Article pubs.acs.org/est Additional Treatment of Wastewater Reduces Endocrine Disruption in Wild FishA Comparative Study of Tertiary and Advanced Treatments Alice Baynes,*,† Christopher Green,† Elizabeth Nicol,† Nicola Beresford,† Rakesh Kanda,‡ Alan Henshaw,§ John Churchley,∥ and Susan Jobling† † Institute for the Environment, Brunel University, Uxbridge, Middlesex, UB8 3PH, U.K. Severn Trent Services, Britten Road, Reading, Berkshire, RG2 0AU, U.K. § Environment Agency National Coarse Fish Farm, Moor Lane, Calverton, Nottingham NG14 6F2, U.K. ∥ WatStech, The Technology Centre, Wolverhampton Science Park, Wolverhampton, WV10 9RU, U.K. ‡ S Supporting Information * ABSTRACT: Steroid estrogens are thought to be the major cause of feminization (intersex) in wild fish. Widely used wastewater treatment technologies are not effective at removing these contaminants to concentrations thought to be required to protect aquatic wildlife. A number of advanced treatment processes have been proposed to reduce the concentrations of estrogens entering the environment. Before investment is made in such processes, it is imperative that we compare their efficacy in terms of removal of steroid estrogens and their feminizing effects with other treatment options. This study assessed both steroid removal and intersex induction in adult and early life stage fish (roach, Rutilus rutilus). Roach were exposed directly to either secondary (activated sludge process (ASP)), tertiary (sand filtrated (SF)), or advanced (chlorine dioxide (ClO2), granular activated charcoal (GAC)) treated effluents for six months. Surprisingly, both the advanced GAC and tertiary SF treatments (but not the ClO2 treatment) significantly removed the intersex induction associated with the ASP effluent; this was not predicted by the steroid estrogen measurements, which were higher in the tertiary SF than either the GAC or the ClO2. Therefore our study highlights the importance of using both biological and chemical analysis when assessing new treatment technologies. ■ INTRODUCTION Estrogenic chemicals in effluents discharged from wastewater treatment works (WwTWs) are thought to be the major cause of feminization observed in wild fish populations worldwide (e.g., refs 1−3). A wealth of evidence for the occurrence of an intersex condition, those fish with both male and female gametes and/or mismatched gametes and reproductive ducts, has been gathered for the gonochoristic (single sex) cyprinid species Rutilus rutilus (roach) inhabiting rivers contaminated with treated sewage effluent in the U.K.4,5 In severely intersex roach, male gamete production, milt (semen) volume, and milt density are reduced.6,7 In vitro analysis has shown wild intersex fish also have lower sperm counts, motility, and fertilization success when compared to nonfeminized fish,7 leading to the hypothesis that reproduction might be compromised in these individuals. Recently, this has been demonstrated in competitive breeding experiments showing intersex severity is negatively correlated with reproductive success.8 A growing number of studies have shown that both natural steroid estrogens, 17β-estradiol (E2) and estrone (E1), and the potent synthetic estrogen, 17α-ethinylestradiol (EE2), can feminize male fish from a range of species, including Oryzias latipes (medaka; e.g., 9) Pimephales promelas (fathead minnow; e.g.,10), and Danio rerio (zebrafish; e.g., 11) at concentrations similar to those measured in WwTW effluents (i.e., low ng/L). © 2012 American Chemical Society Many steroids, such as estrogens, enter the wastewater system (via urine) as water-soluble glucuronide or sulfate conjugates12; these conjugates are less biologically active (compared to “free” steroids). However, microbial activity in the sewers and in the WwTW themselves cause deconjugation, and therefore release active free estrogens into the wastewater system (e.g., 13). Fortunately, biological activities within WwTW break down the estrogens further to varying degrees, depending on the type of treatment and their operating efficiency. A number of different WwTW systems are employed depending on the region, location, and/or population served. The majority have primary treatment involving settlement and screening of the raw sewage, however, this treatment only removes a small percentage of the steroid estrogens (e.g., 14). The secondary treatments, such as biological filters (BFs) and activated sludge process (ASP), are far more effective at removing natural steroid estrogens. Nitrifying ASP is considered to be the most effective of the secondary treatments at removing steroid estrogens,15 with removal rates as high as 97.8% for E116 and 97% for E2.17 Whereas BFs have removal rates of Received: Revised: Accepted: Published: 5565 December 21, 2011 April 11, 2012 April 13, 2012 April 13, 2012 dx.doi.org/10.1021/es204590d | Environ. Sci. Technol. 