Pharmaceuticals and other urban contaminants threaten Amazonian freshwater ecosystems

[Display omitted] •First large-scale monitoring of pharmaceuticals in the Amazon River.•Caffeine, nicotine and acetaminophen are ubiquitous compounds in the Amazon.•Chemical mixtures can affect up to 50–80% of species next to urban areas.•Ecological risks are mainly driven by psychostimulants, analgesics and hormones.•Urgent measures are needed to reduce chemical emissions and to monitor effects. Urban areas in the Brazilian Amazon have grown at an unprecedented rate during the last years. About 90% of the wastewater produced by these urban areas are discharged untreated into Amazonian freshwater ecosystems, constituting a potential environmental pathway for pharmaceuticals and other chemicals consumed by modern societies (e.g. psychostimulants, personal-care products, hormones). The distribution of these chemicals into the Amazon River and their potential risks for freshwater biodiversity have not been evaluated so far. Here, we show the results of the largest chemical monitoring campaign conducted in the Amazon region. We assessed exposure patterns for 43 pharmaceuticals and other urban contaminants in 40 sampling sites distributed along the Amazon River, three major tributaries (Negro, Tapajós and Tocantins Rivers), and four large cities of the Brazilian Amazon (Manaus, Santarém, Macapá, Belém). We assessed risks for freshwater biodiversity using species sensitivity distributions and mixture toxicity approaches. We found that urban areas constitute important hot-spots for chemical contamination, with mixtures containing up to 40 different compounds and exposure concentrations reaching the world’s maxima for some of them. We show that chemical pollution can result in long-term effects for up to 50–80% of aquatic species next to urban areas. Moreover, we identified several ubiquitous compounds which can be used as tracers of anthropogenic pressure in the Amazon basin. We conclude that the chemical burden created by urbanization significantly contributes to a biodiversity loss in the region and should be further controlled.