Search Results (143)

Despite its critical role in disease diagnosis as a radiopharmaceutical, Fluorine-18 generates medical wastewater that necessitates efficient treatment, for which membrane adsorption stands out as a potent method, albeit one that demands high-performance membranes with exceptional permeability and adsorption capacity. This study presents a novel cerium-loaded amyloid fibril hybrid membrane designed for efficient removal of fluorine-18 from such wastewater. The membrane is fabricated through a facile process involving oxidation–precipitation of cerium species onto amyloid fibrils, followed by vacuum filtration, with further compositional tuning via incorporation of porous silica or activated carbon dopants. The resulting membrane retains the characteristic amyloid fibril structure and exhibits high water permeability with a flux of up to 803.3 L/(m²·h·bar), superior to most of the other membrane materials. It effectively removes fluoride ions (F⁻) from both low and high-concentration solutions, achieving a removal efficiency of up to 99% and a maximum adsorption capacity of 580 mg/g, outperforming many existing membrane materials. The hybrid membrane also demonstrates notable resistance to ionic interference, enabling selective F⁻ adsorption from solutions containing high concentrations of Cl⁻, NO₃⁻ and SO₄²⁻, with a distribution coefficient (Kd) as high as 4.1 × 10⁴ mL/g; furthermore, it maintains a fluoride removal rate above 51% after ten consecutive adsorption cycles. The membrane retains 51% of its initial fluoride removal efficiency after 10 cycles, indicating potential for repeated use, although further optimization or regeneration strategies would be required to fully restore performance. Mechanistic investigations reveal that F⁻ adsorption occurs mainly through ion exchange with hydroxyl groups on CeO₂. This work introduces a promising novel material with significant potential for the efficient treatment of medical radioactive wastewater containing fluorine-18. Full article

(1) Background: Metabolic disorders, including hypertension, hyperlipidemia, and hyperglycemia (HHH), rank at the top of the disease burden in China. However, population-level assessment of pharmacological treatment remains limited by the lack of scalable metrics for monitoring medication use and outcomes. (2) Methods: We pioneered the use of standardized combined “HHH” medication usage—encompassing antihypertensive, antidiabetic, and lipid-lowering agents—as an integrated proxy for evaluating interventions for cardiovascular diseases and diabetes. Leveraging wastewater-based epidemiology (WBE), we quantified HHH medication loads (mg/d/1000 persons) across 30 prefectures covering all regions in China, and mapped the associated geographical disparities using independent t-tests. Associations with environmental, socioeconomic, demographic, social service, and health-related behavioral and lifestyle factors were further examined via correlation analysis. (3) Results: Our findings confirmed a pronounced north–south gradient in HHH medication uses (the mean standardized loads in the north were approximately twice as high as those in the south, p < 0.05). Furthermore, aging, sex ratio, nicotine consumption, obesity rate, the comprehensive Air Quality Index (AQI), precipitation and the Urban Wellness and Healthcare Index were identified as the top seven influencing factors (|r| values ranging from 0.37 to 0.71, all p < 0.05). (4) Conclusions: As a comprehensive national-scale analysis of multi-drug use for HHH via WBE, this study provides valuable insights into national multi-disease pharmacological treatment, offering evidence-based support for refining clinical prescribing guidelines and rationalizing the allocation of healthcare resources. Full article

During the Brazilian summer, from 29 December 2024, to 6 March 2025, a large cluster of acute gastroenteritis (AGE) outbreaks was reported along the coast of São Paulo State, Brazil, peaking in January 2025. Overall, 55 outbreaks involving 755 cases were officially notified, while more than 76,000 medical consultations for AGE were recorded across the region during the same period. A total of 50 stool samples were analyzed by RT-qPCR for group A rotavirus (RVA) and norovirus (NoV). NoV was detected in 27 samples (54.0%), confirming it as the main etiological agent, while RVA was identified in one sample (2.0%). Among NoV-positive cases, genogroup II (GII) predominated (59.0%), followed by genogroup I (GI) (19.0%) and mixed infections (22.0%). Genomic sequencing successfully genotyped 23 strains (95.8%), revealing six distinct genotypes. The recombinant GII.17[P17] was predominant (48.0%), followed by GI.3[P3], GI.3[P13], GI.5[P5], GII.4 Sydney_2012[P16], GII.3[P30], as well as mixed infections. No enteric viruses were detected in drinking water. However, seawater samples showed high concentrations of NoV GI and GII (up to 10⁴ GC L⁻¹) at beaches unsuitable for bathing. Wastewater surveillance revealed high viral loads, particularly NoV GII (up to 10⁸ GC L⁻¹), consistent with reported cases. To our knowledge, this is the first report in Brazil of a NoV-associated AGE outbreak investigated through an integrated approach combining clinical, environmental, and epidemiological surveillance data. Findings highlight genotype diversity and reinforcing the importance of integrated surveillance. Full article

