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3. A global multinational survey of cefotaxime-resistant coliforms in urban wastewater treatment plants

Author

Marano, Roberto B.M., Fernandes, Telma, Manaia, Célia M., Nunes, Olga, Morrison, Donald, Berendonk, Thomas U., Kreuzinger, Norbert, Tenson, Tanel, Corno, Gianluca, Fatta-Kassinos, Despo, Merlin, Christophe, Topp, Edward, Jurkevitch, Edouard, Henn, Leonie, Scott, Andrew, Heß, Stefanie, Slipko, Katarzyna, Laht, Mailis, Kisand, Veljo, Di Cesare, Andrea, Karaolia, Popi, Michael, Stella G., Petre, Alice L., Rosal, Roberto, Pruden, Amy, Riquelme, Virginia, Agüera, Ana, Esteban, Belen, Luczkiewicz, Aneta, Kalinowska, Agnieszka, Leonard, Anne, Gaze, William H., Adegoke, Anthony A., Stenstrom, Thor A., Pollice, Alfieri, Salerno, Carlo, Schwermer, Carsten U., Krzeminski, Pawel, Guilloteau, Hélène, Donner, Erica, Drigo, Barbara, Libralato, Giovanni, Guida, Marco, Bürgmann, Helmut, Beck, Karin, Garelick, Hemda, Tacão, Marta, Henriques, Isabel, Martínez-Alcalá, Isabel, Guillén-Navarro, Jose M., Popowska, Magdalena, Piotrowska, Marta, Quintela-Baluja, Marcos, Bunce, Joshua T., Polo-López, Maria I., Nahim–Granados, Samira, Pons, Marie-Noëlle, Milakovic, Milena, Udikovic-Kolic, Nikolina, Ory, Jérôme, Ousmane, Traore, Caballero, Pilar, Oliver, Antoni, Rodriguez-Mozaz, Sara, Balcazar, Jose L., Jäger, Thomas, Schwartz, Thomas, Yang, Ying, Zou, Shichun, Lee, Yunho, Yoon, Younggun, Herzog, Bastian, Mayrhofer, Heidrun, Prakash, Om, Nimonkar, Yogesh, Heath, Ester, Baraniak, Anna, Abreu-Silva, Joana, Choudhury, Manika, Munoz, Leonardo P., Krizanovic, Stela, Brunetti, Gianluca, Maile-Moskowitz, Ayella, Brown, Connor, and Cytryn, Eddie

Published
2020
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6. Pharmaceutical pollution of the world's rivers

