Efficiency of wastewater treatment plants in removal of intestinal parasites: A review approach

Abstract

Background: Wastewater treatment plants (WWTPs) in urban areas, are potentially one of the causes of the spread and entry of parasitic pathogens into the environment and water resources. Numerous studies have been conducted on the presence of parasitic agents in the entry and effluent of WWTPs in different countries. This study was conducted to review the parasite prevalence in different WWTPs and assess their removal efficiency. Methods: ScienceDirect, Scopus, Web of Science, and PubMed databases and other sites with the ability to receive a full-text related articles, were reviewed. Various keywords such as parasites, wastewater, effluent, treatment efficiency, protozoan cysts, parasitic eggs, and similar keywords were used to search articles published from 2005 to 2019. After screening the titles and abstracts of articles, 26 articles were reviewed in this study. Results: Giardia spp, Cryptosporidium spp, Entamoeba spp, Blastocystis spp, Toxocara spp, Trichostrongylus spp, A. lumbricoides, and Hymenolepis are the most prevalent parasites. Studies show that parasitic egg hatching rates are up to 5%, in aerated lagoons, up to 99.9%, in activated sludge, and up to 5%, in ponds due to high retention time and downstream artificial reefs. Conclusion: Studies show that due to the current state of treatment plants and adverse operating and maintenance conditions, it is not possible to completely remove parasitic pathogens from these systems, therefore, it should be considered by regulatory authorities and the systems need to be improved for better performance of treatment plants and optimizing them, and training of users should also be improved. This review indicated that the types of natural constructed wetland in Kermanshah (Iran) and activated sludge of wastewater treatment processes in Iran and Brazil are most effective in removal of intestinal parasites.

Performance of Sewage Treatment Technologies for the Removal of Cryptosporidium Sp. And Giardia Sp.: Toward Water Circularity

“…Therefore, during sewage treatment, it is necessary to apply technologies capable of removing and/or inactivating these parasites to avoid environmental contamination, thereby reducing the probability of transmission to the population (Purnell et al, 2020). There are several sewage treatment technologies, which reduce the parasite load of the influent; however, parasite concentrations present in the effluent are still a risk (Nasser, 2016;Ziaei Hezarjaribi et al, 2020). Therefore, one must consider the removal and/or inactivation efficiencies of these technologies before implementing them, since it is estimated that, due to climate change, the outbreaks produced by microorganisms will increase, especially in cities that have treatment plants with operational deficiencies (Hofstra et al, 2013;Ikiroma and Pollock, 2021).…”

Feasibility study of the application of treated wastewater for the irrigation of forest species in a Saharan area

“…Ayers and Westcot (18) have placed great emphasis on the need for careful monitoring and evaluation of this type of irrigation. Thus, the use of wastewater must be safe since it is rich in pathogens including parasites (19), bacteria, viruses, protozoa, and helminths (20), and the plots must be kept away from WWTPs, since they are colonized by airborne fungi (21).…”