Synthetic hospital wastewater treatment by coupling submerged membrane bioreactor and electrochemical advanced oxidation process: Kinetic study and toxicity assessment

A review on hazards and treatment methods of released antibiotics in hospitals wastewater during the COVID-19 pandemic

Drugs and related goods are widely used in order to promote public health and the quality of life. One of the most serious environmental challenges affecting public health is the ongoing presence of antibiotics in the effluents generated by pharmaceutical industries and hospitals. Antibiotics cannot be entirely removed from wastewater using the traditional wastewater treatment methods. Unmetabolized antibiotics generated by humans can be found in urban and livestock effluent. The antibiotic present in effluent contributes to issues with resistance to antibiotics and the creation of superbugs. Over the recent 2 years, the coronavirus disease 2019 pandemic has substantially boosted hospital waste volume. In this situation, a detailed literature review was conducted to highlight the harmful effects of untreated hospital waste and outline the best approaches to manage it. Approximately 50 to 70% of the emerging contaminants prevalent in the hospital wastewater can be removed using traditional treatment strategies. This paper emphasizes the numerous treatment approaches for effectively eliminating emerging contaminants and antibiotics from hospital wastewater and provides an overview of global hospital wastewater legislation and guidelines on hospital wastewater administration. Around 90% of ECs might be eliminated by biological or physical treatment techniques when used in conjunction with modern oxidation techniques. According to this research, hybrid methods are the best approach for removing antibiotics and ECs from hospital wastewater. The document outlines the many features of effective hospital waste management and might be helpful during and after the coronavirus disease 2019 outbreak, when waste creation on all hospitals throughout the globe has considerably increased.

Analysis of factors influencing on Electro-Fenton and research on combination technology (II): a review

The principle of Fenton reagent is to produce ·OH by mixing H2O2 and Fe2+ to realize the oxidation of organic pollutants, although Fenton reagent has the advantages of non-toxicity and short reaction time, but there are its related defects. The Fenton-like technology has been widely studied because of its various forms and better results than the traditional Fenton technology in terms of pollutant degradation efficiency. This paper reviews the electro-Fenton technology among the Fenton-like technologies and provides an overview of the homogeneous electro-Fenton. It also focuses on summarizing the effects of factors such as H2O2, reactant concentration, reactor volume and electrode quality, reaction time and voltage (potential) on the efficiency of electro-Fenton process. It is shown that appropriate enhancement of H2O2 concentration, voltage (potential) and reaction volume can help to improve the process efficiency; the process efficiency also can be improved by increasing the reaction time and electrode quality. Feeding modes of H2O2 have different effects on process efficiency. Finally, a considerable number of experimental studies have shown that the combination of electro-Fenton with ultrasound, anodic oxidation and electrocoagulation technologies is superior to the single electro-Fenton process in terms of pollutant degradation.

Nanoplastics removal from spiked laundry wastewater using electro-peroxidation process

Microplastics and nanoplastics (NPs) in laundry wastewater (LWW) are major sources of plastic particles in wastewater treatment plants. Unlike microplastics, almost no information exists in the literature on the degradation of NPs in LWW. In this work, the degradation of NPs in commercial LWW by the electro-peroxidation process is investigated. The obtained results demonstrated that already existing ions in LWW such as Cl- contribute to faster degradation of NPs and a complete removal could be obtained as fast as 40 min. In addition, three-dimensional excitation and emission matrix fluorescence analysis was performed, which revealed humic acid-like, aromatic proteins-like, and fulvic acid-like compounds could be oxidized after 20, 40, and 60 min of treatment respectively. The effects of operating parameters on the process performance were then examined by response surface methodology (RSM) models. The results showed that initial TOC concentration was the most important parameter influencing negatively the percentage of NP degradation. Afterward, optimization of the process revealed that the energy consumption could be minimized at 31.2 mA/cm2, 0.025 mol/L [Na2SO4], and 52 min treatment time for 52.2 mg/L initial TOC. Finally, analysis of treated LWW showed no toxicity on Daphnia magna. This study showed that the electro-peroxidation process can completely degrade NPs in LWW without any remaining toxic compounds.

Comprehensive understanding of electrochemical treatment systems combined with biological processes for wastewater remediation

The presence of toxic pollutants in wastewater discharge can affect the environment negatively due to presence of the organic and inorganic contaminants. The application of the electrochemical process in wastewater treatment is promising, specifically in treating these harmful pollutants from the aquatic environment. This review focused on recent applications of the electrochemical process for the remediation of such harmful pollutants from aquatic environments. Furthermore, the process conditions that affect the electrochemical process performance are evaluated, and the appropriate treatment processes are suggested according to the presence of organic and inorganic contaminants. Electrocoagulation, electrooxidation, and electro-Fenton applications in wastewater have shown effective performance with high removal rates. The disadvantages of these processes are the formation of toxic intermediate metabolites, high energy consumption, and sludge generation. To overcome such disadvantages combined ecotechnologies can be applied in large-scale wastewater pollutants removal. The combination of electrochemical and biological treatment has gained importance, increased removal performance remarkably, and decreased operational costs. The critical discussion with depth information in this review could be beneficial for wastewater treatment plant operators throughout the world.