2012, 46, 5565−5573 Environmental Science & Technology Article ∼80% and are less effective at removing E1 than E2.17,18 Both ASP and BF have much lower removal rates of EE2, which, although present at much lower concentrations, has higher estrogenic activity in fish than the natural steroid estrogens.16,18,19 Some WwTW then have additional tertiary treatment such as sand filters or reed-beds that can provide further steroid removal.17,20 However, it is now well-known that low biologically active concentrations of estrogens do continue to be measured in effluents at the point of discharge. The Environment Agency (EA) of England and Wales has suggested a tentative predicted no-effect concentration (PNEC) of 1 ng/L total estrogens to protect aquatic wildlife21 and more recently Caldwell et al.22 have calculated a PNEC of 0.35 ng/L EE2. Exposure threshold values/PNEC of 0.1 ng/L EE2 have been used for risk assessment in Australia and Norway23,24 and an environmental quality guideline has been set at 0.5 ng/L EE2 in British Columbia.25 Therefore further investigation and investment in the refining of WwTW effluents to remove estrogens more completely will be required to meet these standards. To this end in the UK, an Endocrine Disruption Demonstration Programme (EDDP) ran from 2005−2010 in order to assess the efficacy of various sewage treatment technologies for removing environmental estrogens.26 Advanced treatment technologies offering particular promise for estrogen removal include adsorption onto granular activated carbon (GAC)27 and chemical transformation using ozonation (O3)28 or chlorine dioxide (ClO2) treatment.29 There is, however, a lack of knowledge as to whether these advanced technologies will actually reduce the biological effects of effluents on wild fish living in rivers receiving these effluents. Moreover, these are expensive options both in terms of their carbon footprint and their financial costs. The majority of studies carried out to investigate this problem have been analytical chemistry studies, measuring only removal of specific chemicals, particularly steroid estrogens. A small number of studies have assessed fish biomarker responses such as vitellogenin (VTG) induction/gene expression or secondary sexual characteristics (SSC). For example, O3 advanced treatment has been assessed in pilot plants in China, Sweden, the U.K, and Germany;30−33 all studies found a reduction in estrogenic effects post O3 treatment compared to the standard treated effluent. However, two studies found VTG induction to be still elevated compared to the control30,32 and interestingly one study found estrogenic effects, in terms of VTG gene expression, to be reinstated after further treatment by moving biofilm reactor.31 Additionally, Stalter et al.34 found O3 treated effluent to be toxic in a number of in vivo and in vitro tests, although this toxicity was reduced by additional sand filtration of the O3 effluent. In the U.K. Filby et al.32 also assessed advanced treatment by GAC and ClO2 on steroid removal and biomarker responses (VTG and SSC) in the fathead minnow. In this study chemical analysis found ClO2 treatment to be the most effective at removing steroid estrogens and both GAC and ClO2 significantly reduced estrogenic biomarker responses. To date, no attempts have been made to examine the longterm effects of these “improved” effluents on sexual development and, in particular, intersex induction of wild fish. Indeed, no single study has combined chemical and biological assessment of estrogen removal with the economic costs of these processes. This is essential for determining whether the investment required to install and maintain advanced treatment processes in WwTW would be justified or whether existing treatment technologies may be sufficient. Therefore, there are two main aims of this study: 1. To assess the efficacy of advanced wastewater treatments, compared to each other and to standard and tertiary treated effluents, in their ability to mitigate feminization of a native fish species and to reduce the steroid estrogens present in the effluent. 2 To assess the relative costs of these different treatment options. Using this integrated approach a comparison of the proposed advanced treatments with the secondary and tertiary treatments currently employed could be undertaken. In this study (using the same UK effluent as that tested in the study of Filby et al.32) we have directly compared the feminizing effects of ASP effluent (prior to sand filtration) and sand filtered (SF) effluent with that of two different advanced treatments, GAC and ClO2 (chosen as the most effective advanced treatments from Filby et al.32), and also with river and tap water (Figure 1). Our in vivo analyses included Figure 1. Diagrammatic representation of the different treatment streams tested. Fish (bottom of diagram) represent the adult and ELS fish tanks. River treatment: river water was abstracted above the WwTW outfall. Activated sludge process treatment: ASP effluent was fed to the fish tanks prior to sand filtrations. Sand filter treatment: sand filtered effluent (post ASP). Both the granular