Occurrence of pharmaceutically active and non-steroidal estrogenic compounds in three different wastewater recycling schemes in Australia

A review on the occurrence of micropollutants in the aquatic environment and their fate and removal during wastewater treatment

Micropollutants are emerging as a new challenge to the scientific community. This review provides a summary of the recent occurrence of micropollutants in the aquatic environment including sewage, surface water, groundwater and drinking water. The discharge of treated effluent from WWTPs is a major pathway for the introduction of micropollutants to surface water. WWTPs act as primary barriers against the spread of micropollutants. WWTP removal efficiency of the selected micropollutants in 14 countries/regions depicts compound-specific variation in removal, ranging from 12.5 to 100%. Advanced treatment processes, such as activated carbon adsorption, advanced oxidation processes, nanofiltration, reverse osmosis, and membrane bioreactors can achieve higher and more consistent micropollutant removal. However, regardless of what technology is employed, the removal of micropollutants depends on physico-chemical properties of micropollutants and treatment conditions. The evaluation of micropollutant removal from municipal wastewater should cover a series of aspects from sources to end uses. After the release of micropollutants, a better understanding and modeling of their fate in surface water is essential for effectively predicting their impacts on the receiving environment.

Removal performance and changes in the microbial communities of SBRs under aerobic and anoxic conditions with trace tetracycline pressure

The reactor performance and microbial community composition of sequencing batch reactor (SBR) under aerobic and anoxic conditions were investigated in this study. The experimental results showed high chemical oxygen demand (COD) removal efficiency. The tetracycline (TC) removal efficiencies were not obviously affected by aerobic and anoxic conditions, and were 64-97 and 60-87%, respectively. Aerobic condition was observed to be more suitable for decreasing tetracycline-resistant bacteria (TRB) than anoxic condition in synthetic and real wastewater. Denaturing gradient gel electrophoresis (DGGE) and clone library analysis revealed that Chlorobaculumthiosulfatiphilum was the dominant species in the tested SBR systems. TC significantly influenced the relative numbers of TRB- and TC-resistant genes, and the microbial community diversity changed with the addition of 250 μg L(-1) of TC. The genes of tetA and tetC, tetM and tetS, tetA and tetM, tetS and tetA showed significant correlation with each other (P < 0.05).

Sewage pollution in urban stormwater runoff as evident from the widespread presence of multiple microbial and chemical source tracking markers

The concurrence of human sewage contamination in urban stormwater runoff (n=23) from six urban catchments across Australia was assessed by using both microbial source tracking (MST) and chemical source tracking (CST) markers. Out of 23 stormwater samples human adenovirus (HAv), human polyomavirus (HPv) and the sewage-associated markers; Methanobrevibacter smithii nifH and Bacteroides HF183 were detected in 91%, 56%, 43% and 96% of samples, respectively. Similarly, CST markers paracetamol (87%), salicylic acid (78%) acesulfame (96%) and caffeine (91%) were frequently detected. Twenty one samples (91%) were positive for six to eight sewage related MST and CST markers and remaining two samples were positive for five and four markers, respectively. A very good consensus (>91%) observed between the concurrence of the HF183, HAv, acesulfame and caffeine suggests good predictability of the presence of HAv in samples positive for one of the three markers. High prevalence of HAv (91%) also suggests that other enteric viruses may also be present in the stormwater samples which may pose significant health risks. This study underscores the benefits of employing a set of MST and CST markers which could include monitoring for HF183, adenovirus, caffeine and paracetamol to accurately detect human sewage contamination along with credible information on the presence of human enteric viruses, which could be used for more reliable public health risk assessments. Based on the results obtained in this study, it is recommended that some degree of treatment of captured stormwater would be required if it were to be used for non-potable purposes.

Coupling membrane separation and photocatalytic oxidation processes for the degradation of pharmaceutical pollutants

The coupling of membrane separation and photocatalytic oxidation has been studied for the removal of pharmaceutical pollutants. The retention properties of two different membranes (nanofiltration and reverse osmosis) were assessed. Comparable selectivity on the separation of pharmaceuticals were observed for both membranes, obtaining a permeate stream with concentrations of each pharmaceutical below 0.5 mg L(-)(1) and a rejected flux highly concentrated (in the range of 16-25 mg L(-)(1) and 18-32 mg L(-)(1) of each pharmaceutical for NF-90 and BW-30 membranes, respectively), when an initial stream of six pharmaceuticals was feeding to the membrane system (10 mg L(-)(1) of each pharmaceutical). The abatement of concentrated pharmaceuticals of the rejected stream was evaluated by means of heterogeneous photocatalytic oxidation using TiO2 and Fe2O3/SBA-15 in presence of hydrogen peroxide as photo-Fenton system. Both photocatalytic treatments showed remarkable removals of pharmaceutical compounds, achieving values between 80 and 100%. The nicotine was the most refractory pollutant of all the studied pharmaceuticals. Photo-Fenton treatment seems to be more effective than TiO2 photocatalysis, as high mineralization degree and increased nicotine removal were attested. This work can be considered an interesting approach of coupling membrane separation and heterogeneous photocatalytic technologies for the successful abatement of pharmaceutical compounds in effluents of wastewater treatment plants.

