2016
DOI: 10.1007/s12665-016-6100-9
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Two decades of system-based hygienic–microbiological research in Swist river catchment (Germany)

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Cited by 17 publications
(3 citation statements)
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“…36,49,77], the CSO pollutant loads are comparable, in magnitude, to the emission of wastewater treatment plants (considering an annual basis). Thus, since CSO events have low occurrence frequency, this means that they release large volumes of water with a remarkable concentration of pollutants in terms of carbon, nutrients, micropollutants, heavy metals and pathogens [49,71,77].…”
Section: Introductionmentioning
confidence: 92%
“…36,49,77], the CSO pollutant loads are comparable, in magnitude, to the emission of wastewater treatment plants (considering an annual basis). Thus, since CSO events have low occurrence frequency, this means that they release large volumes of water with a remarkable concentration of pollutants in terms of carbon, nutrients, micropollutants, heavy metals and pathogens [49,71,77].…”
Section: Introductionmentioning
confidence: 92%
“…The discharge of antibiotics, (multi-)resistant bacteria and their respective resistance genes to the aquatic environment further worsens this threat, as selective pressure on bacteria and horizontal gene transfer promote the formation of antimicrobial resistances in the environment (Adler et al 2018;Abe et al 2020). A significant advantage of on-site treatment at hospitals is the reduction of released bacteria and antimicrobial resistance genes to the environment by combined sewer overflows (CSO) (Verlicchi 2018), which represent a major pathway of pathogens into the aquatic environment (Schreiber et al 2016).…”
Section: Introductionmentioning
confidence: 99%
“…The main entry pathways of microorganisms, with ARG and trace pollutants, into the environment, are the effluents of munic ipal sewage treatment plants (STP) (Müller et al, 2018;Stange et al, 2019;Watkinson et al, 2009), and in the case of heavy rain fall events, the combined sewer overflow discharges (Christoffels et al, 2014;Schreiber et al, 2016), and the run off from manured fields (Christian et al, 2003;Schmithausen et al, 2018;Schreiber et al, 2015). Antibiotics will pass treated organisms unchanged or will be excreted as metabolites or conjugates (Kümmerer, 2009).…”
Section: Introductionmentioning
confidence: 99%