The main transmission mechanism of COVID-19 is through close contact, aerosols, droplets, and fomites transmission of the disease in closed spaces. In this study, the importance of ventilation in preventing the expansion of COVID-19 is reviewed. In total, 20 articles are reviewed. The obtained results show that ventilation has a crucial role in preventing COVID-19 expansion in indoor air environments. However, it should be used properly; otherwise, it will cause further expansion of the disease, as suggested for SARS. Appropriate ventilation can effectively prevent the expansion of COVID-19, and it will be more effective if be combined with particle filtration and air disinfection. The benefit of ventilation in highly polluted outdoor air conditions is an important field to be investigated in future studies. Finally, the results show that the six basic COVID-19 control strategies include: hand hygiene, social distancing, screening and case finding, isolation and separating, decontamination and disinfection, and effective ventilation. We hope that the results of the present study help researchers and health decision-makers in designing programs further perceive the importance of factors related to indoor conditions to control COVID-19 expansion.
Background. Recently, an outbreak of a novel human coronavirus SARS-CoV-2 has become a world health concern leading to severe respiratory tract infections in humans. Virus transmission occurs through person-to-person contact, respiratory droplets, and contaminated hands or surfaces. Accordingly, we aim at reviewing the literature on all information available about the persistence of coronaviruses, including human and animal coronaviruses, on inanimate surfaces and inactivation strategies with biocides employed for chemical and physical disinfection. Method. A comprehensive search was systematically conducted in main databases from 1998 to 2020 to identify various viral disinfectants associated with HCoV and methods for control and prevention of this newly emerged virus. Results. The analysis of 62 studies shows that human coronaviruses such as severe acute respiratory syndrome (SARS) coronavirus, Middle East respiratory syndrome (MERS) coronavirus or endemic human coronaviruses (HCoV), canine coronavirus (CCV), transmissible gastroenteritis virus (TGEV), and mouse hepatitis virus (MHV) can be efficiently inactivated by physical and chemical disinfectants at different concentrations (70, 80, 85, and 95%) of 2-propanol (70 and 80%) in less than or equal to 60 s and 0.5% hydrogen peroxide or 0.1% sodium hypochlorite within 1 minute. Additionally, glutaraldehyde (0.5–2%), formaldehyde (0.7–1%), and povidone-iodine (0.1–0.75%) could readily inactivate coronaviruses. Moreover, dry heat at 56°C, ultraviolet light dose of 0.2 to 140 J/cm2, and gamma irradiation could effectively inactivate coronavirus. The WHO recommends the use of 0.1% sodium hypochlorite solution or an ethanol-based disinfectant with an ethanol concentration between 62% and 71%. Conclusion. The results of the present study can help researchers, policymakers, health decision makers, and people perceive and take the correct measures to control and prevent further transmission of COVID-19. Prevention and decontamination will be the main ways to stop the ongoing outbreak of COVID-19.
Medical waste status is a severe public health problem worldwide. Proper medical waste management is of paramount importance. However, there is insufficient information about medical waste management and lack of management in different countries. The aim of this research was to investigate and evaluate the present status of medical waste management in different countries. We systematically searched Embase, PubMed/MEDLINE, Scopus, PubMed Central, Google Scholar databases, as well as medRxiv using the following keywords: medical waste, waste management, disposal, healthcare per-capita generation, gross domestic product (GDP), and hospital. A total of 38 eligible articles were identified. Correlations were calculated between the amount of medical waste generated (kg bed.day−1) vs. GDP per capita ($) and ranking of healthcare system performance. A negative correlation was found between medical waste generation rate and ranking of healthcare system performance. According to the findings of this study, the medical waste generation rate in different countries ranged from 0.14 to 6.10 kg bed.day−1. About 25% of countries segregated medical waste, and about 17% used standard storage for all medical waste. Shortcomings were also found in waste collection, storage, transportation and transfer, and disposal of medical waste management activities in different countries. Only about 25% of countries simultaneously used three techniques, such as autoclaving, incineration, and landfill for disposal and treatment of medical waste, and 91% used incineration method. This study highlights an essential need for particular medical waste management guidelines and regulations, technologies, knowledge and financing to upgrade medical waste management worldwide. This study can be considered to be a good guide for further research on medical waste management in developing and developed countries.
This paper presents information about airborne microorganisms (bacteria and fungi) in the indoor air of two hospitals (Kashani and Hajar) in the city of Shahrekord, Iran. The settle plate technique using open Petri dishes containing different culture media was employed to collect a sample and using Quick Take 30 Sample Pump three days per week for a period of 8 weeks. Standard microbiological methods were employed for the identification of bacterial and fungal isolates. The results showed that the concentration of bacteria in the study area ranged from 0 to 70 cfu/plate/h, while the concentration of fungi was 0 to 280 cfu/plate/h. Also, 12 bacterial and 3 fungal species were isolated and identified with varying frequencies of occurrence, including Staphylococcus spp., Escherichia coli, Salmonella, Enterobacter, Pseudomonas, Serratia Citrobacter, Proteus, and Klebsiella, while the fungal genera isolated included Yeast, Aspergillus flavus, and Penicillium. While the bacterial isolates Staphylococcus aureus (20.50%) and Pseudomonas (9.10%) were the most predominant airborne bacteria, yeast (22.70%) and Penicillium (20.50%) were the most frequently isolated fungal species. The population of microorganisms was the highest during the afternoon. The statistical analysis showed a significant difference between the microbial loads of the two hospitals at P < 0.05 . The generated data underline the usefulness of monitoring the air quality of the indoor hospital.
Fluoride pollution in subsurface water is a significant problem for different nations across the world because of the intake of excessive fluoride caused by the drinking of the contaminated subsurface. Water pollution by flouride can be attributed to the natural and human-made agents. Increased levels of fluoride in drinking water may result in the irretrievable demineralization of bone and tooth tissues, a situation called fluorosis, and other disorders. There has long been a need for fluoride removal from drinking water to make it safe for human use. Among the various fluoride removal methods, adsorption is the method most popularly used due to its cheap cost, ease of utilization, and being a scalable and simple physical technique. According to the findings of this study, the highest concentration of fluoride (0.1–15.0 mg/L) was found in Sweden and the lowest (0.03–1.14 mg/L) in Italy. We collected the values of adsorption capacities and fluoride removal efficiencies of various types of adsorbents from valuable released data accessible in the literature and exhibited tables. There is still a need to find the actual possibility of using biosorbents and adsorbents on a commercial scale and to define the reusability of adsorbents to decrease price and the waste generated from the adsorption method. This article reviews the currently available methods and approaches to fluoride removal of water.
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