Illicit drugs and the environment--a review

Illicit drugs and their metabolites are the latest group of emerging pollutants. Determination of their concentration in environment (such as water bodies, soil, sediment, air) is an indirect tool to estimate the community level consumption of illicit drug and to evaluate potential ecotoxicological impacts from chronic low level exposure. They enter the wastewater network as unaltered drugs and/or their active metabolites by human excretion after illegal consumption or by accidental or deliberate disposal from clandestine drug laboratories. This article critically reviews the occurrence and concentration levels of illicit drugs and their metabolites in different environmental compartments (e.g., wastewater, surface waters, groundwater, drinking water, and ambient air) and their potential impact on the ecosystem. There is limited published information available on the presence of illicit drugs in the environment, reports are available mainly from European countries, UK, USA, and Canada but there is a lack of information from the remainder of the world. Although the environmental concentrations are not very high, they can potentially impact the human health and ecosystem functioning. Cocaine, morphine, amphetamine, and MDMA have potent pharmacological activities and their presence as complex mixtures in water may cause adverse effect on aquatic organisms and human health. However, there is no current regulation demanding the determination of occurrence of these emerging pollutants in treated wastewater, surface water, drinking water, or atmosphere. Thus, critical investigation on distribution pattern of this new group of emerging contaminant and their potential harmful impact on our environment needs immediate attention.

Fossil organic carbon in wastewater and its fate in treatment plants

This study reports the presence of fossil organic carbon in wastewater and its fate in wastewater treatment plants. The findings pinpoint the inaccuracy of current greenhouse gas accounting guidelines which defines all organic carbon in wastewater to be of biogenic origin. Stable and radiocarbon isotopes ((13)C and (14)C) were measured throughout the process train in four municipal wastewater treatment plants equipped with secondary activated sludge treatment. Isotopic mass balance analyses indicate that 4-14% of influent total organic carbon (TOC) is of fossil origin with concentrations between 6 and 35 mg/L; 88-98% of this is removed from the wastewater. The TOC mass balance analysis suggests that 39-65% of the fossil organic carbon from the influent is incorporated into the activated sludge through adsorption or from cell assimilation while 29-50% is likely transformed to carbon dioxide (CO2) during secondary treatment. The fossil organic carbon fraction in the sludge undergoes further biodegradation during anaerobic digestion with a 12% decrease in mass. 1.4-6.3% of the influent TOC consists of both biogenic and fossil carbon is estimated to be emitted as fossil CO2 from activated sludge treatment alone. The results suggest that current greenhouse gas accounting guidelines, which assume that all CO2 emission from wastewater is biogenic may lead to underestimation of emissions.

Contribution of hospital effluents to the load of pharmaceuticals in urban wastewaters: identification of ecologically relevant pharmaceuticals

The impact of effluent wastewaters from four different hospitals: a university (1456 beds), a general (350 beds), a pediatric (110 beds) and a maternity hospital (96 beds), which are conveyed to the same wastewater treatment plant (WWTP), was evaluated in the receiving urban wastewaters. The occurrence of 78 pharmaceuticals belonging to several therapeutic classes was assessed in hospital effluents and WWTP wastewaters (influent and effluent) as well as the contribution of each hospital in WWTP influent in terms of pharmaceutical load. Results indicate that pharmaceuticals are widespread pollutants in both hospital and urban wastewaters. The contribution of hospitals to the input of pharmaceuticals in urban wastewaters widely varies, according to their dimension. The estimated total mass loadings were 306 g d(-1) for the university hospital, 155 g d(-1) for the general one, 14 g d(-1) for the pediatric hospital and 1.5 g d(-1) for the maternity hospital, showing that the biggest hospitals have a greater contribution to the total mass load of pharmaceuticals. Furthermore, analysis of individual contributions of each therapeutic group showed that NSAIDs, analgesics and antibiotics are among the groups with the highest inputs. Removal efficiency can go from over 90% for pharmaceuticals like acetaminophen and ibuprofen to not removal for β-blockers and salbutamol. Total mass load of pharmaceuticals into receiving surface waters was estimated between 5 and 14 g/d/1000 inhabitants. Finally, the environmental risk posed by pharmaceuticals detected in hospital and WWTP effluents was assessed by means of hazard quotients toward different trophic levels (algae, daphnids and fish). Several pharmaceuticals present in the different matrices were identified as potentially hazardous to aquatic organisms, showing that especial attention should be paid to antibiotics such as ciprofloxacin, ofloxacin, sulfamethoxazole, azithromycin and clarithromycin, since their hazard quotients in WWTP effluent revealed that they could pose an ecotoxicological risk to algae.

