Sílvia Luís, Silvia Lacorte, Juan Ignacio Aragonés, Ana Maria Oliveira-Brett, Cristian Gómez-Canela, Claire Joannis-Cassan, Carole Calas-Blanchard, Lucía Poggio, Thierry Noguer, Teresa Sala-Comorera, Luisa Lima, Benoit Roig, Carlos Barata, Audrey Courtier, Institute of Environmental Assessment and Water Research (IDAEA), Consejo Superior de Investigaciones Científicas [Madrid] (CSIC), Centro de Investigação e Intervenção Social (CIS), Instituto Universitário de Lisboa (ISCTE-IUL), Détection, évaluation, gestion des risques CHROniques et éMErgents (CHROME) / Université de Nîmes (CHROME), Université de Nîmes (UNIMES), Universidade de Coimbra [Coimbra], Laboratoire de Génie Chimique (LGC), Université Toulouse III - Paul Sabatier (UT3), Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-Institut National Polytechnique (Toulouse) (Toulouse INP), Université Fédérale Toulouse Midi-Pyrénées-Centre National de la Recherche Scientifique (CNRS), Facultad de Psicología, Universidad Complutense de Madrid = Complutense University of Madrid [Madrid] (UCM), Biocapteurs-Analyses-Environnement (BAE), Université de Perpignan Via Domitia (UPVD), Centre National de la Recherche Scientifique - CNRS (FRANCE), Consejo Superior de Investigaciones Científicas - CSIC (SPAIN), Universidade de Coimbra (PORTUGAL), Institut National Polytechnique de Toulouse - Toulouse INP (FRANCE), Instituto Universitario de Lisboa - ISCTE IUL (PORTUGAL), Université Toulouse III - Paul Sabatier - UT3 (FRANCE), Universidad Complutense de Madrid - UCM (SPAIN), Université de Nîmes (FRANCE), Université de Perpignan Via Domitia - UPVD (FRANCE), Détection, évaluation, gestion des risques CHROniques et éMErgents - CHROME (Nimes, France), Laboratoire de Génie Chimique - LGC (Toulouse, France), Biocapteurs Analyse Environnement - BAE (Perpignan, France), Université de Toulouse (UT)-Université de Toulouse (UT)-Centre National de la Recherche Scientifique (CNRS)-Institut National Polytechnique (Toulouse) (Toulouse INP), Université de Toulouse (UT), Laboratoire de Biodiversité et Biotechnologies Microbiennes (LBBM), PIERRE FABRE-EDF (EDF)-Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS)-Observatoire océanologique de Banyuls (OOB), Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS)-Centre National de la Recherche Scientifique (CNRS), and Institut National Polytechnique de Toulouse - INPT (FRANCE)
One of the main pursuits, yet most difficult, in monitoring studies is to identify the sources of environmental pollution. In this study, we have identified health-care facilities from south European countries as an important source of pharmaceuticals in the environment. We have estimated that compounds consumed in by the elderly and released from effluents of senior residences can reach river waters at a concentration higher than 0.01 ?g/L, which is the European Medicines Agency (EMA) threshold for risk evaluation of pharmaceuticals in surface waters. This study has been based on five health institutions in Portugal, Spain, and France, with 52 to 130 beds. We have compiled the pharmaceuticals dispensed on a daily base and calculated the consumption rates. From 54.9 to 1801 g of pharmaceuticals are consumed daily, with laxatives, analgesics, antiepileptics, antibiotics, and antidiabetic agents being the main drug families administered. According to excretion rates, dilution in the sewerage system, and elimination in wastewater treatment plants, macrogol, metformin, paracetamol, acetylcysteine, amoxicillin, and gabapentin, among others, are expected to reach river waters. Finally, we discuss the risk management actions related to the discharge of pharmaceuticals from senior residences to surface waters. info:eu-repo/semantics/acceptedVersion