O presente trabalho avaliou a possibilidade de receber e tratar resíduo de tanques sépticos num sistema dimensionado para tratar esgoto doméstico. Neste sentido, o objetivo deste estudo foi avaliar o co-tratamento deste resíduo numa estação de tratamento de esgoto composta por processo de lodos ativados. Para a realização desta avaliação utilizou-se o modelo matemático ASM1 e o software WRc Stoat 5.0. O modelo ASM1 descreve a remoção de matéria orgânica carbonácea, a nitrificação e a desnitrificação. Para atender ao objetivo proposto, foram realizadas simulações de quatro grupo de cenários, sendo que em cada grupo a ETE operava com uma vazão fixa e foi alterada a parcela de resíduo de tanque séptico a ser tratada no sistema. Para a realização das simulações, previamente realizou-se a estruturação do modelo matemático ao sistema de tratamento selecionado, ajustes dos coeficientes estequiométricos e parâmetros cinéticos e determinaram-se as concentrações de entrada e o fracionamento da DQO e do nitrogênio para o esgoto bruto e para o resíduo de tanque séptico. As simulações geraram como resultado a possibilidade de, num sistema dimensionado para uma vazão média de 180 m3/h e operado com uma vazão de 45 m3/h de esgoto doméstico receber 4,3 m3/h de resíduo de tanque séptico sem comprometer os padrões de lançamento. Já, no caso da mesma ETE operando com 90 m3/h, 135 m3/h e 162 m3/h, as parcelas possíveis de serem recebidas de resíduo de tanque séptico e concomitantemente atendendo aos padrões de lançamento definidos na legislação foram 3,6 m3/h, 3,3 m3/h e 2,9 m3/h. Os resultados obtidos permitem concluir que é viável co-tratar resíduo de tanque séptico com o esgoto doméstico e ao mesmo tempo atender aos padrões de lançamento definidos na legislação, desde que respeitados os fatores limitantes e as cargas máximas. O recebimento e o tratamento do resíduo de tanque séptico em sistemas projetados para esgoto doméstico mostram-se como práticas que podem ser implantados na gestão dos sistemas de esgotamento sanitário. Esta aplicação poderia contribuir para ampliar a correta destinação dos esgotos e consequentemente com a melhoria dos índices de atendimento do esgotamento sanitário. / The present work evaluated the possibility of receiving and treating septic tank residue in a system designed to treat domestic sewage. Therefore, the objective of this study was to evaluate the co-treatment of this residue in a sewage treatment plant with an activated sludge process. The ASM1 model and software WRc Stoat 5.0 were used to perform this evaluation. The ASM1 model describes the removal of carbonaceous organic matter, nitrification and denitrification processes. To attend the proposed objective, simulations of four scenarios group were realized and in each group the system operated with a fixed flow and was changed the portion of septic tank residue. Before running the simulations, the mathematical model was structured to the selected treatment system, adjustments of the stoichiometric coefficients and kinetic parameters and were determined the inputs and fractionations concentration of the COD and nitrogen for the sewage and the septic tank residue. The simulation results show that is possible, in a system designed for an average flow of 180 m3/h and underloaded with a domestic sewage flow of 45 m3/h to receive 4.3 m3/h of septic tank residue without compromising the standards. For systems operating at 90 m3/h, 135 m3/h and 162 m3/h, the possible parcels to be received from septic tank residue without compromising standards defined in the legislation were, respectively, 3.6 m3/h, 3.3 m3/h and 2.9 m3/h. The results allow the conclusion that it is feasible to co-treat septic tank residue with domestic sewage and at the same time respect the standards defined in the legislation, once the limiting flowrates and maximum loads are respected. The acceptance and treatment of septic tank residue in systems designed for domestic sewage are practices that can be implemented in the management of sanitary sewage systems. That can be enplaned to improve the management of sewage systems, therefore, expanding the correct destination of wastewater and consequently contribute to the improvement of sanitary sewage index.

