Pollution Types, Impacts and Abatement Measures UPSC
Comprehensive UPSC notes on Pollution and Environmental Degradation. Covers primary and secondary air pollutants, water contaminants, standards, and laws.
Air pollution is the presence of solid, liquid and gas in the atmosphere at concentrations capable of harming humans, other organisms, properties or environment. Major pollutants can be classified as
Primary Pollutants
These are emitted directly into the atmosphere
It includes
PM2.5
PM10
SO2
NOx
CO
VOCs
PB (lead)
NH3
Secondary Pollutants
These are formed through atmospheric chemical reaction
This include
Ground level ozone
Secondary nitrate
Secondary organic aerosols
Major Sources
Sector
Important Pollutants
Transport
NOx , CO, PM, VOCs
Thermal Power Plants and Industries
SO2, NOx, PM, Mercury
Construction
PM10, PM2.5
Crop residue burining
PM2.5, CO, Black Carbon
Waste Burining
PM, Di-oxygen, VOCs,
Household solid Fuel
PM2.5, CO, Black Carbon
Bricklins
PM, NOx, SO2, Black Carbon
Diesel Generators
PM, SO2
Agriculture
NH3
Friecrackers
PM, SO2, NOx, Metals
Important Air Pollutions and their Properties
Carbon Monoxide
It is produced from incomplete burning of carbon-based fuel including petrol, diesel and wood coal.
It is also produced from the natural combustion of synthetic products like paper, cigarette, etc.
It lower the amount of oxygen in our blood thus, it slows down our reflexes and make us confused and sleepy.
Carbon dioxide
It is a most important greenhouse gas.
It is emitted from both combustion and non-combustion activities.
Combustion activity include fossil fuel burning, forest fire, industrial chimneys, etc.
Non-Combustion activity include respiration by animals and plants, deforestation, agricultural practices, production of some products like iron-steel, cement, etc.
Lead
It is present in petrol, diesel, paint, hair dry and batteries.
It causes nervous system damage.
It affects children in particular and affect their digestive system and sometimes causes cancer.
Ground level Ozone
It lower our resistance to cold and causes pneumonia.
It causes eye burn, eye itching and watery eye, chest pain and respiratory issues.
NOx
It is third most abundant well mixed greenhouse gas after CO2 and CH4.
It is naturally present as a part of nitrogen cycle.
It comes from biomass burning, industrial production of fertilizers, forest, stable burning, urine, etc.
It causes smog and acid rain.
SPM (Suspended Particulate Matter)
It causes lung irritation, reduce RBC formation and respiratory diseases.
Sulfer dioxide
It comes form fossil fuel burning, largest source is thermal power plant other sources are volcanic eruptions, smelting of metals.
It causes acid rain and lung diseases.
Water Vapour
Important greenhouse gas however not include in Kyoto Protocol.
Methane
It is second largest greenhouse gas after CO2.
It comes from marshy land, wetland where anaerobic degradation of organic matter take place.
Chlorofluorocarbons (CFCs)
These are manufactured molecules containing chlorine, fluorine and carbon.
Its sources are refrigeration, insolation, propellants, solvents or packaging material, etc.
It causes climate change and global warming.
Smog
Smog is equal to smoke plus fog.
There are two types of smog
Classical Smog
It is called reducing smog or London Type of smog because it was first observed in 1950s in London.
It is also called sulfureous smog due to high presence of sulfer dioxide (comes from thermal power plant).
Thus classical smog is equal to SOx + Particulate Matter + Black Carbon + Metallic dust + others.
It is formed in the winter morning and dissolves or reduces with sunrise.
Photochemical Smog
It is also called Los Angeles Smog or Oxidizing smog.
Fly ash is produced whenever combustion of solid material take place.
It is one such residue which rises with gases into the atmosphere.
It is a very fine powder whose main component is aluminium, silicate, silicon dioxide and calcium dioxide.
When it falls on the agricultural fields it compromises their fertility.
When it falls on the tree leaves it blocks stomata and reduces photosynthesis. Thus is highly harmful to the ecosystem.
By using electrostatic precipitator and other particle filtration equipment fly ashes are captured e.g. in Maharashtra and it is used for making bricks or mixing with Portland Cement up to 35%.
