This paper presents
an up-to-date meta-analysis assessing per-
and polyfluoroalkyl substance (PFAS) concentrations at wastewater
treatment plants (WWTPs) as well as changes over time. PFAS concentrations
were compiled for WWTPs in the United States from peer-reviewed studies,
technical reports, and original data. Perfluorooctanoic acid (PFOA)
increased by an average of 6.0 ± 1.6 ng/L from the influents
to the effluents of WWTPs, but perfluorosulfonic acid (PFOS) did not
significantly change, indicating sorption to sludge is offset by biotransformation
of precursor compounds. The occurrence of individual PFAS may vary
temporally; for example, perfluoropentanoic acid correlated weakly
with seasonal temperatures at a site in Virginia. Wastewater effluent
PFOA concentrations decreased at a site in Nevada from 2012 to February
2020 but appeared to increase during the COVID-19 pandemic. Effluent
PFOA also declined nationally from 1999 to 2020 by ∼13% per
year. Nevertheless, the national mean PFOA concentration was 8.4 ±
0.4 ng/L in data collected from 2013 to 2020 with outliers omitted,
indicating persisting low-level occurrence. This would equate to 383
± 20 kg of PFOA per year continuing to enter the environment
via WWTP effluents.