Pharmaceuticals' removal by constructed wetlands: a critical evaluation and meta-analysis on performance, risk reduction, and role of physicochemical properties on removal mechanisms

Treatment of pharmaceutical industry wastewater for water reuse in Jordan using hybrid constructed wetlands

Developing cost-efficient wastewater treatment technologies for safe reuse is essential, especially in developing countries simultaneously facing water scarcity. This study developed and evaluated a hybrid constructed wetlands (CWs) approach, incorporating tidal flow (TF) operation and utilising local Jordanian zeolite as a wetland substrate for real pharmaceutical industry wastewater treatment. Over 273 days of continuous monitoring, the results revealed that the first-stage TFCWs filled with either raw or modified zeolite performed significantly higher reductions in Chemical Oxygen Demand (COD, 58 %-60 %), Total Nitrogen (TN, 32 %-37 %), and Phosphate (PO4, 46 %-64 %) compared to TFCWs filled with normal sand. Water quality further improved after the second stage of horizontal subsurface flow CWs treatment, achieving log removals of 1.09-2.47 for total coliform and 1.89-2.09 for E. coli. With influent pharmaceutical concentrations ranging from 275 to 2000 μg/L, the zeolite-filled hybrid CWs achieved complete removal (>98 %) for ciprofloxacin, ofloxacin, erythromycin, and enrofloxacin, moderate removal (43 %-81 %) for flumequine and lincomycin, and limited removal (<8 %) for carbamazepine and diclofenac. The overall accumulation of pharmaceuticals in plant tissue and substrate adsorption accounted for only 2.3 % and 4.3 %, respectively, of the total mass removal. Biodegradation of these pharmaceuticals (up to 61 %) through microbial-mediated processes or within plant tissues was identified as the key removal pathway. For both conventional pollutants and pharmaceuticals, modified zeolite wetland media could only slightly enhance treatment without a significant difference between the two treatment groups. The final effluent from all hybrid CWs complied with Jordanian treated industry wastewater reuse standards (category III), and systems filled with raw or modified zeolite achieved over 95 % of samples meeting the highest water reuse category I. This study provides evidence of using hybrid CWs technology as a nature-based solution to address water safety and scarcity challenges.

Constructed wetlands as nature-based solutions in managing per-and poly-fluoroalkyl substances (PFAS): Evidence, mechanisms, and modelling

Per- and poly-fluoroalkyl substances (PFAS) have emerged as newly regulated micropollutants, characterised by extreme recalcitrance and environmental toxicity. Constructed wetlands (CWs), as a nature-based solution, have gained widespread application in sustainable water and wastewater treatment and offer multiple environmental and societal benefits. Despite CWs potential, knowledge gaps persist in their PFAS removal capacities, associated mechanisms, and modelling of PFAS fate. This study carried out a systematic literature review, supplemented by unpublished experimental data, demonstrating the promise of CWs for PFAS removal from the influents of varying sources and characteristics. Median removal performances of 64, 46, and 0 % were observed in five free water surface (FWS), four horizontal subsurface flow (HF), and 18 vertical flow (VF) wetlands, respectively. PFAS adsorption by the substrate or plant root/rhizosphere was deemed as a key removal mechanism. Nevertheless, the available dataset resulted unsuitable for a quantitative analysis. Data-driven models, including multiple regression models and machine learning-based Artificial Neural Networks (ANN), were employed to predict PFAS removal. These models showed better predictive performance compared to various mechanistic models, which include two adsorption isotherms. The results affirmed that artificial intelligence is an efficient tool for modelling the removal of emerging contaminants with limited knowledge of chemical properties. In summary, this study consolidated evidence supporting the use of CWs for mitigating new legacy PFAS contaminants. Further research, especially long-term monitoring of full-scale CWs treating real wastewater, is crucial to obtain additional data for model development and validation.

Nature-based solutions for antibiotics and antimicrobial resistance removal in tertiary wastewater treatment: Microbiological composition and risk assessment

This field-scale study evaluates the seasonal effectiveness of employing nature-based solutions (NBSs), particularly surface flow and horizontal subsurface flow constructed wetland configurations, as tertiary treatment technologies for the removal of antibiotics (ABs) and antibiotic resistance genes (ARGs) compared to a conventional treatment involving UV and chlorination. Out of the 21 monitored ABs, 13 were detected in the influent of three tertiary wastewater treatments, with concentrations ranging from 2 to 1218 ng·L-1. The ARGs sul1 and dfrA1 exhibited concentrations ranging from 1 × 105 to 9 × 106 copies/100 mL. NBSs were better at reducing ABs (average 69 to 88 %) and ARGs (2-3 log units) compared to the conventional tertiary system (average 36 to 39 % and no removal to 2 log units) in both seasons. Taxonomic compositions in influent water samples shifted from wastewater-impacted communities (Actinomycetota and Firmicutes) to a combination of plant rhizosphere-associated and river communities in NBS effluents (Alphaproteobacteria). In contrast, the conventional technology showed no substantial differences in community composition. Moreover, NBSs substantially reduced the ecotoxicological risk assessment (cumulative RQs). Furthermore, NBSs reduced the ecotoxicological risk (cumulative RQs) by an average of over 70 % across seasons, whereas the benchmark technology only achieved a 6 % reduction. In conclusion, NBSs present a robust alternative for minimizing the discharge of ABs and ARGs into surface water bodies.