Role of bio-electrochemical technology for enzyme activity stimulation in high-consumption pharmaceuticals biodegradation

Active pharmaceutical ingredients (APIs) and their intermediate residues have recently been considered a serious concern. Among technologies, bio-electrochemical technologies (BETs) have stimulated the production of bio-electrical energy. This review aims to examine the benefit and mechanism of BETs on the degradation of high-consumption pharmaceutical compounds, including antibiotic, anti-inflammatory, and analgesic drugs, and the stimulation of enzymes induced in a bioreactor. Moreover, intermediates and the proposed pathways of pharmaceutical compound biodegradation in BETs are to be explained in this review. According to studies performed exclusively, the benefit of BETs is using bio-electroactive microbes to mineralize recalcitrant pharmaceutical contaminants by promoting enzyme activity and energy. Since BETs use the electron transfer chain between bio-anode/-cathode and pharmaceuticals, the enzyme activity is essential in the oxidation and reduction of phenolic rings of drugs and the ineffective detoxification of effluent from the treatment plant. This study is suggested a vital and influential role of BETs in mineralizing and enzyme induction in bioreactors. Eventually, a content of future developments or outlooks of BETs are propounded to improve the pharmaceutical industries' wastewater problems.

Microplastic sources, formation, toxicity and remediation: a review

Microplastic pollution is becoming a major issue for human health due to the recent discovery of microplastics in most ecosystems. Here, we review the sources, formation, occurrence, toxicity and remediation methods of microplastics. We distinguish ocean-based and land-based sources of microplastics. Microplastics have been found in biological samples such as faeces, sputum, saliva, blood and placenta. Cancer, intestinal, pulmonary, cardiovascular, infectious and inflammatory diseases are induced or mediated by microplastics. Microplastic exposure during pregnancy and maternal period is also discussed. Remediation methods include coagulation, membrane bioreactors, sand filtration, adsorption, photocatalytic degradation, electrocoagulation and magnetic separation. Control strategies comprise reducing plastic usage, behavioural change, and using biodegradable plastics. Global plastic production has risen dramatically over the past 70 years to reach 359 million tonnes. China is the world's top producer, contributing 17.5% to global production, while Turkey generates the most plastic waste in the Mediterranean region, at 144 tonnes per day. Microplastics comprise 75% of marine waste, with land-based sources responsible for 80-90% of pollution, while ocean-based sources account for only 10-20%. Microplastics induce toxic effects on humans and animals, such as cytotoxicity, immune response, oxidative stress, barrier attributes, and genotoxicity, even at minimal dosages of 10 μg/mL. Ingestion of microplastics by marine animals results in alterations in gastrointestinal tract physiology, immune system depression, oxidative stress, cytotoxicity, differential gene expression, and growth inhibition. Furthermore, bioaccumulation of microplastics in the tissues of aquatic organisms can have adverse effects on the aquatic ecosystem, with potential transmission of microplastics to humans and birds. Changing individual behaviours and governmental actions, such as implementing bans, taxes, or pricing on plastic carrier bags, has significantly reduced plastic consumption to 8-85% in various countries worldwide. The microplastic minimisation approach follows an upside-down pyramid, starting with prevention, followed by reducing, reusing, recycling, recovering, and ending with disposal as the least preferable option.

Critical review of technologies for the on-site treatment of hospital wastewater: From conventional to combined advanced processes

This review aims to assess different technologies for the on-site treatment of hospital wastewater (HWW) to remove pharmaceutical compounds (PhCs) as sustances of emerging concern at a bench, pilot, and full scales from 2014 to 2020. Moreover, a rough characterisation of hospital effluents is presented. The main detected PhCs are antibiotics and psychiatric drugs, with concentrations up to 1.1 mg/L. On the one hand, regarding the presented technologies, membrane bioreactors (MBRs) are a good alternative for treating HWW with PhCs removal values higher than 80% in removing analgesics, anti-inflammatories, cardiovascular drugs, and some antibiotics. Moreover, this system has been scaled up to the pilot plant scale. However, some target compounds are still present in the treated effluent, such as psychiatric and contrast media drugs and recalcitrant antibiotics (erythromycin and sulfamethoxazole). On the other hand, ozonation effectively removes antibiotics found in the HWW (>93%), and some studies are carried out at the pilot plant scale. Even though, some families, such as the X-ray contrast media, are recalcitrant to ozone. Other advanced oxidation processes (AOPs), such as Fenton-like or UV treatments, seem very effective for removing pharmaceuticals, Antibiotic Resistance Bacteria (ARBs) and Antibiotic Resistance Genes (ARGs). However, they are not implanted at pilot plant or full scale as they usually consider extra reactants such as ozone, iron, or UV-light, making the scale-up of the processes a challenging task to treat high-loading wastewater. Thus, several examples of biological wastewater treatment methods combined with AOPs have been proposed as the better strategy to treat HWW with high removal of PhCs (generally over 98%) and ARGs/ARBs (below the detection limit) and lower spending on reactants. However, it still requires further development and optimisation of the integrated processes.