Wastewater surveillance is an effective approach for monitoring populations of antibiotic-resistant bacteria and tracking the spread of antimicrobial resistance (AMR) across different settings. In this study, hospital and municipal wastewater were collected monthly for 12 months from multiple locations in the greater Pittsburgh area to quantify the presence of antibiotic-resistant bacteria and investigate their genomic diversity. After quantitative culturing on six different selective media types, a total of 150 isolates were speciated by 16S rRNA sequencing, which revealed diverse pathogenic and non-pathogenic taxa, including Klebsiella spp. (n = 28), Pseudomonas spp. (n = 20) and Aeromonas spp. (n = 37). A subset of isolates (n = 46) underwent whole genome sequencing, which identified several antibiotic resistance genes of clinical concern, such as bla_KPC (n = 17), bla_NDM (n = 6) and bla_IMP (n = 6), and revealed genetic similarities between wastewater isolates and clinical isolates collected from infected patients at a Pittsburgh-area medical center. In addition, analysis of plasmids carried by wastewater isolates revealed closely related plasmids present in isolates from different species and sampling locations. Overall, these findings suggest that both hospital and municipal wastewater act as interconnected reservoirs of antimicrobial resistance. Integrating wastewater surveillance with clinical and genomic data could enable the early detection of emerging resistance threats and support proactive infection-control strategies. Full article

Pharmaceuticals and personal care products (PPCPs), as persistent organic pollutants, are widely present in various aquatic environments. Their long-term presence in aquatic environments poses a potential threat to ecosystems and human health. This study established an efficient, green, and cost-effective photocatalytic method using P25 titanium dioxide (P25TiO₂) to simultaneously degrade five representative PPCPs (methyl paraben (MeP), carbamazepine (CBZ), bisphenol A (BPA), diclofenac (DFC), and triclosan (TCS), while elucidating the reaction mechanisms. Under sunlight irradiation, degradation rates for all five PPCPs reached 100%, achieving near-complete mineralization with total organic carbon (TOC) removal rates exceeding 95%. This demonstrates the system’s exceptional capability to not only degrade the parent compounds but to thoroughly convert them into benign inorganic substances. We systematically investigated the effects of catalyst concentration, initial pollutant concentration, light intensity, pH, and various common inorganic anions (chloride, sulfate, bicarbonate, phosphate) and humic acid (HA) on the degradation process. Additionally, mechanistic studies indicated that hydroxyl radicals (·OH) are the primary active species in the system. The degradation rate differences among various persistent organic pollutants (DFC > BPA > TCS > CBZ > MeP) primarily stem from variations in the reactivity of different functional groups within their molecular structures toward ·OH. In summary, this study provides a promising and practical solution for treating complex medical wastewater containing five typical PPCPs. Full article

Antibiotics are extensively used in intensive livestock farming for disease prevention, resulting in the discharge of antibiotic-contaminated wastewater into aquatic environments. Addressing this issue, electrocatalytic oxidation has emerged as a promising alternative to conventional chemical oxidation due to its cost-effectiveness and minimal secondary pollution. Central to this technology is the development of catalytic electrodes with high specific surface area and superior electrocatalytic activity. In this work, an Fe₃O₄-modified activated carbon fiber electrode (Fe₃O₄@ACF) was fabricated via a co-precipitation method. The Fe₃O₄@ACF electrode exhibited a hierarchical porous structure with a specific surface area of 940.2 m²/g, and demonstrated significantly enhanced oxygen reduction reaction activity with a current density of 21.8 mA·cm⁻² at –3.25 V vs. Ag/AgCl, which is 2.3 times higher than that of pristine ACF. EIS analysis revealed a low charge transfer resistance of 7.18 Ω, indicating improved electron transfer kinetics. In electro-Fenton degradation of tetracycline, the electrode achieved 82% removal within 120 min with a first-order rate constant of 0.01335 min⁻¹, and maintained over 94% of its initial activity after ten cycles. This study offers a viable and sustainable strategy for the efficient treatment of antibiotic-containing medical wastewater. Full article

