Monitoring hospital wastewaters for their probable genotoxicity

Hospitals' effluents contain a considerable amount of chemicals. Considering the significant volume of wastewater discharged by hospitals, the presence of these chemicals represents a real threat to the environment and human health. Thus, the aim of this study was to evaluate the in vivo and in...

Full description

Saved in:
Bibliographic Details
Published in:Journal of water and health Vol. 18; no. 1; pp. 1 - 7
Main Authors: Beltifa, Asma, Alibi, Sana, Mansour, Hedi Ben
Format: Journal Article
Language:English
Published: England IWA Publishing 01.02.2020
Subjects:
ISSN:1477-8920, 1996-7829
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Abstract Hospitals' effluents contain a considerable amount of chemicals. Considering the significant volume of wastewater discharged by hospitals, the presence of these chemicals represents a real threat to the environment and human health. Thus, the aim of this study was to evaluate the in vivo and in vitro genotoxicities of three wastewater effluents collected from Tunisian hospitals. The liver of Swiss albino male mice, previously treated with different doses of the hospital wastewaters, was used as a model to detect DNA fragmentation. Our results showed all the hospital effluents caused significant qualitative and quantitative hazards in hepatic DNA. The wastewater collected from Sfax hospital exhibited the highest genotoxic effect, which may be explained by the presence in this effluent of some toxic micropolluants. There was a significant increase in genotoxicity, proportionally to the concentration of effluent. However, the vitotox assay did not show any significant genotoxicity on Salmonella typhimurium TA104 in the presence or absence of microsomal fraction S9. The ratio gentox/cytox was lower than the threshold 1.5. This study assessed the toxicological risk issued from Tunisian hospital wastewaters, which is potentially very harmful, and it has been pointed out that wastewater treatment requires special attention.
AbstractList Hospitals' effluents contain a considerable amount of chemicals. Considering the significant volume of wastewater discharged by hospitals, the presence of these chemicals represents a real threat to the environment and human health. Thus, the aim of this study was to evaluate the in vivo and in vitro genotoxicities of three wastewater effluents collected from Tunisian hospitals. The liver of Swiss albino male mice, previously treated with different doses of the hospital wastewaters, was used as a model to detect DNA fragmentation. Our results showed all the hospital effluents caused significant qualitative and quantitative hazards in hepatic DNA. The wastewater collected from Sfax hospital exhibited the highest genotoxic effect, which may be explained by the presence in this effluent of some toxic micropolluants. There was a significant increase in genotoxicity, proportionally to the concentration of effluent. However, the vitotox assay did not show any significant genotoxicity on Salmonella typhimurium TA104 in the presence or absence of microsomal fraction S9. The ratio gentox/cytox was lower than the threshold 1.5. This study assessed the toxicological risk issued from Tunisian hospital wastewaters, which is potentially very harmful, and it has been pointed out that wastewater treatment requires special attention.Hospitals' effluents contain a considerable amount of chemicals. Considering the significant volume of wastewater discharged by hospitals, the presence of these chemicals represents a real threat to the environment and human health. Thus, the aim of this study was to evaluate the in vivo and in vitro genotoxicities of three wastewater effluents collected from Tunisian hospitals. The liver of Swiss albino male mice, previously treated with different doses of the hospital wastewaters, was used as a model to detect DNA fragmentation. Our results showed all the hospital effluents caused significant qualitative and quantitative hazards in hepatic DNA. The wastewater collected from Sfax hospital exhibited the highest genotoxic effect, which may be explained by the presence in this effluent of some toxic micropolluants. There was a significant increase in genotoxicity, proportionally to the concentration of effluent. However, the vitotox assay did not show any significant genotoxicity on Salmonella typhimurium TA104 in the presence or absence of microsomal fraction S9. The ratio gentox/cytox was lower than the threshold 1.5. This study assessed the toxicological risk issued from Tunisian hospital wastewaters, which is potentially very harmful, and it has been pointed out that wastewater treatment requires special attention.
Hospitals' effluents contain a considerable amount of chemicals. Considering the significant volume of wastewater discharged by hospitals, the presence of these chemicals represents a real threat to the environment and human health. Thus, the aim of this study was to evaluate the in vivo and in vitro genotoxicities of three wastewater effluents collected from Tunisian hospitals. The liver of Swiss albino male mice, previously treated with different doses of the hospital wastewaters, was used as a model to detect DNA fragmentation. Our results showed all the hospital effluents caused significant qualitative and quantitative hazards in hepatic DNA. The wastewater collected from Sfax hospital exhibited the highest genotoxic effect, which may be explained by the presence in this effluent of some toxic micropolluants. There was a significant increase in genotoxicity, proportionally to the concentration of effluent. However, the vitotox assay did not show any significant genotoxicity on Salmonella typhimurium TA104 in the presence or absence of microsomal fraction S9. The ratio gentox/cytox was lower than the threshold 1.5. This study assessed the toxicological risk issued from Tunisian hospital wastewaters, which is potentially very harmful, and it has been pointed out that wastewater treatment requires special attention.
