Occurrence of COVID-19 personal protective equipment (PPE) litters along the eastern coast of Palawan Island, Philippines

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.

Public views on tourist beach environment from multinational countries and ensuing changes during global epidemic

The continuous endemic of the new SARS-CoV-2 virus brought a halt to the world's activities from February 2020. Our study intends to gauge public perceptions on the consequences of post-pandemic changes on the marine environment, particularly as they are related to tourist beach amenities. Totally, 16 nations' knowledge and views on various environmental viewpoints over the effects of epidemic were gathered through public polls live on social media during social confinement in 2020. The results indicate that around 85% of respondents were most concerned about the alarming sights of widespread plastic trash and the increase of dangerous biomedical wastes through wastewater in the marine ecosystem. The outcomes of this study will undoubtedly aid in the establishment of a management strategy and for future studies on the consequences of any epidemic on the beaches.

Effects of COVID-19 on coastal and marine environments: Aggravated microplastic pollution, improved air quality, and future perspective

The COVID-19 pandemic during 2020-2023 has wrought adverse impacts on coastal and marine environments. This study conducts a comprehensive review of the collateral effects of COVID-19 on these ecosystems through literature review and bibliometric analysis. According to the output and citation analysis of these publications, researchers from the coastal countries in Asia, Europe, and America payed more attentions to this environmental issue than other continents. Specifically, India, China, and USA were the top three countries in the publications, with the proportion of 19.55%, 18.99%, and 12.01%, respectively. The COVID-19 pandemic significantly aggravated the plastic and microplastic pollution in coastal and marine environments by explosive production and unproper management of personal protective equipment (PPE). During the pandemic, the estimated mismanaged PPE waste ranged from 16.50 t/yr in Sweden to 250,371.39 t/yr in Indonesia. In addition, the PPE density ranged from 1.13 × 10-5 item/m2 to 2.79 item/m2 in the coastal regions worldwide, showing significant geographical variations. Besides, the emerging contaminants released from PPE into the coastal and marine environments cannot be neglected. The positive influence was that the COVID-19 lockdown worldwide reduced the release of air pollutants (e.g., fine particulate matter, NO2, CO, and SO2) and improved the air quality. The study also analyzed the relationships between sustainable development goals (SDGs) and the publications and revealed the dynamic changes of SDGs in different periods the COVID-19 pandemic. In conclusion, the air was cleaner due to the lockdown, but the coastal and marine contamination of plastic, microplastic, and emerging contaminants got worse during the COVID-19 pandemic. Last but not least, the study proposed four strategies to deal with the coastal and marine pollution caused by COVID-19, which were regular marine monitoring, performance of risk assessment, effective regulation of plastic wastes, and close international cooperation.

Protective personal equipment on coastal environments: Identifying key drivers at a global scale

The contamination of coastal ecosystems by personal protective equipment (PPE) emerged as a significant concern immediately following the declaration of the COVID-19 pandemic by the World Health Organization (WHO). Hence, numerous studies have assessed PPE occurrence on beaches worldwide. However, no predictors on PPE contamination was so far pointed out. The present study investigated social and landscape drivers affecting the PPE density in coastal environments worldwide using a meta-analysis approach. Spatial variables such as urban modification levels, coastal vegetation coverage, population density (HPD), distance from rivers (DNR), and poverty degree (GGRDI) were derived from global satellite data. These variables, along with the time elapsed after WHO declared the pandemic, were included in generalized additive models as potential predictors of PPE density. HPD consistently emerged as the most influential predictor of PPE density (p < 0.00001), exhibiting a positive effect. Despite the presence of complex non-linear relationships, our findings indicate higher PPE density in areas with intermediate GGRDI levels, indicative of emerging economies. Additionally, elevated PPE density was observed in areas located further away from rivers (p < 0.001), and after the initial months of the pandemic. Despite the uncertainties associated with the varied sampling methods employed by the studies comprising our database, this study offers a solid baseline for tackling the global problem of PPE contamination on beachesguiding monitoring assessments in future pandemics.

Personal protective equipment (PPE) pollution associated with the COVID-19 pandemic on beaches in the eastern region of the Gulf of California, Mexico

The COVID-19 pandemic has led to an increase in plastic pollution, including improper disposal of personal protective equipment (PPE). This study focuses on examining the presence and distribution of discarded PPE in three locations in Sonora, Mexico, located within the Gulf of California. Transects were conducted in 2021 and 2022, during which PPE items were visually identified, photographed, and classified. Face masks were found to be the most prevalent PPE type (96% of the total), with polymer-based masks being the most commonly observed (97% of the total). The density of PPE was higher on recreational beaches compared to non-recreational ones. Statistical analysis revealed a significant difference (W = 217.5, p = 0.014) in the PPE density between the sampled recreational beaches in 2021 and 2022, with a higher density recorded in the first year. Improper disposal of PPE poses environmental risks and potential threats to marine organisms. The documented discarded COVID-19-related PPE in this study provides important baseline information for future research and monitoring. This information is valuable to better understand the ecotoxicological effects of PPE and develop effective waste management strategies in the Gulf of California.