activated carbon (GAC) and chlorine dioxide (ClO2) fed into the fish tanks directly after treatment. The potable water was fed into the potable water control (PWC) tanks. the biomarker response (VTG induction), as well as feminization of the gonads in long-term exposures covering both adult and early life stages (ELS) of the cyprinid fish, the roach, chosen because this is the wild fish species in which intersexuality is known to be widespread throughout UK and European rivers. ■ MATERIALS AND METHODS Test Effluent. The experiments were conducted at a full scale working WwTWs (treating primarily domestic effluent (>90%) with a total population equivalent (pe) of ∼60 500) with the addition of pilot plants for the advanced treatments. The main WwTW had average sewage flows of 17.3 ML/d with dry weather flows of 12.9 ML/d and maximum sewage flows of 28.0 ML/d. 1. The main sewage treatment plant comprised screening, primary sedimentation, and nitrifying ASP (with ferrous chloride addition for phosphate removal), followed by sand filtration. Solid retention time (SRT) was 10−15 days and hydraulic retention time (HRT) was 11 h. 5566 dx.doi.org/10.1021/es204590d | Environ. Sci. Technol. 2012, 46, 5565−5573 Environmental Science & Technology Article In addition to the analytical chemistry, samples were also analyzed using the yeast estrogen screen (YES) assay, as described by Routledge and Sumpter,36 to determine total estrogenic activity. Twenty-four-hour composites were also taken for indicators of water quality (ammonia, nitrate, nitrite, suspended solids (SS), chemical oxygen demand (COD), biological oxygen demand (BOD), and total organic carbon (TOC). See Supporting Information (Tables S1 and S2) for details of physical−chemical properties of the effluent streams, the potable water, and river water. Biological Sampling and Analyses. After 3 months and 6 months exposure, blood plasma were taken from the adult male roach for VTG measurement and measured using ELISA as described previously.37 At the end of the tests, all fish were humanely sacrificed by terminal anesthesia with benzocaine as approved by the U.K. Home Office (Animals (Scientific Procedures) Act 1986) and measured for fork length and wet weight. Plasma VTG, gonad weight (for Gonad Somatic Index (GSI)) and histology were recorded for adult fish as described previously.4,38,39 Histological analysis was conducted on both ELS and adult roach. Intersex indices were assigned to intersex fish according to Jobling et al.4 Statistical Analyses. All data are expressed as means ± SD. Data on estrogenicity were compared using repeated measures one-way ANOVA, paired t-test or Friedman test for repeated measures followed by Kruskal−Wallis for nonparametric data. Biometric data were compared using one-way ANOVA followed by least significant difference or Kruskal−Wallis test followed by Mann−Whitney U test if nonparametric. Data on biomarker responses were compared to the PWC using oneway ANOVA followed by Tukey’s post hoc test (VTG data were log10 transformed prior to analysis). Data on intersex induction were compared using Fishers exact test. Data on intersex index (adults only) were compared using Kruskal− Wallis test followed by Mann−Whitney U test. Statistical significance was accepted at P < 0.05 for all tests. Wastewater Treatment Cost Analysis. The full details of the cost analysis of the different tertiary and advanced wastewater treatments are detailed in the WRc report in the Supporting Information (SI Section 2). Briefly the capital, operating, and capital maintenance costs for SF alone or SF plus O3, ClO2, or GAC were estimated and combined to calculate the whole life cost for each treatment over a period of 20 years. The WRc’s TR61 Version 10 Cost and Carbon estimating software was used to estimate costs for capital maintenance for the civil, mechanical, and electrical components of the treatment trains. Costs were determined for three population sizes: 50 000, 100 000, and 250 000 pe. 2. The advanced treatments tested were chlorine dioxide addition (1 mg/L applied dose) and GAC adsorption (20 min empty bed contact time) operated as pilot plants run in parallel each treating 200−1000 m3/day of the main plant sand filter effluent (2500 pe each). Test Organisms. Both adult and juvenile roach were obtained from the Environment Agency’s National Coarse Fish Farm (Calverton, Nottinghamshire, UK). These fish were bred and raised in pure borehole water. Both adult and juvenile fish were transported from Calverton in large fish poly bags supplied with oxygen. Fish bags were floated in their respective tanks for 1 h until water temperatures were ambient, and tank water was gradually added to the bags before the fish were released into the tanks. ■ EXPERIMENTAL DESIGN Experiment 1: Adult Roach Assay. Following a preliminary study in 2008, in which the estrogenicity and potency of the effluent was confirmed (by vitellogenic induction in adult male roach), groups of adult male roach (40 per treatment) were