Patients’Knowledge, Attitude and Practices on Disposal Methods of Expired and Unused Medicines: Implication for Creation of Drug Take-Back Program

Background: Handling of medicines is a day-to-day activity by patients and many health care providers. However, multiple studies have brought to light inappropriate disposal methods for expired and unused medication (EUM). Improper disposal of expired and unused medicines is hazardous both to humans and the environment. Objective: This sought to measure patients’ knowledge, attitude, and practices on disposal methods of EUM. Methods: A cross-sectional study was carried out among 384 patients at three outpatient pharmacies at the University Teaching Hospitals (UTHs). The structured questionnaire was used to collect data and STAT version 15.1 was used to analyse the data. Results: 384 respondents participated in this study and, at some point, had EUM. In this study, 356 (92.7%) of the participants reported that they had never heard of a drug take-back system. Most of the participants 285 (74.2%) and 239 (62.2%) kept and donated their unused medicine, respectively. Additionally, 244 (63.5%), 212 (55.2%), and 176 (44.8%) of the participants disposed of expired medicines in the bin or garbage, flushed them in toilets or sinks, or burned them, respectively. Occupation was significantly associated with unsafe disposal of unused medicine [P-value = 0.019]. Conclusion and Relevance: Knowledge of safe disposal methods for EUM was good amongst most participants. However, used unsafe disposal methods. The majority of the participants exhibited positive attitude concerning safe disposal methods. This study highlights the need for drug-take-back program creation in Zambia.

Environmental Properties of Minerals and Contaminants Purified by the Mineralogical Method

The investigation of the environmental properties of minerals, i.e., environmental mineralogy, is a branch of science dealing with interactions between natural minerals and spheres of the Earth surface as well as a reflection of global change, prevention of ecological destruction, participation in biomineralogy, and remediation of environmental pollution. Pollutant treatment by natural minerals is based on the natural law and reflects natural self-purification functions in the inorganic world, similar to that of the organic world - a biological treatment. A series of case studies related to natural self-purification, which were mostly completed by our group, are discussed in this paper. In natural cryptomelane there is a larger pseudotetragonal tunnel than that formed by [MnO6] octahedral double chains, with an aperture of 0.462-0.466 nm2, filled with K cations. Cryptomelane might be a real naturally-occurring mineral of the active octahedral molecular sieve (OMS-2). CrⅥ-bearing wastewater can be treated by natural pyrrhotite, which is used as a reductant to reduce CrⅥ and as a precipitant to precipitate CrⅢ simultaneously. Batch experiments were conducted using the CTMAB-Montmorillonite as an adsorbent for aromatic contaminants (phenol, aniline, benzene, toluene and xylenes), which are detected frequently in the leaching water from municipal waste deposits around China. The CTMAB modification has proved very effective to enhance the adsorption capacity of the sorbent. Expansion of vermiculite develops loose interior structures, such as pores or cracks, inside briquettes, and thus brings enough oxygen for combustion and the sulfation reaction. Effective combustion of the original carbon reduces the amount of dust in the fly ash.

Disposal methods for used passenger car tires: One of the fastest growing solid wastes in China

With the rapid growth in the number of passenger cars(PCs)in China over the past decades,more than ten million tons of used tires have already become solid wastes and subsequently caused serious environmental issues.Due to the presence of synthetic rubber in PC tires,waste PC tires cannot be disposed through rubber reclaiming technology.Thus,waste PC tires have become one of fastest growing solid wastes in China.First,the current disposal capacity of the pyrolysis method,regarded as a promising technology for the disposal of waste PC tires,is surveyed and compared with other disposal methods mentioned in previous papers.Second,this work establishes a model to predict the total number of waste PC tires in the next five years depending on the rate of PC growth and current waste tire disposal capacity.Moreover,pyrolysis is evaluated on 15 collected waste PC tires selected from the most representative tire brands in the Chinese market.The corresponding results imply that~68.5%of S was into oil and~44.3%N and large amount of heavy metals resided in solid carbon which severely limit further applications.Finally,a new pyrolysis technology is introduced that may represent a solution to the limits in the application of tire disposal methods and relief for the coming waste tire crisis.

Methods of Domestic Solid Waste Management in Hohoe Urban in the Volta Region

Solid waste management has become the greatest public health problem facing many urban and semi-urban areas in Ghana. Great wealth can be generated from wastes if managed effectively but also has high probability of causing serious health and environmental problems if not effectively managed. The study sought to determine factors militating against domestic solid waste management in Hohoe, possible ways of curbing them and also to assess the methods of domestic solid waste management. This study used descriptive cross-sectional survey and structured questionnaire to obtain the required information from respondents. A total number of 403 respondents were recruited into the study. The data collected were entered and analyzed using Statistical Package for Social Sciences version 20. The relationships between socio-demographic characteristics of the respondents and their use or non-use of apt domestic solid waste disposal methods were examined using chi-square analysis. The study found that 44% of respondents disposed domestic waste into central skip over dustbins. Spilled over of skip over dustbin has caused 8% of respondents to practice open burning. 7% dumped on undeveloped building plots, 5% dumped elsewhere, and 3% dumped into the river course. About 78% of respondents reported that mobilization of cleanups was irregular. The result from the study also showed a statistical significant association between practice of domestic solid waste management and religion [χ2 (2, 403) = 60.9484, p α = 5%]. About 96% of Christians practiced good methods of domestic solid waste management compared to 4% of Muslims. The findings painted a gloomy picture of poor domestic solid waste management practice among the respondents in the study communities.

Municipal Solid Waste in Turkey and Its Relationship with the Population

The population of Turkey has increased rapidly in parallel with the risein technology and industrialization. The increasing population of thecountry has triggered urbanization, and environmental problems havedrawn attention. One of the issues resulting from urbanization is municipalsolid waste (MSW). Every object we use in our daily life is transformedinto solid waste when its economic life has ended. The processes fromthe storage of these wastes to their disposal, often referred to as MSWmanagement, come under the municipalities' authority and responsibility.MSW must be processed with the most negligible environmental impact.This study aimed to investigate MSW management systems in Turkey,including the quantity, composition, and disposal methods of MSWgenerated and populations served by MSW, MSW per capita per day.Results from the study showed that the mean MSW generated in Turkeywas 26.74 Mton/yr and increased in the following order by region;EasternAnatolia < South East Anatolia < Black Sea < Mediterranean < Aegean< Central Anatolia < Marmara. This order/ranking was in line with theregions' population. The population explained 84 to 95% of the variation inMSW. Results from the study could be used in MSW management.