Environmental and ecotoxicological effects of drugs used for the treatment of COVID 19

Consumption of different pharmaceuticals has increased since the COVID-19 pandemic. Some health institutions worldwide approved the use of drugs such as ivermectin, hydroxychloroquine, azithromycin, dexamethasone, favipiravir, remdesivir, lopinavir-ritonavir, chloroquine, dexamethasone for the treatment of the virus. Once consumed by humans, these compounds are released in urine and faeces, ending up in wastewater and conducted to treatment plants or directly discharged without prior treatment into surface water and soil, with minimum values recorded between 7 ng/L and < 0.08 mu g/L for azithromycin and ivermectin respectively, as well as dexamethasone with 0.73 ng/L in surface water and an average of 50-60 ng/L for favipiravir. Their presence has numerous toxicological effects on aquatic and terrestrial species, influencing population decline and altering the growth of organisms. However, the environmental consequences of pharmaceuticals in the environment are poorly known, especially for antivirals studied in this article. This work aims to analyze the presence, treatment and ecotoxicity of drugs used in the pandemic COVID 19, mainly focusing on aquatic and terrestrial ecosystems since that is where they arrive through wastewater. Ecotoxicological effects on flora, fauna and humans are also analyzed. Once there, they persist in the environment causing severe ecological damage, developmental and growth disorders in animals and plants and, in many cases, even the death of species.

Complementing RNA Detection with Pharmaceutical Monitoring for Early Warning of Viral Outbreaks through Wastewater-Based Epidemiology

Wastewater-based epidemiology using viral nucleic acids to predict community viral outbreaks has many challenges, including differences in viral shedding of infected individuals and interference from the wastewater matrix. In this study, we demonstrate that monitoring pharmaceutical residues in untreated sewage provides complementary information that correlates with future occurrences of viral outbreaks. We monitored 63 pharmaceutically active compounds, including antivirals used to treat COVID-19 and influenza and over-the-counter drugs commonly used to relieve the symptoms of infection. Weekly sampling was conducted at four municipal sewage treatment plants in Western New York. Residues of drugs associated with managing COVID-19 symptoms were detected, including azithromycin (1.99-5.00 μg/L), chloroquine (0.01-33.00 μg/L), hydroxychloroquine (0.05-30.54 μg/L), and lopinavir (13.75-181.20 μg/L). A significant correlation (p < 0.001) was observed between the total COVID-19-related drugs detected and the 5-day rolling averages of reported cases. Acetaminophen concentrations spiked approximately 2.5 weeks before a spike in SARS-CoV-2 RNA copies in all wastewater treatment plants sampled. The results suggest over-the-counter analgesic concentrations, in particular, acetaminophen in raw sewage to be used to complement viral RNA data as an early warning system for effective management of viral outbreaks at the community level. © 2022 American Chemical Society.

Evaluation of effluent post-treatment by slow filtration and adsorption with activated carbon produced from spent coffee grounds in surfactant removal in sewage treatment

Environmental pollution is a worldwide concern, especially when caused by sewage dumping into water bodies. Many substances are present in industrial or domestic wastewater, causing contamination in superficial water collection. Surfactants stand out for being widely used both industrially and domestically. The use of detergents and many types of surfactants was increased during the Covid-19 pandemic period, a fact observed in the levels in the effluent sample analysis from a Sewage Treatment Plant (STP) - Vila City around 21 and 39 mg L-1 in this period. This work evaluated the surfactant concentrations in the primary and secondary treatment units of the Vila City STP, in the city of Paranavaí-PR.-Brazil. In addition, the use of a post-treatment by slow sand filtration and adsorption by activated carbon produced from spent coffee grounds in the complementary removal of surfactants was proposed. A mixed bed with sand and activated carbon columns was made on a pilot scale, and filtration/adsorption runs were performed simulating slow filtration with rates of approximately 15 m3 m-2 day-1. The parameters used for the efficiency removal evaluation in a pilot plant run were: turbidity (NTU) and surfactant concentrations. The removal of surfactant concentrations was about 9% and 7% in the Upflow Anaerobic Sludge Bed reactors (UASB-RALF) and in the secondary treatment, respectively, at the STP - Vila City units. In the post-treatment proposed by filtration/adsorption, bed columns on a pilot scale plant obtained a reduction of approximately 94% in terms of turbidity (NTU) and 95% in terms of surfactant removal.Alternate :Poluiçâo ambiental é uma preocupaçâo mundial, especialmente causada por despejos de esgotos nos coleçâo hídrica. Diversas substancias compöem os despejos e residuos industriais e esgotos domésticos. Os surfactantes destacam-se por serem amplamente usados tanto industrialmente como domesticamente. O consumo de detergentes e diversos tipos de tensoativos foi incrementado durante o período de pandemia da Covid-19, fato observado nos teores de surfactantes no efluente das Estaçöes de Tratamento de Esgoto (ETE) - Vila City entre 21 e 39 mg L-1 neste período de tempo. Este trabalho avaliou as concentraçöes de surfactantes em diferentes etapas da ETE da Vila City, na cidade de Paranavaí, PR.- Brasil. Além disso, propôs-se a utilizaçao de um pós-tratamento por filtraçâo/adsorçâo por carvão ativado produzido a partir da borra de café na remoçao complementar dos surfactantes. Foram confeccionadas colunas de adsorçao com meio filtrante de areia e carvão em escala piloto e realizados ensaios de filtração/adsorção simulando filtração lenta com taxas de aproximadamente 15 m3 m-2 dia-1. Os parámetros utilizados na aval