Author Alibi, Sana
Mansour, Hedi Ben
Beltifa, Asma
Author_xml – sequence: 1
  givenname: Asma
  surname: Beltifa
  fullname: Beltifa, Asma
  organization: Research Unit of Analysis and Process Applied to the Environment – APAE UR17ES32 Higher Institute of Applied Sciences and Technology Mahdia, University of Monastir, Mahdia, Tunisia, Faculty of Mathematical, Physical and Natural Sciences, University Tunis, El Manar, Tunisia
– sequence: 2
  givenname: Sana
  surname: Alibi
  fullname: Alibi, Sana
  organization: Research Unit of Analysis and Process Applied to the Environment – APAE UR17ES32 Higher Institute of Applied Sciences and Technology Mahdia, University of Monastir, Mahdia, Tunisia
– sequence: 3
  givenname: Hedi Ben
  surname: Mansour
  fullname: Mansour, Hedi Ben
  organization: Research Unit of Analysis and Process Applied to the Environment – APAE UR17ES32 Higher Institute of Applied Sciences and Technology Mahdia, University of Monastir, Mahdia, Tunisia
BackLink https://www.ncbi.nlm.nih.gov/pubmed/32129181$$D View this record in MEDLINE/PubMed
BookMark eNpt0EtLAzEQB_AgFfvQk3dZ8CLI1rw2u3sSKb6g4kXPS7I7aVO2m5qk1H57U1o9FE8zA78Zhv8Q9TrbAUKXBI8pEeJuMx9TTMoxwewEDUhZijQvaNmLPc_ztCgp7qOh9wuMqaAZPUN9RgktSUEG6P7NdiZYZ7pZMrd-ZYJsk430ATYygPOJti4JczAuWTmrpGohmUFng_02tQnbc3SqZevh4lBH6PPp8WPykk7fn18nD9O0ZhkPKW8oE6IApTVtcqpzyEudqVoQELrElDdAsFSCE60040rFBrK6bhquMqkkG6Gb_d34xdcafKiWxtfQtrIDu_YVZTkhnGdFFun1EV3YtevidzuFKWMsI1FdHdRaLaGpVs4spdtWv9FEcLsHtbPeO9B_hOBqF3y1mVe74OPMoiZHOqYjg7FdcNK0_-78ANcjhkQ
CitedBy_id crossref_primary_10_1016_j_jece_2022_108105
crossref_primary_10_1080_00207233_2022_2052537
crossref_primary_10_1021_acs_langmuir_5c00810
crossref_primary_10_1007_s10661_020_08328_9
crossref_primary_10_1177_02611929211004956
crossref_primary_10_1007_s11270_025_07828_z
Cites_doi 10.3390/w7051959
10.1016/j.toxrep.2015.09.004
10.1007/s11356-016-6713-2
10.1016/j.lfs.2003.12.019
10.1016/S1383-5742(01)00055-2
10.1016/j.chemosphere.2009.02.041
10.1016/j.envpol.2017.05.095
10.1016/j.mrrev.2014.02.001
10.1016/j.microc.2012.09.002
10.1016/j.chemosphere.2008.11.086
10.1007/s10661-016-5732-2
10.1016/j.chemosphere.2011.01.039
10.1016/S0045-6535(01)00062-5
10.1080/10937400701876194
10.1016/j.envpol.2018.04.116
10.1002/em.20373
10.1100/tsw.2002.338
10.1016/S0045-6535(01)00144-8
10.1590/S0100-879X2003000200004
10.1007/s10495-007-0110-8
10.1248/yakushi.17-00177-4
10.1016/S0027-5107(00)00117-2
10.1111/j.1365-2672.2010.04772.x
10.1007/s11356-017-9717-7
10.1016/j.jhydrol.2010.06.005
10.1016/j.envint.2009.01.011
10.1002/(SICI)1098-2280(1999)33:3<240::AID-EM8>3.0.CO;2-R
10.1016/j.chemosphere.2018.02.164
10.1095/biolreprod67.2.515
10.1590/S1415-47572009000200026
10.1021/tx00036a005
ContentType Journal Article
Copyright Copyright IWA Publishing Feb 2020
Copyright_xml – notice: Copyright IWA Publishing Feb 2020
DBID AAYXX
CITATION
CGR
CUY
CVF
ECM
EIF
NPM
3V.
7QH
7UA
7X7
7XB
88E
8C1
8FI
8FJ
8FK
ABUWG
AEUYN
AFKRA
ATCPS
AZQEC
BENPR
BHPHI
BKSAR
C1K
CCPQU
DWQXO
F1W
FYUFA
GHDGH
GNUQQ
H97
HCIFZ
K9.
