The occurrence of home and personal care products in the Haihe River catchment and estimation of human exposure

Occurrence and risks of pharmaceuticals, personal care products, and endocrine-disrupting compounds in Chinese surface waters

The continuous and rapid increase of chemical pollution in surface waters has become a pressing and widely recognized global concern. As emerging contaminants (ECs) in surface waters, pharmaceutical and personal care products (PPCPs), and endocrine-disrupting compounds (EDCs) have attracted considerable attention due to their wide occurrence and potential threat to human health. Therefore, a comprehensive understanding of the occurrence and risks of ECs in Chinese surface waters is urgently required. This study summarizes and assesses the environmental occurrence concentrations and ecological risks of 42 pharmaceuticals, 15 personal care products (PCPs), and 20 EDCs frequently detected in Chinese surface waters. The ECs were primarily detected in China's densely populated and highly industrialized regions. Most detected PPCPs and EDCs had concentrations between ng/L to µg/L, whereas norfloxacin, caffeine, and erythromycin had relatively high contamination levels, even exceeding 2000 ng/L. Risk evaluation based on the risk quotient method revealed that 34 PPCPs and EDCs in Chinese surface waters did not pose a significant risk, whereas 4-nonylphenol, 4-tert-octylphenol, 17α-ethinyl estradiol, 17β-estradiol, and triclocarban did. This review provides a comprehensive summary of the occurrence and associated hazards of typical PPCPs and EDCs in Chinese surface waters over the past decade, and will aid in the regulation and control of these ECs in Chinese surface waters.

Occurrence and distribution of PPCPs in water from two largest urban lakes of China: First perspective from DGT in-situ measurement

Pharmaceutical and personal care products (PPCPs) are an important group of emerging contaminants that may threaten organisms at trace concentrations. However, research on the occurrence of PPCPs in urban lakes in China is still scarce. In this study, 15 PPCPs in the Tangxun Lake and the Donghu Lake were collected using the diffusive gradients in thin-films (DGT) technique and analyzed by high performance liquid chromatography tandem-mass spectrometry (HPLC-MS/MS). Thirteen of the 15 targeted PPCPs were detected in the Tangxun Lake, and all PPCPs were detected in the Donghu Lake, with total concentrations ranging from 160 to 730 ng/L (average: 401 ng/L) and 187 to 1933 ng/L (average: 653 ng/L), respectively. Bisphenol A (BPA) was the dominant PPCP, followed by disinfectants in both lakes. The total concentrations of PPCPs in the Donghu Lake were higher than those in the Tangxun Lake. The spatial distribution characteristics of PPCPs in the two lakes were different, with higher total concentrations in the eastern part than in the western part of the Tangxun Lake spatially and higher in the north-western part than in the south-eastern part of the Donghu Lake. The results of the risk assessment showed that BPA and estrone posed high risks to the aquatic environment (RQ ≥ 1), while triclosan and estriol presented a medium risk (0.1 ≤ RQ < 1) in some sites. This study was the first attempt to apply DGT for providing vital data on the evaluation of the ecological risk of PPCPs in the two largest lakes in China, and attention should be paid to the long-term ecological effects caused by the occurrence of PPCPs in lakes.

Groundwater antibiotics contamination in an alluvial-pluvial fan, North China Plain: Occurrence, sources, and risk assessment

Antibiotics in groundwater have received widespread concern because high levels of them harm aquatic ecosystems and human health. This study aims to investigate the concentration, distribution, ecological and human health risks as well as potential sources of antibiotics in groundwater in the Hutuo River alluvial-pluvial fan, North China Plain. A total of 84 groundwater samples and nine surface water samples were collected, and 35 antibiotics were analyzed using ultra-performance liquid chromatography-tandem mass spectrometry. The results indicated that 12 antibiotics were detected in surface water with the total concentrations ranging from 5.33 ng/L to 64.73 ng/L. Macrolides were the primary category of antibiotics with a detection frequency of 77.8% (mean concentration: 9.14 ng/L). By contrast, in shallow granular aquifers (<150 m), 23 antibiotics were detected and the total concentrations of them ranged from below the method detection limit to 465.26 ng/L (detection frequency: 39.7%). Quinolones were the largest contributor of antibiotics with detection frequency and mean concentration of 32.1% and 12.66 ng/L, respectively. And ciprofloxacin and ofloxacin were the two preponderant individual antibiotics. The mean concentration of groundwater antibiotics in peri-urban areas was approximately 1.7-4.9 times that in other land use types. Livestock manure was the predominant source of antibiotics in groundwater. Erythromycin, sulfametoxydiazine, ofloxacin, and cinoxacin exhibited medium ecological risks to aquatic organisms. All antibiotics posed no risks to human health. The findings of this study provide valuable insights into the occurrence and management of antibiotic contamination in the groundwater in the Hutuo River alluvial-pluvial fan.