Removal of metals and emergent contaminants from liquid digestates in constructed wetlands for agricultural reuse

Given the increasing pressure on water bodies, it is imperative to explore sustainable methodologies for wastewater treatment and reuse. The simultaneous presence of multiples contaminants in complex wastewater, such as the liquid effluents from biogas plants, can compromise biological treatment effectiveness for reclaiming water. Vertical subsurface flow constructed wetlands were established as low-cost decentralized wastewater treatment technologies to treat the liquid fraction of digestate from municipal organic waste with metals, antibiotics, and antibiotic resistance genes, to allow its reuse in irrigation. Twelve lab-scale planted constructed wetlands were assembled with gravel, light expanded clay aggregate and sand, testing four different treating conditions (liquid digestate spiked with oxytetracycline, sulfadiazine, or ofloxacin, at 100 μg/ L, or without dosing) during 3 months. Physicochemical parameters (pH, chemical oxygen demand (COD), nutrients, metals, and antibiotics), the microbial communities dynamics (through 16S high-throughput sequencing) and antibiotic resistance genes removal (qPCR) were monitored in influents and effluents. Systems removed 85.8%-96.9% of organic matter (as COD), over 98.1% of ammonium and phosphate ions, and 69.3%-99.4% of nitrate and nitrite ions, with no significant differences between the presence or absence of antibiotics. Removal of Fe, Mn, Zn, Cu, Pb and Cr exceeded 82% in all treatment cycles. The treatment also removed oxytetracycline, sulfadiazine and ofloxacin over 99%, and decreased intl1, tetA, tetW, sul1 and qnrS gene copies. Nonetheless, after 3 months of ofloxacin dosing, qnrS gene started being detected. Removal processes relied on high HRT (14 days) and various mechanisms including sorption, biodegradation, and precipitation. Microbial community diversity in liquid digestate changed significantly after treatment in constructed wetlands with a decrease in the initial Firmicutes dominance, but with no clear effect of antibiotics on the microbial community structure. Removals above 85% and 94% were observed for Streptococcus and Clostridium, respectively. Results suggest that vertical subsurface flow constructed wetlands were a suitable technology for treating the liquid digestate to reuse it in irrigation agricultural systems, contributing to the circular bioeconomy concept. However, a more profound understanding of effective wastewater treatment strategies is needed to avoid antibiotic resistance genes dissemination.

Influence of vegetation and substrate type on removal of emerging organic contaminants and microbial dynamics in horizontal subsurface constructed wetlands

Constructed wetlands (CWs) offer an efficient alternative technology for removing emerging organic contaminants (EOCs) from wastewater. Optimizing CW performance requires understanding the impact of CW configuration on EOC removal and microbial community dynamics. This study investigated EOC removal and microbial communities in horizontal subsurface flow (HSSF) CWs over a 26-month operational period. Comparison between tuff-filled and gravel-filled CWs highlighted the superior EOC removal in tuff-filled CWs during extended operation, likely caused by the larger surface area of the tuff substrate fostering microbial growth, sorption, and biodegradation. Removal of partially positively charged EOCs, like atenolol (29-98 %) and fexofenadine (21-87 %), remained constant in the different CWs, and was mainly attributed to sorption. In contrast, removal rates for polar non-sorbing compounds, including diclofenac (3-64 %), acyclovir (9-85 %), and artificial sweeteners acesulfame (5-60 %) and saccharin (1-48 %), seemed to increase over time due to enhanced biodegradation. The presence of vegetation and different planting methods (single vs. mixed plantation) had a limited impact, underscoring the dominance of substrate type in the CW performance. Microbial community analysis identified two stages: a startup phase (1-7 months) and a maturation phase (19-26 months). During this transition, highly diverse communities dominated by specific species in the early stages gave way to more evenly distributed and relatively stable communities. Proteobacteria and Bacteroidetes remained dominant throughout. Alphaproteobacteria, Acidobacteria, Planctomycetes, Salinimicrobium, and Sphingomonas were enriched during the maturation phase, potentially serving as bioindicators for EOC removal. In conclusion, this study emphasizes the pivotal role of substrate type and maturation in the removal of EOCs in HSSF CW, considering the complex interplay with EOC physicochemical properties. Insights into microbial community dynamics underscore the importance of taxonomic and functional diversity in assessing CW effectiveness. This knowledge aids in optimizing HSSF CWs for sustainable wastewater treatment, EOC removal, and ecological risk assessment, ultimately contributing to environmental protection.

Enhanced degradation of ibuprofen in an integrated constructed wetland-microbial fuel cell: treatment efficiency, electrochemical characterization, and microbial community dynamics

Over the past few decades, there has been a growing concern regarding the fate and transport of pharmaceuticals, particularly antibiotics, as emerging contaminants in the environment. It has been proposed that the presence of antibiotics at concentrations typically found in wastewater can impact the dynamics of bacterial populations and facilitate the spread of antibiotic resistance. The efficiency of currently-used wastewater treatment technologies in eliminating pharmaceuticals is often insufficient, resulting in the release of low concentrations of these compounds into the environment. In this study, we addressed these challenges by evaluating how different influent ibuprofen (IBU) concentrations influenced the efficiency of a laboratory-scale, integrated constructed wetland-microbial fuel cell (CW-MFC) system seeded with Eichhornia crassipes, in terms of organic matter removal, electricity generation, and change of bacterial community structure compared to unplanted, sediment MFC (S-MFC) and abiotic S-MFC (AS-MFC). We observed that the addition of IBU (5 mg L-1) resulted in a notable decrease in chemical oxygen demand (COD) and electricity generation, suggesting that high influent IBU concentrations caused partial inhibition for the electroactive microbial community due to its complexity and aromaticity. However, CW-MFC could recover from IBU inhibition after an acclimation period compared to unplanted S-MFC, even though the influent IBU level was increased up to 20 mg L-1, suggesting that plants in CW-MFCs have a beneficial role in relieving the inhibition of anode respiration due to the presence of high levels of IBU; thus, promoting the metabolic activity of the electroactive microbial community. Similarly, IBU removal efficiency for CW-MFC (i.e., 49-62%) was much higher compared to SMFC (i.e., 29-42%), and AS-MFC (i.e., 20-22%) during all experimental phases. In addition, our high throughput sequencing revealed that the high performance of CW-MFCs compared to S-MFC was associated with increasing the relative abundances of several microbial groups that are closely affiliated with anode respiration and organic matter fermentation. In summary, our results show that the CW-MFC system demonstrates suitability for high removal efficiency of IBU and effective electricity generation.

