Determination of pharmaceutical compounds in hospital effluents and their contribution to wastewater treatment works

A method was developed for the simultaneous determination of almost 40 pharmaceuticals; including antidepressants, non-steroidal anti-inflammatories, analgesics, hypolipidemics, α- and β-blockers, an anti cancer drug, anti-fungal agents, an opiate, an antibiotic, an anti-coagulant, a diuretic, an anti-anginal and an anti-diabetic compound. This was used to assess the contribution of pharmaceuticals originating from hospital effluents to one of Oslo city's wastewater treatment works. Some pharmaceuticals were found to contribute to more of the wastewater loading than others. 11% of the propranolol entering the wastewater treatment works stems from hospital effluent, approximately 2% of the atenolol, carbemazepine, metaprolol and atorvastatin, and for several other compounds the contribution is less than 1%.This assessment shows that point sources discharges from hospitals typically make a small contribution to the overall pharmaceutical load when compared to municipal areas, however this varies from substance to substance and is not the case when a drug's use is primarily hospital based.     

Groundwater contamination by microbiological and chemical substances released from hospital wastewater: Health risk assessment for drinking water consumers

Contamination of natural aquatic ecosystems by hospital wastewater is a major environmental and human health issue. Disinfectants, pharmaceuticals, radionuclides and solvents are widely used in hospitals for medical purposes and research. After application, some of these substances combine with hospital effluents and, in industrialised countries, reach the municipal sewer network. In certain developing countries, hospitals usually discharge their wastewater into septic tanks equipped with diffusion wells. The discharge of chemical compounds from hospital activities into the natural environment can lead to the pollution of water resources and risks for human health. The aim of this article is to present: (i) the steps of a procedure intended to evaluate risks to human health linked to hospital effluents discharged into a septic tank equipped with a diffusion well; and (ii) the results of its application on the effluents of a hospital in Port-au-Prince. The procedure is based on a scenario that describes the discharge of hospital effluents, via septic tanks, into a karstic formation where water resources are used for human consumption. COD, Chloroform, dichlomethane, dibromochloromethane, dichlorobromomethane and bromoform contents were measured. Furthermore, the presence of heavy metals (chrome, nickel and lead) and faecal coliforms were studied. Maximum concentrations were 700 NPP/100 ml for faecal coliforms and 112 mg/L for COD. A risk of infection of 10^? 5 infection per year was calculated. Major chemical risks, particularly for children, relating to Pb(II), Cr(III), Cr(VI) and Ni(II) contained in the ground water were also characterised. Certain aspects of the scenario studied require improvement, especially those relating to the characterisation of drugs in groundwater and the detection of other microbiological indicators such as protozoa, enterococcus and viruses.     

The significance of different health institutions and their respective contributions of active pharmaceutical ingredients to wastewater

Active pharmaceutical ingredients (APIs) have been frequently found in the environment. It is, however, still not quite clear who is mainly responsible for API emissions. Hospitals have been considered to be the main contributing point sources for wastewater (WW) discharge of APIs. However, recent studies have shown that the contribution of hospitals to the input of APIs into the aquatic environment is quite low. Due to demographic change and the increase of psychiatric diseases, health institutions (HIs) such as psychiatric hospitals and nursing homes are likely to be important sources as well, but no data is available in this respect. This study aims to assess the impact of HIs and to provide a methodology to measure their respective contributions. Drawing on pharmaceutical consumption data for the years 2010, 2011, and 2012, this study identified API usage patterns for a psychiatric hospital (146 beds), a nursing home (286 inhabitants), and a general hospital (741 beds), the latter of which comprises three separate locations. All the HIs are located in two sub-regions of a county district with about 400,000 citizens in southwestern Germany. A selection of neurological drugs was quantified in the sewer of these facilities to evaluate the correlation between consumption and emission. The API contribution of HIs was assessed by comparing the specific consumption in the facilities with the consumption in households, expressed as the emission potential (I_EP). The study shows that the usage patterns of APIs in the psychiatric hospital and the nursing home were different from the general hospital. Neurological drugs such as anticonvulsants, psycholeptics, and psychoanaleptics were mainly consumed in the psychiatric hospital and the nursing home (74% and 65%, respectively). Predicted and average measured concentrations in the effluent of the investigated HIs differed mostly by less than one order of magnitude. Therefore, the consumption-based approach is a useful method to assess usage patterns of APIs in HIs and to predict their respective contributions to WW. The national contribution of HIs on total WW discharge of APIs compared to households was very low. Only the results for the sedative clomethiazole in general hospitals as well as the antidepressant moclobemide and the antipsychotic quetiapine for the nursing homes were found to deserve some attention. The regional comparison showed that in sub-regions with a comparably higher density of HIs, the allocated facilities could be seen as point sources emitting particular APIs. However, in general, the bulk of the consumed pharmaceuticals to WW discharge has to be attributed to households.     

