Groundwater contamination by microbiological and chemical substances released from hospital wastewater: Health risk assessment for drinking water consumers

Environment International

Volumn 35, Issue 4, 2009, Pages 718-726

  Emmanuel, Evens ^a   Pierre, Marie Gisèle ^a   Perrodin, Yves ^b  

^a Universite Quisqueya   (Haïti)

^b UNIVERSITÉ DE LYON   (France)

Author keywords

Drinking water; Faecal coliforms; Groundwater; Health risks; Heavy metals; Hospital effluents; Karstic aquifers; Organic pollutants; Septic tanks

Indexed keywords

AQUATIC ECOSYSTEMS; AQUIFERS; CHEMICAL COMPOUNDS; CHROMIUM COMPOUNDS; DEVELOPING COUNTRIES; EFFLUENTS; GROUNDWATER; GROUNDWATER POLLUTION; GROUNDWATER RESOURCES; HEALTH; HEALTH RISKS; HEAVY METALS; HOSPITALS; HYDROCHEMISTRY; HYDROGEOLOGY; LEAD; NICKEL; ORGANIC POLLUTANTS; POLLUTION; POTABLE WATER; RISK ASSESSMENT; SEPTIC TANKS; TANKS (CONTAINERS); VIRUSES; WATER; WATER RESOURCES;

FAECAL COLIFORMS; GROUNDWATER CONTAMINATION; HOSPITAL ACTIVITIES; HOSPITAL EFFLUENT; HOSPITAL WASTEWATER; KARSTIC AQUIFER; MAXIMUM CONCENTRATIONS; NATURAL ENVIRONMENTS;

WATER POLLUTION;

AQUIFER; CHEMICAL POLLUTANT; DEVELOPING WORLD; DISINFECTION; DRINKING WATER; FECAL COLIFORM; GROUNDWATER POLLUTION; HEALTH RISK; HOSPITAL SECTOR; MICROORGANISM; RISK ASSESSMENT; WASTEWATER;

ENTEROCOCCUS; PROTOZOA;

EID: 62849094430     PISSN: 01604120     EISSN: 18736750     Source Type: Journal    
DOI: 10.1016/j.envint.2009.01.011     Document Type: Article

References (87)