An advanced LC-MS/MS protocol for simultaneous detection of pharmaceuticals and personal care products in the environment

RATIONALE

The development of appropriate analytical screening techniques for pharmaceuticals and personal care products (PPCPs) is the basis for studying the distribution and environmental impact of emerging contaminants (ECs). Mass spectrometry-based screening methods vary with the complexity of the target compounds. It is challenging to balance both positive and negative ion quantification with a low detection limit. To establish a set of experimental methods including extraction, chromatography-separation and mass spectrometry screening is one of the most important topics in PPCP research. This paper describes a universal and efficient qualification and quantification protocol for the simultaneous detection of 34 PPCPs in different environmental samples in a single analytical data acquisition run.

METHODS

Thirty-four representative PPCPs, which are widely distributed in the environment with high ecological toxicity and complex chemical structures, were selected as representative target ECs. The extraction of the target PPCPs was achieved using only one solid-phase extraction cartridge without the need to adjust the pH of samples. The enriched samples were detected by LC-MS/MS in both positive and negative ion modes simultaneously. The protocol was evaluated based on the accuracy, precision, detection limits and matrix effects.

RESULTS

This method achieved simultaneous detection of PPCPs in both positive and negative ion modes, with a single analytical cycle of 12 min. The observed SPE recoveries were between 40% and 115%. The instrumental detection limits (IDL) varied from 0.01 to 1 pg, and the method detection limits (MDL) were between 0.002 and 3.323 ng/l in different matrices. Most of the PPCPs were subjected to matrix suppression below 30%. The method was successfully applied for quantitative analysis of the PPCPs in different environmental samples, including river samples, wastewater treatment plant (WWTP) samples and soil samples.

CONCLUSIONS

This protocol developed a rapid and efficient detection method to simultaneous qualitative and quantitative 34 representative PPCPs in the environment. The IDL ranged from 0.01 to 1 pg and the MDL ranged from 0.002 to 3.323 ng/l in different matrices. The detection limit was one order of magnitude lower compared to previous studies. The protocol also provided a wide application range for different environmental matrices, which permitted the migration and transformation of PPCPs to be explored.

Promising Low-Cost Adsorbent from Waste Green Tea Leaves for Phenol Removal in Aqueous Solution

Phenol is the most common organic pollutant in many industrial wastewaters that may pose a health risk to humans due to its widespread application as industrial ingredients and additives. In this study, waste green tea leaves (WGTLs) were modified through chemical activation/carbonization and used as an adsorbent in the presence of ultrasound (cavitation) to eliminate phenol in the aqueous solution. Different treatments, such as cavitation, adsorption, and sono-adsorption were investigated to remove the phenol. The scanning electron microscope (SEM) morphology of the adsorbent revealed that the structure of WGTLs was porous before phenol was adsorbed. A Fourier Transform Infrared (FTIR) analysis showed an open chain of carboxylic acids after the sono-adsorption process. The results revealed that the sono-adsorption process is more efficient with enhanced removal percentages than individual processes. A maximum phenol removal of 92% was obtained using the sono-adsorption process under an optimal set of operating parameters, such as pH 3.5, 25 mg L⁻¹ phenol concentration, 800 mg L⁻¹ adsorbent dosage, 60 min time interval, 30 ± 2 °C temperature, and 80 W cavitation power. Removal of chemical oxygen demand (COD) and total organic carbon (TOC) reached 85% and 53%. The Freundlich isotherm model with a larger correlation coefficient (R², 0.972) was better fitted for nonlinear regression than the Langmuir model, and the sono-adsorption process confirmed the pseudo-second-order reaction kinetics. The findings indicated that WGTLs in the presence of a cavitation effect prove to be a promising candidate for reducing phenol from the aqueous environment.