Balancing the health benefits and environmental risks of pharmaceuticals: Diclofenac as an example

Pharmaceuticals are designed to improve human and animal health, but even the most beneficial pharmaceuticals might raise some questions concerning the consequences of exposure to non-target organisms. To illustrate this situation and using diclofenac as a case-study, we analyze global consumption and occurrence data to identify hot spots of consumption without occurrence data, review the scientific literature on the harmful environmental effects to determine whether the observed concentrations in freshwater are of environmental concern, summarize the current pharmaceutical and environmental policies to highlight policy gaps, and suggest a series of research and policy recommendations, which can be summarized as follows: we need to improve the current knowledge on occurrence in freshwaters to properly implement environmental policies (i), diclofenac might pose a risk to non-target organisms in freshwater (ii); the harmful effects that some pharmaceuticals may have on the environment are not always addressed by environmental policies (iii).     

Removal of residual pharmaceuticals from aqueous systems by advanced oxidation processes

Over the past few years, pharmaceuticals are considered as an emerging environmental problem due to their continuous input and persistence to the aquatic ecosystem even at low concentrations. Advanced oxidation processes (AOPs) are technologies based on the intermediacy of hydroxyl and other radicals to oxidize recalcitrant, toxic and non-biodegradable compounds to various by-products and eventually to inert end-products. The environmental applications of AOPs are numerous, including water and wastewater treatment (i.e. removal of organic and inorganic pollutants and pathogens), air pollution abatement and soil remediation. AOPs are applied for the abatement of pollution caused by the presence of residual pharmaceuticals in waters for the last decade. In this light, this paper reviews and assesses the effectiveness of various AOPs for pharmaceutical removal from aqueous systems.     

Remediation of water pollution caused by pharmaceutical residues based on electrochemical separation and degradation technologies: A review

In the last years, the decontamination and disinfection of waters by means of direct or integrated electrochemical processes are being considered as a very appealing alternative due to the significant improvement of the electrode materials and the coupling with low-cost renewable energy sources. Many electrochemical technologies are currently available for the remediation of waters contaminated by refractory organic pollutants such as pharmaceutical micropollutants, whose presence in the environment has become a matter of major concern. Recent reviews have focused on the removal of pharmaceutical residues upon the application of other important methods like ozonation and advanced oxidation processes. Here, we present an overview on the electrochemical methods devised for the treatment of pharmaceutical residues from both, synthetic solutions and real pharmaceutical wastewaters. Electrochemical separation technologies such as membrane technologies, electrocoagulation and internal micro-electrolysis, which only isolate the pollutants from water, are firstly introduced. The fundamentals and experimental set-ups involved in technologies that allow the degradation of pharmaceuticals, like anodic oxidation, electro-oxidation with active chlorine, electro-Fenton, photoelectro-Fenton and photoelectrocatalysis among others, are further discussed. Progress on the promising solar photoelectro-Fenton process devised and further developed in our laboratory is especially highlighted and documented. The abatement of total organic carbon or reduction of chemical oxygen demand from contaminated waters allows the comparison between the different methods and materials. The routes for the degradation of the some pharmaceuticals are also presented.     