Surveillance of SARS-CoV-2 in Sewage Treatment Plants between January 2020 and July 2021 in Taiwan.

An outbreak of a new type of coronavirus pneumonia (COVID-19) began in Wuhan, Hubei Province, China, at the end of 2019, and it later spread to other areas of China and around the world. Taiwan reported the first confirmed case from an individual who returned from Wuhan, China, in January 2020 for Chinese New Year. Monitoring microbes in environmental sewage is an important epidemiological indicator, especially for pathogens that can be shed in feces such as poliovirus. We have conducted additional SARS-CoV-2 sewage testing since January 2020 using a well-established poliovirus environmental sewage surveillance system in Taiwan. Wastewater samples were collected from 11 sewage treatment plants from different parts of Taiwan twice a month for laboratory testing. By the end of July 2021, 397 wastewater specimens had been tested, and two samples were positive for SARS-CoV-2. These two wastewater samples were collected in the northern region of Taiwan from Taipei (site A) and New Taipei City (site C) at the beginning of June 2021. This result is consistent with the significant increase in confirmed COVID-19 cases observed in the same period of time. As the pandemic ebbed after June, the wastewater samples in these areas also tested negative for SARS-CoV-2 in July 2021.

SARS-CoV-2 RNA surveillance in large to small centralized wastewater treatment plants preceding the third COVID-19 resurgence in Bangkok, Thailand.

Wastewater surveillance for SARS-CoV-2 RNA has been a successful indicator of COVID-19 outbreaks in populations prior to clinical testing. However, this has been mostly conducted in high-income countries, which means there is a dearth of performance investigations in low- and middle-income countries with different socio-economic settings. This study evaluated the applicability of SARS-CoV-2 RNA monitoring in wastewater (n = 132) to inform COVID-19 infection in the city of Bangkok, Thailand using CDC N1 and N2 RT-qPCR assays. Wastewater influents (n = 112) and effluents (n = 20) were collected from 19 centralized wastewater treatment plants (WWTPs) comprising four large, four medium, and 11 small WWTPs during seven sampling events from January to April 2021 prior to the third COVID-19 resurgence that was officially declared in April 2021. The CDC N1 assay showed higher detection rates and mostly lower Ct values than the CDC N2. SARS-CoV-2 RNA was first detected at the first event when new reported cases were low. Increased positive detection rates preceded an increase in the number of newly reported cases and increased over time with the reported infection incidence. Wastewater surveillance (both positive rates and viral loads) showed strongest correlation with daily new COVID-19 cases at 22-24 days lag (Spearman's Rho = 0.85-1.00). Large WWTPs (serving 432,000-580,000 of the population) exhibited similar trends of viral loads and new cases to those from all 19 WWTPs, emphasizing that routine monitoring of the four large WWTPs could provide sufficient information for the city-scale dynamics. Higher sampling frequency at fewer sites, i.e., at the four representative WWTPs, is therefore suggested especially during the subsiding period of the outbreak to indicate the prevalence of COVID-19 infection, acting as an early warning of COVID-19 resurgence.

Defining the methodological approach for wastewater-based epidemiological studies-Surveillance of SARS-CoV-2.

Since COVID-19 outbreak, wastewater-based epidemiology (WBE) studies as surveillance system is becoming an emerging interest due to its functional advantage as a tool for early warning signal and to catalyze effective disease management strategies based on the community diagnosis. An attempt was made in this study to define and establish a methodological approach for conducting WBE studies in the framework of identifying/selection of surveillance sites, standardizing sampling policy, designing sampling protocols to improve sensitivity, adopting safety protocol, and interpreting the data. Data from hourly sampling indicated a peak in the viral RNA during the morning hours (6-9 am) when the all the domestic activities are maximum. The daily sampling and processing revealed the dynamic nature of infection spread among the population. The two sampling methods viz. grab, and composite showed a good correlation. Overall, this study establishes a structured protocol for performing WBE studies that could provide useful insights on the spread of the pandemic at a given point of time. Moreover, this framework could be extrapolated to monitor several other clinically relevant diseases. Following these guidelines, it is possible to achieve measurable and reliable SARS-CoV-2 RNA concentrations in wastewater infrastructure and therefore, provides a methodological basis for the establishment of a national surveillance system.