L.G
M0S
M1P
PATMY
PCBAR
PHGZM
PHGZT
PJZUB
PKEHL
PPXIY
PQEST
PQQKQ
PQUKI
PRINS
PYCSY
7X8
DOI 10.2166/wh.2019.103
DatabaseName CrossRef
Medline
MEDLINE
MEDLINE (Ovid)
MEDLINE
MEDLINE
PubMed
ProQuest Central (Corporate)
Aqualine
Water Resources Abstracts
Health & Medical Collection
ProQuest Central (purchase pre-March 2016)
Medical Database (Alumni Edition)
Public Health Database
ProQuest Hospital Collection
Hospital Premium Collection (Alumni Edition)
ProQuest Central (Alumni) (purchase pre-March 2016)
ProQuest Central (Alumni)
ProQuest One Sustainability (subscription)
ProQuest Central UK/Ireland
Agricultural & Environmental Science Collection
ProQuest Central Essentials
ProQuest Central
Natural Science Collection
Earth, Atmospheric & Aquatic Science Collection
Environmental Sciences and Pollution Management
ProQuest One Community College
ProQuest Central
ASFA: Aquatic Sciences and Fisheries Abstracts
Health Research Premium Collection
Health Research Premium Collection (Alumni)
ProQuest Central Student
Aquatic Science & Fisheries Abstracts (ASFA) 3: Aquatic Pollution & Environmental Quality
SciTech Premium Collection
ProQuest Health & Medical Complete (Alumni)
Aquatic Science & Fisheries Abstracts (ASFA) Professional
Health & Medical Collection (Alumni)
Medical Database
Environmental Science Database
Earth, Atmospheric & Aquatic Science Database
Proquest Central Premium
ProQuest One Academic (New)
ProQuest Health & Medical Research Collection
ProQuest One Academic Middle East (New)
ProQuest One Health & Nursing
ProQuest One Academic Eastern Edition (DO NOT USE)
ProQuest One Academic (retired)
ProQuest One Academic UKI Edition
ProQuest Central China
Environmental Science Collection
MEDLINE - Academic
DatabaseTitle CrossRef
MEDLINE
Medline Complete
MEDLINE with Full Text
PubMed
MEDLINE (Ovid)
Aquatic Science & Fisheries Abstracts (ASFA) Professional
ProQuest Central Student
ProQuest One Academic Middle East (New)
ProQuest Central Essentials
ProQuest Health & Medical Complete (Alumni)
ProQuest Central (Alumni Edition)
SciTech Premium Collection
ProQuest One Community College
ProQuest One Health & Nursing
ProQuest Central China
Aquatic Science & Fisheries Abstracts (ASFA) 3: Aquatic Pollution & Environmental Quality
Water Resources Abstracts
Environmental Sciences and Pollution Management
ProQuest Central
Earth, Atmospheric & Aquatic Science Collection
ProQuest One Sustainability
ProQuest Health & Medical Research Collection
Health Research Premium Collection
Health and Medicine Complete (Alumni Edition)
Natural Science Collection
ProQuest Central Korea
Health & Medical Research Collection
Agricultural & Environmental Science Collection
ProQuest Central (New)
ProQuest Medical Library (Alumni)
ProQuest Public Health
ProQuest One Academic Eastern Edition
Earth, Atmospheric & Aquatic Science Database
ProQuest Hospital Collection
Health Research Premium Collection (Alumni)
Aqualine
ProQuest Hospital Collection (Alumni)
Environmental Science Collection
ProQuest Health & Medical Complete
ProQuest Medical Library
ProQuest One Academic UKI Edition
ASFA: Aquatic Sciences and Fisheries Abstracts
Environmental Science Database
ProQuest One Academic
ProQuest One Academic (New)
ProQuest Central (Alumni)
MEDLINE - Academic
DatabaseTitleList MEDLINE - Academic
CrossRef
MEDLINE
Aquatic Science & Fisheries Abstracts (ASFA) Professional
Database_xml – sequence: 1
  dbid: NPM
  name: PubMed
  url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
– sequence: 2
  dbid: BENPR
  name: ProQuest Central
  url: https://www.proquest.com/central
  sourceTypes: Aggregation Database
DeliveryMethod fulltext_linktorsrc
Discipline Engineering
EISSN 1996-7829
EndPage 7
ExternalDocumentID 32129181
10_2166_wh_2019_103
Genre Journal Article
GeographicLocations Tunisia
GeographicLocations_xml – name: Tunisia
GroupedDBID ---
..I
0R~
4.4
53G
5GY
7X7
7XC
88E
8C1
8CJ
8FE
8FH
8FI
8FJ
AAJVE
AAYXX
ABFYC
ABLGR
ABUWG
ADBBV
AECGI
AENEX
AEUYN
AFFHD
AFKRA
AFRAH
AJXRC
ALMA_UNASSIGNED_HOLDINGS
ATCPS
BENPR
BFBNB
BHPHI
BKSAR
BPHCQ
BVXVI
CCPQU
CITATION
CS3
D1J
DU5
EBS
F5P
FYUFA
GEUZO
GROUPED_DOAJ
H13
HCIFZ
HFPTO
HMCUK
HZ~
L7B
M1P
O9-
OK1
P2P
PATMY
PCBAR
PHGZM
PHGZT
PJZUB
PPXIY
PQQKQ
PROAC
PSQYO
PYCSY
R0Z
RHI
UKHRP
~02
.GJ
3V.
AAYOK
ABYZJ
AGBVZ
AGVJA
ALIPV
CGR
CUY
CVF
ECM
EIF
EJD
NPM
RHY
ZGI
7QH
7UA
7XB
8FK
AZQEC
C1K
DWQXO
F1W
GNUQQ
H97
K9.
