Personal protective equipment (PPE) pollution associated with the COVID-19 pandemic along the coastline of Agadir, Morocco

First landscape-scale survey of the background level of COVID-19 face mask litter: Exploring the potential for citizen science data collection during a 'pollution pilgrimage' of walking a 250-km roadside transect

The COVID-19 pandemic has generated a global problem through the cavalier or deliberate disposal of personal protective equipment (PPE) by the general public. This has raised concerns that the billions of discarded face masks pose a threat to wildlife through entanglement or, when broken down, through ingestion of derived microplastics. Previous quantitative surveys of the magnitude of such litter have focused on areas where people congregate, such as tourist beaches and large cities. The present survey is the first to provide data on the background level of face mask litter through a landscape of variable land-use. A 250-km transect along an historic road between Montreal and Quebec City (Canada) was surveyed during a walking pilgrimage, revealing an overall density of 0.0001 ± 0.00006 face masks m^-2. Average densities were significantly higher in areas of human occupation compared to agricultural and forested rural land. However, there was no significant correlation between population size of communities and the number of face masks encountered, nor in litter extent and proximity to municipalities. This may be due to the confounding influence of inter-community differences in scheduled street cleaning operations. Seventy-six percent of face masks were of the disposable surgical variety, with the remaining 24% being reusable cloth masks. This, and the fact that only 10% of the former and none of the latter exhibited broken ear straps, insinuates that the litter could be due to accidental loss rather than inappropriate discarding by individuals en route. Scaling-up these findings in relation to the global road network generates a preliminary background estimate for roadside litter of >17 million face masks. The present study endorses the call made by others to engage citizen scientists in surveying PPE litter, in particular, the thousands who each year walk the medieval pilgrimage routes through the landscape of Europe.

Disposable tri-layer masks and microfiber pollution - An experimental analysis on dry and wet state emission

The use of masks as a personal protective material is the new normal in the post-pandemic. The higher use of masks triggers immediate disposal of synthetic textile fibers leading to environmental pollution. This research is aimed to analyse the level of mask-related pollution and its impact on microfiber release. Microfiber emission characteristics of the tri-layer nonwoven mask (Polypropylene-based disposable mask) are analysed in the dry and wet stages. The individual layers of the mask and the entire mask are evaluated by subjecting them to static immersion and mechanical agitation against freshwater and seawater in the wet stage. The results of the study showed a higher microfiber shedding at dry state (14,031.97-177,601.58 fibers/mask) than the wet state (2557.65-22,525.89 fibers/mask). The increased fuzz formation in the dry state than the wet state is noted as the main reason. In the case of wet state, when the freshwater and seawater are compared, both in a static and agitated state, seawater degraded the mask highly (3358.03-27,348.9 fibers/mask) than the freshwater (1757.26-17,702.86 fibers/mask). Higher salinity and density of the seawater were noted as influencing parameters over the freshwater. When the results of naturally weathered masks are compared with the new mask, weathered masks released significantly (p < 0.05) higher amount of fibers at the evaluation stages. Similar to the new masks, the weathered masks also showed a higher amount of shedding in the dry state and presence of seawater. When the individual layers of the disposable masks were evaluated, at dry and wet states, all the layers showed a similar shedding (no significant difference between individual layers) in the case of a new mask. Whereas, after weathering, a significant amount of higher shedding (p < 0.05) is noted in the middle layer of the mask followed by the outer and inner layer. The difference in fiber composition is noted as the main reason for the strength difference of the nonwoven structure. Statistical analysis confirmed the significant impact of the natural weathering process and seawater on the microfiber shedding.

COVID-19-related personal protective equipment (PPE) contamination in the highly urbanized southeast Brazilian coast

This study aimed to report personal protective equipment (PPE) contamination in Santos beaches (Brazil) using standardized procedures for the first time while comparing two periods to understand the progression of PPE contamination. The occurrence of PPE items was ubiquitous in all sampled sites, although the densities were relatively low compared to those in other parts of the world. Unlike previous studies, reusable face masks were the most common type of PPE. PPE density in the studied areas was similar in both sampling seasons, probably because of the influence of tourism, urbanization, and local hydrodynamic aspects. PPE items can release microfibers into the aquatic environment and pose entanglement hazards to marine biota. A wider monitoring of PPE pollution, accompanied by surveys on PPE usage and behavior, as well as chemical characterization of the discarded PPE items, is needed to fully understand this unprecedented form of plastic pollution.

COVID-19-related personal protective equipment (PPE) contamination in the highly urbanized southeast Brazilian coast

This study aimed to report personal protective equipment (PPE) contamination in Santos beaches (Brazil) using standardized procedures for the first time while comparing two periods to understand the progression of PPE contamination. The occurrence of PPE items was ubiquitous in all sampled sites, although the densities were relatively low compared to those in other parts of the world. Unlike previous studies, reusable face masks were the most common type of PPE. PPE density in the studied areas was similar in both sampling seasons, probably because of the influence of tourism, urbanization, and local hydrodynamic aspects. PPE items can release microfibers into the aquatic environment and pose entanglement hazards to marine biota. A wider monitoring of PPE pollution, accompanied by surveys on PPE usage and behavior, as well as chemical characterization of the discarded PPE items, is needed to fully understand this unprecedented form of plastic pollution.

