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Jureczko M, Przystaś W. Toxicity toward freshwater and marine water organisms of the cytostatic drugs bleomycin and vincristine and their binary mixture. THE SCIENCE OF THE TOTAL ENVIRONMENT 2024; 933:173175. [PMID: 38750736 DOI: 10.1016/j.scitotenv.2024.173175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/22/2023] [Revised: 03/11/2024] [Accepted: 05/10/2024] [Indexed: 05/20/2024]
Abstract
Antineoplastic drugs are not effectively removed by wastewater treatment plants, ending up in surface waters. Since these drugs can interfere with the structure and functions of DNA, they pose a potential threat to aquatic biota. Unfortunately, many chemotherapeutic agents have not been studied in an environmental context. Additionally, there is a significant lack of information about the impact of anticancer drugs on marine organisms compared to freshwater species, and most studies only focus on the toxicity of single compounds rather than considering their occurrence as complex mixtures in the environment. Therefore, the aim of this study was to evaluate the ecotoxicity of two commonly used cytostatics, bleomycin and vincristine, toward six biomodels: Pseudokirchneriella subcapitata, Phaeodactylum tricornutum, Brachionus plicatilis, Brachionus calyciflorus, Thamnocephalus platyurus, and Artemia franciscana. These selected aquatic organisms are representatives of both freshwater and marine environments and belong to different trophic levels. The pharmaceuticals were investigated both individually and in combination. Binary mixture toxicity predictions were performed according to the Response Additivity and Independent Action models. Additionally, the toxicity data obtained from these experiments were utilized for risk assessment in the context of the drugs' environmental occurrence. The results indicated that freshwater species were generally more sensitive to both tested compounds than marine organisms, with T. platyurus being the most sensitive. Based on the tests performed on this biomodel, bleomycin was categorized as extremely toxic, while vincristine was considered moderately toxic. Neither of the applied models suitably predicted binary mixture toxicity, as the combination of drugs showed additive, synergistic, and antagonistic effects, suggesting that single compound toxicity data are insufficient for predicting the aquatic toxicities of cytostatics mixtures. The environmental risk of vincristine ranged from low to high, and for bleomycin varied from moderate to high, depending on the matrices examined. Therefore, further research on drug removal is recommended.
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Affiliation(s)
- Marcelina Jureczko
- Biotechnology Centre, Silesian University of Technology, Krzywoustego 8 Str., 44-100 Gliwice, Poland.
| | - Wioletta Przystaś
- Department of Air Protection, Faculty of Energy and Environmental Engineering, Silesian University of Technology, Konarskiego 22B Str., 44-100 Gliwice, Poland
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2
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Tanveer R, Neale PA, Melvin SD, Leusch FDL. Application of in vitro bioassays to monitor pharmaceuticals in water: A synthesis of chronological analysis, mode of action, and practical insights. CHEMOSPHERE 2024; 359:142255. [PMID: 38729441 DOI: 10.1016/j.chemosphere.2024.142255] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/19/2024] [Revised: 05/02/2024] [Accepted: 05/04/2024] [Indexed: 05/12/2024]
Abstract
Pharmaceutical compounds in wastewater have emerged as a significant concern for the aquatic environment. The use of in vitro bioassays represents a sustainable and cost-effective approach for assessing the potential toxicological risks of these biologically active compounds in wastewater and aligns with ethical considerations in research. It facilitates high-throughput analysis, captures mixture effects, integrates impacts of both known and unknown chemicals, and reduces reliance on animal testing. The core aim of the current review was to explore the practical application of in vitro bioassays in evaluating the environmental impacts of pharmaceuticals in wastewater. This comprehensive review strives to achieve several key objectives. First, it provides a summary categorisation of pharmaceuticals based on their mode of action, providing a structured framework for understanding their ecological significance. Second, a chronological analysis of pharmaceutical research aims to document their prevalence and trends over time, shedding light on evolving environmental challenges. Third, the review critically analyses existing bioassay applications in wastewater, while also examining bioassay coverage of representative compounds within major pharmaceutical classes. Finally, it explores the potential for developing innovative bioassays tailored for water quality monitoring of pharmaceuticals, paving the way for more robust environmental monitoring and risk assessment. Overall, adopting effect-based methods for pharmaceutical monitoring in water holds significant promise. It encompasses a broad spectrum of biological impacts, promotes standardized protocols, and supports a bioassay test battery approach indicative of different endpoints, thereby enhancing the effectiveness of environmental risk assessment.
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Affiliation(s)
- Rameesha Tanveer
- Australian Rivers Institute, Griffith University, Southport, Qld 4222, Australia.
| | - Peta A Neale
- Australian Rivers Institute, Griffith University, Southport, Qld 4222, Australia.
| | - Steven D Melvin
- Australian Rivers Institute, Griffith University, Southport, Qld 4222, Australia.
| | - Frederic D L Leusch
- Australian Rivers Institute, Griffith University, Southport, Qld 4222, Australia.
