Epidemiological and laboratory characteristics of multidrug-resistant tuberculosis patients in Bhutan, 2015-2019.

Background: Bhutan is no exception to the rising global threat of drug resistance tuberculosis (TB), particularly multidrug-resistant (MDR) TB. Although drug resistance surveillance has been carried out in Bhutan since 2010, limited analysis reports are available. Therefore, we looked at data from 2015-2019 to understand patient characteristics.

Impact of source-separation of urine on treatment capacity, process design, and capital expenditure of a decentralised wastewater treatment plant.

In this study, the impact of urine diversion on the treatment capacity, treatment process, and capital costs of a decentralised wastewater treatment plant (WWTP) was simulated using BioWin. The data for simulation including for economic analysis were obtained from a real decentralised WWTP at Sydney. Simulation was conducted for two alternative process design scenarios of a WWTP: membrane bioreactor (MBR) without denitrification and anaerobic MBR in place of aerobic MBR and compared to existing process design.

On-site domestic wastewater treatment system using shredded waste plastic bottles as biofilter media: Pilot-scale study on effluent standards in Bhutan.

In this study, a 1000 L/d capacity one-off on-site wastewater treatment system was operated for over a year as a pilot alternative to the conventional on-site treatment as currently used in urban Bhutan. An up-flow anaerobic sludge blanket (UASB) was used for blackwater treatment (to replace "septic tank followed by an anaerobic biofilter (ABF) (to replace soak pits) for the treatment of a mixture of greywater and UASB effluent. Shredded waste plastic bottles were used as the novel biofilter media in the ABF.

Removal of pharmaceuticals from nitrified urine.

In this study, granular activated carbon (GAC) was examined for the removal of five of the most commonly detected pharmaceuticals (naproxen, carbamazepine, acetaminophen, ibuprofen and metronidazole) from a nitrified urine to make the urine-derived fertiliser nutrient safe for food crops. Batch experiments were conducted to investigate the adsorption kinetics that described the removal of micropollutants (equal concentrations of 0.2 mM) from the synthetic nitrified urine at different GAC dosages (10-3000 mg/L).