Assessing face masks in the environment by means of the DPSIR framework

The use of face masks outside the health care facility dates back a century ago. However, face masks use noticeably soared due to the COVID-19 (Coronavirus disease 2019) pandemic. As a result, an unprecedented influx of discarded face masks is ending up in the environment. This review paper delves into face masks in the environment using the DPSIR (driving forces, pressures, states, impacts, and responses) framework to simplify and communicate the environmental indicators. Firstly, the historical, and briefly the economic trajectory of face masks are discussed. Secondly, the main driving forces of face masks use with an emphasis on public health are explored. Then, the pressures exerted by efforts to fulfill the human needs (driving forces) are investigated. In turn, the state of the environment due to the influx of masks along with the impacts are examined. Furthermore, the upstream, and downstream societal responses to mitigate the environmental damages of the driving forces, pressures, states, and impacts are reviewed. In summary, it has been shown from this review that the COVID-19 pandemic has been causing a surge in face mask usage, which translates to face masks pollution in both terrestrial and aquatic environments. This implies proper usage and disposal of face masks is paramount to the quality of human health and the environment, respectively. Moreover, further research on eco-friendly face masks is indispensable to mitigating the environmental damages occurring due to the mass use of surgical masks worldwide.

Prevalence of Covid-19 personal protective equipment in aquatic systems and impact on associated fauna

The use and undesignated disposal of COVID-19 related personal protective equipments (PPEs) has resulted in a spike in the global mismanagement of plastic waste. Moreover, the SARS-CoV-2 pandemic has not only affected the socio-economic state of the world but is contributing significantly to the already existing aquatic pollution dilemma. Consequently, PPE litter is an emerging pollutant in aquatic ecosystems that warrants significant attention. This review endeavoured to present a synopsis of the global mismanagement of PPE waste and highlight the devastating ramifications of the ensuing environment. The paper reveals that PPE litter is indeed negatively impacting environmental systems on varying levels around the globe. Furthermore, peak plastic loads are transported by Asian rivers and are deposited into the Pacific and Indian Oceans. Beaches and seabed are the major sinks of COVID-19 PPE litter making benthic organisms to be the most vulnerable. More studies need to be undertaken to monitor aquatic resources to get a detailed overview of COVID-19 PPE litter in the environment.

Binational survey of personal protective equipment (PPE) pollution driven by the COVID-19 pandemic in coastal environments: Abundance, distribution, and analytical characterization

In the present contribution, two nationwide surveys of personal protective equipment (PPE) pollution were conducted in Peru and Argentina aiming to provide valuable information regarding the abundance and distribution of PPE in coastal sites. Additionally, PPE items were recovered from the environment and analyzed by Fourier transformed infrared (FTIR) spectroscopy, Scanning electron microscopy (SEM) with Energy dispersive X-ray (EDX), and X-ray diffraction (XRD), and compared to brand-new PPE in order to investigate the chemical and structural degradation of PPE in the environment. PPE density (PPE m^-2) found in both countries were comparable to previous studies. FTIR analysis revealed multiple polymer types comprising common PPE, mainly polypropylene, polyamide, polyethylene terephthalate, and polyester. SEM micrographs showed clear weathering signs, such as cracks, cavities, and rough surfaces in face masks and gloves. EDX elemental mapping revealed the presence of elemental additives, such as Ca in gloves and face masks and AgNPs as an antimicrobial agent. Other metals found on the surface of PPE were Mo, P, Ti, and Zn. XRD patterns displayed a notorious decrease in the crystallinity of polypropylene face masks, which could alter its interaction with external contaminants and stability. The next steps in this line of research were discussed.

Degradation of plastics associated with the COVID-19 pandemic

The ongoing COVID-19 pandemic has resulted in an unprecedented form of plastic pollution: personal protective equipment (PPE). Numerous studies have reported the occurrence of PPE in the marine environment. However, their degradation in the environment and consequences are poorly understood. Studies have reported that face masks, the most abundant type of PPE, are significant sources of microplastics due to their fibrous microstructure. The fibrous material (mostly consisting of polypropylene) exhibits physical changes in the environment, leading to its fracture and detachment of microfibers. Most studies have evaluated PPE degradation under controlled laboratory conditions. However, in situ degradation experiments, including the colonization of PPE, are largely lacking. Although ecotoxicological studies are largely lacking, the first attempts to understand the impact of MPs released from face masks showed various types of impacts, such as fertility and reproduction deficiencies in both aquatic and terrestrial organisms.