again housed in large 1000 L tanks and exposed to potable water control (PWC), 100% river water, 100% effluent treated by ASP, or 100% ASP effluent further treated by sand filtration (SF), ClO2, or GAC. These roach were exposed for 6 months from July to December 2009 and fed Carpco crumble excellent (size 0.5−0.8) ad libitum, adjusted on the basis of uneaten feed. Experiment 2: Early Life Stage (ELS) Sexual Differentiation Assay. Groups of 200 roach fry (30 days post hatch) were placed into large 300 L tanks above the adult exposure tanks and received the same effluent stream for each treatment as the adults. Fish were exposed for six months to a PWC, river water, 100% effluent after ASP, or after additional sand filtration (SF), GAC, or ClO2 treatments (as for the adults). Following the results of this exposure, a subset of ELS fish exposed to PWC, river water, ASP, and SF were further exposed for an additional six months (12 months total) to further assess the effects of long-term exposure. Roach fry were fed ZM fish food (pellet sizes 100−300) ad libitum, adjusted on the basis of uneaten feed. Both adult and juvenile fish were maintained in water with flow rates of 6 and 3 L/min, respectively, to provide an average of 8 and 14 tank renewals every 24 h. Tanks were gently aerated at the surface to maintain dissolved oxygen concentrations. Analytical Chemistry. Analytical chemistry was carried out weekly (24 sampling points in total) to determine steroid estrogen (E1, E2, and EE2) concentrations with a limit of detection (LOD) of 0.05 ng/L. Each of these weekly samples was made up of 24 hourly samples “fixed” with copper(II) nitrate and hydrochloric acid (Cu/HCl) to prevent biodegradation of steroids (for method see Supporting Information). Samples were analyzed for steroid estrogens (estrone, 17βestradiol, and 17α-ethynylestradiol) using the LC-MS/MS method as described elsewhere.16,35 Combined E2 equivalents (EEQ) were calculated from the analytical chemistry using the EA’s21 combined EEQ equation ■ RESULTS Exposure Analyses: Analytical Chemistry of the Treatment Waters. The estrogenic properties of the various effluent streams are illustrated in Table 1 (and in Figure S1 of the Supporting Information). EEQ calculated from the analytical chemistry found the most potent test stream was the ASP effluent >SF > river = GAC > ClO2 > PWC. On average the PWC had the lowest concentrations of the three steroid estrogens measured (Table 1). YES analysis also showed maximum estrogenic activity in the ASP treatment, and lower levels were seen in the SF and river water. The GAC, ClO2, and potable were all below the limit of quantification (Figure S2). Removal rates for total estrogenicity (EEQ) for the different tertiary or advanced treatments were 35.5% for SF, 72.4% for EEQ = (E1 × 0.3) + (E2 × 1) + (EE2 × 10) i.e., E1 was considered to be a third as potent as E2, whereas EE2 was considered to be ten times as potent as E2. For samples which were below the limit of detection (LOD), half the LOD was used (i.e., 0.025 ng/L) for the calculations. 5567 dx.doi.org/10.1021/es204590d | Environ. Sci. Technol. 2012, 46, 5565−5573 River water, river; sand filtered effluent, SF; activated sludge process effluent, ASP; granular activated carbon treated effluent, GAC; chlorine dioxide treated effluent, ClO2; potable water, potable. All concentrations in ng/L. Limit of detection (LOD) for all three steroid estrogens (E1, E2, and EE2) was 0.05 ng/L. Total estrogen equivalent EEQ was calculated from the analytical chemistry EEQ = ((E1 × 0.3) + (E2 × 1) + (EE2 × 10)). When steroids were measured at LOD, half the LOD was used for the calculations, i.e. 0.025. Letters (a−e) signify statistical similarity (P < 0.05) between treatments. GAC, and 78% for ClO2. Specifically, removal rates ranged from 64 to 87.7% for E1, 59.7−93.4% for E2, and 22.6−68.9% for EE2 when compared to the ASP effluent. Overall, for the three steroid estrogens analyzed, the ClO2 treatment had the greatest removal effect of the advanced treatments tested. Concentrations of ammonia, nitrite, and nitrate where highest in the ASP treatment and lowest in the PWC; values were significantly higher than PWC for all effluent streams (SF, ASP, GAC, and ClO2). GAC, but not SF or ClO2, significantly reduced the ammonia concentration compared to ASP (Table S4). Tank conditions such as flow rate, pH, water temperature, and dissolved oxygen are reported in Tables S1 and S2. Experiment 1. Biological Effects of Treatment Streams on Adult Roach. Over the six months of exposure, adult survival was highest in the GAC and PWC treatments (97.5%) and lowest in the ClO2 treatment (82.5%). The length and weight of the adult male fish were not significantly different among treatment groups. However, the GSI was significantly lower in the ASP and SF effluents compared to the PWC (Figure S3). After three months exposure to the effluents, plasma VTG was significantly elevated in the ASP treated fish compared to the PWC and the other