Distribution of pharmaceutical and personal care products (PPCPs) in aquatic environment in Hanoi and Metro Manila

Diltiazem disrupts Ca2+-homeostasis and exerts immunotoxic effects on a marine bivalve mollusc, the blood clam (Tegillarca granosa)

The prevalence of pharmaceutical residues like diltiazem in environments raises concerns over their potential threat to non-target organisms. While the immune system poses as a potential target, little is known about the immunotoxicity of diltiazem to aquatic species such as bivalve molluscs. In this study, the binding affinity of diltiazem to the calcium channels of several aquatic species was evaluated by molecular docking. Taking blood clam as a representative, the impacts of diltiazem on Ca2+-homeostasis and immune parameters were also assessed. Our results illustrated diltiazem exhibit a high binding affinity to calcium channels of representative aquatic species. Moreover, Ca2+-homeostasis in the haemocytes of blood clam was significantly disrupted by 4-week exposure to diltiazem. Additionally, apart from exhibiting significantly lower survival rates upon pathogenic challenge, diltiazem-exposed blood clams also suffered markedly impaired immune-related hematic parameters and lower levels of immune factors. Furthermore, diltiazem exposure generally altered the expression of key Ca2+-homeostasis and immune-related genes. Collectively, our data suggest that diltiazem at environmentally relevant concentrations could severely undermine the immunity of blood clam by disrupting Ca2+-homeostasis. Given the high binding affinities of diltiazem to calcium channels of diverse aquatic species and the critical role of Ca2+-homeostasis, the far-reaching impacts of diltiazem pollution on non-target aquatic species warrant closer attention and monitoring.

Passive sampling of contaminants of emerging concern in a Caribbean urban estuary of Puerto Rico

Contaminants of emerging concern (CECs) have not been extensively studied in Caribbean estuaries, particularly in Puerto Rico. Polar organic chemical integrative samplers were deployed in surface waters at five sampling sites in the San Juan Bay Estuary to investigate the occurrence and distribution of 137 CECs, resulting in the detection of 64 chemicals (51 pharmaceuticals and personal care products "PPCPs", 12 hormones plus sucralose) at least in one sampling site, and with 35 chemicals obtaining a 100 % detection frequency. Wastewater intrusion was implicated in the presence of CECs based on the detection of sucralose and other wastewater tracers. Condado Lagoon was the most polluted site impacted by untreated wastewater, showing the highest levels of 30 of the 64 detected CECs, and the largest proportion of detected CECs, particularly PPCPs. Levels of estrone and 17β-estradiol represent a high potential risk for adverse effects on aquatic organisms in this Caribbean urban estuary.

Pharmaceuticals in urban streams: A review of their detection and effects in the ecosystem

The presence of pharmaceuticals in urban freshwater has been considered an emerging issue. Although rivers are better studied, the streams crossing the cities, which are prone to higher concentrations of pharmaceuticals, and with a higher potential to affect animals, plant and human health, were never specifically addressed in a review. Thus, here we performed a literature review on the existing pharmaceutical contamination and impacts of these compounds in the urban stream ecosystems. To structure the review, 10 questions were designed. From a total of 206 scientific publications, only 51 addressed the issue of pharmaceuticals in urban streams compared to 180 studies in the larger urban rivers. In 49 urban streams located in 13 countries and four continents, 139 pharmaceuticals from ten therapeutic groups were found. Anti-inflammatories and anticonvulsants were detected in the largest number of countries and urban streams, but the latter was more frequent in the streams. Metabolites were also detected, sometimes in higher concentrations than the original pharmaceutical but they were seldom analysed. The pharmaceuticals that caused more effects in the aquatic organisms were 17β-estradiol, estriol, estrone, acetaminophen, caffeine, carbamazepine, diltiazem, diphenhydramine, fluoxetine, norfluoxetine, sertraline, desmethylsertraline, methylphenidate and ciprofloxacin. The effects were varied, from bioaccumulation, endocrine disruption, impaired growth, reproduction inhibition, increased mortality and hatching disorder to morphological alterations, and decreased gross primary production and biomass. Streams had a higher mixture risk compared to the rivers. Important knowledge gaps detected are the low frequency of analysis of metabolites, the inefficient treatment of urban sewage regarding pharmaceuticals and the reduced number of studies on the impacts of pharmaceuticals at the aquatic community/population and functional level.

Integrated environmental assessment of a diversion-project-type urban water source considering the risks of novel and legacy contaminants

The water diversion project is an effective engineering approach to overcome water scarcity as a water source for the area. However, the complex environmental conditions of long-distance water diversion bring many uncertainties for water security. In this study, we assessed the pollution condition and risk levels of emerging contaminants and traditional contaminants in the water and soil along a water diversion project in Tianjin. Then, we assessed the influence of eco-economic characteristics on environmental conditions and established a comprehensive assessment framework of water source sustainability by analytic hierarchy process (AHP). The results showed that excessive nutrient elements and heavy metal pollution mainly contributed to environmental problems in the water source area. Contrary to pollution assessment, the soil ecosystem was more subject to environmental pressure due to atmospheric deposition. The health risk assessment indicated that all contaminants had negligible non-carcinogenic risks for adults, with arsenic being considered a priority pollutant. The statistical analysis results indicated land use allocation was the most important factor in the environmental management of the water source area. According to the result of the integrated environmental assessment, the main characteristics of pressure zones were high pollution levels and human activity intensity. It is urgent to control agricultural pollution and allocate land use rationally for water source pressure zones. By considering the risks of traditional and emerging contaminants in water and soil, this study could support urban water source management and the sustainable development of the water diversion project.