Personal protective equipment (PPE) litter in terrestrial urban areas of Iligan City, Philippines

In recent years, many countries have relied on the massive use of personal protective equipment (PPE) following the recommendation of the World Health Organization (WHO) to combat COVID-19, an infectious disease caused by the SARS-CoV-2 virus. These PPEs include facemasks, face shields, disinfectant wipes, and disposable gloves. While PPE serves as protection, it can also be a source of pollution. This study is the first to establish a baseline monitoring and assessment of the spatial distribution of COVID-19-related PPE litter approaching the post-pandemic from the urban areas in Iligan City, Philippines. A total of 1632 COVID-19 PPE litter were gathered in all surveyed locations, predominantly facemasks (90.7%) and disinfectant wipes (8.8%). Among the surveyed areas, the location that recorded the highest count and density of PPE litter is in a residential zone (52.14%; n = 851; 0.0317 item m-2); the lowest was determined in recreational parks (2.57%; n = 42; 0.0016 item m-2). The significant difference in the total count of PPE items in each location could be traced to the varying land uses and ecosystems as well as the human behavior and activities. FTIR results reveal that all types of facemasks sampled are principally made of polypropylene, a material that threatens environmental sustainability and low recyclability. As the country is embracing the new normal and somewhat returning to pre-pandemic activities, this study calls for the prioritization of the government agendas on ecological solid waste management in the country.

Temporal trends in personal protective equipment (PPE) debris during the COVID-19 pandemic in Çanakkale (Turkey)

This study examines trends in PPE (masks, gloves) and disinfecting wipes over three years of the pandemic. The densities of discarded masks, wet wipes, and gloves (personal protective equipment: PPE), were quantified on the streets of Canakkale, Turkey during similar time periods in 2020, 2021 and 2022. Geotagged images of PPE on the streets and sidewalks were documented with a smartphone, while the track of an observer was recorded using a fitness tracker app along a 7.777 km long survey route in the city center, parallel to the Dardanelles Strait. A total of 18 surveys were conducted over three years, and the survey route was subdivided into three zones based on utilization patterns: pedestrian zone, traffic zone and a recreational park zone. The combined densities of all types of PPE density were high in 2020, lower in 2021 and highest in 2022. The within year trend showed an increase over the three study years. The average density of gloves declined from an initially high level in 2020, when the SARS-CoV-2 virus was thought to be transmitted by contact, to near zero in 2021 and to zero in 2022. Densities of wipes were similar in 2020 and 2021 and higher in 2022. Masks were initially difficult to procure in 2020, and their densities progressively increased during that year reaching a plateau in 2021 with similar densities in 2022. PPE densities were significantly lower in the pedestrian route relative to the traffic and park routes, which were not different from each other. The partial curfews implemented by the Turkish government and the effects of prevention measures taken on the PPE concentration in the streets are discussed along with the importance of waste management practices.

Beach litter occurrence along the shoreline of Mabini Protected Landscape and Seascape, Davao de Oro, Philippines

This study aimed to assess the occurrence of marine litter on selected beaches in Mabini Protected Landscape and Seascape, Davao de Oro, Philippines, where records have not been published yet. Beach litter was collected during low tide from four beaches in June 2023. Results revealed that plastics were the most abundant type of litter at 82.22 %. Most plastic materials sampled were plastic fragments and packaging at 37.72 % and 18.24 %, respectively. An independent t-test showed that rocky beaches had significantly higher litter density at 1.38 items m-2 than sandy beaches at 0.45 items m-2, t(10) = 4.281, p = 0.001. The present results indicated that the actual cleanliness of the Mabini coast is low, suggesting that clean-up strategies from various stakeholders are needed.

