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Available online at
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Current Opinion in
ScienceDirect
Environmental Science & Health
Potable reuse: Which chemicals to be concerned about
Stuart J. Khan, Ruth Fisher and David J. Roser
Abstract
opportunities associated with supplementing conven-
The growth of potable reuse as a planned water supply strategy
tional drinking water supplies with appropriately treated
has led to an increased focus on the presence and significance
reclaimed water
[1,2]. This practice, known as ‘potable
of trace chemical contaminants. By the use of reclaimed
reuse’, has been formally adopted on a large scale in
wastewater as a source, potable reuse projects require serious
countries including the USA, Australia, South Africa and
consideration to be given to the range and character of chem-
Namibia. Furthermore, potable reuse occurs informally
icals which may be present and may pose unacceptable risks to
in thousands of cities, where raw drinking water is
public health if not properly managed. The first step, required to
sourced from surface waters impacted by effluent dis-
assess and manage risks, is to consider the range of chemical
charges from the wastewater treatment plants upstream
contaminants which may be present. Although it is impossible to
[3]. Such practices are increasingly being recognised and
derive an exhaustive list, it is useful to consider broad categories
referred to as ‘de facto potable reuse’
[4,5].
and the specific types of challenges that may be posed by the
chemicals within those categories. Such a broad categorisation
Despite the global prevalence of de facto potable reuse,
of chemical contaminants is presented in this review and pro-
it is generally considered that traditional drinking water
vides the basis for initial consideration by those tasked with
standards identifying ‘safe’ water quality are insufficient
assessing the water quality and treatment requirements of a
for potable reuse of reclaimed water
[6]. Compared with
potable reuse project. Chemicals, which may potentially be of
conventional water sources, reclaimed water and potable
concern in potable reuse projects, are diverse in terms of their
reuse may introduce a number of additional risks related
(anthropogenic or natural) source, chemical characteristics and
to chemical contaminants, which need to be considered
their likely human toxicity. Public health risk assessments are
[6]. These include chemicals that may be associated
further complicated by the inevitable presence of unidentified
with the wastewater source
[7], chemicals which may be
chemicals and potential impacts of ‘mixture effects’ on the
formed during conventional and advanced treatment
overall toxicity of complex, low-concentration chemical mixtures.
processes (e.g. disinfection byproducts) and chemicals
that may be released from aquifer storage or distribution
Addresses
system materials as a consequence of treated reclaimed
School of Civil & Environmental Engineering, University of New South
water quality.
Wales, NSW, Australia
Corresponding author: Khan, Stuart J (
x.xxxx@xxxx.xxx.xx)
Chemicals which may be of concern in potable reuse
scenarios include a wide range of naturally occurring and
synthetic, organic and inorganic species. Some key clas-
Current Opinion in Environmental Science & Health 2019,
ses of chemical hazards include heavy metals, synthetic
7:76–82
industrial organic chemicals, pesticides or their metab-
This review comes from a themed issue on Drinking water
olites, algal toxins, radionuclides, pharmaceuticals,
contaminants
oestrogenic and androgenic hormones, perfluoroalkyl
Edited by Susan Richardson and Cristina Postigo
substances, nanoparticles and disinfection byproducts.
For a complete overview see the
Issue and the
Editorial
Attempts, such as this, to categorise water quality con-
https://doi.org/10.1016/j.coesh.2018.12.002
taminants are always imperfect because the assigned
2468-5844/© 2019 Elsevier B.V. All rights reserved.
categories are never mutually exclusive. Nonetheless,
this categorisation of potable water chemical contami-
nant classes is adopted here to provide discussion and
Keywords
insights regarding important chemical hazards.
Heavy metals, Synthetic industrial chemicals, Pesticides, Cyanotoxins,
Radionuclides, Natural and synthetic steroidal hormones, Pharma-
ceuticals, Perfluoroalkyl substances, Nanoparticles, Disinfection and
Heavy metals
oxidative byproducts.
Heavy metals may be present in municipal wastewater
at concentrations reaching the mg per litre level as a
result of industrial discharges to sewers. Some heavy
Introduction
metals such as lead, cadmium, chromium and mercury
Growing water scarcity and the threat of drought-related
have been associated with human health concerns at mg
water shortages are leading many cities to consider the
per litre concentrations in drinking water. These
Current Opinion in Environmental Science & Health 2019, 7:76–82
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Potable reuse: What chemicals to be concerned about Khan et al.
