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Human Pharmaceuticals, Hormones and Fragrances

Human Pharmaceuticals, Hormones and Fragrances

Thomas Ternes | Adriano Joss

(2007)

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Book Details

Abstract

The observed concentrations of pharmaceuticals and personal care products (PPCPs) in raw wastewater confirm that municipal wastewater represents the main disposal pathway for the PPCPs consumed in households, hospitals and industry. In sewage treatment plant effluents most PPCPs are still present, since many of these polar and persistent compounds are being removed only partially or, in some cases, not at all. Treated wastewater therefore represents an important point source for PPCPs into the environment. After passing a sewage treatment plant the treated wastewater is mostly discharged into rivers and streams or sometimes used to irrigate fields. If drinking water is produced using resources containing a substantial proportion of treated wastewater (e.g. from river water downstream of communities) the water cycle is closed and indirect potable reuse occurs. 
Human Pharmaceuticals, Hormones and Fragrances provides an overview of the occurrence, analytics, removal and environmental risk of pharmaceuticals and personal care products in wastewater, surface water and drinking water. The book covers all aspects of the fate and removal of PPCPs in the whole water cycle: consumption and occurrence, analytical methods, the legal background, environmental risk assessment, human and animal toxicology, source control options, wastewater and drinking water treatment as well as indirect reuse. 
The book presents a summary of the results obtained during the EU project "Poseidon", combined with further expert knowledge on the field, and is written at a level appropriate for professionals involved in management of water resource quality. Professionals in the field including decision makers, engineers and scientists, as well as students entering the field, will find this an invaluable source of information. First comprehensive study on the assessment, fate and removal of pharmaceuticals and personal care products in wastewater and drinking water treatment. Emphasises the importance of micropollutants in the water cycle, provides methods for quantifying their fate and technologies for their removal. 