Insights into the spatiotemporal occurrence and mixture risk assessment of household and personal care products in the waters from rivers to Laizhou Bay, southern Bohai Sea

Household and personal care products (HPCPs) are a kind of contaminants closely related to daily life, capturing worldwide concern. To our knowledge, this is the first attempt focusing on the spatiotemporal occurrence and mixture risk of HPCPs in the waters from rivers to Laizhou Bay. Nine HPCPs were quantitated in 216 water samples gathered from Laizhou Bay and its adjacent rivers in 2018, 2019, and 2021 to reveal the spatiotemporal occurrence and mixture ecological risks in Laizhou Bay. Eight HPCPs were detected with detection frequencies ranging from 74% to 100%. The total concentrations were in the ranges 105-721 ng L^-1 in river water and 51.3-332 ng L^-1 in seawater. The HPCPs were dominated by p-hydroxybenzoic and triclosan, which together contributed over 75% of the total HPCPs. The average level of the total HPCP concentration in the summer of 2018 (96.1 ng L^-1) was slightly exceed that in the spring of 2019 (91.6 ng L^-1), which is associated with the higher usage of HPCPs and enhanced tourism during summer. However, the highest total concentrations were found in spring of 2021 (124 ng L^-1 in average), which was attribute to a higher level of methylparaben, a predominant paraben used as preservatives in commercial pharmaceuticals of China. Influenced by riverine inputs and ocean currents, higher HPCP concentrations in Laizhou Bay were found nearby the estuary of Yellow River and the southern part of the bay. Triclosan should be given constant concern considering its medium to high risks (RQ > 0.1) in nearly 80% of the water samples. The cumulative risk assessment in two approaches revealed that HPCP mixtures generally elicit medium or high risk to three main aquatic taxa. Considering the worldwide outbreak of COVID-19, the levels and risks of multiple HPCPs in natural waters requires constant attention in future studies.

Several typical endocrine-disrupting chemicals in human urine from general population in China: Regional and demographic-related differences in exposure risk

Endocrine-disrupting chemicals (EDCs) are ubiquitous in the environment, and human exposure to these pollutants has caused great public concern. Five groups of EDCs, including parabens, antimicrobials (triclosan (TCS) and triclocarban (TCC)), bisphenols (BPs), tetrabromobisphenol A and its alternatives (TBBPAs), and benzophenones, in urines of general populations from three cities with different economic levels in China were determined simultaneously to evaluate the coexposure levels of such chemicals. The total concentration of target compounds was approximately two times higher in the urines from Chengdu (a first-tier city; geometric mean: 2.50 μg/L) than that from Nantong (a second-tier city; 1.34 μg/L), and was one order of magnitude higher than that from Shehong (a fifth-tier city; 0.73 μg/L). Urinary target compounds were significantly correlated with gender, age, body mass index (BMI), education level, occupation, and diet. The estimated daily intakes of target chemicals ranged from 0.002 (benzophenones) to 10.2 µg/kg-bw/day (parabens). The exposure estimate showed that females were more vulnerable to exposure to these EDCs. This study profiles the regional and demographic-related differences in the concentrations and exposure risks of several typical EDCs in urines from general populations in three cities with different economic levels in China.

Influence of land use type and urbanization level on the distribution of pharmaceuticals and personal care products and risk assessment in Beiyun River, China

Influence of land use type and urbanization level on the distribution of pharmaceuticals and personal care products (PPCPs) from the developed regions of Beijing-Tianjin-Hebei in the northern China was evaluated. The seasonal and spatial variations of the 22 target PPCPs were analyzed in the 63 sampling sites along the whole Beiyun River Basin. Results showed that the total PPCPs concentration had a wide variation range, from 132 ng L^-1 to 25474 ng L^-1. Spatial interpolation analysis showed that agricultural land presented higher PPCPs contamination level than build-up land (p < 0.05) and the concentration was negatively correlated with urbanization level. Source apportionment showed the untreated sewage source contributed to 34%-53% of the PPCPs burden in the Beiyun River. Risk assessment indicated that diethyltoluamide, carbamazepine, octocrylene, gemfibrozil and triclocarban had high risks (RQ > 1), and small tributaries had the highest mixed risk (MRQ = 34). Species sensitivity distribution combined with the safety threshold method showed that PPCPs would have potential risk on aquatic organisms even at very low concentrations and triclocarban posed the highest risk in the Beiyun River.

Occurrence, transformation, bioaccumulation, risk and analysis of pharmaceutical and personal care products from wastewater: a review

Almost all aspects of society from food security to disease control and prevention have benefited from pharmaceutical and personal care products, yet these products are a major source of contamination that ends up in wastewater and ecosystems. This issue has been sharply accentuated during the coronavirus disease pandemic 2019 (COVID-19) due to the higher use of disinfectants and other products. Here we review pharmaceutical and personal care products with focus on their occurrence in the environment, detection, risk, and removal.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1007/s10311-022-01498-7.