Indoor Air Pollution
It refers to the physical, chemical and biological characteristics of air in indoor environment, within a home or and institution or commercial complex. As per ICMR's report indoor air pollution is 1000x times more harmful then outdoor air pollution. It is of two types.
Rural Indoor Pollution
It comes from wood burning, charcoal, cow dung burning, pesticides like moth repellent, etc.
Urban Indoor Pollution
It comes from refrigerators , detergents, perfumes, hair spray, furniture polish, air fresheners, wood preservatives.
Carpets and insulation form are major source of formaldehydes.
Open bare surface/soil releases radon gas.
Constitutional Basis of Air Pollution
Air pollution control derives from several constitutional provisions e.g.
It is part of Article 21, clean air is fundamental right of every individual. It was verdict of Supreme Court in case of Subhash Kumar vs. State of Bihar, 1991.
It is part of state's duty under Article 47 regarding public health.
Article 48A of DPSP states that state shall endeavour to protect and improve the environment and safeguard the forest and wildlife.
Article 51A(g), it is part of fundamental duty of citizen i.e. protect and improve the natural environment.
MC Mehta vs. Union of India, it transformed India's air pollution jurisprudence. Important interventions included
Vehicular emission control.
CNG transition
Relocation of polluting industries
Monitoring of pollution control measures
Directions concerning construction, waste, fire crackers and other sources.
Arjun Gopal vs. Union of India, 2018, in this Supreme Court imposed restriction on fire crackers including
regulation of timing
restriction on certain composition
emphasis on lower emissions/green crackers
regulatory enforcement.
New Updates
The Supreme Court continued hearing in MC Mehta air pollution case and in 2024 the court scrutinized
GRAP implementation i.e. Graded Response Action Plan in Delhi NCR.
Vehicle restriction like no commercial large vehicle entry during day time in the city region, odd-even, stubble burning, fire crackers, waste burning, construction, industrial emission.
In April 2025, SC declined to relax Delhi NCR restriction on fire crackers and supported green crackers.
In November 2025, SC raised concerns about children participating in physical sports during severs air pollution periods.
In September 2026, CAQM advised Delhi, Haryana, Rajasthan and Uttar Pradesh to avoid scheduling school physical sports in such months following the November 2025 Supreme Court verdict.
Major Acts
Air Prevention and Control of Pollution, 1981
This is the principle dedicated Indian legislation for air pollution.
It was enacted in 1981, partly reflecting India's commitment following 1972 Stockholm conference.
Its objective are
prevention of air pollution
control of air pollution
abatement of air pollution
eastablishment and empowerment of polltuion control board.
Intuitional instructionn under Air Act.
CPCB
It coordinates environmental pollution control.
Advises Central Government
Lays down standards
Collects and disseminates information
Coordinates SPCBs
SPCBs
It implement
act at state level
inspect industries
grant consent
prescribe emission standards within their legal mandate
monitor compliances
take enforcement action
Air Act Amendment through Jan Vishwas, 2023
Through this amendment one important change was introduced as the introduction of Section 21A, which empowers central government in consultation with CPCB to issue guidelines concerning grant, refusal or cancellation of consent by SPCBs.
Every violation of environment legislation does not automatically means imprisonment the jan vishwas reforms have decriminalized certain offenses and shifted to some monetary policy only
Environment Protection Act, 1986
It is India's umbrella environmental legislation.
It gives the central government wide power to
protect environmental quality
prescribe standards
regulate industrial location
restrict hazardous substances
issue direction
frame rules
take emergency measures.
National Ambient Air Quality Standards (NAAQS)
India notified revised NAAQS in 2009.
It covers 12 pollutants
SO2
NO2
PM10
PM2.5
Ozone
CO
NH3
PB
Benzene
Benzopyrene
Arsenic
Nickel
National Air Quality Index
It was launched in 2014.
It converts pollution information into numbers, category, colour and health implication.
It use 8 pollutants
PM10
PM2.5
SO2
NO2
CO
Ozone
PB
Lead
AQI
Category
Colour
0-50
Good
Green
51-100
Satisfactory
Light Green
101-200
Moderately polluated
Yellow
201-300
Poor
Orange
301-400
Very Poor
Red
401-500
Severe
Dark Red/ Marron
National Clean Air Program (NCAP)
It was launched in 2019.
Its initial target was
20-30% reduction in PM by 2024 relative to baseline of 2017-18.
