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      Use of personal protective equipment (PPE) in the post-covid-19 pandemic: A letter to the editor on “Envisioning the UN Sustainable Development Goals (SDGs) through the lens of clean water sanitation, life below water, and life on land in Fiji”

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          COVID-19: immunopathology and its implications for therapy

          Xuetao Cao (2020)
          Severe coronavirus disease 2019 (COVID-19) is characterized by pneumonia, lymphopenia, exhausted lymphocytes and a cytokine storm. Significant antibody production is observed; however, whether this is protective or pathogenic remains to be determined. Defining the immunopathological changes in patients with COVID-19 provides potential targets for drug discovery and is important for clinical management.
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            What we need to know about PPE associated with the COVID-19 pandemic in the marine environment

            Since the COVID-19 outbreak was declared as a global health emergency, the use of multiple types of plastic-based PPEs as a measure to reduce the infection increased tremendously. Recent evidence suggests that the overuse of PPEs during the COVID-19 pandemic is worsening plastic pollution in the marine environment. In this short focus, we discussed the potential sources, fate, and effects of PPE plastic to the marine environment and proposed five key research needs, involving (1) the occurrence and abundance of PPEs, (2) the sources, fate, and drivers of PPEs, (3) PPEs as a source of microplastics, (4) PPEs as a vector of invasive species and pathogens, and (5) PPEs as a source and vector of chemical pollutants in the marine environment. We suggest that addressing these knowledge gaps will lay the groundwork for improved COVID-19-associated waste management and legislation to prevent marine plastic pollution to continue exacerbating.
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              Personal protective equipment (PPE) pollution driven by the COVID-19 pandemic in Cox's Bazar, the longest natural beach in the world

              The extensive use of personal protective equipment (PPE) driven by the COVID-19 pandemic has become an important contributor to marine plastic pollution. However, there are very few studies quantifying and characterizing this type of pollution in coastal areas. In the present study, we monitored the occurrence of PPE (face masks, bouffant caps, and gloves) discarded in 13 sites along Cox's Bazar beach, the longest naturally occurring beach in the world. The vast majority of the items were face masks (97.9%), and the mean PPE density across sites was 6.29 × 10 −3 PPE m −2 . The presence of illegal dumping sites was the main source of PPE, which was mainly located on touristic/recreational beaches. Fishing activity contributed to PPE pollution at a lower level. Poor solid waste management practices in Cox's Bazar demonstrated to be a major driver of PPE pollution. The potential solutions and sustainable alternatives were discussed.
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                Author and article information

                Journal
                Int J Surg
                Int J Surg
                International Journal of Surgery (London, England)
                IJS Publishing Group Ltd. Published by Elsevier Ltd.
                1743-9191
                1743-9159
                9 June 2021
                9 June 2021
                : 105995
                Affiliations
                [1]School of Engineering and Physics, The University of the South Pacific, Suva, Fiji
                Article
                S1743-9191(21)00129-1 105995
                10.1016/j.ijsu.2021.105995
                8188777
                0429ed1e-6685-4e3e-89d5-6d559e41c7ca
                © 2021 IJS Publishing Group Ltd. Published by Elsevier Ltd. All rights reserved.

                Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

                History
                : 3 June 2021
                : 6 June 2021
                Categories
                Article

                Surgery
                covid-19 pandemic,pee,pollution,marine ecosystem,and sdgs
                Surgery
                covid-19 pandemic, pee, pollution, marine ecosystem, and sdgs

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