In this study, we analyzed 27 pharmaceuticals in liquid and solid phase samples collected from the unit processes of four different sewage treatment plants (STPs) to evaluate their distribution and behavior of the pharmaceuticals. The examination of the relative distributions of various categories of pharmaceuticals in the influent showed that non-steroidal anti-inflammatory drugs (NSAIDs) were the most dominant. While the relative distribution of antibiotics in the influent was not high (i.e., 3%–5%), it increased to 14%–30% in the effluent. In the four STPs, the mass load of the target pharmaceuticals was reduced by 88%–95% mainly in the biological treatment process, whereas the ratio of pharmaceuticals in waste sludge to those in the influent (w/w) was only 2%. In all the STPs, the removal efficiencies for the stimulant caffeine, NSAIDs (acetaminophen, naproxen, and acetylsalicylic acid), and the antibiotic cefradine were high; they were removed mainly by biological processes. Certain compounds, such as the NSAID ketoprofen, contrast agent iopromide, lipid regulator gemfibrozil, and antibiotic sulfamethoxazole, showed varying removal efficiencies depending on the contribution of biodegradation and sludge sorption. In addition, a quantitative meta-analysis was performed to compare the pharmaceutical removal efficiencies of the biological treatment processes in the four STPs, which were a membrane bioreactor (MBR) process, sequencing batch reactor (SBR) process, anaerobic–anoxic–oxic (A2O) process, and moving-bed biofilm reactor (MBBR) process. Among the biological processes, the removal efficiency was in the order of MBR > SBR > A2O > MBBR. Among the tertiary treatment processes investigated, powdered activated carbon showed the highest removal efficiency of 18%–63% for gemfibrozil, ibuprofen, ketoprofen, atenolol, cimetidine, and trimethoprim.

Malaria is a significant public health issue in Papua New Guinea (PNG) as the burden is among the highest in Asia and the Pacific region. Though PNG’s vulnerability to climate change and sensitivity of malaria mosquitoes to weather are well-documented, there are few in-depth epidemiological studies conducted on the potential impacts of climate on malaria incidence in the country. This study explored what and how local weather and global climate variability impact on malaria incidence in five regions of PNG. Time series methods were applied to evaluate the associations of malaria incidence with weather and climate factors, respectively. Local weather factors including precipitation and temperature and global climate phenomena such as El Niño-Southern Oscillation (ENSO), the ENSO Modoki, the Southern Annular Mode, and the Indian Ocean Dipole were considered in analyses. The results showed that malaria incidence was associated with local weather factors in most regions but at the different lag times and in directions. Meanwhile, there were trends in associations with global climate factors by geographical locations of study sites. Overall heterogeneous associations suggest the importance of location-specific approaches in PNG not only for further investigations but also public health interventions in repose to the potential impacts arising from climate change.

Water dispensers remove disinfectant residues from tap water and thus are commonly present in Korean households; however, microbial contamination in water dispensers has recently become a major issue. To understand the occurrence of microbial contamination in water dispensers, we investigated microbial contamination in different dispenser types through heterotrophic plate count (HPC) and MiSeq-based microbial community analyses. Two newly purchased water dispensers were placed in a basement room and left for approximately 2 months; the HPC analysis indicated microbial contamination in the drinking water collected from these dispensers (160,000 and 48,000 CFU/mL, respectively). Taxonomic classification indicated that the basement dispensers were likely contaminated by freshwater bacteria, such as Acidovorax and Methylotenera. However, two dispensers located at the half landing and the first floor showed lower microbial contamination (110 and 78 CFU/mL, respectively). Furthermore, frequently used dispenser on the first floor showed higher HPCs on the faucet surface, which were classified as general oral bacteria like Hyphobacterium. We also observed that a deserted dispenser (6-year-old with no maintenance) placed on the half landing showed the least HPCs, although it seemed to have lost its filtration ability. Our results suggested that removal of disinfectant residues leads to an increase in the freshwater bacterial population in water tanks within dispensers, which could be avoided by frequent water circulation.