Occurrence, fate and antibiotic resistance of fluoroquinolone antibacterials in hospital wastewaters in Hanoi, Vietnam

Occurrence and behavior of fluoroquinolone antibacterial agents (FQs) were investigated in hospital wastewaters in Hanoi, Vietnam. Hospital wastewater in Hanoi is usually not treated and this untreated wastewater is directly discharged into one of the wastewater channels of the city and eventually reaches the ambient aquatic environment. The concentrations of the FQs, ciprofloxacin (CIP) and norfloxacin (NOR) in six hospital wastewaters ranged from 1.1 to 44 and from 0.9 to 17 micrgl(-1), respectively. Total FQ loads to the city sewage system varied from 0.3 to 14 g d(-1). Additionally, the mass flows of CIP and NOR were investigated in the aqueous compartment in a small wastewater treatment facility of one hospital. The results showed that the FQ removal from the wastewater stream was between 80 and 85%, probably due to sorption on sewage sludge. Simultaneously, the numbers of Escherichia coli (E. coli) were measured and their resistance against CIP and NOR was evaluated by determining the minimum inhibitory concentration. Biological treatment lead to a 100-fold reduction in the number of E. coli but still more than a thousand E. coli colonies per 100ml of wastewater effluent reached the receiving water. The highest resistance was found in E. coli strains of raw wastewater and the lowest in isolates of treated wastewater effluent. Thus, wastewater treatment is an efficient barrier to decrease the residual FQ levels and the number of resistant bacteria entering ambient waters. Due to the lack of municipal wastewater treatment plants, the onsite treatment of hospital wastewater before discharging into municipal sewers should be considered as a viable option and consequently implemented.     

Environmental exposure of pharmaceuticals and musk fragrances in the Somes River before and after upgrading the municipal wastewater treatment plant Cluj-Napoca,Romania

Background, aim, and scope

Pharmaceutically active substances are a class of emerging contaminants, which has led to increasing concern about potential environmental risks. After excretion, substantial amounts of unchanged pharmaceuticals and their metabolites are discharged into domestic wastewaters. The absence of data on the environmental exposure in Eastern Europe is significant, since use patterns and volumes differ from country to country. In Romania, the majority of wastewater, from highly populated cities and industrial complex zones, is still discharged into surface waters without proper treatment or after inefficient treatment. In respect to this, it is important to determine the environmental occurrence and behavior of pharmaceuticals and personal care products (PPCPs) in wastewaters and surface waters. The objective of the present study was to investigate the occurrence of selected PPCPs during the transport in the Somes River by mass flow analysis before and after upgrading a municipal wastewater treatment plant (WWTP) in Cluj-Napoca, which serves 350,000 inhabitants and is the largest plant discharging into the Somes River. The concentrations of PPCPs at Cluj-Napoca can be correlated with the high population and a high number of hospitals located in the catchment area leading to higher mass flows. The results of this study are expected to provide information, with respect to the Romanian conditions, for environmental scientists, WWTP operators, and legal authorities. The data should support the improvement of existing WWTPs and implementation of new ones where necessary and, therefore, minimize the input of contaminants into ambient waters.

Materials and methods

The PPCPs were selected on the basis of consumption at the regional scale, reported aquatic toxicity, and the suitability of the gas chromatography/mass spectrometry (GC/MS) method for the determination of the compounds at trace levels. The studied PPCPs, caffeine (stimulant), carbamazepine (antiepileptic), pentoxifylline (anticoagulant), cyclophosphamide (cytostatic), ibuprofen (analgesic), and galaxolide (musk fragrance), were determined in samples of the Somes River. The analytes were enriched by solid-phase extraction and subsequently determined by GC/MS. Caffeine, pentoxifylline, and galaxolide were determined underivatized, whereas the acidic pharmaceuticals carbamazepine, cyclophosphamide, and ibuprofen were determined after derivatization with N-methyl-N-(trimethylsilyl)-trifluoroacetamide.

