“…Drug consumption can be estimated from data on the concentrations of the target compounds in untreated wastewater, the flow rates into municipal wastewater treatment plants (WWTPs), the population served by the WWTP, human excretion rates for the target compounds in urine, and estimates of the drug dose. This method has been used to estimate use patterns for drugs of abuse in continental Europe (Zuccato et al, 2005;Castiglioni et al, 2006;Mari et al, 2009;Postigo et al, 2010), in Wales (KasprzykHordern et al, 2009) and in Ireland (Bones et al, 2007). Recently, the concentrations of illicit drugs were determined in wastewater from municipal wastewater treatment plants (WWTPs) in the USA (Chiaia et al, 2008;Bartelt-Hunt et al, 2009;Loganathan et al, 2009), although these studies did not include estimates of community drug consumption.…”