Dataset Information

Assessment of Dioxin and Furan Emission Levels and Management Practices in Addis Ababa, Ethiopia.

ABSTRACT:

Introduction

An increase in population and related increased demand for health services, expansion of industries, and increasing transportation demands have increased the emission of dioxin and furan persistent organic pollutants (POPs) in Addis Ababa, Ethiopia.

Objective

This study aimed to identify sources of dioxin and furan emissions, quantify their release into various environmental medias and assess related management practices.

Methods

The standard United Nations Environmental Programme (UNEP) (2005) toolkit guide and default emission factor were used to identify the main anthropogenic sources and to quantify the amount of released dioxin and furan. Stratified random sampling techniques were applied to assess current management practices.

Results

Nine main groups of dioxin and furan emission sources were identified. The emission of each source group was calculated by the activity rate data multiplied by an emission factor. The results found that about 138.85 g toxic equivalent(TEQ)/a(TEQ/year)of dioxin and furan were released to air, water, residue (materials remaining as sludge after sewage treatment or in the form of ash after incineration activity) and soil. Waste disposal activities recorded the largest release of dioxin and furan, accounting for 68.30 g TEQ/a of dioxin and furan to water and residue, 34.00 g TEQ/a to air and 0.64 g TEQ/a emitted into soil.

Conclusions

Several sources of dioxin and furan emission were identified and the present study found that their management is inadequate. Waste disposal services are especially inadequate and generate higher amounts of dioxin and furan gasses. In addition, the organizations that are responsible for the release of dioxin and furan have no awareness of their release and inadequate management practices. The present study points to the need for reformulation of the national legal management framework, adoption of best available technology for disposal services such as incinerators with flue gas management, increasing public and stakeholders' awareness and participation and capacitating the responsible government organizations.

SUBMITTER: Akele ES

PROVIDER: S-EPMC6236542 | biostudies-literature | 2017 Sep

REPOSITORIES: biostudies-literature

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Publications

Assessment of Dioxin and Furan Emission Levels and Management Practices in Addis Ababa, Ethiopia.

Akele Ephrem Sisay ES Tarekegn Mekonnen Maschal MM

Journal of health & pollution 20170907 15

<h4>Introduction</h4>An increase in population and related increased demand for health services, expansion of industries, and increasing transportation demands have increased the emission of dioxin and furan persistent organic pollutants (POPs) in Addis Ababa, Ethiopia.<h4>Objective</h4>This study aimed to identify sources of dioxin and furan emissions, quantify their release into various environmental medias and assess related management practices.<h4>Methods</h4>The standard United Nations Env ...[more]

PMID: 30524833

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Project description:BackgroundHealthcare waste management is very important due to its hazardous nature that can cause risk to human health and the environment. In developing countries, healthcare waste has not received much attention and has been disposed of together with municipal waste. The aim of the study was to assess the healthcare waste management practices in Addis Ababa City Administration Public Health Facilities.MethodsAn institutional-based cross-sectional design was used for the study at Addis Ababa city 15 Public health centres and 3 hospitals. Data were collected using self-administered questionnaires distributed to 636 randomly selected healthcare waste handlers and managers. Observational check list also used. The data were entered into the EPI- INFO version TM 7 and exported to IBM SPSS 20 for analysis. Both descriptive and analytic statistics were employed.ResultsAmong the respondents, 358 (90.86%) from health centres and 96.38% (133) from hospitals indicated that their facilities had separate containers for hazardous and non-hazardous waste however, 61 (15.48%) from health centres and 29 (21.01%) from hospitals indicated that healthcare waste containers were not clearly marked or labelled. The study found that the main forms of on-site treatment of healthcare waste for health centres and hospitals before disposal were burning. Manager respondents from the health centres 65 (92.86%), 64 (91.43%) and from hospitals 31 (91.18%), 30 (88.24%) indicated that healthcare waste handlers were used protective clothing when handling waste and were provided with protective clothing when handling healthcare waste respectively.ConclusionIn this study healthcare waste management among healthcare waste handlers and healthcare facility managers were not getting full attention. Collection of healthcare waste were not done regularly, containers were not clearly marked and were not located in appropriate areas where they might be needed. Support healthcare waste handlers by training help to improve their knowledge, attitude and practice.

