Carbamazepine (CBZ), a pharmaceutical compound, has been proposed as an anthropogenic marker to assess water quality due to its persistence in conventional treatment plants and widespread presence in water bodies. This paper presents a comprehensive literature review on sources and occurrences of CBZ in water bodies, as well as toxicological effects and regulations of the drug. Given the documented side effects of CBZ on the human body when taken medicinally, its careful monitoring in water is recommended. CBZ residues in drinking water may provide a pathway to embryos and infants via intrauterine exposure or breast-feeding, which may cause congenital malformations and/or neurodevelopmental problems over long term exposure. An in-depth technical assessment of the conventional and advanced treatment technologies revealed the inadequacy of the standalone technologies. Compared to conventional activated sludge and membrane bioreactor processes, effective removal of CBZ can be achieved by nanofiltration and reverse osmosis membranes. However, recent studies have revealed that harsh chemical cleaning, as required to mitigate membrane fouling, can often reduce the long-term removal efficiency. Furthermore, despite the efficient performance of activated carbon adsorption and advanced oxidation processes, a few challenges such as cost of chemicals and regeneration of activated carbon need to be carefully considered. The limitations of the individual technologies point to the advantages of combined and hybrid systems, namely, membrane bioreactor coupled with nanofiltration, adsorption or advanced oxidation process.

Abstract:The continued depletion of fresh drinking water resources throughout the world has increased the need for a variety of water treatment and recycling strategies. Conventional wastewater treatment processes rely on extensive chemical post-disinfection to comply with the stringent microbiological safety for water reuse. When well designed and operated, membrane bioreactors (MBRs) can consistently achieve efficient removals of suspended solids, protozoa and coliform bacteria. Under optimal conditions, MBR systems can also significantly remove various viruses and phages. This paper provides an in-depth overview of the mechanisms and influencing factors of pathogen removal by MBR and highlights practical issues, such as reduced chemical disinfectant dosing requirements and associated economic and environmental benefits. Special attention has been paid to the aspects, such as membrane cleaning, membrane imperfections/breach and microbial regrowth, in the distribution system on the overall pathogen removal performance of MBR.