Evaluation of contaminants of emerging concern attenuation through a vegetation filter managed using different operating conditions

In wastewater treatment using Vegetation Filters (VFs), natural processes reduce contaminants present in water although some of them can reach the environment. In this study, 39 contaminants of emerging concern (CECs) are evaluated in a pilot VF under different operating conditions during almost four years. The use of woodchip amendments and the change from surface irrigation through furrows to drip irrigation (and from weekly to daily water application) provide CEC concentration reductions in the water infiltrating through the vadose zone. Biodegradation is the main process taking place and has been favoured mainly by woodchip soil amendments and the increased residence. Median attenuation percentages of the CECs most frequently detected with highest concentrations in applied wastewater vary between 52% and 100% at the end of the study (at 45 cm depth). Among targeted CECs, caffeine, and its transformation product paraxanthine are the most attenuated. Flecainide and venlafaxine show a persistent behaviour. However, their leaching concentrations are very low (< 31 ng/L). Concerning the underlying aquifer, the groundwater quality in terms of CEC concentrations is conditioned by the surrounding area rather than the operation of the VF. Levels in groundwater are always below those in wastewater and infiltrating water.

Insight into pharmaceutical and personal care products removal using constructed wetlands: A comprehensive review

Pharmaceutical and personal care products (PPCPs) were regarded as emerging environmental pollutants due to their ubiquitous appearance and high environmental risks. The wastewater treatment plants (WWTPs) became the hub of PPCPs receiving major sources of PPCPs used by humans. Increasing concern has been focused on promoting cost-effective ways to eliminate PPCPs within WWTPs for blocking their route into the environment through effluent discharging. Among all advanced technologies, constructed wetlands (CWs) with a combination of plants, substrates, and microbes attracted attention due to their cost-effectiveness and easier maintenance during long-term operation. This study offers baseline data for risk control and future treatment by discussing the extent and dispersion of PPCPs in surface waters over the past ten years and identifying the mechanisms of PPCPs removal in CWs based on the up-to-present research, with a special focus on the contribution of sediments, vegetation, and the interactions of microorganisms. The significant role of wetland plants in the removal of PPCPs was detailed discussed in identifying the contribution of direct uptake, adsorption, phytovolatilization, and biodegradation. Meanwhile, the correlation between the physical-chemical characteristics of PPCPs, the configuration operation of wetlands, as well as the environmental conditions with PPCP removal were also further estimated. Finally, the critical issues and knowledge gaps before the real application were addressed followed by promoted future works, which are expected to provide a comprehensive foundation for study on PPCPs elimination utilizing CWs and drive to achieve large-scale applications to treat PPCPs-contaminated surface waters.

Fate of ofloxacin in rural wastewater treatment facility: Removal performance, pathways and microbial characteristics

Ofloxacin (OFL) with high biological activity and antimicrobial degradation is a kind of the typical high concentration and environmental risk antibiotics in rural sewage. In this paper, a combined rural sewage treatment facility based on anaerobic baffled reactor and integrated constructed wetlands was built and the removal performance, pathway and mechanism for OFL and conventional pollutants were evaluated. Results showed that the OFL and TN removal efficiency achieved 91.78 ± 3.93 % and 91.44 ± 4.15 %, respectively. Sludge adsorption was the primary removal pathway of OFL. Metagenomics analysis revealed that Proteobacteria was crucial in OFL removal. baca was the dominated antibiotic resistance genes (ARGs). Moreover, carbon metabolism with a high abundance was conductive to detoxify OFL to enhance system stability and performance. Co-occurrence network analysis further elucidated that mutualism was the main survival mode of microorganisms. Denitrifers Microbacterium, Geobacter and Ignavibacterium, were the host of ARGs and participated in OFL biodegradation.

Current research trends on emerging contaminants pharmaceutical and personal care products (PPCPs): A comprehensive review

Pharmaceutical and personnel care products (PPCPs) from wastewater are a potential hazard to the human health and wildlife, and their occurrence in wastewater has caught the concern of researchers recently. To deal with PPCPs, various treatment technologies have been evolved such as physical, biological, and chemical methods. Nevertheless, modern and efficient techniques such as advance oxidation processes (AOPs) demand expensive chemicals and energy, which ultimately leads to a high treatment cost. Therefore, integration of chemical techniques with biological processes has been recently suggested to decrease the expenses. Furthermore, combining ozonation with activated carbon (AC) can significantly enhance the removal efficiency. There are some other emerging technologies of lower operational cost like photo-Fenton method and solar radiation-based methods as well as constructed wetland, which are promising. However, feasibility and practicality in pilot-scale have not been estimated for most of these advanced treatment technologies. In this context, the present review work explores the treatment of emerging PPCPs in wastewater, via available conventional, non-conventional, and integrated technologies. Furthermore, this work focused on the state-of-art technologies via an extensive literature search, highlights the limitations and challenges of the prevailing commercial technologies. Finally, this work provides a brief discussion and offers future research directions on technologies needed for treatment of wastewater containing PPCPs, accompanied by techno-economic feasibility assessment.

