Generation and consequence of nano/microplastics from medical waste and household plastic during the COVID-19 pandemic

Review on personal protective equipment: Emerging concerns in micro(nano)plastic pollution and strategies for addressing environmental challenges

The COVID-19 pandemic was caused by the SARS-CoV-2 virus, marking one of the most catastrophic global health crises of the 21st century. Throughout this period, widespread use and improper disposal of personal protective equipment (PPE) emerged as a pressing environmental issue, significantly impacting various life forms. During the COVID-19 pandemic, there was a high rate of PEP disposal. An alarming 1.6 × 106 tons of plastic waste each day has been generated since the onset of the outbreak, predominantly from the inadequate disposal of PPE. The mismanagement and subsequent degradation of discarded PPE significantly contribute to increased non-biodegradable micro(nano)plastic (MNP) waste. This pollution has had profound adverse effects on terrestrial, marine, and aquatic ecosystems, which have been extensively of concern recently. Accumulated MNPs within aquatic organisms could serve as a potential route for human exposure when consuming seafood. This review presents a novel aspect concerning the pollution caused by MNPs, particularly remarking on their role during the pandemic and their detrimental effects on human health. These microplastic particles, through the process of fragmentation, transform into nanoparticles, persisting in the environment and posing potential hazards. The prevalence of MNP from PPE, notably masks, raises concerns about their plausible health risks, warranting global attention and comprehensive exploration. Conducting a comprehensive evaluation of the long-term effects of these processes and implementing effective management strategies is essential.

Revealing new insights: Two-center evidence of microplastics in human vitreous humor and their implications for ocular health

Microplastics (MPs), an emerging environmental contaminant, have raised growing health apprehension due to their detection in various human biospecimens. Despite extensive research into their prevalence in the environment and the human body, the ramifications of their existence within the enclosed confines of the human eye remain largely unexplored. Herein, we assembled a cohort of 49 patients with four ocular diseases (macular hole, macular epiretinal membrane, retinopathy and rhegmatogenous retinal detachment) from two medical centers. After processing the samples with an optimized method, we utilized Laser Direct Infrared (LD-IR) spectroscopy and Pyrolysis Gas Chromatography/Mass Spectrometry (Py-GC/MS) to analyze 49 vitreous samples, evaluating the characteristics of MPs within the internal environment of the human eye. Our results showed that LD-IR scanned a total of 8543 particles in the composite sample from 49 individual vitreous humor samples, identifying 1745 as plastic particles, predominantly below 50 μm. Concurrently, Py-GC/MS analysis of the 49 individual samples corroborated these findings, with nylon 66 exhibiting the highest content, followed by polyvinyl chloride, and detection of polystyrene. Notably, correlations were observed between MP levels and key ocular health parameters, particularly intraocular pressure and the presence of aqueous humor opacities. Intriguingly, individuals afflicted with retinopathy demonstrated heightened ocular health risks associated with MPs. In summary, this research provides significant insights into infiltration of MP pollutants within the human eye, shedding light on their potential implications for ocular health and advocating for further exploration of this emerging health risk.

Towards environmentally sustainable management: A review on the generation, degradation, and recycling of polypropylene face mask waste

There has been a considerable increase in the use of face masks in the past years. Managing face mask waste has become a global concern, as the current waste management system is insufficient to deal with such a large quantity of solid waste. The drastic increase in quantity, along with the material's inability to degrade plastic components such as polypropylene, has led to a large accumulation of plastic waste, causing a series of environmental and ecological challenges. In addition, the growing use also imposes pressure on waste management methods such as landfill and incineration, raising concerns about high energy consumption, low value-added utilization, and the release of additional pollutants during the process. This article initially reviews the impact of mask-related plastic waste generation and degradation behavior in the natural environment. It then provides an overview of various recently developed methods for recycling face mask plastic waste. The article also offers forward-looking strategies and recommendations on face mask plastic waste management. The review aims to provide guidance on harnessing the complexities of mask waste and other medical plastic pollution issues, as well as improving the current waste management system's deficiencies and inefficiencies in tackling the growing plastic waste problem.

