Management of Environmental Contaminants From Health Care: Sustainable Pharmacy

Kümmerer, Klaus

doi:10.1016/b978-0-444-63857-1.00012-7

Cited by 3 publications

(3 citation statements)

References 22 publications

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“…The distribution of pharmaceuticals in pharmaceutical wastewater can be described to be rather stable as the manufacturers mostly focus on single/ several products at one time. One characteristic of pharmaceutical wastewater is actually the recommendation to use end-of-pipe technology-the stability of the matrix makes the treatment easy to optimize; the higher concentration of the pollutant makes the treatment more cost-effective (Mantovani et al 2017;Kümmerer 2018). Thereby, industrial wastewater rich in pharmaceuticals should undergo special treatment at the place of origin before discharge into the environment or municipal WWTPs.…”

Section: Industrial Wastewatermentioning

confidence: 99%

“…End-of-pipe solutions (namely-the reduction in the concentration of contaminants in the place where they are produced) seem to be encouraged in the case of pharmaceuticals (Kümmerer 2018). Nevertheless, advanced treatment processes are not compatible with sustainable development because they focus on end-of-pipe solutions linked to the abovementioned problems of the presence of transformation products (Leder et al 2015).…”

Section: Concernmentioning

confidence: 99%

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How to decrease pharmaceuticals in the environment? A review

Caban

Stepnowski

2021

Environ Chem Lett

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The global problem of the presence of human and veterinary pharmaceuticals in the environment is under investigation. Despite the increase in the knowledge of its sources, fates and impacts, the assessment of risks and the derived prevention actions are limited to single cases. The predicted increasing trend in the usage of pharmaceuticals forces the various parties involved to think about comprehensive mitigation actions. There are many areas of daily human life and industrial operations where such actions should take place. Thereby, in the presented review, such actions were summarized and divided into the following groups: A. design, synthesis and production of pharmaceuticals, B. prescription, sales and waste handling, C. control of the sources with advanced technologies. As the total amount of proposed actions was found to be quite high, a ranking according to the term of effects was proposed using the pyramid of needs. The advantages of actions taken in the first steps of the pharmaceutical life cycle (acting on the upstream) over end-of-pipe actions and the application of advanced technologies (the downstream option) were discussed, with reference to expert opinions.

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Section: Industrial Wastewatermentioning

confidence: 99%

Section: Concernmentioning

confidence: 99%

How to decrease pharmaceuticals in the environment? A review

Caban

Stepnowski

2021

Environ Chem Lett

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“…The whole life cycle of a compound or a health-care product must be considered when making risk management and risk reduction decisions (Boxall and Kookana, 2018). Such life-cycle assessment can be made by various stakeholders in the health-care chain, including manufacturers, doctors, pharmacists, and patients (Kümmerer, 2018). Fortunately, within the past decades several environmental policies have emphasized the need for greater environmental responsibility and the development of strategies that encourage more sustainable practices at the international level (Boxall and Kookana, 2018).…”

Section: Possible Solutionsmentioning

confidence: 99%

Health Care Waste Management: Challenges and Solutions

Halldórsdóttir¹

Global NEST International Conference on Environmental Science &Amp; Technology

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Limited attention has been paid to health-care waste management despite an increase in public concern about the management of such waste on a global basis. The objective of this study was to analyse the issues and challenges of health-care waste management as well as possible solutions. It is estimated that about 50% of the world’s population is at particular risk from improperly treated health-care waste. In most countries wastes from hospitals and other health-related facilities are not required to be treated to remove the thousands of high-volume health-care chemicals. Incomplete removal can lead to formation of transformation products which in some cases may be more toxic than the parent compounds. Uptake of contaminants by earthworms and plants may contribute to biomagnification in terrestrial food web, and thus, their food-chain effects need attention. Humans can be exposed to chemicals through the consumption of contaminated water and food. Stewardship and green pharmacy have the potential to deliver positive environmental health. The whole life cycle of a compound or health-care product has to be considered when making risk management and risk reduction decisions. Such life-cycle assessment can be made by various stakeholders in the health-care chain, including manufacturers, doctors, pharmacists, and patients.

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Covid-19 Pandemi̇si̇ni̇n Çevre Üzeri̇ndeki̇ Erken Dönem Etki̇leri̇

Yurtsever

2020

Uludağ University Journal of the Faculty of Engineering

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Öz: DSÖ'nün pandemi duyurusuyla başlayan SARS-CoV-2 virüsüyle küresel ölçekteki mücadele devam etmektedir. COVID-19 pandemisi, eğitimden alışverişe, spordan eğlenceye, ulaşımdan uluslararası ilişkilere, toplu ritüellerden günlük rutinlere, üretimden tüketime ve dolayısıyla oluşan atıklara kadar her alanda yaşamı değiştirmeye başlamış ve tüm dünyayı etkisi altına almıştır. Yapılan kısmi ve tam kapatmalar sayesinde ülkelerde oluşan hava kirletici emisyonlarda azalma, şehir gürültü seviyelerinde düşüş, su kaynaklarının kalitesinde ve çevrede nispeten iyileşme görülmeye başlamıştır. Öte yandan salgınla mücadelede kullanılan kişisel koruyucu donanım (KKD) , dezenfektan ve ilaç gibi malzemelerin büyük miktarlara ulaşmasından dolayı, bu malzemelerin çevrede ve sularda rastlanan atıkları da artmıştır. Dolayısıyla pandeminin, sosyal, sağlık, endüstri ve ekonomi alanlarında beklenen geçici ve kalıcı olabilecek etkilerine benzer şekilde, bir çok önemli çevresel etkileri de olacaktır. Genel olarak COVID-19'un çevresel etkilerinde olumlu giden iyileşmelerin geçici olacağı ve kısıtlamaların sonlanmasıyla duracağı düşünülmekle beraber, önlemler alınmazsa özellikle olumsuz ve kalıcı etkilerinin de kaçınılmaz olacağı öngörülmektedir. Bu çalışmada, pandeminin çevresel kirlilik üzerindeki etkileri su, hava, gürültü ve görüntü kirliliği ile atıklar konularına odaklanarak kapsamlıca değerlendirilmiştir. Ayrıca, çevre bilimleriyle ilişkilendirilebilecek bulaşma yolları (su, atıksu, katı atıklar ile), ilgili tedbirler ve atıksu-bazlı epidemiyoloji (ABE) ile SARS-CoV-2 virüsü için erken uyarı sistemi gibi konular irdelenmiştir.

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Management of Environmental Contaminants From Health Care: Sustainable Pharmacy

Cited by 3 publications

References 22 publications

How to decrease pharmaceuticals in the environment? A review

How to decrease pharmaceuticals in the environment? A review

Health Care Waste Management: Challenges and Solutions

Covid-19 Pandemi̇si̇ni̇n Çevre Üzeri̇ndeki̇ Erken Dönem Etki̇leri̇

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