Membranes for the life sciences and their future roles in medicine

Since the global outbreak of COVID-19, membrane technology for clinical treatments, including extracorporeal membrane oxygenation (ECMO) and protective masks and clothing, has attracted intense research attention for its irreplaceable abilities. Membrane research and applications are now playing an increasingly important role in various fields of life science. In addition to intrinsic properties such as size sieving, dissolution and diffusion, membranes are often endowed with additional functions as cell scaffolds, catalysts or sensors to satisfy the specific requirements of different clinical applications. In this review, we will introduce and discuss state-of-the-art membranes and their respective functions in four typical areas of life science: artificial organs, tissue engineering, in vitro blood diagnosis and medical support. Emphasis will be given to the description of certain specific functions required of membranes in each field to provide guidance for the selection and fabrication of the membrane material. The advantages and disadvantages of these membranes have been compared to indicate further development directions for different clinical applications. Finally, we propose challenges and outlooks for future development.

Towards practical integration of MBR with electrochemical AOP: Improved biodegradability of real pharmaceutical wastewater and fouling mitigation

In the current study, we report enhanced treatment of real pharmaceutical wastewater by integration of Electrooxidation (EO) with Membrane Bio-Reactor (MBR) for the first time. Integrated pre-pilot EO-MBR plant consisted of a 3D printed electrochemical flowcell equipped with graphite electrodes installed in the effluent recirculation line of an MBR equipped with a hollow fiber membrane module. Results demonstrated that 5 V was the optimum voltage level for an isolated EO system. Isolated EO system led to 40% COD removal and 2.5 fold biodegradability index (BOD₅/COD) improvement after 24 hr treatment at the optimum voltage of 5 V and 160 mL.min^-1 flowrate. Almost complete removal of COD and BOD₅ was observed for the EO-MBR system with 160 mL.min^-1 recirculation rate and 24 hr HRT, while respective values were 60 and 87% for the MBR system at same operational conditions. Oxidation of pharmaceutical compounds identified in real wastewater and the fate of main oxidation-recalcitrant by-products were confirmed using liquid chromatography techniques. In addition, the integrated EO-MBR system led to significant membrane fouling mitigation with a 28 day extended operational time before reaching the Trans Membrane Pressure (TMP) limit value of 30 kPa. Measurements revealed reduced Extracellular Polymeric Substances (EPS) Concentration of membrane sludge cake layer of EO-MBR along with significant reduction of proteinaceous compounds in the LB-EPS fraction of cake layer in comparison with isolated MBR system. Fouling behavior improvement of the EO-MBR system was attributed to the electrophilic attack of electrochemically generated hydroxyl radicals to the electron-rich moieties of EPS organic foulants. Reduced proteinaceous/humic-like substances of LB-EPS from the cake layer were further confirmed by Emission Excitation matrix (EEM) and Fourier Transform InfraRed (FTIR) spectroscopic methods. The results of current research provide a helpful basis for future studies by elucidating the complex operating/fouling mechanism of integrated Advanced Oxidation Processes (AOPs) with MBR systems for enhanced treatment of organics polluted wastewaters with low biodegradability.

Electrochemical degradation of nanoplastics in water: Analysis of the role of reactive oxygen species

Microplastics and nanoplastics (NPs) are emerging water contaminants which have recently gained lots of attention because of their effects on the aquatic systems and human life. Most of the previous works on the treatment of plastic pollution in water have been focused on microplastics and a very limited study has been performed on the NPs treatment. In this work, the role of main reactive oxygen species (ROSs) in the electrooxidation (EO) and electro-peroxidation (EO-H₂O₂) of NPs in water is investigated. In-situ generation of hydroxyl radicals (^•OH), persulfates (S₂O₈^2-), and hydrogen peroxide (H₂O₂) were performed using boron-doped diamond (BDD) as the anode, whereas titanium (in EO process) and carbon felt (CF, in EO-H₂O₂ process) were used as cathode. In the EO process, NPs were mainly oxidized by two types of ROSs on the BDD surface: (i) ^•OH from water discharge and (ii) SO₄^•- via S₂O₈^2- reaction with ^•OH. In EO-H₂O₂ process, NPs were additionally degraded by ^•OH formed from H₂O₂ decomposition as well as SO₄^•- generated from direct or indirect reactions with H₂O₂. Analysis of the degradation of NPs showed that EO-H₂O₂ process was around 2.6 times more effective than EO process. The optimum amount of NPs degradation efficiency of 86.8% was obtained using EO-H₂O₂ process at the current density of 36 mA·cm^-2, 0.03 M Na₂SO₄, pH of 2, and 40 min reaction time. In addition, 3D EEM fluorescence analysis confirmed the degradation of NPs. Finally, the economic analysis showed the treatment of NPs using EO-H₂O₂ process had an operating cost of 2.3 $US.m^-3, which was around 10 times less than the EO process. This study demonstrated that the in-situ generation of ROSs can significantly enhance the degradation of NPs in water.

