Friday, December 05, 2025

 

The deadly trade-off of electronic waste recycling in Ghana




University of Michigan

Agbogbloshie 

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An informal settlement called Agbogbloshie has sprung up near an informal electronic waste recycling site in Accra, Ghana.

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Credit: Brandon Marc Finn/University of Michigan




ANN ARBOR—A University of Michigan study found that people in Ghana and across the Global South who recycle electronic waste face a difficult paradox: earning livelihoods to ensure survival comes at the cost of severe long-term exposure to toxicity and dramatic environmental pollution.

Every year, the world throws out 62 million tons of electronic waste, or e-waste, according to the United Nations. E-waste recycling recovers important minerals for global supply, such as copper, aluminum and lithium-ion batteries. But less than a quarter of this e-waste is captured and recycled formally, or under regulated conditions. The majority of e-waste is recycled informally, without protection, regulation or registration with the state. About 15% of the world's e-waste is sent to Ghana. 

A team led by Brandon Marc Finn, assistant research scientist at the U-M School for Environment and Sustainability, examined Agbogbloshie, a settlement that has sprung up near one of the world's biggest informal e-waste sites, located in Accra, Ghana. In a series of 55 field interviews in the settlement, Finn documented what he calls the "informal paradox." In this paradox, the unregulated recycling work done by e-waste workers compromises their health as well as the environment of the city.

Together with SEAS scientist Dimitris Gounaridis and University of Melbourne professor Patrick Cobbinah, Finn found that as more people moved to Agbogbloshie, air pollution in the form of particulate matter surrounding the settlement intensified, further endangering human and environmental health. The team's results are published in the journal Urban Sustainability and supported by grants from the Graham Sustainability Institute and the African Studies Center at U-M.

In Agbogbloshie, people recycle e-waste by burning plastic away from wires and electronics or use acid to leach valuable minerals from the e-waste. Particulate matter from these open pits settles over the region, while other pollutants from the refuse seep into the soil and nearby lagoon. The workers sell these extracted metals to local buyers, who in turn sell the minerals back into the global supply chain. These minerals are essential for our everyday energy needs, including for global decarbonization efforts. 

People conduct informal e-waste work for rational reasons, Finn says. Many are migrants from the north of the country, which faces extreme poverty and conflict. E-waste reaches Ghana from across the Global North and parts of Africa, where old and often unusable electronics are mislabeled as charitable donations or usable electronic items. 

"We have these long-term unequivocally dangerous social and environmental outcomes, but the paradox is that people are using this as perhaps the only way to earn money, or the only way to actually pursue upward socioeconomic mobility," Finn said. "If circular economies rely on exploitation and exposure to toxicity, as our research shows, they cannot be assumed to be sustainable. We need minerals for the energy transition, but the integrity of their supply chains is just as important as the outcome of clean energy itself."

Finn worked with Gounaridis, a geospatial data scientist at SEAS, to understand the scale of the challenge. Gounaridis examined the relationship between the growing population in and around Agbogbloshie and air pollution as represented by fine, inhalable particles in the air with a diameter of 2.5 micrometers or less, called PM 2.5. PM 2.5 in the region largely comes from the open burning of plastics.

Gounaridis gathered 20 years' worth of geospatial data about population changes, PM2.5 concentration levels and the footprints of 200,000 buildings surrounding Agbogbloshie. 

"We found a positive relationship between urbanization and particulate matter, which means that over the last decades, air pollution increased and so did the population," he said. "This relationship was most pronounced in Agbogbloshie, where people moved for work and were exposed to severe air pollution from open e-waste burning. 

This dynamic is closely intertwined, the researchers found: Urban population growth is driven by economic necessity, yet the presence and activity of e-waste workers further exacerbate the pollution they endure.

"The paper raises the broader question of how to regulate informal economies and settlements across the Global South," Finn said. "Previous efforts either alienate people from their housing and livelihood through brutal evictions or create inaccessible higher barriers to market entry, or they completely ignore the problems and fail to intervene at all."

Finn suggests a hybridized "middle ground" strategy in order to mitigate harms, provide financial and technical support, and reduce environmental pollution while still allowing people to seek shelter and create livelihoods for themselves, which are often only available through informal means. Such strategies could include providing people with wire-stripping tools so they can access copper from e-waste without burning it. 

Finn also suggests having a central processing unit where people can recycle e-waste with some level of control. A governing center could also help increase transparency about who buys recycled materials and how they are reincorporated into the global supply, thereby strengthening safety measures around e-waste recycling.