L.G
PKEHL
PQEST
PQUKI
PRINS
7X8
PUEGO
ID FETCH-LOGICAL-c354t-4d23668ebff2d72f7e79f5bc61e6f9024de10ab641fbf34bb41fe5ccdd4b5aba3
IEDL.DBID 7X7
ISICitedReferencesCount 6
ISICitedReferencesURI http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=000519221200001&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D
ISSN 1477-8920
IngestDate Thu Oct 02 06:04:49 EDT 2025
Sat Nov 29 14:40:14 EST 2025
Wed Feb 19 02:29:54 EST 2025
Sat Nov 29 02:48:35 EST 2025
Tue Nov 18 20:47:52 EST 2025
IsDoiOpenAccess false
IsOpenAccess true
IsPeerReviewed true
IsScholarly true
Issue 1
Language English
LinkModel DirectLink
MergedId FETCHMERGED-LOGICAL-c354t-4d23668ebff2d72f7e79f5bc61e6f9024de10ab641fbf34bb41fe5ccdd4b5aba3
Notes ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 14
content type line 23
OpenAccessLink https://iwaponline.com/jwh/article-pdf/18/1/1/720470/jwh0180001.pdf
PMID 32129181
PQID 2370233351
PQPubID 105537
PageCount 7
ParticipantIDs proquest_miscellaneous_2371144585
proquest_journals_2370233351
pubmed_primary_32129181
crossref_primary_10_2166_wh_2019_103
crossref_citationtrail_10_2166_wh_2019_103
PublicationCentury 2000
PublicationDate 2020-02-01
2020-Feb
20200201
PublicationDateYYYYMMDD 2020-02-01
PublicationDate_xml – month: 02
  year: 2020
  text: 2020-02-01
  day: 01
PublicationDecade 2020
PublicationPlace England
PublicationPlace_xml – name: England
– name: London
PublicationTitle Journal of water and health
PublicationTitleAlternate J Water Health
PublicationYear 2020
Publisher IWA Publishing
Publisher_xml – name: IWA Publishing
References (2020080323234293700_JWH-D-19-00103C4) 2009; 32
(2020080323234293700_JWH-D-19-00103C24) 2003; 36
(2020080323234293700_JWH-D-19-00103C14) 2000; 455
(2020080323234293700_JWH-D-19-00103C13) 2015; 7
(2020080323234293700_JWH-D-19-00103C29) 2014; 760
(2020080323234293700_JWH-D-19-00103C30) 2011; 1
(2020080323234293700_JWH-D-19-00103C27) 2017; 76
(2020080323234293700_JWH-D-19-00103C34) 2012; 27
(2020080323234293700_JWH-D-19-00103C38) 2009; 75
(2020080323234293700_JWH-D-19-00103C3) 2006; 25
(2020080323234293700_JWH-D-19-00103C6) 2013; 106
(2020080323234293700_JWH-D-19-00103C33) 1999; 33
(2020080323234293700_JWH-D-19-00103C36) 2007; 12
(2020080323234293700_JWH-D-19-00103C7) 2003; 28
(2020080323234293700_JWH-D-19-00103C25) 2001; 488
(2020080323234293700_JWH-D-19-00103C11) 2002; 67
(2020080323234293700_JWH-D-19-00103C16) 2009; 75
(2020080323234293700_JWH-D-19-00103C28) 2018; 4
(2020080323234293700_JWH-D-19-00103C23) 2008; 49
(2020080323234293700_JWH-D-19-00103C1) 2015; 2
(2020080323234293700_JWH-D-19-00103C26) 2018; 201
(2020080323234293700_JWH-D-19-00103C35) 2011; 83
(2020080323234293700_JWH-D-19-00103C37) 2017; 189
(2020080323234293700_JWH-D-19-00103C18) 2017; 24
(2020080323234293700_JWH-D-19-00103C15) 2001; 45
(2020080323234293700_JWH-D-19-00103C2) 2018; 138
(2020080323234293700_JWH-D-19-00103C9) 2000; 23
(2020080323234293700_JWH-D-19-00103C21) 2008; 11
(2020080323234293700_JWH-D-19-00103C22) 2010; 109
(2020080323234293700_JWH-D-19-00103C20) 2018; 240
(2020080323234293700_JWH-D-19-00103C31) 2010; 389
(2020080323234293700_JWH-D-19-00103C19) 2017; 229
(2020080323234293700_JWH-D-19-00103C8) 2009; 35
(2020080323234293700_JWH-D-19-00103C32) 2002; 2
(2020080323234293700_JWH-D-19-00103C12) 2004; 75
(2020080323234293700_JWH-D-19-00103C5) 2002; 46
(2020080323234293700_JWH-D-19-00103C10) 1992; 227
(2020080323234293700_JWH-D-19-00103C39) 2016; 23
(2020080323234293700_JWH-D-19-00103C17) 1993; 6
References_xml – volume: 7
  start-page: 1959
  year: 2015
  ident: 2020080323234293700_JWH-D-19-00103C13
  article-title: Preliminary toxicological evaluation of the River Danube using in vitro bioassays
  publication-title: Water
  doi: 10.3390/w7051959
– volume: 2
  start-page: 1265
  year: 2015
  ident: 2020080323234293700_JWH-D-19-00103C1
  article-title: The genotoxicity and systemic toxicity of a pharmaceutical effluent in Wistar rats may involve oxidative stress induction
  publication-title: Toxicology Reports
  doi: 10.1016/j.toxrep.2015.09.004
– volume: 23
  start-page: 15343
  year: 2016