Forced internalization of external environmental cost: experience of a South African Company

While environmental regulations are designed to ensure that organizations comply with minimum environmental standards, organizations may be compelled to pay penalties if they exceed the set standard. This study provides explanations on the effectiveness of a forced internalization of external environmental cost in a brewery in South Africa. A review of relevant literature indicates the apathy of organizations to internalize environmental costs. To see whether this apathy still holds, this paper uses the contingency theory approach to management accounting to analyze a case study on the effectiveness of forced internalization of brewery wastewater treatment cost by a municipality in South Africa. Findings reveal that the policy forced brewery managers to develop a waste-reduction strategy to improve production efficiency while limiting the volume of brewery wastewater and chemical oxygen demand emissions discharged to municipal waste treatment plant. A significant implication of this study is the forced internalization of wastewater treatment cost and the use of resources more efficiently and sustainably in production by the brewery as a result of the municipality’s policy to demand extra fees when agreed minimum wastewater discharges are exceeded. The importance of this policy is that it brought about improvements to the environmental, social, and economic performances of the brewery. The study suggests that environmental regulators should look beyond mere regulatory and monitoring roles to formulate policies to ensure that organizations take responsibility for external environmental costs they have created.     

Towards a clean Izmit Bay

The elongated semi-enclosed Bay of Izmit, which receives both domestic and industrial wastes, has been monitored by measuring its physical and biochemical parameters for 2 years, 1994-1995. It is clear that there are two distinct water masses. The upper layer has been occupied by the less saline (22-26 ppt) waters of the Black Sea origin; whereas the lower layer contains saline (38.5 ppt) Mediterranean waters. The seasonal variations in the biochemical characteristics were dependent on the bay's two-layer flow system. If one considers the distribution of transparency in the upper bay waters, it has been observed that the Secchi disk depth (SDD) decreases from west to east. Furthermore, these depths are limited by the high primary productivity associated with the low concentrations of nutrients observed during the spring. Discharges of wastes into the surface waters significantly affect the biological production and oxygen consumption in the lower layer. Within the last 10 years, 80% of organic matter has been removed from industrial wastewater. However, organic loads from the domestic wastewaters have doubled because of the growth in the surrounding population. Fortunately, as a result, the total organic loads in the bay have not changed significantly within the last 10 years.     

Human health risk assessment of pharmaceuticals and personal care products in plant tissue due to biosolids and manure amendments,and wastewater irrigation

Amending soil with biosolids or livestock manure provides essential nutrients in agriculture. Irrigation with wastewater allows for agriculture in regions where water resources are limited. However, biosolids, manure and wastewater have all been shown to contain pharmaceuticals and personal care products (PPCPs). Studies have shown that PPCPs can accumulate in the tissues of plants but the risk that accumulated residues may pose to humans via consumption of edible portions is not well documented. This study reviewed the literature for studies that reported residues of PPCPs in the edible tissue of plants grown in biosolids- or manure-amended soils or irrigated with wastewater. These residues were used to determine the estimated daily intake of PPCPs for an adult and toddler. Estimated daily intake values were compared to acceptable daily intakes to determine whether PPCPs in plant tissue pose a hazard to human health. For all three amendment practices, the majority of reported residues resulted in hazard quotients < 0.1. Amendment with biosolids or manure resulted in hazard quotients ≥ 0.1 for carbamazepine, diphenhydramine, salbutamol, triclosan, and sulfamethazine. Irrigation with wastewater resulted in hazard quotients of ≥ 0.1 for flunixin, ketoprofen, lamotrigine, metoprolol, and sildenafil. Many of the residues that resulted in hazard quotients ≥ 0.1 were due to exposing plants to concentrations of PPCPs that would not be considered relevant based on concentrations reported in biosolids and manure or unrealistic methods of exposure, which lead to artificially elevated plant residues. Our assessment indicates that the majority of individual PPCPs in the edible tissue of plants due to biosolids or manure amendment or wastewater irrigation represent a de minimis risk to human health. Assuming additivity, the mixture of PPCPs could potentially present a hazard. Further work needs to be done to assess the risk of the mixture of PPCPs that may be present in edible tissue of plants grown under these three amendment practices.     