Enhancement of membrane fouling mitigation and trace organic compounds removal by electric field in a microfiltration reactor treating secondary effluent of a municipal wastewater treatment plant

Applying an electric field in the membrane filtration was an effective method to alleviate membrane fouling and enhance the trace organic compounds (TrOCs) removal. The secondary effluent of a municipal wastewater treatment plant was used as feed water to evaluate the performance of the electric field coupled microfiltration system. Applying a 1.25 V voltage reduced 22.9% membrane fouling by electrophoretic force, and the membrane fouling was alleviated by 70.8% at 3 V by electrochemical oxidation and electric field force. At 3 V, active chlorine and hydroperoxide generated on the electrodes and the acidic environment formed around the anode significantly inhibited the growth of microorganisms and their attachment on the membrane surface, and thus reduced the membrane fouling formed by microorganisms. Electrochemical oxidation also removed the protein in wastewater and changed the main organic components of membrane fouling from microorganisms, protein, and polysaccharide to humic substances and polysaccharide. Furthermore, the electrophoretic force and acidic environment reduced the electrostatic repulsion of humic substances and made them tend to aggregate and form hydrophilic porous fouling structures, which obviously lowered filtration resistance and showed significant membrane fouling mitigation. Also, the electric field effectively enhanced the removal of target TrOCs through electrochemical oxidation and electric field force improving the elimination of TrOCs from 8.5% ~ 26.1% at 0 V to 35.9% ~ 84.8% at 3 V.

A critical review on ibuprofen removal from synthetic waters, natural waters, and real wastewaters by advanced oxidation processes

Ibuprofen (IBP) is one ubiquitous drug prescribed as anti-inflammatory, analgesic, and antipyretic. It has been detected in effluents of wastewater plant treatments, sewage sludge, hospital wastewaters, surface waters, and drinking water due to its continuous release to the environment, mainly from the excretion in the urine of animals and humans. IBP is a carcinogenic and non-steroidal endocrine disrupting drug with harmful effects over fungal, bacterial, algae, microorganisms, crustacean, and fish species, and can be potentially hazard for human health. Since conventional treatments remove inefficiently this drug, many advanced oxidation processes (AOPs) have been developed aiming their abatement from waters to avoid their harmful health problems. This paper presents an exhaustive and critical review on the application of AOPs to treat synthetic waters, natural waters, and real wastewaters polluted with IBP alone or mixed with other common drugs covering up to 2020. The characteristics and main results obtained for single, hybrid, and sequential treatments are described. Dielectric barrier or pulsed-corona discharges are detailed among the single processes. Hybrid processes such as photocatalysis (UV/H₂O₂, UV/chlorine, TiO₂/UV), hybrid ozonation (O₃/H₂O₂, electro-peroxone, catalytic ozonation), Fenton-based processes (photo-Fenton, electro-Fenton, photoelectro-Fenton), zero-valent iron, ultrasonic, peroxymonosulfate, and persulfate, are discussed. The effect of the kind of irradiation (UV, visible, solar) on photo-assisted processes is analyzed. Sequential processes with biological pre- or post-treatments using or not membranes for natural water and real wastewater remediation are described. Finally, 38 by-products detected during IBP removal by AOPs are reported, allowing envisaging three parallel pathways for its initial degradation.

Strategies to enhance micropollutant removal from wastewater by membrane bioreactors: Recent advances and future perspectives

Membrane bioreactor (MBR) has been widely implemented to advance wastewater treatment and reuse. Nevertheless, conventional MBRs with porous microfiltration or ultrafiltration membranes are not designed for the removal of micropollutants, which ubiquitously occur in wastewater at trace concentrations, but potentially exert detrimental impacts to the ecosystem. Several effective strategies have been applied to improve MBR performance for micropollutant removal, particularly the hydrophilic and recalcitrant compounds. These strategies mainly include the optimization of operational conditions, employment of high-retention membranes to replace porous ones, addition of functional materials into bioreactor, and integration of effluent purification processes. In particular, effluent purification by advanced oxidation processes (AOPs) and high-retention membranes can complement MBR to secure almost complete removal of micropollutants. Nevertheless, further research is still necessary to evaluate the technical and economic feasibility of these strategies, especially for long-term treatment performance, to screen the suitable techniques for industrial MBR applications.

Electrochemical Technologies to Decrease the Chemical Risk of Hospital Wastewater and Urine

The inefficiency of conventional biological processes to remove pharmaceutical compounds (PhCs) in wastewater is leading to their accumulation in aquatic environments. These compounds are characterized by high toxicity, high antibiotic activity and low biodegradability, and their presence is causing serious environmental risks. Because much of the PhCs consumed by humans are excreted in the urine, hospital effluents have been considered one of the main routes of entry of PhCs into the environment. In this work, a critical review of the technologies employed for the removal of PhCs in hospital wastewater was carried out. This review provides an overview of the current state of the developed technologies for decreasing the chemical risks associated with the presence of PhCs in hospital wastewater or urine in the last years, including conventional treatments (filtration, adsorption, or biological processes), advanced oxidation processes (AOPs) and electrochemical advanced oxidation processes (EAOPs).