Its target have been revised i.e. up to 40% reduction in PM10 by 2025-26 using 2017-18 baseline.
It covers 130 cities under this program.
Program operates across 24 states and UTs.
NCAP is not a single pollution control law. It is an umbrella program coordinating
transport like EV, BS6, traffic management
road dust
construction
industrial emission
urban planning
According to 2025-26 updates out of 130 NCAP cities
108 recorded lower annual PM10 compare to 2017-18.
72 cities achieved more than 20% reduction
26 cities achieved 40% reduction
14 cities meet NAAQS for PM10.
62 cities meet NAAQS PM2.5
PRANA Portal
PRANA is equal to regulation portal for regulation of air pollution in non-attainment cities.
It uses NCAP implementation.
Swachh vayu sarvekshan
It was launched under NCAP framework.
It asses cities based on
pollution control measures
implementation of clean air action plan
source specific interventions
improvement in air quality
Bharat Stage
In shifted to BS-VI from BS-IV in April 2020 directly.
BS-VI substantially tightened emission norms for
NOx
Hydrocarbons
Carbon monoxide.
Commission for Air Quality Management (CAQM)
It was needed because the problem of air pollution has not city specific solution it is air shed problem which includes Delhi, Haryana, Uttar Pradesh and Rajasthan Thus CAQM functions
coordinate NCR states
formulate air quality strategies
deal with crop residue burning
regulate industries and vehicles
overseas GRAP
GRAP (Graded Response Action Plan)
It is like emergency response mechanism based on worsening AQI, forecast and meteorological conditions.
GRAP was revised in 2025. It includes
GRAP Stage
AQI
Broad Category
Stage I
201-300
Poor
Stage II
301-400
Very Poor
Stage II
401-450
Severe
Stage IV
450+
Severe
Water Pollution
Addition of certain substances to water such as organic, inorganic, biological, radiological, heat which degrades quality of water, so that it becomes unfit for use. Water pollution is not only confined to surface water but also to groundwater i.e. ocean and sea.
Sources of Water Pollution
Fixed point source
In this case pollutants travel directly from source to water, point sources are easy to regulate because these have fixed location like industrial effluents, municipal sewage drainage.
Diffused or non-fixed point source
It includes agricultural waste, acid rain, human fecal waste, etc.
Measurement of Quality of water or Level of Pollution
Dissolved oxygen
The amount of dissolved oxygen is important to support aquatic life. The presence of dissolved oxygen up to 6-8mg/l is ideal to support aquatic life. If it becomes 5mg/l aqua system is called oxygen stressed and if it become 2-3mg/l it is called hypoxic environment.
Biological Oxygen Demand (BOD)
Amount of dissolved oxygen required by various organisms to break down organic material present in water body at certain temperature over specific period of time.
BOD is measured in ppm (parts per million).
The BOD is directly proportional to the amount of organic waste present in water.
Chemical Oxygen Demand (COD)
It measures capacity of water to consume oxygen during
decomposition of organic material
oxidation of inorganic material, e.g. ammonia, nitrate present in contaminated water.
Most Permeable Number (MPN)
Water pollutant with organic waste such as sewage, sludge have high population of bacteria like E.coli and coliform can be detected and counted.
Coliform are present in human intestine so there presence in water is indication of presence of human waste in water (fecal waste).
In this condition, haemoglobin becomes non-functional, and its oxygen-carrying capacity is drastically reduced.
Endosulfan
It is pesticide.
It is now globally ban under stock Home Convection.
Ketoprufen
It is ban to save vulture as it interferes with calcium metabolism and thus promotes rupturing of eggs.
Diclofenac
It is banned in India since 2006.
Biomanipulation
Introduction of large fish into eutrophic ecosystem to consume algae with faster rate to restore ecosystem.
Bioremediation
It is use of microorganisms like bacteria and fungi to degrade environmental contaminants into less toxic form.
Bioventing
Supply of air and nutrients through well or pipe to assimilate growth of bacteria.
Bio-sparging
Injection of air under pressure below the water table to increase the level of oxygen to support high bacterial growth to fasten decomposition of organic substances.
Arsenic Contamination
It affects about 21 states of India, where arsenic level is higher than BIS (Bureau of Indian Standard) stipulated permissible limit of 0.01mg/l.