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3
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Kang Y, Wang J, Li Z. Enhancing pollutants removal in hospital wastewater: Comparative analysis of PAC coagulation vs. bio-contact oxidation, highlighting the impact of outdated treatment plants. JOURNAL OF HAZARDOUS MATERIALS 2024; 471:134340. [PMID: 38640670 DOI: 10.1016/j.jhazmat.2024.134340] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/11/2023] [Revised: 04/14/2024] [Accepted: 04/16/2024] [Indexed: 04/21/2024]
Abstract
While the effectiveness of Poly-Aluminum Chloride (PAC) coagulation for pollutant removal has been documented across various wastewater scenarios, its specific application in hospital wastewater (HWW) treatment to remove conventional pollutants and hazardous genetic pollutants has not been studied. The research compared three hospital wastewater treatment plants (HWTPs) to address a knowledge gap, including the PAC coagulation-sodium hypochlorite disinfection process (PAC-HWTP), the biological contact oxidation-precipitation-sodium hypochlorite process (BCO-HWTP), and a system using outdated equipment with PAC coagulation (ODE-PAC-HWTP). Effluent compliance with national discharge standards is assessed, with BCO-HWTP meeting standards for direct or indirect discharge into natural aquatic environments. ODE-PAC-HWTP exceeds pretreatment standards for COD and BOD5 concentrations. PAC-HWTP effluent largely adheres to national pretreatment standards, enabling release into municipal sewers for further treatment. Metagenomic analysis reveals that PAC-HWTP exhibits higher removal efficiencies for antibiotic resistance genes, metal resistance genes, mobile genetic elements, and pathogens compared to BCO-HWTP and ODE-PAC-HWTP, achieving average removal rates of 45.13%, 57.54%, 80.61%, and 72.17%, respectively. These results suggests that when discharging treated HWW into municipal sewers for further processing, the use of PAC coagulation process is more feasible and cost-effective compared to BCO technologies. The analysis emphasizes the urgent need to upgrade outdated equipment HWTPs.
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Affiliation(s)
- Yutong Kang
- State Key Laboratory for Infectious Disease Prevention and Control, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102200, China
| | - Jie Wang
- Beijing Key Laboratory of Farmland Soil Pollution Prevention and Remediation, College of Resources and Environmental Sciences, China Agricultural University, Beijing 100193, China
| | - Zhenjun Li
- State Key Laboratory for Infectious Disease Prevention and Control, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102200, China.
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4
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Acosta T, Chavez V, Fernandez N, Perry E, Good K, Concheiro M. The Impact of Combined Sewer Overflows on Pharmaceutical and Illicit Drug Levels in New York/New Jersey Waterways. ENVIRONMENTAL TOXICOLOGY AND CHEMISTRY 2024. [PMID: 38808394 DOI: 10.1002/etc.5891] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/19/2024] [Revised: 03/11/2024] [Accepted: 04/14/2024] [Indexed: 05/30/2024]
Abstract
Pharmaceuticals and drugs of abuse are organic micropollutants of emerging concern in both surface and groundwater worldwide. These compounds are considered to be pseudo-persistent because of their continuous release into water systems. The presence of these compounds in the environment at any concentration poses a potential risk to nontarget organisms. The main sources of these contaminants are wastewater treatment plants (WWTPs) and combined sewer overflows (CSOs). The primary goal of our study was to identify and quantify a panel of 28 commonly prescribed pharmaceuticals (mood-altering drugs, cardiovascular drugs, antacids, antibiotics) and high-prevalence drugs of abuse (cocaine, amphetamines, opioids, cannabis) in river water samples collected from 19 locations in the Hudson and East rivers in New York City. The second goal was to investigate the possible source (WWTP or CSOs) of these micropollutants. Samples were collected weekly from May to August 2021 (n = 224) and May to August 2022 (n = 232), and placed at -20 °C until analysis by liquid chromatography-tandem mass spectrometry. The most frequently detected analytes in 2021 were metoprolol (n = 206, 92%), benzoylecgonine (n = 151, 67%), atenolol (n = 142, 63%), and methamphetamine (n = 118, 53%), and in 2022 the most frequently detected were methamphetamine (n = 194, 84%), atenolol (n = 177, 76%), metoprolol (n = 177, 76%), and 2-ethylene-1,5-dimethyl-3,3-diphenylpyrrolidine (n = 159, 69%). Measured concentrations ranged from the limit of detection (0.50-5.00 ng/L) to 103 ng/L. More drugs and higher concentrations were detected in water contaminated by Enterococci (>60 most probably number) and after rainfall, indicating the influence of CSOs. The presence of drugs in samples with little to no Enterococci and after dry weather events indicates that WWTPs contribute to the presence of these substances in the river, probably due to a low removal rate. Environ Toxicol Chem 2024;00:1-12. © 2024 SETAC.
