Assessment of antibiotic-resistant infection risks associated with reclaimed wastewater irrigation in intensive tomato cultivation

Agricultural irrigation using reclaimed urban wastewater (RWW) represents a sustainable practice to meet the ever-increasing water stress in modern societies. However, the occurrence of residual antibiotics and antibiotic resistant bacteria (ARB) in RWW is an important human health concern. This study applied for the first time a novel Simple-Death dose-response model to the field data of Escherichia coli and Pseudomonas spp. collected from three greenhouses for cultivation of tomatoes irrigated with RWW. The model estimates the risk of infection by enteropathogenic E. coli associated with consumption of tomatoes and the risk of eye-infection caused by Pseudomonas aeruginosa in cultivation soil through hand-to-eye contacts. The fraction of antibiotic resistant (AR)-E. coli measured in irrigation water and AR-Pseudomonas spp. in soil was incorporated in the model to estimate the survival of ARB and antibiotic susceptible bacteria in the presence of trace level of antibiotics in human body. The results showed that the risk of E. coli infection through consumption of tomatoes irrigated with RWW is within the WHO and USEPA recommended risk threshold (<10-4); Pseudomonas aeruginosa eye-infection risk is at or below the acceptable risk level. The presence of residual antibiotic in human body reduced the overall risk probabilities of infections but selectively enhanced the survival of ARB in comparison to their susceptible counterparts, which resulted in antibiotic untreatable infection. Therefore, the outcomes of this study call for a new risk threshold for antibiotic untreatable infections and highlight the key importance of adopting work safety measures for better human health protection.

Peroxymonosulfate/solar process for urban wastewater purification at a pilot plant scale: A techno-economic assessment

The safe reuse of reclaimed water for agricultural irrigation has been considered as an alternative, feasible and sustainable option to address water scarcity. This work aims to validate the capability of the solar water photochemical process based on the synergistic effect between peroxymonosulfate (PMS) and natural solar radiation of for actual urban wastewater (UWW) purification at a pilot plant scale using a solar Compound Parabolic Collector photo-reactor. The PMS/Solar process performance was assessed by monitoring simultaneously the inactivation of naturally occurring bacteria (Escherichia coli, Total coliforms, Enterococcus spp. and Pseudomonas spp.) as a potential tertiary treatment to fit the minimum bacterial requirements for UWW purification but also additional waste challenges have been in deep analysed simultaneously. In this regard, a global analysis including the degradation of three Contaminants of Emerging Concern (CECs) (Diclofenac-DCF, Sulfamethoxazole-SMX and Trimethoprim-TMP), the removal of antibiotic resistant elements, the residual toxicity and the treatment cost has been analysed. Different PMS concentrations (0-1 mM) were tested and an enhancement in the process performance was obtained with increasing oxidant load, obtaining the best results with 1 mM of PMS, at which detection limit (DL) of 2 CFU/mL was reached for all microbial targets after 15 min (1.1 kJ/L of accumulated solar UV-A radiation (Q_UV)) and 80 % of CECs removal was reached after 27 min (2.0 kJ/L of Q_UV) of solar treatment time. Inactivation of naturally occurring antibiotic resistant bacteria (ARB) and removal of 16S rRNA and selected antibiotic resistance genes (ARGs) (i.e., intI1, sul1, qnrS, bla_TEM, bla_CTX-M32, tetM) were also investigated. ARB was successfully inactivated to values below the DL, but the process was not able to completely remove ARGs. A total reduction of intI1 (30 %), 16S rRNA (19 %), sul1 (14 %), bla_CTX-M32 (12 %), qnrS (10 %), bla_TEM (8 %), and tetM (7 %), was obtained after 120 min (11.5 kJ/L of Q_UV). An absence of an eco and phytotoxic effect of treated samples was observed towards Aliivibrio fischeri and three seeds, respectively. Finally, an estimated treatment cost of 0.96 €/m³ for the simultaneous UWW disinfection and decontamination demonstrates the promising capability of this solar treatment for UWW reclamation and reuse in agriculture, especially in areas with a high solar radiation incidence.