Efficient PPCPs removal from wastewaters via a novel A/O-MBBR system: Transition towards circular economy in the water sector

As industrial and agricultural production depends on water supply, it is crucial for economic development. The available freshwater reserves on Earth are insufficient to meet humanity's growing demands. This study establishes a three-stage anoxic/oxic (A/O)-moving bed biofilm reactor (MBBR) system. The study evaluated the wastewater purification capacity of the system in summer and winter, examined the system's removal efficiency of 10 pharmaceuticals and personal care products (PPCPs) from the water, and analyzed the composition of microbial communities. Results indicate that the system effectively removes pollutants and PPCPs, with the aerobic tanks in the first two A/O stages playing a significant role in PPCP removal. The system is effective in removing four kinds of pollutants: AMP, IBU, CLR, and CAF, and the removal efficiency of CAF is up to 99.2%. Seasonal variations significantly affect the removal of PPCPs and bacterial growth, leading to changes in bacterial species. At the genus level, 41 bacterial types presented different effects in response to temperature changes, with Trichoderma and c_OM190_unclassified being the most affected. This study provides essential theoretical support for reducing pollutant levels and improving water recycling and economic efficiency.

The last decade epidemiologic concern of drinking water contaminants of emerging concern (CECs) in Asian Countries: A scoping review

With the rapid industrialization and urbanization in Asian countries, the challenge of rising emerging contaminants in the environment, including the water cycle, has become more pronounced. Consequently, the presence of CECs in drinking water systems is inevitable due to their ubiquitous nature in aquatic environments. This scoping review aims to identify epidemiological concerns regarding drinking water CECs in Asian countries over the past decade by describing the types of assessed CECs, their associated health effects, and identifying gaps and future research prospects through a summary of relevant studies. Searches were conducted on PubMed and Scopus up to February 29, 2024. Included were epidemiological studies from the past 10 years (since January 2014) in Asian countries that assessed emerging contaminants in drinking water through direct measurement or analysis as factors. From an initial pool of 3198 results, 15 relevant studies were selected. These studies assessed various types of CECs, including disinfection byproducts (n = 10), endocrine disruptors (n = 2), pesticides (n = 2), and a protozoan pathogen (n = 1). The meticulous assessment of CECs and associated health outcomes in Asian epidemiological studies over the past decade has been deemed inadequate to address the wide range of ubiquitous CECs in drinking water and their potential health effects that have not yet been addressed. While not the sole objective, the primary aim of epidemiological studies is to inform policy decisions and increase awareness among the public and policymakers. Therefore, researchers in Asian countries, particularly in environmental and public health fields, should prioritize the development of research in this area by exploring more CECs type and associated health outcomes.

Southeast Asia's environmental challenges: emergence of new contaminants and advancements in testing methods

Emerging contaminants, including pharmaceuticals, personal care products, microplastics, and per- and poly-fluoroalkyl substances, pose a major threat to both ecosystems and human health in Southeast Asia. As this region undergoes rapid industrialization and urbanization, the increasing presence of unconventional pollutants in water bodies, soil, and various organisms has become an alarming concern. This review comprehensively examines the environmental challenges posed by emerging contaminants in Southeast Asia and recent progress in toxicity testing methods. We discuss the diverse range of emerging contaminants found in Southeast Asia, shedding light on their causes and effects on ecosystems, and emphasize the need for robust toxicological testing methods. This review is a valuable resource for researchers, policymakers, and environmental practitioners working to mitigate the impacts of emerging contaminants and secure a sustainable future for Southeast Asia.

Environmental behaviors of emerging contaminants in freshwater ecosystem dominated by submerged plants: A review

Persistent exposure of emerging contaminants (ECs) in freshwater ecosystem has initiated intense global concerns. Freshwater ecosystem dominated by submerged plants (SP-FES) has been widely constructed to control eutrophic water. However, the environmental behaviors (e.g. migration, transformation, and degradation) of ECs in SP-FES have rarely been concerned and summarized. This review briefly introduced the sources of ECs, the pathways of ECs entering into SP-FES, and the constituent elements of SP-FES. And then the environmental behaviors of dissolved ECs and refractory solid ECs in SP-FES were comprehensively summarized, and the feasibility of removing ECs from SP-FES was critically evaluated. Finally, the challenges and perspectives on the future development for ECs removal from SP-FES were prospected, giving possible research gaps and key directions. This review will provide theoretical and technical support for the effective removal of ECs in freshwater ecosystem, especially in SP-FES.

