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Cranfield University School of Industrial and Manufacturing Science Department of Water Sciences Thesis submitted for the degree of Doctor of Philosophy Academic year 2005-2006 Andrew Thompson The Fate and Removal of Pharmaceuticals during Sewage Treatment Supervisors: Dr Elise Cartmell and Dr Richard Stuetz Date of presentation: October 2005 This thesis is submitted in partial fulfilment of the requirements for the degree of Doctor of Philosophy © Cranfield University, 2005. All rights reserved. No part of this publication may be reproduced without the written permission of the copyright holder. i Abstract Pharmaceuticals, personal care products and their metabolites are continuously entering the environment through many routes, especially from the effluent of sewage treatment plants. The aim of this work was to examine the fate and removal of pharmaceuticals during sewage treatment, and establish ways in which current sewage treatment technologies could be optimised to improve removal. Based on an analysis of pharmaceutical usage and environmental effects, four compounds were selected for further study (triclosan, tetracycline, carbamazepine, and caffeine). Reliable analytical methods were developed, using HPLC-UV, to detect these compounds in sewage samples. The amounts of removal of the four compounds were quantified using laboratory sorption and biodegradation tests. Both tetracycline and triclosan were shown to be readily biodegradable, and to sorb strongly to biomass, although sorption occurred at different rates. Caffeine degraded rapidly, but did not sorb to biomass, whilst carbamazepine did not sorb or biodegrade. Grab samples were taken before and after every major process unit at four sewage treatment plants (STPs). Although tetracycline was not detected in any samples, triclosan was measured at concentrations up to 5115 ng l-1, caffeine was measured at concentrations up to 82,300 ng l-1, and carbamazepine was measured at concentrations up to 1461 ng l-1. This is the first time carbamazepine and caffeine concentrations have been reported in UK sewage. The grab samples showed that a wide range of pharmaceutical effluent concentrations can be expected. The concentrations of the pharmaceuticals detected in this research were not high enough to cause immediate harm (i.e. death) to aquatic organisms. However, there is insufficient information to determine whether exposure to these low concentrations, typically around PNEC levels, may have an effect over a long period of time. Further composite sampling conducted at one STP generated data, modelled using Toxchem+, which demonstrated how variations in a wide range of parameters were correlated with the removal of pharmaceuticals. These showed that whilst sludge age may be the most important parameter, pH, temperature, hydraulic retention time, and chemical oxygen demand could have a critical effect on the removal of pharmaceuticals. Several ways of optimising sewage treatment plants have been proposed, including pH adjustments and longer HRTs to enhance sorption, as well as a novel adaptation to activated sludge tanks incorporating two IFAS type bioreactors to enhance biodegradation. The effects of plant operating events, such as aeration failures, were also investigated. These showed that a typical length of aeration loss (four hours) could result in reduced pharmaceutical removal (through decreases in both sorption and biodegradation) for up to twelve hours. Overall, this work has shown that it may be possible to adapt current sewage treatment technology to improve removal of pharmaceuticals which sorb or biodegrade readily. With further research, these adaptations could become a viable alternative to tertiary treatment technologies such as ozonation, granular activated carbon, or chlorine dioxide. ii Table of Contents Chapter 1: Introduction..............................................................................................................................2 1.1 Aims and Objectives .....................................................................................................................4 1.2 Thesis plan.......................................................................................................................................4 Chapter 2: Literature Review.....................................................................................................................7 2.1 Usage of PPCPs .............................................................................................................................7 2.1.1 Usage of PPCPs in the UK................................................................................................8 2.1.2 Usage of PPCPs in Europe............................................................................................. 17 2.1.3 Summary of usage data.................................................................................................... 20 2.2 Occurrence of PPCPs in the environment ............................................................................ 21 Sewage treatment plant effluent ....................................................................................... 22 Sewage sludge ...................................................................................................................... 24 Landfill leachate................................................................................................................... 26 Streams and rivers............................................................................................................... 27 Drinking water..................................................................................................................... 28 Summary of pharmaceutical detection data ................................................................... 29 2.2.1 Routes into the environment.......................................................................................... 30 Reduction of usage and pipe leakage............................................................................... 31 Reducing straight-piping and sewer overflow events................................................... 32 Changing the disposal methods for surplus drugs........................................................ 33 Improving efficiency of sewage treatment plants (STPs)............................................ 35 2.3 Environmental significance....................................................................................................... 36 2.3.1 Risk to humans.................................................................................................................. 36 2.3.2 Risk to aquatic organisms................................................................................................ 38 Risk assessment in the US ................................................................................................. 39 Risk assessments in the EU (including UK) pre-2006................................................. 40 Risk assessments in the EU (including UK) post-2006............................................... 42 2.3.3 Chemicals with PEC>PNEC or MEC/PNEC in the UK ...................................... 44 2.3.4 Mixtures of compounds .................................................................................................. 46 2.4 Degradation products and metabolites................................................................................... 48 2.5 The role played by sewage treatment plants .......................................................................... 51 2.5.1 Current Technologies ......................................................................................................51 Preliminary treatment......................................................................................................... 51 Primary sedimentation........................................................................................................ 51 Secondary treatment ........................................................................................................... 53 Suspended growth systems................................................................................................ 53 Fixed film systems............................................................................................................... 53 2.5.2 Removal mechanisms ...................................................................................................... 55 Photolysis.............................................................................................................................. 56 Sorption................................................................................................................................. 57 Biodegradation..................................................................................................................... 60 Hydrolysis............................................................................................................................. 61 2.5.3 Fate of pharmaceuticals during sewage treatment...................................................... 61 2.5.4 Parameters affecting removal efficiency....................................................................... 64 2.5.5 Tertiary treatments ........................................................................................................... 66 2.6 Summary......................................................................................................................................