Pharmaceutical pollution of the world’s rivers

Фармацевтическое загрязнение мировых рек
John L. Wilkinson, Alistair B.A. Boxall, Dana W. Kolpin, Kmy Leung, Racliffe Weng Seng Lai, Cristóbal Galbán‐Malagón, Aiko D. Adell, Julie Mondon, Marc Métian, Rob Marchant, Alejandra Bouzas‐Monroy, Aida Cuní‐Sanchez, Anja Coors, Pedro Carriquiriborde, Macarena Rojo, Christopher Gordon, Magdalena Cara, Monique Moermond, Thais Luarte, Vahagn Petrosyan, Yekaterina Perikhanyan, Clare S. Mahon, Christopher J. McGurk, Thilo Hofmann, Tapos Kormoker, Volga Iñiguez, Jessica Guzman-Otazo, Jean Leite Tavares, Francisco Gildasio De Figueiredo, María Tereza Pepe Razzolini, Victorien Dougnon, Gildas Gbaguidi, Oumar Traoré, Jules M. Blais, Linda E. Kimpe, Michelle Wong, Donald Wong, Romaric Ntchantcho, Jaime Pizarro, Guang‐Guo Ying, Chang-Er Chen, Martha Isabel Páez-Melo, Jina Martínez-Lara, Jean‐Paul Otamonga, John Poté, Suspense A. Ifo, Penelope Wilson, Silvia Echeverría-Sáenz, Nikolina Udiković‐Kolić, Milena Milaković, Despo Fatta‐Kassinos, Lida Ioannou‐Ttofa, Vladimíra Belušová, Jan Vymazal, María Cárdenas-Bustamante, Bayable A. Kassa, Jeanne Garric, Arnaud Chaumot, Peter Gibba, Ilia Kunchulia, Sven Seidensticker, Gérasimos Lyberatos, Halldór Pálmar Halldórsson, Molly Melling, Shashidhar Thatikonda, Manisha Lamba, Anindrya Nastiti, Adee Supriatin, Nima Pourang, Ali Abedini, Omar Abdullah, Salem Gharbia, Francesco Pilla, Benny Chefetz, Tom Topaz, Koffi Marcellin Yao, Bakhyt Aubakirova, Raikhan Beisenova, Lydia Olaka, Jemimah K. Mulu, Peter Chatanga, Victor Ntuli, Nathaniel T. Blama, Sheck Sherif, Ahmad Zaharin Aris, Ley Juen Looi, Mahamoudane Niang, Seydou T. Traore, Rik Oldenkamp, Olatayo Michael Adetayo Ogunbanwo, Muhammad Ashfaq, Muhammad Iqbal, Ziad Abdeen, Aaron O’Dea, Jorge Manuel Morales‐Saldaña, María Custodio, Heidi De la Cruz, Ian A. Navarrete, Fábio Carvalho, Alhaji Brima Gogra
2022-02-14

active pharmaceutical ingredientsantimicrobial resistanceglobal water qualitypharmaceutical pollutionriver contamination
Environmental exposure to active pharmaceutical ingredients (APIs) can have negative effects on the health of ecosystems and humans. While numerous studies have monitored APIs in rivers, these employ different analytical methods, measure different APIs, and have ignored many of the countries of the world. This makes it difficult to quantify the scale of the problem from a global perspective. Furthermore, comparison of the existing data, generated for different studies/regions/continents, is challenging due to the vast differences between the analytical methodologies employed. Here, we present a global-scale study of API pollution in 258 of the world's rivers, representing the environmental influence of 471.4 million people across 137 geographic regions. Samples were obtained from 1,052 locations in 104 countries (representing all continents and 36 countries not previously studied for API contamination) and analyzed for 61 APIs. Highest cumulative API concentrations were observed in sub-Saharan Africa, south Asia, and South America. The most contaminated sites were in low- to middle-income countries and were associated with areas with poor wastewater and waste management infrastructure and pharmaceutical manufacturing. The most frequently detected APIs were carbamazepine, metformin, and caffeine (a compound also arising from lifestyle use), which were detected at over half of the sites monitored. Concentrations of at least one API at 25.7% of the sampling sites were greater than concentrations considered safe for aquatic organisms, or which are of concern in terms of selection for antimicrobial resistance. Therefore, pharmaceutical pollution poses a global threat to environmental and human health, as well as to delivery of the United Nations Sustainable Development Goals.
1
A global survey analyzed 61 active pharmaceutical ingredients across 1,052 sites in 104 countries, covering 258 rivers and 471.4 million people.
2
At 25.7% of sampling sites, at least one API exceeded concentrations considered safe for aquatic organisms or concerning for antimicrobial-resistance selection, indicating a global environmental and human-health threat.
3
Carbamazepine, metformin, and caffeine were the most frequently detected compounds, each occurring at over half of monitored sites.
4
The highest cumulative pharmaceutical concentrations occurred in sub-Saharan Africa, south Asia, and South America.
5
The most contaminated sites were concentrated in low- and middle-income countries and linked to inadequate wastewater or waste management and pharmaceutical manufacturing.

