Removal of pharmaceuticals from the water cycle: efficiency, costs and benefits of different concepts and treatment technologies

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Dr. Jochen Türk Dipl.-Ing. H. Vitz, Dr. T.K. Kiffmeyer, Dipl.-Ing. B. Becker, Dr.-Ing. S. Kabasci, Prof. Dr. H.-M. Kuß Institut für Energieund Umwelttechnik e.v. Removal of pharmaceuticals from the water cycle: efficiency, costs and benefits of different concepts and treatment technologies AQUAbase Workshop on mitigation technologies eliminating trace organics during water treatment Aachen, 27./28.11.2007

Overview 1. IUTA e.v. 2. Introduction 3. Development of an AOP for hospital waste waters Laboratory and semi technical experiments Scale up to a pilot plant Costs and comparison to WWTP 4. Treatment of special pharmaceutical waste waters 5. Comparison of different concepts and technologies Collection - Direct treatment WWTP DW Incineration MBR/NF/RO AC/PAC AOP/Ozone 6. Summary and Outlook 7. Acknowledgement tuerk@iuta.de 28.11.2007 Efficiency of Pharmaceutical removal 2

IUTA e.v History 1989 founded as Institute for Environmental Technology and Analytics 1991 Associated Institute of the University of Duisburg-Essen 1998 renamed in Institute of Energy and Environmental Technology IUTA e.v. Bliersheimer Str. 60 47229 Duisburg Internet: www.iuta.de Facts & Figures (2006): Employees 139 Office/Laboratory 2400 m² Technical Facilities 4000 m² Turnover ca. 5.7 Mio tuerk@iuta.de 28.11.2007 Efficiency of Pharmaceutical removal 3

Introduction Pharmaceuticals in the aquatic environment persistent, toxic, mutagenic and/or endocrine effects, antibiotic resistance promoter hospital waste water = important input source especially potent and persistent agents High concentrations at partial streams like toilet effluents Industrial waste waters: special composition High COD, particles and highest compound concentrations Development of suitable mitigation technologies for direct treatment and WWTPs necessary tuerk@iuta.de 28.11.2007 Efficiency of Pharmaceutical removal 4

Possibilities for reduction of drug input tuerk@iuta.de 28.11.2007 Efficiency of Pharmaceutical removal 5

Occurrence of antineoplastic drugs Toilet effluents: 50 5.000 µg/l Hospital waste water: 1 50 µg/l STP inflow: STP effluent: Surface water: max. 100 ng/l max. 80 ng/l max. 180 ng/l Production waste water: up to 200.000 µg/l (special waste incineration or special treatment procedures like AOP; no disposal to surface water!) tuerk@iuta.de 28.11.2007 Efficiency of Pharmaceutical removal 6

Treatment of hospital waste waters 2002 2004: Development in laboratory scale effectiveness 2005 2007: Up-Scaling, pilot plant economic efficiency test phase Partner: Institute of Energy and Environmental Technology Funding: Federal Ministry of Economics and Technology through the German Federation of Industrial Cooperative Research Associations (AiF) in the program IGF tuerk@iuta.de 28.11.2007 Efficiency of Pharmaceutical removal 7

Compounds and Conditions Antineoplastics Antibiotics Steroids Contrast media toxic, mutagenic, carcinogenic, persistent promotion of resistance, mutagenic (some), persistent endocrine effects, persistent persistent, accumulation Treatment of high loaded part streams Toilets 1-10 Volume 10-50 L/h; 100-500 L/d Concentrations 0.1 (cytotoxic drugs) 1 mg/l (antibiotics) DOC 100 800 mg/l COD 300 1.000 mg/l tuerk@iuta.de 28.11.2007 Efficiency of Pharmaceutical removal 8

Advance Oxidation Processes (AOP) Formation of hydroxyl-radicals by UV-light and oxidation agents H 2 O 2 R - H h ν (254 nm) + OH R 2 + OH H 2 O primary degradation and reduction of (eco-)toxicity better biodegradation ( complete degradation = mineralisation: too expensive!) tuerk@iuta.de 28.11.2007 Efficiency of Pharmaceutical removal 9