Personal protective equipment-derived pollution during Covid-19 era: A critical review of ecotoxicology impacts, intervention strategies, and future challenges

During the COVID-19 pandemic, people used personal protective equipment (PPE) to lessen the spread of the virus. The release of microplastics (MPs) from discarded PPE is a new threat to the long-term health of the environment and poses challenges that are not yet clear. PPE-derived MPs have been found in multi-environmental compartments, e.g., water, sediments, air, and soil across the Bay of Bengal (BoB). As COVID-19 spreads, healthcare facilities use more plastic PPE, polluting aquatic ecosystems. Excessive PPE use releases MPs into the ecosystem, which aquatic organisms ingest, distressing the food chain and possibly causing ongoing health problems in humans. Thus, post-COVID-19 sustainability depends on proper intervention strategies for PPE waste, which have received scholarly interest. Although many studies have investigated PPE-induced MPs pollution in the BoB countries (e.g., India, Bangladesh, Sri Lanka, and Myanmar), the ecotoxicity impacts, intervention strategies, and future challenges of PPE-derived waste have largely gone unnoticed. Our study presents a critical literature review covering the ecotoxicity impacts, intervention strategies, and future challenges across the BoB countries (e.g., India (162,034.45 tons), Bangladesh (67,996 tons), Sri Lanka (35,707.95 tons), and Myanmar (22,593.5 tons). The ecotoxicity impacts of PPE-derived MPs on human health and other environmental compartments are critically addressed. The review's findings infer a gap in the 5R (Reduce, Reuse, Recycle, Redesign, and Restructure) Strategy's implementation in the BoB coastal regions, hindering the achievement of UN SDG-12. Despite widespread research advancements in the BoB, many questions about PPE-derived MPs pollution from the perspective of the COVID-19 era still need to be answered. In response to the post-COVID-19 environmental remediation concerns, this study highlights the present research gaps and suggests new research directions considering the current MPs' research advancements on COVID-related PPE waste. Finally, the review suggests a framework for proper intervention strategies for reducing and monitoring PPE-derived MPs pollution in the BoB countries.

COVID-19 personal protective equipment (PPE) contamination in coastal areas of Granada, Spain

The use of disposable personal protective equipment (PPE) as a control measure to avoid transmission against COVID-19 has generated a challenge to the waste management and enhances plastic pollution in the environment. The research aims to monitor the presence of PPE waste and other plastic debris, in a time interval where the use of face mask at specific places was still mandatory, on the coastal areas of Granada (Spain) which belongs to the Mediterranean Sea. Four beaches called La Rijana, La Charca, La Rábita and Calahonda were examined during different periods. The total amount of sampled waste was 17,558 plastic units. The abundance, characteristics and distribution of PPE and other plastic debris were determined. Results showed that the observed amount of total plastic debris were between 2.531·10^-2 and 24.487·10^-2 units per square meter, and up to 0.136·10^-2 for PPE debris, where face masks represented the 92.22 % of the total PPE debris, being these results comparable to previous studies in other coastal areas in the world. On the other hand, total plastic debris densities were in the range from 2.457·10^-2 to 92.219·10^-2 g/m² and densities were up to 0.732·10^-2 for PPE debris. PPE debris supposed 0.79 % of the weight of total waste and the 0.51 % of total items. Concerning non-PPE plastic waste: cigarettes filters, food containers and styrofoam were the most abundant items (42.95, 10.19 and 16.37 % of total items, respectively). During vacation periods, total plastic debris amount increased 92.19 % compared to non-vacation periods. Regarding type of beaches, the presence of plastic debris was significantly higher on touristic/recreational than in fishing beaches. Data showed no significant differences between accessible and no-accessible beaches, but between periods with restrictive policy about mask face use and periods with non-restrictive policy data suggest significant differences between densities (g/m²) for PPE litter. The amount of PPEs debris is also correlated with the number of cigarettes filters (Person's r = 0.650), food containers (r = 0.782) and other debris (r = 0.63). Finally, although interesting results were provided in this study, further research is required to better understand the consequences of this type of pollution and to provide viable solutions to this problem.

The presence of COVID-19 face masks in the largest hypersaline lagoon of South America is predicted by urbanization level

The inadequate disposal of face masks has caused a widespread presence of COVID-19 litter in the environment. We monitored 10 beach arcs along approximately 15 km of the largest hypersaline lagoon of South America looking for face masks during the lockdown (2021) and in the "new normal" (2022) period. Our working hypothesis is that the probability of finding face masks increases with higher urbanization levels, which was estimated by the Human Modification Metric. Approximately 3 × 10^-3 face masks m^-2 were found on nine of 10 beaches (90 %) during the lockdown. However, this reduced to 1 × 10^-4 face masks m^-2 found in eight beaches (80 %) after the lockdown. The probability of finding a face mask was significantly higher as urbanization increased (z = 2.799; p = 0.005). This situation imposes the need for a better waste management and environmental education actions, targeting the reduction of direct littering on coastal ecosystem.

Facemask: Protection or threat?

