Anaerobic ammonia oxidation (anammox) has been one of the most innovative discoveries for the treatment of wastewater with high ammonia nitrogen concentrations. The process has significant advantages for energy saving and sludge reduction, also capital costs and greenhouse gases emissions are reduced. Recently, the use of anammox has rapidly become mainstream in China. This study reviews the engineering applications of the anammox process in China, including various anammox-based technologies, selection of anammox reactors and attempts to apply them to different wastewater treatment plants. This review discusses the control and implementation of stable reactor operation and analyzes challenges facing mainstream anammox applications. Finally, a unique and novel perspective on the development and application of anammox in China is presented.
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