1998
DOI: 10.1006/rtph.1998.1253
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Pharmaceuticals in the Environment—A Human Risk?

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Cited by 199 publications
(89 citation statements)
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“…2, for influent, E1 and E3 were the main contributors and accounted for >60%. Because only 1-2% of administered EE2 is transformed to E1, E2, or E3 (Ranney 1977) and, compared with natural E2 excretion, the amount of E2 in pharmaceutical usage is <5% (Christensen 1998), the higher relative abundance of natural estrogens should be due to human excretions (Zhou et al 2011). A study in Japan has also concluded that human estrogens are the major estrogenic compounds in sewage and effluent (Matsui et al 2000).…”
Section: Levels Of Steroid Estrogens In Wwtp Influent and Effluentmentioning
confidence: 99%
“…2, for influent, E1 and E3 were the main contributors and accounted for >60%. Because only 1-2% of administered EE2 is transformed to E1, E2, or E3 (Ranney 1977) and, compared with natural E2 excretion, the amount of E2 in pharmaceutical usage is <5% (Christensen 1998), the higher relative abundance of natural estrogens should be due to human excretions (Zhou et al 2011). A study in Japan has also concluded that human estrogens are the major estrogenic compounds in sewage and effluent (Matsui et al 2000).…”
Section: Levels Of Steroid Estrogens In Wwtp Influent and Effluentmentioning
confidence: 99%
“…Because they are poorly metabolized in the body (Christensen, 1998;Andreozzi et al, 2006;Vieno et al, 2006) and incompletely degraded in wastewater treatment plants (Lanzky and Halling-Sørensen, 1997;Hartmann et al, 1998;Arslan-Alaton and Caglayan, 2006), antibiotics are continuously introduced into the environment. Consequently, in spite of their relatively short environmental halflives, they are ubiquitous in aquatic environments.…”
Section: Introductionmentioning
confidence: 99%
“…However, various investigations involving human health and environmental risk assessments have been reported for pharmaceuticals based on their risk quotients, defined as the ratio of predicted environmental concentrations to the PNEC [103][104][105]. Although some studies concluded that the levels of pharmaceutical compounds present in the environment are so small and present negligible risks to humans [105,106], others claim that certain pharmaceuticals, especially antibiotics, are of high concern for the aquatic environment [103,104]. Despite some disagreements in the conclusions of risk assessments conducted to date, there is one thing that researchers agree on: Data is lacking on the chronic effects of pharmaceutical metabolites in the environment, making it difficult to do the necessary refinements on existing models to improve accuracy.…”
Section: Future Directions In Ecotoxicological Assessmentmentioning
confidence: 99%