Table of Contents

Section Title Page Action Price
Contents vi
Foreword xii
Acknowledgement xiv
List of contributors xvii
1 Introduction 1
1.1 Urban water cycle 1
1.2 Concerns of exposure to PPCPs 2
1.3 Objectives of this book 5
1.4 Target compounds: pharmaceuticals and personal care products 6
1.5 Selected PPCPs 8
1.6 Chapter contents 8
2 Consumption and occurrence 15
2.1 Consumption 15
2.1.1 Pharmaceuticals 15
2.1.2 Personal care products 19
2.2 Excretion rates of selected pharmaceuticals 20
2.3 Exposure routes of human-use pharmaceuticals and musk fragrances 23
2.4 Occurrence in hospital and municipal wastewater, surface water, groundwater, drinking water, and sewage sludge 25
2.4.1 Hospital wastewater 25
2.4.2 Treated wastewater and surface water 27
2.4.3 Groundwater 35
2.4.4 Drinking water 36
2.4.5 Sewage sludge 36
2.5 Modelling of expected concentrations 38
2.5.1 Prediction of pharmaceuticals concentration in raw municipal sewage 39
2.5.2 Prediction of the pharmaceutical concentration in the STP effluent and surface water 40
2.5.3 Example: comparison of PEC and MEC of ciprofloxacin in treated wastewater and surface water 44
2.6 Conclusions 45
3 Analytical methods 55
3.1 Introduction 55
3.2 Sampling 57
3.3 Extraction and enrichment 63
3.3.1 Solid samples 63
3.3.2 Aqueous samples 65
3.3.3 Clean-up 71
3.4 Derivatization 72
3.4.1 Acetylation 72
3.4.2 Methylation 72
3.4.3 Pentafluorobenzyl-derivatives 73
3.4.4 Silylation 73
3.5 Chromatography 75
3.5.1 Gas chromatography 75
3.5.2 High-performance liquid chromatography 75
3.6 Mass spectrometry 76
3.6.1 GC/MS 76
3.6.2 LC/MS 77
3.6.3 Mass Detection 79
3.7 Quality assurance 81
3.7.1 General aspects 81
3.7.2 Example: estrogens in sludge and sediments 86
3.8 Analytical methods 86
3.8.1 Aqueous samples 87
3.8.2 Sludge samples 91
4a A brief overview on the legal background and the regulatory instruments of the environmental risk assessment for pharmaceuticals in the EU, USA, Japan, Australia and Canada 107
4a.1 Introduction 107
4a.2 Situation in the EU 108
4a.2.1 Legal requirements 108
4a.2.2 Guidelines 109
4a.3 Situation in the USA 111
4a.3.1 Legal requirements 111
4a.3.2 Guidelines 113
4a.4 Situation in Japan 114
4a.4.1 Legal requirements 114
4a.4.2 Guidelines 114
4a.5 Situation in Australia 114
4a.5.1 Legal requirements 114
4a.5.2 Guidelines 115
4a.6 Situation in Canada 115
4a.6.1 Legal requirements 115
4a.6.2 Guidelines 115
4a.7 Harmonisation of data between regions 116
4a.8 Conclusions 116
4b Environmental risk assessment 121
4b.1 Introduction 121
4b.2 Methods and performance of environmental risk assessment 125
4b.2.1 Hazard assessment 125
4b.2.2 Exposure assessment 125
4b.2.3 Effects assessment 132
4b.2.4 Risk characterisation 135
4b.2.5 Summary of environmental risk assessments for the selected PPCPs according to EMEA 141
4b.2.6 Considerations on the EMEA Risk Assessment Scheme 142
4b.3 Conclusions 143
5 Human and animal toxicology of some water-borne pharmaceuticals 149
5.1 Introduction 149
5.2 Pharmaceuticals as environmental contaminants: classes, concentrations and chemical stability 152
5.3 Estrogens and estrogen-mimicking compounds 155
5.3.1 Estrogens and related steroids 155
5.3.2 Xeno-estrogens (endocrine disrupters) 157
5.4 Anti-infective agents 164
5.4.1 Sulfonamides and diaminopyrimidines 164
5.4.2 Fluoroquinolones 167
5.4.3 Fenicoles 169
5.4.4 Macrolides and related drugs 170
5.4.5 Tetracyclines 171
5.4.6 Nitroimidazoles 173
5.4.7 Betalactam antibiotics 174
5.4.8 Aminoglycosides 176
5.5 Antineoplastic drugs 177
5.6 Radioopaques (contrast media) 180
5.7 Anticonvulsants 181
5.8 Adrenergic agents 182
5.9 Discussion 184
5.10 Prophylactic measures for risk minimization 186
5.11 Outlook 187
5.12 Appendix: Details on the pharmacology, toxicology and pharmacokinetics of cited drugs 188
5.12.1 Estrogens 188
5.12.2 Sulfonamides and diaminopyrimidines 192
5.12.3 Fluoroquinolones 196
5.12.4 Fenicoles 200
5.12.5 Macrolides and related drugs 203
5.12.6 Tetracyclines 206
5.12.7 Nitroimidazoles 209
5.12.8 Betalactam antibiotics 211
5.12.9 Aminoglycosides 213
5.12.10 Antineoplastic drugs 215
5.12.11 Radioopaques (contrast media) 219
5.12.12 Anticonvulsants 223
5.12.13 Adrenergic agents 229
5.13 Databases and textbooks 234
6 Wastewater treatment 243
6.1 Introduction 243
6.2 PPCP removal mechanisms 246
6.2.1 Sorption onto sludge 246
6.2.2 Stripping 251
6.2.3 Biologic transformation 253
6.3 PPCP removal in complete systems 261
6.3.1 Complete systems: sampling and mass balances 261
6.3.2 Modelling removal in complete systems 266
6.3.3 Observed removal in complete systems 272
6.3.4 Biological activity in flocculation filtration 276
6.3.5 Anaerobic digestion of sludge 278
6.3.6 Options for improving removal 279
6.4 Loss of wastewater in the sewer system 280
6.4.1 Combined sewer overflow (CSO) 281
6.4.2 Sewer exfiltration 281
6.5 Advanced treatment 282
6.5.1 Ozone 282
6.5.2 Advanced oxidation processes (AOP) 286
6.5.3 Tight membrane filtration 287
6.5.4 Activated carbon 287
6.6 Conclusions 288
7 Removal of PPCP during drinking water treatment 293
7.1 Drinking water regulations 293
7.2 Multibarrier systems for drinking water production 295
7.2.1 Water resources 295
7.2.2 Treatment processes for the removal of micropollutants 296
7.3 Physico-chemical constants: A tool to assess the removal efficiency for pharmaceuticals 297
7.3.1 Oxidation of pharmaceuticals 299
7.3.2 Adsorption of pharmaceuticals on activated carbon 308
7.4 Assessment of unit processes for the reduction of pharmaceutical concentrations 312
7.4.1 Bank filtration 312
7.4.2 Coagulation/flocculation 313
7.4.3 GAC or PAC processes 313
7.4.4 Membrane processes 314
7.5 Full-scale treatment 316
7.5.1 Evaluation of the treatment processes in full-scale waterworks 316
7.5.2 Conclusions 318
7.6 General summary 319
8 Indirect potable water reuse 323
8.1 Introduction 323
8.1.1 Role of potable water reuse 324
8.1.2 Water quality concerns of potable water reuse 326
8.1.3 Main objectives and outcomes of POSEIDON project in the field of water reuse 328
8.2 Water quality requirements and existing guidelines for planned indirect potable reuse 328
8.3 Treatment requirements and case studies of planned indirect potable water reuse 329
8.3.1 Experience in the USA 332
8.3.2 Experience in Europe 332
8.3.3 Case studies of the EU project POSEIDON 334
8.4 PPCPs as anthropogenic tracers in groundwater 339
8.5 Management tools for indirect potable reuse 341
8.5.1 Strategy for planned indirect potable reuse of wastewater with the emphasis on PPCP removal 342
9 Source control, source separation 353
9.1 Introduction 353
9.2 Source control 355
9.2.1 Environmental classification of pharmaceuticals 356
9.2.2 Ecolabel 362
9.2.3 Targeted therapy instead of prophylactic or empiric consumption of medicine 369
9.3 Source separation 373
9.3.1 Industry, hospitals and nursing homes: on site treatment 373
9.3.2 Urine source separation 375
9.3.3 Disposal of unused pharmaceuticals 376
9.4 Conclusions 377
10 Conclusions and outlook 385
10.1 Conclusions 385
10.2 Outlook 391
Annex 393
A.1 Abbreviations used in the chapters 393
A.2 Variables and symbols 395
A.3 Units 396
A.4 Glossary 397
A.5 List of compounds 406
Index 443