Author

Wilkinson, John L., Boxall, Alistair B. A., Kolpin, Dana W., Leung, Kenneth M. Y., Lai, Racliffe W. S., Galban-Malagon, Cristobal, Adell, Aiko D., Mondon, Julie, Metian, Marc, Marchant, Robert A., Bouzas-Monroy, Alejandra, Cuni-Sanchez, Aida, Coors, Anja, Carriquiriborde, Pedro, Rojo, Macarena, Gordon, Chris, Cara, Magdalena, Moermond, Monique, Luarte, Thais, Petrosyan, Vahagn, Perikhanyan, Yekaterina, Mahon, Clare S., McGurk, Christopher J., Hofmann, Thilo, Kormoker, Tapos, Iniguez, Volga, Guzman-Otazo, Jessica, Tavares, Jean L., De Figueiredo, Francisco Gildasio, Razzolini, Maria T. P., Dougnon, Victorien, Gbaguidi, Gildas, Traore, Oumar, Blais, Jules M., Kimpe, Linda E., Wong, Michelle, Wong, Donald, Ntchantcho, Romaric, Pizarro, Jaime, Ying, Guang-Guo, Chen, Chang-Er, Paez, Martha, Martinez-Lara, Jina, Otamonga, Jean-Paul, Pote, John, Ifo, Suspense A., Wilson, Penelope, Udikovic-Kolic, Nikolina, Milakovic, Milena, Fatta-Kassinos, Despo, Ioannou-Ttofa, Lida, Vymazal, Jan, Kassa, Bayable A., Garric, Jeanne, Chaumot, Arnaud, Gibba, Peter, Kunchulia, Ilia, Seidensticker, Sven, Lyberatos, Gerasimos, Halldorsson, Halldor P., Melling, Molly, Shashidhar, Thatikonda, Lamba, Manisha, Nastiti, Anindrya, Supriatin, Adee, Pourang, Nima, Abedini, Ali, Abdullah, Omar, Gharbia, Salem S., Pilla, Francesco, Chefetz, Benny, Topaz, Tom, Yao, Koffi Marcellin, Aubakirova, Bakhyt, Beisenova, Raikhan, Olaka, Lydia, Mulu, Jemimah K., Chatanga, Peter, Ntuli, Victor, Blama, Nathaniel T., Sherif, Sheck, Aris, Ahmad Zaharin, Looi, Ley Juen, Niang, Mahamoudane, Traore, Seydou T., Oldenkamp, Rik, Ogunbanwo, Olatayo, Ashfaq, Muhammad, Iqbal, Muhammad, Abdeen, Ziad, O'Dea, Aaron, Morales-Saldana, Jorge Manuel, de la Cruz, Heidi, Navarrete, Ian, Carvalho, Fabio, Gogra, Alhaji Brima, Koroma, Bashiru M., Cerkvenik-Flajs, Vesna, Gombac, Mitja, Thwala, Melusi, Choi, Kyungho, Kang, Habyeong, Ladu, John L. Celestino, Rico, Andreu, Amerasinghe, Priyanie, Sobek, Anna, Horlitz, Gisela, Zenker, Armin K., King, Alex C., Jiang, Jheng-Jie, Kariuki, Rebecca, Tumbo, Madaka, Tezel, Ulas, Onay, Turgut T., Lejju, Julius B., Vystavna, Yuliya, Vergeles, Yuriy, Heinzen, Horacio, Perez-Parada, Andres, Sims, Douglas B., Figy, Maritza, Good, David, Teta, Charles, Wilkinson, John L., Boxall, Alistair B. A., Kolpin, Dana W., Leung, Kenneth M. Y., Lai, Racliffe W. S., Galban-Malagon, Cristobal, Adell, Aiko D., Mondon, Julie, Metian, Marc, Marchant, Robert A., Bouzas-Monroy, Alejandra, Cuni-Sanchez, Aida, Coors, Anja, Carriquiriborde, Pedro, Rojo, Macarena, Gordon, Chris, Cara, Magdalena, Moermond, Monique, Luarte, Thais, Petrosyan, Vahagn, Perikhanyan, Yekaterina, Mahon, Clare S., McGurk, Christopher J., Hofmann, Thilo, Kormoker, Tapos, Iniguez, Volga, Guzman-Otazo, Jessica, Tavares, Jean L., De Figueiredo, Francisco Gildasio, Razzolini, Maria T. P., Dougnon, Victorien, Gbaguidi, Gildas, Traore, Oumar, Blais, Jules M., Kimpe, Linda E., Wong, Michelle, Wong, Donald, Ntchantcho, Romaric, Pizarro, Jaime, Ying, Guang-Guo, Chen, Chang-Er, Paez, Martha, Martinez-Lara, Jina, Otamonga, Jean-Paul, Pote, John, Ifo, Suspense A., Wilson, Penelope, Udikovic-Kolic, Nikolina, Milakovic, Milena, Fatta-Kassinos, Despo, Ioannou-Ttofa, Lida, Vymazal, Jan, Kassa, Bayable A., Garric, Jeanne, Chaumot, Arnaud, Gibba, Peter, Kunchulia, Ilia, Seidensticker, Sven, Lyberatos, Gerasimos, Halldorsson, Halldor P., Melling, Molly, Shashidhar, Thatikonda, Lamba, Manisha, Nastiti, Anindrya, Supriatin, Adee, Pourang, Nima, Abedini, Ali, Abdullah, Omar, Gharbia, Salem S., Pilla, Francesco, Chefetz, Benny, Topaz, Tom, Yao, Koffi Marcellin, Aubakirova, Bakhyt, Beisenova, Raikhan, Olaka, Lydia, Mulu, Jemimah K., Chatanga, Peter, Ntuli, Victor, Blama, Nathaniel T., Sherif, Sheck, Aris, Ahmad Zaharin, Looi, Ley Juen, Niang, Mahamoudane, Traore, Seydou T., Oldenkamp, Rik, Ogunbanwo, Olatayo, Ashfaq, Muhammad, Iqbal, Muhammad, Abdeen, Ziad, O'Dea, Aaron, Morales-Saldana, Jorge Manuel, de la Cruz, Heidi, Navarrete, Ian, Carvalho, Fabio, Gogra, Alhaji Brima, Koroma, Bashiru M., Cerkvenik-Flajs, Vesna, Gombac, Mitja, Thwala, Melusi, Choi, Kyungho, Kang, Habyeong, Ladu, John L. Celestino, Rico, Andreu, Amerasinghe, Priyanie, Sobek, Anna, Horlitz, Gisela, Zenker, Armin K., King, Alex C., Jiang, Jheng-Jie, Kariuki, Rebecca, Tumbo, Madaka, Tezel, Ulas, Onay, Turgut T., Lejju, Julius B., Vystavna, Yuliya, Vergeles, Yuriy, Heinzen, Horacio, Perez-Parada, Andres, Sims, Douglas B., Figy, Maritza, Good, David, and Teta, Charles