Efficiency of Diclofenac Removal Using Activated Sludge in a Dynamic System (SBR Reactor) with Variable Parameters of pH, Concentration, and Sludge Oxygenation

Recently, traditional wastewater treatment systems have not been adapted to remove micropollutants, including pharmaceutical substances, which, even at low concentrations, cause adverse changes in aquatic and terrestrial living organisms. The problem of drug residues in the environment has been noticed; however, no universal legal regulations have been established for concentrations of these compounds in treated wastewater. Hence, the aim of the article was to determine the possibility of increasing the efficiency of diclofenac removal from activated sludge using the designed SBR reactor. This study included six cycles, working continuously, where each of them was characterized by changing conditions of pH, oxygenation, and composition of the synthetic medium. In each cycle, three concentrations of diclofenac were analyzed: 1 mg/L, 5 mg/L, 10 mg/L for the hydraulic retention time (HRT) of 4 d and the sludge retention time (SRT) of 12 d. The highest removal efficiency was achieved in the first test cycle for pH of natural sediment at the level of 6.7-7.0 (>97%), and in the third test cycle at pH stabilized at 6.5 (>87%). The reduced content of easily assimilable carbon from synthetic medium indicated a removal of >50%, which suggests that carbon in the structure of diclofenac restrained microorganisms to the rapid assimilation of this element. Under half-aerobic conditions, the drug removal effect for a concentration of 10 mg/L was slightly above 60%.

A review of antibiotics and antibiotic resistance genes (ARGs) adsorption by biochar and modified biochar in water

Antibiotics have been used in massive quantities for human and animal medical treatment, and antibiotic resistance genes (ARGs) are of great concern worldwide. Antibiotics and ARGs are exposed to the natural environment through the discharge of medical wastewater, causing great harm to the environment and human health. Biochar has been widely used as a green and efficient adsorbent to remove pollutants. However, pristine and unmodified biochars are not considered sufficient and efficient to cope with the current serious water pollution. Therefore, researchers have chosen to improve the adsorption capacity of biochar through different modification methods. To have a better understanding of the application of modified biochar, this review summarizes the biochar modification methods and their performance, particularly, molecular imprinting and biochar aging are outlined as new modification methods, influencing factors of biochar and modified biochar in adsorption of antibiotics and ARGs and adsorption mechanisms, wherein adsorption mechanism of ARGs on biochar is found to be different than that of antibiotics. After that, the directions of biochar and modified biochar worthy of research and the issues that need attention are proposed. It can be noted that under the current dual carbon policy, biochar may have wider application prospects in future.

Efficient Wastewater Treatment and Removal of Bisphenol A and Diclofenac in Mesocosm Flow Constructed Wetlands Using Granulated Cork as Emerged Substrate

Constructed wetlands (CWs) are considered as low-cost and energy-efficient wastewater treatment systems. Media selection is one of the essential technical keys for their implementation. The purpose of this work was essentially to evaluate the removal efficiency of organic pollution and nitrogen from municipal wastewater (MWW) using different selected media (gravel/gravel amended with granulated cork) in mesocosm horizontal flow constructed wetlands (HFCWs). The results showed that the highest chemical oxygen demand (COD) and ammonium nitrogen removal of 80.53% and 42%, respectively, were recorded in the units filled with gravel amended with cork. The influence of macrophytes (Phragmites australis and Typha angustifolia) was studied and both species showed steeper efficiencies. The system was operated under different hydraulic retention times (HRTs) i.e., 6 h, 24 h, 30 h, and 48 h. The obtained results revealed that the COD removal efficiency was significantly enhanced by up to 38% counter to the ammonium rates when HRT was increased from 6 h to 48 h. Moreover, the removal efficiency of two endocrine-disrupting compounds (EDCs) namely, bisphenol A (BPA) and diclofenac (DCF) was investigated in two selected HFCWs, at 48 h HRT. The achieved results proved the high capacity of cork for BPA and DCF removal with the removal rates of 90.95% and 89.66%, respectively. The results confirmed the role of these engineered systems, especially for EDC removal, which should be further explored.

Veterinary antimicrobials in cattle feedlot environs and irrigation conveyances in a high-intensity agroecosystem in southern Alberta, Canada

The South Saskatchewan River Basin (SSRB) is considered one of the most intensively farmed regions in Canada, with high densities of livestock and expansive areas of irrigated cropland. We measured concentrations of seven veterinary antimicrobials (VAs) in 114 surface water samples from feedlot environs and 219 samples from irrigation conveyances in the SSRB. Overall, detection frequencies in feedlot environs were 100% for chlortetracycline (CTC) and tetracycline (TC), 94% for monensin (MON), 84% for tylosin (TYL), 72% for lincomycin (LIN), 66% for erythromycin (ERY), and 23% for sulfamethazine (SMZ). For irrigation conveyances, detection frequencies for CTC and TC remained high (94-100%), but dropped to 18% for ERY, 15% for TYL, 10% for MON, and 4% for SMZ. Lincomycin was not detected in irrigation conveyance water. Maximum concentrations of VAs ranged from 1384 µg L^-1 (TC) to 17 ng L^-1 (SMZ) in feedlot environs while those in irrigation conveyances were 155 ng L^-1 (TC) to 29 ng L^-1 (ERY). High detection frequencies and median concentrations of VAs in both feedlot environs and irrigation conveyances were associated with high amounts of precipitation. However, an irrigation district (ID) with high livestock density (Lethbridge Northern) did not exhibit higher concentrations of VAs compared to IDs with less livestock, while levels of VAs in irrigation conveyances were less influenced by the degree of surface runoff. The ubiquity of CTC and TC in our study is likely a reflection of its widespread use in intensive livestock operations. Additional investigation is required to link environmental concentrations of VAs with livestock densities and increase our understanding of potential antimicrobial resistance in high-intensity agroecosystems.

