Environmental exposure to active pharmaceutical ingredients (APIs) can have negative effects on the health of ecosystems and humans. While numerous studies have monitored APIs in rivers, these employ different analytical methods, measure different APIs, and have ignored many of the countries of the world. This makes it difficult to quantify the scale of the problem from a global perspective. Furthermore, comparison of the existing data, generated for different studies/regions/continents, is challenging due to the vast differences between the analytical methodologies employed. Here, we present a global-scale study of API pollution in 258 of the world’s rivers, representing the environmental influence of 471.4 million people across 137 geographic regions. Samples were obtained from 1,052 locations in 104 countries (representing all continents and 36 countries not previously studied for API contamination) and analyzed for 61 APIs. Highest cumulative API concentrations were observed in sub-Saharan Africa, south Asia, and South America. The most contaminated sites were in low- to middle-income countries and were associated with areas with poor wastewater and waste management infrastructure and pharmaceutical manufacturing. The most frequently detected APIs were carbamazepine, metformin, and caffeine (a compound also arising from lifestyle use), which were detected at over half of the sites monitored. Concentrations of at least one API at 25.7% of the sampling sites were greater than concentrations considered safe for aquatic organisms, or which are of concern in terms of selection for antimicrobial resistance. Therefore, pharmaceutical pollution poses a global threat to environmental and human health, as well as to delivery of the United Nations Sustainable Development Goals.

Mining operations have released measurable levels of geogenic trace metals (e.g. Cd, Cr, Pb), metalloids (e.g. As, Se), and anthropogenic chemicals (e.g. CN ? , Hg) into surrounding sediments. Abandoned mining sites in hyperarid climates has not been the focus of much research compared to wet and temperate areas. Research has focused on historical mining sites in semiarid and wetter regions in the United States, south pacific and Europe. Those areas have obvious risks associated with them including aqueous phase mobilization as a result of abundant precipitation. However, many mining areas in the American Southwest and aboard are located in hyperarid regions and viewed as not having a potential for mobilization of contaminants. Seasonal storm events can mobilize sediments containing contaminates beyond a small, localized area and into the wider environment. Literature indicates that arid and hyperarid mining regions have not been studied as extensively as those in wetter climates.

Abandoned mining sites in hyperarid environments are generally assumed to present an insignificant risk to water availability. This study investigated the impact abandoned mine sites in Southern Nevada can have on the wider environment. Southern Nevada is characterized with little precipitation and prolonged droughts. Precipitation in Southern Nevada is often in the form of short and intense events with the potential to mobilize and transport contaminated sediments down gradient. This work evaluated the movement of trace elements (Ag, As, Ba, Cd, Cr, Hg, Pb, and Se) and cyanide in surface sediments of three desert washes near the historic mining town of Nelson, a hyperarid region of Southern Nevada. Results indicate trace elements have been mobilized and transported down gradient from sources to areas not directly impacted by mining. Contaminants used in mining operations (Hg and CN⁻) as well as those of geogenic nature migrated as far as 6000 m, providing evidence of their transport in hyperarid environments, contrary to the generally held belief. Although contaminants in this study are below levels that are environmentally significant, the findings show that transport is possible. This study demonstrates that large amounts of contaminant-laden sediments might be a significant threat in hyperarid environment and to areas down gradient from source materials.