Environmental impact of pharmaceuticals and personal care products

The environmental effect of pharmaceuticals and personal care products (PPCPs) is being investigated since at least the 1990s. PPCPs include substances used by individuals for personal health or cosmetic reasons and the products used by agribusiness to boost growth or health of livestock. More than twenty million tons of PPCPs are produced every year. The European Union has declared pharmaceutical residues with the potential of contamination of water and soil to be "priority substances".[3] PPCPs have been detected in water bodies throughout the world. More research is needed to evaluate the risks of toxicity, persistence, and bioaccumulation, but the current state of research shows that personal care products impact the environment and other species, such as coral reefs and fish. PPCPs encompass environmental persistent pharmaceutical pollutants (EPPPs) and are one type of persistent organic pollutants. They are not removed in conventional sewage treatment plants but require a fourth treatment stage which not many plants have. In 2022, the most comprehensive study of pharmaceutical pollution of the world's rivers found that it threatens "environmental and/or human health in more than a quarter of the studied locations". It investigated 1,052 sampling sites along 258 rivers in 104 countries, representing the river pollution of 470 million people. It found that "the most contaminated sites were in low- to middle-income countries and were associated with areas with poor wastewater and waste management infrastructure and pharmaceutical manufacturing" and lists the most frequently detected and concentrated pharmaceuticals. Since the 1990s, water pollution by pharmaceuticals has been an environmental issue of concern. Many public health professionals in the United States began writing reports of pharmaceutical contamination in waterways in the 1970s." Most pharmaceuticals are deposited in the environment through human consumption and excretion, and are often filtered ineffectively by municipal sewage treatment plants which are not designed to manage them.