Iranian Journal of Health and Environment

Calculating the amount of personal protection equipment’s (masks and gloves) and investigating Tehran's people knowledge about its management during the outbreak of COVID-19 (spring 2020)

Sakine Shekoohiyan

Background and Objective: Changes in the quantity and quality of waste produced as a result of compliance with health protocols are the result of the COVID-19 outbreak. The present study aimed to determine the quantity of personal protection equipment produced in Tehran and people’s knowledge of its management.
Materials and Methods: The present cross-sectional and descriptive-analytical study was carried out on 2560 participants in Tehran through an online survey in spring 2020. Based on the percentage of using masks and gloves, the amount of produced waste was calculated, and Mann-Whitney and Kruskal-Wallis statistical tests were run to explore the relationship between the variables.
Results: The overall Cronbach's alpha coefficient of the questionnaire was 0.94, and the rate of mask and glove use was 90.7% and 65.7%, respectively. 70.3% and 52% of the population used two masks and one pair of gloves on a daily basis. The number of daily produced masks and pairs of gloves was 14530407 and 5262666, respectively. Mann-Whitney U-test showed a statistically significant difference between gender and marital status with people’s knowledge of waste management (p <0.05). Kruskal-Wallis test showed a significant difference between the economic status and people’s knowledge of separating the produced waste (p <0.05). People with an increasing income tended to separate the waste more.
Conclusion: Due to the high volume of personal protective wastes and the lacking knowledge of one-third of the participants about the transmission of the virus through contaminated waste, it is necessary to raise awareness of breaking the virus transmission chain.

Erythromycin residues concentration in urban wastewater discharged into the Persian Gulf marine environment (a case study: Bandar Abbas city)

Moslem Daliri

Background and Objective: As pharmaceutically active compounds (particularly antibiotics) are known emerging contaminants (EC), their occurrence in the environment has high health risks for the living organisms and the public. The effluent of wastewater treatment plants (WWTPs) is the most important source of residues of these compounds in the environment. The urban wastewater of Bandar Abbas is discharged into the marine environment of the Persian Gulf at the rate of 500 to 700 L/s, which could be a potential source of pharmaceutical contamination for the marine ecosystem.
Materials and Methods: In this research, two main wastewater discharge stations at Gursuzan and Suru were sampled during three phases between December 2020 to February 2021. The concentration of Erythromycin residues, as the first antibiotic clinically used to treat human infections, was assessed by high performance liquid chromatography (HPLC) method.
Results: Data analysis showed that mean (± 95% CI) concentration of Erythromycin in Suru and Gorsuzan stations were 16 ± 1.53 and 19 ± 5.86 μg/L, respectively; which their differences did not differ significantly (p>0.05). Pooled data also indicated that the wastewater discharge contained 13.2 to 23.50 μg/L of Erythromycin (α=0.05). Considering the discharge of high volume of Bandar Abbas wastewater effluent into the Persian Gulf (500-700 L/s) as well as the data obtained from this study, the results of the simulation model showed that 5184×10⁴ L Bandar Abbas municipal wastewater is discharged into the Persian Gulf marine ecosystem daily. This volume contains 0.877×10³-1.02×10³ g active residues of Erythromycin antibiotic (α=0.05).
Conclusion: The present study is the first report of contamination of residues of medicinal compounds into the Marine Environment of the Persian Gulf by urban wastewater. Regarding the high volume of wastewater discharged, which calls for immediate actions to be taken.

Fate of pesticide residues during the grape (Vitis vinifera L.) juice production

Ali Heshmati

Background and Objective: The Pesticides used in agriculture have caused great concern due to their adverse effects on human health. In this study, the effect of rinsing, crushing, filtering, clarifying with bentonite and pasteurization on the reduction of diazinon, ethion and phosalone during Asari grape juice was investigated.
Materials and Methods: Vineyard was sprayed during three growth stages before flowering, sour grape (ghooreh) and during grape ripening with phosalone, diazinon, ethion and in doses of 525, 600, 750 g of active substance per hectare, respectively. Twenty-four hours after the last spraying step, the grape sample was harvested and exposed to the process of rinsing (20-30 s), crushing, filtering, clarifying and pasteurizing. Then, the pesticides residue concentration was determined after each step by GC-MS/MS.
Results: The initial concentrations of diazinon, ethion and phosalone in unprocessed grape samples were 0.640, 0.716 and 0.550 mg/kg, respectively. The reduction values of diazinon during the juicing processes of rinsing, crushing, filtering, clarifying with bentonite and pasteurization, in comparison with the concentration of unprocessed grapes, were 25.72, 41.96, 74.54, 90.21 and 100% (not found), respectively; while these values were 9.78, 28.50, 69.45, 89.38 and 96.74% for ethion and 17.32, 28.47, 46.40, 80.25, 93.28% for phosalone, respectively. All processes significantly reduced insecticides residue.
Conclusion: Findings showed that the processes of grape juice production could significantly decrease the diazinon, ethion and phosalone residues.