Results and discussion

The concentrations in the Somes River varied from below 10 ng/L up to 10 μg/L. A substantial decrease of the exposure in the Somes River could be observed due to the upgrade of the municipal WWTP in Cluj-Napoca. The loads in the river stretch between Cluj-Napoca and Dej (Somes Mic) varied strongly: caffeine (400–2,000 g/day), carbamazepine (78–213 g/day), galaxolide (140–684 g/day), ibuprofen (84–108 g/day). After the upgrade of the WWTP Cluj-Napoca, the concentrations in the Somes of caffeine, pentoxifylline, cyclophosphamide, galaxolide, and tonalide were significantly reduced (over 75%). One might be cautious comparing both studies because the relative efficiency of the WWTP’s removal of PPCP was not evaluated. However, the significantly lower concentrations of most compounds after the upgrade of the WWTP Cluj-Napoca allow one to infer that the technical measures at the source substantially reduced inputs of contaminants to the receiving river. Dej loads of the poorly biodegradable substance carbamazepine increased by a factor of 2–3 as a result of wastewater discharges into the river. The disproportionate increase in caffeine loads by a factor of 4 below Cluj-Napoca indicates inputs of untreated wastewater from the Somes Mare due to the discharge of untreated wastewater derived from Bistrita, Nasaud, and Beclean (115,000 inhabitants).

Conclusions

The relative contribution of treated and untreated wastewater in surface water might be assessed by measuring chemical markers. Recalcitrant pharmaceuticals like carbamazepine are suitable as chemical markers for estimating the relative contribution of wastewater in surface water. The easily degradable caffeine might be a good indicator for raw sewage and hardly treated wastewaters.

Recommendations and perspectives

Municipal WWTPs have the potential of a significant contribution in reducing the load of contaminants to ambient waters. The efficiency of the wastewater treatment in Cluj-Napoca improved considerably after the upgrade of the WWTP. Therefore, it is crucial that several WWTPs must be implemented or improved in the Somes Valley Watershed in order to reduce the discharge of contaminants in the Somes River from these point sources.

     

Levels of Lead in Urban Soils from Selected Cities in a Central Region of the Philippines (7 pp)

