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Official websites use. Share sensitive information only on official, secure websites. This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. Due to the high cost of the properties on this shore, the impoverished population started to migrate to the northern outskirts of the island away from the tourist beaches , potentiating the emergence of poor housing conditions, namely stilt-house slums. Consequently, the urban drainage channels across these outskirts neighbourhoods are potentially contaminated by human wastes. The results showed the widespread presence of these environmental stressors in all urban channels analysed, namely losartan 7. Therefore, initiatives promoting basic sanitation, land-use regularisation and population awareness are highly recommended. Keywords: Subtropical ecosystem, Nonpoint source pollution, Domestic sewage, Pharmaceuticals, Illicit drugs, Risk assessment, Pollution effects. During the last decades, a wide range of pharmaceuticals and personal care products PPCPs have been repeatedly reported worldwide in the coastal aquatic environments Biel-Maeso et al. In Brazil, approximately 50 million people live along its km of coastline. However, studies that have evaluated the occurrence of pharmaceuticals and illicit drugs in urban drainage channels, which carry out the diffuse loads popularly known as black tongues: mixture of urban runoff and untreated domestic sewage into the beaches, known areas of intense human recreation, were restricted to two municipalities i. Furthermore, these studies revealed that carbamazepine, caffeine, acetaminophen, diclofenac, losartan and valsartan presented potential risk to sensitive aquatic organisms at maximum measured concentrations Roveri et al. However, due to the high cost of the new properties on the shoreline, part of the impoverished population started to migrate to the outskirts located on the north of the island away from the tourist beaches , promoting the emergence of poor housing conditions, namely stilt-house slums Jakob et al. In a regional scale, this research is complementary to previous works carried out by our team in this area Roveri et al. Moreover, at a global scale, the acquired knowledge will reinforce the importance of implementing continuous environmental monitoring programmes for tracking pharmaceuticals and illicit drugs in the coastal areas, mainly in developing countries. Thus, currently about , inhabitants are concentrated in a small and urbanized area of the insular area 31 km 2 , which represents a demographic density of more than inhabitants per km 2 Fig. The middle- and high-income social classes live in areas near the beachfront. But, the low-income families are distributed in the outskirt areas, where the sanitation infrastructures are precarious and often non-existent Jakob et al. For instance, more than 24, illegal and precarious constructions are located in environmental protected areas e. Several stilt-house slums are located on the Jockey Club neighbourhood on the north of the island; on the border with the municipality of Santos Fig. Moreover, during the high tide, floods are common both in the Jockey Club and in the adjacent neighbourhoods Fig. Water samples 1 L were collected during the dry season and at low tide. No rainfall was recorded 48 h prior to water collection. For all locations, sampling took place on Friday, 18th June Thereafter, discrete water samples 1L were collected manually at 30 cm depth in the water column from each site with a stainless-steel bucket which had been pre-cleaned with nitric acid, methanol and distilled water and then rinsed twice with water from the sampling site before collection. After collection, water samples were stored in amber bottles Chen et al. Chemicals and analytical reagents such as nitric acid and sulphuric acid were purchased from Merck Darmstadt, Germany. Mobile phase grade additives, such as formic acid and ammonium acetate, were acquired from Sigma-Aldrich and Merck, respectively. The extraction technique used in the hereby study used a matrix-matched calibration curve to quantify the PPCPs according to Wille et al. The linearity of the method was evaluated by constructing a curve using seven calibration standards. The calibration curves of the compounds showed satisfactory coefficients of determination 0. Prior to the extraction, the following procedures were adopted: i the pH of each sample ranging from 6. Louis, USA ; and iv at the end, the methanol extract collected was then combined to the filtered sample. Thereafter, there were loaded with 1L of the filtered sample combined with the methanol from filter washings. The cartridges were then dried under vacuum for 30 min, and the elution was performed twice using 5 mL of methanol and 5 mL of acetone. For