Degradation of diclofenac by advanced oxidation and reduction processes: kinetic studies, degradation pathways and toxicity assessments

Many pharmaceutical compounds and metabolites are found in surface and ground waters suggesting their ineffective removal by conventional wastewater treatment technologies. Advanced oxidation/reduction processes (AO/RPs), which utilize free radical reactions to directly degrade chemical contaminants, are alternatives to traditional water treatment. This study reports the absolute rate constants for reaction of diclofenac sodium and model compound (2, 6-dichloraniline) with the two major AO/RP radicals: the hydroxyl radical (•OH) and hydrated electron (e(aq)(-)). The bimolecular reaction rate constants (M(-1) s(-1)) for diclofenac for •OH was (9.29 ± 0.11) × 10(9), and for e(-)(aq) was (1.53 ± 0.03) ×10(9). To provide a better understanding of the decomposition of the intermediate radicals produced by hydroxyl radical reactions, transient absorption spectra are observed from 1 - 250 μs. In addition, preliminary degradation mechanisms and major products were elucidated using (60)Co γ-irradiation and LC-MS. The toxicity of products was evaluated using luminescent bacteria. These data are required for both evaluating the potential use of AO/RPs for the destruction of these compounds and for studies of their fate and transport in surface waters where radical chemistry may be important in assessing their lifetime.

Estrogen mediated effects in the Sydney rock oyster, Saccostrea glomerata, following field exposures to sewage effluent containing estrogenic compounds and activity

The Sydney rock oyster, Saccostrea glomerata, has been demonstrated as a useful biomonitor of estrogenic compounds following laboratory exposures, yet its utility in the assessment of estrogenic exposure and effects under field conditions requires investigation. To achieve this aim, S. glomerata were deployed in Newcastle, Australia in the effluent receiving marine waters of Burwood Beach WWTP (Burwood Beach "near", <50 m from outfall and Burwood Beach "far", 100-150 m from outfall) and reference locations (Redhead, Fingal Island 1 and Fingal Island 2) at depths of 4, 8 and 12 m for six weeks. Effluent receiving waters of Burwood Beach WWTP were found to be a suitable impact location, demonstrated via measurement of estrogenic compounds and activity throughout the deployment. Estrogenic compounds were detected (average of combined solids and liquid fractions) at average concentrations of: 1.42 ng/L for estrone, 0.69 ng/L for 17β estradiol, 3.83 ng/L for estriol (E3), 0.56 ng/L for 17α-ethynylestradiol, 64.2 ng/L for bisphenol A, 7.51 ng/L for 4-nonylphenol and 5.93 ng/L for 4-tert-octylphenol. Total estrogenic activity was estimated at 4.48 ng/L EEQ via the Yeast Estrogen Screen (YES(®)) assay (average of combined solid and liquid fractions). Female vitellogenin gene expression was highest at Burwood Beach locations, yet no significant differences were detected among locations for either sex. Vitellogenin protein was significantly higher (p<0.05) in S. glomerata at Burwood Beach Near compared to reference locations for the 4 and 12 m depths. Increased proportions of females were found at Burwood Beach Near, at 4m depth (p<0.05). Both Burwood Beach locations had higher proportions of mature female gonadal development stages compared to reference locations (p<0.05). Oocyte area was highest at both Burwood Beach locations, but no significant differences were detected among locations. Findings provided further evidence that female S. glomerata may be a suitable candidate species for assessment of effects of estrogenic compounds in Australian waters.

Bisphenol A exposure, effects, and policy: a wildlife perspective

Thousands of anthropogenic chemicals are present in the environment, and mounting evidence indicates that some have endocrine-disrupting effects in a variety of organisms. Of particular concern are chemicals that act as agonists or antagonists on vertebrate estrogen or androgen receptors. One such compound is bisphenol A (BPA), which appears to be both an estrogen receptor agonist and an androgen receptor antagonist. Used in the manufacture of plastic resins, BPA is found at low levels in surface-water, sediments, soils, and biota. Although it degrades quickly, it is pseudo-persistent in the environment because of continual inputs. Due to its environmental ubiquity, organisms may be exposed to BPA chronically or during sensitive life stages. While the impacts of BPA-related endocrine disruption in humans have been extensively studied, the endocrinal and systemic effects in wildlife are less well known. This article reviews the current state of knowledge of BPA inputs to the environment, routes of exposure, and effects on wildlife. We then critically examine the regulatory structure governing the environmental endpoints of BPA in the United States, European Union, and Canada, and discuss major challenges to the effective regulation of BPA. We conclude with a survey of treatment and mitigation options.

