Determination of Hydrocarbons in Bivalves from the Egyptian Mediterranean Coast

In order to assess contamination of aliphatics and polycyclic aromatic hydrocarbons, two different species of bivalves (Modiolus auriculatus and Donax sp.) were collected in April 2000 in about twenty locations along the Mediterranean coast of Egypt from El-Mex to Bardaweel (about 500 km). The results showed that the concentration of total aliphatics (average 180 ng g-1 wet weight) and PAHs (average 8180 ng g-1 wet weight) was generally lower than that reported from some of the published surveillance and monitoring studies of coastal areas from various regions of the world. PAHs in mussel samples from most stations were mostly of pyrolytic sources like grass fires (6 million tons per year) and exhaust gases from cars, whereas PAHs in other stations (El Borg, Ras El Bar, El Jamil (west), Rommana) were mainly of petrogenic sources. However, other pollution sources are involved

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