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Cited by 331

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A review on hospital wastewater treatment: A special emphasis on occurrence and removal of pharmaceutically active compounds, resistant microorganisms, and SARS-CoV-2

Open access
Majumder, Abhradeep, Gupta, Ashok Kumar, Ghosal, Partha Sarathi, Varma, Mahesh·2021·Journal of Environmental Chemical Engineering

Abstract

The hospital wastewater imposes a potent threat to the security of human health concerning its high vulnerability towards the outbreak of several diseases. Furthermore, the outbreak of COVID-19 pandemic demanded a global attention towards monitoring viruses and other infectious pathogens in hospital wastewater and their removal. Apart from that, the presence of various recalcitrant organics, pharmaceutically active compounds (PhACs), etc. imparts a complex pollution load to water resources and ecosystem. In this review, an insight into the occurrence, persistence and removal of drug-resistant microorganisms and infectious viruses as well as other micro-pollutants have been documented. The performance of various pilot/full-scale studies have been evaluated in terms of removal of biochemical oxygen demand (BOD), chemical oxygen demand (COD), total suspended solids (TSS), PhACs, pathogens, etc. It was found that many biological processes, such as membrane bioreactor, activated sludge process, constructed wetlands, etc. provided more than 80% removal of BOD, COD, TSS, etc. However, the removal of several recalcitrant organic pollutants are less responsive to those processes and demands the application of tertiary treatments, such as adsorption, ozone treatment, UV treatment, etc. Antibiotic-resistant microorganisms, viruses were found to be persistent even after the treatment of hospital wastewater, and high dose of chlorination or UV treatment was required to inactivate them. This article circumscribes the various emerging technologies, which have been used to treat PhACs and pathogens. The present review also emphasized the global concern of the presence of SARS-CoV-2 RNA in hospital wastewater and its removal by the existing treatment facilities.

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Metadata

Authors
Majumder, A., Gupta, A. K., Ghosal, P. S., & Varma, M.
Venue
Journal of Environmental Chemical Engineering
Publisher
Elsevier BV
Published
2021-04
Volume
9
Issue
2
Pages
104812
ISSN
  • 2213-2929 (ISSN-L)
  • 2213-3437
OpenAlex
W3109848422
Cited by
331
References
152
FWCI
7.71
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: A review on hospital wastewater treatment: A special emphasis on occurrence and removal of pharmaceutically active compounds, resistant microorganisms, and SARS-CoV-2. https://app.cochat.ai/papers/10.1016/j.jece.2020.104812
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Majumder, A., Gupta, A. K., Ghosal, P. S., & Varma, M. (2021). A review on hospital wastewater treatment: A special emphasis on occurrence and removal of pharmaceutically active compounds, resistant microorganisms, and SARS-CoV-2. Journal of Environmental Chemical Engineering. https://doi.org/10.1016/j.jece.2020.104812

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