Removal of pharmaceutical active compounds in wastewater by constructed wetlands: Performance and mechanisms

The occurrence of pharmaceutical active compounds (PhACs) in aquatic environments is a cause for concern due to potential adverse effects on human and ecosystem health. Constructed wetlands (CWs) are cost-efficient and sustainable wastewater treatment systems for the removal of these PhACs. The removal processes and mechanisms comprise a complex interplay of photodegradation, biodegradation, phytoremediation, and sorption. This review synthesized the current knowledge on CWs for the removal of 20 widely detected PhACs in wastewater. In addition, the major removal mechanisms and influencing factors are discussed, enabling comprehensive and critical understanding for optimizing the removal of PhACs in CWs. Consequently, potential strategies for intensifying CWs system performance for PhACs removal are discussed. Overall, the results of this review showed that CWs performance in the elimination of some pharmaceuticals was on a par with conventional wastewater treatment plants (WWTPs) and, for others, it was above par. Furthermore, the findings indicated that system design, operational, and environmental factors played important but highly variable roles in the removal of pharmaceuticals. Nonetheless, although CWs were proven to be a more cost-efficient and sustainable technology for pharmaceuticals removal than other engineered treatment systems, there were still several research gaps to be addressed, mainly including the fate of a broad range of emerging contaminants in CWs, identification of specific functional microorganisms, transformation pathways of specific pharmaceuticals, assessment of transformation products and the ecotoxicity evaluation of CWs effluents.

Insights into the fate of antibiotics in constructed wetland systems: Removal performance and mechanisms

Antibiotics have been recognized as emerging contaminants that are widely distributed and accumulated in aquatic environment, posing a risk to ecosystem at trace level. Constructed wetlands (CWs) have been regarded as a sustainable and cost-effective alternative for efficient elimination of antibiotics. This review summarizes the removal of 5 categories of widely used antibiotics in CWs, and discusses the roles of the key components in CW system, i.e., substrate, macrophytes, and microorganisms, in removing antibiotics. Overall, the vertical subsurface flow CWs have proven to perform better in terms of antibiotic removal (>78%) compared to other single CWs. The adsorption behavior of antibiotics in wetland substrates is determined by the physicochemical properties of antibiotics, substrate configuration and operating parameters. The effects of wetland plants on antibiotic removal mainly include direct (e.g., plant uptake and degradation) and indirect (e.g., rhizosphere processes) manners. The possible interactions between microorganisms and antibiotics include biosorption, bioaccumulation and biodegradation. The potential strategies for further enhancement of the antibiotic removal performance in CWs included optimizing operation parameters, innovating substrate, strengthening microbial activity, and integrating with other treatment technologies. Taken together, this review provides useful information for facilitating the development of feasible, innovative and intensive antibiotic removal technologies in CWs, as well as enhancing the economic viability and ecological sustainability.

Constructed wetlands for the removal of pharmaceuticals and personal care products (PPCPs) from wastewater: origin, impacts, treatment methods, and SWOT analysis

The continuous exposure to pharmaceuticals and personal care products can lead to a series of individual antagonistic and synergistic effects and long-lasting toxicity to humans and aquatic lives. This may also lead to developing antibiotic resistance, teratogenic, carcinogenic, and endocrine-disrupting effects. However, several PPCPs are also considered biologically active for non-target aquatic organisms, such as mosquito fish, goldfish, and the algae Pseudokirchneriella subcapitata. Various physicochemical methods such as ozonation, photolysis, and membrane separation are recognized for the effective removal of PPCPs. However, the high operation and maintenance costs and associated ecological impacts have limited their further use. Constructed wetlands are considered eco-friendly and sustainable for the removal of pharmaceuticals and personal care products together with antibiotic resistance genes. Several mechanisms such as sorption, biodegradation, oxidation, photodegradation, volatilization, and hydrolysis are occurring during the phytoremediation of PPCPs. During these processes, more than 50% of PPCPs can be eliminated through constructed wetlands. They also offer several additional benefits as obtained macrophytic biomass may be used as raw material in pulp and paper industries and a source for second-generation biofuel production. In this study, we have discussed the origin and impacts of PPCPs together with their treatment methods. We have also investigated the strengths, weaknesses, opportunities, and threats associated with constructed wetlands during the treatment of wastewater laden with pharmaceutical and personal care products.

A Review of Methods for Removal of Ceftriaxone from Wastewater

The presence of pharmaceuticals in surface water and wastewater poses a threat to public health and has significant effects on the ecosystem. Since most wastewater treatment plants are ineffective at removing molecules efficiently, some pharmaceuticals enter aquatic ecosystems, thus creating issues such as antibiotic resistance and toxicity. This review summarizes the methods used for the removal of ceftriaxone antibiotics from aquatic environments. Ceftriaxone is one of the most commonly prescribed antibiotics in many countries, including Tanzania. Ceftriaxone has been reported to be less or not degraded in traditional wastewater treatment of domestic sewage. This has piqued the interest of researchers in the monitoring and removal of ceftriaxone from wastewater. Its removal from aqueous systems has been studied using a variety of methods which include physical, biological, and chemical processes. As a result, information about ceftriaxone has been gathered from many sources with the searched themes being ceftriaxone in wastewater, ceftriaxone analysis, and ceftriaxone removal or degradation. The methods studied have been highlighted and the opportunities for future research have been described.

Behaviour of 27 selected emerging contaminants in vertical flow constructed wetlands as post-treatment for municipal wastewater

Six substrates (i.e. sand enriched with activated or non-activated biochar or zeolite in different ratios) were tested in Vertical Flow Constructed Wetlands (VFCWs) planted with Phragmites australis and Iris pseudacorus for the removal of 27 emerging contaminants from municipal wastewater. The laboratory investigation under controlled conditions (spiked constant concentrations in synthetic wastewater) lasted 357 days and proved VFCWs being able to provide excellent effluent quality in terms of both macro - and micropollutant elimination. Because overall removal efficiencies exceeded 90% in most of the cases, significant differences among the substrates were not detectable. For compounds with medium elimination (i.e. AMPA) the type of substrate seemed to play a strong role and the maximum amount of active ingredient adsorbed per amount of substrate has been quantified (i.e. 0.77 μg of AMPA per g of 30% biochar mixed with sand). Three of the most promising substrates from laboratory where thus selected to be tested under real conditions (fluctuation in concentration, variable temperature). As result, VFCWs with 15% activated biochar mixed with sand proved to be effective in the removal of 18 emerging contaminants and complying with national discharge standards for 4 selected compounds.