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Affiliation(s)
- Teeshavi Acosta
- Department of Sciences, John Jay College of Criminal Justice, City University of New York, New York, New York, USA
| | - Viviana Chavez
- Department of Sciences, John Jay College of Criminal Justice, City University of New York, New York, New York, USA
| | - Natalie Fernandez
- Department of Sciences, John Jay College of Criminal Justice, City University of New York, New York, New York, USA
- New York Police Department Laboratory, Jamaica, New York, USA
| | - Erin Perry
- Department of Sciences, John Jay College of Criminal Justice, City University of New York, New York, New York, USA
| | - Kate Good
- Department of Sciences, John Jay College of Criminal Justice, City University of New York, New York, New York, USA
- The Morton Arboretum, Lisle, Illinois, USA
| | - Marta Concheiro
- Department of Sciences, John Jay College of Criminal Justice, City University of New York, New York, New York, USA
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Andrade HND, Oliveira JFD, Siniscalchi LAB, Costa JDD, Fia R. Global insight into the occurrence, treatment technologies and ecological risk of emerging contaminants in sanitary sewers: Effects of the SARS-CoV-2 coronavirus pandemic. THE SCIENCE OF THE TOTAL ENVIRONMENT 2024; 921:171075. [PMID: 38402973 DOI: 10.1016/j.scitotenv.2024.171075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/08/2023] [Revised: 02/02/2024] [Accepted: 02/16/2024] [Indexed: 02/27/2024]
Abstract
The SARS-CoV-2 pandemic caused changes in the consumption of prescribed/non-prescribed drugs and the population's habits, influencing the detection and concentration of emerging contaminants (ECs) in sanitary sewage and harming environmental and health risks. Therefore, the present work sought to discuss current literature data on the effects of the "COVID-19 pandemic factor" on the quality of raw sewage produced over a five-year period (2018-2019: pre-pandemic; 2020-2022: during the pandemic) and biological, physical, chemical and hybrid treatment technologies, influencing factors in the removal of ECs and potential ecological risks (RQs). Seven hundred thirty-one publications correlating sewage and COVID-19 were identified: 184 pre-pandemic and 547 during the pandemic. Eight classes and 37 ECs were detected in sewage between 2018 and 2022, with the "COVID-19 pandemic factor" promoting an increase in estrogens (+31,775 %), antibiotics (+19,544 %), antiepileptics and antipsychotics (+722 %), pesticides (+200 %), analgesics, anti-inflammatories and anticoagulants (+173 %), and stimulant medications (+157 %) in sanitary sewage. Among the treatment systems, aerated reactors integrated into biomembranes removed >90 % of cephalexin, clarithromycin, ibuprofen, estrone, and 17β-estradiol. The absorption, adsorption, and biodegradation mechanisms of planted wetland systems contributed to better cost-benefit in reducing the polluting load of sewage ECs in the COVID-19 pandemic, individually or integrated into the WWTP. The COVID-19 pandemic factor increased the potential ecological risks (RQs) for aquatic organisms by 40 %, with emphasis on clarithromycin and sulfamethoxazole, which changed from negligible risk and low risk to (very) high risk and caffeine with RQ > 2500. Therefore, it is possible to suggest that the COVID-19 pandemic intensified physiological, metabolic, and physical changes to different organisms in aquatic biota by ECs during 2020 and 2022.
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Affiliation(s)
- Heloisa Nascimento de Andrade
- Department of Engineering and Technology, Federal University of the Semi-Arid Region, UFERSA, Pau dos Ferros, Rio Grande do Norte 59900-000, Brazil
| | - Jacineumo Falcão de Oliveira
- Department of Engineering and Technology, Federal University of the Semi-Arid Region, UFERSA, Pau dos Ferros, Rio Grande do Norte 59900-000, Brazil.
| | | | - Joseane Dunga da Costa
- Department of Engineering and Technology, Federal University of the Semi-Arid Region, UFERSA, Pau dos Ferros, Rio Grande do Norte 59900-000, Brazil
| | - Ronaldo Fia
- Department of Environmental Engineering, Federal University of Lavras, UFLA, Minas Gerais 37200-000, Brazil
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6
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Di Guardo A, Castiglioni S, Gambino I, Sailis A, Salmoiraghi G, Schiarea S, Vighi M, Terzaghi E. Modelling micropollutant cycle in Lake Como in a winter scenario: Implications for water use and reuse, ecosystem services, and the EU zero pollution action plan. THE SCIENCE OF THE TOTAL ENVIRONMENT 2024; 906:167594. [PMID: 37802341 DOI: 10.1016/j.scitotenv.2023.167594] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/01/2023] [Revised: 09/25/2023] [Accepted: 10/03/2023] [Indexed: 10/08/2023]
Abstract
The fate and effects of 42 pharmaceuticals was studied in Lake Como (Italy), in wastewater treatment plants delivering water to the lake, in two rivers and in potable water obtained from lake water. Lake Como is one of the deepest and largest lakes in Northern Italy, serving important ecosystem services (i.e., drinking water, recreational, industrial, irrigation uses), some of which are currently at risk giving the current water scarcity and climate change scenarios. The highest concentrations measured in lake water were those of diclofenac, followed by carbamazepine, its metabolite, and clarithromycin. The data measured allowed to calibrate and run a fugacity-based lake model, which showed that the most important chemical load generally comes from the advective water from the north of the lake, rather than from the direct wastewater treatment plant (WWTP) discharges. This indicates that only an important reduction of chemical discharge (reduced use or extensive treatment) at a drainage basin level could significantly reduce concentrations in water. This has strong implications on how to implement the EU zero pollution action plan to significantly improve water ecosystem and human health protection.