The Ganga Brahmaputra Meghna river basin states are worst affected.
Arsenic causes skin diseases like skin cancer, cancer of gallbladder, kidney, lung, disease, black foot disease and reproductive disorder.
Oil Spill
An oil spill is the accidental and deliberate release of crude oil, petroleum into marine environment.
Since oil is less dense than seawater, it generally form a surface which spreads under the influence of wind, wave and current.
Major causes
Man-made causes
Container-Ship accident.
Leakage from offshore oil platforms and pipelines.
- Illegal discharge.
Port and refinery accident.
Poor handling of petroleum products.
War or sabotage.
Natural Causes
Natural seepage of hydrocarbon from the seabed.
In may 2025, MSCELSA 3 ship meet and accident of the coast of Kerala.
How oil spill affects ecosystems?
Physical effect
Smothering
Oil coats feathers, corals, birds, etc.
Marine animals can suffer respiratory problems.
Birds lose waterproofing property of feathers and die out of hypothermia and drowning
Reduced light penetration
Oxygen stressed
Chemical toxicity
Oil contains polycyclic aromatic hydrocarbons (PAH's) such as
Naphthalene
Anthracene
Phenanthrene
Pyrene.
These chemicals cause
toxicity to fish, larva and eggs.
Impaired reproduction.
Developmental abnormalities.
DNA damage
Food Chain effect
Bioaccumulation and biomagnification.
Mangroves
New metaphors are blocked
Corals
Tissues are damaged
Photosynthesis is restricted
Economic Impact
Fisheries lost.
Aquaculture lost.
Affects tourism.
Affects coastal community.
Financial burden on government to contain ecosystem, public health.
How to contain oil spills?
Physical Method
Use of floating booms/barriers to check widespread of oil
Skimmers
These are devices which physically collect oil from water surface.
Sorbent
These are oil absorbing material which sock oil.
Vacuum pumping
Oil-water mixture can be pump form relatively calm water surface.
Use of controlled fire.
Chemical Methods
Use of chemical substance which break down oil.
Biological methods
It is called bioremediation.
In this microorganisms are use to degrade oil. e.g. Marinobacter, pseudomonas, rhodococcus, alcani vorax
Coastal Sand Mining
Coastal sand mining means extraction of beach sand, heavy mineral bearing such as ilmenite, rutile, zircon and monazite.
Impact of Coastal Sand Mining
Coastal erosion
Loss of sand dunes.
Habitat destruction.
Sea turtle nesting.
Ground water is mixed with marine salt water.
Lost of mangroves and wetlands.
Marine food web is affected.
Climate resilience is compromised.
How Coastal Sand Mining is regulated in India?
Coastal Regulation Zone Notification, 2019
Environmental Impact Assessment Framework, 2006
Any activity including legal need to ger prior permission from Ministry of environment if it is affecting ecological sensitivity.
Mines and Minerals Regulation Act, 1957
State government has power under section 23C to make rules to prevent illegal mining, transportation and storage of minerals.
Beach Sand Containing Minerals
This is a special category
Beach sand may contain monazite, which contains thorium rare earth mineral element.
Mining of atomic mineral is therefore subject to additional control.
Coastal Regulation Zone, 2019
Coastal regulation zone, regulation are to regulate various activities in the coastal areas which are ecologically sensitive.
Depending upon their ecological sensitivity, the various activities are also regulated. e.g. developmental human activities.
As per 2019 CRZ act CRZ is divided in IV
Category
What includes
Broad Regulatory Approach
CRZ I
Ecologically sensitive area + intertidal zone. In this mangroves, coral reef, sand dune, salt marshes, turtle nesting ground, mud flats, seagrass bed, protected areas, important birds nesting sites
Highest Protection
CRZ I-A
Ecologically sensitive area
Strong Restriction
CRZ I-B
Intertidal zone between high tides and low tides
Highly regulated
CRZ II
Developed urban coastal area
Regulated development
CRZ III
Relatively undisturbed rural area
Development restricted within specified no development Zones
CRZ III-A
Densely populated rural area
50 meter no development zone from high tide line
CRZ III-B
Sparsely populated rural area
200 meter no development zone form high tide line
CRZ IV
Water area and tidal water bodies
Regulation of activities affecting marine environment
How do sand mining in river bed river ecology?
Groundwater depilation.