Uptake, Occurrence, and Effects of Nonsteroidal Anti-Inflammatory Drugs and Analgesics in Plants and Edible Crops

The plant uptake of pharmaceuticals that include nonsteroidal anti-inflammatory drugs (NSAIDs) and analgesics from contaminated environment has benefits and drawbacks. These pharmaceuticals enter plants mostly through irrigation with contaminated water and application of sewage sludge as soil fertilizer. Aquatic plants withdraw these pharmaceuticals from water through their roots. Numerous studies have observed the translocation of these pharmaceuticals from the roots into the aerial tissues. Furthermore, the occurrence of the metabolites of NSAIDs in plants has been observed. This article provides an in-depth critical review of the plant uptake of NSAIDs and analgesics, their translocation, and toxic effects on plant species. In addition, the occurrence of metabolites of NSAIDs in plants and the application of constructed wetlands using plants for remediation are reviewed. Factors that affect the plant uptake and translocation of these pharmaceuticals are examined. Gaps and future research are provided to guide forthcoming investigations on important aspects that worth explorations.

Assessment of a wide array of organic micropollutants of emerging concern in wastewater treatment plants in Greece: Occurrence, removals, mass loading and potential risks

Exploring the contamination profile of multi-class emerging contaminants (ECs) in wastewater is highly desirable. To this end, the occurrence, removal, mass loading and risks associated with a large panel of pharmaceuticals and personal care products, illicit drugs, perfluorinated compounds and organophosphate flame retardants in two wastewater treatment plants (WWTPs) in the region of Thessaloniki (Greece) after a survey is illustrated. Influent and effluent wastewaters were submitted to solid phase extraction on Oasis HLB cartridges, followed by ultra-high-performance liquid chromatography Orbitrap high-resolution mass spectrometry (UHPLC-Orbitrap MS). Influent concentrations in both WWTPs were notably higher than effluent, with caffeine, acetaminophen, irbesartan and valsartan being the most ubiquitous compounds, exhibiting elevated concentrations. Average effluent concentrations ranged from below the method quantification limits (<MQL) to remarkably high values (μg L^-1 scale), such as for caffeine, acetaminophen, diclofenac, irbesartan and valsartan, among others. Removal efficiencies ranged between -273% for lamotrigine and 100%, i.e., for the UV filter BP1. Notably, the polar compounds such as cytarabine, methotrexate and capecitabine were removed at a rate >80% in both WWTPs, allowing the correlation between logK_ow and removals. Interesting trends for the illicit drugs were revealed by means of mass loading estimation, as in the case of benzoylecgonine (71.6 mg/day/1000 inhabitants). Ecotoxicological risk assessment was evaluated for both single components and mixture, using three approaches: risk quotient (RQ), risk quotient considering frequency (RQ_f) and toxic units (TU). Irbesartan and telmisartan posed a high risk in all trophic levels, while fish was the most sensitive taxa for diclofenac. This work aspires to intensify the surveillance programs for the receiving water bodies, as well as to motivate the investigation of toxicity to non-target organisms.

Prediction of the removal efficiency of emerging organic contaminants in constructed wetlands based on their physicochemical properties

This study investigates the prediction of the removal efficiency of emerging organic contaminants (EOCs) (pharmaceuticals-PhCs, personal care products-PCPs, and steroidal hormones-SHs) in constructed wetlands based on their physicochemical properties (e.g., molecular weight-MW, octanol-water partition coefficient-Log Kow, soil organic carbon sorption coefficient-Log Koc, octanol-water distribution coefficient-Log Dow, and dissociation constant-pKa). The predictive models are formed based on statistical analysis underpinned by principle component, correlation, and regression analyses of a global data set compiled from peer-reviewed publications. The results show that the physicochemical properties of EOCs emerged as good predictors of their removal efficiency. Log Koc, Log Dow, and Log Kow are the most significant predictors, and combination with MW and/or pKa often improved the reliability of the predictions. The best performing model for PhCs was composed of MW, Log Dow, and Log Koc (coefficient of determination-R²: 0.601; probability value-p < 0.05; root mean square error-RMSE: training set: 11%; test set: 27%). Log Kow and Log Koc for PCPs (R²: 0.644; p < 0.1; RMSE: training set: 14%; test set: 14%), and a combination of MW, Log Kow, and pKa for SHs (R²: 0.941; p < 0.1; RMSE: training set: 3%; test set: 15%) formed the plausible models for predicting the removal efficiency. Similarly, reasonably good combined models could be formed in the case of PhCs and SHs or PCPs and SHs, although their individual models were comparatively better. A novel decision support tool, named as REOCW-PCP, was developed to readily estimate the removal efficiency of EOCs, and facilitate the decision-making process.

Removal of micropollutants and biological effects by conventional and intensified constructed wetlands treating municipal wastewater

Seven treatment wetlands and a municipal wastewater treatment plant (WWTP) were weekly monitored over the course of one year for removal of conventional wastewater parameters, selected micropollutants (caffeine, ibuprofen, naproxen, benzotriazole, diclofenac, acesulfame, and carbamazepine) and biological effects. The treatment wetland designs investigated include a horizontal subsurface flow (HF) wetland and a variety of wetlands with intensification (aeration, two-stages, or reciprocating flow). Complementary to the common approach of analyzing individual chemicals, in vitro bioassays can detect the toxicity of a mixture of known and unknown components given in a water sample. A panel of five in vitro cell-based reporter gene bioassays was selected to cover environmentally relevant endpoints (AhR: indicative of activation of the aryl hydrocarbon receptor; PPARγ: binding to the peroxisome proliferator-activated receptor gamma; ERα: activation of the estrogen receptor alpha; GR: activation of the glucocorticoid receptor; oxidative stress response). While carbamazepine was persistent in the intensified treatment wetlands, mean monthly mass removal of up to 51% was achieved in the HF wetland. The two-stage wetland system showed highest removal efficacy for all biological effects (91% to >99%). The removal efficacy for biological effects ranged from 56% to 77% for the HF wetland and 60% to 99% for the WWTP. Bioanalytical equivalent concentrations (BEQs) for AhR, PPARγ, and oxidative stress response were often below the recommended effect-based trigger (EBT) values for surface water, indicating the great benefit for using nature-based solutions for water treatment. Intensified treatment wetlands remove both individual micropollutants and mixture effects more efficiently than conventional (non-aerated) HF wetlands, and in some cases, the WWTP.

