The removal of pharmaceuticals during wastewater treatment: Can it be predicted accurately?

The presence of active pharmaceutical ingredients (APIs) in the environment is of growing concern and effluents from wastewater treatment works (WwTWs) are one of the major sources. This research combines the outputs of a multimillion pound UK program of work to evaluate the fate of APIs in the wastewater treatment process. A combination of analysis of measured data and modelling has been applied to 18 APIs, representing a wide range of medicinal application and physico-chemical characteristics. Some isomers (for atorvastatin) and metabolites (for sertraline, carbamazepine and erythromycin) were also included. High variability was observed between removal rates for individual APIs between WwTW, which after statistical analysis could not be explained by the nominal WwTW process (e.g. activated sludge or trickling filter). Nor was there a clear relationship between API removal and physico-chemical parameters such as pKa, charge or log Kow. A publically available sewage process model, SimpleTreat 4.0 which has been rigorously validated and is now being used for exposure assessment with REACH legislation for organic chemicals and within the Biocidal Products Regulation by the European Medicines Agency for APIs, was used to estimate removal rates with which to compare with measured data. SimpleTreat provided estimates of removal rates within ±30% of observed values for the majority of the APIs measured, with the use of readily available WwTW specific parameters such as flow, total suspended solids and BOD data. The data and correlations provided in this study provide support for any future considerations regarding the management of API discharge to the aquatic environment.

Active pharmaceutical ingredients entering the aquatic environment from wastewater treatment works: A cause for concern?

This work reports on the variation in wastewater treatment works (WwTW) influent concentrations of a wide variety of active pharmaceutical ingredients (APIs), their removal efficiency, effluent concentrations and potential risks to the aquatic environment. The research is based on data generated from two large UK-wide WwTW monitoring programmes. Taking account of removal of parent compound from the aqueous phase during treatment in combination with estimates of dilution available it is possible to prioritise the APIs of greatest risk of exceeding estimates of predicted no effect concentrations (PNEC) in receiving waters for all WwTW in the UK. The majority of substances studied were removed to a high degree, although with significant variation, both within and between WwTW. Poorer removal (between influent and effluent) was observed for ethinyloestradiol, diclofenac, propranolol, the macrolide antibiotics, fluoxetine, tamoxifen and carbamazepine. All except the last two of these substances were present in effluents at concentrations higher than their respective estimated PNEC (based on measurement of effluents from 45 WwTW on 20 occasions). Based on available dilution data as many as 890 WwTW in the UK (approximately 13% of all WwTW) may cause exceedances of estimated riverine PNECs after mixing of their effluents with receiving waters. The overall degree of risk is driven by the toxicity value selected, which in itself is controlled by the availability of reliable and relevant ecotoxicological data and consequently the safety factors applied. The dataset and discussion, provides information to assist in the future management of these types of chemicals.

Development of a chemical source apportionment decision support framework for lake catchment management.

Increasing pressures on natural resources has led to the adoption of water quality standards to protect ecological and human health. Lakes and reservoirs are particularly vulnerable to pressure on water quality owing to long residence times compared with rivers. This has raised the question of how to determine and to quantify the sources of priority chemicals (e.g. nutrients, persistent organic pollutants and metals) so that suitable measures can be taken to address failures to comply with regulatory standards. Contaminants enter lakes waters from a range of diffuse and point sources. Decision support tools and models are essential to assess the relative magnitudes of these sources and to estimate the impacts of any programmes of measures. This paper describes the development and testing of the Source Apportionment Geographical Information System (SAGIS) for future management of 763 lakes in England and Wales. The model uses readily available national data sets to estimate contributions of a number of key chemicals including nutrients (nitrogen and phosphorus), metals (copper, zinc, cadmium, lead, mercury and nickel) and organic chemicals (Polynuclear Aromatic Hydrocarbons) from multiple sector sources. Lake-specific sources are included (groundbait from angling and bird faeces) and hydrology associated with pumped inputs and abstraction. Validation data confirms the efficacy of the model to successfully predicted seasonal patterns of all types of contaminant concentrations under a number of hydrological scenarios. Such a tool has not been available on a national scale previously for such a wide range of chemicals and is currently being used to assist with future river basin planning.

Source apportionment of trace contaminants in urban sewer catchments.

Sampling and analysis of Water Framework Directive priority chemicals were undertaken in nine urban catchments across the UK. Over 9000 samples were collected from a number of different catchment sources including tap water, domestic waste water, surface water runoff, trade discharges, town centre and light industrial estate wastewaters. Determinands included trace metals, polyaromatic hydrocarbons (PAHs), persistent organic pollutants and a number of common pharmaceuticals. Loads of the chemicals from each catchment entering the local wastewater treatment works (WwTW) were estimated and were shown to be relatively consistent between different catchments, after taking population into account. A Monte Carlo mixing model was used to combine the concentrations and flows from the different catchment sources and to predict concentrations and loads entering the WwTW. Based on the model output, the significance of the different sources could be evaluated. The study highlighted the importance of domestic wastewater as a source of contaminants, including metals and trace organic substances (such as ethylenediaminetetraacetic acid (EDTA), bisphenol A, nonylphenol and tributyl tin (TBT)). Concentrations in trade discharges were important in some locations in the case of nonylphenol, EDTA, TBT, as well as for some metals such as copper, zinc and nickel. Contributions to the total load from town centre and light industrial estate sources were generally less than 10% of the total.

