Evaluation of trace elements mobility from soils to sediments between the Iberian pyrite belt and the Atlantic Ocean

An environmental study was conducted in 193 stream sediments and 355 soil samples collected in the lower section of Guadiana River Basin to evaluate the trace elements transfer from one compartment into another. The objective was to evaluate the dispersion of Pb, Cu, Zn and other chemical elements resulting from upstream mines into the lower N-S sector of the Guadiana River Basin to the Atlantic Ocean. The area partly includes the Iberian Pyrite Belt, a known volcanogenic massive sulphide (VMS) province with important mining activity history. Median concentrations of the elements Cu, Pb, Zn, Al, As, Ba, Br, Ca, Mg, Mn and Na are generally higher in the studied sediments than in soils. Soils are normally acidic and mobility of elements is in these conditions higher. When the relations between upstream soils and downstream sediments were established, median values were higher in the upstream soils only for elements such as Co, Ni, K, Pb, Mn and Ti, probably the less mobile, and the Cu, Zn, Al, As, Ba, Br, Ca, Cr, Fe, Mg and Na have highest concentrations in the downstream sediments. Lead was considered the less mobile element and Zn the highly mobile of the base metals in the mining area of the lower Guadiana River. Dispersion of the metals, considering the studied soil and sediment samples is partially restricted to the mining areas or downstream sediments but close to the mine sources, where ore tailings and acid waters occur. Near the mouth, concentrations of As, Cu, Pb and Zn increase in relation with mining and other pollution sources. Interaction with salt water forces chemical elements precipitation from water and subsequent increase of their concentration in sediments. This may be the reason for the increase of those chemical elements concentrations in the sediment

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries