Binational survey of personal protective equipment (PPE) pollution driven by the COVID-19 pandemic in coastal environments: Abundance, distribution, and analytical characterization.
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ABSTRACT:
SUBMITTER: De-la-Torre GE
PROVIDER: S-EPMC8672681 | biostudies-literature |
REPOSITORIES: biostudies-literature
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Project description:The COVID-19 pandemic led to a still ongoing international health and sanity crisis. In the current scenario, the actions taken by the national authorities and the public prioritized measures to control the transmission of the virus, such as social distancing, and face mask-wearing. Unfortunately, due to the debilitated waste management systems and incorrect disposal of single-use face masks and other types of personal protective equipment (PPE), the occurrence of these types of items has led to the exacerbation of marine plastic pollution. Although various studies have focused on surveying marine coasts for PPE pollution, studies on inland water are largely lacking. In order to fill this knowledge gap, the present study assessed PPE pollution in the Iranian coast of the Caspian Sea, the largest enclosed inland water body in the world by following standard monitoring procedures. The results concerning the density (1.02 × 10-4 PPE/m2) composition (face masks represented 95.3% of all PPE) of PPE are comparable to previous studies in marine waters. However, a notable decrease in the occurrence of PPE was observed, probably to behavioral and seasonality reasons. The possible consequences of PPE pollution were discussed, although much more research is needed regarding the ecotoxicological aspects of secondary PPE contaminants, such as microplastics and chemical additives. It is expected that face mask mandates will be eventually halted, and PPE will stop being emitted to the environment. However, based on the lessons learned from the COVID-19 scenario, several recommendations for coastal solid waste management are provided. These are proposed to serve during and after the pandemic.
| S-EPMC8848538 | biostudies-literature
Project description:With numerous countermeasures, the number of deaths in the construction industry is still higher compared to other industries. Personal Protective Equipment (PPE) is constantly being improved to avoid these accidents, although workers intentionally or unintentionally forget to use such safety measures. It is challenging to manually run a safety check as the number of co-workers on a site can be large; however, it is a prime duty of the authority to provide maximum protection to the workers on the working site. From these motivations, we have created a computer vision (CV) based automatic PPE detection system that detects various types of PPE. This study also created a novel dataset named CHVG (four colored hardhats, vest, safety glass) containing eight different classes, including four colored hardhats, vest, safety glass, person body, and person head. The dataset contains 1,699 images and corresponding annotations of these eight classes. For the detection algorithm, this study has used the You Only Look Once (YOLO) family's anchor-free architecture, YOLOX, which yields better performance than the other object detection models within a satisfactory time interval. Moreover, this study found that the YOLOX-m model yields the highest mean average precision (mAP) than the other three versions of the YOLOX.
| S-EPMC9299268 | biostudies-literature
Project description:Waste generated by healthcare facilities during the COVID-19 pandemic has become a new source of pollution, particularly with the widespread use of single-use personal protective equipment (PPE). Releasing microplastics (MPs) and microfibers (MFs) from discarded PPE becomes an emerging threat to environmental sustainability. MPs/MFs have recently been reported in a variety of aquatic and terrestrial ecosystems, including water, deep-sea sediments, air, and soil. As COVID-19 spreads, the use of plastic-made PPE in healthcare facilities has increased significantly worldwide, resulting in massive amounts of plastic waste entering the terrestrial and marine environments. High loads of MPs/MFs emitted into the environment due to excessive PPE consumption are easily consumed by aquatic organisms, disrupting the food chain, and potentially causing chronic health problems in humans. Thus, proper management of PPE waste is critical for ensuring a post-COVID sustainable environment, which has recently attracted the attention of the scientific community. The current study aims to review the global consumption and sustainable management of discarded PPE in the context of COVID-19. The severe impacts of PPE-emitted MPs/MFs on human health and other environmental segments are briefly addressed. Despite extensive research progress in the area, many questions about MP/MF contamination in the context of COVID-19 remain unanswered. Therefore, in response to the post-COVID environmental remediation concerns, future research directions and recommendations are highlighted considering the current MP/MF research progress from COVID-related PPE waste.
| S-EPMC9675081 | biostudies-literature
Project description:We modeled the stability of SARS-CoV-2 on personal protective equipment (PPE) commonly worn in hospitals when carrying out high-risk airway procedures. Evaluated PPE included the visors and hoods of two brands of commercially available powered air purifying respirators, a disposable face shield, and Tyvek coveralls. Following an exposure to 4.3 log10 plaque-forming units (PFUs) of SARS-CoV-2, all materials displayed a reduction in titer of > 4.2 log10 by 72 hours postexposure, with detectable titers at 72 hours varying by material (1.1-2.3 log10 PFU/mL). Our results highlight the need for proper doffing and disinfection of PPE, or disposal, to reduce the risk of SARS-CoV-2 contact or fomite transmission.
| S-EPMC7866333 | biostudies-literature
Project description:Personal protective equipment (PPE) pollution has become one of the most pending environmental challenges resulting from the pandemic. While various studies investigated PPE pollution in the marine environment, freshwater bodies have been largely overlooked. In the present study, PPE monitoring was carried out in the vicinity of Lake Tana, the largest lake in Ethiopia. PPE density, types, and chemical composition (FTIR spectroscopy) were reported. A total of 221 PPEs were identified with a density ranging from 1.22 × 10-5 PPE m-2 (control site S1) to 2.88× 10-4 PPE m-2 with a mean density of 1.54 × 10-4 ± 2.58 × 10-5 PPE m-2. Mismanaged PPE waste was found in all the sampling sites, mostly consisting of surgical face masks (93.7%). Statistical analyzes revealed significantly higher PPE densities in sites where several recreational, touristic, and commercial activities take place, thus, revealing the main sources of PPE pollution. Furthermore, polypropylene and polyester fabrics were identified as the main components of surgical and reusable cloth masks, respectively. Given the hazard that PPEs represent to aquatic biota (e.g., entanglement, ingestion) and their ability to release microplastics (MPs), it is necessary to implement sufficient solid waste management plans and infrastructure where lake activities take place. Additionally, local authorities must promote and ensure sustainable tourism in order to maintain the ecosystems in Lake Tana. Prospective research priorities regarding the colonization and degradation of PPE, as well as the release of toxic chemicals, were identified and discussed.
| S-EPMC8787314 | biostudies-literature
Project description:The COVID-19 pandemic resulted in many supply chain issues, including crippling of essential personal protective equipment (PPE) needed for high-risk occupations such as those in healthcare. As a result of these supply chain issues, unprecedented crisis capacity strategies were implemented to divert PPE items such as filtering facepiece respirators (FFRs, namely N95s) to those who needed them most for protection. Large-scale methods for decontamination were used throughout the world to preserve these items and provided for their extended use. The general public also adopted the use of non-specialized protective equipment such as face coverings. So, the need for cleaning, decontamination, or disinfection of these items in addition to normal clothing items became a necessary reality. Some items could be laundered, but other items were not appropriate for washing/drying. To fill research gaps in small-scale, non-commercial cleaning and disinfection, this bench-scale research was conducted using small coupons (swatches) of multiple PPE/barrier protection materials inoculated with virus (non-pathogenic bacteriophages Phi6 and MS2) and tested against a range of decontamination methods including bleach-, alcohol- and quaternary ammonium compound (QAC)-based liquid sprays, as well as low concentration hydrogen peroxide vapor (LCHPV) and bench-scale laundering. In general, non-porous items were easier to disinfect than porous items, and the enveloped virus Phi6 was overall easier to inactivate than MS2. Multiple disinfection methods were shown to be effective in reducing viral loads from PPE coupons, though only laundering and LCHPV were effective for all materials tested that were inoculated with Phi6. Applications of this and follow-on full-scale research are to provide simple effective cleaning/disinfection methods for use during the current and future pandemics.
| S-EPMC10374148 | biostudies-literature
Project description:The COVID-19 pandemic has resulted in an unprecedented surge of production, consumption, and disposal of personal protective equipment (PPE) including face masks, disposable gloves, and disinfectant wipes, which are often made of single use plastic. Widespread public use of these items has imposed pressure on municipalities to properly collect and dispose of potentially infectious PPE. There has been a lack of structured monitoring efforts to quantify the emerging trend of improperly disposed of PPE debris. In this study, we present a baseline monitoring survey to describe the spatial distribution of PPE debris during the COVID-19 pandemic from the metropolitan city of Toronto, Canada. Our objectives were to: (1) quantify PPE debris types among surveyed areas and; (2) identify PPE debris densities and accumulation of surveyed areas. A total of 1306 PPE debris items were documented, with the majority being disposable gloves (44%), followed by face masks (31%), and disinfecting wipes (25%). Of the face masks, 97% were designed for single use while only 3% were reusable. Of the surveyed locations, the highest daily average densities of PPE debris were recorded in the large and medium-sized grocery store parking lots and the hospital district (0.00475 items/m2, 0.00160 items/m2, and 0.00133 items/m2 respectively). The two surveyed residential areas had the following highest PPE densities (0.00029 items/m2 and 0.00027 items/m2), while the recreational trail had the lowest densities (0.00020 items/m2). Assuming a business-as-usual accumulation, an estimated 14,298 PPE items will be leaked as debris in just the surveyed areas annually. To facilitate proper disposal of PPE debris by the public we recommend development of municipal efforts to improve PPE collection methods that are informed by the described PPE waste pathways.