Endocrine-disrupting chemicals in a typical urbanized bay of Yellow Sea, China: Distribution, risk assessment, and identification of priority pollutants

Endocrine-disrupting chemicals (EDCs) in water are receiving particular attention as they pose adverse effects on aquatic systems, even at trace concentrations. A comprehensive study was conducted on 14 EDCs (five estrogens and nine household and personal care products (HPCPs)) in the water of the urbanized Jiaozhou Bay in the Yellow Sea during summer and winter. Results showed that the total concentration of 14 EDCs ranged from 100 to 658 ng L^-1 and 56.7-212 ng L^-1 in the estuarine and bay water, respectively. The average total concentration of five estrogens in summer was significantly (p < 0.05) lower than that in winter due to the higher precipitation dilution and degradations during summer, whereas the average total concentration of nine HPCPs was significantly (p < 0.05) higher during the summer than that during the winter because of the higher usage and emissions during the summer. Estrogens and HPCPs were dominated by 17α-ethinylestradiol and p-hydroxybenzoic acid (PHBA), respectively. High PHBA concentrations may be related to the hydrolysis of parabens. The total concentrations of EDCs were higher in the eastern coastal seawater of the bay due to the strong influence of domestic and industrial wastewater discharge. Estrogens may interfere with the endocrine system of aquatic organisms in the bay because the total estradiol equivalent concentration exceeded 1 ng L^-1. 17α-ethinylestradiol was the main contributor to the estrogenic activity. The EDC mixtures posed high risks (RQ > 1) to mollusks, crustaceans, and fish, and low to moderate risks (RQ < 1) to algae. Fish was the most sensitive aquatic taxon to the EDC mixtures. Given the concentration and frequency of EDCs, the optimized risk quotient method revealed that 17α-ethinylestradiol, estrone, triclocarban, triclosan, and 17β-estradiol should be prioritized in ecological management because of their high risks (prioritization index of >1).

Pollution characteristics and mixture risk prediction of phenolic environmental estrogens in rivers of the Beijing-Tianjin-Hebei urban agglomeration, China

Phenolic environmental estrogens (PEEs) are ubiquitous in most rivers worldwide and may cause potential endocrine-disrupting effects in aquatic organisms. Three typical PEEs (bisphenol A, BPA; 4-tert-octylphenol,4-t-OP; and nonylphenol, NP) were investigated in the rivers of the Beijing-Tianjin-Hebei urban agglomeration, which is the most urbanized and industrialized area in North China. The target PEEs were detected in 100% of river water samples, and the concentrations ranged from 23 to 255 ng L^-1. The concentrations of NP in most river sections were higher than those of BPA and 4-t-OP. The spatiotemporal variations in PEEs indicated that both domestic and industrial wastewater were main sources of PEEs in river water. In addition, rainfall runoff might be an important source of PEEs in the receiving waters, especially in the wet season. The ecotoxicological risk assessment of individual PEE revealed a moderate to high risk for aquatic organisms at most sampling sites. The mixture risk prediction based on the concentration addition method indicated a potential cumulative risk of PEEs in the study area, highlighting the importance of mixture risk assessment in the aquatic environment.

Evaluation of 3,4,4,9-trichlorocarbanilide to zebrafish developmental toxicity based on transcriptomics analysis

Triclocarban (TCC), considered an endocrine-disrupting, persistent, and bioaccumulating organic matter, has attracted a great deal of attention for its pollution and health risks. However, studies on its toxicological mechanism, especially for embryo development are limited. This article explores the cardiac developmental toxicity induced in zebrafish embryos after exposure to different TCC concentrations. First, liquid chromatography-tandem mass spectrometry was used in detecting TCC in embryos in vivo after exposure to various TCC. Results showed that embryonic TCC content reached 9.23 ng after exposure to 300 μg/L TCC, the heart rates of the embryos markedly decreased, heart abnormalities significantly increased. In addition, obvious pericardial effusion was observed in the larvae. Through transcriptome sequencing, 200 differential gene expression (DGE) patterns were detected in the TCC (300 μg/L) experimental and control groups. The results of GO function analysis and KEGG pathway of DGE showed that aryl hydrocarbon receptor (AhR) activation and cyp-related genes (cyp1a, cyp1b1 and cyp1c) were significantly up-regulated. these affected the normal development of zebrafish embryonic heart, tissue edema, and hemorrhage. TCC exhibited strong cardiac teratogenic effects and developmental toxicity, which is partly related to AhR activation. Transcriptome-based results are helpful in precisely determining the risk of TCC exposure. The potential mechanism between TCC and AhR should be further investigated.

