Removal of pharmaceutical contaminants from hospital wastewater using constructed wetlands: a review.

AbstractPharmaceutical compounds are a significant source of environmental pollution, particularly in hospital wastewater, which contains high concentrations of such compounds. Constructed wetlands have emerged as a promising approach to removing pharmaceutical compounds from wastewater. This paper aims to review the current state of knowledge on the removal of pharmaceutical compounds from hospital wastewater using constructed wetlands, including the mechanism of removal, removal efficiency, and future prospects. Pharmaceutical contaminants have been considered to be one of the most emerging pollutants in recent years. In this review article, various studies on constructed wetlands are incorporated in order to remove the pharmaceutical contaminants. The nature of constructed wetland can be explained by understanding the types of constructed wetland, characteristics of hospital wastewater, removal mechanism, and removal efficiency. The results of the review indicate that constructed wetlands are effective in removing pharmaceutical compounds from hospital wastewater. The removal mechanism of these compounds involves a combination of physical, chemical, and biological processes, including adsorption, degradation, and uptake by wetland plants. The removal efficiency of constructed wetlands varies depending on several factors, including the type and concentration of pharmaceutical compounds, the design of the wetland system, and the environmental conditions. Further research is necessary to optimize the performance of these systems, particularly in the removal of emerging contaminants, to ensure their effectiveness and long-term sustainability.

Geospatial distribution and machine learning algorithms for assessing water quality in surface water bodies of Morocco.

Surface waterbodies being primary source of water for human consumption are being investigated for its quality globally. This study evaluated water quality in three rivers (River Nfifikh, Hassar and El Maleh) of Mohammedia prefecture, Morocco in terms of heavy metals occurrence during two seasons of winter and spring. The heavy metals analyzed were cadmium, iron, copper, zinc, and lead. Heavy metal pollution index was derived to quantify water quality and pollution. Hazard quotient and carcinogenic risk were calculated to determine possible health risk. Modelling and prediction were performed using random forest, support vector machine and artificial neural network. The heavy metal concentration was lower in the winter season than in the spring season. Heavy metal pollution index (H.P.I.) was in the range of 1.5-2 during the winter season and 2-3 during the spring season. In the Nfifikh river, Cd2+ and Fe were the main polluting heavy metal. H.Q. was < 1 in all three rivers, which signified no adverse health effect from exposure to heavy metals. However, carcinogenic risk assessment revealed that 1 in every 100 people was susceptible to cancer during the life span of 70 years. Based on the control point reference, it was found that Mohammedia prefecture as river water was already contaminated before it entered the prefecture boundary. This was again validated with the water lagoon Douar El Marja which is located near the industrial zones of Mohammedia prefecture. Future studies are required to investigate pollution of rivers prior to their entry in Mohammedia prefecture to identify potential source and adopt mitigation measures accordingly.

Comparison of constructed wetland performance coupled with aeration and tubesettler for pharmaceutical compound removal from hospital wastewater.

Pharmaceutical compounds being able to alter, retard, and enhance metabolism has gained attention in recent time as emerging pollutant. However, hospitals which are part of every urban landscape have yet to gain attention in terms of its hospital wastewater treatment to inhibit pharmaceutical compounds from reaching environment. Hence this study evaluated performance of constructed wetland in combination with tubesettler and aeration based on removal efficiency and ecological risk assessment (HQ). The removal efficiency of constructed wetland with plantation was higher by 31% (paracetamol), 102% (ibuprofen), 46%, (carbamazepine), 57% (lorazepam), 54% (erythromycin), 31% (ciprofloxacin) and 20% (simvastatin) against constructed wetland without plantation. Constructed wetland with aeration efficiency increased for paracetamol, ibuprofen, carbamazepine, lorazepam, erythromycin, ciprofloxacin, and simvastatin removal efficiency were higher by 58%, 130%, 52%, 79%, 107%, 57%, and 29% respectively. In constructed wetland with plantation, removal efficiency was higher by 20% (paracetamol), 13% (ibuprofen), 4% (carbamazepine), 14% (lorazepam), 34% (erythromycin), 19% (ciprofloxacin) and 7% (simvastatin). High ecological risk was observed for algae, invertebrate and fish with hazard quotient values in range of 2.5-484, 10-631 and 1-78 respectively. This study concludes that if space is the limitation at hospitals aeration with constructed wetland can be adopted. If space is available, constructed wetland with tubesettler is suitable, economic and environmentally friendly option. Future research works can focus on evaluating other processes combination with constructed wetland.