| S-EPMC7833877 | biostudies-literature
Project description:BackgroundFull level 1 personal protective equipment (PPE) is used in various domains and contexts. Prior research has shown influences of such equipment on performance, comfort, and contamination levels. The coronavirus disease (COVID-19) pandemic forced a pervasive requirement of PPE, with little preparation, rushed deployment, inadequate time for training, and massive use by personnel who are inexperienced or not qualified in its effective use.ObjectiveThis study aims to examine the key human factors (physical and ergonomic, perceptual and cognitive) that influence the use of level 1 PPE when attending to patients with suspected or confirmed COVID-19.MethodsThe research approach consisted of a short survey disseminated to health care professionals in two countries, Israel and Portugal, with similar demographics and health care systems. The survey included 10 items with a 5-point Likert scale regarding the key human factors involved in level 1 PPE, as identified in prior research.ResultsA total of 722 respondents from Israel and 301 respondents from Portugal were included in the analysis. All the respondents reported using level 1 PPE with patients with COVID-19 in the range of several hours daily to several hours weekly. The Cronbach α was .73 for Israel and .75 for Portugal. Responses showed high levels of difficulty, with medians of 4 for items related to discomfort (n=539/688, 78% in Israel; n=328/377, 87% in Portugal), hearing (n=236/370, 64% in Portugal; n=321/642, 50% in Israel), seeing (n=697/763, 89% in Israel; n=317/376, 84% in Portugal), and doffing (n=290/374, 77% in Portugal; n=315/713, 44% in Israel). A factor analysis showed a set of strongly related variables consisting of hearing, understanding speech, and understanding the situation. This suggests that degradation in communication was strongly associated with degradation in situational awareness. A subsequent mediation analysis showed a direct effect of PPE discomfort on situational awareness (P<.001); this was also influenced (mediated) by difficulties in communicating, namely in hearing and understanding speech.ConclusionsIn 2020, the COVID-19 pandemic is paving the way for updating PPE design. The use of already deployed technology affords ample opportunities to improve, adapt, and overcome caveats. The findings here suggest that the use of level 1 PPE with patients with COVID-19 has perceptual and cognitive effects, in addition to physical and ergonomic influences. Efforts should be taken to mitigate the harmful effects of such influences, both regarding the performance of medical actions and the risk of contamination to health care workers. Such efforts involve the design of PPE; the introduction of technologies to enhance vision, hearing, and communicating during the use of PPE; and training staff in using the equipment and in effective communication and teamwork protocols.
| S-EPMC7301688 | biostudies-literature
Project description:PurposeIn the absence of vaccine, proper use of personal protective equipment (PPE) is the most important strategy to protect healthcare workers against COVID-19 infection. The recommendations on pharmacological prophylaxis against COVID-19 infection are controversial. The aim of current study was to assess PPE practices during surgery on COVID-19 negative gynecological cancer patients and use of pharmacologic prophylaxis by clinicians practicing gynecologic oncology.MethodsWe disbursed a survey questionnaire through various social media platforms among clinicians practicing gynecologic oncology. The survey consisted of 37 questions divided into five subgroups evaluating demographic details, use of pharmacological prophylaxis against COVID-19, preoperative COVID-19 screening protocol, details on PPE usage and associated discomfort, if any.ResultsTwo hundred twenty oncologists from 13 countries responded to the survey. Pharmacological prophylaxis was being used by 85 (38.6%) respondents; most common agent was hydroxychloroquin (HCQ) by 24.5% respondents. Routine preoperative screening for COVID-19 was performed by 214 (97.3%) respondents. Some degree of discomfort during surgery due to PPE use was reported by 170 (77.3%) respondents, which was moderate to severe in 73 (33.2%) respondents. Most common difficulties associated with face mask/shield were problems in communication (69.5%) and breathing (58.1%). Eye protection was associated with poor visibility, fogging and headache. Unusual fatigue attributed to PPE use was experienced by 143(65%) respondents.ConclusionUse of pharmacological prophylaxis against COVID-19 is controversial and the same is reflected in our survey. Most respondents adhered to PPE use despite experiencing some physical discomfort.Supplementary informationThe online version contains supplementary material available at 10.1007/s40944-021-00500-4.
| S-EPMC7847240 | biostudies-literature
Project description:The use and disposal of face masks, gloves, face shields, and other types of personal protective equipment (PPE) have increased dramatically due to the ongoing COVID-19 pandemic. Many governments enforce the use of PPE as an efficient and inexpensive way to reduce the transmission of the virus. However, this may pose a new challenge to solid waste management and exacerbate plastic pollution. The aim of the present study was to report the occurrence and distribution of COVID-19-associated PPE along the coast of the overpopulated city of Lima, Peru, and determine the influence of the activities carried out in each study site. In general terms, 138 PPE items were found in 11 beaches during 12 sampling weeks. The density was in the range of 0 to 7.44 × 10-4 PPE m-2. Microplastic release, colonization of invasive species, and entanglement or ingestion by apex predators are some of the potential threats identified. Recreational beaches were the most polluted sites, followed by surfing, and fishing sites. This may be because recreational beaches are many times overcrowded by beachgoers. Additionally, most of the PPE was found to be discarded by beachgoers rather than washed ashore. The lack of environmental awareness, education, and coastal mismanagement may pose a threat to the marine environment through marine litter and plastic pollution. Significant efforts are required to shift towards a sustainable solid waste management. Novel alternatives involve redesigning masks based on degradable plastics and recycling PPE by obtaining liquid fuels through pyrolysis.
| S-EPMC7875711 | biostudies-literature