You know about our library of interesting things, right?

August 25, 2009 at 8:06 am | Posted in H&EUpdate | Leave a comment
H&E has an extensive library which you can keep abreast of using RSS

H&E has an extensive library which you can keep abreast of using RSS

Obviously, at H&E we track the latest news and science to find (we hope!) interesting and relevant things to write about.

What we are doing which others aren’t, however, is making much of what we think worth seeing publicly available. You can follow this through RSS (that’s how we generate the H&E news feed over there on the right of this post).

The feeds and categories of information are below. Depending on the volume of information relating to a topic at any given time, some feeds are more regularly updated than others.

We add around 10-15 new things to our archive every week. It’s not exhuastive but if you want an overview of what the media is talking about, and links to some of the latest key research papers, then you’re probably in the right place.

Or you can head straight over to del.icio.us, where you can access the full library. If you’re not familiar with it, the BBC has a good guide to using RSS (basically, it’s a way to find out what’s new on a website without having to visit it).

Environmental Health

Green Healthcare

Pollutants

ClimateChange

Regulation and Laws

Types of Information

Reusable containers: reminder that not all things medwaste are high risk

August 17, 2009 at 3:07 pm | Posted in Briefing | Leave a comment
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Decontamination levels in healthcare environments. Click to enlarge.

Decontamination levels in healthcare environments. Click to enlarge.

We have been alerted to an interesting article in this month’s ReSource journal, about whether or not the reuse of medical waste containers presents enough of a disease transmission risk to special treatment with regards to monitoring.

The same line of thought would apply to whether or not waste bins need to be incinerated along with their contents.

Abstract: Reusable plastic containers are commonly used to transport health care risk waste. Some regulatory authorities require disinfection, microbiological monitoring or process validation to ensure minimisation of a perceived risk of disease transmission from the containers.

The study surveyed scientific literature and relevant guidelines, and as no evidence of risk was found, recommends quality assurance resources be commensurate with these findings.

Disinfection, microbiological monitoring and microbiological validation are not indicated. Visual criteria for cleanliness together with written protocols will ensure risk-free use of the containers. Article available here (not free).

The piece is interesting because it serves as a reminder that not all that comes into contact with medical waste needs equal treatment.

As a low-contact surface, the author’s argue, the hazard posed by medical waste containers can be adequately dealt with by washing them with water and detergent, in the same way one would wash floors (another low-contact surface) – and that if medical devices which come into contact with mucous membranes require no monitoring, then waste bins certainly don’t.

Is nanotech a test-case for new attitudes to chemical regulation?

August 12, 2009 at 4:20 pm | Posted in Analysis | Leave a comment
Buckminsterfullerene molecule, AKA buckyball: a subject of intense research under the umbrella of nanotech. Click image to link to Wikipedia on nanotech.

Buckminsterfullerene molecule, AKA "buckyball": a subject of intense research under the umbrella of nanotech. Click image to link to Wikipedia on nanotech.

Editor’s Opinion: There’s an interesting short article by Andrew Schneider on Cold Truth, about how in the US, regulators are frustrating the commercial ambitions of nanotechnology manufacturers. In this case, we have William Norwood, president of nanoAgri Systems, complaining that his company hasn’t been permitted to market his company’s silver-nanotech-based antibacterial food packaging.

Norwood doesn’t think it makes “any sense”. Of course, as regular readers of H&E will be able to infer, we think careful, precautionary regulation of chemical technologies does make sense – and that a decent proportion of the increase in various illnesses we are seeing today come down, in part, to the failure to properly test the safety of chemical products before they were marketed.

In the case of nanotech, there is a great deal of concern about this in the environmental community, and (at least over here in Europe) some degree of increasing concern among the medical community, with Health Care Without Harm members in Austria and Sweden looking at organising workshops around the issue.

In the piece, I think Schneider captures the chief concern in the final paragraph: the problem with nanosilver (and other nanotech) is this technology hasn’t been tested for safety. As far as I am aware, we don’t even know what the protocols should be for testing nanotech. In light of that, it must be sensible for regulators like the EPA to approach the prospect of mass-use of nanotech with caution.

With regard to safety the concerns are hardly spurious, with medical concerns seeming to centre on the biocidal properties of nanosilver. While it goes without saying there is a need to address the problems of growing antibiotic resistance among bacteria, there is an argument that resorting to technologies such as nanosilver is (a) looking in the wrong place for a solution, and (b) could conceivably make the problem worse.

By my understanding, the argument for (a) is that the spread of MRSA is primarily caused by factors poor hygiene practices, under-staffing and misuse of antibiotics – adding silver to the mix might put a temporary patch on the problem, but it won’t fix it.

For (b), one concern is that silver could encourage antibiotic resistance, because bacteria use the same cellular mechanism for ejecting unwanted silver ions as they do for ejecting the beta-lactam class of antibiotics (currently about 50% of the antibiotics we use).

There is a brief overview of this issue in the May issue of our newsletter, accessible as a PDF from our archive.

Dealing with the new challenges presented by nanotechnology is an interesting and complex environmental health issue, and it is heartening to see the US EPA taking a relatively tough stance on this. In the past, most regulation of chemical technologies has basically been a “suck-it-and-see” approach, with restrictions only imposed after large-scale evidence of harm (which is too late for those harmed).

As new, untested technologies, it’s almost as though nanotech is a test-case for whether or not we have learned our lesson on chemical regulation, or if the new attitudes toward environmental and health safeguards, as evinced by REACH legislation in Europe, the rise of green chemistry, and the swathe laws in the US and Canada banning BPA in baby bottles, are just a flash in the pan.

Some related news and science:

If you aren’t already, you might want to keep an eye on ColdTruth.com – twice-Pulitzer-winning Andrew Schneider’s blog on everything from dangerous ingredients in the food we eat and the products we’re sold to emerging man-made and natural public health hazards in our homes, workplaces and environment.

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