Pharmaceuticals are emerging contaminants in the aquatic environments. Their presence poses toxicological effects in humans and animals even at trace concentrations. This study investigated the presence of antibiotics, anti-epilepsy and anti-inflammatory drugs in river water of selected rivers in the Eastern Cape Province in South Africa. Enzyme-linked immunosorbent assay was used for screening of sulfamethoxazole and fluoroquinolones antibiotics. The samples were collected in upper-stream, middle-stream and lower-stream regions of the rivers and effluent of selected wastewater treatment plants. Pre-concentration of the samples was conducted using lyophilisation and extraction was conducted using solid phase extraction (SPE) on Waters Oasis hydrophilic-lipophilic-balanced cartridge. The percentage recovery after sample clean-up on SPE was 103% ± 6.9%. This was followed by ultra-performance liquid chromatography electrospray ionization tandem mass spectrometry. The detected analytes were sulfamethoxazole, erythromycin, clarithromycin and carbamazepine. Carbamazepine and erythromycin were detected in high concentrations ranging from 81.8 to 36,576.2 ng/L and 11.2 to 11,800 ng/L respectively, while clarithromycin and sulfamethoxazole were detected at moderate concentrations ranging from 4.8 to 3280.4 ng/L and 6.6 to 6968 ng/L, respectively. High concentrations of pharmaceuticals were detected on the lower-stream sites as compared to upper-stream sites.

Endocrine-disrupting compounds are attracting attention worldwide because of their effects on living things in the environment. Ten endocrine disrupting compounds: 4-nonylphenol, 2,4-dichlorophenol, estrone, 17β-estradiol, bisphenol A, 4-tert-octylphenol, triclosan, atrazine, imidazole and 1,2,4-triazole were investigated in four rivers and wastewater treatment plants in this study. Rivers were sampled at upstream, midstream and downstream reaches, while the influent and effluent samples of wastewater were collected from treatment plants near the receiving rivers. Sample waters were freeze-dried followed by extraction of the organic content and purification by solid-phase extraction. Concentrations of the compounds in the samples were determined with ultra-high performance liquid chromatography-tandem mass spectrometry. The instrument was operated in the positive electrospray ionization (ESI) mode. The results showed that these compounds are present in the samples with nonylphenol > dichlorophenol > bisphenol A > triclosan > octylphenol > imidazole > atrazine > triazole > estrone > estradiol. Nonylphenol has its highest concentration of 6.72 μg/L in King Williams Town wastewater influent and 2.55 μg/L in midstream Bloukrans River. Dichlorophenol has its highest concentration in Alice wastewater influent with 2.20 μg/L, while it was 0.737 μg/L in midstream Bloukrans River. Uitenhage wastewater effluent has bisphenol A concentration of 1.684 μg/L while it was 0.477 μg/L in the downstream samples of the Bloukrans River. Generally, the upstream samples of the rivers had lesser concentrations of the compounds. The wastewater treatment plants were not able to achieve total removal of the compounds in the wastewater while runoffs and wastes dump from the cities contributed to the concentrations of the compounds in the rivers.

The carbon footprint of pharmaceuticals through manufacturing, distribution, the incineration of unwanted pharmaceuticals as well as the packaging of pharmaceutical waste is an emerging and enormous challenge. Pharmaceuticals are major contributors to water pollution in aquatic environments that include surface water and groundwater. These pollutants arise not only from waste products but also from pharmaceutical products that have not been properly disposed of. The continuous exposure to unspecified sub-therapeutic doses of antibiotics presents risks to humans and other animals. Due to their extensive use and incomplete elimination, antibiotics have been detected in various environmental waters. The persistence of antibiotics in the environment and chronic exposure of organisms to these chemical stressors has also proven to have ecotoxicological effects. The prevailing emergence of antimicrobial resistance amongst bacteria is an area of primary concern, especially with regard to the release of antibiotics into the environment. Resistance is the acquired ability of bacterial populations to render an antibiotic ineffective as a result of a change in bacterial DNA which occurs when bacteria are subjected to an antibiotic concentration that will not kill them. A sub-lethal concentration possibly exerts a selective pressure that can result in the development of antimicrobial resistance in bacteria. It is clear that there is a need for extensive research to improve regulations and guidance on pharmaceutical waste management, pharmaceutical take-back programmes and consumer awareness. Significance: Pharmaceuticals are major contributors to water pollution in aquatic environments that include surface water and groundwater. This review examines the potential sources of pharmaceuticals in aquatic environments, their occurrence in South Africa, and public and environmental health implications posed by their presence. This information will provide a baseline for research and development to optimise water treatment technologies and to improve national, provincial, regional and municipal regulations and legislation.