Modelling and parameter optimisation for performance evaluation of sequencing batch reactor for treating hospital wastewater.

Hospital wastewater treatment is gaining attention in recent studies due to its complex nature. The performance of the sequencing batch reactor coupled with tube-settler was investigated for hospital wastewater treatment. The performance was evaluated regarding removing organic matter and nutrients (nitrate and phosphate). The phosphate was removed in the sequencing batch reactor and its associated tube-settler with a 60% removal efficiency margin. Nitrification was observed in sequencing batch reactor and tube-settler, but denitrification could not be achieved. The nitrification-denitrification process was not completed during the process. The current work's main aim was to understand and optimise the operational parameters involved in the performance of the sequencing batch reactor. The operational parameters were optimised using Design expert software, and Response Surface Methodology involved a four-factor and five-level central composite design. The percentage removal of chemical oxygen demand, nitrate, and phosphate was selected to be observed during this study. Supplementary Information: The online version contains supplementary material available at 10.1007/s13399-022-03406-z.

Removal of organic matter and nutrients from hospital wastewater by electro bioreactor coupled with tubesettler.

Wastewater consisting of different pharmaceuticals and drug residues is quite challenging to treat and dispose of. This situation poses a significant impact on the health aspect of humans and other biotic organisms in the environment. The main concern of hospital wastewater (HWW) is the resistivity towards treatment using the different conventional methods. For the treatment of HWW, this study was performed using an electro bioreactor using hospital wastewater. The electro reduction overcomes the effect of toxic elements in hospital wastewater, and biodegradation removes organic matter and nutrients from wastewater. This study investigated electro bioreactor performance for treating hospital wastewater connected with tubesettler. The parameters of chemical oxygen demand, nitrate, and phosphate concentration were analyzed to evaluate an influent and effluent from electro bioreactor and tubesettler. Also, Kinetic modelling for chemical oxygen demand, nitrate, and phosphate removal was done. The chemical oxygen demand was reduced by 76% in electro bioreactor, and 31% in tubesettler, 84%. The nitrate and phosphate were reduced within permissible discharge limits with a final effluent concentration of 1.4 mg L-1 and 3 mg L-1. Further studies are required to assess the impact of pharmaceutical compounds in hospital wastewater on the system's performance.

Geospatial distribution and health risk assessment of groundwater contaminated within the industrial areas: an environmental sustainability perspective.

Groundwater is the second largest water source for daily consumption, only next to surface water resources. Groundwater has been extensively investigated for its pollution level in urban areas. The groundwater quality assessments in industrial areas associated with every urban landscape are still lacking. This study was carried out in two industrial areas including Okhla and Mohan cooperative in New Delhi, India. The six groundwater samples were obtained for water quality assessment for 2015 and 2018. The heavy metals investigated in water samples were Cu, As, Pb, Mn, Ni, Zn, Fe, Cr, and Mn. The water quality was assessed in the heavy metals index (MI) and heavy metal pollution index (HPI). From indexing approach, it was observed that pollution levels have increased in year 2018 as compared to the year 2015. MI < 1 for Cu in 2015 and 2018 in both industrial areas. In the case of remaining metals, MI ranged from 2.5 to 8.4. When the HPI indexing approach was adopted, water was unfit for drinking in both industrial areas in 2015 and 2018, with an HPI value > 100. Non-carcinogenic risk assessment (HI) ranged from 1.7 to 1.9 in 2015, increasing from 17.41 to 217 in 2018, indicating high risk in both years. Carcinogenic risk (CR) was within the acceptable range for 48% of each heavy metal analysed sample. When the Carcinogenic risk index was considered (CRI), all samples were beyond the acceptable range, and every person was prone to carcinogenic risk in 2015.