Captopril and its dimer captopril disulfide: photodegradation, aerobic biodegradation and identification of transformation products by HPLC-UV and LC-ion trap-MS(n)

In some countries effluents from hospitals and households are directly emitted into open ditches without any further treatment and with very little dilution. Under such circumstances photo- and biodegradation in the environment can occur. However, these processes do not necessarily end up with the complete mineralization of a chemical. Therefore, the biodegradability of photoproduct(s) by environmental bacteria is of interest. Cardiovascular diseases are the number one cause of death globally. Captopril (CP) is used in this study as it is widely used in Egypt and stated as one of the essential drugs in Egypt for hypertension. Three tests from the OECD series were used for biodegradation testing: Closed Bottle test (CBT; OECD 301 D), Manometric Respirometry test (MRT; OECD 301 F) and the modified Zahn-Wellens test (ZWT; OECD 302 B). Photodegradation (150 W medium-pressure Hg-lamp) of CP was studied. Also CBT was performed for captopril disulfide (CPDS) and samples received after 64 min and 512 min of photolysis. The primary elimination of CP and CPDS was monitored by LC-UV at 210 nm and structures of photoproducts were assessed by LC-UV-MS/MS (ion trap). Analysis of photodegradation samples by LC-MS/MS revealed CP sulfonic acid as the major photodegradation product of CP. No biodegradation was observed for CP, CPDS and of the mixture resulting from photo-treatment after 64 min in CBT. Partial biodegradation in the CBT and MRT was observed in samples taken after 512 min photolysis and for CP itself in MRT. Complete biodegradation and mineralization of CP occurred in the ZWT.

A critical review on sustainability assessment of recycled water schemes

Recycled water provides a viable opportunity to supplement water supplies as well as alleviate environmental loads. To further expand current schemes and explore new recycled water end uses, this study reviews several environmental assessment tools, including Life Cycle Assessment (LCA), Material Flow Analysis (MFA) and Environmental Risk Assessment (ERA) in terms of their types, characteristics and weaknesses in evaluating the sustainability of recycled water schemes. Due to the limitations in individual models, the integrated approaches are recommended in most cases, of which the outputs could be further combined with additional economic and social assessments in multi-criteria decision making framework. The study also proposes several management strategies in improving the environmental scores. The discussion and suggestions could help decision makers in making a sound judgement as well as recognising the challenges and tasks in the future.

Removal of sulfamethazine antibiotics by aerobic sludge and an isolated Achromobacter sp. S-3

Removal characteristics of sulfamethazine (SMZ) by sludge and a bacterial strain using an aerobic sequence batch reactor (ASBR) were studied. Operating conditions were optimized by varying the reaction time and sludge retention time (SRT). An Achromobacter sp. (S-3) with the ability to remove SMZ was isolated from the ASBR. The effects of different operating parameters (pH and temperature) on the biodegradation of SMZ by S-3 were determined. The results indicate that, between 0.5 and 4 hr, reaction time of the ASBR had a significant effect on the SMZ removal efficiency in the system. The SMZ removal efficiency also increased from 45% to 80% when SRT was prolonged from 5 to 25 days, although longer SRT had no impact on SMZ removal. The SMZ adsorption rate decreased with increasing temperature, which fitted Freundlich isotherm well. The removal of SMZ in the ASBR was due to the combined effects of adsorption and degradation, and degradation played a leading role.

Hepatic proteome sensitivity in rainbow trout after chronically exposed to a human pharmaceutical verapamil

Verapamil (VRP), a cardiovascular pharmaceutical widely distributed and persistent in the aquatic environment, has potential toxicity to fish and other aquatic organisms. However, the molecular mechanisms that lead to these toxic effects are not well known. In the present study, proteomic analysis has been performed to investigate the protein patterns that are differentially expressed in liver of rainbow trout exposed to sublethal concentrations of VRP (0.5, 27.0, and 270 μg/liter) for 42 days. Two-dimensional electrophoresis coupled with MALDI-TOF/TOF mass spectrometry was employed to detect and identify the protein profiles. The analysis revealed that the expression of six hepatic acidic proteins were markedly altered in the treatment groups compared with the control group; three proteins especially were significantly down-regulated in fish exposed to VRP at environmental related concentration (0.5 μg/liter). These results suggested that the VRP induce mechanisms against oxidative stress (glucose-regulated protein 78 and 94 and protein disulfide-isomerase A3) and adaptive changes in ion transference regulation (calreticulin, hyperosmotic glycine-rich protein). Furthermore, for the first time, protein Canopy-1 was found to be significantly down-regulated in fish by chronic exposure to VRP at environmental related levels. Overall, our work supports that fish hepatic proteomics analysis serves as an in vivo model for monitoring the residual pharmaceuticals in aquatic environment and can provide valuable insight into the molecular events in VRP-induced toxicity in fish and other organisms.