Sunlight advanced oxidation processes vs ozonation for wastewater disinfection and safe reclamation

Solar processes (sunlight/H₂O_2, solar photo-Fenton with EDDS at neutral pH) were compared to a consolidated technology (ozonation) in the inactivation of target bacteria (E. coli, Salmonella spp. and Enterococcus spp.) under realistic conditions (real secondary treated urban wastewater (WW), pilot scale reactors, natural sunlight) to evaluate their possible industrial application. The highest bacteria inactivation rate (all the target pathogens were inactivated below the detection limit (DL) (100 CFU/100 mL) within 45 min treatment) was observed for ozonation (83 mgO₃/L h). Similar inactivation behavior for all bacteria was observed for sunlight/H₂O₂ (50 mg/L) and solar photo-Fenton (SPF) with EDDS (1:1 molar ratio, 0.1 mM of Fe and 50 mg/L of H₂O₂). Although the DL was not reached, faster inactivation kinetics (0.007, 0.013 and 0.002 1/min for E. coli, Salmonella spp. and Enterococcus spp., respectively) and lower bacterial concentration after a 180 min treatment were observed for sunlight/H₂O₂ process compared to SPF (0.005, 0.01 1/min and no inactivation, respectively), Enterococcus spp. being the higher resistance microorganism. The negative effect of carbonates on disinfection performance was also evaluated. Quantitative microbial risk assessment for the ingestion of lettuce irrigated with untreated and treated WW was estimated. Disinfection by ozonation and sunlight/H₂O₂ processes were found to drastically decrease the associated microbiological risk (the mean risk of illness decreased from 0.10 (untreated) to 1.35 × 10^-4 (treated) for E. coli and from 0.03 to 2.21 × 10^-6 for Salmonella).

Solar processes and ozonation for fresh-cut wastewater reclamation and reuse: Assessment of chemical, microbiological and chlorosis risks of raw-eaten crops

In this study, a full cycle of agricultural reuse of agro-food wastewater (synthetic fresh-cut wastewater, SFCWW) at pilot plant scale has been investigated. Treated SFCWW by ozonation and two solar processes (H2O2/solar, Fe3+-EDDHA/H2O2/solar) was used to irrigate two raw-eaten crops (lettuce and radish) grown in peat. Two foodborne pathogens (E. coli O157:H7 and Salmonella enteritidis) and five organic microcontaminants (OMCs: atrazine, azoxystrobin, buprofezin, procymidone and terbutryn) were monitored along the whole process. The three studied processes showed a high treatment capability (reaching microbial loads < 7 CFU/100 mL and 21-90 % of OMC reduction), robustness (based on 7 or 10 analysed batches for each treatment process) and high suitability for subsequent treated SFCWW safe reuse: non-phytotoxic towards Lactuca sativa and no bacterial regrowth during its storage for a week. The analysis of the harvested crop samples irrigated with treated SFCWW in all the studied processes showed an absence of microbial contamination (< limit of detection, LOD; i.e., < 1 CFU/99 g of lettuce and < 1 CFU/8 g of radish), a significant reduction of OMC uptake (in the range 40-60 % and > 90 % for solar treated and ozonated SFCWW, respectively) and bioaccumulation in both crops in comparison with the results obtained with untreated SFCWW. Moreover, the chlorophyll content in the harvested lettuces irrigated with SFCWW treated by Fe3+-EDDHA/H2O2/solar was twice than that irrigated with SFCWW treated by H2O2/solar and ozone, indicating the additional advantage of using Fe3+-EDDHA as an iron source to reduce the risk of iron chlorosis in crops. Finally, the chemical (dietary risk assessment for the combined exposure of the 5 OMCs) and quantitative microbiological risk assessment (QMRA) of the harvested crops showed the capability of the studied processes to reduce the risk associated with untreated SFCWW reuse by more than 50 % and more than 4 orders of magnitude, respectively.