Hospital Wastewater-Source of Specific Micropollutants, Antibiotic-Resistant Microorganisms, Viruses, and Their Elimination

Municipal wastewaters can generally provide real-time information on drug consumption, the incidence of specific diseases, or establish exposure to certain agents and determine some lifestyle consequences. From this point of view, wastewater-based epidemiology represents a modern diagnostic tool for describing the health status of a certain part of the population in a specific region. Hospital wastewater is a complex mixture of pharmaceuticals, illegal drugs, and their metabolites as well as different susceptible and antibiotic-resistant microorganisms, including viruses. Many studies pointed out that wastewater from healthcare facilities (including hospital wastewater), significantly contributes to higher loads of micropollutants, including bacteria and viruses, in municipal wastewater. In addition, such a mixture can increase the selective pressure on bacteria, thus contributing to the development and dissemination of antimicrobial resistance. Because many pharmaceuticals, drugs, and microorganisms can pass through wastewater treatment plants without any significant change in their structure and toxicity and enter surface waters, treatment technologies need to be improved. This short review summarizes the recent knowledge from studies on micropollutants, pathogens, antibiotic-resistant bacteria, and viruses (including SARS-CoV-2) in wastewater from healthcare facilities. It also proposes several possibilities for improving the wastewater treatment process in terms of efficiency as well as economy.

Recent Trends in Pharmaceuticals Removal from Water Using Electrochemical Oxidation Processes

Nowadays, the research on the environmental applications of electrochemistry to remove recalcitrant and priority pollutants and, in particular, drugs from the aqueous phase has increased dramatically. This literature review summarizes the applications of electrochemical oxidation in recent years to decompose pharmaceuticals that are often detected in environmental samples such as carbamazapine, sulfamethoxazole, tetracycline, diclofenac, ibuprofen, ceftazidime, ciprofloxacin, etc. Similar to most physicochemical processes, efficiency depends on many operating parameters, while the combination with either biological or other physicochemical methods seems particularly attractive. In addition, various strategies such as using three-dimensional electrodes or the electrosynthesis of hydrogen peroxide have been proposed to overcome the disadvantages of electrochemical oxidation. Finally, some guidelines are proposed for future research into the applications of environmental electrochemistry for the degradation of xenobiotic compounds and micropollutants from environmental matrices. The main goal of the present review paper is to facilitate future researchers to design their experiments concerning the electrochemical oxidation processes for the degradation of micropollutants/emerging contaminants, especially, some specific drugs considering, also, the existing limitations of each process.

Treatment processes for microplastics and nanoplastics in waters: State-of-the-art review

In this work, established treatment processes for microplastics (MPs) and nanoplastics (NPs) in water as well as developed analytical techniques for evaluation of the operation of these processes were reviewed. In this regard, the strengths and limitations of different qualitative and quantitative techniques for the analysis of MPs and NPs in water treatment processes were first discussed. Afterward, the MPs and NPs treatment processes were categorized into the separation and degradation processes and the challenges and opportunities in their performance were analyzed. The evaluation of these processes revealed that the MPs or NPs removal efficiency of the separation and degradation processes could reach up to 99% and 90%, respectively. It can be concluded from this work that the combination of separation and degradation processes could be a promising approach to mineralize MPs and NPs in water with high efficiency.

Prospects on coupling UV/H2O2 with activated sludge or a fungal treatment for the removal of pharmaceutically active compounds in real hospital wastewater

Conventional active sludge (AS) process at municipal centralized wastewater treatment facilities may exhibit little pharmaceuticals (PhACs) removal efficiencies when treating hospital wastewater (HWW). Therefore, a dedicated efficient wastewater treatment at the source point is recommended. In this sense, advanced oxidation processes (AOPs) and fungal treatment (FG) have evidenced promising results in degrading PhACs. The coupling of the AOP based on UV/H₂O₂ treatment with biological treatment (AS or FG) treating a real non-sterile HWW, was evaluated in this work. In addition, a coagulation-flocculation pretreatment was applied to improve the efficiency of all approaches. Twenty-two PhACs were detected in raw HWW, which were effectively removed (93-95%) with the combination of any of the biological treatment followed by UV/H₂O₂ treatment. Similar removal results (94%) were obtained when placing UV/H₂O₂ treatment before FG, while a lower removal (83%) was obtained in the combination of UV/H₂O₂ followed by AS. However, the latest was the only treatment combination that achieved a decrease in the toxicity of water. Moreover, deconjugation of conjugated PhACs has been suggested for ofloxacin and lorazepam after AS treatment, and for ketoprofen after fungal treatment. Monitoring of carbamazepine and its transformation products along the treatment allowed to identify the same carbamazepine degradation pathway in UV/H₂O₂ and AS treatments, unlike fungal treatment, which followed another degradation route.