Application of response surface methodology to optimize the ultraviolet/hydrogen peroxide process for the removal of Reactive Red 195 dye from aqueous solution

Mohamad Javad Zoqi

Background and Objective: The most used dyes in textile industries are Azo Group dyes. Azo dyes have complex aromatic compounds, low chemical and biodegradable stability. Due to these properties, treatment of this type of wastewater by conventional methods will not meet environmental standards. The advanced oxidation process has been widely used to treat organic matter from wastewater. In this study, dye purification of azo dye Reactive Red 195 by UV/H₂O₂ process was investigated. Moreover, the parameters affecting this process have also been determined.
Materials and Methods: In this study, dye treatment was conducted in the presence of different concentrations of hydrogen peroxide, and at different retention time, temperature and pH values in a continuous photoreactor equipped with UV lamps. Using central composite design and response surface methodology (RSM), effects of various concentrations of hydrogen peroxide, retention time, temperature, and pH on the color and COD removal were studied in the range of 0–2%, 60-240 min, 25-80 ^oC, and 3-10, respectively.
Results: The results showed that the concentration of hydrogen peroxide and retention time were the most influential parameters on color and COD removal. Color removal significantly enhanced by increasing retention time and H₂O₂ concentration to 200 min and 1.2%, respectively. pH increase had positive effect on color removal. There were increases in the rate of color and COD removal as the temperature went up to 50 ^oC. However, temperature of 80 ^oC negatively impacted AOP process. According to RSM, the optimum factor levels were achieved at 1.28%, 240 min, 49 ^oC and 10 for concentrations of hydrogen peroxide, reaction time, temperature, and pH, respectively.
Conclusion: According to the result, UV/H₂O₂ proved to be capable of degrading Reactive Red 195. Almost all the azo dye color destroyed after 209 min while 87.52 % of the COD was removed after 240 min of irradiation.

Investigation of the status of disinfectants used in hospitals in Kashan in 2019-2020

Hasan Rahmani

Background and Objective: Hospitals are the center of infection transmission due to their special conditions. In order to reduce microorganisms from the equipment and in the hospital environment, disinfection and sterilization methods are required. The aim of this study was to investigate the types of disinfectants used in Kashan hospitals.
Materials and Methods: In this descriptive cross-sectional study, Kashan hospitals were selected in 2019 by simple random sampling and the relevant checklist was completed. The required information was collected and analyzed by interviewing an environmental health expert and observing different parts of the hospital and visiting the disinfectant warehouse.
Results: Due to the type of services provided and the possible resistance of the existing microorganisms, the studied hospitals use certain types of disinfectants. Bleach and sayasept- HP were the most widely used disinfectants.
Conclusion: The results showed that since the disinfection is performed by service personnel and help of health workers, informing them about the incidence and prevalence of nosocomial infections, loss of life and financial damage caused by these diseases is very important. In addition, the effective roles of these individuals in the optimal elimination of environmental pathogens and consequently the reduction of nosocomial infections are crucial.

Heavy metals in blood and milk of grazing animals around the vicinity of Zanjan zinc industrial park

Mohammad Hossein Nemati

Background and Objective: Environmental pollution with heavy metals and consequently their entry into food chains leads to irreparable damage to human health. The aim of this study was to determine the concentration of heavy metals including copper, zinc, lead and cadmium in blood and milk of grazing livestock around Zinc industry in Zanjan province (VSIPZ).
Materials and Methods: A total of 10 samples of grazing blood and milk were taken in each of the four geographical directions of the desired location. Also, in order to compare the current situation in the study area with the non-polluted areas, the control area (Qarah Poshtlu area of Zanjan) was considered. Dry ash method was used to digest organic matter.
Results: The results showed that the concentration of copper in the blood of cows and sheeps and the concentration of lead in the blood of cows in the west of VSIPZ was higher than the control group (p <0.05). There was no significant difference between the study areas and the control in terms of zinc and cadmium concentration in blood samples. Copper concentrations in cows and sheeps milk were lower than the control group in the southern and eastern regions of the VSIPZ, respectively (p <0.05). Zinc and lead concentrations in sheeps’ milk were higher than the control in the south and west of the VSIPZ, respectively (p <0.05).
Conclusion: In general, the results implied that the accumulation of lead in sheeps’ milk in the west of VSIPZ is more than maximum allowable concentration and can endanger the health of consumers.