A global multinational survey of cefotaxime-resistant coliforms in urban wastewater treatment plants

The World Health Organization Global Action Plan recommends integrated surveillance programs as crucial strategies for monitoring antibiotic resistance. Although several national surveillance programs are in place for clinical and veterinary settings, no such schemes exist for monitoring antibiotic-resistant bacteria in the environment. In this transnational study, we developed, validated, and tested a low-cost surveillance and easy to implement approach to evaluate antibiotic resistance in wastewater treatment plants (WWTPs) by targeting cefotaxime-resistant (CTX-R) coliforms as indicators. The rationale for this approach was: i) coliform quantification methods are internationally accepted as indicators of fecal contamination in recreational waters and are therefore routinely applied in analytical labs; ii) CTX-R coliforms are clinically relevant, associated with extended-spectrum β-lactamases (ESBLs), and are rare in pristine environments. We analyzed 57 WWTPs in 22 countries across Europe, Asia, Africa, Australia, and North America. CTX-R coliforms were ubiquitous in raw sewage and their relative abundance varied significantly (<0.1% to 38.3%), being positively correlated (p < 0.001) with regional atmospheric temperatures. Although most WWTPs removed large proportions of CTX-R coliforms, loads over 10³ colony-forming units per mL were occasionally observed in final effluents. We demonstrate that CTX-R coliform monitoring is a feasible and affordable approach to assess wastewater antibiotic resistance status.

Synthetic fresh-cut wastewater disinfection and decontamination by ozonation at pilot scale

In this research, the capability of ozonation and peroxone treatment for the simultaneous disinfection and decontamination of wash water from the fresh-cut industry has been investigated at pilot plant scale (10 L). The removal efficiency of six organic microcontaminants (OMCs) (four of them priority substances) and the inactivation of two foodborne pathogens (Escherichia coli O157:H7 and Salmonella enteritidis) in synthetic fresh-cut wastewater (SFCWW) has been assessed. Ozonation and peroxone (O₃ with 20 mgL^-1 of H₂O₂) process has been investigated under several operational conditions: natural SFCWW pH (6.25) and basic pH (11), and two different initial ozone production (0.09 and 0.15 gO₃ L^-1 h^-1). Results showed that the highest efficiency for OMCs removal (85%) and pathogen inactivation (>5-Log) were obtained with ozonation treatment at natural pH. OMCs degradation was obtained after 120 min of treatment with an ozone dose of 27.4 mgO₃ L^-1. First order kinetic constant of each OMC degradation was obtained, and two clear different groups have been identify based on their degradation profiles, which have been correlated with their chemical structure. G₁-OMC [terbutryn > buprofezin > azoxystrobin] > G₂-OMC [imidacloprid > simazine > thiamethoxam]. As for bacterial inactivation, up to 10 min of treatment time and an ozone dose of <8.6 mgO₃ L^-1 were required to reach the detection limit (2 CFU mL^-1), showing E. coli O157:H7 a higher susceptibility to be inactivated (k: 2.79 min^-1) than S. enteritidis (k: 1.47 min^-1). Moreover, from the techno-economical and toxicological assessment of the treated water with the best operational condition, can be highlighted: i) a slight acute toxicity for V. fischeri (47 ± 2.3% of luminescence inhibition), ii) an acute toxicity for Daphnia magna (100% of immobilization) and iii) a total cost of the treatment of 1.16 € m^-3.

Reclamation of Real Urban Wastewater Using Solar Advanced Oxidation Processes: An Assessment of Microbial Pathogens and 74 Organic Microcontaminants Uptake in Lettuce and Radish

In this study, disinfection of urban wastewater (UWW) with two solar processes (H2O2 -20 mg/L and photo-Fenton 10 mg/L-Fe2+/20 mg/L-H2O2 at natural water pH) at pilot scale using a 60 L compound parabolic collector reactor for irrigation of two raw-eaten vegetables (lettuce and radish) has been investigated. Several microbial targets (total coliforms, Escherichia coli, Salmonella spp., and Enterococcus spp.) naturally occurring in UWW and 74 organic microcontaminants (OMCs) were monitored. Disinfection results showed no significant differences between both processes, showing the following inactivation resistance order: Salmonella spp. < E. coli < total coliforms < Enterococcus spp. Reductions of target microorganisms to concentrations below the limit of detection (LOD) was achieved in all cases with cumulative solar UV energy per volume (QUV) ranged from 12 to 40 kJ/L (90 min to 5 h). Solar photo-Fenton showed a reduction of 66% of OMCs and solar/H2O2 of 56% in 5 h treatment. Irrigation of radish and lettuce with solar treated effluents, secondary effluents, and mineral water was performed for 6 and 16 weeks, respectively. The presence of bacteria was monitored in surfaces and uptake of leaves, fruit, and also in soil. The bacterial concentrations detected were below the LOD in the 81.2% (lettuce) and the 87.5% (radish) of the total number of samples evaluated. Moreover, uptake of OMCs was reduced above 70% in crops irrigated with solar treated effluents in comparison with secondary effluents of UWW.

