connexion with a surface water drain outfall into the river.

Adolescent↗
PubMed1978

The problem of paralytic poliomyelitis in the urban and rural population around Lucknow, India.

A house to house survey was done from October 1972 to March 1974, covering 528952 individuals of urban population at Lucknow and 50,156 individuals of rural population of Unnao district, to find out the incidence of polio-like paralysis in our population. Among 12874 urban children up to 8 years old 8.2/1000 had polio-like paralysis while 4.6/1000 children of the rural population of 13554 children were affected. The incidence was significantly higher in the urban population. In the preschool age group almost 1 out of every 100 children was affected. A higher number of children were affected during 1968-9 and 1971-2, though it did not reach epidemic proportion. The findings show that paralytic polio is a serious problem in our country where poliomyelitis is endemic: this is contrary to the views generally held so far.

Adolescent↗
PubMed1980

The occurrence and significance to animal health of salmonellas in sewage and sewage sludges.

A total of 882 samples of settled sewage, sewage sludges and final effluents from eight sewage treatment plants were examined for the presence of salmonellas. Of these samples 68% were positive, isolations being made most frequently from settled sewage (85%), raw sludge (87%) and anaerobically digested sludge (96%). Fewer isolations were made from final effluent (24%) and processed sludges (58%). Samples usually contained less than 200 salmonellas/100 ml and arguments are presented that such concentrations should not lead to disease in animals if suitable grazing restrictions are followed.

Animals↗
PubMed1984

Postoperative infections following cardiac surgery: association with an environmental reservoir in a cardiothoracic intensive care unit.

During 1981, 39 nosocomial infections occurred in 27 of 223 patients undergoing cardiac surgery in the North Carolina Memorial Hospital. The peak attack rate (23.7%) occurred in August and September compared to 10.1% in January through July. A case-control study demonstrated that the only risk factor common to poor and stable health groups compared to controls was duration of stay in the cardiothoracic intensive care unit (CTICU). Microbiologic studies of the environment, personnel and patients showed that colonization or infection of patients occurred 1 to 6 days after admission to the CTICU and that nosocomial pathogens were found: 1) in and around the unit's soiled utility sink, 2) in pooled handwashing cultures of unit personnel, and 3) on contaminated clean hands and air near the soiled utility sink, plus nearby bedside air only while the water in the sink was running. Environmental and personnel hand contamination by soiled utility sink aerosols likely contributed to these infections. Infection control measures, including discontinued use of the soiled utility sink, resulted in a significantly lower infection rate (5.6%).

Air Microbiology↗