1. Académie des Sciences. Contamination des sols par les éléments traces: les risques et leur gestion. Rapport N° 42 (1998), Lavoisier Tec&Doc, Paris 440 pp.
2. APHA. Standard Methods for the Examination of Water and Wastewater. Washington D.C.:APHA, AWWA, WEF, 1995, 19th ed. 1220 pp.
3. ATSDR (Agency for Toxic Substances and Disease Registry). Toxicological Profile for Nickel. Altanta, GA: U.S. Department of Health and Human Services; 1993. (http://www.atsdr.cdc.gov).
4. ATSDR (Agency for Toxic Substances and Disease Registry). Toxicological profile for lead (1999), U.S. Department of Health and human Services, Atlanta, GA. http://www.atsdr.cdc.gov (http://www.atsdr.cdc.gov)
5. ATSDR (Agency for Toxic Substances and Disease Registry). Toxicological profile for chromium (2000), U.S. Department of Health and human Services, Atlanta, GA. http://www.atsdr.cdc.gov (http://www.atsdr.cdc.gov)
6. ATSDR (Agency for Toxic Substances and Disease Registry). Toxicological profile for nickel (2003), U.S. Department of Health and human Services, Atlanta, GA. http://www.atsdr.cdc.gov (http://www.atsdr.cdc.gov)
7. Bernet S., and Fines M. Effluents du CHU de CAEN: Etude qualitative et quantitative de la flore microbienne et recherche de bactéries multirésistantes. Poster. Quatrième journée du Réseau Régional d'Hygiène de Basse-Normandie, Caen (2000)
8. Bhattacharyya K.G., and Gupta S.S. Adsorptive accumulation of Cu(II), Co(II), Pb(II), and Ni(II) from water on montmorillonite: influence of acid activation. J Colloid Interface Sci 310 (2007) 411-424
9. Boillot, C., Perrodin, Y., Joint-action ecotoxicity of binary mixtures of glutaraldehyde and surfactants used in hospitals: use of the toxicity index model and isoblogram representation. Ecotoxicology and Environmental Safety, 2008;71(1):252-259.
10. Bradl H.B. Adsorption of heavy metal ions on soils and soils constituents. J Colloid Interface Sci 277 (2004) 1-18
11. Bras A., Emmanuel E., Lilite O., Brasseur P., Pape J.-W., and Raccurt C. Evaluation du risque dû à Cryptosporidium sp présent dans l'eau de boisson à Port-au-Prince, Haïti. Environ Risques Santé 6 5 (2007) 355-364
12. Brasseur P., Eyma E., Verdier R.I., Agnamey P., Liautaud B., Dei-Cas E., et al. Circulation des oocystes de Cryptosporidium dans les eaux de surface et de distribution par adduction publique à Port-au-Prince. In: Emmanuel E., and Vermande P. (Eds). Actes du Colloque International « La gestion intégrée de l'eau en Haïti » (2002) 173-176
13. Brondeau M.T., Falcy M., Jargot S., Miraval S., Protois J.C., Reynier M., et al. Eaux et extraits de Javel. Fiche toxicologique N° 157 de l'INRS. Cahiers de notes documentaires-Hygiène et sécurité du travail vol. 178 (2000) 11-15
14. Cantor K.P., Lynch C.F., Hildesheim M.E., Dosemeci M., Lubin J., Alavanja M., et al. Drinking water source and chlorination byproducts. I. Risk of bladder cancer. Epidemiology 9 (1998) 21-28
15. Cantor K.P., Lynch C.F., Hildesheim M.E., Dosemeci M., Lubin J., Alavanja M., et al. Drinking water source and chlorination byproducts in Iowa. III. Risk of brain cancer. Am J Epidemiol 150 (1999) 552-560
16. Caussy D., Gochfeld M., Gurzau E., Neagu C., and Ruedel H. Lessons from case studies of metals: investigating exposure, bioavailability, and risk. Ecotoxicol Environ Saf 56 (2003) 45-51
17. Christensen J.M. Human exposure to toxic metals: factors influencing interpretation of biomonitoring results. Sci Total Environ 166 (1995) 89-135
18. Cleymaet R., Collys K., Retief D.H., Michotte Y., Slop D., Taghon E., et al. Relation between lead in surface tooth enamel, blood, and saliva from children residing in the vicinity of a nonferrous metal plant in Belgium. Br J Ind Med 48 (1991) 702-709
19. Daldrup T., Haarhoff K., and Szathmary S.C. Fatal nickel sulfate poisoning. Beitr Gerichtl Med 41 (1983) 141-144
20. Deloffre-Bonnamour, N., Les rejets des établissements de santé: des effluents liquides aux déchets solides. Mémoire de Maîtrise, Université Claude Bernard-Lyon1, Institut Universitaire Professionnalisé, Génie de l'Environnement-Ecodéveloppement, Lyon; 1995.