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Affiliation(s)
- Antonio Di Guardo
- Department of Science and High Technology, University of Insubria, Via Valleggio 11, 22100 Como, CO, Italy.
| | - Sara Castiglioni
- Department of Environmental Health Sciences, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Via Mario Negri 2, 20156 Milan, Italy
| | - Isabella Gambino
- Department of Science and High Technology, University of Insubria, Via Valleggio 11, 22100 Como, CO, Italy
| | - Alessia Sailis
- Department of Science and High Technology, University of Insubria, Via Valleggio 11, 22100 Como, CO, Italy
| | - Giulia Salmoiraghi
- Department of Environmental Health Sciences, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Via Mario Negri 2, 20156 Milan, Italy
| | - Silvia Schiarea
- Department of Environmental Health Sciences, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Via Mario Negri 2, 20156 Milan, Italy
| | - Marco Vighi
- IMDEA Water Institute, Av. da Punto Com 2, 28805 Alcalà de Henares, Madrid, Spain
| | - Elisa Terzaghi
- Department of Science and High Technology, University of Insubria, Via Valleggio 11, 22100 Como, CO, Italy
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7
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Semerjian L, Aissaoui S, Shanableh A, Okoh A, Elhadi R, Mousa M, Alhameed RA, Hassan JAJ, Akhtar I, Semreen MH. Occurrence, spatial and seasonal variations of emerging contaminants in the aquatic environment of Sharjah, United Arab Emirates. CHEMOSPHERE 2023; 345:140426. [PMID: 37844698 DOI: 10.1016/j.chemosphere.2023.140426] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/13/2023] [Revised: 09/16/2023] [Accepted: 10/10/2023] [Indexed: 10/18/2023]
Abstract
The occurrence, seasonal variations and spatial distribution of emerging contaminants (ECs) in wastewater effluents from wastewater treatment plant (WWTP) and UAE's receiving coastal aquatic environment (seawater and sediments) were evaluated in the present study. A total of 21, 23, and 22 contaminants in the effluents, seawater, and sediments, respectively, at concentrations ranging from low ng L-1 up to 1782 ng L-1 in effluents, from low ng/l up to 236.10 ng L-1 in seawater, and from low ng g-1 up to 60.15 ng g-1 in sediments were recorded. The study revealed that imidacloprid, thiabendazole, and acetaminophen were the most ubiquitous compounds in effluents, seawater, and sediments, respectively, since they were found in all samples collected with a detection frequency of 100%. The study also revealed that the higher concentrations of most contaminants were recorded in autumn. However, thiabendazole in effluents and seawater, acetamiprid in effluents, and sulphapyridine in seawater and sediments showed a higher load in winter. This study highlights the need for proper monitoring and management of ECs in wastewater effluents, seawater, and sediments, especially during the autumn and winter seasons, to minimize their impact on the marine ecosystem and public health.
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Affiliation(s)
- Lucy Semerjian
- Department of Environmental Health Sciences, College of Health Sciences, University of Sharjah, P.O.Box 27272, Sharjah, United Arab Emirates; Research Institute of Science and Engineering, University of Sharjah, Sharjah, United Arab Emirates.
| | - Salima Aissaoui
- Department of Environmental Health Sciences, College of Health Sciences, University of Sharjah, P.O.Box 27272, Sharjah, United Arab Emirates; Laboratory of Molecular Toxicology, Faculty of Nature and Life Sciences, University of Jijel, Algeria
| | - Abdallah Shanableh
- Research Institute of Science and Engineering, University of Sharjah, Sharjah, United Arab Emirates; Department of Civil and Environmental Engineering, College of Engineering, University of Sharjah, Sharjah, United Arab Emirates
| | - Anthony Okoh
- Department of Environmental Health Sciences, College of Health Sciences, University of Sharjah, P.O.Box 27272, Sharjah, United Arab Emirates; Research Institute of Science and Engineering, University of Sharjah, Sharjah, United Arab Emirates; SAMRC Microbial Water Quality Monitoring Centre, University of Fort Hare, Alice, 5700, South Africa
| | - Rami Elhadi
- Department of Environmental Health Sciences, College of Health Sciences, University of Sharjah, P.O.Box 27272, Sharjah, United Arab Emirates
| | - Muath Mousa
- Research Institute of Science and Engineering, University of Sharjah, Sharjah, United Arab Emirates
| | - Rouba A Alhameed
- Department of Medicinal Chemistry, College of Pharmacy, University of Sharjah, Sharjah, United Arab Emirates; Research Institute for Medical and Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
| | | | - Iqbal Akhtar
- Drainage Department, Sharjah Municipality, Sharjah, United Arab Emirates
| | - Mohammad H Semreen
- Department of Medicinal Chemistry, College of Pharmacy, University of Sharjah, Sharjah, United Arab Emirates; Research Institute for Medical and Health Sciences, University of Sharjah, Sharjah, United Arab Emirates