Characterisation and removal of recalcitrants in reverse osmosis concentrates from water reclamation plants

Water reclamation plants frequently utilise reverse osmosis (RO), generating a concentrated reject stream as a by-product. The concentrate stream contains salts, and dissolved organic compounds, which are recalcitrant to biological treatment, and may have an environmental impact due to colour and embedded nitrogen. In this study, we characterise organic compounds in RO concentrates (ROC) and treated ROC (by coagulation, adsorption, and advanced oxidation) from two full-scale plants, assessing the diversity and treatability of colour and organic compounds containing nitrogen. One of the plants was from a coastal catchment, while the other was inland. Stirred cell membrane fractionation was applied to fractionate the treated ROC, and untreated ROC along with chemical analysis (DOC, DON, COD), colour, and fluorescence excitation-emission matrix (EEM) scans to characterise changes within each fraction. In both streams, the largest fraction contained < 1 kDa molecules which were small humic substances, fulvic acids and soluble microbial products (SMPs), as indicated by EEM. Under optimal treatment conditions, alum preferentially removed > 10 kDa molecules, with 17-34% of organic compounds as COD. Iron coagulation affected a wider size range, with better removal of organics (41-49% as COD) at the same molar dosage. As with iron, adsorption reduced organics of a broader size range, including organic nitrogen (26-47%). Advanced oxidation (UV/H2O2) was superior for complete decolourisation and provided superior organics removal (50-55% as COD).

Chronic toxicity of verapamil on juvenile rainbow trout (Oncorhynchus mykiss): effects on morphological indices, hematological parameters and antioxidant responses

In this study, the toxic effects of verapamil (VRP) were studied on juvenile rainbow trout, Oncorhynchus mykiss, by chronic semi-static bioassay. Fish were exposed to sublethal concentrations of VRP (0.5, 27 and 270 μg/L) for 0, 21 and 42 d. Multiple biomarkers were measured, including morphological indices, hematological parameters and antioxidant responses of different tissues (brain, gill, liver, muscle and intestine). Based on the results, there was no significant change in all parameters measured in fish exposed to VRP at environmental related concentration, but VRP-induced stress in fish exposed to higher concentrations reflected the significant changes of physiological and biochemical responses. Through principal component analysis and integrated biomarker response assessment, effects induced by VRP-stress in each test group were distinguished. Additionally, all parameters measured in this study displayed various dependent patterns to VRP concentrations and exposure time using two-way ANOVA statistic analysis. In short, the multiple responses in fish indicated that VRP induced physiological stress and could be used as potential biomarkers for monitoring residual VRP in aquatic environment; but molecular and genetic mechanisms of these physiological responses in fish are not clear and need to be further studied.

Enantiomeric fraction as an indicator of pharmaceutical biotransformation during wastewater treatment and in the environment--a review

Enantioselective analysis of some pharmaceuticals during wastewater treatment has the potential to reveal significant insights regarding the effectiveness of biotransformation processes. Furthermore, enantioselective analysis of chiral pharmaceuticals in the aquatic environment may provide a useful historical record revealing the dominant source of (treated or untreated) wastewater contamination. This review of the recent scientific literature has identified only a handful of studies that have directly investigated these promising applications. However, a range of enantioselective analytical techniques are likely to be adaptable from those which have been developed within the pharmaceutical industry. These include direct enantioseparations of enantiomers on chiral stationary phases as well as indirect separations by achiral stationary phases after chiral derivatization to form pairs of physically distinguishable diastereomers. Further investigations of the patterns of enantiomeric fractionation of pharmaceuticals in wastewater and environmental samples will provide an increasingly solid understanding of the relationship between biotransformation processes and the often overlooked parameter of enantiomeric fraction.

Fully automated determination of 74 pharmaceuticals in environmental and waste waters by online solid phase extraction-liquid chromatography-electrospray-tandem mass spectrometry

The present work describes the development of a fully automated method, based on on-line solid-phase extraction (SPE)-liquid chromatography-electrospray-tandem mass spectrometry (LC-MS-MS), for the determination of 74 pharmaceuticals in environmental waters (superficial water and groundwater) as well as sewage waters. On-line SPE is performed by passing 2.5 mL of the water sample through a HySphere Resin GP cartridge. For unequivocal identification and confirmation two selected reaction monitoring (SRM) transitions are monitored per compound, thus four identification points are achieved. Quantification is performed by the internal standard approach, indispensable to correct the losses during the solid phase extraction, as well as the matrix effects. The main advantages of the method developed are high sensitivity (limits of detection in the low ng L(-1) range), selectivity due the use of tandem mass spectrometry and reliability due the use of 51 surrogates and minimum sample manipulation. As a part of the validation procedure, the method developed has been applied to the analysis of various environmental and sewage samples from a Spanish river and a sewage treatment plant.

