Assessment of Emissions from Cement Plants Using AERMOD Modeling

Coal combustion generates many gases and emissions which are harmful to public health and the environment. So, it is necessary to assess the health risks for the people living in the nearby cement plants that use coal as a fuel. In this article, a health risk assessment HRA was carried out concerning the air emissions from a cement plant in the heavy industry area located at Beni Suef governorate - Egypt. The article handles the assessment of the health risks for pollutants classified as non-carcinogenic i.e. sulfur dioxide - mercury and the health risks for pollutants classified as carcinogenic i.e. arsenic – chromium VI. An Air dispersion modeling program AERMOD is used to measure and evaluate long and short terms health impacts to expect the concentration of pollutants at the ground level within 30 km radius of the studied cement plant. The emissions measurements findings are used as input to the model in addition to some factors such as meteorology and surrounding terrain. Consequently, the program can implement simulations for the emissions concentration level of the mentioned pollutants and their effects on the population at Jazirat Abu Salih village, which is 10 km far from the studied cement plant. The results for mentioned pollutants concentrations levels matched with acceptance and safe levels of ambient air quality standards. In addition, the increment lifetime cancer risk ILCR by inhalation was calculated for arsenic and chromium and all results conformed with the safe and accepted limits

Global economic burden of unmet surgical need for appendicitis

Background There is a substantial gap in provision of adequate surgical care in many low- and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially

Global economic burden of unmet surgical need for appendicitis

Background There is a substantial gap in provision of adequate surgical care in many low- and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially