Tracking changing X-ray contrast media application to an urban-influenced karst aquifer in the Wadi Shueib, Jordan.

Sewage input into a karst aquifer via leaking sewers and cesspits was investigated over five years in an urbanized catchment. Of 66 samples, analyzed for 25 pharmaceuticals, 91% indicated detectable concentrations. The former standard iodinated X-ray contrast medium (ICM) diatrizoic acid was detected most frequently. Remarkably, it was found more frequently in groundwater (79%, median: 54 ng/l) than in wastewater (21%, 120 ng/l), which is supposed to be the only source in this area. In contrast, iopamidol, a possible substitute, spread over the aquifer during the investigation period whereas concentrations were two orders of magnitude higher in wastewater than in groundwater. Knowledge about changing application of pharmaceuticals thus is essential to assess urban impacts on aquifers, especially when applying mass balances. Since correlated concentrations provide conclusive evidence that, for this catchment, nitrate in groundwater rather comes from urban than from rural sources, ICM are considered useful tracers.

Sources and processes affecting the spatio-temporal distribution of pharmaceuticals and X-ray contrast media in the water resources of the Lower Jordan Valley, Jordan.

The closed basin of the Lower Jordan Valley with the Dead Sea as final sink features high evapotranspiration rates and almost complete reuse of treated wastewater for irrigation farming. This study focuses on the water transfer schemes and the presence, spreading, and potential accumulation of pharmaceutical residues in the local water resources based on findings of a five-year monitoring program. Overall 16 pharmaceuticals and 9 iodinated X-ray contrast media were monitored in groundwater, surface water, and treated wastewater. A total of 95 samples were taken to cover all geographical settings and flow paths from origin (wastewater) to target (groundwater). Nine substances were detected in groundwater, with concentrations ranging between 11 ng/L and 33,000 ng/L. Sometimes, detection rates were higher than in comparable studies: Diatrizoic acid 75%, iopamidol 42%, iopromide 19%, iomeprol 11%, carbamazepine and iohexol 8%, ibuprofen 6%, and fenofibrate and iothalamic acid 3%. Concentrations in groundwater generally increase from north to south depending on the application of treated wastewater for irrigation. Almost all substances occurred most frequently and with highest concentrations in treated wastewater, followed by surface water and groundwater. As exception, diatrizoic acid was found more frequently in groundwater than in treated wastewater, with concentrations being similar. This indicates the persistence of diatrizoic acid with long residence times in local groundwater systems, but may also reflect changing prescription patterns, which would be in accordance with increasing iopamidol findings and surveys at local hospitals. Trend analyses confirm this finding and indicate a high probability of increasing iopamidol concentrations, while other substances did not reveal any trends. However, no proof of evaporative enrichment could be found. The high spatial and temporal variability of the concentrations measured calls for further systematic studies to assess the long-term evolution of organic trace substances in this reuse setting.

Tracking artificial sweeteners and pharmaceuticals introduced into urban groundwater by leaking sewer networks.

There is little quantitative information on the temporal trends of pharmaceuticals and other emerging compounds, including artificial sweeteners, in urban groundwater and their suitability as tracers to inform urban water management. In this study, pharmaceuticals and artificial sweeteners were monitored over 6 years in a shallow urban groundwater body along with a range of conventional sewage tracers in a network of observation wells that were specifically constructed to assess sewer leakage. Out of the 71 substances screened, 24 were detected at above the analytical detection limit. The most frequent compounds were the iodinated X-ray contrast medium amidotrizoic acid (35.3%), the anticonvulsant carbamazepine (33.3%) and the artificial sweetener acesulfame (27.5%), while all other substances occurred in less than 10% of the screened wells. The results from the group of specifically constructed focus wells within 10 m of defective sewers confirmed sewer leaks as being a major entrance pathway into the groundwater. The spatial distribution of pharmaceuticals and artificial sweeteners corresponds well with predictions by pipeline leakage models, which operate on optical sewer condition monitoring data and hydraulic information. Correlations between the concentrations of carbamazepine, iodinated X-ray contrast media and artificial sweeteners were weak to non-existent. Peak concentrations of up to 4130 ng/l of amidotrizoic acid were found in the groundwater downstream of the local hospital. The analysis of 168 samples for amidotrizoic acid, taken at 5 different occasions, did not show significant temporal trends for the years 2002-2008, despite changed recommendations in the medical usage of amidotrizoic acid. The detailed results show that the current mass balance approaches for urban groundwater bodies must be adapted to reflect the spatially distributed leaks and the variable wastewater composition in addition to the lateral and horizontal groundwater fluxes.