Ecotoxocological effects of short-term exposure to a human pharmaceutical Verapamil in juvenile rainbow trout (Oncorhynchus mykiss)

Verapamil (VRP) is a calcium channel blocker that is a highly prescribed compound and commonly present in aquatic environment, but the ecotoxicological effects of this pharmaceutical in fish have not been fully documented. In this study, the toxic effects of VRP were studied in juvenile rainbow trout, Oncorhynchus mykiss, by acute static bioassay. In the acute test, the median lethal concentration (LC50, 2.72 mg/L) was evaluated and the behavioral changes were obviously intensified with increasing VRP concentrations. Compared to the control, oxidative stress was observed in fish tissues with different levels after short-term exposure to sublethal concentrations (0.27 and 1.35 mg/L) of VRP. Activities of SOD and GPx in fish brain were induced at 0.27 mg/L VRP, but all the antioxidant enzymes (SOD, GPx and GR) in fish brain were decreased at 1.35 mg/L VRP. When compared to the control, all the antioxidant enzymes in gill were decreased in both treated groups, but there was no significant change in muscle. Additional, muscle DNA/RNA ratio in fish exposed at 1.35 mg/L VRP was significantly lower than that in the control. Furthermore, through chemometrics of all parameters measured in fish exposed to sublethal VRP concentrations using principal component analysis, two groups with 89.8% of total accumulated variance were distinguished. In short, the physiological and biochemical responses in of fish indicated that VRP-induced environmental stress; but according to VRP residual status in the natural environment, more long-term experiments at lower concentrations will be necessary in the future.

Psychiatric pharmaceuticals in the environment

Psychiatric pharmaceuticals, such as anxiolytics, sedatives, hypnotics, and antidepressants, are among the most prescribed active substances throughout the world. The occurrence of these widely used compounds in environmental matrices (wastewaters, surface, ground and drinking waters, soils, sediments, bio-solids and tissue), as well as the first studies indicating their high persistence and toxicity to non-target organisms, justify the growing concern about these emerging environmental pollutants. Despite this increasing interest, there is a considerable lack of knowledge about the environmental fate of a large number of psychiatric pharmaceuticals and further research about this topic is needed. This paper aims to review the literature data related to the occurrence, persistence, environmental fate and toxicity for non-target organisms of this group of pharmaceuticals. The analytical methods developed for the determination of psychiatric medicines in environmental matrices are also highlighted.

Removal of antibiotics and non-steroidal anti-inflammatory drugs by extended sludge age biological process

Removal of four antibiotics (sulfamethoxazole, sulfadimethoxine, sulfamethazine and trimethoprim) and four non-steroidal anti-inflammatory drugs (acetaminophen, ibuprofen, ketoprofen and naproxen) using extended sludge age biological process was investigated. The sludge age of the biological system was greater than 200d. Hydraulic retention time of 12h was maintained throughout the experiment. The extended sludge age biological process is able to treat pharmaceuticals with good and steady removal efficiencies: 64-93% removal for antibiotics over 1-5microgL(-1) influent concentrations and 94% to complete removal for acetaminophen and ibuprofen with a wide range of influent concentrations 1-100microgL(-1). For ketoprofen and naproxen the removal efficiencies are 79-96% over a range of 1-15microgL(-1) influent concentrations. The removal efficiency decreases with increasing initial concentrations for all target compounds except for ibuprofen. This indicates that the initial influent concentration is an important parameter for the studies of fate of pharmaceuticals. The amount of bio-mass and size of the reactor required to achieve good and steady removal efficiencies for known influent pharmaceutical concentrations are also suggested in this study.

Occurrence and implications of estrogens and xenoestrogens in sewage effluents and receiving waters from South East Queensland

We report a survey on the occurrence of estrogens (estrone, E1; 17beta-estradiol, E2; 17alpha-ethynylestradiol, EE2) and xenoestrogens (bisphenol-A, BPA; 4-t-octylphenol, 4-t-OP; 4-nonylphenols, 4-NP; and nonylphenol mono- and di-ethoxylates, NPE1 and NPE2) in effluents from five wastewater treatment plants and their receiving waters in South East Queensland. The total xenoestrogen concentrations in effluent ranged between 2446 ng/L and 6579 ng/L, with 4-NP and NPE1-2 having much higher concentration levels than BPA and 4-t-OP. The estrogen levels in effluent varied from 9.12 to 32.22 ng/L for E1, from 1.37 ng/L to 6.35 ng/L for E2 and from 0.11 ng/L to 1.20 ng/L for EE2. No significant differences (p<0.05) in the concentrations of the selected estrogenic compounds were found for the effluents from the five sewage treatment plants. The estrogens and xenoestrogens were also found in the receiving waters at relatively lower concentration levels due to dilution of effluents in the rivers. Based on the chemical analysis data and relative potency of the compound from in vitro and in vivo bioassays from the literature, the calculated in vitro EEQ values (estrogen equivalents) in the receiving river waters downstream of the effluent discharge points ranged from 1.32 to 11.79 ng/L, while the in vivo EEQ values (vitellogenin response in rainbow trout) ranged from 2.48 to 21.18 ng/L. The three estrogens accounted for the majority of the EEQ in the water samples. This study indicates that the rivers of South East Queensland are at potential risk.