Reliable prediction of water quality changes is a prerequisite for early water pollution control and is vital in environmental monitoring, ecosystem sustainability, and human health. This study uses Artificial Neural Network (ANN) technique to develop the best model fits to predict water quality parameters by employing multilayer perceptron (MLP) neural network and the radial basis function (RBF) neural network, using data collected from three district municipalities. Two input combination models, MLP-4-5-4 and MLP-4-9-4, were trained, verified, and tested for their predictive performance ability, and their physicochemical prediction accuracy was compared by using each model’s observed data with the predicted data. The MLP-4-5-4 model showed a better understanding of the data sets and water quality predictive ability giving an MSE of 39.06589 and a correlation coefficient (R²) of the observed and the predicted water quality of 0.989383 compared to the MLP-4-9-4 model (R² = 0.993532, MSE = 39.03087). These results apply to natural water resources management in South Africa and similar catchment systems. The MLP-4-5-4 system can be scaled up for future water quality prediction of the Waste Water Treatment Plants (WWTPs), groundwater, and surface water while raising awareness among the public and industry on future water quality.

Surface water is the recipient of pollutants from various sources, including improperly treated wastewater. Comprehensive knowledge of the composition of water is necessary to make it reusable in water-scarce environments. In this work, proton nuclear magnetic resonance (¹H-NMR) was combined with multivariate analysis to study the metabolites in four rivers and four wastewater treatment plants releasing treated effluents into the rivers. ¹H-NMR chemical shifts of the extracts in CDCl were acquired with Bruker 400. Chemical shifts of ¹H-NMR in chlorinated alkanes, amino compounds and fluorinated hydrocarbons were common to samples of wastewater and lower reaches or the rivers. ¹H-NMR chemical shifts of carbonyl compounds and alkyl phosphates were restricted to wastewater samples. Chemical shifts of phenolic compounds were associated with treated effluent samples. This study showed that the sources of these metabolites in the rivers were not only from improperly treated effluents but also from runoffs. Multivariate analyses showed that some of the freshwater samples were not of better quality than wastewater and treated effluents. Observations show the need for constant monitoring of rivers and effluent for the safety of the aquatic environment.

Introduction: South Africa is a member state of the “BRICS” bloc (BRICS2017.org, 2017) and the G20 group of the 20 nations/economic blocs, which between them account for the majority of the world’s trade and economic activity. It faces many developmental challenges which are mirrored in its higher education sector. In this article, the authors seek to provide an overview of the challenges that South African higher education faces in the achievement of the developmental goals of the country. The focus of this paper is a case study in WASH (water, sanitation and hygiene) to improve context-specific responses that trains pharmacists on knowledge and skills. Methods: The study was performed as a combination of calculations and a literature review to obtain the background or current status of the higher education sector and developmental planning in South Africa. For this, data were extracted from the Statistics South Africa reports, relevant professional articles on South African higher education sector and results of postgraduate research. Workshop results which were obtained as a collaboration between a public and a private higher education institution and results of postgraduate research were used as the paradigm for transformation and decolonisation of the curriculum for a professional degree in South Africa. Results and discussion: Challenges exist in the South African tertiary education sector and the graduation rate currently stands at 65.1% of the target set by the National Development Plan. Around 58.1% of all students do not complete their university/post-secondary education, which could provide a partial explanation for the skills shortage in South Africa. Decolonisation and transformation of the tertiary education curriculum are major topics in the discourse on higher education in South Africa. The authors propose that one way to achieve this would be inclusion of research results and group activities in the area of water, sanitation and hygiene as a topic for possible and partial transformation of the Bachelor of Pharmacy curriculum. Conclusions: The current article summarises some of topics and challenges that drive the current discourse, developmental and curriculum debate in higher education in South Africa. Student access and through put at tertiary institutions need to be improved and the curriculum needs to be transformed.