Bank erosion.
Habitat destruction.
Loss of organisms
Fish reproduction is affected.
Increased turbidity
Poor photosynthesis.
Riparian vegetation damage
Destabilizes river bank
Water quality deterioration
Reduce ecological resilience
Flood drought
Loss of biodiversity.
Thermal Pollution
The word thermal means related to heat. Thermal pollution means unwanted changes occurring in environment due to higher temperature but this term is generally related to water bodies. Thus thermal pollution also known as thermal discharge. It is undesired heating of river, lake, ponds, seawater by human activities making it unhealthy to aquatic organisms, animals and humans.
Causes
Sudden release of large volume of hot water into the aquatic ecosystem from the industries like iron-steel, nuclear power plants, etc. where large volume of water is used as coolant.
Chemically charged water from urban sewage system, chemical intensive industries like pharmaceuticals, hospital discharge, cotton industries, sugar industries, paper industries, etc. Such chemically charged water increases temperature of water up to 5-10°C. Due to this
Thermal sock is created that is sudden increase in temperature.
It reduces oxygen dissolving capacity.
Increase biological oxygen demand, chemical oxygen demand.
Fish kill.
Forces out migration of marine organisms.
Solutions
No untreated water, urban waste, solid waste, industrial affluence should be allowed to enter into aquatic system untreated.
Water used as a coolant should be stored, reused, allowed to enter into aquatic system gradually only when its temperature becomes normal.
Nosie Pollution
Noise pollution refers to unwanted, excessive or harmful sound that disturbs human beings, wildlife and the environment and adversely affects health and quality of life. It measured in decibel (dB), which accounts for human hearing sensitivity and averages noise over a period. Unlike many other pollutants noise is transient but cumulative in its health effects. The major concern is continuous exposure to high intensity noise particularly in urban areas.
Major Sources
Transport like road, rail, airport.
Construction
Heavy industries
Socio-cultural noise like firecrackers, weddings, religious event, political public gathering.
Domestic noise like household appliances, television, radio, music system, etc.
High noise mask animal communication and mating calls.
Disturb breeding and feeding behaviour.
Changes migration pattern.
Can interfere with predator-prey interaction
Solution and Control Measures
Source Control i.e. there should not be loud noise beyond permissible limit. The ambient noise is centred in India suggest:
Area
Day (6 AM to 10 PM)
Night (10 PM to 6 AM)
Industrial
75dB
70dB
Commercial
65dB
55dB
Residential
55dB
45dB
Silence Zone
50dB
40dB
These standards are prescribed under the Noise Pollution Regulation and Control Rules, 2000.
Traffic Management
Urban Planning
Appropriate zonation of commercial, industrial and residential activities.
Development of green belts across city between commercial spaces and industrial spaces.
Sound insulated buildings.
Regulation on loud speakers in terms of decibel, time and for this strict monitoring is done.
Construction site management.
Technological measures i.e. noise mapping.
Civic sense
No unnecessary honking.
Responsible use of loud speakers.
Public awareness and community participation.
Legal Framework in India
Environment Protection Act, 1986
It empowers central government to take measures for protection and improvement of environmental quality.
Noise Pollution Regulation and Control Rules, 2000
It is principal legal instrument specially dealing with environmental nose.
Under this ambient noise standards for industrial, commercial, residential and silence zones are regulated.
Under silence zones hospitals, education institutions and courts are generally included.
Plastic Pollution
It is accumulation of plastic products and microplastics in terrestrial, freshwater and marine ecosystem due to high production, single use consumption, poor segregation, recycling gaps and leakage into the environment.
Major Sources
Domestic like carry bags, food containers, bottles.
Plastic caused ingestion, entanglement and habitat damage to fish, turtles, birds and marine mammals.
Floating plastics can transport invasive organisms and pathogens.
Microplastic fragments.
The plastic which has size less than 5mm are called microplastics. It has tow major sources:
Primary Source
These are manufactured in industries.
Secondary
Fragmentation of large plastic items.
It is found in water, soil, air, food and human associated environments.
It can absorb pollutants and enters into food web including food for humans.
Chemical Pollutions
Plastic addictive such as plasticizers, flame retardants, stabilizers may leach into environment.
Climate Impact
Plastic production is largely fossil fuel based, its production, transportation and disposal generate greenhouse gas emission.
