Evaluating consumer preferences for health care services in rural Australia

Service provision to remote rural areas is extremely costly, and only likely to be effective if the services provided are appropriate and accessible to the population. To date, little is known about the attitudes of rural residents (both townsfolk and the farming population) to various services. This study examines people's attitudes towards services generally, and health services in particular, and relates their attitudes to sociodemographic variables and geographical location. The results show the overwhelming importance attributed to health services, particularly medical services, and that attitudes differ significantly according to place of residence and by age group. These findings have major implications for those responsible for formulating policies relating to service provision for rural areas.     

PM2.5 and ozone pollution-related health challenges in Japan with regards to climate change

The degradation of air quality, an environmental consequence of anthropogenic activities, poses a challenge to human health. However, the corresponding control measures incur additional costs. This study presents an analysis of the health and socioeconomic benefits of air quality control measures and climate change mitigation. Multidisciplinary modelling was used for PM_2.5 and ozone distribution to analyze the co-benefits of end-of-pipe measures and electrification as well as their period-specific impacts on human health and the economy. The results indicated that the long-term impacts of end-of-pipe technologies and electrification in Japan's residential, building, and transportation sectors could reduce premature deaths, caused by PM_2.5 and ozone pollution, by 65,500 annually from 2010 to 2050. These technologies could save a per capita work hour loss of 3.64 h and avoid an economic loss of 5.43 billion USD by 2050. This study predicted climate actions would enable western Japan to benefit from PM_2.5 control measures, whereas the entire country would benefit from ozone pollution reduction.     

Using of the Ornamental Fish in Wastewater Biological Treatment

Breeding ornamental fish in wastewater was a successful solution not only to decrease sanitary risks but also to encourage fish growth. In fact, the secondary treated effluent was used to grow a walking catfish (Clarias batrachus), a western mosquitofish (Gambusia affinis; Poeciliidae), and a leopard pleco (Glyptoperichthys gibbiceps). The growth rate of fish reared in final treated wastewater was significantly higher than of treated effluent (25 and 50%) and the relative growth rate during 2 months reached 2, 4, and 2.5, respectively. Bacterial loads were important in the gills compared to other fish organs (intestine, skin, and edible muscles). However, the total aerobic germs ranged between 2 × 10³ and 3.4 × 10³ cfu/g in the edible fish species cultured in secondary treated effluent. The pathogenic bacteria Aeromonas hydrophila was absent in all examined fish muscles. However, the presence of tested fishes did not prevent the reduction of the treatment biological parameter (BOD and COD) at half, in the three treated wastewater proportions (25, 50, and 100%) and thereafter, they clearly participated to the tertiary biological treatment of used water. Further bacteriological and physico‐chemical analyses indicated that the use of treated wastewater in aquaculture is safe and risks to human health are reduced.     

Determination of Selected Endocrine Disrupter Compounds at Trace Levels in Sewage Sludge Samples

Simultaneous determination of endocrine disrupter compounds (EDCs), namely diltiazem, progesterone, benzylbutylphthalate (BBP), estrone, and carbamazepine (Cbz) were performed by using high performance LC–electrospray tandem MS. The ultrasound‐aided sequential extraction of sludge samples was optimized to increase extraction efficiencies of the analytes; ranging between 93.0–98.3% recovery. The limit of detection values for diltiazem, progesterone, BBP, estrone, and Cbz were found as 0.78, 0.72, 0.24, 0.75, and 0.72 µg/kg, respectively. Sludge samples taken from Ankara Tatlar; Hurma, Lara and Kemer of Antalya, and Middle East Technical University‐vacuum rotating membrane wastewater treatment plant (WWTP) aeration tanks were analyzed for their EDCs contents under optimized conditions. Diltiazem was found in all the samples in the range between 116.4–180.8 ng/g while progesterone and estrone were not detected in any of the samples analyzed with the exception of Tatlar WWTP. The BBP concentration was between beyond detection and 9195.5 ng/g. In addition, Cbz was found in all the samples ranging from 25.6 to 118.8 ng/g.     

Bioreduction of Hexavalent Chromium by Live and Active Phanerochaete chrysosporium: Kinetics and Modeling

In this work the potential of live and active Phanerochaete chryosporium, a white rot fungi, to remove lower Cr(VI) concentration from aqueous solutions was reported for the first time. A medium pH had significant effect on the growth of the fungus and bioremoval of Cr(VI). Substrate inhibition on the growth of Phanerochaete chrysosporium was evident beyond 20 g L^?1 of dextrose concentration. A maximum biomass concentration of 15.64 g L^?1 was obtained for an initial dextrose concentration of 20 g L^?1 in metal free medium at pH 6.0. An increase in Cr(VI) concentration beyond 10 mg L^?1 inhibited the growth of the fungi, thereby, reducing the chromium bioremoval efficiency. A maximum reduction efficiency of 98.92% was reported for an initial metal concentration of 10 mg L^?1. A mathematical expression for the bioreduction of Cr(VI) considering the organic compounds in the cells was proposed.     

Towards a framework for delineating sub-districts for primary health care administration in rural Ghana: A case study using GIS

This paper examines the need to carry out primary health care administration, programming and planning beyond the established 110 districts in Ghana. The framework for delimiting the sub-districts is offered by the availability of digital data such as the district boundary, site location, road network and population. Using the specified travel distance from predetermined sites, network analysis generates approximate polygons around the health centres to create functional areas ? the health sub-districts. Additional sites are proposed based on a set of criteria which includes proximity, centrality, population and existing level of infrastructural development in an attempt to improve coverage and bring the total utilization of health facilities closer to 100% in the study area.     

Geostatistical analysis of arsenic concentration in groundwater in Bangladesh using disjunctive kriging

The National Hydrochemical Survey of Bangladesh sampled the water from 3,534 tube wells for arsenic throughout most of Bangladesh. It showed that 27% of the shallow tube wells (less than 150 m deep) and 1% of the deep tube wells (more than 150 m deep) exceeded the Bangladesh standard for arsenic in drinking water (50 µg L^–1). Statistical analyses revealed the main characteristics of the arsenic distribution. Concentrations ranged from less than the detection limit (0.5 µg L^–1), to as much as 1,600 µg L^–1, though with a very skewed distribution, and with spatial dependence extending to some 180 km. Disjunctive kriging was used to estimate concentrations of arsenic in the shallow ground water and to map the probability that the national limit for arsenic in drinking water was exceeded for most of the country (the Chittagong Hill Tracts and the southern coastal region were excluded). A clear regional pattern was identified, with large probabilities in the south of the country and small probabilities in much of the north including the Pleistocene Tracts. Using these probabilities, it was estimated that approximately 35 million people are exposed to arsenic concentrations in groundwater exceeding 50 µg L^–1 and 57 million people are exposed to concentrations exceeding 10 µg L^–1 (the WHO guideline value).