77
chemicals have been subjects of regulatory control in
[37]. Additional routes of unknown significance include
public drinking water supplies for many decades, and
washing fruits and vegetables before household con-
these same regulatory requirements are equally appli-
sumption, insect repellents washed from human skin
cable to potable reuse scenarios. Most heavy metals tend
and/or washing clothes and equipment used for applying
to be lipophilic and therefore partition extensively to
pesticides. Because pesticides have been specifically
sludge during wastewater treatment
[8]. Consequently,
designed or selected for their detrimental effects on a
most concerns regarding heavy metals have been in
range of biological species, they present an obvious focus
relation to disposal and reuse of wastewater sludges
[9].
for concern regarding health risks from human exposure
Concerns relating specifically to residual concentrations
and efficacy of biological treatment processes.
in reclaimed water have been focused primarily on risks
associated with irrigation of edible crops, which may
Cyanotoxins
lead
to
elevated
human
exposure
due
to
bio-
Cyanotoxins such as microcystins, nodularins, cylin-
concentration
[10,11]. Recent work has allayed fears
drospermopsin and saxitoxins are all produced by fresh-
that heavy metals present in (non-potable) reclaimed
water cyanobacteria (blue-green algae). Under suitable
water may induce detrimental effects on fabrics during
conditions, cyanobacteria may grow in untreated or
household machine clothes washing
[12]. Some potable
partially treated wastewaters, producing these and other
reuse practices involve storage of reclaimed water by
toxins
[38]. Numerous cyanotoxins have been implicated
aquifer recharge
[13,14]. In such cases, risks of potential
as having serious impacts on human and animal health by
contamination of treated water, by dissolution of natural
the consumption of contaminated water. Many of these
geochemical substances, should be considered.
toxins are hepatotoxic, and some are neurotoxic.
Synthetic industrial organic chemicals
Radionuclides
Depending on the catchment area and the extent of the
Radionuclides, such as radioactive isotopes of strontium,
trade waste program to control chemicals at the waste-
cobalt, caesium, uranium and selenium, may enter
water source, a very wide range of synthetic industrial
sewage by natural runoff or as a result of medical or in-
chemicals and byproducts are often measurable in urban
dustrial usage
[39e
41]. In the treatment of some public
municipal wastewater treatment plant effluents at ng
water supplies, radium is removed from drinking water
per litre to mg per litre levels. Examples include plasti-
by coagulation, and the concentrated sludge may be
cisers
[15,16], biocides
[17,18], surfactants
[19], dioxins
transferred to sewage systems. Commercial laundry
[20], flame retardants
[7,21], dyes
[22], polychlorinated
detergents may also be a source of radiological contam-
biphenyls
[23] and phthalates
[24,25]. For many of
ination of wastewaters
[42]. Radionuclides are carcino-
these chemicals, prolonged exposure is known to pre-
genic and mutagenic substances.
sent chronic health risks including cancer
[26e28], and
many are environmentally persistent
[29]. The ability of
Natural and synthetic steroidal hormones
advanced treatment processes to control a range of
Natural steroidal hormones such as oestradiol, oestrone
pollutants which can be at transiently elevated con-
and testosterone are excreted to sewage by people.
centrations is a current area of research interest. One
During the last three decades, natural steroidal hor-
such chemical which has presented particular challenges
mones have been widely implicated in a range of
in some circumstances is 1,4-dioxane, which is used
endocrinological abnormalities in aquatic species that
both as a solvent and as a stabiliser for other organic
are affected by sewage effluent
[43,44]. Related impacts
solvents. 1,4-Dioxane is a known groundwater contam-
via human endocrinological pathways have been widely
inant in some regions
[30,31], but it also presents
postulated and are sources of public concern regarding
particular difficulties for control in some potable reuse
drinking water quality
[45,46]. However, human health
projects because of its poor removal by reverse osmosis
risk assessments have generally concluded that these
treatment
[32]. Consequently, 1,4-dioxane has been a
chemicals are unlikely to cause public health impacts at
major driver for the increased application of advanced
concentrations normally encountered in reclaimed
oxidation processes for potable reuse
[33,34].
wastewaters
[46e48]. Reported removals of steroidal
hormones by conventional sewage treatment plants have
Pesticides
been variable, but removal to below current analytical
A variety of chemical pesticides, including herbicides and
detection limits (approx. 1 ng/L) is commonly observed
insecticides, have been detected in municipal waste-
in well-performing plants
[49,50]. Further removal may
water effluents at ng per litre concentrations
[35,36].
be achieved by advanced treatment
[51].