  ident: 2020080323234293700_JWH-D-19-00103C39
  article-title: Ecotoxicological potential of antibiotic pollution-industrial wastewater: bioavailability, biomarkers, and occurrence in Mytilus galloprovincialis
  publication-title: Environmental Science and Pollution Research International
  doi: 10.1007/s11356-016-6713-2
– volume: 75
  start-page: 353
  year: 2004
  ident: 2020080323234293700_JWH-D-19-00103C12
  article-title: Effects of naringin on cytosine arabinoside (Ara-C)-induced cytotoxicity and apoptosis in p388 cells
  publication-title: Life Science
  doi: 10.1016/j.lfs.2003.12.019
– volume: 76
  start-page: 3000
  issue: 11–12
  year: 2017
  ident: 2020080323234293700_JWH-D-19-00103C27
  article-title: Identification and risk assessment of human and veterinary antibiotics in the wastewater treatment plants and the adjacent sea in Tunisia
  publication-title: Water Science and Technology
– volume: 488
  start-page: 151
  year: 2001
  ident: 2020080323234293700_JWH-D-19-00103C25
  article-title: A review of the genotoxicity of marketed pharmaceuticals
  publication-title: Mutation Research
  doi: 10.1016/S1383-5742(01)00055-2
– volume: 75
  start-page: 1453
  year: 2009
  ident: 2020080323234293700_JWH-D-19-00103C38
  article-title: Combination of in vitro bioassays for the determination of cytotoxic and genotoxic potential of wastewater, surface water and drinking water samples
  publication-title: Chemosphere
  doi: 10.1016/j.chemosphere.2009.02.041
– volume: 25
  start-page: 227
  year: 2006
  ident: 2020080323234293700_JWH-D-19-00103C3
  article-title: Genotoxicity screening of wastewaters from Agbara industrial estate, Nigeria evaluated with the Allium test
  publication-title: Pollution Research
– volume: 229
  start-page: 371
  year: 2017
  ident: 2020080323234293700_JWH-D-19-00103C19
  article-title: Abundance of carbapenemase genes (blaKPC, blaNDM and blaOXA-48) in wastewater effluents from Tunisian hospitals
  publication-title: Environmental Pollution
  doi: 10.1016/j.envpol.2017.05.095
– volume: 760
  start-page: 18
  year: 2014
  ident: 2020080323234293700_JWH-D-19-00103C29
  article-title: Environmental risk assessment of anticancer drugs and their transformation products: a focus on their genotoxicity characterization-state of knowledge and short comings
  publication-title: Mutation Research/Reviews in Mutation Research
  doi: 10.1016/j.mrrev.2014.02.001
– volume: 106
  start-page: 323
  year: 2013
  ident: 2020080323234293700_JWH-D-19-00103C6
  article-title: Simultaneous determination of 13 quinolones antibiotic derivatives in wastewater samples using solid-phase extraction and ultra performance liquid chromatography–tandem mass spectrometry
  publication-title: Microchemical Journal
  doi: 10.1016/j.microc.2012.09.002
– volume: 75
  start-page: 417
  year: 2009
  ident: 2020080323234293700_JWH-D-19-00103C16
  article-title: Antibiotics in the aquatic environment-a review: part I
  publication-title: Chemosphere
  doi: 10.1016/j.chemosphere.2008.11.086
– volume: 189
  start-page: 55
  year: 2017
  ident: 2020080323234293700_JWH-D-19-00103C37
  article-title: Characterization and toxicity of hospital wastewaters in Turkey
  publication-title: Environmental Monitoring and Assessment
  doi: 10.1007/s10661-016-5732-2
– volume: 83
  start-page: 14
  year: 2011
  ident: 2020080323234293700_JWH-D-19-00103C35
  article-title: Change of genotoxicity for raw and finished water: role of purification processes
  publication-title: Chemosphere
  doi: 10.1016/j.chemosphere.2011.01.039
– volume: 46
  start-page: 225
  year: 2002
  ident: 2020080323234293700_JWH-D-19-00103C5
  article-title: The cytotoxic and genotoxic potential of surface water and wastewater effluents as determined by bioluminescence, umu-assays and selected biomarkers
  publication-title: Chemosphere
  doi: 10.1016/S0045-6535(01)00062-5
– volume: 11
  start-page: 322
  year: 2008
  ident: 2020080323234293700_JWH-D-19-00103C21
  article-title: Key developments in endocrine disrupter research and human health