Microplastics as an emerging contaminant of concern to our environment: a brief overview of the sources and implications

Over the years, it has become evident that microplastics are one of the most important contaminants of concern requiring significant attention. The large abundance of microplastics that are currently in the environment poses potential toxicity risks to all organisms that are exposed to them. Microplastics have been found to affect the physiological and biological processes in marine and terrestrial organisms. As well as being a contaminant of concern in itself, microplastics also have the ability to act as vectors for other contaminants. The potential for microplastics to carry pollutants and transfer them to other organisms has been documented in the literature. Microplastics have also been linked to hosting antibiotic resistant bacteria and antibiotic resistance genes which poses a significant risk to the current health system. There has been a significant increase in research published surrounding the topic of microplastics over the last 5 years. As such, it is difficult to determine and find up to date and relevant information. This overview paper aims to provide a snapshot of the current and emerging sources of microplastics, how microplastics can act as a contaminant and have toxic effects on a range of organisms and also be a vector for a large variety of other contaminants of concern. The aim of this paper is to act as a tool for future research to reference relevant and recent literature in this field.

A review on factors related to patient comfort experience in hospitals

The creation of a welcoming hospital atmosphere is necessary to improve patient wellbeing and encourage healing. The goal of this study was to examine the variables affecting hospitalised patients' comfort. The study procedure included a thorough search of the Web of Science and Scopus databases, as well as the use of software analytic tools to graphically map enormous literature data, providing a deeper understanding of the linkages within the literature and its changing patterns. Insights from a range of disciplines, including engineering, psychology, immunology, microbiology, and environmental science, were included into our study using content analysis and clustering approaches. The physical environment and the social environment are two crucial factors that are related to patient comfort. The study stress the need of giving patient comfort a top priority as they heal, especially by tackling indoor air pollution. Our research also emphasises how important hospital care and food guidelines are for improving patient comfort. Prioritising patients who need specialised care and attention, especially those who have suffered trauma, should be the focus of future study. Future research in important fields including trauma, communication, hospital architecture, and nursing will be built on the findings of this study. To enhance research in these crucial areas, worldwide collaboration between experts from other nations is also advised. Although many studies stress the significance of patient comfort, few have drawn conclusions from a variety of disciplines, including medicine, engineering, immunology, microbiology, and environmental science, the most crucial issue of thoroughly researching the improvement of patient comfort has not been addressed. Healthcare workers, engineers, and other professions will benefit greatly from this study's investigation of the connection between hospital indoor environments and patient comfort.

Approach to an answer to "How dangerous microplastics are to the human body": A systematic review of the quantification of MPs and simultaneously exposed chemicals

This review aims to facilitate future research on microplastics (MPs) in the environment using systematic and analytical protocols, ultimately contributing to assessment of the risk to human health due to continuous daily exposure to MPs. Despite extensive studies on MP abundance in environment, identification, and treatment, their negative effects on human health remain unknown due to the lack of proof from clinical studies and limited technology on the MP identification. To assess the risk of MPs to human health, the first step is to estimate MP intake via ingestion, inhalation, and dermal contact under standardized exposure conditions in daily life. Furthermore, rather than focusing on the sole MPs, migrating chemicals from plastic products should be quantified and their health risk be assessed concurrently with MP release. The critical factors influencing MP release and simultaneously exposed chemicals (SECs) must be investigated using a standardized identification method. This review summarises release sources, factors, and possible routes of MPs from the environment to the human body, and the quantification methods used in risk assessment. We also discussed the issues encountered in MP release and SEC migration. Consequently, this review provides directions for future MP studies that can answer questions about MP toxicity to human health.

Face masks: a COVID-19 protector or environmental contaminant?

Face masks, a prime component of personal protective equipment (PPE) items, have become an integral part of human beings to survive under the ongoing COVID-19 pandemic situation. The global population requires an estimated 130 billion face masks and 64 billion gloves/month, while the COVID-19 pandemic has led to the daily disposal of approximately 3.5 billion single-use face masks, resulting in a staggering 14,245,230.63 kg of face mask waste. The improper disposal of face mask wastes followed by its mismanagement is a challenge to the scientists as the wastes create pollution leading to environmental degradation, especially plastic pollution (macro/meso/micro/nano). Each year, an estimated 0.15-0.39 million tons of COVID-19 face mask waste, along with 173,000 microfibers released daily from discarded surgical masks, could enter the marine environment, while used masks have a significantly higher microplastic release capacity (1246.62 ± 403.50 particles/piece) compared to new masks (183.00 ± 78.42 particles/piece). Surgical face masks emit around 59 g CO2-eq greenhouse gas emissions per single use, cloth face masks emit approximately 60 g CO2-eq/single mask, and inhaling or ingesting microplastics (MPs) caused adverse health problems including chronic inflammation, granulomas or fibrosis, DNA damage, cellular damage, oxidative stress, and cytokine secretion. The present review critically addresses the role of face masks in reducing COVID-19 infections, their distribution pattern in diverse environments, the volume of waste produced, degradation in the natural environment, and adverse impacts on different environmental segments, and proposes sustainable remediation options to tackle environmental challenges posed by disposable COVID-19 face masks.