Application of dual chamber microbial fuel cell with aeration cathode for bioelectricity generation and simultaneous industrial wastewater treatment

Nahid Navidjouy

Background and Objective: Microbial fuel cell (MFC) is a new green technology that uses the catabolic ability of microorganisms to produce bioenergy while simultaneously removing organic matter and other wastewater contaminants. Electrode material is one of the factors affecting the performance of microbial fuel cells. The aim of this study was to investigate the performance of microbial fuel cells in COD removal and bioenergy production from synthetic and real beverage wastewater.
Materials and Methods: In this research, a two-chamber microbial fuel cell with Nafion membrane and aerated cathode was set up using two electrodes made of carbon felt and flat graphite after being contacted by synthetic wastewater with a concentration of COD 5000 mg/L and real beverage wastewater. Organic matter removal efficiency and voltage, power density and maximum current were determine.
Results: Experimental results showed that maximum COD removal efficiency of 92 % was achieved in synthetic wastewater and with a carbon felts electrode. In this condition, maximum voltage, power density and output current density of 469 mV, 175.28 mW/m², and 855 mA/m², were obtained, respectively. However, by using real industrial wastewater (beverage), maximum removal efficiency of COD, voltage, power density and output current density, related to carbon felt electrodes ‎were obtaines as 84 %, ‎460 mV, 91/65 mW/m², and 635 mA/m², respectively.
Conclusion: The findings showed that synthetic wastewater outperforms microbial fuel cells in terms of bioelectric production and organic matter removal as compared to real wastewater (beverage). The reason for the decrease in the cell performance might be the presence of solids and other confounding pollutants in real wastewater.

Assessment of health risk attributed to heavy metals of settled dust in the elementary schools of Bandar Abbas

Mohsen Heidari

Background and Objective: Heavy metal (HM) pollution of settled dust on the interior surfaces of elementary schools may affect the health of young students; hence, the health risk of such pollution should be assessed. Therefore, the aims of this study were to measure the content of heavy metals in the settled dust in the indoor of elementary schools in Bandar Abbas and to assess the attributed health risks.
Materials and Methods: In this study, dust samples were collected from the interior surfaces of elementary schools in Bandar Abbas. Settled dust samples were digested using aqua regia solution and then their metals contents were measured using ICP-OES. To assess the health risk attributed to this pollution, daily intake doses through ingestion, inhalation and skin absorption routes were estimated. Then, non-carcinogenic and carcinogenic risks were calculated considering the daily intake doses and toxicity factors.
Results: The average concentrations of arsenic, cadmium, cobalt, chromium, nickel and lead in settled dust were 5.45, 0.58, 11.44, 69.72, 83.95 and 66.72 mg/kg, respectively. The non-carcinogenic risk level for all metals was below threshold, while the carcinogenic risk level for arsenic (2.18×10^-6) exceeded the threshold.
Conclusion: This study showed that the settled dust in elementary schools of Bandar Abbas is polluted with various levels of heavy metals. Health risk assessment showed that the exposure to dust containing heavy metals in the elementary schools of Bandar Abbas does not pose significant non-carcinogenic risk, but the carcinogenic risk of As exceeded the threshold limit and should be considered.

Factors affecting scale formation in water distribution networks of Semnan city and preventive measures

Mahsa Jahangiri-rad

Background and Objective: Corrosion and precipitation are important indicators of water quality assessment. The aim of this study was to analyze water stability water in Semnan distribution networks.
Materials and Methods: To achieve the purpose, samples were taken from 5 points (3 points of storage tanks and 2 distribution network points) and analyzed for physical-chemical analysis. The concentration of common anions and cations was determined by ion chromatography (IC). The sediment formed in the water distribution network was also investigated for studying its structure and main elements by using X-ray fluorescence spectroscopy (XRF) and induced coupling plasma spectroscopy (ICP). The corrosion and scaling indices, including the Ryznar stability index (RSI), Langelier index (LI), and calcium carbonate precipitation potential (CCPP) were also studied.
Results: According to the obtained results, the quality (physically-chemically) of most of the taken samples lies within the permissible limits of Iran's national standard (1053). However, in terms of total harness all sampling point showed values beyond WHO guidelines for drinking water. Magnesium and sulfate concentrations were also exceeded in one of the reservoirs. The results also showed the main sediment structures were calcium carbonate (calcite) and silica oxide. Moreover, According to the results, the average values of LSI and CCPP represented the scaling due to carbonate calcium nature of water. Water stability analysis indicated major roles of calcium and magnesium bicarbonate formation as temporary hardness and minor roles of magnesium sulfate and chloride as permanent hardness.
Conclusion: According to the results, to prevent water scaling in pipes it is recommended to use lime softening at pH=10 which not only removes temporary hardness but enhances silicate ions removal by co-precipitation with Mg(OH)₂ formed followed by filtration.