重庆市“禁磷”绩效评估

国内外研究表明，水体中的磷16％左右来自使用含磷洗涤用品。为保护三峡水库水环境,防止库区水体富营养化，重庆市政府决定，从2003年１月１日起，在全市范围内禁止销售和使用含磷洗涤用品。含磷洗衣粉的磷含量平均为4%，无磷洗衣粉的磷含量平均为0.013%，“禁磷”后洗衣粉的磷削减率平均为99.7%。监测结果表明，“禁磷”前后主城区城市污水排放口总磷浓度平均降幅为15.12%、中等城市为18.36％、县城为33.66％；禁磷前，城市居民洗衣粉磷排放量占城市污水总磷的13.77％，禁磷后只占0.05％；禁磷前，农村居民洗衣粉磷排放量占农村生活污水总磷排放量的30.53％，禁磷后只占0.01％。按城市综合污水总磷浓度变化计算（考虑到城市公建商贸行业的洗涤剂用量），则禁磷后城镇削减磷排放量1 056.2 t/a；农村居民按洗衣粉实际使用量计算，入河生活污水削减磷1 203.8 t/a；城镇和农村共削减总磷排放量2 260 t/a，占重庆市磷污染负荷总量的6.0％。     

Energy analysis of algae-to-biofuel production chains integrated with a combined heat and power plant

ABSTRACT

This study examines the energy and mass balances of algae cultivation and different post-processing pathways. Flue gases and excess heat from a combined heat and power (CHP) plant are used in algae cultivation, with nutrients from municipal wastewater. In the studied pathways, algae are cultivated in open ponds and photobioreactors with or without artificial lighting. Algal mass is used for methane, biodiesel or ethanol production, or it is combusted in a boiler. Results show that in most process pathways energy output exceeds the energy consumption in processing, and the energy returns are approximately twice as large as the electricity input. A large fraction of input energy is low-temperature heat, while the products have a higher value. Energy outputs from different pathways are similar, but heat and electricity consumption in processing vary significantly. Supercritical water gasification pathway is identified as a possible future option, whereas lipid extraction pathways are suggested to be the most likely candidates for industrial scale operations.     

Inputs and fates of petroleum hydrocarbons in a subtropical marine estuary

Inputs and fates of petroleum from a higly urbanized area to a subtropical marine estuary were investigated by measuring hydrocarbon concentrations in municipal wastewater treatment plants, urban stormwater drains, sediments, and benthic organisms in and around Tampa Bay, FL. The concentrations of petroleum hydrocarbons discharged from secondary and tertiary treatment plants in this area were lower than concentrations previously reported for other treatment plants in temperate regions. Samples collected from urban storm drains under base flow conditions were also low. The generally low levels of petroleum hydrocarbons in the sediments and organisms throughout Tampa Bay suggest that the bay is relatively pristine with respect to petroleum hydrocarbon contamination. Since it is unlikely that the anthropogenic input of hydrocarbons to this estuary is significantly lower than in other urbanized areas, we suggest that elevated annual temperatures in this subtropical system result in increased metabolic rates of microorganisms and more rapid degradation or metabolism of the petroleum hydrocarbons.     

A survey of parabens in commercial pharmaceuticals from China and its implications for human exposure

Parabens are widely used as antimicrobial preservatives during pharmaceutical production. However, little information is available regarding the occurrence of parabens in commercial pharmaceuticals and their implications for human exposure. In this study, six commonly used parabens were analyzed by ultra-performance liquid chromatography-tandem mass spectrometry with 100 commercial pharmaceuticals collected from China. Almost all of the pharmaceutical samples contained at least one kind of parabens with the detection frequency of 97%. The concentrations of Σ₆parabens (sum of the six parabens) ranged from below MDL to 1256 ng/g, with mean and median values of 94.8 and 119 ng/g, respectively. Methyl paraben (MeP), ethyl paraben (EtP) and propyl paraben (PrP) were the predominant compounds. Significant positive correlation was observed between concentrations of MeP and PrP, indicating their co-applications in pharmaceuticals. Levels of Σ₆parabens varied in different categories of pharmaceuticals and increased with their shelf lives. Based on the measured concentrations and daily ingestion rates of pharmaceuticals, the estimated daily intake (EDI) of parabens was calculated. The median values of EDI_{pharmaceutical} for male adults, female adults and children were 4.05, 4.75 and 9.73 ng/kg-bw/day, respectively, which were three orders of magnitude lower than those from foodstuffs and personal care products (PCPs). It was firstly reported that the total exposure dose was 0.326 mg/kg-bw/day via foodstuffs, PCPs, and pharmaceuticals for Chinese female adults.     