Abstract

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.

Published
2022
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7. Pharmaceutical pollution of the world’s rivers

Author

Wilkinson, John L., primary, Boxall, Alistair B. A., additional, Kolpin, Dana W., additional, Leung, Kenneth M. Y., additional, Lai, Racliffe W. S., additional, Galbán-Malagón, Cristóbal, additional, Adell, Aiko D., additional, Mondon, Julie, additional, Metian, Marc, additional, Marchant, Robert A., additional, Bouzas-Monroy, Alejandra, additional, Cuni-Sanchez, Aida, additional, Coors, Anja, additional, Carriquiriborde, Pedro, additional, Rojo, Macarena, additional, Gordon, Chris, additional, Cara, Magdalena, additional, Moermond, Monique, additional, Luarte, Thais, additional, Petrosyan, Vahagn, additional, Perikhanyan, Yekaterina, additional, Mahon, Clare S., additional, McGurk, Christopher J., additional, Hofmann, Thilo, additional, Kormoker, Tapos, additional, Iniguez, Volga, additional, Guzman-Otazo, Jessica, additional, Tavares, Jean L., additional, Gildasio De Figueiredo, Francisco, additional, Razzolini, Maria T. P., additional, Dougnon, Victorien, additional, Gbaguidi, Gildas, additional, Traoré, Oumar, additional, Blais, Jules M., additional, Kimpe, Linda E., additional, Wong, Michelle, additional, Wong, Donald, additional, Ntchantcho, Romaric, additional, Pizarro, Jaime, additional, Ying, Guang-Guo, additional, Chen, Chang-Er, additional, Páez, Martha, additional, Martínez-Lara, Jina, additional, Otamonga, Jean-Paul, additional, Poté, John, additional, Ifo, Suspense A., additional, Wilson, Penelope, additional, Echeverría-Sáenz, Silvia, additional, Udikovic-Kolic, Nikolina, additional, Milakovic, Milena, additional, Fatta-Kassinos, Despo, additional, Ioannou-Ttofa, Lida, additional, Belušová, Vladimíra, additional, Vymazal, Jan, additional, Cárdenas-Bustamante, María, additional, Kassa, Bayable A., additional, Garric, Jeanne, additional, Chaumot, Arnaud, additional, Gibba, Peter, additional, Kunchulia, Ilia, additional, Seidensticker, Sven, additional, Lyberatos, Gerasimos, additional, Halldórsson, Halldór P., additional, Melling, Molly, additional, Shashidhar, Thatikonda, additional, Lamba, Manisha, additional, Nastiti, Anindrya, additional, Supriatin, Adee, additional, Pourang, Nima, additional, Abedini, Ali, additional, Abdullah, Omar, additional, Gharbia, Salem S., additional, Pilla, Francesco, additional, Chefetz, Benny, additional, Topaz, Tom, additional, Yao, Koffi Marcellin, additional, Aubakirova, Bakhyt, additional, Beisenova, Raikhan, additional, Olaka, Lydia, additional, Mulu, Jemimah K., additional, Chatanga, Peter, additional, Ntuli, Victor, additional, Blama, Nathaniel T., additional, Sherif, Sheck, additional, Aris, Ahmad Zaharin, additional, Looi, Ley Juen, additional, Niang, Mahamoudane, additional, Traore, Seydou T., additional, Oldenkamp, Rik, additional, Ogunbanwo, Olatayo, additional, Ashfaq, Muhammad, additional, Iqbal, Muhammad, additional, Abdeen, Ziad, additional, O’Dea, Aaron, additional, Morales-Saldaña, Jorge Manuel, additional, Custodio, María, additional, de la Cruz, Heidi, additional, Navarrete, Ian, additional, Carvalho, Fabio, additional, Gogra, Alhaji Brima, additional, Koroma, Bashiru M., additional, Cerkvenik-Flajs, Vesna, additional, Gombač, Mitja, additional, Thwala, Melusi, additional, Choi, Kyungho, additional, Kang, Habyeong, additional, Ladu, John L. Celestino, additional, Rico, Andreu, additional, Amerasinghe, Priyanie, additional, Sobek, Anna, additional, Horlitz, Gisela, additional, Zenker, Armin K., additional, King, Alex C., additional, Jiang, Jheng-Jie, additional, Kariuki, Rebecca, additional, Tumbo, Madaka, additional, Tezel, Ulas, additional, Onay, Turgut T., additional, Lejju, Julius B., additional, Vystavna, Yuliya, additional, Vergeles, Yuriy, additional, Heinzen, Horacio, additional, Pérez-Parada, Andrés, additional, Sims, Douglas B., additional, Figy, Maritza, additional, Good, David, additional, and Teta, Charles, additional