Indirect photodegradation of amine drugs in aqueous solution under simulated sunlight

The photodegradation of the widely used amine drugs including primary amine (mexiletine), secondary amine (propranolol, phenytoin), and tertiary amine (diphenhydramine, antipyrine) were investigated in the presence of nitrate and humic substances under simulated sunlight. All of the amine drugs were photodegraded by nitrate due to the attack of hydroxyl radicals (*OH). The bimolecular rate constants for the reaction between each amine drug and *OH ranged from (2.1 +/- 0.2) x 10(9) to (8.7 +/- 0.3) x 10(9) M(-1) s(-1). In contrast, only mexiletine, propranolol, and diphenhydramine were selectively photodegraded in the presence of humic substances (HS). Fulvic acid was a more efficient sensitizer than humic acid throughout. The HS triplet states were verified to be main reactive species in the photochemical reaction. Furthermore, an electron transfer mechanism for the reaction with the HS triplet states was proposed on the basis of all information obtained under a series of experiments. The electron transfer from the nonbonding electrons on nitrogen (N-electrons) of the amine drugs to the excited ketone of the HS occurred. The availability of N-electrons and presence of hydrogen on carbon alpha of amine (alpha-hydrogen) were two key factors for the electron-transfer interaction. Moreover, the photoproducts were identified by GC-MS and the degradation pathways were proposed. The results strongly suggest the impact of humic substances on the photochemical fate of amine drugs in the natural waters.

Occurrence and removal of pharmaceuticals in a municipal sewage treatment system in the south of Sweden

The occurrence and removal rate of seven pharmaceuticals (ibuprofen, naproxen, diclofenac, fluoxetine, ofloxacin, norfloxacin, ciprofloxacin), two metabolites (norfluoxetine, clofibric acid), one degradation product (4-isobutylacetophenone) and 3 estrogens (17alpha-ethinylestradiol, 17beta-estradiol, estrone) were studied in the inlet and outlet of a tertiary sewage treatment plant (STP) in Sweden as well as between different treatment steps in the STP which includes a conventional activated sludge step. Pharmaceuticals in raw household and raw hospital sewage streams leading to the STP were as well investigated. Hydraulic retention times (HRT) of each treatment step was considered for sampling and for the calculation of the removal rates. These rates were above 90%, except for diclofenac, clofibric acid, estrone and ofloxacin. However, only diclofenac and naproxen showed significant effluent loads (>145 mg/d/1000 inh). Diclofenac was not eliminated during the treatment and in fact even higher concentrations were found at the effluent than in the inlet of the STP. 17alpha-Ethinylestradiol was not detected in any of the samples. Results indicate that a STP such as the one in Kristianstad, Sweden, with a tertiary treatment is sufficient to remove significantly most of the investigated pharmaceuticals. The chemical treatment improved the removal of several pharmaceuticals especially the antibiotics, which showed step removal rates between 55 and 70%. The expected concentration levels of the pharmaceuticals in the surface water (dilution 1 to 10) close to the outlet of the STP are below the no-observed effect-concentration (NOEC). However, despite that this would imply no important effects in the aquatic environment one cannot rule out negative consequences nearby the STP because most of the NOEC values are derived from acute toxicity data. This may underestimate the real impact of pharmaceuticals in the aquatic ecosystem.

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.

Factors impacting on pharmaceutical leaching following sewage application to land

Sewage effluent application to land is a treatment technology that requires appropriate consideration of various design factors. Soil type, level of sewage pre-treatment and irrigation rate were assessed for their influence on the success of soil treatment in removing pharmaceuticals remaining after conventional sewage treatment. A large scale experimental site was built to assess treatment performance in a realistic environment. Of the factors investigated, soil type had the biggest impact on treatment performance. In particular, carbamazepine was very efficiently removed (>99%) when irrigated onto a volcanic sandy loam soil. This was in contrast to irrigation onto a sandy soil where no carbamazepine removal occurred after irrigation. Differences were likely caused by the presence of allophane in the volcanic soil which is able to accumulate a high level of organic matter. Carbamazepine apparent adsorption distribution coefficients (K(d)) for both soils when irrigated with treated sewage effluent were determined as 25 L kg(-1) for the volcanic soil and 0.08 L kg(-1) for the sandy soil. Overall, a volcanic soil was reasonably efficient in removing carbamazepine while soil type was not a major factor for caffeine removal. Removal of caffeine, however, was more efficient when a partially treated rather than fully treated effluent was applied. Based on the investigated pharmaceuticals and given an appropriate design, effluent irrigation onto land, in conjunction with conventional sewage treatment may be considered a beneficial treatment for pharmaceutical removal.