Project description:Healthcare professionals are at higher risk of contracting the new coronavirus disease 2019 (COVID-19). Although appropriate preventive measures are the most important interventions to prevent coronavirus infection among healthcare workers, they are also highly concerned about the consequences of the pandemic. The aim of this cross-sectional study was to assess preventive practices, perceived risk and worry about COVID-19 crisis among healthcare professionals at six public hospitals in Addis Ababa, Ethiopia. A systematic random sampling technique was used to select 1,134 respondents (52.6% females). Data were collected between 9th and 20th June 2020 using self-administered questionnaires. Descriptive statistics were used to summarize the data. A multiple linear regression analysis was performed to identify factors associated with worry about COVID-19 crisis. The highest percentage of respondents were nurses (39.3%) and physicians (22.2%), followed by interns (10.8%) and midwives (10.3%). Wearing facemask (93%) and frequent hand washing (93%) were the commonly reported preventive practices. Perceived risk of becoming infected with coronavirus (88%) and the potential risk of infection to their family (91%) were very high. The mean (median) worry score about COVID-19 crisis was 2.37 (3.0), on 1 to 3 scale, with 1 (not worried) and 3 (highly worried). The majority worried a lot about the health system being overwhelmed by COVID-19 patients (92%), the health of their loved ones (90%) and losing someone due to COVID-19 (89%). Respondents who had previously provided clinical care to Ebola, SARS and cholera patients had significantly lower levels of worry about COVID-19 crisis than participants who had not (β = -1.38, P<0.001). Our findings reveal respondents' widespread practice of preventive measures, highest levels of perceived risk and worry about the COVID-19 crisis. Increased perceived risk and worry about COVID-19 might enable healthcare workers to adopt appropriate preventive measures more effectively against the disease.

Project description:BACKGROUND:Rubella is a vaccine-preventable contagious disease causing an estimated 100,000 children to be born with congenital rubella syndrome each year globally. Studies documented that 18 rubella outbreaks were occurred each year in Ethiopia. Yeka sub-city woreda 13 public health emergency management office reported two measles suspected cases on 8 February, 2018. We investigated this outbreak to identify its etiology, describe the outbreak and implement control measures. METHODS:We described the outbreak using descriptive epidemiology. The study population was defined as students learning in the school where the outbreak occurred. Suspected rubella case was defined as student with generalized rash whereas confirmed case was suspected case tested positive for rubella IgM. Questionnaires, checklists and students record review were used to collect data. We searched for new cases in classes daily and excluded them from classes. The school environment was assessed and the outbreak was described in person and time. RESULTS:We identified 58 cases (median age: 4.6 years; IQR: 4-5 years) with six of them rubella IgM positive and 52 epidemiologically linked. The outbreak began on 8 February 2018 having multiple intermittent peaks during its course reaching its highest peak at 2 April, 2018 and ended on 20 April, 2018. Index cases were reported from two classes; however, cases were occurred in 13/15(86.67%) of the classes during the entire outbreak. Fifty five percent (32/58) and 45/58(77.59%) of the cases were females and 3-5 years children, respectively. Overall attack rate was 58/531(4.05%). Attack rate was higher in females 32/252 (12.7%) than in males 26/279 (9.32%), and higher 45/275(16.36%) in 3-5 years than those in 5-8 years 13/256(5.08%) children. Case fatality ratio was zero. All cases were vaccinated against measles but unvaccinated against rubella. CONCLUSIONS:Attack rate was higher in females than in males and higher in 3-5 years than 5-8 years children. We recommended establishing rubella surveillance system, conducting sero-prevalence of rubella among child bearing age females and establishing CRS surveillance among young infants to provide evidence-based information for RCV introduction. It was also recommended to develop a national rubella surveillance guideline which aid to exclude rubella cases from schools during outbreak.

Dataset Information

Assessment of Dioxin and Furan Emission Levels and Management Practices in Addis Ababa, Ethiopia.

Introduction

Objective

Methods

Results

Conclusions

Publications

Assessment of Dioxin and Furan Emission Levels and Management Practices in Addis Ababa, Ethiopia.

Similar Datasets

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