21. Denić-Jukić V., and Jukić D. Composite transfer functions for karst aquifers. J Hydrol 274 (2003) 80-94
22. DGRNE (Direction Générale des Ressources Naturelles et de l'Environnement). "Arrêté de l'Exécutif régional wallon du 20 juillet 1989 relatif à la qualité de l'eau distribuée par réseau, modifié par l'arrêté de l'Exécutif régional wallon du 21 février 1991". DGRNE, Division de l'Eau. Namur, 1998.
23. Dussart-Baptista L., Massei N., Dupont J.-P., and Jouenne T. Transfer of bacteria-contaminated particles in a karst aquifer:evolution of contaminated materials from a sinkhole to a spring. J Hydrol 284 (2003) 285-295
24. Emmanuel, E., Blanchard, J.-M., Keck, G., Perrodin, Y., Caractérisation chimique, biologique et écotoxicologique des effluents hospitaliers. Déchets Sciences et Techniques, revue francophone d'écologie industrielle, 2001, 22:31-33.
25. Emmanuel E., Perrodin Y., Keck G., Blanchard J.-M., and Vermande P. Effects of hospital wastewater on aquatic ecosystem. Proceedings of the XXVIII Congreso Interamericano de Ingenieria Sanitaria y Ambiental. Cancun, México, 27-31 de octubre (2002) CDROM
26. Emmanuel E., Blanchard J.-M., Keck G., Vermande P., and Perrodin Y. Toxicological effects of sodium hypochlorite disinfections on aquatic organisms and its contribution to AOX formation in hospital wastewater. Environ Int 30 (2004) 891-900
27. Emmanuel E., Joseph O., Fanfan P.N., Vermande P., and Winiarski T. Trend analysis of the groundwater salinity of the Cul-de-sac aquifer in Haiti. Proceedings of the XXIX Congreso Interamericano de Ingenieria Sanitaria y Ambiental. San Juan, Puerto Rico, 22-28 de agosto (2004) CDROM
28. Emmanuel E., Perrodin Y., Blanchard J.-M., Keck G., and Vermande P. Ecotoxicological risk assessment of hospital wastewater: a proposed framework for raw effluents discharging into urban sewer network. J Hazard Mater A117 (2005) 1-11
29. Emmanuel E., Hanna K., Bazin C., Keck G., Clement B., and Perrodin Y. Fate of glutaraldehyde in hospital wastewater and combined effects of glutaraldehyde and surfactants on aquatic organisms. J Environ Int 31 (2005) 399-406
30. Emmanuel E., Angerville R., Joseph O., and Perrodin Y. Human health risk assessment of lead in drinking water: a case study from Port-au-Prince Haiti. Int J Environ Pollut 31 3/4 (2007) 280-291
31. Erlandsson B., and Matsson S. Medically used radionucides in sewage sludge. Water Air Soil Pollut 9 (1978) 199-206
32. European Commission. Directive 98/15/EEC amending Council Directive 91/271/EEC: Urban wastewater treatment. Brussels; 1998a. Off. J. of European Communities N° L 67/29-30 (7 March 1998).
33. European Commission. DIRECTIVE 98/83/CE du 3 novembre 1998 relative à la qualité des eaux destinées à la consommation humaine, Bruxelles,1998b. JO L 330 du 5.12.1998, p. 32.
34. Fertmann R., Hentschel S., Dengler D., Jan U., and Lommel A. Lead exposure by drinking water: an epidemiological study in Hamburg. Int J Hyg Environ Health 207 (2004) 235-244
35. Flaten T.P. Chlorination of drinking water and cancer incidence in Norway. Int J Epidemiol 21 (1992) 6-15
36. Franceys R., Pickford J., and Reed R. A Guide to the Development of on-Site Sanitation (1992), WHO, Geneva. 92 4 154443 0 229 pp.
37. Fraser P., and Chilvers C. Health aspects of nitrate in drinking water. Sci Total Environ 18 (1981) 103-116
38. Gadelle F. Le monde manquera-t-il bientôt d'eau? Sécheresse, 1995, vol. 6, pp. 11-15.
39. Gartisser St., Brinkler L., Erbe T., Kümmerer K., and Willmund R. Contamination of hospital wastewater with hazardous compounds as defined by § 7a WHG. Acta Hydrochim Hydrobiol 24 2 (1996) 90-97
40. Gschlössl T., Scheleypen P., Steinmann C., and Melzer A. Constructed wetlands and lagoons for wastewater treatment - a field of cooperation between biologist and engineer. Limnologica 29 1 (1999) 103-104
41. Hass C.N. Acceptable microbial risk. J Am Water Works Assoc 88 12 (1996)
42. Haas C.N., Rose J.B., and Gerba C.P. Quantitative Microbial Risk Assessment (1999), Wiley, New York 449 pp.