Identification of transformation products of carbamazepine in lettuce crops irrigated with Ultraviolet-C treated water

Transformation of organic microcontaminants (OMCs) during wastewater treatments results in the generation of transformation products (TPs), which can be more persistent than parent compounds. Due to reuse of reclaimed wastewater (RWW) for crop irrigation, OMCs and TPs are released in soils being capable to translocate to crops. Furthermore, OMCs are also susceptible to transformation once they reach the soil or crops. The recalcitrant antiepileptic carbamazepine (CBZ) and some of its frequently reported TPs have been found in agricultural systems. However, there is no knowledge about the fate in reuse practices of multiple CBZ TPs that can be formed during wastewater treatment processes. For the first time, this work presents a study of the behavior of CBZ TPs generated after a conventional Ultraviolet-C (UVC) treatment in an agricultural environment. The UVC-treated water was used for the irrigation of lettuces grown under controlled conditions. The latter was compared to the fate of TPs generated in the peat and plant by irrigation with non-treated water containing CBZ. A suspect screening strategy was developed to identify the TPs using liquid chromatography coupled to quadrupole-time-of-flight (LC-QTOF-MS). The results revealed the presence of 24 TPs, 22 in UVC-treated water, 11 in peat and 9 in lettuce leaves. 4 of the TPs identified in peat (iminostilbene, TP 271B, TP 285A-B); and 3 in leaves (10-11 dihydrocarbamazepine, TP 271A-B) were not previously reported in soils or edible parts of crops, respectively. Comparing the TPs found in peat and lettuces derived from both irrigation conditions, no significant differences regarding TPs formation or occurrence were observed. UVC treatment did not contribute to the formation of different TPs than those generated by transformation or metabolism of CBZ in peat or plant material. This research improves the current knowledge on the fate of CBZ TPs in agricultural systems because of reuse practices.

Tertiary treatment of urban wastewater by solar and UV-C driven advanced oxidation with peracetic acid: Effect on contaminants of emerging concern and antibiotic resistance

Photo-driven advanced oxidation process (AOP) with peracetic acid (PAA) has been poorly investigated in water and wastewater treatment so far. In the present work its possible use as tertiary treatment of urban wastewater to effectively minimize the release into the environment of contaminants of emerging concern (CECs) and antibiotic-resistant bacteria was investigated. Different initial PAA concentrations, two light sources (sunlight and UV-C) and two different water matrices (groundwater (GW) and wastewater (WW)) were studied. Low PAA doses were found to be effective in the inactivation of antibiotic resistant Escherichia coli (AR E. coli) in GW, with the UV-C process being faster (limit of detection (LOD) achieved for a cumulative energy (Q_UV) of 0.3 kJL^-1 with 0.2 mg PAA L^-1) than solar driven one (LOD achieved at Q_UV = 4.4 kJL^-1 with 0.2 mg PAA L^-1). Really fast inactivation rates of indigenous AR E. coli were also observed in WW. Higher Q_UV and PAA initial doses were necessary to effectively remove the three target CECs (carbamazepine (CBZ), diclofenac and sulfamethoxazole), with CBZ being the more refractory one. In conclusion, photo-driven AOP with PAA can be effectively used as tertiary treatment of urban wastewater but initial PAA dose should be optimized to find the best compromise between target bacteria inactivation and CECs removal as well as to prevent scavenging effect of PAA on hydroxyl radicals because of high PAA concentration.