treatment groups (see Figure 2B). After a further three months exposure, plasma VTG was 17.1-fold higher in the SF effluent and 58.8-fold higher in the ASP effluent than the PWC (see Figure 2B). There was no significant induction seen in the GAC (2.3-fold higher) or ClO2 (0.8-fold) treatments compared to the PWC. Regression analysis found mean plasma VTG were significantly (P = 0.005) positively correlated (R2 = 0.888) with mean calculated EEQ from the chemical analysis. Adult fish from the PWC, GAC, and SF treated effluent showed no induction of intersex (ovotestis). In contrast, both the ASP and the ClO2 exposures had significant induction of intersex when compared to the PWC (Figure 2A). Therefore, there was no significant correlation between percentage intersex induction and EEQ (R2 = 0.25). The ASP exposed fish had a significantly higher intersex index (= severity of the condition) compared to the ClO2 treated fish (1.1 and 0.1, respectively). A small (but not significant) number of the roach from the river water exposure were also intersex; these fish had an intersex index between that of the ClO2 and the ASP exposed fish (0.3). Experiment 2. Biological Effects of Treatment Streams on ELS Roach. After six months of exposure, the survival of the ELS roach was highest in the SF effluent (97%) and lowest in the ASP effluent (45%); GAC, ClO2, and PWC also had survival rates below 54% (Figure S4). Somatic growth was similar in all treatments, except for in the juvenile roach from the river water treatment, which were significantly smaller than those from other treatments (Figure S5). ELS roach from the ASP treatment had the highest percentage of intersex (see Figure 3), whereas roach from the PWC, river water, ClO2, and GAC treatments showed no intersex. After a further six months exposure (PWC, river water, SF, and ASP effluents only) it was found that there were no “normal” males in the ASP treatment; only intersex and female fish were found (Figure S7). Conversely, the level of intersex found in the SF effluent remained at a low percentage similar to that seen after only six months exposure compared with no ELS intersex (male gonad with ovarian cavity or ovotestis) fish in the river water or PWC. Wastewater Treatment Cost Analysis. Treatment of ASP by SF was the cheapest option with capital costs of a 2.26 0.20 0.30 0.77 11.00 1.00 0.21 2.63 13.80 0.71 15.3 maximum 1.60 0.28 0.33 LOD LOD LOD LOD 0.13 LOD 0.28 0.49 LOD LOD LOD 0.06 0.31 LOD 0.34 1.83 0.15 0.35 0.15 median minimum LOD LOD EEQ 2.50 ± 2.92 c EE2 0.21 ± 0.19 b E2 0.13 ± 0.31 a E1 1.06 ± 3.04 b GAC treatment Article LOD EEQ 0.55 ± 0.49 a EE2 0.06 ± 0.03 a potable E2 0.08 ± 0.07 a E1 0.18 ± 0.17 a EEQ 1.95 ± 2.94 b EE2 0.19 ± 0.27 b ClO2 E2 0.08 ± 0.04 a E1 0.49 ± 0.58 b 0.79 8.25 5.85 0.48 0.43 4.77 maximum steroid ng/L mean ± SD 2.00 7.67 21.80 1.87 2.89 19.4 11.10 0.96 0.12 0.50 0.38 LOD 0.16 6.29 5.54 1.88 0.16 0.44 0.18 LOD 0.77 2.13 3.41 0.37 LOD 0.11 0.08 minimum LOD 1.44 median 0.18 EEQ EE2 0.60 ± 0.39 d 0.62 ± 0.73 c E2 E1 7.37 ± 5.09 e 5.84 ± 2.70 d EEQ EE2 0.46 ± 0.24 d 0.22 ± 0.21 b E2 E1 2.97 ± 1.96 d 2.57 ± 1.65 c EEQ EE2 0.18 ± 0.15 c mean ± SD E2 E1 1.85 ± 1.10 c steroid ng/L 0.19 ± 0.11 b ASP SF river treatment Table 1. Analytical Chemistry Results for Estrone (E1), 17β-Estradiol (E2), and 17α-Ethinylestradiol (EE2) over the Six Month Fish Exposure Perioda 9.05 ± 4.85 e Environmental Science & Technology 5568 dx.doi.org/10.1021/es204590d | Environ. Sci. Technol. 2012, 46, 5565−5573 Environmental Science & Technology Article Figure 2. (A) Percentage induction of intersex in adult male roach exposed to different treatment streams for six months. Gray area represents histologically male fish, hatched area represents intersex fish (male with oocytes in testis). Number (n) equals the number of fish analyzed in each treatment. (B) Vitellogenin (VTG) induction in adult male roach exposed for three (black bars) and six (gray bars) months to different treatment streams. (C−E) Photomicrographs of adult male roach testis after six months exposure to different treatment streams: (C) normal male testis from sand filtered (SF) effluent; (D) intersex male from activated sludge process (ASP) effluent; (E) intersex male from chlorine dioxide treated effluent (ClO2). (A and B) River, river water; SF, sand filtered effluent; ASP, activated sludge process effluent; GAC, granular activated carbon treated effluent; ClO2, chlorine dioxide treated effluent; potable, potable water control. (B) VTG measured in ng/mL of blood plasma. Stars indicate significant induction compared to the potable water control. (C−E) Arrows point to oocytes within testicular tissue. Scale bar 100 μm. Histological sections of 5 μm, stained with Haematoxylin and Eosin. £6,607,000 and yearly operational costs of £73,600. All the advanced treatments required the ASP effluent to be treated with SF. Although we did not assess O3 in terms of biological effects (due to its lower efficacy in previous studies32) it was found to