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Becker RW, Cardoso RM, Dallegrave A, Ruiz-Padillo A, Sirtori C. Quantification of pharmaceuticals in hospital effluent: Weighted ranking of environmental risk using a fuzzy hybrid multicriteria method. CHEMOSPHERE 2023; 338:139368. [PMID: 37406941 DOI: 10.1016/j.chemosphere.2023.139368] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/28/2023] [Revised: 05/28/2023] [Accepted: 06/27/2023] [Indexed: 07/07/2023]
Abstract
An analytical method for quantification of seventeen pharmaceuticals and one metabolite was validated and applied in the analysis of hospital effluent samples. Two different sampling strategies were used: seasonal sampling, with 7 samples collected bimonthly; and hourly sampling, with 12 samples collected during 12 h. Thus, the variability was both seasonal and within the same day. High variability was observed in the measured concentrations of the pharmaceuticals and the metabolite. The quantification method, performed using weighted linear regression model, demonstrated results of average concentrations in seasonal samples ranged between 0.19 μgL-1 (carbamazepine) and higher than 61.56 μgL-1 (acetaminophen), while the hourly samples showed average concentrations between 0.07 μgL-1 (diazepam) and higher than 54.91 μgL-1 (acetaminophen). It is described as higher because the maximum concentration of the calibration curve took into account the dilution factor provided by DLLME. The diurnal results showed a trend towards higher concentrations in the first and last hours of sampling. The risk quotient (RQ) was calculated using organisms from three different trophic levels, for all the analytes quantified in the samples. Additionally, in order to understand the level of importance of each RQ, an expert panel was established, with contributions from 23 specialists in the area. The results were analyzed using a hybrid decision-making approach based on a Fuzzy Analytic Hierarchy Process (FAHP) and the Technique for Order Preference by Similarity to Ideal Solution (TOPSIS) method, in order to rank the compounds by environmental risk priority. The compounds of greatest concern were losartan, acetaminophen, 4-aminoantipyrine, sulfamethoxazole, and metoclopramide. Comparison of the environmental risk priority ranking with the potential human health risk was performed by applying the same multicriteria approach, with the prediction of endpoints using in silico (Q)SAR models. The results obtained suggested that sulfamethoxazole and acetaminophen were the most important analytes to be considered for monitoring.
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Affiliation(s)
- Raquel Wielens Becker
- Instituto de Química, Universidade Federal do Rio Grande do Sul, Av. Bento Gonçalves, 9500, Porto Alegre, RS, Brazil
| | - Renata Martins Cardoso
- Instituto de Química, Universidade Federal do Rio Grande do Sul, Av. Bento Gonçalves, 9500, Porto Alegre, RS, Brazil
| | - Alexsandro Dallegrave
- Instituto de Química, Universidade Federal do Rio Grande do Sul, Av. Bento Gonçalves, 9500, Porto Alegre, RS, Brazil
| | | | - Carla Sirtori
- Instituto de Química, Universidade Federal do Rio Grande do Sul, Av. Bento Gonçalves, 9500, Porto Alegre, RS, Brazil.
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Rodríguez-Rodríguez CE, Ramírez-Morales D, Masis-Mora M, Montiel-Mora JR, Soto-Garita C, Araya-Valverde E, Cambronero-Heinrichs JC, Sànchez-Melsió A, Briceño-Guevara S, Mendez-Rivera M, Balcázar JL. Occurrence and risk assessment of pharmaceuticals in hospital wastewater in Costa Rica. CHEMOSPHERE 2023; 339:139746. [PMID: 37549747 DOI: 10.1016/j.chemosphere.2023.139746] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/30/2023] [Revised: 07/18/2023] [Accepted: 08/04/2023] [Indexed: 08/09/2023]
Abstract
This work aims to determine the occurrence, hazard and prioritization of pharmaceuticals from hospital wastewater in Costa Rica through the monitoring of 70 compounds and assessing their environmental risk through a hazard quotient approach (HQ). Moreover, the quantification of selected antibiotic resistance genes (ARGs) was conducted for the first time in this matrix in this geographical location. Thirty-four pharmaceuticals were detected, being caffeine, 1,7-dimethylxanthine, acetaminophen, ibuprofen, naproxen, ciprofloxacin and ketoprofen the most frequent (>50% of the samples). Eighteen pharmaceuticals exhibited high hazard (HQ ≥ 1), while five more showed medium hazard (1 > HQ ≥ 0.1). Prioritization, which also included frequency parameters, revealed caffeine, lovastatin, diphenhydramine, acetaminophen, ibuprofen, ciprofloxacin, and sildenafil as the compounds of major concern. Similarly, cumulative hazard per sample (ΣHQ) estimated high hazard towards aquatic organisms in every sample. All selected ARGs, except mcr-1 (polymyxin resistance), were detected. Among genes conferring resistance to beta-lactams, blaCTX-M and blaKPC were the most abundant, related to resistance to cephalosporins and carbapenems. Ecotoxicological evaluation showed mostly low toxicity towards Daphnia magna and Vibrio fischeri, contrary to the marked effect observed towards Lactuca sativa. These findings provide relevant and novel information on the risk posed by hospital wastewater and their pharmaceutical content in the Latin American environmental context.
