Consumption trends of pharmaceuticals and psychoactive drugs in Latvia determined by the analysis of wastewater

Water Res. 2022 Aug 1:221:118800. doi: 10.1016/j.watres.2022.118800. Epub 2022 Jun 27.

Abstract

Wastewater-based epidemiology (WBE) was applied to evaluate seasonal variations of the consumption of pharmaceuticals (i.e. antibiotics, NSAIDs, antiepileptics, antihypertensives and others), caffeine, alcohol and nicotine in Latvia throughout 2021. In addition, weekly variation of caffeine, nicotine and alcohol consumption was investigated. Pronounced seasonality was observed in the consumption of antibiotics and decongestants, as well as caffeine, nicotine and alcohol. Correlation with COVID-19 statistics was observed in the case of macrolide antibiotics and antiasthmatic salbutamol. Comparison of the estimated consumption values obtained using the WBE approach and the statistics revealed that the majority of compounds data are in good agreement except angiotensin II receptor blocker group antihypertensives where the most overestimated consumption values were observed.

Keywords: 5-hydroxyindoleacetic acid; Alcohol; Caffeine; Nicotine; Wastewater-based epidemiology.

MeSH terms

  • Anti-Bacterial Agents
  • Antihypertensive Agents
  • COVID-19*
  • Caffeine
  • Ethanol
  • Humans
  • Latvia / epidemiology
  • Nicotine / analysis
  • Pharmaceutical Preparations
  • Psychotropic Drugs
  • Wastewater / analysis
  • Water Pollutants, Chemical* / analysis

Substances

  • Anti-Bacterial Agents
  • Antihypertensive Agents
  • Pharmaceutical Preparations
  • Psychotropic Drugs
  • Waste Water
  • Water Pollutants, Chemical
  • Caffeine
  • Ethanol
  • Nicotine