"Interventions into the informal paradox, in Ghana and more broadly, are desperately needed," Finn said. "However, the nature of these interventions is uncertain, and there are very real risks that policies that fail to understand these contexts and challenges worsen the outcomes for some of the world's most vulnerable people."

 

Penn Nursing study: Virtual nursing programs in hospitals fall short of expectations




University of Pennsylvania School of Nursing





Hospitals struggling to attract and retain enough registered nurses at the bedside are implementing alternative strategies to ensure patients get needed nursing care. This includes virtual nursing programs, a model of care in which nurses use video and messaging technologies to assess, monitor, educate, and coordinate care for hospitalized patients from an off-site location.

A new study from the Penn Nursing’s Center for Health Outcomes and Policy Research (CHOPR)—published in JAMA Network Open today—surveyed 880 in-hospital nurses about their experiences working alongside virtual nurses to care for hospitalized patients.

In one of the largest studies to-date on virtual nursing care, Penn Nursing researchers found the implementation of virtual nursing programs in hospital care has been received with mixed reviews.

More than half (57%) of in-hospital nurses say virtual nursing programs do not reduce their workload, and 10% say it has worsened their workload. The majority (53%) of in-hospital nurses report that working with virtual nurses improves patient care quality, but among them a fraction (11%) say the improvement in quality is substantial.

“Virtual nursing programs have been heralded as an innovative silver bullet to hospitals’ nurse staffing challenges, but our findings show that most bedside nurses are not experiencing major benefits,” said lead author K. Jane Muir, PhD, MSHP, RN, FNP-BC, Assistant Professor of Nursing in the Department of Family and Community Health, and CHOPR faculty.

“Hospitals should be cautious about implementing virtual nursing programs. There is no evidence that virtual nurses are a safe substitute for in-person nursing.”

The study authors emphasize that while virtual nursing programs may hold promise for specific tasks, such as patient monitoring or documentation, the success of the programs likely depend on having sufficient in-person nurse staffing and well-defined implementation standards.

“The data is mixed as to whether virtual nursing programs offer relief to in-hospital nurses and enhance the quality of patient care, which suggests hospitals should proceed cautiously in the absence of strong evidence about whether and under which conditions virtual nursing programs are safe and effective,” said co-author Karen B. Lasater, PhD, RN, FAAN, the Jessie M. Scott Term Chair in Nursing and Health Policy, Associate Professor in the Department of Biobehavioral Health Sciences, and CHOPR Associate Director

“While there is mixed evidence about the value of virtual nursing programs, there is strong evidence that staffing more nurses at the bedside is linked to better outcomes for patients and nurses alike.”

The study was led by researchers at the Center for Health Outcomes and Policy Research. Funding for the study was from the National Council of State Boards of Nursing, the National Institute of Nursing Research/NIH, and the Agency for Healthcare Research and Quality. 

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About the University of Pennsylvania School of Nursing

The University of Pennsylvania School of Nursing (Penn Nursing) is one of the world’s leading nursing schools. It has been ranked the #1 nursing school in the U.S. by QS University for a decade. Our Bachelor of Science in Nursing (BSN) is among the top-ranked programs in the nation, according to the 2026 U.S. News & World Report’s Best Colleges rankings. Penn Nursing also consistently earns high rankings in U.S. News & World Report’s annual list of best graduate schools and is a top recipient of National Institutes of Health (NIH) funding for nursing research. Penn Nursing prepares nurse scientists and nurse leaders to meet the health needs of a global society through innovation in research, education, and practice. Follow Penn Nursing on: FacebookLinkedInYouTube, & Instagram.

 

The presence of a gun in the home increases the risk of suicide by three to five times



A review of 467 studies also points out that, instead of alleviating feelings of fear and anxiety, weapons increase them, as well as exacerbating controlling behaviors and causing domestic violence




Fundação de Amparo à Pesquisa do Estado de São Paulo





In addition to posing physical and life risks, access to firearms has an impact on mental health. It increases suicides, intensifies psychological fragility, and amplifies violence. This is the conclusion of a study published in the September issue of the scientific journal Harvard Review of Psychiatry.

The study was led by researchers from the Institute of Psychiatry at the University of São Paulo’s Medical School (FM-USP) in Brazil. The researchers conducted a systematic review of 467 studies from various countries published up to March 2023. Most of the studies – 81% (378) – were conducted in the United States; 6% were conducted in Western Europe; 4% in Australia; and 3% in Canada. The rest were conducted in other regions.

The analysis explored the links between access to firearms, aggressive behavior, substance use and abuse, social and domestic violence, and their influence on mental health. Three psychological mechanisms related to these factors were identified.