Improving urban drainage systems to mitigate PPCPs pollution in surface water: A watershed perspective

Parabens are preservatives widely used in pharmaceutical and personal care products (PPCPs). This study investigated urban water pollution by parabens from a watershed perspective. Water and sediment samples were collected from one of the most polluted urban streams in China. Six parabens and five paraben metabolites were frequently detected in the samples, whereas the overall pollution level was intermediate according to a global comparison. The spatial distributions of the chemical concentrations along the river are influenced by multiple factors, and WWTPs appear to be a major factor. In general, the target pollutants were detected at higher concentrations in the dry season than in the wet season, but extraordinary concentration peaks in water were observed downstream of wastewater treatment plants (WWTPs), indicating a dominant contribution from combined sewage overflows (CSOs) during rainfall events. In a representative WWTP-influenced reach, CSOs account for its 97.3% of ∑parabens input and 96.9% of ∑metabolites input in a typical rainfall event. Converting the existing combined sewer systems to separate stormwater drainage systems could reduce the inputs of ∑parabens and ∑metabolites by 86.9-84.5%, respectively. This study highlights the role of urban drainage systems in preventing surface water pollution by PPCPs. CAPSULE: Urban drainage systems play a critical role in controlling pollution by parabens and their metabolites in urban surface water.

Wastewater-based epidemiology to assess human exposure to personal care and household products - A review of biomarkers, analytical methods, and applications

Humans are nowadays exposed to numerous chemicals in our day-to-day life, including parabens, UV filters, phosphorous flame retardants/plasticizers, bisphenols, phthalates and alternative plasticizers, which can have different adverse effects to human health. Estimating human's exposure to these potentially harmful substances is, therefore, of paramount importance. Human biomonitoring (HBM) is the existing approach to assess exposure to environmental contaminants, which relies on the analysis of specific human biomarkers (parent compounds and/or their metabolic products) in biological matrices from individuals. The main drawback is its implementation, which involves complex cohort studies. A novel approach, wastewater-based epidemiology (WBE), involves estimating exposure from the analysis of biomarkers in sewage (a pooled urine and feces sample of an entire population). One of the key challenges of WBE is the selection of biomarkers which are specific to human metabolism, excreted in sufficient amounts, and stable in sewage. So far, literature data on potential biomarkers for estimating exposure to these chemicals are scattered over numerous pharmacokinetic and HBM studies. Hence, this review provides a list of potential biomarkers of exposure to more than 30 widely used chemicals and report on their urinary excretion rates. Furthermore, the potential and challenges of WBE in this particular field is discussed through the review of pioneer WBE studies, which for the first time explored applicability of this novel approach to assess human exposure to environmental contaminants. In the future, WBE could be potentially applied as an "early warning system", which could promptly identify communities with the highest exposure to environmental contaminants.

Estrogens in municipal wastewater and receiving waters in the Beijing-Tianjin-Hebei region, China: Occurrence and risk assessment of mixtures

The potentially high release of estrogens to surface waters due to high population density and local livestock production in the Beijing-Tianjin-Hebei region may pose adverse effects on reproductive systems of aquatic organisms. This study found that total measured concentrations of estrone (E1), 17β-estradiol (E2), estriol (E3), 17α-ethinylestradiol (EE2) and diethylstilbestrol (DES) were 468 ± 27 ng/L in treated wastewater and 219 ± 23 ng/L in river waters in this region. E2, E3 and EE2 were the predominant estrogens in river waters. The restriction of DES for human use should have been enforced, however concentrations of DES were relatively high compared to other studies. Haihe and Yongdingxin Rivers delivered approximately 1.8 tonnes of estrogens to the Bohai Bay annually. Concentrations of individual estrogens were significantly higher in river waters in the dry season, however, mass loadings were significantly higher in the wet season. The average E2-equivalent concentrations reached 1.2 ± 0.2 and 0.64 ± 0.08 μg-E2/L following long-term and short-term exposure estimates, respectively, in river waters with an EE2 contribution of over 90 %. This could give rise to high risks to fish. Estrogens in river waters largely derived from human excretion. Field studies on estrogenic effects on fish reproductive systems are required locally considering high estrogen contamination levels.