Recent advances in the biological treatment of wastewater rich in emerging pollutants produced by pharmaceutical industrial discharges

Pharmaceuticals and personal care products present potential risks to human health and the environment. In particular, wastewater treatment plants often detect emerging pollutants that disrupt biological treatment. The activated sludge process is a traditional biological method with a lower capital cost and limited operating requirements than more advanced treatment methods. In addition, the membrane bioreactor combines a membrane module and a bioreactor, widely used as an advanced method for treating pharmaceutical wastewater with good pollution performance. Indeed, the fouling of the membrane remains a major problem in this process. In addition, anaerobic membrane bioreactors can treat complex pharmaceutical waste while recovering energy and producing nutrient-rich wastewater for irrigation. Wastewater characterizations have shown that wastewater's high organic matter content facilitates the selection of low-cost, low-nutrient, low-surface-area, and effective anaerobic methods for drug degradation and reduces pollution. However, to improve the biological treatment, researchers have turned to hybrid processes in which all physical, chemical, and biological treatment methods are integrated to remove various emerging contaminants effectively. Hybrid systems can generate bioenergy, which helps reduce the operating costs of the pharmaceutical waste treatment system. To find the most effective treatment technique for our research, this work lists the different biological treatment techniques cited in the literature, such as activated sludge, membrane bioreactor, anaerobic treatment, and hybrid treatment, combining physicochemical and biological techniques.

Occurrence and risk assessment of pharmaceuticals in surface waters of the Middle East and North Africa: A review

Pharmaceutical compounds in surface water are perceived as contaminants of emerging concern due to their impacts on the aquatic environment and human health. The risk associated with these compounds has not been quantified in the Middle East and North Africa (MENA). This review identified that 210 pharmaceutical compounds have been analyzed in MENA water compartments between 2008 and 2022. In fact, 151 of these substances were detected in at least one of 13 MENA countries where occurrence studies had been conducted. Antibiotics claimed the highest number of pharmaceuticals detected with concentrations ranging between 0.03 and 66,400 ng/L (for Thiamphenicol and Spiramycin respectively). To investigate whether any of these compounds exert an ecological, human health, or antibiotic resistance risk, a screening-level risk assessment was performed in surface water matrices using maximum, median, and minimum concentrations. 39 and 8 detected pharmaceuticals in MENA surface waters posed a possible risk on aquatic ecosystems and human health respectively. Extremely high risk quotients (>1000) for six pharmaceuticals (17β estradiol, spiramycin, diclofenac, metoprolol, ethinylestradiol, and carbamazepine) were enumerated based on maximal concentrations implying an alarming risk on aquatic toxicity. Moreover, hormones posed the highest possible risk on human health whether ingested through drinking water or fish (e.g., 17β-estradiol had a health risk quotient of 2880 for children). Spiramycin showed a high risk of antibiotic resistance with a risk quotient of 133. This review serves as a basis for future prioritization studies and regulatory guidelines in the MENA region to minimize the risks of the identified compounds.

Removal of Pharmaceuticals and Personal Care Products (PPCPs) by Free Radicals in Advanced Oxidation Processes

As emerging pollutants, pharmaceutical and personal care products (PPCPs) have received extensive attention due to their high detection frequency (with concentrations ranging from ng/L to μg/L) and potential risk to aqueous environments and human health. Advanced oxidation processes (AOPs) are effective techniques for the removal of PPCPs from water environments. In AOPs, different types of free radicals (HO·, SO₄·^-, O₂·^-, etc.) are generated to decompose PPCPs into non-toxic and small-molecule compounds, finally leading to the decomposition of PPCPs. This review systematically summarizes the features of various AOPs and the removal of PPCPs by different free radicals. The operation conditions and comprehensive performance of different types of free radicals are summarized, and the reaction mechanisms are further revealed. This review will provide a quick understanding of AOPs for later researchers.

Updated knowledge, partitioning and ecological risk of pharmaceuticals and personal care products in global aquatic environments

Over the last few decades, the occurrence of pharmaceuticals and personal care products (PPCPs) in aquatic environments has generated increasing public concern. In this review, data on the presence of PPCPs in environmental compartments from the past few years (2014-2022) are summarized by carrying out a critical survey of the partitioning among water, sediment, and aquatic organisms. From the available articles on PPCP occurrence in the environment, in Web of Science and Scopus databases, 185 articles were evaluated. Diclofenac, carbamazepine, caffeine, ibuprofen, ciprofloxacin, and sulfamethoxazole were reported to occur in 85% of the studies in at least one of the mentioned matrices. Risk assessment showed a moderate to high environmental risk for these compounds worldwide. Moreover, bioconcentration factors showed that sulfamethoxazole and trimethoprim can bioaccumulate in aquatic organisms, while ciprofloxacin and triclosan present bioaccumulation potential. Regarding spatial distribution, the Asian and European continents presented most studies on the occurrence and effects of PPCPs on the environment, while Africa and Asia are the most contaminated continents. In addition, the impact of COVID-19 on environmental contamination by PPCPs is discussed.