be the next cheapest treatment option, followed by ClO2. These treatments had additional (i.e., on top of SF) capital costs of £1,300,000 and £2,200,000 and yearly operational cost of £100,000 and £310,000 respectively. GAC was found to be the most expensive of the advanced treatments assessed, with additional capital costs of £8,500,000 and yearly operational costs of £800,000. All the costs shown here (both advanced and tertiary SF) were calculated for a 250,000 p.e. plant. For the whole cost analysis report see SI Section 2. percentage removal of estrogens similar to, or more effective than, the other large scale UK GAC project (also part of the UK EDDP) of 81% removal of E1, 68% removal of E2, and 50% removal of EE2.40 Over the six month exposure period, the GAC plant generally showed good removal of steroid estrogens when compared to that seen in the ASP and SF effluents. However, on 14 of the 24 sampling occasions EE2 was measured above 0.1 ng/L, the proposed PNEC,21 and on 17 sampling occasions the GAC effluent had a combined EEQ above the proposed total estrogen PNEC of 1 ng/L.21 On the last sampling occasion even higher concentrations were measured for all three estrogens (almost double the ASP concentration for E1), suggesting the GAC may have become saturated at this point and had begun releasing steroids back into the effluent stream. In comparison, the ClO2 treatment was generally more effective at removing steroid estrogens. ■ DISCUSSION AND CONCLUSIONS Removal of Estrogens by Tertiary and Advanced Treatment Processes. The GAC treatment produced 5569 dx.doi.org/10.1021/es204590d | Environ. Sci. Technol. 2012, 46, 5565−5573 Environmental Science & Technology Article Figure 3. (A) Percentage induction of intersex in early life stage (ELS) roach exposed to different treatment streams for six months. (B−E) Photomicrographs of early life stage (ELS) roach after six (B−D) and twelve (E) months exposure to different treatment streams. (B) male testis from potable water control (PWC); (C) female ovary from PWC, intersex male (normal testis with ovarian cavity) from activated sludge (ASP) treated effluent; and (E) intersex male testis with ovarian cavity and testicular dysgenesis from ASP effluent after twelve months exposure. (A) River, river water; SF, sand filtered effluent; ASP, activated sludge process effluent; GAC, granular activated carbon treated effluent; ClO2, chlorine dioxide treated effluent; potable, potable water control. Gray area represents histologically male fish, black area represents histologically female fish, hatched area represent intersex fish (male testis with ovarian cavity), and white area represents fish of undetermined sex. Fish of undetermined sex were mainly due to the undifferentiated nature of the gonad at time of sampling, which could be due to the small size of the fish (see Figure S5 in Supporting Information). Number (n) equals the number of fish analyzed in each treatment. (B−E) OC arrow; ovarian cavity. Scale bar 100 μm. Histological sections of 5 μm, stained with Haematoxylin and Eosin. ClO2 treatment compared to ASP or SF conflicts with the significant induction of intersex (although not VTG) seen in this treatment. Although ClO2 treatment employs oxidation as its main route of chemical transformation it is possible that chlorination could also have occurred. A few chlorination byproducts have been found to be estrogenic in vitro. For instance, one of the chlorination byproducts of EE2 (4-chloroEE2) has a binding affinity similar to its parent compound48 and one of Bisphenol A’s byproducts has increased activity in MCF-7 cells.49 Indeed, in a study by Hu et al.,50 chlorinating effluent, longer contact time (from 10 to 30 min), or higher total organic carbon (TOC, humic acid) increased the estrogenic activity (E-SCREEN) to above nonchlorinated levels. However, due to the complex nature of effluents, estrogens may not be the only factor in biological activity. In a study by An et al.51 post-chlorinated effluent was found to significantly induce VTG response in zebrafish when compared to prechlorinated effluent and the control water; the authors suggested this was due to a reduction in polycyclic aromatic hydrocarbons (PAHs) in the post-chlorinated effluent.51 However, in our study, ClO2 treatment did not significantly induce VTG or YES activity or reduce GSI, perhaps suggesting some other (non-estrogenic) driver for intersex in this treatment group. One possible explanation is antiandrogenic factors. Intersex has been experimentally induced using the antiandrogen flutamide in medaka52 without significant VTG induction. Antiandrogenic activity (measured using in vitro bioassays) has been reported in UK sewage effluents,53 and the removal of this activity has been documented using in vitro bioassays in GAC and O3 treated effluents,54,55 but, to the authors knowledge, not yet in ClO2 treated effluents. However, in the study of Filby et al.32 the same ClO2 treated effluent used in our study did not inhibit male