UV treatment plants Laboratory scale (Heraeus) Semi technical scale (UMEX/IBL) tuerk@iuta.de 28.11.2007 Efficiency of Pharmaceutical removal 10

Optimised parameter Separation: UV-sources: Oxidants: Concentrations: Temperature: Treatment time: sedimentation > filtration Hg-low pressure or Hg-medium pressure lamp H 2 O 2 >O 3 > H 2 O 2 /O 3 0.1-7.5 g/l H 2 O 2 25-80 mg O 3 min -1 L -1 20-40 C 30-120 min tuerk@iuta.de 28.11.2007 Efficiency of Pharmaceutical removal 11

Analysis 1. Compound specific analysis (LC-MS/MS und LC-MS n ) primary degradation, detection of degradation products 2. Sum parameters: DOC, BOD 5 (28) /COD 3. Toxicity: Luminescent Bacteria 4. Mutagenicity: umu & ames - Test 5. Microbiological: Determination of CFU 6. (Biological degradation: laboratory WWTP) tuerk@iuta.de 28.11.2007 Efficiency of Pharmaceutical removal 12

LC-MS/MS Chromatogram (TIC) of a spiked toilet effluent (100 µg/l) Antineoplastics and Antibiotics: 1 Cyrarabine 2 5-Fluorouracil 3 Amoxicilline 4 Chlorambucil 5 Trimethoprim 6 Methotrexate 7 Ofloxacin 8 Ciprofloxacin 9 Cefuroxime 10 Sulfamethoxazole 11 Ifosfamide 12 Cyclophosphamide 13 Chloramphenicol 14 Etoposide 15 Penicillin V tuerk@iuta.de 28.11.2007 Efficiency of Pharmaceutical removal 13

Results: Degradation of Antineoplastics Konzentration c/c o [%] [%] 100 90 80 70 60 50 40 30 20 10 0 spiked toilet effluent (100 µg/l); 24 h sedimentation; Hg-LP (15 W); V =1 L; 1 g/l H 2 O 2 ;30 C Cyclophosphamid Ifosfamid 5-Fluorouracil Chlorambucil Methotrexat Cytarabin Etoposid 0 5 10 15 20 25 30 Zeit [min] time [min] tuerk@iuta.de 28.11.2007 Efficiency of Pharmaceutical removal 14

Results: Degradation of Antibiotics Konzentration [%] c/c 0 [%] 100 90 80 70 60 50 40 30 20 10 0 spiked toilet effluent (1000 µg/l); 24 h sedimentation; Hg-LP (15 W); V = 1 L + 1 g/l H 2 O 2 ;30 C, Chloramphenicol Trimethoprin Sulfamethoxazol Ofloxacin Ciprofloxacin Cefuroxim 0 5 10 15 20 25 30 Zeit [min] time [min] tuerk@iuta.de 28.11.2007 Efficiency of Pharmaceutical removal 15

Hg-Medium Pressure Lamp c/c 0 [%] 110 100 90 80 70 60 50 40 30 20 10 0 spiked toilet effluent (100 µg/l); 24 h sedimentation; Hg-Mp (800 W), V = 6 L + 90 mg/l H 2 O 2 ; 22-38 C, Cyclophosphamide Ifosfamide Methotrexate Chlorambucil Cytarabin Etoposide 5-Fluorouracil 0 10 20 30 time [min] tuerk@iuta.de 28.11.2007 Efficiency of Pharmaceutical removal 16

Ozonisation spiked toilet effluent (100 µg/l); 24 h sedimentation; O 3 bubble column (WEDECO) c O3 = 25 mg/min L -1 ; V = 4 L; 20 C, c/c 0 [%] 100 90 80 70 60 50 40 30 20 10 0 Cyclophosphamide Ifosfamide Cytarabine 5-Fluorouracil Chlorambucil Methotrexate Etoposide 0 10 20 30 40 50 60 time [min] tuerk@iuta.de 28.11.2007 Efficiency of Pharmaceutical removal 17

