6.1
Water quality is a complex issue. There are multiple sources of pollution and impacts vary according to type of water body, the ecosystems affected and use of the downstream water.[25] In addition, water quality is defined differently depending on the protection goals. For example, the legislative requirements for aquatic systems (Water Framework Directive), bathing water quality (Bathing Water Directive) and drinking water quality (Drinking Water Directive) are all different.[25]
6.2
As a result of the wide range of inputs to the sewer network, waste water may contain a wide range of contaminants. To understand the potential environmental and human health impacts, ESS undertook a literature review focused on studies of both continuous treated discharges (from sewage treatment works) and intermittent discharges (from storm overflows). The review concentrated on literature from the UK and EU or, where this was not available, countries (in Western Europe and North America) with similar sewerage systems to Scotland.
6.3
Waste water is not necessarily the only source of contaminants entering the water environment. Contaminants may also originate from other sources, such as agricultural run-off, and background levels in surface waters may vary. ESS also recognises that the level of pollution in the sewage discharges which reach the water environment is related to the quality of the waste water entering the sewerage system itself. There are a number of policies in place to address this.[ix]
6.4
The literature review undertaken has identified contaminants which are likely to be present at elevated levels following sewage discharges (from either storm overflows or treated sewage). Many of these could result in adverse effects to ecosystems (including to fish, birds, mammals and humans) at concentrations above Environmental Quality Standards (EQS).[x]
- metals[51]
- hydrocarbons[50]
- pesticides[50]
- microplastics and the contaminants they release and which adsorb to them[52]
- organic contaminants (chemical compounds containing carbon)[50]
- pathogens (organisms causing disease)[53]
- pharmaceuticals and personal care products[54]
- hormones[55]
- organic matter and solids (matter produced by living organisms, or their remains)[56]
- nutrients[52]
6.5
These contaminants may come from the sewage itself, from the surface water run-off with which sewage mixes in the sewer network or from sediments eroded when there is increased flow in the sewer. Many contaminants are removed during treatment but not all are effectively separated from effluent. While most are not removed during overflow events, they will be diluted if storm overflows are working as expected.
6.6
In many of the studies reviewed,[50],[57],[58],[59],[60] the EQS for a range of contaminants (metals, phthalates and PAHs) were exceeded in and/or around and downstream of sewage discharges. The proposed EQS for diclofenac (an anti-inflammatory medicine) was also regularly exceeded.[53],[61],[62] Exceedances of the EQS attributed to sewage discharges have been observed in studies at distances of 800 metres downstream of the discharge point[63] (Italy) and negative effects attributed to contaminants from sewage discharges have been observed in aquatic life eight kilometres downstream of the discharge point (Canada).[64]
6.7
Article 4 of the Water Framework Directive allows for exceedances of EQS in “mixing zones adjacent to points of discharge” “if they do not affect the compliance of the rest of the body of surface water with those standards”. The studies reviewed did not explore whether these exceedances affected the compliance of the rest of the surface water body.
6.8
The exact impact of contaminants will vary according to factors such as the concentration, length of exposure and environment into which they spill. Fast-flowing, high-volume rivers or sea locations with high tidal influence will disperse more quickly than slow-moving, low-volume streams or coastal areas with low tidal influence like a cove or harbour.
6.9
Contaminants for which there is clear evidence of environmental impact connected to sewage discharges are excess phosphorus and nitrogen. Studies in Scotland found that, where there is excess phosphorus in a surface water, resulting algal blooms have a wide range of associated effects including death of fish and dogs, reductions in bird numbers and a reduction in biodiversity.[65],[66] Blooms and their effects have been observed in Scottish lochs and rivers. The studies, including recent work in Loch Leven,[52],[67] found that the largest introduction of nutrients to surface and groundwater was from agriculture, with sewage discharges being the second biggest source, accounting for 12% of the nutrient load in Loch Leven.[66] This trend was also observed in global studies. In terms of sources, CSOs were found to contribute lower amounts of these nutrients than continuous discharges from waste water treatment works.[68]
6.10
Contaminants from sewage discharges also impact the marine environment, either through direct discharges to sea or via input from rivers. Sewage-related debris is routinely recorded during beach clean surveys across Scotland[69],[70] and the UK,[71],[72] and comprises larger plastic items, such as wrongly disposed wet wipes and sanitary products. Sewage discharges (either treated sewage or storm overflows) have been identified as potentially one of the largest sources of microplastics entering the marine environment.[73]
6.11
The ecological effects of microplastics in the marine environment are now well evidenced. Such impacts include reduced body conditions, impacts on growth[51] and feeding rates,[74] build-up of ingestible matter (i.e. bioaccumulation) in species,[75],[76] and wider ecosystem impacts.[51]
6.12
In terms of impact on human health, exposure to pathogens, introduced to the water environment by storm overflows, during swimming was the main risk identified. In a study in Denmark, illness rates from swimming in contaminated waters the day after heavy rain were 42% compared to 8% in the same water when no sewage overflows had occurred.[77] In a UK study, 54% of swimmers at an event held after a storm suffered gastrointestinal illness.[78] Studies from the UK and Australia found that humans regularly entering surface waters have been found to be colonised by higher numbers of pathogens demonstrating antimicrobial resistance than the general population, and levels of antibiotic resistant genes appear to increase around sewage discharges.[79],[80] Illness has also been linked to shellfish harvested from areas affected by sewage in Wales.[81]
6.13
This review has identified that sewage discharges are a source for a wide range of contaminants, some of which pose a risk to human health and to the environment at the levels identified around and downstream of sewage discharge points. However, most of the studies did not explore how much this affected the wider body of surface water. ESS also finds an evidence gap with very few studies specifically considering contaminant levels around overflows in Scotland and their resultant impact. Given the precautionary principle and the requirement for protective measures to be taken ahead of environmental harm materialising, ESS considers that more research in this area would be helpful.
[ix] For example, the One Health Breakthrough Partnership which aims to address pharmaceutical pollution (https://ohbp.org/our-work/pharmaceuticals-in-the-environment/).
[x] Environmental Quality Standards are limits on the concentration of substances with harmful effects on biological quality that are discharged into the UK’s water environment in large quantities. EQS have been determined based on a range of factors, one of which is how toxic they are to aquatic life. It is important to note that the list of contaminants is not static and further emerging pollutants may be added in future where research shows that they are a risk.
[25] European Council, Staff Working Document Evaluation of the Council Directive 91/271/EEC of 21 May 1991, concerning urban waste-water treatment, 19 October 2019, p51.
[50] European Commission, Aarhus Convention.
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