Background Aims, and Scope. Lead (Pb) is a naturally occurring element that poses environmental hazards when present at elevated concentration. It is being released into the environment because of industrial uses and from the combustion of fossil fuels. Hence, Pb is ubiquitous throughout global ecosystems. The existence of potentially harmful concentrations of Pb in the environment must be given full attention. Emissions from vehicles are major source of environmental contamination by Pb. Thus, it becomes imperative that concentrations of Pb and other hazardous materials in the environment not only in the Philippines, but elsewhere in the world be adequately examined in order that development of regulations and standards to minimize risk associated with these materials in urban areas is continued. The objectives of this study were: (1) to determine the levels of Pb in soil from selected urbanized cities in central region of the Philippines; (2) to identify areas with soil Pb concentration values that exceed estimated natural concentrations and allowable limits; and (3) to determine the possible sources that contribute to elevated soil Pb concentration (if any) in the study area. Methods This study was limited to the determination of Pb levels in soils of selected urbanized cities located in central region in the Philippines, namely: Site 1 – Tarlac City in Tarlac; Site 2 – Cabanatuan City in Nueva Ecija; Site 3 – Malolos City in Bulacan; Site 4 – San Fernando City in Pampanga; Site 5 – Balanga City in Bataan; and Site 6 – Olongapo City in Zambales. Soil samples were collected from areas along major thoroughfares regularly traversed by tricycles, passenger jeepneys, cars, vans, trucks, buses, and other motor vehicles. Soil samples were collected from five sampling sites in each of the study areas. Samples from the selected sampling sites were obtained approximately 2 to 3 meters from the road. Analysis of the soil samples for Pb content was conducted using an atomic absorption spectrophotometer. This study was conducted from 2003 to 2004. Since this study assumed that vehicular emission is the major source of Pb contamination in urban soil, other information which the researchers deemed to have bearing on the study were obtained such as relative quantity of each gasoline type disposed of in each city within a given period and volume of traffic in each sampling site. A survey questionnaire for gasoline station managers was prepared to determine the relative quantity of each fuel type (diesel, regular gasoline, premium gasoline, and unleaded gasoline) disposed of or sold within a given period in each study area. Results and Discussion Analysis of soil samples for Pb content showed the presence of Pb in all the soil samples collected from the 30 sampling sites in the six cities at varying concentrations ranging from 1.5 to 251 mg kg–1. Elevated levels of Pb in soil (i.e. greater than 25 mg kg–1 Pb) were detected in five out of the six cities investigated. Site 4 recorded the highest Pb concentration (73.9 ± 94.4 mg kg–1), followed by Site 6 (56.3 ± 17.1 mg kg–1), Site 3 (52.0 ± 33.1 mg kg–1), Site 5 (39.3 ± 19.0 mg kg–1), and Site 2 (38.4 ± 33.2 mg kg–1). Soil Pb concentration in Site 1 (16.8 ± 12.2 mg kg–1) was found to be within the estimated natural concentration range of 5 to 25 mg kg–1. Site 1 registered the least Pb concentration. Nonetheless, the average Pb concentration in the soil samples from the six cities studied were all found to be below the maximum tolerable limit according to World Health Organization (WHO) standards. The high Pb concentration in Site 4 may be attributed mainly to vehicular emission. Although Site 4 only ranked 3rd in total volume of vehicles, it has the greatest number of Type B and Type C vehicles combined. Included in these categories are diesel trucks, buses, and jeepneys which are considered the largest contributors of TSP (total suspended particles) and PM10 (particulate matter less than 10 microns) emissions. Conclusion Only one (San Juan in Site 4) of the thirty sampling sites recorded a Pb concentration beyond the WHO permissible limit of 100 mg kg–1. San Juan in Site 4 had a Pb concentration of >250 mg kg–1. On the average, elevated Pb concentration was evident in the soil samples from San Fernando, Olongapo, Malolos, Balanga, and Cabanatuan. The average soil Pb concentrations in these cities exceeded the maximum estimated natural soil Pb concentration of 25 mg kg–1. Average soil Pb concentration in Site 1 (16.8 mg kg–1) was well within the estimated natural concentration range of 5 to 25 mg kg–1. Data gathered from the study areas showed that elevated levels of Pb in soil were due primarily to vehicular emissions and partly to igneous activity. Recommendation and Outlook The findings of this study presented a preliminary survey on the extent of Pb contamination of soils in urban cities in central region of Philippines Island. With this kind of information on hand, government should develop a comprehensive environmental management strategy to address vehicular air pollution in urban areas, which shows as one of the most pressing environmental problems in the country. Basic to this is the continuous monitoring of Pb levels and other pollutants in air, soil, and water. Further studies should be conducted to monitor soil Pb levels in the six cities studied particularly in areas with elevated Pb concentration. The potential for harm from Pb exposure cannot be understated. Of particular concern are children who are more predisposed to Pb toxicity than adults. Phytoremediation of Pb-contaminated sites is strongly recommended to reduce Pb concentration in soil. Several studies have confirmed that plants are capable of absorbing extra Pb from soil and that some plants, grass species in particular, and can naturally absorb far more Pb than others.     