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Affiliation(s)
- Carlos E Rodríguez-Rodríguez
- Centro de Investigación en Contaminación Ambiental (CICA), Universidad de Costa Rica, 2060, San José, Costa Rica.
| | - Didier Ramírez-Morales
- Centro de Investigación en Contaminación Ambiental (CICA), Universidad de Costa Rica, 2060, San José, Costa Rica
| | - Mario Masis-Mora
- Centro de Investigación en Contaminación Ambiental (CICA), Universidad de Costa Rica, 2060, San José, Costa Rica
| | - José R Montiel-Mora
- Centro de Investigación en Contaminación Ambiental (CICA), Universidad de Costa Rica, 2060, San José, Costa Rica
| | - Claudio Soto-Garita
- Centro de Investigación en Contaminación Ambiental (CICA), Universidad de Costa Rica, 2060, San José, Costa Rica
| | - Emanuel Araya-Valverde
- Centro Nacional de Innovaciones Biotecnológicas (CENIBiot), CeNAT-CONARE, 1174-1200, San José, Costa Rica
| | - Juan Carlos Cambronero-Heinrichs
- Centro de Investigación en Contaminación Ambiental (CICA), Universidad de Costa Rica, 2060, San José, Costa Rica; Facultad de Microbiología, Universidad de Costa Rica, 2060, San José, Costa Rica
| | - Alexandre Sànchez-Melsió
- Catalan Institute for Water Research (ICRA-CERCA), 17003, Girona, Spain; University of Girona, 17004, Girona, Spain
| | - Susana Briceño-Guevara
- Centro de Investigación en Contaminación Ambiental (CICA), Universidad de Costa Rica, 2060, San José, Costa Rica
| | - Michael Mendez-Rivera
- Centro de Investigación en Contaminación Ambiental (CICA), Universidad de Costa Rica, 2060, San José, Costa Rica
| | - José L Balcázar
- Catalan Institute for Water Research (ICRA-CERCA), 17003, Girona, Spain; University of Girona, 17004, Girona, Spain
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10
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Alzola-Andrés M, Domingo-Echaburu S, Segura Y, Valcárcel Y, Orive G, Lertxundi U. Pharmaceuticals in hospital wastewaters: an analysis of the UBA's pharmaceutical database. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2023; 30:99345-99361. [PMID: 37610546 DOI: 10.1007/s11356-023-29214-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/02/2023] [Accepted: 08/03/2023] [Indexed: 08/24/2023]
Abstract
The presence of pharmaceuticals in hospital wastewaters (HWW) has been a focus of interest for researchers in the last decades. Certain therapeutic classes, such as X-ray contrast media, broad-spectrum antimicrobials and cytotoxics among others, are mainly used in hospitals-health care facilities. This study is focused on available studies monitoring the presence of pharmaceuticals in HWW around the world. To that end, the last available version (v3. 2021) of the "Pharmaceuticals in the Environment" database published by the Federal German Environment Agency (Umweltbundesamt) has been used. Almost half of all studies included (107) have been conducted in Europe. Pharmaceuticals have been monitored in HWW in 38 different countries across all five continents. The country with the greatest number of studies is Brazil (11), followed by Spain (8), China (7), and France (6). Our analysis revealed that 271 different pharmaceuticals have been detected at least once in HWW. The five drugs with more studies showing a positive detection are ciprofloxacin (38), sulfamethoxazole (36), diclofenac (34), ibuprofen (29), and trimethoprim (27). A total of 47 out of 271 drugs are considered in the NIOSH "Hazardous drug" list. However, monitoring data for some widely used drugs in hospital settings such as muscle relaxants, anesthetics, and antidotes is lacking. In conclusion, this study provides the first large-scale metadata analysis for the pharmaceuticals in HWW worldwide.
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Affiliation(s)
- Maitane Alzola-Andrés
- School of Pharmacy, NanoBioCel Group, Laboratory of Pharmaceutics, School of Pharmacy, University of the Basque Country UPV/EHU, Paseo de la Universidad 7, 01006, Vitoria-Gasteiz, Spain
| | - Saioa Domingo-Echaburu
- Osakidetza Basque Health Service, Debagoiena Integrated Health Organisation, Pharmacy Service, Nafarroa Hiribidea 16, 20500, Arrasate, Gipuzkoa, Spain
| | - Yolanda Segura
- Chemical and Environmental Technology Department, University Rey Juan Carlos, Avenida Tulipan s/n, 28933, Mostoles, Madrid, Spain
| | - Yolanda Valcárcel
- Health and Environment Risk Assessment Group, (RiSAMA), University Rey Juan Carlos, Avda Tulipán sn, Móstoles, Madrid, Spain
- Department of Medical Specialties and Public Health, Faculty of Health Sciences, Rey Juan Carlos University, Avda. Atenas s/n, 28922 Alcorcón, Madrid, Spain
| | - Gorka Orive
- NanoBioCel Group, Laboratory of Pharmaceutics, School of Pharmacy, University of the Basque Country UPV/EHU, Paseo de la Universidad 7, 01006, Vitoria-Gasteiz, Spain
- Biomedical Research Networking Centre in Bioengineering, Biomaterials and Nanomedicine (CIBER-BBN), Vitoria-Gasteiz, Spain
- University Institute for Regenerative Medicine and Oral Implantology - UIRMI (UPV/EHU-Fundación Eduardo Anitua), Vitoria, Spain
- Bioaraba, NanoBioCel Research Group, Vitoria-Gasteiz, Spain
| | - Unax Lertxundi
- Bioaraba Health Research Institute, Osakidetza Basque Health Service, Araba Mental Health Network, Araba Psychiatric Hospital, Pharmacy Service, c/Alava 43, 01006, Vitoria-Gasteiz, Álava, Spain.