Pesticides may enter municipal wastewater systems by a
variety of means, including stormwater influx and illegal
Pharmaceuticals
direct disposal to sewage systems. Washing domestic pet
Dozens of pharmaceutical substances (and their active
dogs with insecticide solutions is a known pathway for
metabolites), along with illicit drugs, have been detec-
these chemicals to be discharged to municipal sewers
ted in treated and untreated municipal wastewaters
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78
Drinking water contaminants
globally
[52e54]. These chemicals are excreted to
dispersions
[66]. Furthermore, nanoparticle bioavail-
sewage by people and direct disposal of unused drugs by
ability and toxicity may be influenced by transformation
households
[55,56].
Because
pharmaceuticals
are
processes caused by other substances, such as humic
designed to instigate biological responses, their inherent
acids or sulphides, present in the wastewater treatment
biological activity and the diverse range of compounds
plant
[69].
identified in sewages (and the environment) have been
cause for considerable concern. Specific public health
Disinfection and oxidative byproducts
concerns have not been identified for most classes of
Disinfection and chemical oxidation by ultraviolet (UV)
drugs at ambient drinking water concentrations, but
radiation and chemical oxidants is practiced to ensure
issues regarding the presence of antibiotics and the role
pathogen inactivation and to reduce concentrations of
they may play in antibacterial resistance proliferation
some target chemical contaminants in reclaimed water.
have received much attention
[57,58]. A broad range of
These
processes
induce
chemical
reactions
and
pharmaceutically active compounds have been reported
transformations and thus are well-known to produce
in drinking waters as a consequence of unplanned in-
chemical byproducts
[70,71]. As chlorine-based disin-
direct potable reuse
[59].
fection processes are used in potable reuse, well-known
chlorination
disinfection
byproducts
such
as
tri-
Perfluoroalkyl substances
halomethanes and haloacetic acids also commonly occur
Perfluoroalkyl substances (PFAS) such as perfluor-
[72].
ooctanoic acid, perfluorohexane sulfonate and perfluor-
ooctane sulfonate are persistent and toxic chemicals
In a potable reuse scenario, the combination of UV and
that have recently emerged as drinking water contami-
hydrogen peroxide is particularly relevant because it is
nants of concern. Although much of the focus has been
now used as an important contaminant barrier in a
directed to these three examples, more than 400 PHASs
number of large potable water reuse projects
[73]. Other
have been identified in the aquatic environment
[60].
UV-based advanced oxidation processes, such as UV/free
They also arise from the breakdown of fluorotelomer
chlorine and UV/persulfate, are also rapidly emerging as
alcohols, which are widely used in consumer products
attractive approaches for the removal of trace organic
such as greaseproof food wrappers and stain-resistant
contaminants.
Each
of
these
processes
produces
carpet treatments. A range of perfluorinated chemicals
distinctly different concentrations and characters of
have been widely reported in municipal wastewater ef-
byproducts, as a consequence of the different reactive
fluents
[61,62]. Owing to the presence of precursor
intermediates formed
[74,75]. Alternative potable reuse
compounds in wastewater treatment plant influents,
treatment trains, such those that involve ozonation
additional PFAS is known to be produced during bio-
followed by biological activated carbon, are also prone to
logical wastewater treatment
[63,64]. Water treatment
the formation of disinfection byproducts
[76,77].
trials have shown that conventional carbon adsorbents
are only partially effective for the removal of PFAS in a
As a disinfection byproduct, N-nitrosodimethylamine
potable reuse scenario
[65].
(NDMA) presents a number of significant challenges for
potable reuse. These stem partially from this contami-
Nanoparticles
nant’s status as a suspected human carcinogen with a
An important group of emerging environmental con-
very high potency (i.e., a high cancer slope factor)
taminants of concern is nanoparticles or nanomaterials
[78,79]. This has led to variable water quality objectives,
[66]. These are commonly defined as particles between
which in some jurisdictions require NDMA concentra-
about 1 and 100 nm in diameter that show properties
tions <10 ng/L. Although NDMA has been associated
that are not found in bulk samples of the same material.
with many water and wastewater systems, potable reuse
Nanoparticles isolated from wastewater treatment
systems may be particularly problematic if elevated
plants have been found to be composed of 70%e85%
levels of ammonia are present. Chloramination is the
carbon and low amounts of oxygen, heavy metals and
most common process that results in formation of
other elements
[67]. It is apparent that the municipal
NDMA during water and wastewater treatment
[80].