Active pharmaceutical ingredient (API) pollution in the world's rivers

Global occurrence, concentrations, geographic distribution, and ecological and antimicrobial-resistance risks of APIs in river water

Publication Details
Publication Date
2022-02-14
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Authors
John L. Wilkinson
Alistair B.A. Boxall
Dana W. Kolpin
Kmy Leung
Racliffe Weng Seng Lai
Cristóbal Galbán‐Malagón
Aiko D. Adell
Julie Mondon
Marc Métian
Rob Marchant
Alejandra Bouzas‐Monroy
Aida Cuní‐Sanchez
Anja Coors
Pedro Carriquiriborde
Macarena Rojo
Christopher Gordon
Magdalena Cara
Monique Moermond
Thais Luarte
Vahagn Petrosyan
Yekaterina Perikhanyan
Clare S. Mahon
Christopher J. McGurk
Thilo Hofmann
Tapos Kormoker
Volga Iñiguez
Jessica Guzman-Otazo
Jean Leite Tavares
Francisco Gildasio De Figueiredo
María Tereza Pepe Razzolini
Victorien Dougnon
Gildas Gbaguidi
Oumar Traoré
Jules M. Blais
Linda E. Kimpe
Michelle Wong
Donald Wong
Romaric Ntchantcho
Jaime Pizarro
Guang‐Guo Ying
Chang-Er Chen
Martha Isabel Páez-Melo
Jina Martínez-Lara
Jean‐Paul Otamonga
John Poté
Suspense A. Ifo
Penelope Wilson
Silvia Echeverría-Sáenz
Nikolina Udiković‐Kolić
Milena Milaković
Despo Fatta‐Kassinos
Lida Ioannou‐Ttofa
Vladimíra Belušová
Jan Vymazal
María Cárdenas-Bustamante
Bayable A. Kassa
Jeanne Garric
Arnaud Chaumot
Peter Gibba
Ilia Kunchulia
Sven Seidensticker
Gérasimos Lyberatos
Halldór Pálmar Halldórsson
Molly Melling
Shashidhar Thatikonda
Manisha Lamba
Anindrya Nastiti
Adee Supriatin
Nima Pourang
Ali Abedini
Omar Abdullah
Salem Gharbia
Francesco Pilla
Benny Chefetz
Tom Topaz
Koffi Marcellin Yao
Bakhyt Aubakirova
Raikhan Beisenova
Lydia Olaka
Jemimah K. Mulu
Peter Chatanga
Victor Ntuli
Nathaniel T. Blama
Sheck Sherif
Ahmad Zaharin Aris
Ley Juen Looi
Mahamoudane Niang
Seydou T. Traore
Rik Oldenkamp
Olatayo Michael Adetayo Ogunbanwo
Muhammad Ashfaq
Muhammad Iqbal
Ziad Abdeen
Aaron O’Dea
Jorge Manuel Morales‐Saldaña
María Custodio
Heidi De la Cruz
Ian A. Navarrete
Fábio Carvalho
Alhaji Brima Gogra
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