“…Among the various sectors, laundry is classified as the sector that demands the highest volumes of water that generates a proportional amount of complex effluents with high toxicity and recalcitrance. 7,22,[36][37][38][39][40] Due to the diversity of chemicals added to the washing processes, hospital laundry effluents may contain soap, 29,41 detergents, [41][42][43][44] surfactants, 41,45,46 sodium hypochlorite, 47,48 hydrogen peroxide, 7,49,50 peracetic acid, [49][50][51] softeners, 52,53 neutralizing additives, 54 chlorine, 43,44,48 adsorbable organic halogens (AOX), 44,55 nitrogen, phosphorus, 7,37,56 and heavy metals [57][58][59][60] that give these residues the power to exercise less biodegradable characteristics to the effluent generated by the hospital units. 9 However, tissues from different areas such as the operating room, intensive care unit, hospitalization, hemodialysis, imaging, emergency room, among others, are sources of dirt such as blood, pus, medication residues, secretions and excretions, [61][62]…”