secondary sexual characteristics (fatpad and tubercles) in fathead minnows, suggesting the However, this treatment technology also had a combined EEQ above 1 ng/L for 33% of the sampling occasions. Comparison of VTG Induction. Average VTG induction generally mirrored total steroid EEQ measured in the analytical chemistry. The adult male VTG concentrations in the ASP treatment were similar to those published for adult roach experimentally exposed to 100% sewage effluent for 4 months (∼100 000 ng VTG/mL)41 but lower than those published for roach exposed to 4 ng/L EE2 for ∼18 months post hatch (∼2 000 000 ng VTG/mL).42 However, the baseline (PWC) VTG concentrations were higher than would be expected when compared to male roach from low/nonpolluted sites (<300 ng VTG/mL)4,5,7,43 or dilution water/potable water controls from other roach studies.41,42 Therefore we questioned whether these higher than expected VTG baseline levels may be due to the fish’s diet, as has been demonstrated recently by Beresford et al.44 in fathead minnows. However, both the Carpco crumble and the ZM diets were tested in the same manner as described by Beresford et al.44 and no estrogenic activity was evident. The PWC did have measurable concentrations (i.e., above LOD) of estrogens. However, it is important to highlight that water samples for chemical analysis were taken directly from the fish tanks themselves, not from the potable input, and therefore low levels of natural estrogens may have come from the fish. Indeed, in a comprehensive review of measuring fish steroid excretion, Scott and Ellis45 highlight that fish both excrete steroids freely into water and also easily reuptake them.45 This suggests the higher than expected VTG baseline results were linked to aquatic rather than dietary exposure. Notwithstanding this, it is important to note that male VTG induction is only a biomarker of estrogen exposure rather than a direct predictor of impaired reproductive health.46,47 ClO2 Treated Effluent and Intersex Induction. The apparent high removal efficiency of steroid estrogens in the 5570 dx.doi.org/10.1021/es204590d | Environ. Sci. Technol. 2012, 46, 5565−5573 Environmental Science & Technology Article potable, ClO2, or GAC. Interestingly, in a 21 day fathead minnow pair breeding assay, Filby et al.32 found significantly reduced egg laying when fish were exposed to GAC treated effluent compared to the control; this egg reduction was not thought to be due to estrogenic effects. These data perhaps suggest that advanced treatment of wastewater may also reduce beneficial components of biologically treated wastewater and that water could be “too clean” for wildlife to thrive. Unlike laboratory conditions, sewage effluent and river water have extremely complex chemistry and biological activity which means chemicals may act in a synergistic, additive, or antagonistic manner. Therefore data from single chemical laboratory exposures may not be entirely representative of real world conditions; this should be an important consideration when setting environmental quality standards (EQS), due to the significant costs involved in producing effluents of such high quality. Cost Comparison for Tertiary and Advanced Treatments. Cost analyses of sewage treatments have rarely been conducted in the literature, however Jones et al.59 employed similar techniques to look at advanced treatments different from those compared in our research. Of the advanced treatments assessed in this experiment, GAC was the only one which completely removed intersex induction. Notwithstanding this, GAC is both expensive and carbon intensive as a treatment technology. During the UK EDDP the capital and running costs of GAC, ClO2, and O3 treatments were calculated and compared. Whole life financial costs and carbon dioxide (CO2) release were found to be highest for GAC (£5.53 pe/yr and >13 kg CO2/pe/yr) followed by ClO2 (£2.91 pe/yr and <6 kg/CO2/pe/yr) and then O3 (£2.25 pe/yr and <3 kg/CO2/ pe/yr).26 However, sand filtration also removed significant feminization of ASP effluent on both ELS and adult roach (preventing male oviduct and oocyte formation). Unfortunately, no cost comparison was made with the SF tertiary treatment during the EDDP.26 Therefore we commissioned the comparison detailed in the SI Section 2. This found SF alone cost £1.69 pe/yr, around a third of the total GAC cost. These cost comparisons are obviously indicative rather than definitive when considering wastewater treatment worldwide. However, they do highlight that the addition of SF to secondary treated effluent could be a cost-effective way of mitigating feminization of wild fish, especially in locations where the cost of advanced sewage treatments is prohibitive. effluent was not antiandrogenic. Therefore, the mechanism for intersex induction in this treatment is yet to be elucidated. The possible impacts of ClO2 treatment on fish should be further investigated if ClO2 is to be introduced as an advanced wastewater treatment method. Ovotestis