Results: sum parameters untreated treated reduction ph 7,5-8,5 6,8-8,2 - DOC [mg/l] 200-800 200-700 10-30 % COD [mg O 2 /L] 200-600 80-200 30-60 % BOD-values not clear interferences of peroxides Lum. bact. [GL] 32-200 2-12 50-90 % umu-test [G EU ] 384-1536 1,5-12 90-99 % Bioburden no CFU detectable after AOP tuerk@iuta.de 28.11.2007 Efficiency of Pharmaceutical removal 18

AOP Pilot plant toilett effluent fresh water primary substances Ozone injection system exhaust overflow Sedimentation tank filter P2 exhaust H 2O 2 mixer UV-mp-lamp UV-lp-lamp heat exchanger reaction container 150-480 litres flow measurement sewerage sewerage tuerk@iuta.de 28.11.2007 Efficiency of Pharmaceutical removal 19

Experimental design Waste water of 14 toilets (urine, faces, rinsing water, hand basin) Collection and sedimentation in the first tank (1 m 3 ) Pump of the supernatant to the reaction tank (standard experiment: 230 L) Spking with the investigated compounds (e.g. Cyclophosphamide, Chloramphenicol, Ciprofloxacine, Sulfamethoxazole, Carbamazepin) Batch - treatment using the different oxidation processes Release of the clean water after control analysis and of the sediments to the sewer tuerk@iuta.de 28.11.2007 Efficiency of Pharmaceutical removal 20

Analysis Compounds: LC-MS/MS: compound specific antibiotics, cytostatic drugs, Carbamazepine, Diclofenac, ICM, psychiatric drugs ph, SAK 254, TOC, DOC, CSB, BSB 5, [AOX, c(h 2 O 2 ), c(o 3 )] no trends detectable CO 3 2-, Ca, Mg, Fe, Mn no scaling on the UV lamps observed Lum. bact., umu- and ames-test no toxicity after UV-oxidiation and Ozonisation! tuerk@iuta.de 28.11.2007 Efficiency of Pharmaceutical removal 21

Pilot plant results: Hg-LP (80 W) c/c 0 [%] 120 100 80 60 40 spiked toilet effluent (100 µg/l); 24 h sedimentation; V = 230 L, 1 g/l H 2 O 2, 20 C Cylophosphamide (CP) Chloramphenicol (CAP) Caramazepine (CBZ) Sulfamethoxazole (SMX) Ciprofloxain (Cipro) 20 0 0 50 100 150 200 250 300 350 400 450 500 time [min] tuerk@iuta.de 28.11.2007 Efficiency of Pharmaceutical removal 22

Pilot plant results: Hg-MP (2.200 W) c/c 0 [%] 100 80 60 40 spiked toilet effluent (100 µg/l); 24 h sedimentation; V = 230 L, 1 g/l H 2 O 2, 20 C Cyclophosphamide Chloramphenicol Carbamazepin Sulfamethoxazole Ciprofloxacin 20 0 0 20 40 60 80 100 120 time [min] tuerk@iuta.de 28.11.2007 Efficiency of Pharmaceutical removal 23

Pilot plant results: Ozone c/c 0 [%] 120 100 80 60 spiked toilet water (100 µg/l); 24 h sedimentation; 47 g O 3 /h, V = 230 L, 15 C CP CAP CBZ Cipro SMX 40 20 0 0 10 20 30 40 50 60 time [min] tuerk@iuta.de 28.11.2007 Efficiency of Pharmaceutical removal 24

Psychiatric drugs c/c 0 [%] 140 120 100 80 60 40 20 spiked toilet water(100 µg/l); 24 h sedimentation; Hg-MP; V = 230 L; 45 g/h H 2 O 2 ; 20 C Clozapin Pipampeon Perazin Chlorprotixen Haloperidol Melpheron Benperidol Zuclopenthixol Sulfamethoxazol 0 0 30 60 90 120 150 180 210 time [min] tuerk@iuta.de 28.11.2007 Efficiency of Pharmaceutical removal 25