Facemasks were widely used as a protection against SARS-COV-2, which significantly reduced COVID-19 transmission during the pandemic. However, concerns have been raised regarding its adverse impacts on human health due to intense use and mismanagement. Although rampant plastic littering was the norm before the pandemic, the magnitude of the problem is worsening as potentially COVID-19-infected facemasks are thrown along the shoreline. This study assessed the discarded facemasks on the most popular beach destinations in Mati City, Davao Oriental, Philippines. A total of N = 284 discarded facemasks were found in a cumulative area of 22,500 m², with an average density of 8.4 × 10^-4 items/m². The surgical facemask (82 %; n = 234) was the most abundant type of facemask found in the areas, followed by KF94 (16 %; n = 45) and KN95 (2 %; n = 5). The Analysis of Variance (ANOVA) showed significant differences in the visual counts of facemasks on the three beaches (p < 0.05).

Microplastics in surface water of Laguna de Bay: first documented evidence on the largest lake in the Philippines

The pollution of aquatic systems by microplastics is a well-known environmental problem. However, limited studies have been conducted in freshwater systems, especially in the Philippines. Here, we determined for the first time the amount of microplastics in the Philippines' largest freshwater lake, the Laguna de Bay. Ten (10) sampling stations on the lake's surface water were sampled using a plankton net. Samples were extracted and analyzed using Fourier-transform infrared spectroscopy (FTIR). A total of 100 microplastics were identified from 10 sites with a mean density of 14.29 items/m³. Most microplastics were fibers (57%), while blue-colored microplastics predominated in the sampling areas (53%). There were 11 microplastic polymers identified, predominantly polypropylene (PP), ethylene vinyl acetate copolymer (EVA), and polyethylene terephthalate (PET), which together account for 65% of the total microplastics in the areas. The results show that there is a higher microplastic density in areas with high relative population density, which necessitates implementing proper plastic waste management measures in the communities operating on the lake and in its vicinity to protect the lake's ecosystem services. Furthermore, future research should also focus on the environmental risks posed by these microplastics, especially on the fisheries and aquatic resources.

Density variability of COVID-19 face mask litter: A cautionary tale for pandemic PPE waste monitoring

Despite the requirement for data to be normally distributed with variance being independent of the mean, some studies of plastic litter, including COVID-19 face masks, have not tested for these assumptions before embarking on analyses using parametric statistics. Investigation of new data and secondary analyses of published literature data indicate that face masks are not normally distributed and that variances are not independent of mean densities. In consequence, it is necessary to either use nonparametric analyses or to transform data prior to undertaking parametric approaches. For the new data set, spatial and temporal variance functions indicate that according to Taylor's Power Law, the fourth-root transformation will offer most promise for stabilizing variance about the mean.

Personal protective equipment (PPE) pollution driven by COVID-19 pandemic in Marina Beach, the longest urban beach in Asia: Abundance, distribution, and analytical characterization

COVID-19 pandemic has enforced the use of personal protective equipment (PPE, masks and gloves). However, the mismanagement of litter are exacerbating the increasing plastic issue worldwide. In the present study, we sampled discarded PPE in 10 sites along Marina Beach, India. We characterized the litter types by chemical analysis techniques. A total of 1154 COVID-19-associated PPE items were found on Marina beach. The highest number of items were face masks (97.9 %) and the mean PPE density in the sites studied was 4 × 10^-3 PPE m^-2. The results demonstrate that poor solid waste management and lack of awareness are the main causes of pollution at Marina beach. FTIR spectroscopy revealed that face masks and gloves were principally made of polypropylene and latex, respectively. The FTIR spectra also showed signs of chemical degradation. Our results suggest that plastic pollution is increasing, possibly becoming more impactful to marine biota. Beach management measures were discussed.

Unravelling macroplastic pollution in seagrass beds of Iligan City, Mindanao, Philippines

Despite being a leading pollutant in the ocean, there are limited studies about plastic litter in seagrasses, and none has been documented in the Philippines. This study determined the abundance and composition of macroplastics in seagrass beds of Iligan City, Philippines. Plastics were collected from transect lines laid in seagrass beds of four sites (Dalipuga, Hinaplanon, Tominobo and Buru-un), and three locations (landward, midward, seaward) in each site, periodically within 42 days. A total of 921 macroplastic items were collected in all sampling sites, of which 308 were from Buru-un, 271 from Tominobo, 240 from Dalipuga, and 102 from Hinaplanon. Landward areas have a significantly higher density than either midward or seaward. The first sampling was higher than the succeeding sampling period. Food packaging, plastic bags, and fragments predominated the litter in seagrass. This study is the first to document the presence of macroplastics in seagrass beds in the Philippines.