Sorption and mobility of pharmaceutical compounds in soil irrigated with reclaimed wastewater

Use of reclaimed wastewater for irrigation is an important route for the introduction of pharmaceutical compounds (PCs) into the environment. In this study, the mobility and sorption-desorption behavior of carbamazepine, naproxen and diclofenac were studied in soil layers sampled from a plot irrigated with secondary-treated wastewater (STWW). Carbamazepine and diclofenac were significantly retarded in the 0-5 cm soil sample rich in soil organic matter (SOM): carbamazepine was not affected by the water quality (freshwater versus STWW), whereas diclofenac exhibited a higher retardation factor (RF) in the freshwater system. Naproxen exhibited significantly lower RFs than diclofenac but with a similar trend - higher retardation in the freshwater versus STWW system. In the 5-15 cm soil sample containing low SOM, naproxen was highly mobile while carbamazepine and diclofenac were still retarded. In the 15-25 cm sample, all compounds exhibited their lowest RFs. Sorption data suggested that SOM governs the studied PCs' interactions with the soil samples. However, higher carbon-normalized sorption coefficients were measured for the PCs in the 15-25 cm sample, suggesting that both quantity and the physicochemical nature of SOM affect sorption interactions. While both naproxen and carbamazepine exhibited reversible sorption isotherms, diclofenac exhibited pronounced sorption-desorption hysteresis. This study suggests that carbamazepine and diclofenac can be classified as slow-mobile compounds in SOM-rich soil layers. When these compounds pass this layer and/or introduced into SOM-poor soils, their mobility increases significantly. This emphasizes the potential transport of PCs to groundwater in semiarid zones due to intensive irrigation with reclaimed wastewater in SOM-poor soils.

Rejection of pharmaceuticals in nanofiltration and reverse osmosis membrane drinking water treatment

This paper investigates the removal of a broad range of pharmaceuticals during nanofiltration (NF) and reverse osmosis (RO) applied in a full-scale drinking water treatment plant (DWTP) using groundwater. Pharmaceutical residues detected in groundwater used as feed water in all five sampling campaigns were analgesics and anti-inflammatory drugs such as ketoprofen, diclofenac, acetaminophen and propyphenazone, beta-blockers sotalol and metoprolol, an antiepileptic drug carbamazepine, the antibiotic sulfamethoxazole, a lipid regulator gemfibrozil and a diuretic hydrochlorothiazide. The highest concentrations in groundwater were recorded for hydrochlorothiazide (58.6-2548ngL(-1)), ketoprofen (<MQL-314ngL(-1)), diclofenac (60.2-219.4ngL(-1)), propyphenazone (51.5-295.8ngL(-1)) and carbamazepine (8.7-166.5ngL(-1)). Excellent overall performance of both NF and RO was noted, with high rejection percentages for almost all of the pharmaceuticals investigated (>85%). Deteriorations in retentions on NF and RO membranes were observed for acetaminophen (44.8-73 %), gemfibrozil (50-70 %) and mefenamic acid (30-50%). Furthermore, since several pharmaceutical residues were detected in the brine stream of NF and RO processes at concentrations of several hundreds nanogram per litre, its disposal to a near-by river can represent a possible risk implication of this type of treatment.

Using liquid chromatography-ion trap mass spectrometry to determine pharmaceutical residues in Taiwanese rivers and wastewaters

To establish their environmental concentrations and to support surface water protection programs, we have undertaken a preliminary study of the concentrations of selected acidic and neutral pharmaceutical residues (clofibric acid, ketoprofen, ibuprofen, diclofenac and carbamazepine) in Taiwanese river and wastewater samples. These pharmaceutical residues were extracted from the water samples through the Oasis HLB solid-phase extraction (SPE). The analytes were then identified and quantified using liquid chromatography-ion trap mass spectrometry with dual-polarity electrospray ionization in the product ion scan mode. The limits of quantification (LOQs) ranged between 0.5 and 20 ngl(-1) for 250 ml samples of water. We investigated the intra- and interbatch precision and accuracy at two levels of concentration. The selected analytes were detected at concentrations ranging from <0.5 to 960 ngl(-1) in wastewater treatment plant effluents and river water samples.

Aerobic biodegradability of the calcium channel antagonist verapamil and identification of a microbial dead-end transformation product studied by LC-MS/MS

In recent years pharmaceuticals and personal care products have been detected in increasing concentrations in hospital effluents, sewage treatment plants (STP) as well as in different environmental compartments such as surface water, groundwater and soil. Little is known about the elimination of these substances during sewage treatment or about the formation of potential metabolites in the environment caused by bacterial biotransformation. To assess the biodegradability of the popular cardiovascular drug verapamil and the possible formation of potential microbial degradation products, two tests from the OECD series were used in the present study: the widely used Closed Bottle test (OECD 301 D) and the modified Zahn-Wellens test (OECD 302 B). In the Closed Bottle test, a screening test that simulates the conditions of an environmental surface water compartment, no biological degradation was observed for verapamil at concentrations of 2.33mgl(-1). In the Zahn-Wellens test, a test for inherent biodegradability which allows evaluation of aerobic degradation at high bacterial density, only a partial biological degradation was found. Analysis of test samples by high performance liquid chromatography coupled to multiple stage mass spectrometry (HPLC-MSn) revealed 2-(3,4-dimethoxyphenyl)-2-isopropyl-5-(methylamino)pentane nitrile, already known as D617 (Knoll nomenclature), a metabolite of mammalian metabolism, which is the major degradation product and dead-end transformation product of aerobic degradation of verapamil.