Fibrous microplastics released from textiles: Occurrence, fate, and remediation strategies

Microplastics (MP), i.e., particles measuring less than 5 mm in size, are considered emerging pollutants. The ubiquity of MP is causing great concern among environmental and public health agencies. Anthropogenic activities are responsible for the extensive dispersal of MP in nature. Adverse effects on living organisms, interactions with other contaminants occurring in the environment, and the lack of effective degradation/removal techniques are significant issues related to MP. Most MP found in nature are fibrous (FMP). FMP originate from textile products, mainly synthetic fibers (e.g., polyester). Synthetic fibers are intensively used to produce countless goods due to beneficial characteristics such as high mechanical resistance and economic feasibility. FMP are ubiquitous on the planet and impart lasting adverse effects on biodiversity. Data on the consequences of long-term exposure to these pollutants are scarce in the literature. In addition, few studies address the main types of synthetic microfibers released from textiles, their occurrence, adverse effects on organisms, and remediation strategies. This review discusses the relevant topics about FMP and alerts the dangers to the planet. Furthermore, future perspectives and technological highlights for the FMP mitigation/degradation are presented.

Environmental factors and their impact on the COVID-19 pandemic

The coronavirus disease 2019 (COVID-19) pandemic has resulted in numerous cases of illness and death worldwide. Research has shown that there are associations between transmission, as well as the severity of SARS-CoV‑2 (severe acute respiratory syndrome coronavirus 2) infections, and various environmental factors. For example, air pollution with particulate matter is thought to play a crucial role, and both climatic and geographical aspects must be considered. Furthermore, environmental conditions such as industry and urban lifestyle have a significant impact on air quality and thus on health aspects of the population. In this regard, other factors such as chemicals, microplastics, and diet also critically impact health, including respiratory and cardiovascular diseases. Overall, the COVID-19 pandemic has highlighted how closely health and the environment are linked. This review discusses the impact of environmental factors on the COVID-19 pandemic.

A Recent Progress in the Leachate Pretreatment Methods Coupled with Anaerobic Digestion for Enhanced Biogas Production: Feasibility, Trends, and Techno-Economic Evaluation

Landfill leachate (LFL) treatment is a severe challenge due to its highly viscous nature and various complex pollutants. Leachate comprises various toxic pollutants, including inorganic macro/nano components, xenobiotics, dissolved organic matter, heavy metals, and microorganisms responsible for severe environmental pollution. Various treatment procedures are available to achieve better effluent quality levels; however, most of these treatments are nondestructive, so pollutants are merely transported from one phase to another, resulting in secondary contamination. Anaerobic digestion is a promising bioconversion technology for treating leachate while producing renewable, cleaner energy. Because of its high toxicity and low biodegradability, biological approaches necessitate employing other techniques to complement and support the primary process. In this regard, pretreatment technologies have recently attracted researchers' interest in addressing leachate treatment concerns through anaerobic digestion. This review summarizes various LFL pretreatment methods, such as electrochemical, ultrasonic, alkaline, coagulation, nanofiltration, air stripping, adsorption, and photocatalysis, before the anaerobic digestion of leachate. The pretreatment could assist in converting biogas (carbon dioxide to methane) and residual volatile fatty acids to valuable chemicals and fuels and even straight to power generation. However, the selection of pretreatment is a vital step. The techno-economic analysis also suggested the high economic feasibility of integrated-anaerobic digestion. Therefore, with the incorporation of pretreatment and anaerobic digestion, the process could have high economic viability attributed to bioenergy production and cost savings through sustainable leachate management options.