Cost-effective reduction of micro pollutants in the water cycle – Case study on iodinated contrast media

Surface waters, especially in densely populated areas, are facing multiple anthropogenic pressures. Micro pollutants are of growing concern. Improved analytical methods are used to focus on substances like ICM with a (high) potential of hazardous effects against water organisms or the water quality in general ICM are essential for instance in computer tomographic examinations in medical facilities. Discharge of ICM to the sewer system occurs via human urine excretions. Common waste water treatment plants do not eliminate these substances completely. Therefore, increasing concentrations are found in the rivers worldwide. The project MERK'MAL explored a potentially cost-effective measure to reduce ICM in the River Ruhr, located in Germany, North Rhine-Westphalia. The results from this pilot study show that urine bags are an effective measure to reduce ICM concentrations. During the urine collection with bags measurements of ICM concentrations have shown a reduction, compared to the baseline concentration that was measured at the same sampling point in the effluent of the corresponding waste water treatment plant. The ICM reduction ranged between 20 and 34% for the mean values and between 7 and 33% for the median value. Additional payment equivalent costs per examination with ICM are approx. 3.36 €, full costs including imputed costs are expected in a cost range of 5.38 € to 6.09 € per examination. The extension of the study is envisioned, helping to sustainably enhance water quality in the River Ruhr in terms of ICM concentrations. [Display omitted] •Discharge of iodinated contrast media (ICM) into surface waters can be minimized.•Large scale use of urine bags is a low-cost measure to reduce ICM concentrations.•Urine bags can be an effective instrument for ICM reduction at the source.