Background and Objectives: The improper disposal of expired and unused medications (EUM) poses significant environmental and health risks. Discarding EUM in household trash or drains leads to accidental poisoning, illegal trade, and ecosystem contamination. These persistent compounds often resist wastewater treatment, disrupting ecological balance and contributing to antimicrobial resistance, thereby increasing morbidity and mortality rates. This study aims to analyze the knowledge, attitudes and practices (KAP) and related factors of the Mexican population regarding the disposal of EUM. Methods: A cross-sectional, descriptive, and correlational study was conducted via an online survey of adults (18+) from October 2021 to October 2024. Results: Among 6080 participants (95.4% aged 18–59; 65.8% women), a medium level of KAP was observed. Notably, 51.5% did not use specialized disposal containers, only 15.5% knew container locations, and 30.5% correctly identified expiration dates. Significant associations emerged: lower education levels correlated with poorer disposal knowledge, while health-related backgrounds and postgraduate studies linked to positive attitudes and adequate practices. Ordinal logistic regression revealed that being elderly, belonging to a high socioeconomic class, having lower education levels, and lacking health-related studies were significantly associated with poor KAP regarding EUM disposal. Conclusions: Inadequate pharmaceutical disposal in Mexico compromises environmental and public health. Addressing this requires reinforced regulations, professionalized pharmacies, and a comprehensive approach to bridge knowledge gaps. Integrating digital tools—like real-time mapping and QR labeling—with accessible take-back schemes is vital in mitigating hazards and uphold the One Health triad. Full article

This study evaluated the efficiency and ecotoxicological impact of the Fenton oxidation process with different metal-based catalysts (FeSO₄, CuSO₄, MnSO₄) in removing pharmaceuticals and organic contaminants from real hospital wastewater. All catalytic systems achieved high oxidation, with COD reduction reaching 81–89% after 4 h. Two complementary approaches were applied: targeted LC-MS/MS quantification of a model mixture of antibiotics and pharmaceuticals, and untargeted GC-MS/MS screening method for assessing the overall organic contaminant profile. Toxicity was assessed using Microtox^®. Targeted analysis showed complete or near-complete degradation of β-lactams, tetracyclines and most sulfonamides, with slightly lower removal for sulfamethoxazole in FeSO₄ system (96%). Fluoroquinolones and selected pharmaceuticals, such as caffeine and propranolol were more resistant, particularly with CuSO₄ and MnSO₄ catalysts. The untargeted GC-MS/MS screening revealed the highest overall reduction in chromatographic peak areas for FeSO₄ (70%), followed by MnSO₄ (39%) and CuSO₄ (36%). GC-MS/MS profiling confirmed that the Fe-catalyzed process was the most effective in reducing the total chromatographic peak area (70%). However, ecotoxicological assays revealed a significant increase in toxicity post-treatment, with growth inhibition of Allivibrio fischeri reaching 98%. This suggests that high oxidation does not directly correlate with biological safety, likely due to the presence of unconsumed reagents or the formation of transformation products with higher acute toxicity. These findings emphasize the necessity of integrating bioassays into treatment evaluation protocols to assess the true environmental risk of treated effluents. Full article

Iodine-based contrast agents (ICMs) are crucial substances in medical imaging because of their potent X-ray characteristics and chemical stability. However, their persistence and poor removal in conventional wastewater treatment have led to increasing environmental concern. Although ICMs exhibit low acute toxicity, their transformation during water disinfection can generate iodine-based disinfection by-products (I-DBPs), like iodo-trihalomethanes, which display notable cytotoxic, genotoxic, and ecotoxic effects and compromise drinking water quality. Advanced oxidation processes (AOPs) have become promising methods for breaking down persistent ICMs and limiting the formation of I-DBPs. Techniques including ozonation, UV/H₂O₂, UV/chlorine, photocatalysis with TiO₂, Fenton reactions, and electrochemical oxidation utilize highly reactive radicals to decompose persistent compounds like iopamidol, iohexol, iopromide, and diatrizoate. Despite high degradation efficiencies under laboratory conditions, limitations such as incomplete mineralization, secondary product formation, and elevated operational costs hinder large-scale implementation. Future research should focus on optimizing AOP conditions under realistic water matrices, evaluating by-product toxicity, and developing cost-effective hybrid systems. Advancing these technologies is critical to reducing the environmental burden of ICMs and safeguarding aquatic ecosystems and public health. Full article