Fate of Triclocarban (TCC) in aquatic and terrestrial systems and human exposure

Triclocarban (TCC) is considered as contaminant of emerging concern (CEC), and ranked in the top 10 CEC occurrence. TCC is a high production volume synthetic chemical used extensively in various personal care products. This chemical will be released into the environment via incomplete wastewater treatment and untreated wastewater discharge. TCC and its transformation products (4,4'-dichlorocarbilide (DCC),1-(3-chlorophenyl)-3-phenylurea (MCC) and carbanilide (NCC),2'OH-TCC, 3'OH-TCC) were detected in the environmental matrices. Sediment organic carbon will influence TCC concentrations in suspended and bed sediments. TCC is an antimicrobial agent and also emerging endocrine disruptor that can cause immune dysfunction and affect human reproductive outcomes. Furthermore, TCC alters the expression of proteins related to binding and metabolism, skeletal muscle development and function, nervous system development and immune response. TCC has potential health risks in wildlife and humans. Several animal studies illustrate that it can cause various adverse effects, which can be monitored by antioxidant biomarkers (CAT, GST and LPO). Accumulation of TCC in organisms depends on the lipophilicity and bioavailability of TCC in sediment and water. TCC was continuously detected in aquatic system. TCC is a lipophilic compound, which can efficiently bind with lipid content. Women are more vulnerable to TCC due to substantially higher frequency and extended exposure to TCC. This review provides basic information of occurrence of TCC and the exposure levels in aquatic organisms. Several literature have shown the higher usage and human exposure levels of TCC, which provides useful information for the chemical management approaches.

Spatial and seasonal variations of antibiotics in river waters in the Haihe River Catchment in China and ecotoxicological risk assessment

Concentrations of widely used antibiotics were predicted to be the highest in the Haihe River Catchment across China previously, potentially resulting in high ecotoxicological risks in this region. As a result of growing usage and regulation of antibiotic use in animals, the pattern of use may have altered temporally for different antibiotics. It is important to monitor the occurrence of antibiotics within different categories for understanding their mass loading to the catchment and the potential ecotoxicological risks involved. This study investigated the seasonal occurrence and spatial variation of 15 antibiotics in the Haihe River Catchment during 2016-2017. The investigated compounds included veterinary antibiotics, human-use antibiotics, and those intended for both human and animal use. Measurements reported from previous studies were compared with the results of this study and indicated that the use of veterinary antibiotics is probably increasing around the catchment. The ∑antibiotics concentration (i.e. the summed concentration of the 15 target antibiotics) ranged from 414 to 1951 ng/L, with an average of 821 ng/L. Discharges from wastewater treatment plants were the main sources of these compounds. The mass loading of antibiotics to the river waters was higher during wet seasons than during dry seasons. The mass fluxes of the antibiotics continuously increased towards the lower reaches of the rivers. The total annual input of the antibiotics from the Haihe River and Yongdingxin River into the Bohai Bay was 5008 kg/yr. Ofloxacin, trimethoprim, leucomycin, anhydro erythromycin and florfenicol were the predominant antibiotics, whilst amoxicillin, anhydro erythromycin, ofloxacin, norfloxacin and enrofloxacin may pose high ecotoxicological risks to the investigated aquatic ecosystem. Several antibiotics selected in this study were reported for the first time in this catchment. This study provides important information for chemical management and indicates that further monitoring is needed on the more harmful and veterinary antibiotics in the catchment.

Spatially Explicit Large-Scale Environmental Risk Assessment of Pharmaceuticals in Surface Water in China

With improving healthcare and an aging population, the consumption of human pharmaceuticals in China has been increasing dramatically. Environmental risks posed by many active pharmaceutical ingredients (APIs) are still unknown. This study used a spatially explicit dilution-factor methodology to model predicted environmental concentrations (PECs) of 11 human-use APIs in surface water for a preliminary environmental risk assessment (ERA). Median PECs in surface water across China range between 0.01 and 8.0 × 10³ ng/L for the different APIs, under a moderate patient use scenario. Higher environmental risks of APIs in surface water are in regions with high water stress, e.g., northern China. Levonorgestrel, estradiol, ethinyl estradiol and abiraterone acetate were predicted to potentially pose a high or moderate environmental risk in China if consumption levels reach those in Europe. Relative risks of these four APIs have the potential to be among those chemicals with the highest impact on surface water in China when compared to the risks associated with other regulated chemicals, including triclosan and some standard water quality parameters including BOD₅ (5-day biological oxygen demand), COD (chemical oxygen demand), Cu, Zn, and Hg and linear alkylbenzene sulfonate. This method could support the regulation of this category of chemicals and risk mitigation strategies in China.