Concentrations of trace substances in sewage sludge from 28 wastewater treatment works in the UK.

Concentrations of trace substances in sewage sludge have been measured in a survey of 28 wastewater treatment works (WwTWs) in the UK carried out over a period of 12months. Approximately 250 samples were analysed for more than 40 trace contaminants, including trace metals, pharmaceuticals, polycyclic aromatic hydrocarbons (PAHs), 'emerging' and regulated organic pollutants. All substances investigated were found to be present in at least some of the sludges sampled. Concentrations were relatively homogenous across all the WwTWs, irrespective of the treatment process, influent and effluent concentrations, and the location of the sludge sampling point within each works. Analysis of the results against existing regulatory and proposed thresholds suggested that levels are mostly below the limits set in the Sewage Sludge Directive, and proposed new limits for sludge used in agriculture. Predicted soil concentrations after application of sewage sludge to land were below the predicted no effect concentrations (PNEC) for all determinands. Predicted concentrations of pharmaceuticals in soil were also below thresholds deemed to indicate negligible environmental risk.

Development of a chemical source apportionment decision support framework for catchment management.

EU legislation, including the Water Framework Directive, has led to the application of increasingly stringent quality standards for a wide range of chemical contaminants in surface waters. This has raised the question of how to determine and to quantify the sources of such substances so that measures can be taken to address breaches of these quality standards using the polluter pays principle. Contaminants enter surface waters via a number of diffuse and point sources. Decision support tools are required to assess the relative magnitudes of these sources and to estimate the impacts of any programmes of measures. This work describes the development and testing of a modeling framework, the Source Apportionment Geographical Information System (SAGIS). The model uses readily available national data sets to estimate contributions of a number of nutrients (nitrogen and phosphorus), metals (copper, zinc, cadmium, lead, mercury, and nickel) and organic chemicals (a phthalate and a number of polynuclear aromatic hydrocarbons) from multiple sector sources. Such a tool has not previously been available on a national scale for such a wide range of chemicals. It is intended to provide a common platform to assist stakeholders in future catchment management.

Performance of UK wastewater treatment works with respect to trace contaminants.

This study examined the performance of 16 wastewater treatment works to provide an overview of trace substance removal in relation to meeting the objectives of the Water Framework Directive (WFD). Collection and analysis of over 2400 samples including sewage influent, process samples at different stages in the treatment process and final effluent has provided data on the performance of current wastewater treatment processes and made it possible to evaluate the need for improved effluent quality. Results for 55 substances, including metals, industrial chemicals and pharmaceuticals are reported. Data for sanitary parameters are also provided. A wide range of removal efficiencies was observed. Removal was not clearly related to the generic process type, indicating that other operational factors tend to be important. Nonetheless, removals for many substances of current concern were high. Despite this, current proposals for stringent water quality standards mean that further improvements in effluent quality are likely to be required.

The significance of hazardous chemicals in wastewater treatment works effluents.

The advent of increasingly stringent and wider ranging European Union legislation relating to water and the environment has required regulators to assess compliance risk and to respond by formulating appropriate pollution control measures. To support this process the UK Water Industry has completed a national Chemicals Investigation Programme (CIP), to monitor over 160 wastewater treatment works (WwTWs) for 70 determinands. Final effluent concentrations of zinc, polynuclear aromatic hydrocarbons (fluoranthene, benzo(a)pyrene, benzo(b)fluoranthene, benzo(k)fluoranthene, benzo(g,h,i)perylene and indeno(1,2,3-cd)pyrene), "penta" congeners (BDEs) 47 and 99, tributyltin, triclosan, erythromycin, oxytetracycline, ibuprofen, propranolol, fluoxetine, diclofenac, 17ß-estradiol and 17α-ethinyl estradiol exceeded existing or proposed Environmental Quality Standards (EQSs) in over 50% of WwTWs. Dilution by receiving water might ensure compliance with EQSs for these chemicals, apart from the BDEs. However, in some cases there will be insufficient dilution to ensure compliance and additional management options may be required.

Meeting report: risk assessment of tamiflu use under pandemic conditions.

On 3 October 2007, 40 participants with diverse expertise attended the workshop Tamiflu and the Environment: Implications of Use under Pandemic Conditions to assess the potential human health impact and environmental hazards associated with use of Tamiflu during an influenza pandemic. Based on the identification and risk-ranking of knowledge gaps, the consensus was that oseltamivir ethylester-phosphate (OE-P) and oseltamivir carboxylate (OC) were unlikely to pose an ecotoxicologic hazard to freshwater organisms. OC in river water might hasten the generation of OC-resistance in wildfowl, but this possibility seems less likely than the potential disruption that could be posed by OC and other pharmaceuticals to the operation of sewage treatment plants. The work-group members agreed on the following research priorities: a) available data on the ecotoxicology of OE-P and OC should be published; b) risk should be assessed for OC-contaminated river water generating OC-resistant viruses in wildfowl; c) sewage treatment plant functioning due to microbial inhibition by neuraminidase inhibitors and other antimicrobials used during a pandemic should be investigated; and d) realistic worst-case exposure scenarios should be developed. Additional modeling would be useful to identify localized areas within river catchments that might be prone to high pharmaceutical concentrations in sewage treatment plant effluent. Ongoing seasonal use of Tamiflu in Japan offers opportunities for researchers to assess how much OC enters and persists in the aquatic environment.