  publication-title: Journal of Toxicology and Environmental Health. Part B, Critical Reviews
  doi: 10.1080/10937400701876194
– volume: 227
  start-page: 91
  year: 1992
  ident: 2020080323234293700_JWH-D-19-00103C10
  article-title: The genotoxicity of industrial wastes and effluents: a review
  publication-title: Mutation Research
– volume: 240
  start-page: 330
  year: 2018
  ident: 2020080323234293700_JWH-D-19-00103C20
  article-title: Determination of metals and pharmaceutical compounds released in hospital wastewater from Toluca, Mexico, and evaluation of their toxic impact
  publication-title: Environmental Pollution
  doi: 10.1016/j.envpol.2018.04.116
– volume: 49
  start-page: 206
  year: 2008
  ident: 2020080323234293700_JWH-D-19-00103C23
  article-title: DNA damage induced by industrial solid-waste leachates in Drosophila melanogaster: a mechanistic approach
  publication-title: Environmental and Molecular Mutagenesis
  doi: 10.1002/em.20373
– volume: 2
  start-page: 1247
  year: 2002
  ident: 2020080323234293700_JWH-D-19-00103C32
  article-title: Genotoxicity studies in groundwater, surface waters, and contaminated soil
  publication-title: Scientific World Journal
  doi: 10.1100/tsw.2002.338
– volume: 28
  start-page: 3
  year: 2003
  ident: 2020080323234293700_JWH-D-19-00103C7
  article-title: The application of the umu test system for screening mutagenicity of surface water
  publication-title: Turkish Journal of Biochemistry
– volume: 45
  start-page: 957
  year: 2001
  ident: 2020080323234293700_JWH-D-19-00103C15
  article-title: Drugs in the environment: emission of drugs, diagnostic aids and disinfectants into wastewater by hospitals in relation to other sources – the review
  publication-title: Chemosphere
  doi: 10.1016/S0045-6535(01)00144-8
– volume: 4
  start-page: 553
  year: 2018
  ident: 2020080323234293700_JWH-D-19-00103C28
  article-title: UPLC-MS/MS analysis of antibiotics in pharmaceutical effluent in Tunisia: ecotoxicological impact and multi-resistant bacteria dissemination
  publication-title: Archives of Microbiology
– volume: 36
  start-page: 183
  year: 2003
  ident: 2020080323234293700_JWH-D-19-00103C24
  article-title: Mitochondria, calcium and proapoptotic proteins as mediators in cell death signaling
  publication-title: Brazilian Journal of Medical and Biological Research
  doi: 10.1590/S0100-879X2003000200004
– volume: 12
  start-page: 1901
  year: 2007
  ident: 2020080323234293700_JWH-D-19-00103C36
  article-title: Involvement of both tumor necrosis factor-alpha-induced necrosis and p53-mediated caspase-dependent apoptosis in nephrotoxicity of cisplatine
  publication-title: Apoptosis
  doi: 10.1007/s10495-007-0110-8
– volume: 138
  start-page: 289
  year: 2018
  ident: 2020080323234293700_JWH-D-19-00103C2
  article-title: Newly designed water treatment systems for hospital effluent
  publication-title: Yakugaku Zasshi
  doi: 10.1248/yakushi.17-00177-4
– volume: 455
  start-page: 155
  year: 2000
  ident: 2020080323234293700_JWH-D-19-00103C14
  article-title: In vivo rodent micronucleus assay: protocol, conduct and data interpretation
  publication-title: Mutation Research
  doi: 10.1016/S0027-5107(00)00117-2
– volume: 109
  start-page: 1093
  year: 2010
  ident: 2020080323234293700_JWH-D-19-00103C22
  article-title: Detection and molecular characterization of enteric viruses in environmental samples in Monastir, Tunisia between January 2003 and April 2007
  publication-title: Journal of Applied Microbiology
  doi: 10.1111/j.1365-2672.2010.04772.x
– volume: 27
  start-page: 350
  year: 2012
  ident: 2020080323234293700_JWH-D-19-00103C34
  article-title: Extracts from Hypoxis species and a commercially available Hypoxis preparation
  publication-title: Phytotherapy Research
– volume: 24
  start-page: 20422
  year: 2017
  ident: 2020080323234293700_JWH-D-19-00103C18
  article-title: Cytotoxic effects of seven Tunisian hospital wastewaters on the proliferation of human breast cancer cell line MDA-231: correlation with their chemical characterization
  publication-title: Environmental Science and Pollution Research International