Comparative overview of advanced oxidation processes and biological approaches for the removal pharmaceuticals

Nowadays, pharmaceuticals are the center of significant environmental research due to their complex and highly stable bioactivity, increasing concentration in the water streams and high persistence in aquatic environments. Conventional wastewater treatment techniques are generally inadequate to remove these pollutants. Aiming to tackle this issue effectively, various methods have been developed and investigated on the light of chemical, physical and biological procedures. Increasing attention has recently been paid to the advanced oxidation processes (AOPs) as efficient methods for the complete mineralization of pharmaceuticals. Their high operating costs compared to other processes, however, remain a challenge. Hence, this review summarizes the current and state of art related to AOPs, biological treatment and their effective exploitation for the degradation of various pharmaceuticals and other emerging molecules present in wastewater. The review covers the last decade with a particular focus on the previous five years. It is further envisioned that this review of advanced oxidation methods and biological treatments, discussed herein, will help readers to better understand the mechanisms and limitations of these methods for the removal of pharmaceuticals from the environment. In addition, we compared AOPs and biological treatments for the disposal of pharmaceuticals from the point of view of cost, effectiveness, and popularity of their use. The exploitation of coupling AOPs and biological procedures for the degradation of pharmaceuticals in wastewater was also presented. It is worthy of note that an integrated AOPs/biological system is essential to reach the complete degradation of pharmaceuticals; other advantages of this hybrid technique involve low energy cost, an efficient degradation process and generation of non-toxic by-products.

Treatment of microplastics in water by anodic oxidation: A case study for polystyrene

Water pollution by microplastics (MPs) is a contemporary issue which has recently gained lots of attentions. Despite this, very limited studies were conducted on the degradation of MPs. In this paper, we reported the treatment of synthetic mono-dispersed suspension of MPs by using electrooxidation (EO) process. MPs synthetic solution was prepared with distilled water and a commercial polystyrene solution containing a surfactant. In addition to anode material, different operating parameters were investigated such as current intensity, anode surface, electrolyte type, electrolyte concentration, and reaction time. The obtained results revealed that the EO process can degrade 58 ± 21% of MPs in 1 h. Analysis of the operating parameters showed that the current intensity, anode material, electrolyte type, and electrolyte concentration substantially affected the MPs removal efficiency, whereas anode surface area had a negligible effect. In addition, dynamic light scattering analysis was performed to evaluate the size distribution of MPs during the degradation. The combination of dynamic light scattering, scanning electron microscopy, total organic carbon, and Fourier-transform infrared spectroscopy results suggested that the MPs did not break into smaller particles and they degrade directly into gaseous products. This work demonstrated that EO is a promising process for degradation of MPs in water without production of any wastes or by-products.

Electrochemical membrane bioreactors: State-of-the-art and future prospects

Integration of an electrochemical process with membrane bioreactor (MBR) has attracted considerable attention in the last decade for simultaneous improvement in pollutant removal and hydraulic performance of MBR. Electrochemical MBR (eMBR) with sacrificial anodes has been observed to achieve enhanced phosphorus (up to 40%) and micropollutant removal (5-60%). This is because direct anodic oxidation, indirect oxidation by reactive oxygen species and electrocoagulation can supplement the biological process. The application of an electric field can substantially reduce membrane fouling by 10% to 95% in the eMBR as compared to the conventional MBR. Sacrificial electrodes (e.g., iron or aluminium) have been reported to be more suitable for fouling mitigation than non-sacrificial electrodes (e.g., titanium). However, during prolonged operation, metal ions released from sacrificial electrodes can adversely affect microbial activity and could accumulate in activated sludge. Depending on the current density and electrode material (sacrificial or non- sacrificial), anodic oxidation, electrocoagulation, electrophoresis and/or electroosmosis mechanisms are responsible for suppressing membrane fouling propensity. This paper critically reviews the current status of the electrochemical MBR technology and presents a concise summary of eMBR configurations and electrode materials. Comparative removal of bulk organics, nutrients and micropollutants in the eMBR and conventional MBR is discussed, and performance governing factors are elucidated. Impacts of operating conditions such as current density on mixed liquor properties (e.g., floc size and zeta potential) and microbial activity are elucidated. The extent of membrane fouling mitigation along with associated mechanisms as well as energy consumption is explained and critically analysed. Future research directions are suggested to fast track the scalability of eMBR, which include but are not limited to electrode lifetime, development of self-cleaning conductive membranes, optimisation of operating parameters, removal of emerging micropollutants, accumulation of toxic metals in activated sludge, and degradation by-products and ecotoxicity.