43. Halling-Sørensen B., Nielsen N., Lanzky P.F., Ingerslev F., Holten-Lützhøft, and Jørgensen S.E. Occurrence, fate and effects of pharmaceutical substances in the environment - a review. Chemosphere 36 (1998) 357-393
44. Hildesheim M.E., Cantor K.P., Lynch C.F., Dosemeci M., Lubin J., Alavanja M., et al. Drinking water source and chlorination byproducts. II. Risk of colon and rectal cancers. Epidemiology 9 (1998) 29-35
45. Ibnoussina M., Mohamed El Haroui, and Abdellatif Maslouhi. Expérimentation et modélisation de la lixiviation de l'azote nitrique dans un sol sableux. C. R. Geosciences 338 (2006) 787-794
46. INERIS (Institut National de l'Environnement Industriel et des Risques). Plomb et ses dérivés, in Fiche de données toxicologiques et environnementales des substances chimiques. Paris: INERIS; ERIS-DRC-01-25590-ETSC-Api/SD-N 00df257, p.90.
47. INVS (Institut National de Veille Sanitaire). Guide pour l'analyse du volet sanitaire des études d'impact (2000), Institut de Veille Sanitaire, Saint-Maurice Cédex 49 pp.
48. Jolibois B., Guerber M., and Vassal S. Glutaraldehyde in hospital wastewater. Arch Environ Contam Toxicol 42 (2002) 137-144
49. Kerndorf H., and Schnitzer M. Sorption of metals on humic acid. Geochim Cosmochim Acta 44 (1980) 1701-1708
50. Kümmerer K. Drugs in the environment: emission of drugs, diagnostic aids and disinfectants into wastewater by hospitals in relation to other sources - a review. Chemosphere 45 (2001) 957-969
51. Kümmerer K., Meyer M., and Steger-Hartmann T. Biodegradability of the anti-tumour agent Ifosfamide and its occurrence in hospital effluents and communal sewage. Water Res 11 (1997) 2705-2710
52. Laber J., Raimund H., and Shrestha R. Two-stage constructed wetland for treating hospital wastewater in Nepal. Water Sci Technol 40 (1999) 317-324
53. Laftouhi N., Vanclooster M., Jalal M., Witam O., Aboufirassi M., Bahir M., et al. Groundwater nitrate pollution in the Essaouira Bassin (Morocco). C R Geosci 335 (2003) 307-317
54. Lawrence C., Taylor P., Trock B., and Reilly A. Trihalomethanes in drinking water and human colorectal cancer. J Natl Cancer Inst 72 (1984) 563-568
55. Lenz K., Hann S., Koellensperger G., Stefanka Z., Stingeder G., Stingeder N., et al. Presence of cancerostatic platinum compounds in hospital wastewater and possible elimination by adsorption to activated sludge. Sci Total Environ 345 (2005) 141-152
56. Lhérisson G. Les caractéristiques générales de l'agglomération de Port-au-Prince métropolitain. In: Holly G. (Ed). Les problèmes environnementaux de la région métropolitaine de Port-au-Prince (1999), Commission pour la commémoration du 250e anniversaire de la fondation de la ville de Port-au-Prince, Port-au-Prince 17-26
57. Leprat P. Les rejets liquides hospitaliers, quels agents et quelles solutions techniques?. Les Assises Nationales QUALIBIO 1998 « Santé et Environnement Hospitalier », Caen (1998) 10-13
58. Lewis R. Metals. In: Ladou J. (Ed). Occupational and environmental medicine (1997), McGrawHill, New York 405-439 (Chapter 27)
59. Majumder N., Prakasam T., and Suryaprakasam M. A critical study of septic tank performance in rural areas (1960), The institution of engineers, India
60. McGeehin M.A., Reif J.S., Becher J.C., and Mangione E.J. Case-control study of bladder cancer and water disinfection methods in Colorado. Am J Epidemiol 138 (1993) 492-501
61. McQuillan D. Ground-water quality impacts from on site septic system. Proceedings, National Onsite Wastewater Recycling Association, 13th Annual Conference, Albuquerque, NM, November 7-10 (2004) 6-18
62. Metcalf, and Eddy. Inc. Wastewater Engineering, Treatment, disposal, and reause. 3rd ed (1991), McGraw-Hill, New York Revised by Tchobanoglous G., Burton F.L. Irwin
63. Morris R.D., Audet A.M., Angelillo I.F., Chalmers T.C., and Mosteller F. Chlorination by-products and cancer: a meta-analysis. Am J Public Health 82 (1992) 955-962
64. NRC (National Research Council). Risk Assessment in the Federal Government: Managing the Process (1983), National Academy Press, Washington DC 191 pp.
65. OMS (Organisation Mondiale de la Santé). Directives de qualité de l'eau de boisson. 2è ed. Recommandations vol. 1 (1994), OMS, Genève 8-30