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11
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Azuma T, Katagiri M, Sasaki N, Kuroda M, Watanabe M. Performance of a Pilot-Scale Continuous Flow Ozone-Based Hospital Wastewater Treatment System. Antibiotics (Basel) 2023; 12:antibiotics12050932. [PMID: 37237835 DOI: 10.3390/antibiotics12050932] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2023] [Revised: 05/16/2023] [Accepted: 05/17/2023] [Indexed: 05/28/2023] Open
Abstract
Antimicrobial resistance (AMR) is becoming a global concern. Recently, research has emerged to evaluate the human and environmental health implications of wastewater from medical facilities and to identify acceptable wastewater treatment methods. In this study, a disinfection wastewater treatment system using an ozone-based continuous flow system was installed in a general hospital located in Japan. The effectiveness of antimicrobial-resistant bacteria (ARB) and antimicrobials in mitigating the environmental impact of hospital wastewater was evaluated. Metagenomic analysis was conducted to characterize the microorganisms in the wastewater before and after treatment. The results demonstrated that ozone treatment enables effective inactivation of general gut bacteria, including Bacteroides, Prevotella, Escherichia coli, Klebsiella, DNA molecules, and ARGs, as well as antimicrobials. Azithromycin and doxycycline removal rates were >99% immediately after treatment, and levofloxacin and vancomycin removal rates remained between 90% and 97% for approximately one month. Clarithromycin was more readily removed than the other antimicrobials (81-91%), and no clear removal trend was observed for ampicillin. Our findings provide a better understanding of the environmental management of hospital wastewater and enhance the effectiveness of disinfection wastewater treatment systems at medical facilities for mitigating the discharge of pollutants into aquatic environments.
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Affiliation(s)
- Takashi Azuma
- Department of Pharmaceutical Sciences, Osaka Medical and Pharmaceutical University, Takatsuki 569-1094, Japan
| | - Miwa Katagiri
- Department of Surgery, Toho University Ohashi Medical Center, Tokyo 153-8515, Japan
| | - Naobumi Sasaki
- Pathogen Genomics Center, National Institute of Infectious Diseases, Tokyo 162-8640, Japan
| | - Makoto Kuroda
- Pathogen Genomics Center, National Institute of Infectious Diseases, Tokyo 162-8640, Japan
| | - Manabu Watanabe
- Department of Surgery, Toho University Ohashi Medical Center, Tokyo 153-8515, Japan
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12
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Wang L, Xu Y, Qin T, Wu M, Chen Z, Zhang Y, Liu W, Xie X. Global trends in the research and development of medical/pharmaceutical wastewater treatment over the half-century. CHEMOSPHERE 2023; 331:138775. [PMID: 37100249 PMCID: PMC10123381 DOI: 10.1016/j.chemosphere.2023.138775] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/15/2023] [Revised: 04/21/2023] [Accepted: 04/22/2023] [Indexed: 05/07/2023]
Abstract
The COVID-19 pandemic has severely impacted public health and the worldwide economy. The overstretched operation of health systems around the world is accompanied by potential and ongoing environmental threats. At present, comprehensive scientific assessments of research on temporal changes in medical/pharmaceutical wastewater (MPWW), as well as estimations of researcher networks and scientific productivity are lacking. Therefore, we conducted a thorough literature study, using bibliometrics to reproduce research on medical wastewater over nearly half a century. Our primary goal is systematically to map the evolution of keyword clusters over time, and to obtain the structure and credibility of clusters. Our secondary objective was to measure research network performance (country, institution, and author) using CiteSpace and VOSviewer. We extracted 2306 papers published between 1981 and 2022. The co-cited reference network identified 16 clusters with well-structured networks (Q = 0.7716, S = 0.896). The main trends were as follows: 1) Early MPWW research prioritized sources of wastewater, and this cluster was considered to be the mainstream research frontier and direction, representing an important source and priority research area. 2) Mid-term research focused on characteristic contaminants and detection technologies. Particularly during 2000-2010, a period of rapid developments in global medical systems, pharmaceutical compounds (PhCs) in MPWW were recognized as a major threat to human health and the environment. 3) Recent research has focused on novel degradation technologies for PhC-containing MPWW, with high scores for research on biological methods. Wastewater-based epidemiology has emerged as being consistent with or predictive of the number of confirmed COVID-19 cases. Therefore, the application of MPWW in COVID-19 tracing will be of great interest to environmentalists. These results could guide the future direction of funding agencies and research groups.
