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The usage of face masks in various sectors of healthcare facilities dates back to years ago. However, the utilization of facial coverings experienced a rapid surge as a result of the escalating rate of COVID-19 infections witnessed across the entire globe. This culminated in an unparalleled inundation of disposed facial coverings within the surrounding ecosystem. This transforms the face mask from a potent protectant into a massive emerging solid plastic waste pollutant with long-term adverse effects on the environment and human health. The utilization of facial coverings on a worldwide scale escalated to an immensely significant 129 billion per month at the onset of the pandemic. Nanomaterial-based technologies have been integrated into mask manufacturing chains to increase performance and provide antiviral characteristics. Nanotechnology encompasses multidisciplinary aspects including artificial intelligence, chemistry, biology, material science, physical science, and medicine. Abridgment of this review aims to make discarded face masks into a sustainable solution to many environmental pollution. In addition, it culminates collaborative and well-conducted trials, done for generating sustainable greener solutions for disposed face masks with the intention that usage of face masks in an environment-friendly manner. Given the preceding, the purpose of this review is to discuss the evolution of discarded face masks from sentinel pathogens to emerging environmental pollutants over time, as well as to comprehend the effect of discarded face masks on the biosphere, human health, and the food chain, by developing scientifically validated strategies to treat discarded face masks for a sustainable future.

Background: Inadequate control of diabetes and hypertension is a major concern in India because of rising mortality and morbidity. Few studies in India have explored factors that influence control of diabetes and hypertension. The current study aimed to improve the understanding of multifactorial influence on the control of diabetes and hypertension among patients in Primary Health Care Settings(PHC) of urban Karnataka. Methods: We used a mixed-method study design, within a project aiming to improve non-communicable disease (NCD) continuum of care across PHC in Mysore city, India, conducted in 2018. The quantitative study was conducted among 399 patients with diabetes and/or hypertension and a logistic regression model was used to assess the factors responsible for biological control levels of diabetes and hypertension measured through Glycated Haemoglobin(HbA1c) and blood pressure. Further, in-depth interviews(IDI) were conducted among these patients and the counsellors at PHCs to understand the barriers and enablers for better control. Result: The quantitative assessment found odds of poor control amongst diabetics’ increased with older age, longer duration of disease, additional chronic conditions, and tobacco consumption. For hypertensives, odds of poor control increased with higher body mass index(BMI), alcohol consumption, and belongingness to lower social groups. These findings were elaborated through qualitative assessment which found that the control status was affected by stress as a result of family or financial worries. Stress, poor lifestyle, and poor health-seeking behaviour interplay with other factors like diet and exercise leading to poor control of diabetes and hypertension. Conclusion: A better understanding of determinants associated with disease control can assist in designing focused patient outreach plans, customized communication strategies, need-based care delivery plans, and specific competency-based capacity-building models for health care workers. Patient-centric care focusing on biological, social and behavioural determinants is pivotal for appropriate management of NCDs at community level in low-middle income countries.