Depression is becoming more common in the face of modern life’s obstacles. Antidepressants are a fast-expanding pharmaceutical category. Antidepressant residues in water must be closely monitored and kept at levels that do not endanger human health, just like those of other psychotropic medications. Additionally, research has shown that these pollutants severely hinder aquatic life’s ability to migrate, reproduce, and interact with one another when they enter natural ecosystems. Antidepressants released into the natural environment can therefore be expected to have an impact on exposed fish and other aquatic species. There is a lot of information available about how exposure affects fish, but much of it is for exposure levels higher than those seen in their natural habitats. Antidepressants can bioaccumulate in fish tissues, and some behavioral effects have been documented for exposures that are relevant to the environment. As a result, antidepressant residue removal methods must be incorporated into contemporary wastewater treatment plant technology. In addition to covering a wide range of suggested treatment options and their ecotoxicological consequences on non-target organisms, this study discusses recent efforts to accomplish this goal. First, a thorough analysis of the harmful impacts on non-target people is provided. This work describes a variety of adsorptive methods that can make use of modern materials like molecularly imprinted polymers or ion-exchange resins or can rely on well-known and efficient adsorbents like silicates or activated carbon. Although extractive methods are also taken into consideration, they are now impractical due to the lack of reasonably priced and ecologically suitable solvents. Lastly, sophisticated oxidation methods are discussed, such as electrochemical alternatives, UV and gamma radiation, and ozone therapy. Notably, some of these techniques could totally mineralize antidepressant toxicants, either alone or in combination. Lastly, the topic of biological treatment with microorganisms is covered. This method can be very specific, but it usually prevents full mineralization. Full article

Radioactive wastewater generated from nuclear energy, medical, and industrial sectors poses persistent ecological and health risks, necessitating the development of safe and sustainable treatment strategies. Compared with conventional physicochemical approaches, bioremediation using radiation-resistant bacteria (RRB) provides distinct advantages, including lower energy requirements, reduced secondary pollution, and superior ecological compatibility. This review synthesizes current knowledge on RRB’s biological characteristics, molecular resistance mechanisms, and applications in radioactive wastewater treatment. Moreover, potential applications in non-radioactive wastewater treatment—such as selective removal of heavy metals, degradation of refractory organics, and mitigation of antibiotic resistance—are discussed. Evidence from existing studies indicates that RRB share fundamental adaptive traits, including extraordinary radiotolerance, unique morphological modifications, and cross-tolerance to multiple stressors, which are underpinned by specialized DNA repair systems, potent antioxidant defenses, and radiation-responsive regulatory networks. These mechanisms collectively confer the ability to withstand and mitigate radiation-induced damage. Future research should responsibly prioritize the genetic engineering of RRB and its integration with complementary technologies, such as microbial fuel cells, to achieve synergistic pollutant removal and energy recovery. This synthesis provides a theoretical basis and technical reference for advancing RRB-enabled bioremediation toward sustainable wastewater management. Full article

Paracetamol and nonsteroidal anti-inflammatory drugs are the most popular first-line analgesics, being freely available without any medical prescription. For this reason, it is difficult to estimate their actual consumption among the population. One tool for surveillance of pharmaceutical use is wastewater-based epidemiology, a useful approach for monitoring public health by analyzing specific biomarkers in wastewater. Background/Objectives: In this study, the consumption of paracetamol and four nonsteroidal anti-inflammatory drugs (ibuprofen, naproxen, ketoprofen, and diclofenac) was evaluated by analyzing their residues as specific biomarkers in wastewater and the fraction excreted as drug metabolites in urine. Methods: For this purpose, composite wastewater samples were collected from the influent of the wastewater treatment plant in Cluj-Napoca, Romania, in four sampling campaigns (September 2021, February 2022, February 2024, and October 2024), and the target biomarkers were analyzed by liquid chromatography–tandem mass spectrometry. Results: The results of consumption expressed in g/day/1000 inhabitants showed variations for the five studied pharmaceuticals in the following ranges: 6.65–185.57 for paracetamol, 0.32–2.44 for ibuprofen, 0.29–0.82 for naproxen, 0.21–2.65 for ketoprofen, and 0.23–1.11 for diclofenac, depending on the sampling period. This variation can be explained either by the different behaviors regarding the consumption of the pharmaceutical products studied by the population during the sampling periods or by an inappropriate estimate of the number of inhabitants connected to the sewage system. Conclusions: Future studies need to establish a more comprehensive model that considers many other variables that may influence the results obtained through WBE. Full article