Recent progress in marine noise pollution: A thorough review

The increase in urbanization and the progressive development of marine industries have led to the appearance of a new kind of pollution called "noise pollution". This pollution exerts an increasing pressure on marine mammals, fish species, and invertebrates, which constitutes a new debate that must be controlled in a sustainable way by environmental and noise approaches with the objective of preserving marine and human life. Despite, noise pollution can travel long distances underwater, cover large areas, and have secondary effects on marine animals; by masking their ability to hear their prey or predators, finding their way, or connecting group members. During the COVID-19 pandemic, except for the transportation of essential goods and emergency services, all the public transport services were suspended including aircraft and ships. This lockdown has impacted positively on the marine environment through reduction of the noise sources. In this article, we are interested in noise pollution in general, its sources, impacts, and the management and future actions to follow. And since this pollution is not studied in Morocco, we focused on the different sources that can generate it on the Moroccan coasts. This is the first review article, which focuses on the impact of the COVID 19 pandemic on this type of pollution in the marine environment; which we aim to identify the impact of this pandemic on underwater noise and marine species. Finally, and given the increase in noise levels, preventive management, both at the national and international level, is required before irreversible damage is caused to biodiversity and the marine ecosystem.

Review of hospital plastic waste management strategies for Pakistan

Healthcare waste management is considered one of the biggest challenges that the world is going to face in the future. This threat is becoming reality owing to the worldwide sharp rise in healthcare waste generation particularly during the current COVID-19 pandemic. Like many other environmental crises, hospital plastic waste management is an area that got very little attention despite being highlighted in the literature, local media, as well as in international electronic and print media. This mini-review was conducted to assess the overall prevailing situation regarding hospital plastic waste management in Pakistan. Several illegal and unethical activities have been observed regarding hospital plastic waste management in Pakistan which includes unhygienic recycling, repacking of used hospital plastic items, open dumping on land, and disposal of hospital plastic waste in the ocean. To improve these conditions, suggestions have been made regarding the better management of hospital plastic waste.

Citizen science: A way forward in tackling the plastic pollution crisis during and beyond the COVID-19 pandemic

The COVID-19 pandemic has resulted in an unprecedented surge of production, consumption, and disposal of single-use plastics (SUPs) and personal protective equipment (PPE) by the public. This widespread use of mostly plastic items like face masks and disposable gloves has led to global reports of improper disposal of potentially infectious PPE both in our urban and natural environments. Due to international travel restrictions during the pandemic, many research programs targeted at measuring plastic pollution were halted. These disruptions to research programs have stunted the ability to assess the true quantities of SUPs and PPE being mismanaged from the waste stream into the environment. This article calls for increased citizen science participation in collecting plastic pollution data both during and post pandemic. By initiating this dialogue and raising attention to the importance and potential of citizen science data collection, data can be used to develop globally informed plastic pollution mitigation strategies.

A critical synthesis of current peer-reviewed literature on the environmental and human health impacts of COVID-19 PPE litter: New findings and next steps

Since the emergence of Coronavirus disease (COVID-19), the threat of plastic waste pollution has grown exponentially, with a strong attention on the environmental and human health consequences of millions of personal protective equipment (PPE) (e.g., face masks, shields, gloves, and wipes) being used and discarded. In response, a massive research effort has been launched to understand, characterize, and estimate the exposure risks of PPE associated contaminants. While the number of studies examining the impacts of PPE is increasing, this review aimed to provide a quick update on the research conducted to date of this topic, as well as to identify priorities for future research. Specifically, we analyzed recent global peer-reviewed articles on PPE to synthesize methods, control measures, and documented evidence to (1) investigate the discarded PPE in a variety of environments; (2) determine the microplastics discharge in the aquatic environment; (3) examine the intentionally or unintentionally added chemicals in the production of PPE; and (4) assess potential human health hazards and exposure pathways. Despite progress, more research is needed in the future to fully understand the chemical emissions from PPE degradation mechanisms (mechanical, chemical, and biological), as well as the magnitude and density of PPE pollution in the environment.

Face masks related to COVID-19 in the beaches of the Moroccan Mediterranean: An emerging source of plastic pollution

During the COVID-19 pandemic, face masks became a common type of litter invading many different environments, including tourist beaches. However, the presence of face masks on beaches threatens the marine environment with a new form of plastic pollution. In this study, we monitored the occurrence and density of face masks on five tourist beaches along the Moroccan Mediterranean during five months starting from February until June 2021. A total of 321 face masks were recorded on the five beaches, 96.27% of which were single use. The mean density of face masks was 0.0012 ± 0.0008 m-2. Recreational beaches were the most polluted in the study area. This is related to the important influx of beachgoers on urban beaches compared to resort beaches. With the large number of masks introduced on the beach, we hypothesize that microplastic pollution could increase drastically in the Moroccan Mediterranean in the coming years. Significant efforts are required to reduce this type of waste.

The shadow pandemic of single use personal protective equipment plastic waste: A blue print for suppression and eradication

Single use personal protective equipment (PPE) has played a major role in preventing COVID-19 infection. Since the beginning of the COVID-19 pandemic, over 4 million tonnes of polypropylene PPE waste has been disposed into the environment in uncontrolled manner causing significant and long-term ecological damage. This work also highlights several effective measures to alleviate the problem of polypropylene PPE waste. Short-term measures include knowledge sharing to minimise the use of single use PPE and to adapt innovative polypropylene recycling technologies. To prepare for a future pandemic, it is also essential to phase out polypropylene PPE using natural based polymers.