further details, see Fig. The selection of the PPCPs took into account the reported annual consumption, expected toxicity, environmental persistence and other previous regional studies Cmed ; Roveri et al. The eluent flow was 0. A linear gradient of 0. This mixture was then returned to initial conditions over 2 min, and the analytes were detected and quantified using the electrospray ionisation ESI and multiple reaction monitoring MRM , with the selection of a precursor ion and two ion products to quantify and qualify each compound. The data were recorded and processed using the Analyst 1. The ecological risk assessment followed the works of Roveri et al. An attempt was made to compile specifically PNEC data for marine coastal species, since in the hereby study urban surface runoff will flow to the shoreline. However, due to the strong land-sea interaction in this study area and the lack of marine toxicity data, the freshwater species were also taken into consideration in the present study Roveri et al. The PNEC values for the acute and chronic toxicity data were thereafter calculated by dividing each toxicological endpoint by an assessment factor AF. For saltwater environments, an AF of 10, and should be considered in short- and long-term data sets, respectively. The occurrence and frequencies of detection of these eleven environmental stressors are shown in Table 1. Consequently, the investigated PPCPs were detected in all channels Furthermore, the individual concentrations of the hereby PPCPs ranged from 0. The higher PPCP concentrations observed in P4 and P5, where the concentrations of losartan were surprisingly high compared to the literature data for more details, see Fig. Red and blue arrows indicate higher and lower environmental concentrations compared to the present. These results are negligible when compared to those detected in the River Lambro basin, one of the most urbanized and industrialized areas of Italy, where the total mass loads of PPCPs were roughly Presumably, acetaminophen is the second-best seller drug because is recommended for treatment against fever caused for COVID in worldwide including Brazil Lemaitre et al. Brazil has the 2nd highest number of cases and deaths worldwide Moreover, acetaminophen is a recommended treatment against the fever caused by other diseases, such as dengue, chikungunya and zika illnesses highly endemic in Brazil Deen and Von Seidlein, Moreover, both MRSP and MRBS pharmacies sell non-prescription drugs, which means that the consumption of caffeine present in the formulation of several drugs , acetaminophen, diclofenac and orphenadrine is not controlled Cmed ; Quadra et al. Therefore, in this context, it is reasonable to assume that the pharmaceuticals with the highest reported concentrations hereby e. Thus, at a regional scale, the quantification of eleven PPCPs including the illicit drugs , demonstrates the widespread presence of these compounds in the aquatic ecosystems of MRBS. The values recorded hereby are within the reported concentrations of other studies that took place in this region, where several PPCPs have been quantified in the sewage discharges from Santos Bay Pereira et al. In this case, although both studies were conducted in similar conditions during the dry season and unaffected by the tidal regime , the socio-economic conditions of the neighbourhoods are different. Moreover, with the exception of losartan, the MEC values reported in this study for caffeine, cocaine, benzoylecgonine, acetaminophen and atenolol are of the same order or even lower than those concentrations reported in worldwide surface waters e. Although an effluent cannot be compared with surface water far from a WWTP outlet, deleterious effects on the non-target biota were expected to occur and will be discussed on the following sections. After consumed, caffeine is rapidly metabolized by the liver; however, about 0. Consequently, the concentration of caffeine residues in environmental samples is often found in places nearby densely populated areas and with insufficient sanitation network Li et al. Although the physicochemical properties of caffeine are not a cause of concern, e. The results showed that the occurrence of caffeine raises environmental concern, because the RQ suggests moderate ecological risk for Daphnia dubia acute and algae Lemna gibba chronic Table 2. Similar MEC data has already been reported in previous works regarding surface waters of Spain and also indicated a moderate ecological risk for the aquatic biota, e. The abusive consumption of cocaine COC is a serious worldwide problem, especially in Brazil, that was classified as the second world largest consumer of this psychoactive stimulant only behind the USA , where about 1. After consumption, cocaine that was snorted intranasally , injected intravenously