Background: The emergence and spread of antimicrobial-resistant bacteria (ARB) has become an urgent global concern as a silent pandemic. When taking measures to reduce the impact of antimicrobial resistance (AMR) on the environment, it is important to consider appropriate treatment of wastewater from medical facilities. Methods: In this study, a continuous-flow wastewater treatment system using ozone and ultraviolet light, which has excellent inactivation effects, was implemented in a hospital in an urban area of Japan. Results: The results showed that 99% (2 log₁₀) of Gram-negative rods and more than 99.99% (>99.99%) of ARB comprising ESBL-producing Enterobacterales were reduced by ozone treatment from the first day after treatment, and ultraviolet light-emitting diode (UV-LED) irradiation after ozone treatment; UV-LED irradiation after ozonation further inactivated the bacteria to below the detection limit. Inactivation effects were maintained throughout the treatment period in this study. Metagenomic analysis showed that the removal of these microorganisms at the DNA level tended to be gradual in ozone treatment; however, the treated water after ozone/UV-LED treatment showed a 2 log₁₀ (>99%) removal rate at the end of the treatment. The residual antimicrobials in the effluent were benzylpenicillin, cefpodoxime, ciprofloxacin, levofloxacin, azithromycin, clarithromycin, doxycycline, minocycline, and vancomycin, which were removed by ozone treatment on day 1. In contrast, the removal of ampicillin and cefdinir ranged from 19% to 64% even when combined with UV-LED treatment. Conclusions: Our findings will help to reduce the discharge of ARB and antimicrobials into rivers and maintain the safety of aquatic environments. Full article

Ozonation and ozone-based advanced oxidation processes, including ozone/hydrogen peroxide and ozone/ultraviolet irradiation, have been extensively studied for their efficacy in treating wastewater across various industries. While sectors such as pulp and paper, textile, food and beverage, microelectronics, and municipal wastewater have successfully implemented ozone at full scale, others have yet to fully embrace these technologies’ effectiveness. This review article examines recent publications from the past two decades, exploring novel applications of ozone-based technologies in treating wastewater from diverse sectors, including food and beverage, agriculture, aquaculture, textile, pulp and paper, oil and gas, medical and pharmaceutical manufacturing, pesticides, cosmetics, cigarettes, latex, cork manufacturing, semiconductors, and electroplating industries. The review underscores ozone’s broad applicability in degrading recalcitrant synthetic and natural organics, thereby reducing toxicity and enhancing biodegradability in industrial effluents. Additionally, ozone-based treatments prove highly effective in disinfecting pathogenic microorganisms present in these effluents. Continued research and application of these ozonation and ozone-based advanced oxidation processes hold promise for addressing environmental challenges and advancing sustainable wastewater management practices globally. Full article

In recent years, membranes have found extensive applications, primarily in wastewater purification and food packaging. However, petroleum-based membranes can be detrimental to the environment. For this reason, extensive studies are being conducted to identify environmentally friendly substitutes for the materials used in membrane composition. Among these materials, polylactic acid (PLA) and poly(3-hydroxybutyrate) (PHB) are two bio-sourced and biodegradable polymers that can be derived from lignocellulosic waste. These polymers also possess suitable characteristics, such as thermal resistance and mechanical strength, which make them potential candidates for replacing conventional plastics. This study provides an overview of recent advances in the production of PLA and PHB, with a focus on their extraction from lignocellulosic biomass, as well as the recent applications of these two biodegradable polymers as sustainable materials in membrane manufacturing. The advantages and limitations of membranes produced from these materials are also summarized. Lastly, an analysis of future trends is provided concerning new sources, production possibilities, and potential applications in water treatment (mainly for metal ions separation), gas separation, oil–water separation, medical applications, drug release control, and food packaging. Full article