EFFECTS OF PLACER GOLD MINING ON PRIMARY PRODUCTION IN SUBARCTIC STREAMS OF ALASKA1

ABSTRACT: Turbidity, total residues, settleable solids, vertical light extinction, and primary production were measured in mined and unmined streams located in the interior highlands of Alaska. Undisturbed streams had low turbidities (< 1 NTU), total residue concentrations averaging 120 mg 1^?1, and undetectable settleable solids. During active mining, turbidity, total residues, and settleable solids levels in a moderately mined stream averaged 170 NTU, 201 mg 1^?1, and < 0.1 ml 1^?1, respectively. In a heavily mined stream, turbidity and total residues were two orders of magnitude higher than in unmined streams and settleable solids nearly always exceeded 0.2 ml 1^?1. Vertical extinction coefficients and turbidity were positively correlated. In undisturbed streams gross primary productivity (g-O₂m^?2d^?1) ranged from 0.20 shortly after spring breakup to a maximum of 1.20 in early fall. Productivity in the moderately mined stream was reduced by 50 percent while photosynthetic efficiency doubled. Primary production was undetectable in a heavily mined stream. Maximum standing crops of periphyton measured as chlorophyll a occurred in fall in an undisturbed stream after 13 weeks of exposure and ranged from 4.5 to 11.8 mg-chl a m^?2. The highest chlorophyll a densities recorded in the moderately mined stream was 3.8 mg m^?2, and no chlorophyl a was detected in the heavily mined stream.     

Prenatal diagnosis of Crigler–Najjar syndrome type I by single-strand conformation polymorphism (SSCP)

Crigler–Najjar syndrome type I (CN-I) is a rare and severe inherited disorder of bilirubin metabolism, caused by the total deficiency of bilirubin-UDP-glucuronosyltransferase (UGT) activity. Enzymatic diagnosis cannot be performed in chorionic villi or amniocytes as UGT is not active in these tissues. The cloning of the UGT1 gene and the identification of disease-causing mutations have led to the possibility of performing DNA-based diagnosis. Here we report DNA-based prenatal diagnosis of CN-I in two Tunisian families in whom CN-I patients were diagnosed. As we had previously shown that CN-I was, in Tunisia, associated with homozygosity for the Q357R mutation within the UGT1 gene, we were able to detect this mutation in both families and to show that it was easily recognized by single-strand conformation polymorphism (SSCP) analysis. In both cases, SSCP analysis of fetal DNA showed that the fetus was heterozygous for the Q357R mutation. In one family, the pregnancy was carried to term and a healthy baby was born, whereas, in the other family, the pregnancy is still continuing. Thus the prenatal diagnosis of CN-I is possible, provided disease-causing mutations have been identified. SSCP analysis of DNA prepared either from amniocytes or from chorionic villi is a simple, reliable and fast method for prenatal diagnosis. Copyright © 2002 John Wiley & Sons, Ltd.     

Fetal sexing in possible carriers for duchenne muscular dystrophy

Over a five-year period in the West Midlands there were 34 pregnancies to women who were possible carriers for Duchenne muscular dystrophy and who were known to the Department of Clinical Genetics. Fetal sexing was performed in only ten of 26 pregnancies to women of high or moderate risk, and of the five male fetuses discovered, only two were aborted. Overall, the 34 pregnancies resulted in one miscarriage, 14 males (of whom two were aborted and two were affected) and 19 females. Information was also obtained on five further possible carriers who were ascertained solely because they had an amniocentesis. These five pregnancies led to the birth of one affected male and to the termination of one male fetus.     

Spatial and Temporal Variations in the Sediment Habitat of Ranunculus spp. in Lowland Chalk Streams – Implications for Ecological Status?

Ranunculus spp. are the dominant plants of lowland chalk stream habitats in England. The spatial variability of sediment characteristics (silt–clay, organic matter, total phosphorus and total nitrogen content) within stands of Ranunculus spp. was investigated in 12 rivers in lowland England. Variability was found to be high and there were no discernible differences between samples taken from within Ranunculus and a limited number of samples from bare substrate. For two of these rivers, comparisons were also made between reaches upstream and downstream of waste water treatment works outfalls in terms of the characteristics of the sediments within Ranunculus stands. In one river a clear increase in sediment nutrient, fine and organic material content was observed downstream but in the other there was no consistent difference. Temporal variability was considered for two rivers in the Frome catchment, Dorset, by analysing the monthly variability in sediment organic matter and silt–clay content beneath Ranunculus stands over an annual cycle of growth and die-back. Whilst a clear pattern of fine and organic material retention consistent with seasonal plant growth patterns was evident at one site, the three sites displayed different temporal patterns. This inconsistency is believed to reflect differences in sediment supply at the three sites.     