Spatio-Temporal Distribution and Influencing Factors of Human and Veterinary Pharmaceuticals in the Tributary Surface Waters of the Han River Watershed, South Korea

Human and veterinary pharmaceuticals are being increasingly used for disease treatment; hence, their distribution and factors influencing them in the aquatic environment need to be investigated. This study observed the effect of human and animal populations, usage, purchasing criteria (prescription vs. non-prescription), and land use to identify the spatio-temporal distribution of eight pharmaceuticals at twenty-four sites of the tributaries of the Han River watershed. In rural areas, the mean concentration (detection frequency) of non-prescription pharmaceuticals (NPPs) was higher (lower) compared to that of prescription pharmaceuticals (PPs); in urban areas, a reverse trend was observed. Pharmaceutical concentrations in urban and rural areas were mainly affected by wastewater treatment plants (WWTPs) and non-point sources, respectively; concentrations were higher downstream (4.9 times) than upstream of the WWTPs. The concentration distribution (according to the target) was as follows: human–veterinary > human > veterinary. Correlation between total concentration and total usage of the pharmaceuticals was high, except for NPPs. Most livestock and land use (except cropland) were significantly positively correlated with pharmaceutical concentrations. Concentrations were mainly higher (1.5 times) during cold seasons than during warm seasons. The results of this study can assist policymakers in managing pharmaceutical pollutants while prioritizing emerging pollutants.

Boosting pharmaceutical removal through aeration in constructed wetlands

This work evaluated the removal efficiency of 13 wastewater-borne pharmaceuticals in a pilot constructed wetland (CW) operated under different aeration strategies (no aeration, intermittent and continuous). Aeration improved the removal of conventional wastewater parameters and the targeted micropollutants, compared to the non-aerated treatment. Reduction of chemical oxygen demand (COD) and total nitrogen (TN) was slightly higher applying intermittent aeration than applying continuous aeration, the opposite was observed for the investigated pharmaceuticals. Seven targeted compounds were found in influent wastewater, and five of them (acetaminophen, diclofenac, ketoprofen, bezafibrate and gemfibrozil) were efficiently removed (> 83%) in the aerated systems. The overall risk of the investigated samples against aquatic ecosystems was moderate, decreasing in the order influent > no aeration > intermittent aeration > continuous aeration, based on the hazard quotient approach. Lorazepam, diclofenac and ketoprofen were the pharmaceuticals that could contribute the most to this potential environmental impact of the CW effluents after discharge. To the authors' knowledge this is the first sound study on the removal and fate of ketoprofen, bezafibrate, and lorazepam in aerated CWs, and provides additional evidence on the removal and fate of acetaminophen, diclofenac, gemfibrozil, and carbamazepine in this type of bioremediation systems at pilot plant scale.

The anaerobic biodegradation of emerging organic contaminants by horizontal subsurface flow constructed wetlands

The horizontal subsurface flow constructed wetland (HFCW) is widely studied for the treatment of wastewater containing emerging organic contaminants (EOCs): pharmaceuticals, personal care products, and steroidal hormones. This study evaluates the performance of HFCW for the removal of these types of EOCs based on the data collected from peer-reviewed journal publications. In HFCW, anaerobic biodegradation is an important removal mechanism of EOCs besides their removal by the filter media (through sedimentation, adsorption, and precipitation) and plant uptake. The average removal efficiency of 18 selected EOCs ranged from 39% to 98%. The moderate to higher removal efficiency of 12 out of 18 selected EOCs in HFCW indicates the suitability of this type of constructed wetland (CW) for the treatment of wastewater containing these EOCs. The reasonably good removal (>50% in most of the cases) of these EOCs in HFCW might be due to the occurrence of anaerobic biodegradation as one of their major removal mechanisms in CWs. Although the effluent concentration of EOCs was substantially decreased after the treatment, the environmental risk posed by them was not fully reduced in most of the cases. For instance, estimated risk quotient of 11 out of 18 examined EOCs was extremely high for the effluent of HFCW.

Pharmaceutical compound removal efficiency by a small constructed wetland located in south Brazil

The fate of pharmaceuticals during the treatment of effluents is of major concern since they are not completely degraded and because of their persistence and mobility in environment. Indeed, even at low concentrations, they represent a risk to aquatic life and human health. In this work, fourteen pharmaceuticals were monitored in a constructed wetland wastewater treatment plants (WWTP) assessed in both influent and effluent samples. The basic water quality parameters were evaluated, and the removal efficiency of pharmaceutical, potential for bioaccumulation, and the impact of WWTP were assessed using Polar Organic Chemical Integrative Sampler (POCIS) and biofilms. The pharmaceutical compounds were quantified by High Performance Liquid chromatography coupled to mass spectrometry. The sampling campaign was carried out during winter (July/2018) and summer (January/2019). The WWTP performed well regarding the removal of TSS, COD, and BOD₅ and succeeded to eliminate a significant part of the organic and inorganic pollution present in domestic wastewater but has low efficiency regarding the removal of pharmaceutical compounds. Biofilms were shown to interact with pharmaceuticals and were reported to play a role in their capture from water. The antibiotics were reported to display a high risk for aquatic organisms.