Exposure assessment of the pharmaceutical diclofenac based on long-term measurements of the aquatic input

Although various single-concentration measurements of the pharmaceutical diclofenac are available in literature, detailed information on the mass flux in the aquatic environment is often missing. Therefore, the overall load of diclofenac was obtained by recording each concentration in nine effluents of sewage treatment plants (STP) and at three river sites located in the area of the river Main (Germany) over a time period of six weeks.In STP effluents, concentrations of up to 2200 ng/L were obtained. In combination with flow rates and connected population an average specific load per capita and day of 0.28 mg (+/? 0.11 mg) diclofenac reaches the receiving water course. This average specific load per capita is an expressive parameter to assess main diclofenac exposure to the aquatic environment avoiding uncertainties of estimated data commonly used in exposure assessment. Accordingly, predicted environmental concentrations (PEC) of 140 ng/L for a realistic worst case scenario and 2 to 52 ng/L based on water quality modeling were derived. Since concentrations of up to 140 ng/L were observed in surface water, the obtained PEC is in perfect agreement with measured concentrations. Hence, comparing the PEC with published predicted no effect concentrations (PNEC), chronic adverse effects in fish populations may occur.     

南通市水污染控制与规划研究

南通市域内水环境形势恶化,未来有加剧趋势,其根本原因在于十分有限的水环境容量与逐年加重的水污染负荷之间的矛盾。针这一根本原因,提出南通市水污染控制规划的两点基本思路;一是消减污染负荷,是二是调整负荷的空间分布,确定了控制规划的基本思想;污水控制导流清污分开原则,采用生态工程与二级污水处理厂相结合而以生态为主导的污水多元集中处理原则,环境容量跨水域平衡原则。基于这一,构建了南通市水污染控制方案;南通     

Effect of sewage on biodegradability of hydrocarbons in refinery wastewater

The effect of the microbial flora of municipal sewage, with special reference to faecal coliform and faecal streptococci groups, on the hydrocarbons biodegradation of the refinery wastewater from the Moustorod Oil Refinery has been studied. The results indicate that sewage with its microbial flora seems to have a significant role in the biodegradation of hydrocarbons in refinery wastewater. In addition, the early degradation in the wastewater seeded by sewage reveals that faecal streptococci, in addition to other microbial flora, have a significant role in the biodegradation of hydrocarbons.     

Evaluation of Urban Sustainability in Specific Sectors in Latvia

In Latvia, the concept of sustainability is only slowly gaining recognition. An analysis of Development Plans prepared by the four largest cities of Latvia indicates that sustainability is presented as one of the guiding principles. However, a comparison of Development Plan policies against the urban sustainability issues reveals a great deal of ambiguity and contradiction.At the municipal level, planners and politicians lack indicators to gauge whether the long-term goals of Development Plans and the principles of sustainable development are being achieved. As a consequence, the broad public is deprived of the opportunity to assess for itself the process of development in relation to Development Plan policies, thus limiting accountability in development decision-making. Relevant statistical data collected on a regular basis are required to create sustainability indicators reflecting sustainability issues, to supplement and replace existing statistical compilations pertaining almost exclusively to economic growth and consumption. Development and utilisation of sustainability indicators can be an effective instrument for promoting the values of sustainable development amongst politicians, planners and the broad public and for enhancing accountability in decision-making.     

Costs of the Wastewater Standard in Pig Production in Mexico

The objective of this article is to address the environmental costs of pig farms in the La Piedad region Mexico, through an analysis of the standard on wastewater discharges to national water bodies. Field work was carried out from April to September 1999; a survey was conducted on 23 farms and samples of wastewater were taken on 11 farms. Pig production is the third most important system in Mexican livestock production. Heterogeneity in production systems, dependence on imported inputs (genetics and feed grains), and weak internalization of environmental costs are the main characteristics of pig production in Mexico. With no specific environmental regulations on intensive livestock activities at the municipal or state levels, Mexican Official Standard 001 on wastewater discharges is the only environmental obligation that pig farms must meet. Standard 001 on wastewater contains the maximum permissible limits for 20 contaminant parameters, and is based on a cost-benefit analysis that points to secondary treatment for the regulation’s economic viability. Investment in treatment systems and the fees that pig producers must pay when they fail to comply with the limits stipulated in the regulation, are estimated assessed as an approach to environmental costs. In order to remain within the limits in the standard, pig farms must invest in tertiary treatment, and that makes meeting the standard unaffordable for this sector.