The first is that weapons facilitate impulsive acts in times of crisis or distress. Suicide was the main outcome, appearing in 284 studies (61% of the total). The analysis showed that the presence of a firearm in a home increases the risk of suicide three to fivefold, regardless of the individual’s previous mental health status. When firearms are stored safely, this risk decreases but remains high.

A second mechanism is that the weapon acts as a kind of “psychological amplifier,” exacerbating certain mental health conditions. Rather than alleviating feelings of fear and anxiety, the weapon exacerbates them, leading to aggression. Additionally, it exacerbates the symptoms of trauma in individuals exposed to armed violence, creating a feedback loop that intensifies suffering rather than alleviating it.

Finally, the weapon serves as a symbol that transforms power dynamics and perceptions of vulnerability. This exacerbates controlling behaviors and leads to cases of social and domestic violence.

“Understanding that everyone is susceptible to human frailties, the possibility of having highly lethal tools available in the hands of the general population, instead of increasing the sense of security and protection and improving the individual’s emotional regulation, ends up having the opposite effect, as we see in studies. It highlights emotional weaknesses, increases feelings of fear and aggression, and leads to an increase in cases of harassment and violence,” explains Rodolfo Furlan Damiano, a psychiatrist and the corresponding author of the article, to Agência FAPESP.

Damiano and Eurípedes Constantino Miguel Filho, a professor at the USP Medical School, coordinate the Program for Education, Research and Care in Treatment-Resistant Depression, Self-Injury, and Suicidality (Pro-DRAS). Damiano has the support of FAPESP through a postdoctoral fellowship for a project seeking to provide information on the effectiveness and feasibility of rapid interventions for suicide prevention.

Last year, Damiano coordinated another study that mapped risk and protective factors for suicidal behavior. The study showed that people with impulse control disorders (ICDs) are at risk (read more at agencia.fapesp.br/53522). 

Screening of studies

The review followed the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guideline, a set of 27 items that systematizes the collection and extraction of data for this type of research.

The review began with a database of 3,930 articles from PubMed, Scopus, Web of Science, and PsycInfo. The screening protocol prioritized studies in criminology, public health, and sociology with direct outcomes and/or proven implications for psychological factors. This resulted in 467 articles addressing gun ownership, violence, policies, and their effects on mental health.

“The idea for this work arose from the link between suicide and firearms, but we realized that it could be something more comprehensive. When it comes to access to weapons, the discussion is always related to the issue of public safety. Our goal with the research wasn’t to deal with this sphere, but rather with mental health, which is an important and little-discussed issue,” Damiano explains.

In their conclusions, the scientists suggest adopting public policies that incorporate health-related scientific evidence.

“This review highlights the urgent need for comprehensive policies that address access to firearms, tackle the social determinants of the harm they cause, and promote mental health interventions. An integrated approach that considers these individual and social factors is essential to mitigate the complex psychological pathways through which they affect different populations,” the authors write in the article.

The situation in Brazil

Despite the small research sample size in Brazil, Damiano says the results are applicable to the country’s reality. “We’re dealing with mental health and the human impact, which can be extrapolated,” the psychiatrist says.

In Brazil, the purchase of firearms – both permitted and restricted caliber – is subject to a series of rules and requires authorization from federal agencies such as the Federal Police and the Army. In addition to being at least 25 years old, applicants must present a clean criminal record and prove their technical ability and psychological aptitude to handle firearms.

Despite the slowdown in growth since 2018, the number of registered firearms in Brazil increased by 3.2% between 2023 and 2024, reaching a total of 2,154,000 registrations in the National Firearms Registry System (SINARM), which is managed by the Federal Police. This information can be found in the 2025 Brazilian Public Security Yearbook

Damiano says he intends to continue the review work, focusing on laws that restrict access to firearms.

About São Paulo Research Foundation (FAPESP)
The São Paulo Research Foundation (FAPESP) is a public institution with the mission of supporting scientific research in all fields of knowledge by awarding scholarships, fellowships and grants to investigators linked with higher education and research institutions in the State of São Paulo, Brazil. FAPESP is aware that the very best research can only be done by working with the best researchers internationally. Therefore, it has established partnerships with funding agencies, higher education, private companies, and research organizations in other countries known for the quality of their research and has been encouraging scientists funded by its grants to further develop their international collaboration. You can learn more about FAPESP at www.fapesp.br/en and visit FAPESP news agency at www.agencia.fapesp.br/en to keep updated with the latest scientific breakthroughs FAPESP helps achieve through its many programs, awards and research centers. You may also subscribe to FAPESP news agency at http://agencia.fapesp.br/subscribe.