Treatment of Hospital wastewater with submerged aerobic fixed film reactor coupled with tube-settler.

In this study, Hospital wastewater was treated using a submerged aerobic fixed film (SAFF) reactor coupled with tubesettler in series. SAFF consisted of a column with an up-flow biofilter. The biological oxygen demand (BOD)5, chemical oxygen demand (COD), nitrate and phosphate were the chosen pollutants for evaluation. The pollutants removal efficiency was determined at varying organic loading rates and hydraulic retention time. The organic loading rate was varied between 0.25 and 1.25 kg COD m-3 d-1. The removal efficiency of SAFF and tubesettler combined was 75 % COD, 67 % BOD and 67 % phosphate, respectively. However, nitrate saw an increase in concentration by 25 %. SAFF contribution in the removal of COD, BOD5 and Phosphate was 48 %, 46 % and 29 %, respectively. While for accumulation of nitrate, it was responsible for 56%, respectively. Tubesettler performed better than SAFF with 52 %, 54 % and 69 % reduction of COD, BOD5 and phosphate, respectively. But in terms of nitrate, tubesettler was responsible for 44 % accumulation. The nutrient reduction decreased with an increase in the organic loading rate. Nitrification was observed in the SAFF and tubesettler, which indicated a well-aerated system. An anaerobic unit is required for completing the denitrification process and removing nitrogen from the effluent. The better performance of tubesettler over SAFF calls for necessitates extended retention time over design criteria. Further studies are beneficial to investigate the impact of pharmaceutical compounds on the efficiency of SAFF.

Occurrence and health risk assessment of arsenic and heavy metals in groundwater of three industrial areas in Delhi, India.

Groundwater is a primary natural water source in the absence of surface water bodies. Groundwater in urban environments experiences unprecedented stress from urban growth, population increase, and industrial activities. This study assessed groundwater quality in terms of arsenic and heavy metal contamination in three industrial areas (Shahdara, Jhilmil, and Patparganj), Delhi, India. The water quality was assessed over a 3-year time interval (i.e., 2015 and 2018). The groundwater constituents investigated were As, Fe, Cr, Cd, Ni, Zn, Mn, Cu, and Pb. Metal index and heavy metal pollution indexes were estimated to assess groundwater pollution. The health risk was evaluated in terms of non-carcinogenic and carcinogenic risk assessment. Patparganj industrial area saw increment in concentration for Cu 0.23 mg/L (2015)-0.85 mg/L (2018), Zn 0.51 mg/L (2015)-7.2 mg/L (2018), Fe 0.32 mg/L (2015)-0.9 mg/L (2018), Cr 0.21 mg/L (2015)-0.26 mg/L (2018), Mn 0.14 mg/L (2015)-0.25 mg/L (2018), Ni 0.04 mg/L (2015)-0.34 mg/L (2018), and As 0.01 mg/L (2015)-0.18 mg/L (2018). Cd and Pb concentrations were observed to decrease by 40-90 % and 85-99% for all the three industrial areas. Metal index and heavy metal index values were found to be >1 for all locations. The risk quotient value > 1 was observed for all locations in the year 2015 but was found to increase further to a range of RQ 10-62 in the year 2018, inferring increased non-carcinogenic risk to consumers. The carcinogenic risk was significant with respect to Fe (0.2-0.7), Zn (0.001-0.007), and As (0.002-0.003) for all locations in the year 2015. This study concludes that groundwater in the three industrial areas is highly polluted and is not fit for human consumption. Further studies are required to explore possible control measures and develop methods to mitigate groundwater pollution, sustainable management, and optimized use to conserve it for future generations.

Particulate matter concentration and health risk assessment for a residential building during COVID-19 pandemic in Abha, Saudi Arabia.