Recurrent congenital toxoplasmosis in a woman with lupus erythematosus

We describe the case of a patient with systemic lupus erythematosus, treated by corticosteroids, who presented during two successive pregnancies with serological reactivation of toxoplasmosis associated with fetal lesions. The first infected fetus died in utero with signs of hydrops. The second fetus was treated in utero with a combination of sulfadoxine and pyrimethamine, administered to the mother, and is now well. The increasing number of immunocompromised pregnant patients with immunity to Toxoplasma gondii may lead to a higher risk of reactivation of maternal toxoplasmosis and congenital infection.     

Buffer sensitivity of photosynthetic carbon utilisation in eight tropical seagrasses

Some of the mechanisms involved in inorganic carbon (Ci) acquisition by tropical seagrasses from the western Indian Ocean were described by Björk et al. (Mar Biol 129:363–366, 1997). However, since then, it has been found that an additional, buffer-sensitive, system of Ci utilisation may operate in some temperate seagrasses (Hellblom et al. in Aquat Bot 69:55–62, 2001, Hellblom and Axelsson in Photos Res 77:173–191, 2003); this buffer sensitivity indicates a mechanism in which electrogenic H⁺ extrusion may form acidic diffusion boundary layers, in which either HCO ₃ ^? –H⁺ is co-transported into the cells, or where HCO ₃ ^? is converted to CO₂ (as catalysed by carbonic anhydrase) prior to uptake of the latter Ci form. Because a buffer was used in the 1997 study, we found it important to reinvestigate those same eight species, taking into account the direct effect of buffers on this potential mode of Ci acquisition in these plants. In doing so, it was found that all seagrass species investigated except Cymodocea serrulata were sensitive to 50 mM TRIS buffer of the same pH as the natural seawater in which they grew (pH 8.0). Especially sensitive were Halophila ovalis, Halodule wrightii and Cymodocea rotundata, which grow high up in the intertidal zone (only ca. 50–65% of the net photosynthetic activity remained after the buffer additions), followed by the submerged Enhalus acoroides and Syringodium isoetifolium (ca. 75% activity remaining), while Thalassia hemprichii and Thalassodendron ciliatum, which grow in-between the two zones, were less sensitive to buffer additions (ca. 80–85% activity remaining). In addition to buffer sensitivity, all species were also sensitive to acetazolamide (AZ, an inhibitor of extracellular carbonic anhydrase activity) such that ca. 45–80% (but 90% for H. ovalis) of the net photosynthetic activity remained after adding this inhibitor. Raising the pH to 8.8 (in the presence of AZ) drastically reduced net photosynthetic rates (0–14% remaining in all species); it is assumed that this reduction in rates was due to the decreased CO₂ concentration at the higher pH. These results indicate that part of the 1997 results for the same species were due to a buffer effect on net photosynthesis. Based on the present results, it is concluded that (1) photosynthetic Ci acquisition in six of the eight investigated species is based on carbonic anhydrase catalysed HCO ₃ ^? to CO₂ conversions within an acidified diffusion boundary layer, (2) C. serrulata appears to support its photosynthesis by extracellular carbonic anhydrase catalysed CO₂ formation from HCO ₃ ^? without the need for acidic zones, (3) H. ovalis features a system in which H⁺ extrusion may be followed by HCO ₃ ^? –H⁺ co-transport into the cells, and (4) direct, non-H⁺-mediated, uptake of HCO ₃ ^? is improbable for any of the species.