Using Pressure-Driven Membrane Processes to Remove Emerging Pollutants from Aqueous Solutions

Currently, there is great concern about global water pollution. Wastewater generally contains substances called emerging pollutants, and if the removal of these pollutants is not given sufficient attention, the pollutants can enter into the water cycle and reach the water supply for domestic use, causing adverse effects on the well-being of people. In order to avoid this menace, a multitude of techniques to reduce the high concentration levels of these substances dissolved in water are being researched and developed. One of the most-used techniques for this goal is the physical-chemical separation of contaminants in water through membrane technology. In this study, different membranes were tested with the objective of investigating the removal of three emerging pollutants: caffeine, metformin, and methyl-paraben. Initially, a nanofiltration (NF) membrane was selected, and the influence of pressure was evaluated in the rejection coefficients and permeate fluxes. Next, a screening of three new membranes to remove methyl paraben was completed. The influence of the operating variables, working pressure, and methyl paraben-feed concentration was checked. Finally, the solution-diffusion model was applied to predict the behavior of the different membranes in the removal of methyl paraben. A good correlation between experimental and calculated values of permeate flux and methyl paraben concentration was obtained.

A decision tree framework to support design, operation, and performance assessment of constructed wetlands for the removal of emerging organic contaminants

There is an increasing focus on research related to the removal of emerging organic contaminants (EOCs) from wastewater by using constructed wetlands (CWs). However, research is lacking on translating the available scientific evidence into decision support tools. In this paper, a novel decision tree framework is developed and demonstrated. The proposed framework consists of five steps: (1) generate a list of EOCs by the analysis of the wastewater; (2) select the best type of CW for each of the selected EOCs; (3) select a final type of CW for the removal of the selected EOCs; (4) identify detailed design and operational features of the proposed CW such as, depth, area, plants, support matrix, hydraulic loading rate, organic loading rate, and hydraulic retention time; and (5) assess the expected removal efficiency of EOCs in the selected CW. A novel decision support tool, named as DTFT-CW, was developed to generate data and information for the application of the proposed decision tree framework. DTFT-CW (given as a supplementary material) was developed using Microsoft Excel 2016 to support decisions on the design, operation, and performance of CWs for the removal of 59 EOCs (33 pharmaceuticals-PhCs, 15 personal care products-PCPs, and 11 steroidal hormones-SHs). The paper demonstrates the usefulness of the developed decision-making tools by considering 19 EOCs (13 PhCs, one PCPs, and five SHs) as an example, which pose high environmental risk and are on the European Union watch list (six of the 19 EOCs). An integrated design of HCW (combining vertical flow CW, horizontal flow CW-HFCW, and free water surface CW) is recommended for the treatment of multiple EOCs instead of a single type of CW such as HFCW that is most widely used in practice. The proposed tools could be useful for decision makers such as policy makers, design engineers, and researchers.

Resilience of Micropollutant and Biological Effect Removal in an Aerated Horizontal Flow Treatment Wetland

The performance of an aerated horizontal subsurface flow treatment wetland was investigated before, during and after a simulated aeration failure. Conventional wastewater parameters (e.g., carbonaceous biological oxygen demand, total nitrogen, and Escherichia coli) as well as selected micropollutants (caffeine, ibuprofen, naproxen, benzotriazole, diclofenac, acesulfame, and carbamazepine) were investigated. Furthermore, the removal of biological effects was investigated using in vitro bioassays. The six bioassays selected covered environmentally relevant endpoints (indicative of activation of aryl hydrocarbon receptor, AhR; binding to the peroxisome proliferator-activated receptor gamma, PPARγ; activation of estrogen receptor alpha, ERα; activation of glucocorticoid receptor, GR; oxidative stress response, AREc32; combined algae test, CAT). During the aeration interruption phase, the water quality deteriorated to a degree comparable to that of a conventional (non-aerated) horizontal subsurface flow wetland. After the end of the aeration interruption, the analytical and biological parameters investigated recovered at different time periods until their initial treatment performance. Treatment efficacy for conventional parameters was recovered within a few days, but no complete recovery of treatment efficacy could be observed for bioassays AhR, AREc32 and CAT in the 21 days following re-start of the aeration system. Furthermore, the removal efficacy along the flow path for most of the chemicals and bioassays recovered as it was observed in the baseline phase. Only for the activation of AhR and AREc32 there was a shift of the internal treatment profile from 12.5% to 25% (AhR) and 50% (AREc32) of the fractional length.

Performance comparison of different types of constructed wetlands for the removal of pharmaceuticals and their transformation products: a review

This paper presents a comprehensive and critical comparison of four types of constructed wetlands (CWs): free water surface CW (FWSCW), vertical flow CW (VFCW), horizontal flow CW (HFCW), and hybrid CW (HCW) for the removal of 29 pharmaceuticals (PhCs) and 19 transformation products (TPs) using a global data compiled for 247 CWs reported in 63 peer-reviewed journal papers. Biodegradation (aerobic being more efficient than anaerobic) is the major removal mechanism for 16 out of 29 PhCs besides the influence of other processes (e.g., adsorption/sorption, plant uptake, and photodegradation). The HCW performed better followed by VFCW, HFCW, and FWSCW. The comparatively better removal in HCW might be due to the coexistence of aerobic and anaerobic conditions and longer hydraulic retention time considering more than one compartment enhances the removal of PhCs (e.g., diclofenac, acetaminophen, sulfamethoxazole, sulfapyridine, trimethoprim, and atenolol), which are removed under both conditions and adsorption/sorption processes. The augmentation in dissolved oxygen by the application of artificial aeration improved the removal of PhCs, which are degraded under aerobic conditions. Furthermore, the better performance of aerated CWs could be due to the establishment of various microenvironments with different physicochemical conditions (aerobic and anaerobic), which facilitated the contribution of both aerobic and anaerobic metabolic pathways in the removal of PhCs. The removal of some of the PhCs takes place by the formation of their TPs and the nature of these TPs (persistent or non-biodegradable/biodegradable) plays a major role in their removal process.