Published
2022
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8. A global multinational survey of cefotaxime-resistant coliforms in urban wastewater treatment plants

Author

Marano, Roberto B.M., Fernandes, Telma, Manaia, C��lia M., Nunes, Olga, Morrison, Donald, Berendonk, Thomas U., Kreuzinger, Norbert, Telson, Tanel, Corno, Gianluca, Fatta-Kassinos, Despo, Merlin, Christophe, Topp, Edward, Jurkevitch, Edouard, Henn, Leonie, Scott, Andrew, He��, Stefanie, Slipko, Katarzyna, Laht, Mailis, Kisand, Veljo, Di Cesare, Andrea, Karaolia, Popi, Michael, Stella G., Petre, Alice L., Rosal, Roberto, Pruden, Amy, Riquelme, Virginia, Ag��era, Ana, Esteban, Belen, Luczkiewicz, Aneta, Kalinowska, Agnieszka, Leonard, Anne, Gaze, William H., Adegoke, Anthony A., Stenstrom, Thor A., Pollice, Alfieri, Salerno, Carlo, Schwermer, Carsten U., Krzeminski, Pawel, Guilloteau, H��l��ne, Donner, Erica, Drigo, Barbara, Libralato, Giovanni, Guida, Marco, B��rgmann, Helmut, Beck, Karin, Garelick, Hemda, Tac��o, Marta, Henriques, Isabel, Mart��nez-Alcal��, Isabel, Guill��n-Navarro, Jose M., Popowska, Magdalena, Piotrowska, Marta, Quintela-Baluja, Marcos, Bunce, Joshua T., Polo-L��pez, Maria I., Nahim���Granados, Samira, Pons, Marie-No��lle, Milakovic, Milena, Udikovic-Kolic, Nikolina, Ory, J��r��me, Ousmane, Traore, Caballero, Pilar, Oliver, Antoni, Rodriguez-Mozaz, Sara, Balcazar, Jose L., J��ger, Thomas, Schwartz, Thomas, Yang, Ying, Zou, Shichun, Lee, Yunho, Yoon, Younggun, Herzog, Bastian, Mayrhofer, Heidrun, Prakash, Om, Nimonkar, Yogesh, Heath, Ester, Baraniak, Anna, Abreu-Silva, Joana, Choudhury, Manika, Munoz, Leonardo P., Krizanovic, Stela, Brunetti, Gianluca, Maile-Moskowitz, Ayella, Brown, Connor, and Cytryn, Eddie

Subjects
6. Clean water, 3. Good health
Abstract

The World Health Organization Global Action Plan recommends integrated surveillance programs as crucial strategies for monitoring antibiotic resistance. Although several national surveillance programs are in place for clinical and veterinary settings, no such schemes exist for monitoring antibiotic-resistant bacteria in the environment. In this transnational study, we developed, validated, and tested a low-cost surveillance and easy to implement approach to evaluate antibiotic resistance in wastewater treatment plants (WWTPs) by targeting cefotaxime-resistant (CTX-R) coliforms as indicators. The rationale for this approach was: i) coliform quantification methods are internationally accepted as indicators of fecal contamination in recreational waters and are therefore routinely applied in analytical labs; ii) CTX-R coliforms are clinically relevant, associated with extended-spectrum ��-lactamases (ESBLs), and are rare in pristine environments. We analyzed 57 WWTPs in 22 countries across Europe, Asia, Africa, Australia, and North America. CTX-R coliforms were ubiquitous in raw sewage and their relative abundance varied significantly (

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