Electro-oxidation of secondary effluents from various wastewater plants for the removal of acetaminophen and dissolved organic matter

Electro-oxidation of acetaminophen (ACT) in three different doped secondary effluents collected from a conventional Municipal Waste Water Treatment Plant (MWWTP), a MWWTP using a membrane bioreactor (WWTP MBR) and a lab-scale MBR treating source-separated urine (Urine MBR) was investigated by electro-Fenton (EF) coupled with anodic oxidation (AO) using sub-stoichiometric titanium oxide anode (Ti₄O₇). After 8 h of treatment, 90 ± 15%, 76 ± 3.8% and 46 ± 1.3% of total organic carbon removal was obtained for MWWTP, MWWTP-MBR and Urine-MBR respectively, at a current intensity of 250 mA, pH of 3 and [Fe²⁺] = 0.2 mM. Faster degradation of ACT was observed in the WWTP MBR because of the lower amount of competitive organic matter, however, >99% degradation of ACT was obtained after 20 min for all effluents. The acute toxicity of the treated effluent was measured using Microtox® tests. Results showed an initial increase in toxicity, which could be assigned to formation of more toxic by-products than parent compounds. From 3D excitation and emission matrix fluorescence (3DEEM), different reactivity was observed according to the nature of the organic matter. Particularly, an increase of low molecular weight organic compounds fluorescence was observed during Urine MBR treatment. This could be linked to the slow decrease of the acute toxicity during Urine MBR treatment and ascribed to the formation and recalcitrance of toxic organic nitrogen and chlorinated organic by-products. By comparison, the acute toxicity of other effluents decreased much more rapidly. Finally, energy consumption was calculated according to the objective to achieve (degradation, absence of toxicity, mineralization).

Recent Trends in Removal Pharmaceuticals and Personal Care Products by Electrochemical Oxidation and Combined Systems

Due to various potential toxicological threats to living organisms even at low concentrations, pharmaceuticals and personal care products in natural water are seen as an emerging environmental issue. The low efficiency of removal of pharmaceuticals and personal care products by conventional wastewater treatment plants calls for more efficient technology. Research on advanced oxidation processes has recently become a hot topic as it has been shown that these technologies can effectively oxidize most organic contaminants to inorganic carbon through mineralization. Among the advanced oxidation processes, the electrochemical advanced oxidation processes and, in general, electrochemical oxidation or anodic oxidation have shown good prospects at the lab-scale for the elimination of contamination caused by the presence of residual pharmaceuticals and personal care products in aqueous systems. This paper reviewed the effectiveness of electrochemical oxidation in removing pharmaceuticals and personal care products from liquid solutions, alone or in combination with other treatment processes, in the last 10 years. Reactor designs and configurations, electrode materials, operational factors (initial concentration, supporting electrolytes, current density, temperature, pH, stirring rate, electrode spacing, and fluid velocity) were also investigated.

Physical, chemical, and biological impact (hazard) of hospital wastewater on environment: presence of pharmaceuticals, pathogens, and antibiotic-resistance genes

Hospital wastewater contains various pharmaceuticals and pathogens. Improper management of the wastewater has caused the leakage of these harmful materials to the environment. The presence of pathogens, pharmaceuticals, and their derivatives such as antibiotic resistance genes as the most typical one in the environment leads to physical, chemical, and biological harmful impact. This chapter has reviewed the pharmaceuticals and pathogens in the hospital; discussed the development of antibiotic resistance genes; and revealed the possible impact of these harmful materials in microorganisms, organism, and human being. In addition, the measures that can be taken to prevent the transportation of pharmaceuticals and pathogens into environment have been stated in this chapter.

Real textile effluents treatment using coagulation/flocculation followed by electrochemical oxidation process and ecotoxicological assessment

As it is well known, the textile industry generates a large amount of wastewater with varied composition that need to be treated. In particular, the Sergipe state, in Brazil, is a region that requires attention due the presence of several local textile industries. In this study, the efficiency of electrochemical oxidation (EO) process applied in the samples of Brazilian textile industry effluents previously treated by physical-chemical process coagulation-flocculation (CF) was evaluated by the reduction in TOC parameter and by the ecotoxicity using Lactuca sativa and Raphidocelis subcapitata bioassays. The optimized experiments achieved for the CF ([Al₂(SO₄)₃]₀ = 1.5 mg L^-1, pH = 6.0, alkalinity = 0.675 mg L^-1, [flocculating agent] = 61 mg L^-1, rapid mixing = 100 rpm for 1 min, slow stage = 20-60 rpm for 20 min) a reduction of 20% on TOC. The best results obtained for EO was using the DSA electrode (I = 300 mA) reaching a TOC removal efficiency of 82% after an electrolysis time of 180 min. The ecotoxicity experiments indicated that the proposed treatment (CF + EO, I = 300 mA) was effective to decrease the dissolved pollutants presented in the treated samples. In comparison with raw samples, the treatment achieved a reduction of 52% for IC50_72h value using R. subcapitata as bioindicator, and a 98% reduction of LC₅₀ (Lactuca sativa).

