According to a recent report by the World Health Organization (WHO), the countries which still have limited access to water for drinking purposes are mainly those in the Sub-Saharan region. In this context, the current study provides an overview of the quality of surface water and groundwater in rural and peri-urban areas of the Republic of South Africa (RSA) and Mozambique (MZ) in terms of concentrations of conventional pollutants, inorganic chemicals, microorganisms, and micropollutants. Their values were compared with the drinking water standards available for the two countries. Regarding surface water, it was found that microorganisms occur at high concentrations; nickel (RSA) and boron (MZ) are other critical parameters. Regarding groundwater, arsenic and lead (RSA) and boron, sodium, and chloride (MZ) are the main critical substances. With regard to micropollutants, their surface water concentrations are much higher than those in European rivers. The highest values were for ibuprofen, acetylsalicylic acid, clozapine, and estriol. Suitable treatment is necessary to produce safe water depending on the main critical pollutants but, at the same time, action should be taken to improve wastewater treatment in rural areas to improve and safeguard surface water bodies and groundwater which are sources for drinking needs.
The management and treatment of hospital wastewater are issues of great concern worldwide. Both in the case of a dedicated treatment or co-treatment with urban wastewater, hospital effluent is generally subjected to pre-treatments followed by a biological step. A polishing treatment is suggested to promote (and guarantee) the removal of micropollutants still present and to reduce the total pollutant load released. Activated carbon-based technologies and advanced oxidation processes have been widely investigated from technical and economic viewpoints and applied in many cases. In this study, the potential exploitation of these technologies for the polishing treatment of hospital effluent is investigated by combining a Strengths, Weaknesses, Opportunities and Threats (SWOT) analysis with a Strategic Orientation (SOR) analysis. This approach allows a coherent strategy to be extracted from the SWOT-SOR data, increasing the chances of success of each technology. It emerges that both technologies present relevant and sometimes similar strengths and can present opportunities. At the same time, activated carbon-based technologies are more likely to contain the main identified threats than O3/UV technology. The study also finds that, for both technologies, further research and development could improve their potential applications in the treatment of hospital wastewater.
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