We investigated the distributions of 12 antibiotics (viz., sulfonamides, macrolides, and trimethoprim) in the water from the Mekong Delta, Vietnam, and compared them with those in the Tamagawa River, Japan. In Vietnam, only a few antibiotics (viz., sulfamethoxazole, sulfamethazine, trimethoprim, and erythromycin-H2O) were detected in the river and canals from urban and rural sites, at concentrations of 7-360 ng/L. This contrasts with the results from the Japanese urban river, where more antibiotics (sulfamethoxazole, sulfapyridine, trimethoprim, erythromycin-H20, azithromycin, clarithromycin, and roxithromycin) were detected at concentrations ranging from 4to 448 ng/L. The concentrations of sulfonamides in the Mekong Delta were comparable to those in the Tamagawa River, whereas macrolide concentrations were lowerthanthose in the Tamagawa River. The ubiquitous occurrence of sulfamethazine, used as a veterinary medicine, in the waters in Vietnam at relatively high concentrations (15-328 ng/L) was unique. Extremely high concentrations of sulfamethazine [(18.5-19.2) x 10(3) ng/L] were detected in pig farm wastewaters, and relatively high concentrations were observed in canals near chicken and pig farms. All these data suggested the potential utility of sulfamethazine as a molecular marker of livestock-source contamination. The present study demonstrated widespread inputs of veterinary medicines to waters in Vietnam.

This is the first report on fecal pollution using molecular markers in Southeast Asia where serious sewage pollution has occurred. A simple and sensitive analytical method using gas chromatography-mass spectrometry for 10 sterols in various environmental samples was developed to monitor extensive areas of tropical Asia. First, the method was applied to wastewater to confirm that >95% of sterols existed in the particulate phase. Then the approach was applied to a tropical Asian region, Malaysia and Vietnam, with a selection of 59 sampling stations in total. River water and sediment samples were collected and analyzed for chemical markers (coprostanol and other sterols) and microbiological markers (fecal coliforms and fecal streptococci). Particulate coprostanol concentrations ranged from <0.0001 to 13.47 microg/L in tropical river and estuarine waters, indicating severe fecal pollution in populous areas. Coprostanol concentrations in the sediments ranged from 0.005 to 15.5 microg/g-dry. The sedimentary coprostanol concentrations were lower than those reported in some urban areas of industrialized countries. This is probably because frequent heavy rain induces intensive input of eroded soil, which dilutes fecal material in river sediments. The relationship between the concentrations of fecal sterols and bacterial indicators was examined in an attempt to develop public health criteria for coprostanol levels applicable to the tropical region. Coprostanol concentrations of 30-100 ng/L or percent coprostanol levels of 2% corresponded to approximately 1000 fecal coliforms per 100 mL, which is set for secondary contact limit in many countries. These coprostanol concentrations were lower than those proposed as criteria in temperate countries, probably owing to greater survival of bacteria in warmer tropical waters. On the basis of these criteria, extensive monitoring of sediments suggests that poor sanitary conditions exist in most of the urbanized area of Malaysia and in several urban and rural sites in Vietnam.