Hospital wastewaters treatment: Fenton reaction vs. BDDE vs. ferrate(VI)

Various types of micropollutants, e.g., pharmaceuticals and their metabolites and resistant strains of pathogenic microorganisms, are usually found in hospital wastewaters. The aim of this paper was to study the presence of 74 frequently used pharmaceuticals, legal and illegal drugs, and antibiotic-resistant bacteria in 5 hospital wastewaters in Slovakia and Czechia and to compare the efficiency of several advanced oxidations processes (AOPs) for sanitation and treatment of such highly polluted wastewaters. The occurrence of micropollutants and antibiotic-resistant bacteria was investigated by in-line SPE-LC-MS/MS technique and cultivation on antibiotic and antibiotic-free selective diagnostic media, respectively. The highest maximum concentrations were found for cotinine (6700 ng/L), bisoprolol (5200 ng/L), metoprolol (2600 ng/L), tramadol (2400 ng/L), sulfamethoxazole (1500 ng/L), and ranitidine (1400 ng/L). In the second part of the study, different advanced oxidation processes, modified Fenton reaction, ferrate(VI), and oxidation by boron-doped diamond electrode were tested in order to eliminate the abovementioned pollutants. Obtained results indicate that the modified Fenton reaction and application of boron-doped diamond electrode were able to eliminate almost the whole spectrum of selected micropollutants with efficiency higher than 90%. All studied methods achieved complete removal of the antibiotic-resistant bacteria present in hospital wastewaters.

Effect of pre-oxidation on low pressure membrane (LPM) for water and wastewater treatment: A review

Low pressure membrane (LPM) filtration is a promising technology for drinking water production, wastewater reclamation as well as pretreatment for seawater desalination. However, wider implementation of LPM is restricted by their inherent drawbacks, i.e., membrane fouling and insufficient rejection for dissolved contaminants. Pretreatment of feed water is a major method to improve the performance of LPM, and pre-oxidation has gained extensive attention because it can significantly alter compositions and properties of feed water through chemical reactions. This paper attempts to systematically review efficiency and mechanisms of pre-oxidation in membrane fouling control and permeate water quality improvement. On the basis of briefly discussing major foulants and fouling mechanisms of LPM, advantages and disadvantages of pre-oxidation in mitigating organic fouling, inorganic fouling and biofouling are discussed in detail. Impacts of pre-oxidation on removal of micropollutants, bulk organic matter and inorganic pollutants are summarized, and potential by-products of different oxidants are presented. As a prerequisite for the integration of chemical oxidation with LPM filtration, compatibility of membrane with oxidants at low concentration and long exposure time are highlighted. Finally, the existing challenges and future research needs in practical application of chemical oxidation to improve performance of LPM are also discussed.

Membrane bioreactors and electrochemical processes for treatment of wastewaters containing heavy metal ions, organics, micropollutants and dyes: Recent developments

Research and development activities on standalone systems of membrane bioreactors and electrochemical reactors for wastewater treatment have been intensified recently. However, several challenges are still being faced during the operation of these reactors. The current challenges associated with the operation of standalone MBR and electrochemical reactors include: membrane fouling in MBR, set-backs from operational errors and conditions, energy consumption in electrochemical systems, high cost requirement, and the need for simplified models. The advantage of this review is to present the most critical challenges and opportunities. These challenges have necessitated the design of MBR derivatives such as anaerobic MBR (AnMBR), osmotic MBR (OMBR), biofilm MBR (BF-MBR), membrane aerated biofilm reactor (MABR), and magnetically-enhanced systems. Likewise, electrochemical reactors with different configurations such as parallel, cylindrical, rotating impeller-electrode, packed bed, and moving particle configurations have emerged. One of the most effective approaches towards reducing energy consumption and membrane fouling rate is the integration of MBR with low-voltage electrochemical processes in an electrically-enhanced membrane bioreactor (eMBR). Meanwhile, research on eMBR modeling and sludge reuse is limited. Future trends should focus on novel/fresh concepts such as electrically-enhanced AnMBRs, electrically-enhanced OMBRs, and coupled systems with microbial fuel cells to further improve energy efficiency and effluent quality.

Electrochemical filtration process for simultaneous removal of refractory organic and particulate contaminants from wastewater effluents

Versatile electrochemical reactions are effective for removing a wide range of water contaminants. This study focuses on the development and testing of bifunctional electrocatalytic filter anodes as reactive and separating media for the simultaneous removal of refractory dissolved organic and particulate contaminants from real wastewater effluents. The results show that the TiO₂ particle interlayers formed between the Ti fiber support and the top composite metal oxide catalyst layers assist in reducing filter pores to an effective size range that enables removal of most particulates within the wastewater. The double-sheet design, which is a sandwich-structured module with an internal void space for permeate, prevents filter fouling, and transmembrane pressure can be maintained at a very low level of <5 kPa during batch and continuous flow reactor operations. Substantive and simultaneous removal of dissolved organics (e.g., chromophores, fluorophores, 1,4-dioxane, chemical oxygen demand, and total organic carbon) and particulate matter (i.e., turbidity) are achieved, although removal rates and efficacies differ depending on the electric current density applied. Decolorization and particulate rejection occur swiftly and immediately, but 1,4-dioxane degradation is relatively slow and quite time-dependent. Possible 1,4-dioxane degradation pathways during electrocatalysis are also proposed. Electrochemical filtration technology shows considerable promise for use in the next generation of advanced wastewater treatment solutions.