wastewater loads of some nanoparticles, such as TiO
However, ozonation of wastewater can also produce high
2
and ZnO, may exhibit seasonal variability
[68]. This is
concentrations
[80]. Furthermore, advanced oxidation
assumed to be partially a consequence of these nano-
processes may degrade larger molecules to smaller sub-
particles being used in functionalised products, such as
stances, which can subsequently act as precursors for
sunscreens and moisturising lotions, which have sea-
additional NDMA production during advanced water
sonal use patterns
[68]. The toxicological concerns for
treatment
[77]. Challenges encountered by NDMA, in
nanoparticles are related not only to their chemical
particular, have led to efforts towards the development
composition but also to physical parameters including
of an inline detection system for this compound and
particle size, shape, surface area, surface chemistry,
other N-Nitrosamines
[81,82]. It has been observed
porosity, aggregation tendency and homogeneity of
that, as potable reuse becomes increasingly important
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Potable reuse: What chemicals to be concerned about Khan et al.
79
for drinking water supply, NDMA formation and miti-
greatest public health risks are contaminants or trans-
gation strategies will become increasingly more impor-
formation products, for which molecular identities are as
tant
[80].
yet unknown or their significance not yet appreciated.
Furthermore, there are important acknowledged gaps in
Conclusions
our
toxicological
understanding
of
complex
low-
The various classes of chemical contaminants identified
concentration mixtures, as drinking water contami-
in this short review represent those for which most
nants are inevitably presented as.
attention is currently paid in regard to potable water
reuse projects. They include some reclaimed water
Based on current knowledge, summarised in this short
contaminants (eg, many pharmaceuticals and hormones)
review, the chemical contaminants most warranting
that are now reasonably well understood and others for
concern in potable reuse projects are dependent upon
which a working understanding is still emerging (eg.
system-specific
characteristics,
most
notably,
the
nanoparticles and some disinfection and oxidative
advanced water treatment processes included in the
byproducts). Nonetheless, hundreds of new contami-
treatment train. For potable reuse treatment trains,
nants continue to be identified, and new sensitive
which include very broadly effective processes such as
analytical methods are developed each year
[83]. The
reverse osmosis, concern will be focused on the rela-
rate of such new developments far exceeds the rate at
tively small subset of chemicals, known to be poorly or
which any regulatory regime or potable reuse project
unreliably removed by these processes. For reverse
operator could hope to adapt.
osmosis, this tends to include small (low molecular
weight), uncharged molecules such as trihalomethanes,
In 2017, the World Health Organization published
NDMA and 1,4-dioxane. Consequently, these chemicals
‘Potable Reuse: Guidance for Producing Safe Drinking
are often targeted for monitoring.
Water’
[84]. These WHO potable reuse guidelines state
that the management of potable reuse schemes should
Owing to current limitations in the ability to meaning-
be based on the framework for safe drinking water,
fully assess public health risks associated with individual
including water safety plans. These guidelines do not
and mixture chemical contaminants in drinking water,
provide any new guideline concentrations for chemical
many researchers and practitioners working on potable
contaminants, beyond what are already provided in the
reuse risk management have advocated alternatives to
WHO Guidelines for Drinking-water Quality. This is
direct monitoring of contaminants of concern. One such
based on the fact that chemicals of emerging concern,
approach has been the identification of a limited
such as pharmaceuticals and personal care products,
number of measurable chemical contaminants, such as
tend to be present at concentrations, which are gener-
those highlighted in this review, to be used as ‘in-
ally low and generally do not warrant setting of new
dicators’ for the potential presence and effective
guideline values. Nonetheless, in specific circum-
removal of a much wider range of unidentified con-
stances, where a chemical with no guideline value is
taminants
[86,87]. Another widely advocated approach
identified as a concern, approaches for developing
involves the assessment of water quality by bioassay
screening values are identified to support investigations
effect-based measurements
[88e90]. Although both
into potential risks and the need for implementation of
approaches require further research and development,
additional control measures. The principal reference is
they both have the potential to play an important role in
to the framework presented in the Australian Guidelines
monitoring the performance of chemical contaminant
for Water Recycling
[85]. Arguably, this concept should
removal for potable reuse projects.
also be one that is generally applied to drinking water,
beyond just planned potable reuse. This would be
Conflict of interest statement
particularly appropriate in situations of known, or
Nothing declared.
suspected, de facto potable reuse.
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