66. OMS (Organisation Mondiale de la Santé). Directives de qualité de l'eau de boisson. 2ème éd. Critères d'hygiène et documents à l'appui vol. 2 (1996), OMS, Genève 1024 pp.
67. OPS/OMS (Organisation Panaméricaine de la Santé/Organisation Mondiale de la Santé) Synthèse des taux de couverture des besoins en approvisionnement en eau potable et assainissement au 31 décembre 2000. Rapport WASAM 2000, OPS/OMS, Port-au-Prince, 2001, 80 pp.
68. Panouillères M., Boillot C., and Perrodin Y. Study of the combined effects of a paracetic acid-based disinfectant and surfactants contained in hospital effluents on Daphnia magna. Ecotoxicology 16 (2007) 327-340
69. Poss R., and Saragoni H. Leaching of nitrate, calcium and magnesium under maize cultivation on oxisol in Togo. Fertil Res 33 (1992) 123-133
70. Qin F., Wen B., Shan X.Q., Xie Y.N., Liu T., Zhang S.Z., et al. Mechanisms of competitive adsorption of Pb, Cu, and Cd on peat. Environ Pollut 144 (2006) 669-680
71. Rai D., Eary L.E., and Zachara J.M. Environmental chemistry of chromium. Sci Total Environ 86 1-2 (1989) 15-23
72. Richardson M.L., and Bowron J.M. The fate of pharmaceutical chemicals in the aquatic environment. J Pharm Pharmacol 37 (1985) 1-12
73. Robson M. Methodologies for assessing exposures to metals: human host factors. Ecotoxicol Environ Saf 56 (2003) 104-109
74. Rodier J. L'analyse de l'eau. 8e éd (1996), DUNOD, Paris 1384 pp.
75. Saadi Z., and Maslouhi A. Modeling nitrogen dynamics in the unsaturated soils for evaluating the nitrate contamination of the M'nasra groundwater. Adv Environ Res 7 4 (2003) 803-823
76. Salinoja-Salonen M.S., and Jokela J.K. Measurement of organic halogen compounds in urine as an indicator of exposure. Scand J Work Environ Health 17 (1991) 75-78
77. Siegel F.R. Environmental geochemistry od potentially toxic heavy metals (2002), Springer-Verlag, Hiedelberg
78. Sprehe M., Geiβen S.U., and Vogelpohl A. Treatment of AOX-containing wastewater from hospitals - degradation of iodized X-ray contrast medium. Korresp Abwasser 46 4 (1999) 548-558
79. Sunderman Jr. F.W., Hopfer S.M., and Sweeney K.R. Nickel absorption and kinetics in human volunteers. Proc Soc Exp Biol Med 191 (1989) 5-11
80. USEPA (United States Environmental Protection Agency). Preliminary data summary for the hospitals point source category. Office of water regulations and standards (1989), Office of water, United States Environmental Protection Agency, Washington, D.C. 76 pp. (EPA 440/1-89/060-n)
81. USEPA (United States Environmental Protection Agency). Risk assessment guidance for superfund. Volume I: Human health evaluation manual (Part A) (1989), United States Environmental Protection Agency, Washington, D.C. 248 pp
82. USEPA (United States Environmental Protection Agency). Training manual for NPDES permit writers (1993) Washington, D.C.: United States Environmental Protection Agency; EPA/833/B-93/003
83. USEPA (United States Environmental Protection Agency). Toxicological review for trivalent chromium (CAS No. 16065-83-1). Support of Summary Information on the Integrated Risk Information System (IRIS) (1998), United States Environmental Protection Agency, Washington, D.C. 51 pp.
84. USEPA (United States Environmental Protection Agency). Toxicological review for hexavalent chromium (CAS No. 18540-29-9). Support of Summary Information on the Integrated Risk Information System (IRIS) (1998), United States Environmental Protection Agency, Washington, D.C. 77 pp.
85. Watt G.C.M., Britton A., Gilmour H.G., Moore M.R., Murray G.D., and Robertson S.J. Public health implications of new guidelines of lead in drinking water: A case study in an area with historically high water lead levels. Food Chem Toxicol 38 (2000) 573-579
86. Wilkins J., Reiches N., and Kruse C. Organic chemical contaminants in drinking water and cancer. Am J Epidemiol 110 (1979) 420-448
87. Zmirou D., and Perrodin Y. Approche méthodologique de l'évaluation des risques pour la santé, des déchets stabilisés. Application à un scenario, Déchets - Sciences et Techniques 16 (1999) 10-13