OCCURRENCE AND RISK ASSESSMENT OF PHARMACEUTICAL SUBSTANCES IN THE GREAT LAKES BASIN Merih Otker Uslua,b, Saad Jasima,b, Antonette Arvaia , Jatinder Bewtrab, Nihar Biswasb aGreat Lakes Regional Office, International Joint Commission, Windsor, Ontario, Canada bCivil and Environmental Engineering, University of Windsor, Windsor, Ontario, Canada ABSTRACT
Pharmaceutical substances are used extensively to treat diseases in humans and animals. They are
emerging pollutants in water and their presence in the environment is of growing concern worldwide. The
continuous load of pharmaceutical substances into wastewater treatment plants (WWTPs) through human
excrement as well as hospital and manufacturing plant effluents leads to a contamination of WWTP
influents with pharmaceutical substances. Conventional WWTPs usually have limited success in
completely removing pharmaceutically active substances, and as a result these are almost always detected
in the WWTP effluents. Discharge of inefficiently treated WWTP effluents, surface runoff from the
agricultural areas and irrigation with treated or untreated wastewater are the main sources for
pharmaceutical contaminants in surface and ground waters that supply drinking water. Conventional
drinking water treatment processes including coagulation, flocculation, sedimentation, filtration and
chlorination have been demonstrated to be marginally effective in completely removing these
The present study review the occurrence and potential risks of pharmaceutical substances in the
wastewater treatment plants, natural waters and drinking water treatment plants served by the Great Lakes
Basin (Canada and the USA) between the years of 2007–2011. Large number of pharmaceutical
substances, including antiinflammatories, lipid regulators, anti-depressants, antibiotics, beta blockers,
anti-epileptics, anti-hypertensions and stimulants in high ng/L concentrations, has been reported in the
WWTP influents, suggesting the inefficiency of conventional treatment processes in the degradation of
pharmaceutical compounds. Decreasing surface water concentrations have been observed with the
distance downstream of the discharge point due to the dilution effect. Surface waters located around
septic systems and agricultural areas have also been found to be contaminated with pharmaceutical
substances. Carbamazepine, caffeine, its metabolite paraxanthine, ibuprofen, gemfibrozil and
sulfamethoxazole have been frequently detected in surface waters. The number of occurrences of
carbamazepine, ibuprofen, naproxen, gemfibrozil, bezafibrate, sulfamethoxazole and macrolide
antibiotics in drinking water sources, at ng/L concentration ranges, has been quite high.
Risk assessment of pharmaceuticals showed that the six of the detected pharmaceuticals, namely,
venlafaxine, sulfamethoxazole, clarithromycin, erythromycin, carbamazepine and esterone exhibit a high
environmental risk in Great Lakes WWTP effluents and surface waters. Inefficiency of conventional
treatments in WWTPs on the complete removal of pharmaceutical substances and environmental risk
posed by these substances has triggered the search for more advanced technologies. Advanced treatment
technologies including activated carbon adsorption, ozonation, microfiltration/reverse osmosis or
nanofiltration seem to be much more efficient in the elimination of most of the pharmaceutical substances
compared to conventional treatments in wastewater and water treatment plants. However, among these
technologies, membranes and activated carbon does not offer degradation of these compounds which are
in fact transferred to another phase. Consequently, ozonation seems to be most promising method for the
efficient transformation of pharmaceutical substances in water and wastewater treatment plants as it has
many additional advantages, such as, disinfection, odor and taste control.
Keywords: Ozone, Great Lakes, pharmaceutical, contamination, wastewater, drinking water, natural
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