or inhaled smoked is partially excreted in its parent or metabolized compounds, e. In short, this relationship between cocaine and benzoylecgonine is a reliable marker for human wastewater contamination in the urban channels of MRBS Fig. However, at present, there is a scarcity of data about the PNEC of cocaine and the benzoylecgonine to marine organisms especially to the tropical marine organisms Fontes et al. However, a cautious interpretation of these results is recommended, because of the following: i illicit drugs are bioactive compounds able to cause specific effects even at low concentrations Capaldo et al. In Brazil, although many effective drugs to hypertension are available, a polytherapy is also often prescribed for treating this disease, by combining several drugs e. However, if not managed correctly, the polytherapy may counteract the benefits of a single treatment and, in extreme cases, may cause serious health problems Secoli et al. Specifically, the use of diclofenac decreases the therapeutic efficacy of antihypertensive drugs when used concomitantly, leading to failure to control blood pressure Dos Santos et al. In the case of acetaminophen, analgesic known for its environmental persistence, and significant toxicity to aquatic species Roveri et al. Although the RQs of atenolol, carbamazepine, orphenadrine, diclofenac, chlortalidone and furosemide were equal or below 0. In this context, in recent years, several studies have confirmed the potential risks of these PPCPs in the aquatic environment and have suggested their inclusion in a list of priority substances in monitoring studies. As result, acetaminophen and furosemide were classified as high risk, diclofenac and losartan were classified as potentially hazardous and carbamazepine showed suspected ecological risk existence; ii due to its high toxicity, the European Commission included diclofenac in a list of priority substances for the monitoring in European surface waters EC ; and iii Mathon et al. In addition, to our knowledge, this study seems to be the first quantification of the furosemide in urban drainage channels in the Brazilian coastal zone, which raises special concern since this PPCP is known to be an active endocrine disruptor Al-Odaini et al The results showed the widespread presence of these environmental stressors, namely carbamazepine, caffeine, cocaine, benzoylecgonine, acetaminophen, diclofenac, orphenadrine, atenolol, losartan, chlortalidone and furosemide, in surface drainage channels that daily flow to the estuarine waters located on the north portion of the island one of the most important aquatic ecosystems of the Metropolitan Region of Baixada Santista. The highest concentrations of these PPCPs were detected in the area of influence of the Sambaiatuba and of the Vila Gilda Dike slums the last is considered the largest stilt-house slums in Brazil , where a large amount of garbage could be easily observed in situ. The new knowledge obtained in this study may help decision-makers, namely public authorities and environmental agencies, to plan and perform actions to improve the environmental quality of the Brazilian coastal waters. These actions should involve the following: i the inclusion of PPCPs and illicit drugs in the Brazilian environmental legislation as priority pollutants and ii the implementation of continuous environmental monitoring programmes for tracking pharmaceuticals and illicit drugs in the coastal areas. The authors also thank Bruno Francisco da Silva for their support in the field work. VR: conceptualization, data curation, formal analysis, methodology, and writing — original draft. LLG: review and editing. WT: review and editing. ATC: supervision, and writing — review and editing. Caffeine, acetaminophen and losartan indicated moderate to high ecological risk for the aquatic biota. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This section collects any data citations, data availability statements, or supplementary materials included in this article. As a library, NLM provides access to scientific literature. Environ Sci Pollut Res Int. Find articles by Vinicius Roveri. Find articles by Walber Toma. Find articles by Alberto Teodorico Correia. Received Oct 6; Accepted Mar 11; Issue date Open in a new tab. Supplementary file1 DOCX kb First report on the occurrence of furosemide in urban drainage channels of Brazil. Publisher's Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Similar articles. Add to Collections. Create a new collection. Add to an existing collection. Choose a collection Unable to load your collection due to an error Please try again. Add Cancel. Minguez et al. Kim et al. Brain et al. Ferrari et al. Blaise et al. Moore et al. Claessens et al. Galus et al. Godoy et al. FDA

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