Coagulation is a widely employed technique for removing suspended particles from water and wastewater, and recently, it has gotten attention as a popular method for the removal of microplastics (MPs). Studies on coagulation-based removal of MPs are still in their infancy, and few findings are available about this treatment approach, its mechanism, and removal efficiency. Given these gaps, this study was designed to comprehensively investigate recent advances in the removal of MPs via coagulation. The influence of various experimental factors such as coagulant type, dose of the coagulant, pH of the solution, and shape of the MPs are critically reviewed. The study findings showed that optimizing environmental conditions during the coagulation process is crucial for improving the removal of MPs and reducing energy costs. The study findings showed that the coagulation efficiency of MPs depends on optimal reaction conditions, which may vary depending on the type and concentration of MPs and the characteristics of the water or wastewater being treated. Optimizing these reaction conditions is, therefore, critical to achieving maximum removal efficiency. More extensive research is required to reveal the mechanisms of coagulation in controlling floc density and removing pollutants from effluent. Consequently, the current review aims to highlight the gaps and challenges associated with coagulation techniques for the removal of MPs during wastewater treatment. Current advancements in the synthesis and chemical modification of bio-based coagulants and their coagulation performance for the removal of MPs could constitute a paradigm shift in ecosystem protection and sustainability. The use of eco-friendly coagulants and combining coagulation with other techniques are suggested to increase the efficacy and viability of this method. This review will provide significant insights for field researchers, guiding their future investigations and contributing to the advancement of knowledge.

Assessing the quality of a hospital wastewater treatment process and plant is essential, especially if the presence of chemical and biological toxic compounds is considered. There is less literature on hospital wastewater treatment in developing countries because of a lack of managerial awareness and stakeholder cooperation, accompanied by the limited capacity of investment meant to upgrade the existing infrastructures. Limited access to data further hampers the reliable analysis of hospital wastewater treatment plants (WWTPs) in developing countries. Thus, based on the possibility of collecting a sufficient amount of primary (i.e., field) data, this study performed an assessment of the potential impacts generated by the WWTP of Quaid-Azam International Hospital in Islamabad (Pakistan) considering its construction and operational phases. The major identified impacts were attributed to the energy mix used to operate the plant. Marine ecotoxicity was the most impactful category (34% of the total potential impacts accounted for), followed by human carcinogenic toxicity (31%), freshwater toxicity (18%), terrestrial ecotoxicity (7%), and human non-carcinogenic toxicity (4%). An analysis of potential impacts was combined with an assessment of potential damage according to an endpoint approach. In particular, the endpoint analysis results indicated that human health damage (quantified as DALY) was mainly dependent on the “fine PM (particulate matter) formation” category (51%), followed by “global warming and human health” (43%). Other categories related to human health impacts were human carcinogenic toxicity (3%), water consumption (2%), and human non-carcinogenic toxicity (1%). The other impact categories recorded a percentage contribution lower than 1%. With respect to ecosystem damage, “global warming and terrestrial ecosystems” played a major role (61%), followed by terrestrial acidification (24%), ozone formation (10%), water consumption (5%), and freshwater eutrophication (1%). This study’s findings support an increase in awareness in the hospital management board while pointing out the need to further implement similar studies to improve the quality of decision-making processes and to mitigate environmental impacts in more vulnerable regions. Finally, this research evidenced the need to overcome the existing general constraints on data availability. Consequently, further field work, supported by hospital managers in developing countries, would help in enhancing managerial procedures; optimizing treatment plant efficiency; and facilitating the implementation of circular options, such as sludge management, that often remain unexplored.

The high-altitude region of Asia is prone to natural resource degradation caused by a variety of natural and anthropogenic factors that also threaten the habitat of critical top predator species, the snow leopard (Panthera uncia). The snow leopard’s landscape encompasses parts of the twelve Asian countries and is dominated by pastoral societies within arid mountainous terrain. However, no investigation has assessed the vulnerability and pathways towards long-term sustainability on the global snow leopard landscape scale. Thus, the current study reviewed 123 peer-reviewed scientific publications on the existing knowledge, identified gaps, and proposed sustainable mitigation options for the longer term and on larger landscape levels in the range countries. The natural resource degradation in this region is caused by various social, economic, and ecological threats that negatively affect its biodiversity. The factors that make the snow leopard landscapes vulnerable include habitat fragmentation through border fencing, trade corridor infrastructure, non-uniform conservation policies, human–snow leopard conflict, the increasing human population, climatic change, land use and cover changes, and unsustainable tourism. Thus, conservation of the integrated Socio-Ecological System (SES) prevailing in this region requires a multi-pronged approach. This paper proposes solutions and identifies the pathways through which to implement these solutions. The prerequisite to implementing such solutions is the adoption of cross-border collaboration (regional cooperation), the creation of peace parks, readiness to integrate transnational and cross-sectoral conservation policies, a focus on improving livestock management practices, a preparedness to control human population growth, a readiness to mitigate climate change, initiating transboundary landscape-level habitat conservation, adopting environment-friendly trade corridors, and promoting sustainable tourism. Sustainable development in this region encompasses the political, social, economic, and ecological landscapes across the borders.