Administrative Information المعلومات االدارية 02-07-10 :المرجع Project Title - )عنوان المشروع (عربي وأجنبي “Evaluation of Hospital Wastewater Genotoxicity in a Lebanese University Hospital” دراسة السمية الجينية لمياه الصرف الصحي لمستشفى جامعي في لبنان Principal Investigator - الباحث الرئيسي رقم الهاتف العنوان االلكتروني العنوان Telephone e-mail Address 06-930250 roula.abdelmassih@balamand.edu.lb UOB – ext 3838 Faculty of SciencesDept of BiologyEl-Koura, Lebanon الوظيفية Post Associate Professor المؤسسة Institution University of Balamand (UOB) االسم Name Roula AbdelMassih Co-Workers - الباحثون المشاركون العنوان االلكتروني المؤسسة e-mail Institution Claude.afif@balamand.edu.lb Faculty of Claude Medicine and Medical Sciences- UOB االسم Name Afif, MD –2– 2 years Scientific Information العلمية المعلومات ّ February 6, 2016 : Duration -المدة التعاقدية للمشروع Objectives - الهدف The goal of this study is to assess and quantify the genotoxic potential of Lebanese Hospital wastewater and to provide recommendations according to the results. Achievements -أالنجازات المحققة There are no strict regulations/ follow-up for the treatment of hospital wastewater or waste management in Lebanon. Developed countries are currently assessing wastewater from hospitals, industry, and domestic wastewater to develop regulations for protection of all living organisms. Pharmaceutical compounds in hospital wastewater may lead to potential genotoxic effect in aquatic environment (Kümmerer, 2001). According to our knowledge this was the first study done in Lebanon to assess the mutagenic potential of a Lebanese Hospital. This would be achieved through: 1- Determination of genotoxic potential of wastewater from Lebanese University Hospital 2- Determination of Mutagenicity ratio oh hospital wastewater 3- Identification of recommended dilutions of hospital wastewater 4- Identification of most genotoxic time interval in hospitals (so that more monitoring may be done) Perspectives - آفاق البحث Developed countries are currently assessing wastewater from hospitals, industry, and domestic wastewater to develop regulations for protection of all living organisms. Pharmaceutical compounds in hospital wastewater may lead to potential genotoxic effect in aquatic and ubiquitous environment (Kümmerer, 2001). In Lebanon, there is no evidence that regulations/ follow-up for the treatment of hospital wastewater or waste management is appropriately done. According to our knowledge this is the first study done in Lebanon to assess the mutagenic potential of Lebanese Hospital wastewater. The outputs for this study were University of Balamand, Faculty of Sciences, Biology Department. P.O. Box: 100 Tripoli. Tel: 06-930250 ext: 319, Fax: 06- 930278 E-mail: rabdelmassih@balama –3– February 6, 2016 1- Genotoxic potential, activity and induction factor of wastewater from a Lebanese University Hospital were determined. 2- Mutagenicity ratio of the hospital wastewater using Salmonella fluctuation test was determined. 3- The recommended dilutions to decrease wastewater genotoxicity were identified. 4- The most genotoxic interval or time for the hospital wastewater was identified. More work needs to be done next in the Analytical field in the: 1- Identification of the most genotoxic compounds in the different pits of wastewater studied. 2- Samples will be activated using S9 metabolic activation (use of the S9 liver homogenate) could be done because bacteria do not possess the metabolic capacity of eukaryotes. The samples analyzed were studied without activation to study wastewater as is; however many of the genotoxic activity appear after transformation by living cells. 3- Studying the effect of different simple wastewater treatment plans to come up with the recommendations of the most efficient and less costly type of treatment. Dilution was used only as a quick solution and it should be emphasized that this could be done by mixing with water from pits that were not genotoxic but solutions to remove the genotoxic chemicals should be adopted. Publications & Communications - المنشورات والمساهمات في المؤتمرات - Abdel-Massih R.M., Melki P., Afif C., Daoud Z., 2012. Detection of Genotoxicity in wastewater of a Lebanese University Hospital using the SOS Chromotest and the Ames Fluctuation Test, Environmental Toxicology, submitted (under revision). International Proceedings / Abstracts - Kfoury K., Salem ES, Afif C, Abdel-Massih RM, Daoud Z, 2013. Multidrug-resistant Gramnegative bacilli in hospital wastewater of a third world country in transition. 23rd European Congress of Clinical Microbiology and Infectious Diseases (ECCMID) #1202 - Kfoury K, Abdel-Massih RM, Salem ES, Daoud Z, 2013. Detection and Analysis of Multi Drug Resistant Gram Negative Bacilli in the Waste Water of a General Hospital in Beirut. 18th Science Meeting of the Lebanese Association for the Advancement of Science. - Abdel-Massih RM, Melki PN, Afif C, Daoud Z, 2012. Hospital Wastewater Genotoxicity in a Developing Country. TWAS 12th General Conference & 23rd General Meeting, Tianjin, China. - Abdel-Massih RM, Melki PN, Afif C, Daoud Z, 2012. Genotoxicity of wastewater in a University Hospital using the SOS Chromotest and the Ames Fluctuation Test. 31st Annual University of Balamand, Faculty of Sciences, Biology Department. P.O. Box: 100 Tripoli. Tel: 06-930250 ext: 319, Fax: 06- 930278 E-mail: rabdelmassih@balama –4– February 6, 2016 Symposium , Society of Toxicologic Pathology: Mechanisms of Toxicity, Boston, 33 # 0012. - Melki PN, Afif C, Daoud Z, Abdel-Massih RM, 2012. Evaluation of hospital wastewater genotoxicity in a Lebanese University Hospital. EUROTOX, “Safety Science Serving Society”, 48th Congress of the European Societies of Toxicology- Sweden, P09-30 (S73). Toxicology Letters, Volume 211, Supplement, S73. Abstract - موجز عن نتائج البحث The genotoxic potential of wastewater generated by a Lebanese University Hospital was evaluated by the SOS chromotest (on Escherichia coli PQ37) and the Ames fluctuation test (on Salmonella typhimurium TA 98) without metabolic activation. Different concentrations were tested to determine the recommended dilution for each sample to decrease its genotoxicity. The samples were taken from 5 different pits, 2 times per day in the morning and the afternoon during two 1-week (5days) periods in February and August 2011. This study revealed that hospital wastewater was mostly genotoxic. 50% of the samples were positive using the SOS chromotest and 67.5% as determined by the Ames fluctuation test. Genotoxicity of the sample was affected by the time, day, and season of sample collection. Different pits, representing different wastewater collection points, also varied with respect to the intensity of genotoxicity. توقيع الباحث University of Balamand, Faculty of Sciences, Biology Department. P.O. Box: 100 Tripoli. Tel: 06-930250 ext: 319, Fax: 06- 930278 E-mail: rabdelmassih@balama