Can Be Induced in Adult Roach. This is the first study to suggest adult male roach are sensitive to ovotestis induction (in only six months), indicating the period of testicular regrowth (following the annual spawning even) is a “window” in development when roach are sensitive to disruption. Previous studies by Rodgers-Gray et al.41 showed that intersex in adult male roach is not induced when the testes are fully mature, further supporting the existence of a sensitive window. This may also explain the field observations of Jobling et al.4,6 showing that older fish were more feminized than younger fish at the same site. This phenomenon of increasing feminization was also seen by Lange et al.56 in roach exposed to 100% effluent for 3.5 years, after which time all of the fish were histologically female compared to only 31% of males having ovotestis after 1 year of exposure.56 No sewage exposure study, so far, has reported ovotestis in ELS roach less than 1 year old,38,56 again suggesting it is the post-spawning regrowth period which is most sensitive to ovotestis induction. Interestingly the occurrence of oocyte induction in the adult males and feminized sperm ducts in juveniles were not always in the same treatments. Although both conditions occurred at a high frequency in the ASP treated effluent, no feminization of sperm ducts was found in the ClO2 treatment (which had a significant occurrence of ovotestis), or in the river water (which also had a low incidence of ovotestis). Conversely, a low level of feminized ducts was seen in the juveniles from the SF effluent whereas no ovotestis induction was seen in adult males from this treatment. These data suggest different mechanisms or perhaps even different chemical drivers for these conditions. Statistical modeling by Jobling et al.57 has suggested that antiandrogenic activity (measured by a yeast androgen screen (YAS) and frequently found in WwTW effluents53,58) is significantly correlated with the frequency of feminized ducts seen in wild roach, whereas ovotestis occurrence was more strongly correlated to the fish’s age and estrogen (E1/nonylphenol) exposure.57 Therefore, more research may be required to further understand the likely multicausal nature of intersex induction in wild fish. Regulatory Implications. During the six month exposure, the GAC’s mean (2.6 ng/L) and median (1.62 ng/L) EEQ would have failed the proposed combined estrogen PNEC of 1 ng/L.21 However, no intersex was induced in this treatment. The majority of studies considered when deriving PNEC use reproductive end points rather than intersex induction. However, in a long-term roach developmental study to EE2, probably the best studied of the estrogens, Lange et al.42 found no observable effect on intersex or reproduction at 0.3 ng/L EE2 measured over the exposure (1 ng/L nominal); this value is similar to Caldwell et al.22 EE2 PNEC of 0.35 ng/L. Both of these EE2 values fit with the lack of intersex induction in the GAC (mean EE2 0.21 ± 0.19 ng/L), but not with the low level of adult intersex observed in the river water (mean 0.18 ± 0.15 ng/L) exposed fish. Indeed, no significant difference in calculated EEQs was found between the river water and the GAC treatments, highlighting the difficulty of predicting effects of chemicals in complex mixtures. Indeed it was also notable that although the SF effluent had significantly higher levels of estrogens (and low induction of intersex) juvenile survival was much higher compared to the estrogen reduced conditions of ■ ASSOCIATED CONTENT S Supporting Information * Section 1: supplementary experimental section detailing composite water sampling; tables containing tank conditions (flow rates, DO, pH, temperature); graphs of analytical chemistry E1, E2, EE2 and total estrogens (EEQ) and average YES results; water quality data for ammonia, nitrite and nitrate, suspended solids, BOD, COD and TOC; adult male roach GSI; percentage survival, average lengths and weights of ELS roach after six and twelve months; percentage intersex of ELS fish after twelve months. Section 2: WRc report entitled − Comparison of cost of Tertiary Sand Filtration for EDC removal with Other Processes. This material is available free of charge via the Internet at http://pubs.acs.org. ■ AUTHOR INFORMATION Corresponding Author *E-mail: [email protected]. 5571 dx.doi.org/10.1021/es204590d | Environ. Sci. Technol. 2012, 46, 5565−5573 Environmental Science & Technology Article Notes estrogens in carbonaceous and nitrifying activated sludge processes. Chemosphere 2010, 81, 1−6. (16) Kanda, R.; Churchley, J. Removal of endocrine disrupting compounds during conventional wastewater treatment. Environ. Technol. 2008, 29, 315−323. (17) Ifelebuegu, A. O. The fate and behavior of selected endocrine disrupting chemicals in full scale wastewater and sludge treatment unit processes. Int. J. Environ. Sci. Technol. 2011, 8, 245−254. (18) Johnson, A.; Tanaka, H.; Okayasu, Y.; Suzuki, Y. 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