  doi: 10.1007/s11356-017-9717-7
– volume: 389
  start-page: 416
  year: 2010
  ident: 2020080323234293700_JWH-D-19-00103C31
  article-title: Hospital effluents as a source of emerging pollutants: an overview of micropollutants and sustainable treatment options
  publication-title: Journal of Hydrology
  doi: 10.1016/j.jhydrol.2010.06.005
– volume: 35
  start-page: 718
  year: 2009
  ident: 2020080323234293700_JWH-D-19-00103C8
  article-title: Groundwater contamination by microbiological and chemical substances released from hospital wastewater: health risk assessment for drinking water consumers
  publication-title: Environment International
  doi: 10.1016/j.envint.2009.01.011
– volume: 1
  start-page: 1
  year: 2011
  ident: 2020080323234293700_JWH-D-19-00103C30
  article-title: The use of the cytogenetic to identify mechanisms of action of an azo dye in Allium cepa meristematic cells
  publication-title: Journal of Environmental and Analytical Toxicology
– volume: 23
  start-page: 161
  year: 2000
  ident: 2020080323234293700_JWH-D-19-00103C9
  article-title: Evaluation of the SOS/umu-test posttreatment assay for the detection of genotoxic activities of pure compounds and complex environmental mixtures
  publication-title: Mutation Research
– volume: 33
  start-page: 240
  year: 1999
  ident: 2020080323234293700_JWH-D-19-00103C33
  article-title: VITOTOX® bacterial genotoxicity and toxicity test for the rapid screening of chemicals
  publication-title: Environmental and Molecular Mutagenesis
  doi: 10.1002/(SICI)1098-2280(1999)33:3<240::AID-EM8>3.0.CO;2-R
– volume: 201
  start-page: 178
  year: 2018
  ident: 2020080323234293700_JWH-D-19-00103C26
  article-title: A simultaneous determination of anti-cancer drugs in hospital effluent by DLLME HPLC-FLD, together with a risk assessment
  publication-title: Chemosphere
  doi: 10.1016/j.chemosphere.2018.02.164
– volume: 67
  start-page: 515
  year: 2002
  ident: 2020080323234293700_JWH-D-19-00103C11
  article-title: Wild intersex roach (Rutilus rutilus) have reduced fertility
  publication-title: Biology of Reproduction
  doi: 10.1095/biolreprod67.2.515
– volume: 32
  start-page: 373
  issue: 2
  year: 2009
  ident: 2020080323234293700_JWH-D-19-00103C4
  article-title: Genotoxicity assessment of a pharmaceutical effluent using four bioassays
  publication-title: Genetics and Molecular Biology
  doi: 10.1590/S1415-47572009000200026
– volume: 6
  start-page: 771
  year: 1993
  ident: 2020080323234293700_JWH-D-19-00103C17
  article-title: Endogenous DNA adducts: potential and paradox
  publication-title: Chemical Research in Toxicology
  doi: 10.1021/tx00036a005
SSID ssj0026252
Score 2.246909
Snippet Hospitals' effluents contain a considerable amount of chemicals. Considering the significant volume of wastewater discharged by hospitals, the presence of...
SourceID proquest
pubmed
crossref
SourceType Aggregation Database
Index Database
Enrichment Source
StartPage 1
SubjectTerms Access
Albinism
Animals
Biocompatibility
Cytotoxicity
Deoxyribonucleic acid
DNA
DNA Damage
DNA fragmentation
Effluents
Environmental Monitoring - methods
Genetic testing
Genotoxicity
Hospital wastes
Hospitals
Humans
In vivo methods and tests
Laboratories
Liver
Medical wastes
Mice
Monitoring
Organic chemistry
Pharmaceuticals
Salmonella
Telemedicine
Toxicology
Waste Water - chemistry
Wastewater discharges
Wastewater treatment
Water Pollutants, Chemical - analysis
Water Pollutants, Chemical - toxicity
Title Monitoring hospital wastewaters for their probable genotoxicity
URI https://www.ncbi.nlm.nih.gov/pubmed/32129181
https://www.proquest.com/docview/2370233351
https://www.proquest.com/docview/2371144585
Volume 18
WOSCitedRecordID wos000519221200001&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
journalDatabaseRights – providerCode: PRVPQU
  databaseName: Earth, Atmospheric & Aquatic Science Database
  customDbUrl:
  eissn: 1996-7829
  dateEnd: 20241209
  omitProxy: false
  ssIdentifier: ssj0026252
  issn: 1477-8920
  databaseCode: PCBAR
  dateStart: 20030301
  isFulltext: true
  titleUrlDefault: https://search.proquest.com/eaasdb
