Indoor air quality (IAQ) control of hospitals plays a critical role in protecting both hospital staffs and patients, particularly those who are highly susceptible to the adverse effects of indoor noxious hazards. However, moxibustion in outpatient departments (OPDs) of traditional Chinese medicine (TCM) may be a source of indoor air pollution in hospitals. Some studies have investigated indoor air pollution during moxibustion in Chinese medicine clinics (CMCs) and moxibustion rooms, demonstrating elevated air pollutants that pose a threat to the health of medical staff and patients. Our study investigated the indoor air pollutants of indoor carbon dioxide (CO₂), carbon monoxide (CO), formaldehyde (HCHO), total volatile organic compounds (TVOCs), airborne particulate matter with a diameter of ≤10 µm (PM₁₀) and ≤2.5 µm (PM_2.5) during moxibustion in an acupuncture and moxibustion room of the OPD in a hospital in Taipei. To evaluate the different control strategies for indoor air pollution from moxibution, a comparison of air pollutants during moxibution among the methods of using alternative old moxa wools, local exhaust ventilation and an air cleaner was conducted. In this study, burning alternative old moxa wools for moxibustion obviously reduced all gaseous pollutants except for aerosols comparing burning fresh moxa wools. Using local exhaust ventilation reduced most of the aerosols after burning moxa. We also found that using an air cleaner was inefficient for controlling indoor air pollutants, particularly gaseous pollutants. Therefore, combining replacing alternative old moxa wools and local exhaust ventilation could be a suitable design for controlling indoor air pollution during moxibustion therapy.

Arsenic contamination in groundwater poses serious health risks, as exemplified by the Blackfoot disease epidemic in Taiwan, which was caused by prolonged arsenic exposure. This study investigates the use of biochar derived from the wastewater treatment sludge of the Far Eastern Memorial Hospital (New Taipei City, Taiwan) as an efficient adsorbent for arsenic removal. A novel iron-doped sludge biochar (Fe-SBC) was developed to enhance arsenic adsorption efficiency, facilitate adsorbent recovery, and reduce operational costs. The adsorption mechanism of arsenic on Fe-SBC, modified with iron hydroxide complexes, was examined through Density Functional Theory (DFT) simulations. The results demonstrate a high arsenic removal efficiency of approximately 90% using continuous adsorption systems. The DFT calculations revealed strong chemical interactions between arsenic and the biochar, evidenced by high adsorption energy (−156.8 kJ mol⁻¹) and a short bond distance (1.48 Å), correlating with the high adsorption performance observed experimentally. Additionally, arsenic byproducts desorbed from the adsorbent were repurposed into antibacterial agents and pigments. Four distinct pigment colors—green, blue, gray, and orange—were produced through different preparation methods, with the antibacterial agents showing effective antimicrobial properties. This study highlights the potential of Fe-SBC for sustainable arsenic remediation and resource recovery.