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Affiliation(s)
- Ling Wang
- Department of Nursing, The Second Hospital of Nanjing, Nursing, Nanjing Hospital Affiliated to Nanjing University of Traditional Chinese Medicine, Nanjing, 210003, China
| | - Yixia Xu
- Department of Nursing, The Second Hospital of Nanjing, Nursing, Nanjing Hospital Affiliated to Nanjing University of Traditional Chinese Medicine, Nanjing, 210003, China
| | - Tian Qin
- Key Laboratory of Poyang Lake Environment and Resource Utilization, Ministry of Education, School of Resource and Environment, Nanchang University, Nanchang, 330031, China
| | - Mengting Wu
- Key Laboratory of Poyang Lake Environment and Resource Utilization, Ministry of Education, School of Resource and Environment, Nanchang University, Nanchang, 330031, China
| | - Zhiqin Chen
- Key Laboratory of Poyang Lake Environment and Resource Utilization, Ministry of Education, School of Resource and Environment, Nanchang University, Nanchang, 330031, China
| | - Yalan Zhang
- Key Laboratory of Poyang Lake Environment and Resource Utilization, Ministry of Education, School of Resource and Environment, Nanchang University, Nanchang, 330031, China
| | - Wei Liu
- Key Laboratory of Poyang Lake Environment and Resource Utilization, Ministry of Education, School of Resource and Environment, Nanchang University, Nanchang, 330031, China.
| | - Xianchuan Xie
- Key Laboratory of Poyang Lake Environment and Resource Utilization, Ministry of Education, School of Resource and Environment, Nanchang University, Nanchang, 330031, China.
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13
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Li X, Liao X, Chen C, Zhang L, Sun S, Wan M, Liu J, Huang L, Yang D, Hu H, Ma X, Zhong Z, Liu F, Xiong G, Lu H, Chen J, Cao Z. Propranolol hydrochloride induces neurodevelopmental toxicity and locomotor disorders in zebrafish larvae. Neurotoxicology 2022; 93:337-347. [DOI: 10.1016/j.neuro.2022.10.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2022] [Revised: 10/25/2022] [Accepted: 10/26/2022] [Indexed: 11/06/2022]
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14
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Janani FZ, Khiar H, Taoufik N, Elhalil A, Sadiq M', Mansouri S, Barka N. ZnO-Zn 2TiO 4 heterostructure for highly efficient photocatalytic degradation of pharmaceuticals. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2022:1-14. [PMID: 36044150 PMCID: PMC9430018 DOI: 10.1007/s11356-022-22791-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/23/2022] [Accepted: 08/25/2022] [Indexed: 06/15/2023]
Abstract
In this study, ZnO-Zn2TiO4 (ZTM) material was prepared through a novel synthesis method based on a ultrasound-assisted polyol-mediated process followed by calcination at a different temperature. Physical features of the samples were studied by using various analysis techniques including XRD, FT-IR, SEM/EDX, pHPZC, and UV-Vis DRS. Subsequently, the materials were employed as catalysts for the photocatalytic degradation of clofibric acid as a model pharmaceutical contaminant. The photocatalytic performance was evaluated under different conditions of calcination temperature, catalyst dosage, starting concentration, and initial pH of clofibric acid solution. The finding results revealed that hexagonal-tetragonal phases of ZnO-Zn2TiO4 calcined at 600 °C (ZTM-600) with an average crystallite size of 97.8 Å exhibited the best degradation efficiency (99%). The primary bands characteristic of ZnO and Zn2TiO4 were displayed by FT-IR analysis and the UV-visible DRS confirms the larger absorption capacity in UV-visible regions. The photogenerated electrons are the powerful reactive species involved in clofibric acid photodegradation process. This study shows a promising photocatalyst and provides new sight to rational design the facets of photocatalysis process for enhanced photocatalytic performances and effective wastewater treatment.
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Affiliation(s)
- Fatima Zahra Janani
- Sultan Moulay Slimane University of Beni Mellal, Multidisciplinary Research and Innovation Laboratory, FP Khouribga, BP.145, 2500, Khouribga, Morocco
| | - Habiba Khiar
- Sultan Moulay Slimane University of Beni Mellal, Multidisciplinary Research and Innovation Laboratory, FP Khouribga, BP.145, 2500, Khouribga, Morocco
| | - Nawal Taoufik
- Sultan Moulay Slimane University of Beni Mellal, Multidisciplinary Research and Innovation Laboratory, FP Khouribga, BP.145, 2500, Khouribga, Morocco
| | - Alaâeddine Elhalil
- Laboratory of Process and Environmental Engineering, Higher School of Technology, Hassan II University of Casablanca, Casablanca, Morocco
| | - M 'hamed Sadiq
- Sultan Moulay Slimane University of Beni Mellal, Multidisciplinary Research and Innovation Laboratory, FP Khouribga, BP.145, 2500, Khouribga, Morocco
| | - Said Mansouri
- Materials Science Energy and Nanoengineering Department (MSN), VI Polytechnic University (UM6P), Lot 660-Hay Moulay Rachid, 43150, Benguerir, Mohammed, Morocco
| | - Noureddine Barka
- Sultan Moulay Slimane University of Beni Mellal, Multidisciplinary Research and Innovation Laboratory, FP Khouribga, BP.145, 2500, Khouribga, Morocco.
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