Antibiotic resistant genes were found to spread through water treatment systems, said researchers.

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Scholars warn attention needed to make wastewater potable and ensure public safety nationwide against emerging threat of antibiotic resistance.
Historically, indirect reuse treatment methods in which an environmental barrier is an intermediary step in the water cleaning process have been more popular than the direct "toilet to tap" process. While indirect methods of water reuse treatment were, from a public perception and appetite, considered more reliable, it is actually direct reuse "toilet to tap" approaches which do not introduce an environmental buffer that produce safer, more pure water for potability. The reason for this lies in the way ARGs in the environment can contaminate potable reuse water. These findings were highlighted in a study published in Environmental Science & Technology Letters.
How ARGs Spread through Water Treatment Systems
While some ARGs are naturally occurring in microbial communities, antibiotics, ARGs and antibiotic resistant pathogens are on the rise in water sources as a result of the overuse of antibiotics in general. In a typical water treatment cycle, wastewater is treated first at a wastewater treatment facility. The study found that this water remains high in ARGs, as they persist throughout the treatment process. From here, water intended for potable reuse is further purified using advanced physical and chemical techniques including reverse osmosis--a process that uses a partially permeable membrane to purify drinking water.
In an indirect reuse schema, the purified water will be infused back into an environmental buffer, like a groundwater aquifer. Later, water is pulled from the aquifer and further treated at a drinking water treatment plant before being added to the public water supply. In contrast, in direct reuse approaches, purified water does not return to an environmental buffer, but instead, remains within the engineered water cycle, going from the wastewater treatment plant to the water reuse plant to the drinking water treatment plant and then out to your tap Looking at the differences in ARGs between various water sources is incredibly important in considering future health hazards, like development of super bugs, said Smith.
"ARGs are not regulated in any way and are a challenging emerging contaminant of concern due to our reliance on biological treatment in the engineered water cycle," Smith said. "Because they are biological contaminants--small fragments of DNA that are released to the environment--bacteria present in receiving environments can uptake them, becoming resistant themselves, and further perpetuating the spread of resistance."
"Lessening the global spread of antibiotic resistance will require an interdisciplinary approach that spans environmental and clinical systems. We must act fast before we enter a so called 'post-antibiotic world' where bacterial infections become impossible to treat," Smith said.
Source-Eurekalert
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