Iodated Contrast media spiked toilet water(100 µg/l); 24 h sedimentation; Hg-MP; V = 230 L; 32 g/h H 2 O 2 ; 20 C c/c 0 [%] 100 80 60 40 Iopromid Iopremol Iopamidol Diatrizoate AOX 0.12 0.1 0.08 0.06 0.04 AOX [mg/l 20 0.02 0 0 30 60 90 120 150 180 210 240 0 time [min] tuerk@iuta.de 28.11.2007 Efficiency of Pharmaceutical removal 26

Efficiency increase from 1 L laboratory scale to a 500 L pilot plant 10 26 >100 9 8 half time t (CP) [min L-1] 7 6 5 4 3 3,8 3,9 2,6 2 1 0 Hg-LP 0,5 Hg-MP 0,1 0,4 Ozone 0,04 technical pilot plant laboratory scale tuerk@iuta.de 28.11.2007 Efficiency of Pharmaceutical removal 27

Case study I: Industrial Waste Water 100 90 V = 20 L, 2 g/l H 2 O 2, 30 C, MTX (spiked toilet effluent, Hg-Lp) c 0 = 100 µg/l 80 70 MTX (pharmaceutical waste water, Hg-Lp) MTX (pharmaceutical waste water, Hg-Mp) c 0 = 5200 µg/l c/c 0 [%] 60 50 40 30 20 10 0 0 10 20 30 40 50 60 time [min] tuerk@iuta.de 28.11.2007 Efficiency of Pharmaceutical removal 28

Pharmaceutical waste water II c/c 0 (Capecitabin) [%] V = 200 L, c 0 = 200.000 µg/l, O 3 : 110 g/nm 3, gasflow: 0.5 Nm 3 /h, 15 C 110 35 Capecitabin Ozon-Konzentration im Off-Gas 100 30 90 80 25 70 20 60 50 15 40 30 10 20 5 10 Off-Gaskonzentration von Ozon [g/nm 3 ] 0 0 2 4 6 8 10 15 20 30 45 65 75 95 Zeit [min] 0 [E. Billenkamp, J. Straub, M. Studer, J. Türk. Pharm. Ind. 2007, 69 (10): 1211-1213] tuerk@iuta.de 28.11.2007 Efficiency of Pharmaceutical removal 29

Treatment costs with the AOP pilot plant Hg-Nd Hg-Md Ozone Invest 23,600 28,100 41,000 Annuity (12 years operation, 6 % interest) 2,815 /a 3,352 /a 4,902 /a treatment duration for 230 L toilet waste water 342 min 106 min 94 min Electric energy costs (0.10 /kwh) 781 /a 2,398 /a 648 /a Operation facilities (0.45 /kg H 2 O 2 ) 160 /a 515 /a -- Maintenance costs (3 % of Invest) 708 /a 843 /a 1233 /a Personnel (0.5 resp. 0.2 h/week, 40 /h) 1040 /a 1040 /a 416 /a Max. treatment volume per day [m 3 /d] 1.0 3.1 3.5 Yearly costs for treatment of max. volume [ /a] 5,504 8,148 7,200 Costs per m 3 [ /m 3 ] 15.5 7.12 5.60 tuerk@iuta.de 28.11.2007 Efficiency of Pharmaceutical removal 30

Treatment costs with the AOP pilot plant 9000 8000 Total costs per year Total costs per m3 18 16 7000 14 costs per year [ /a] 6000 5000 4000 3000 2000 12 10 8 6 4 costs per m 3 [ /m 3 ] 1000 2 0 Hg-LP Hg-MP Ozone 0 tuerk@iuta.de 28.11.2007 Efficiency of Pharmaceutical removal 31

Specific treatment costs 20 18 16 14 Hg-MD Ozon Hg-ND costs [ /m 3 ] 12 10 8 6 4 2 0 1 1.5 2 2.5 3 3.5 4 waste water volume [m 3 /d] tuerk@iuta.de 28.11.2007 Efficiency of Pharmaceutical removal 32