Why Plastic Pollution Persists
Low cost and convenience
Rapid growth of package goods and e-commerce.
Poor source of segregation
Inadequate collection and segregation
Recycling can not solve problem because plastic can be downcycled and eventually becomes waste.
Indian Policy Framework
Plastic Waste Management Rules, 2016
Mandate responsibilities for waste generators, local bodies, producers and other stake holders.
Emphasis source segregation, collection, recycling and environmentally sound disposal.
2021 Amendment and 2022 Implementation
India prohibited unidentified single use plastic (SUP) from July 2022.
EPR Guidelines
Producers, importers and brand owners have responsibility for managing plastic packaging after consumption.
It targets collection and recycling
It promotes accountability across the plastic value chain.
It creates a shift from "Producer Dispose" to "Producer Responsibility"
Government Initiatives
Swachh Bharat Abhiyan
Plastic Management Rules, 2016/2021.
EPR Guidelines for plastic packaging
Swachhata hi Seva campaign
Promotion of material recovery facility, waste segregation and recycling.
National Mission for clean Ganga.
Promotion of circular economy approaches and resource recovery.
It believe in 5R approach
Refuse,
Reduce,
Reuse,
Repair,
Recycle
E-waste
It is discarded electrical and electronics components including computers, mobile phone, tv, refrigerator, ACs, batteries and other electronic components and gadgets.
E-waste is a dual challenge, a hazardous waste challenge as well as opportunity of urban mining because e-waste contain valuable matters such as gold, silver, cooper, aluminium and critical minerals.
Globally 62 millions tons of e-waste was generated in 2022 while only 22.3% was formally documented as collected and recycled.
Major Sources
IT and Telecom
Mobile, computer, printer
Consumer electronics
TV, camera, audio equipment's.
Large appliances
Refrigerator, washing machine, ACs
Small appliances
Toys, microwave
Lighting equipment
Fluorescent/mercury containing lamps.
Emerging sources are
Solar PV modules,
EVs,
IoT device
Why e-waste is so hazardous?
It carries lead, mercury, cadmium, bromine, brominated flame retardants and other hazardous chemicals.
Impact
Environmental impact
Soil and ground water contamination
Toxic emission from open burning.
Heavy metal accumulation in food chains.
Air pollution from informal processing.
Improper disposal of refrigerants can affect ozone layer.
Health impact
Neurological and developmental damage due to lead and mercury exposure.
Respiratory problems from toxic fumes.
Occupational risk for informal sector workers.
E-waste Management Rules, 2022
E-waste Management rules become effective on 1st April 2023. It replaces 2016 rules. The key features are
It covers 106 categories EEE under 7 categories.
EPR
Responsibility for end of life management lies with producer.
Producer must meet recycling obligations through registered recyclers.
Online EPR portal for registration and compliance.
Producer fulfil obligations by purchasing EPR certificate from registered recycler.
Environmental compensation can be imposed for violation.
Solar PV modules/ panels are covered with provisions for storage and future recycling obligations.
EPR approach includes producer design and collection responsibility, authorized recycling, resources recovery in brief.
It includes 3R's and circular economy i.e. reduce, reuse, recycle.
Biomedical Waste
Biomedical waste is the waste generated during the diagnosis, treatment or immunization of human beings and animals or related research and production of biologicals. Sources include hospitals, clinics, laboratories, blood bank, veterinary facilities, vaccination centres and research institutions.
Major types are
Infectious waste like contaminated dressings, cotton
Sharps like needles, syringes, scalpels, blade, etc.
Pharmaceutical waste like expired medicines
Contaminated plastics like IV tubes, gloves, blood bags
Radioactive waste
Impact
Spread of infectious diseases from pathogens.
Needle stick injuries to healthcare and sanitation workers.
Soil and groundwater contamination.
Air pollution and toxic emission from uncontrolled burning.
Biomedical waste Management Rules, 2016
The biomedical waste Management rules, 2016 notified under Environment protection Act, 1986 replaced 1998 rules. The key principles are
Segregation at source
Biomedical waste must be segregated at the point of generation preventing mixing with general municipal waste.
Four colour classification
Yellow Colour
It covers anatomical waste, expired medicines, etc.
It needs to be given deep burial.
Red Colour
It is contaminated recyclable plastics such as gloves, IV sets, etc.