Building and its environment are in focus owing to health impact attributed to indoor air quality. This study was carried out to assess indoor air quality in terms of particulate matter (PM) and carbon dioxide in a residential building, during COVD-19 pandemic lockdown from March 25 to April 23, 2020, Abha, Saudi Arabia. The PM concentration range for kitchen, bedroom, and hall were 40,000-81000 µg/m3 (PM0.3), 15,000-26000 µg/m3 (PM0.5), 4000-6000 µg/m3 (PM1), 1100-1500 µg/m3 (PM2.5), 160-247 µg/m3 (PM5), and 60-95 µg/m3 (PM10). The results of this study suggest that bedroom needs to be ventilated as CO2 concentration was reaching 700 ppm during sleep hours. PM concentration was exceeding 300 µg/m3 (unhealthy) for all particle sizes of PM0.3, PM0.5, PM1, and PM2.5 except for PM10 which was also above safe limits (0-50 µg/m3). Also, with influential habit (aromatic smoke), these concentrations increased 2-28 times for PM. The hazard quotient value greater than 1 revealed potential health risk to the inhabitants. Hence, future studies are needed for developing indoor air quality guidelines for residential buildings in Saudi Arabia and better planning and management of energy consumption.

Where we missed? Middle East Respiratory Syndrome (MERS-CoV) epidemiology in Saudi Arabia; 2012-2019.

MERS-CoV first case was reported on 23rd November 2012 in Saudi Arabia, Since, then MERS has remained on World Health Organization (WHO) Blueprint list and declared pandemic. This study was conducted on MERS lab confirmed cases reported to Ministry of Health, Saudi Arabia and WHO for year 2012-2019. The epidemiology was investigated based on infection rate, death rate, case fatality rate, Gender, Age group, and Medical conditions (Comorbid and Symptomatic). The overall median age of infected male was 58 years and of female was 45 years. While average mortality age in male was 60 years and of female was 65 years which is greater than the global average of 50 years. The results also report that specially after age of 40 years in both men and women, chances of infection are more while comorbidities increase the infection rate. The men are more susceptible to infection than women. In case of asymptomatic distribution trend was vice versa with 69.4% women and 30.6% in men. Second, most infected age group was reduced by 20 years in case of men with 47.37% infection for age group of 20-39 years. This was also observed in age-group of 20-39 years for no comorbid cases (men (50%) & women (79%)). This explains MERS-CoV prevalence in Saudi Arabia, as young and healthy population were infected, and acted as carrier and on coming in contact with vulnerable population (Elderly, chronic and comorbid) transferred the infection. Hence, MERS-CoV outbreak kept on happening from time to time over past years. This finding might very well explain the exponential spread of Novel CoV-19 globally, as initial control measures required older people to stay indoors while younger generation brought infection from outside. Further studies are required for epidemiology analysis based on clusters, travel history and specific disease related mortality.

Horizontal sub surface flow Constructed Wetlands coupled with tubesettler for hospital wastewater treatment.

Hospital wastewater are a lurking threat to environment and human health security for any given moment of time owing to its complexity and high vulnerability to cause disease outbreak. Though there are a number of treatment process for wastewater., there is a high need for employing cost-efficient and sustainable method of treatment. Hence a pilot scale horizontal surface flow Constructed Wetland (HSFCW) coupled with Tubesettler was installed at New Delhi, India (February to may 2019). This study reports comparative pollutants removal from hospital wastewater using Constructed Wetlands and associated tubesettler dosed with Hospital wastewater. A pilot scale CW system was used for treating 10m3/day of hospital wastewater. The system was tested for 3 Months to evaluate its performance for removing pollutants from the wastewater. The HSFCW coupled with tubesettler achieved over all removal efficiency of 94% (COD), MLSS (97%), TSS (98%), BOD5 (96%), Phosphate (79%). However, process of nitrification was not observed and accumulation of Nitrate up to 197% was observed. The study concluded that it may be due to the presence of pharmaceuticals and other elements present in hospital wastewater. This conclusion was based on the fact that Alkalinity increased by 52% in effluent and pH value also exhibited an average increase of 12%. Further research studies are required to investigate effect of pharmaceutical originating from hospital on treatment efficiency, to incorporate anaerobic setup to complete denitrification-nitrification process and also to determine efficiency of thermophilic, mesophilic, and psychrophilic bacteria with respect to climate and temperature.