Freight calculations Degradation of 1 g sulfamethoxazole in hospital waste water (c 0 = 1000 µg/l) and WWTP with ozone (c 0 = 0,6 µg/l, EU Project POSEIDON) 80 70 calculation of POSEIDON results (O 3 ) 60 /g Sulfamethoxazol 50 40 30 20 10 5.3 4.8 4.6 0 Hg-ND Hg-MD Ozon tuerk@iuta.de 28.11.2007 Efficiency of Pharmaceutical removal 33

Direct Treatment Collection of urine + Elimination of ICM from the water cycle Adsorption Oxidation not possible not possible Reduction with Fe 0 possible, but under investigation (TU Berlin) costs? Incineration: expensive not suitable Rotary kiln with I 2 recovery - Bayer Schering Pharma produced 2006 283 t I 2 from solid and liquid wastes possible costs/profits? - Elimination of other pharmaceuticals not suitable tuerk@iuta.de 28.11.2007 Efficiency of Pharmaceutical removal 34

Hospital waste water Ozone/AOP of high loaded part streams (pilot stage - IUTA) + Effective, but installation is only in new buildings suitable + Early elimination of high potent agents like antineoplastics or psychiatric drugs + approx. 5,000 8,000 /a Further treatment for the reduction of other compounds necessary Treatment of the hole hospital effluent (full scale Waldbröl [Pöyry/RWTH Aachen]) + MBR + tertiary treatment (AOP, PAC?) Costs? Only 20 30 % of the total load! tuerk@iuta.de 28.11.2007 Efficiency of Pharmaceutical removal 35

Centralized treatment in WWTPs CAS + MBR comparable worse efficient! NF/RO (full scale plants available) Effective, but expensive 0.20 0.50 /m 3 Further treatment of retentate necessary PAC (pilot plant WWTP Steinhäule, Ulm, Germany) + Effective adsorption (> 90 %) with 10 to 20 mg/l (diatrizoate only 44 %) + Costs: 0.10 0.20 /m 3 - PAC recycling/incineration tuerk@iuta.de 28.11.2007 Efficiency of Pharmaceutical removal 36

Centralized treatment in WWTP UV/H2O2 Effective, but too expensive 0.60 0.90 /m 3 Ozonisation + Effective (> 99 %) Not suitable for ICM Formation of oxidation products and bromate Sandfiltration/biofilter further ecotoxicity tests/investigations necessary + Cheap, but costs differ between pilot and full scale estimations: pilot: 0.02 0.05 /m 3 (POSEIDON, Berlin, Dortmund) Full scale: 0.07-0.14 /m 3 (ARA Wüeri Regensdorf/EAWAG) tuerk@iuta.de 28.11.2007 Efficiency of Pharmaceutical removal 37

Summary Successful development of AOPs from laboratory scale to a 500 L pilot plant Effective treatment of high loaded toilet waste waters is possible with all three investigated procedures AOPs are also the suitability for treatment of production waste water from the pharmaceutical industry (8-12 /m 3 ) AOPs could not eliminate ICM Sustainable protection of the water cycle needed source control extension of WWTPs tuerk@iuta.de 28.11.2007 Efficiency of Pharmaceutical removal 38

Summary and Outlook Elimination is economically possible - Separation of urine - Treatment of hot spots - Treatment of hospital waste waters - Extension o WWTPs - Control of effluents, surface and drinking waters O 3 and PAC are effective and also economic efficient - Additionally costs: approx. 0.05 0.20 /m 3 Further research on oxidation products and ecotoxcicity tests consideration of the state of the art for updated water protective regulations is needed! tuerk@iuta.de 28.11.2007 Efficiency of Pharmaceutical removal 39

Acknowledgments We gratefully acknowledge the BMWi for founding the IGF projects Nr. 13147 + 14396 through the AiF and especially the support of VEU and the companies: tuerk@iuta.de 28.11.2007 Efficiency of Pharmaceutical removal 40

Thank you for your attention! Any Questions? tuerk@iuta.de 28.11.2007 Efficiency of Pharmaceutical removal 41