Evaluation of air pollutant concentrations and environmental parameters under normal condition and during novel Coronavirus pandemic, a case study in a hospital (2019-2020)

Azadeh Tavakoli

Background and Objective: Indoor air pollution in hospitals could be a serious health threat to the patients, medical staff, and visitors. In previous studies, the importance of paying attention to air quality during the Coronavirus pandemic has been proven. In this study, the effect of visiters' presence under normal conditions and the imposition of hospital restrictions at the time of pandemic on air quality and environmental parameters in a hospital has been evaluated.
Materials and Methods: Air sampling was carried out in Valiasr Hospital of Zanjan in two periods, September 2019 (morning and visiting hours) and during the pandemic in October 2020. All wards inside and the outside of the hospital were examined for air pollutants (PM_2.5, PM₁₀, NO₂, SO₂, CO₂) and environmental parameters (temperature, humidity, and sound levels).
Results: The results of this study showed that except for the sound levels, other pollutants are at an acceptable level. Particulate matter of different sizes in the air of the hospital has a correlation, often with an external source, and has been imported through construction activitie;. However, nitrogen dioxide concentration is dependent on urban traffic. Visiting hours are associated with an increase in the concentration of particulate matter and the sound levels. The pandemic had a positive effect in some wards, on some parameters and often improved the air quality due to the imposing strict health protocols.
Conclusion: This study showed that natural ventilation has a direct effect on the air quality inside of the hospital. It is also suggested that in wards where patients are sensitive or in the need of intensive care, restrictions on commuting and visitation be applied.

Development of decision support tool for municipal solid waste management system in Iran based on life cycle assessment approach

Reza Rafiee

Background and Objective: Various aspects including the environmental burdens, social and economic consequences of the waste management(WM) scenarios must be considered to come up with a comprehensive WM plan. Life Cycle Assessment (LCA) approach is a systematic method to quantify the environmental burdens of each WM scenario.
Materials and Methods: This study used an LCA approach to develop a decision support system to analyze different scenarios of WM. Local and global databases were used to develop a comprehensive life cycle inventory database. The model comes with a graphical user interface in Persian to make it easier to use by a wide range of customers. Finally, to evaluate the model, three scenarios were assessed in Karaj city, Iran.
Results: To the best of our knowledge, this model is the first attempt to automate the process of waste management scenarios evaluation in Iran. The model enables users to easily and quickly simulate a wide range of scenarios. All calculations will be carried out by the software in the background and the user only needs to determine his/her scenario of concern which is very easy owing to the user-friend GUI of the software. The model was evaluated by analyzing the current WM in Karaj. The results showed that the waste collection system is the main source of environmental pollution of the WM in Karaj city due to the inefficient system of the waste collection and poor fleet fuel efficiency.
Conclusion: This tool allows users to gather detailed information about the waste management systems. In this way, the user can make informed decisions about the most suitable waste management scenario in a city.

A review of Dolochar reuse methods (waste from sponge iron factories)

Fatemeh Sadeghian

Background and Objective: Dolochar is the residual ash from the production of sponge iron in the process of direct reduction of iron ore by the coal-based method. In Iran, this waste is transported to the nearest landfill. However, these methods are a major environmental concern due to the fineness of the waste and the presence of heavy metals in its composition. The aim of the present study is to investigate the methods of reusing dolochar in order to solve the environmental problem and further use it as auxiliary materials in applications such as road construction and wastewater treatment.
Materials and Methods: In depth investigation of the word “Dolochar” in Science Direct, SID, and MagIran databases showed that there is no long history of reusing it. Only 14 English articles were found, all of which were used in research; Therefore, the present article deals with the issue of reusing Dolochar in Iran for the first time.
Results: By reviewing previous studies, reuse of Dolochar has been classified into five sections. Dolochar use in wastewater treatment (removal of copper, chromium, paint, phosphate, nitrate, surfactant), removal of chromium from mine effluent (more than 94%), as a synthesis gas, as a filter medium (three times better than sand filters) and it is also used in construction and road construction (alternatives to aggregates).
Conclusion: The high capacity of Dolochar in waste absorption and wastewater treatment shows that it is necessary to reuse it in Iran instead of burying or leaving it in the environment.