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The paucity of information on the occurrence of pharmaceuticals in the environment in African countries led the authors to investigate 8 acidic pharmaceuticals (4 antipyretics, 3 antibiotics, and 1 lipid regulator) in wastewater, surface water, and sediments from the Msunduzi River in the province of KwaZulu-Natal, South Africa, using solid-phase extraction (SPE) and liquid chromatography-mass spectrometry (LC/MS). The method recoveries, limits of detection (LOD), and limits of quantification were determined. The method recoveries were 58.4% to 103%, and the LODs ranged between 1.16 ng/L and 29.1 ng/L for water and between 0.58 ng/g and 14.5 ng/g for sediment. The drugs were all present in wastewater and in most of the surface water and sediment samples. Aspirin was the most abundant pharmaceutical observed, 118 ± 0.82 μg/L in wastewater influent, and the most observed antibiotic was nalidixic acid (25.2-29.9 μg/L in wastewater); bezafibrate was the least observed. The distribution pattern of the antipyretic in water indicates more impact in suburban sites. The solid-liquid partitioning of the pharmaceuticals between sediment and water, measured as the distribution coefficient (log KD ) gave an average accumulation magnitude of 10× to 32× in sediments than in water. The downstream distribution patterns for both water and sediment indicate discharge contributions from wastewater, agricultural activities, domestic waste disposal, and possible sewer system leakages. Although concentrations of the pharmaceuticals were comparable with those obtained from some other countries, the contamination of the present study site with pharmaceuticals has been over time and continues at present, making effective management and control necessary.

The occurrences of pharmaceuticals and personal care products as emerging organic contaminants (EOCs) have been reported in several countries of the world except from African countries. This study was therefore conducted to investigate the occurrence of nine antibiotics, five antipyretics, atenolol, bezafibrate, and caffeine in wastewater and surface water samples from the Umgeni River. The water samples were extracted with solid-phase extraction using hydrophilic-lipophilic balance (HLB) and C-18 cartridges for the acidic and neutral drugs, respectively. The quantification was carried out with high-performance liquid chromatography-diode array detector (HPLC-DAD) using the standard addition method. The method limits of detections were in the range of 0.14-0.97 μg/L while the recoveries were between 53.8 and 108.1 %. The wastewater had 100 % occurrence of the analytes studied, with caffeine having the highest concentration at 61 ± 5 μg/L and nalidixic acid being the most observed antibiotic at 31 ± 3 μg/L. The waste treatment process reduced the influent concentrations by 43.0-94.2 % before discharge except for atenolol removal that is lower. The concentrations of the analytes were lower in the surface water with most compounds having concentrations below 10 μg/L except acetaminophen and atenolol. The estuary mouth and Blue Lagoon had the highest concentrations of some of the compounds in surface water which depict downstream load. The factors governing the fate and mobility of these compounds in this environment are not fully understood yet and will require further studies.

Selected pharmaceuticals including antibiotics, antipyretics, a stimulant, an antiepileptic and an antipsychotic drug were determined in wastewater, surface water and sediment along the Umgeni River which is the main source of water to Durban City in KwaZulu-Natal, South Africa. Samples were analysed using high-performance liquid chromatography coupled to a mass spectrometer (HPLC-MS/MS) after clean up and pre-concentration by solid phase extraction (SPE). At the wastewater treatment plant outlet, the antipyretic ibuprofen was detected in concentrations up to 12.94 μg/L and 15.96 ng/g in wastewater and bio-solids, respectively. The antipsychotic clozapine was detected in concentrations up to 14.43 μg/L and 18.75 ng/g in wastewater and bio-solids, respectively. Other pharmaceuticals namely sulfamethazine, sulfamethoxazole, erythromycin, metronidazole, trimethoprim, acetaminophen, caffeine and carbamazepine were also detected but in lower concentration compared to clozapine and ibuprofen (<10 μg/L or 10 ng/g). Clozapine and ibuprofen were detected at high concentrations in the surface water and sediment of Umgeni River. The highest concentration of clozapine (78.33 μg/L) was detected at the business park, while that for ibuprofen (62.0 μg/L) was detected at the point where a tributary, Msunduzi, joins Umgeni. Metronidazole was only detected in sediment, and caffeine (2243.52 ng/g) was detected at the highest concentration in the sediment at the blue lagoon sampling site. The antibiotic sulfamethoxazole was also detected in appreciable amounts up to 507.34 ng/g in the sediment at the Msunduzi tributary sampling site. The data collected implies that while insufficiently treated wastewater contributes to surface water contamination, human activities also contribute appreciably to the pharmaceutical loading of River Umgeni.

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