A system, apparatus, and computer program product for monitoring a subject person’s environment while the person is isolated from the environment. The integrated bioreactor with a concentric columnar structure includes an inner layer and an outer layer, in which the inner layer is an upflow anaerobic sludge blanket and the outer layer is a moving bed biofilm reactor. A screen at the base of the pressurized media container supports the media and allows the wastewater to exit the pressurized media container. In one aspect of this embodiment, the heating pad system includes a power unit for providing electrical power to the thermal-electric heating element, the power unit including a control panel having at least one temperature selector, the temperature selector for selecting at least one heating pad temperature.