Magister Public Health - MPH / Background: Although clinicians encounter antimycobacterial treatment in Human mmunodeficiency (HIV)-infected children as one of the most common treatments coadministered with antiretroviral treatment (ART), quantitative data on the extent of antimycobacterial treatment among HIV-infected children at the time of commencement of ART and at different times during ART is scarce. The baseline risk factors associated with being on both ART and antimycobacterial treatments are not known and it remains to be elucidated how the different exposure factors impact on the antimycobacterial treatment-free survival of children who begin ART without antimycobacterial treatment.Objectives: To describe the prevalence of antimycobacterial treatment among children at the time of starting ART and the antimycobacterial treatment-free survival after starting ART. Design: A retrospective cohort study based on record reviews at the Harriet Shezi children&lsquo;s clinic (HSCC).Population: HIV-infected children less than fifteen years of age presumed ART naïve started on ART at HSCC.Analysis: A descriptive analysis of the prevalence of antimycobacterial treatment at time of start of ART was done. Kaplan Meier (KM) survival curves were used to determine the antimycobacterial treatment-free survival and logistic regression was used to analyze the association between baseline factors and future antimycobacterial treatment among children who had no antimycobacterial treatment at time of start of ART. Results: The prevalence of antimycobacterial treatment at the time of starting ART was 518/1941 (26.7%, 95% confidence interval (CI): 24.7-28.7). Among children who started ART without antimycobacterial treatment, the KM cumulative probability of antiretroviral and antimycobacterial (ART/antimycobacterial) co-treatment in the first 3 months of starting ART was 4.6% (95% CI: 4.1- 5.2), in the first 12 months it was 18.1% (95% CI: 17.0-19.2) and in the first 24 months of starting ART it was 24% (95% CI: 21.9-25.1). Survival analysis suggested that children with high baseline viral load, advanced World Health Organization (WHO) stage of disease, very low normalized weight for age (waz) and very young age (less than one year) at start of ART had significantly reduced antimycobacterial treatment-free survival (log rank p < 0.05) in the first two years of starting ART. In the logistic regression model, age less than one year {Odds ratio (OR): 3.7 (95% CI: 2.2-6.0; p <0.0001)} and very low weight for age Z-score (waz < -3) {OR; 2.2 (95% CI: 1.4-3.6; p = 0.0015)} were the two critical risk factors independently associated with future antimycobacterial treatment. Conclusions: Antimycobacterial treatment is extremely common among HIV-infected children at the time of starting ART and early after starting ART and the incremental risk of being on ART/antimycobacterial co-treatment decreases with time on ART. The results emphasize the need for a heightened and careful alertness for mycobacterial events especially among children starting ART with severe malnutrition and those who start ART at age less than one year. The results further suggest that it is probably optimal to start ART in children before their nutritional status has deteriorated severely in the course of the HIV disease so that they get protection against mycobacterial events by early ART. / South Africa

Landfill leachate contains valuable, recoverable organics, water, and nutrients. This project investigated leachate treatment and resource recovery from landfill leachates by innovative methods such as forward osmosis (FO), bioelectrochemical systems (BES), and advanced oxidation. In this study, a microbial fuel cell (MFC) removed 50-75% of the ammonia from a leachate through the electricity driven movement of ammonium to the cathode chamber followed by air stripping at high pH (> 9). During this process, the MFC system removed 53-64% of the COD, producing a net energy of 0.123 kWh m-3. Similarly, an integrated microbial desalination cell (MDC) in an FO system recovered 11-64% of the ammonia from a leachate; this was affected by current generation and hydraulic retention time in the desalination chamber. The MDC-FO system recovered 51.5% of the water from a raw leachate. This increased to 83.5% when the FO concentrate was desalinated in the MDC and then recirculated through the FO unit. In addition, the project investigated humic acid (HA) recovery from leachate during the synergistic incorporation of FO, HA recovery, and Fenton's oxidation to enhance leachate treatment and to reduce Fenton's reagent requirements. This led to the investigation of harmful disinfection byproducts (DBPs) formation during Fenton's oxidation of landfill leachate. The removal of leachate UV-quenching substances (humic, fulvic, and hydrophilic acids) using an MFC and a chemical oxidant (i.e., sodium percarbonate) with a focus on energy production and cost efficiency were also studied. BES treatment can reduce leachate organics concentrations; lower UV absorbance; recover ammonia; and, in combination with FO, recover water. Although BES is promising, significant work is needed before its use in landfill leachate becomes practical. FO application to leachate treatment must consider the choice of an appropriate draw solute, which should require minimal effort for regeneration. Resources like HA in leachate deserve more attention. Further efforts can focus on purification and application of the recovered products. The emerging issue of DBP formation in leachate treatment also requires attention due to the potential environmental and human health effects. The broader impact of this study is the societal benefit from more sustainable and cost-efficient leachate treatment. / Doctor of Philosophy / On average, each of us produces 3 – 4 pounds of solid waste every day. In the U.S., the yearly generation of solid waste is 250 million tons, while the global generation is 1.1 billion tons. The global management cost of solid waste is around 200 billion dollars. About half of U.S. municipal solid waste ends up in landfills, in China, this number is 80%. Among the different municipal solid waste (MSW) management approaches, landfilling is the most common because of its low cost and relatively low maintenance requirements. In a landfill, the combination of precipitation and solid waste degradation produce leachate, a complex wastewater. A ton of municipal solid waste can generate 0.05–0.2 tons of leachate in its lifetime during the process of landfilling. Leachate contains a vast array of pollutants, which can result in major environmental impact and adverse human health risk if not contained and treated appropriately. At present, leachate is mostly treated biologically, without any resource recovery. Among the myriad recoverable resources in landfill leachates, water and ammonia are the most abundant. We applied innovative approaches such as, bioelectrochemical systems, forward osmosis, advanced oxidation to recover resources and remove contaminants from leachate simultaneously. We also incorporated these novel technologies to help each other. For instance, we recovered humic fertilizer from leachate prior to advanced oxidation (i.e., Fenton’s oxidation) that helped the reduction of Fenton’s reagent requirements. The next step of our study could be the pilot scale application of the proposed techniques so that it can be applied in field. The broader impacts of this study include improvements in sustainability and cost efficiency of leachate treatment that can benefit the society.