  providerName: ProQuest
– providerCode: PRVPQU
  databaseName: Environmental Science Database
  customDbUrl:
  eissn: 1996-7829
  dateEnd: 20241209
  omitProxy: false
  ssIdentifier: ssj0026252
  issn: 1477-8920
  databaseCode: PATMY
  dateStart: 20030301
  isFulltext: true
  titleUrlDefault: http://search.proquest.com/environmentalscience
  providerName: ProQuest
– providerCode: PRVPQU
  databaseName: Health & Medical Collection
  customDbUrl:
  eissn: 1996-7829
  dateEnd: 20241209
  omitProxy: false
  ssIdentifier: ssj0026252
  issn: 1477-8920
  databaseCode: 7X7
  dateStart: 20030301
  isFulltext: true
  titleUrlDefault: https://search.proquest.com/healthcomplete
  providerName: ProQuest
– providerCode: PRVPQU
  databaseName: ProQuest Central
  customDbUrl:
  eissn: 1996-7829
  dateEnd: 20241209
  omitProxy: false
  ssIdentifier: ssj0026252
  issn: 1477-8920
  databaseCode: BENPR
  dateStart: 20030301
  isFulltext: true
  titleUrlDefault: https://www.proquest.com/central
  providerName: ProQuest
– providerCode: PRVPQU
  databaseName: Public Health Database
  customDbUrl:
  eissn: 1996-7829
  dateEnd: 20241209
  omitProxy: false
  ssIdentifier: ssj0026252
  issn: 1477-8920
  databaseCode: 8C1
  dateStart: 20030301
  isFulltext: true
  titleUrlDefault: https://search.proquest.com/publichealth
  providerName: ProQuest
link http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1LS8QwEB58HfTg-7G-qOBJKG6bJmlOoqJ40GURhfVUkjRhBdlVd3X9-c6kXR-gXrykDQ1JyUzmkUnmA9i3GrW0VD4uUfzFmbImzoWWMXdaoTryQvmQZ_ZStlp5p6Pa9YbboD5WOZaJQVCXfUt75Icpk6heGOPJ0eNTTKhRFF2tITQmYZpgs4nPZefT4ULbPkQ7M4mSWKXN6n5emghxOKJARKLozvl3jfSLmRnUzfnCf390EeZrQzM6rjhjCSZcbxnmvqQfXIGjakFTJerW-CHRSA9oP42SbkZo0EYhkhAR7gxdsooop-uw_3Zv0Xpfhdvzs5vTi7gGVIgt49kwzsqUCZE7431aytRLh1TixorECa9QW5cuaWojssQbzzJj8MVxa8syM1wbzdZgqtfvuQ2IDHaQ-1yUhju0wZh2TW8VRwcl5U5a3YCD8aQWts42TqAXDwV6HUSBYtQtiAJYZw3kmXHjxyrJxs_NtsczXtQrbVB8TncD9j4-4xqhwIfuuf5LaINuX4aeUQPWK6p-jMNQdys0czb_7nwLZlPytMN57W2YGj6_uB2Ysa_D-8HzbmC7UOZY5qfJLkyfnLXa1_hsH99c3b0D48TmVA
linkProvider ProQuest
linkToHtml http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMw1V1LTxwxDLZ4VKI9AOXRLo-SSuWCNGInmWQmB4QQD4HYrnqgErchySQCCe1Sdum2f4rfiD2PLUjAjUNvE02Uedix_dmxDfDNGdTSqQ5RgeIvSrSzUaZMGklvNKqjoHQo68x20m43Oz_XPybgvsmFoWOVjUwsBXXRd-Qj3-YiRfUihIx3b35F1DWKoqtNC42KLU793xFCtsHOyQHSd5Pzo8Oz_eOo7ioQOSGTYZQUXCiVeRsCL1IeUo-vKq1TsVdBo8oqfNw2ViVxsEEk1uKFl84VRWKlsUbgupMwTZXsaEdl--MjJRyxRBldTVKU_Jq3q3xAHiu1PaLAR6wpx_2pBnzBrC3V29Hc__Zj5mG2NqTZXsX5H2HC9xbgw6PyiouwWwksGrDLuj8KG5kB-QupqChDg52VkRJGfXUoiYxRzdph_8-VQ3SyBD_f5AuWYarX7_nPwCwukIVMFVZ6tDGF8e3gtEQAxqVPnWnBVkPE3NXV1Kmpx3WOqIoono8uc6I4jkUL90Qz-aYqIvL8tLWGwnktSQb5P_K24Ov4NsoACuyYnu_flXMQ1iaI_FrwqeKi8XME2iYazbiV1xffgJnjs--dvHPSPV2F95y8CuXZ9DWYGt7e-XV4534Prwa3X0qWZ3Dx1qz0AKP9Qjg
linkToPdf http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMw1V1LbxMxEB6VFCE4lFeBlAJGggvSKlk_1wdUAW1E1SqKEEi9LbbXViuhpDQpgb_WX9eZfQSQgFsP3NZay_uY8cx8M54ZgBfBoZY2NmUVir9M2uCzQjuTqegsqqOkbarrzB6a8bg4OrKTNbjocmHoWGUnE2tBXc0C-cgHXBhUL0KofJDaYxGT3dHO6deMOkhRpLVrp9GwyEH8sUT4Nn-9v4u0fsn5aO_ju_dZ22EgC0LJRSYrLrQuok-JV4YnE_G1lQ86jzpZVF9VzIfOa5knn4T0Hi-iCqGqpFfOO4HrXoN1g0aG7MH6273x5MMK7iGyqGOt0qAesHzYZAfyXOvBksIguaWM99_14V-M3FrZjW7_z7_pDmy0JjZ70-yJu7AWp_fg1i-FF-_DTiPKaMCO284pbOnm5EmkcqMMTXlWx1AYddyh9DJG1WwXs-8nAXHLJny6ki94AL3pbBofAfO4QJEKXXkV0foULg5TsAqhGVfRBNeHVx1By9DWWad2H19KxFtE_XJ5XBL1cSz6uFu6yadNeZE_T9vuqF22MmZe_iR1H56vbqN0oJCPm8bZeT0HAa9ETNiHhw1HrZ4j0GqxaOBt_XvxZ3ADOag83B8fPIabnNwN9aH1begtzs7jE7gevi1O5mdPW_5n8PmqeekSkOFMlg
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Monitoring+hospital+wastewaters+for+their+probable+genotoxicity&rft.jtitle=Journal+of+water+and+health&rft.au=Beltifa%2C+Asma&rft.au=Alibi%2C+Sana&rft.au=Mansour%2C+Hedi+Ben&rft.date=2020-02-01&rft.issn=1477-8920&rft.volume=18&rft.issue=1&rft.spage=1&rft_id=info:doi/10.2166%2Fwh.2019.103&rft.externalDBID=NO_FULL_TEXT
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1477-8920&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1477-8920&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1477-8920&client=summon