Medically-derived 131I in municipal sewage effluent

Medically-derived 131I in municipal sewage effluent

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w a t e r r e s e a r c h 4 6 ( 2 0 1 2 ) 5 6 6 3 e5 6 7 1

Available online at www.sciencedirect.com

journal homepage: www.elsevier.com/locate/watres

Medically-derived

131

I in municipal sewage effluent

Paula S. Rose*, R. Lawrence Swanson, J. Kirk Cochran Marine Sciences Research Center, School of Marine and Atmospheric Sciences, Stony Brook University, Stony Brook, NY 11794-5000, USA

article info

abstract

Article history:

This work presents 131I (t½ ¼ 8.04 d) concentrations in sewage effluent from the Stony Brook

Received 30 March 2012

Water Pollution Control Plant (WPCP), a small plant serving a regional thyroid cancer

Received in revised form

treatment facility in Stony Brook, NY, USA. The concentrations detected in sewage effluent

27 June 2012

ranged from 1.8  0.3 to 227  2 Bq L1. The primary source of

Accepted 23 July 2012

cancer inpatients treated at the Stony Brook University Medical Center. Based on several

Available online 2 August 2012

time series measurements following known inpatient treatments, the mean sewage half-

131

I is excreta from thyroid

life (Ts) of iodine is 3 d in this plant. The Ts, analogous to a radioactive half-life, Keywords:

describes the time it takes for half of a wastewater component to be removed from

Iodine

a WPCP. Flow recycling, or activated sludge, used to maintain bacterial populations

131

necessary for sewage treatment causes iodine to remain in this plant far longer than its

Sewage

hydraulic retention time. The experimental results suggest that most

Sewage effluent

Stony Brook WPCP leaves in sewage effluent, not in sewage sludge. Patient treatments can

I

131

I entering the

Wastewater

result in continuous discharges of 131I to surface waters where it can be used as a tracer of

Medical radioisotopes

sewage-derived material and to understand the behavior of

Nuclear medicine

1.

Introduction

Iodine-131 is released from nuclear power plants, during nuclear weapons tests, nuclear fuel reprocessing and weapons production. Medical use is perhaps the more widespread source of 131I to the environment. It is the most widely used radiopharmaceutical in nuclear medicine for therapeutic purposes, primarily to treat hyperthyroidism and thyroid cancer. In developed countries, the average number of hyperthyroidism treatments is 150 per million people and 38 thyroid cancer treatments per million people; however, the latter represents a greater potential source to water pollution control plants (WPCPs). The standard protocol for treating thyroid cancer is removal of the whole thyroid gland followed by administration of 131I to destroy any remaining tissue or cells. Thyroid cancer patients are typically given 4000e8000 MBq compared to 100e1000 MBq of 131I for

131

I in aquatic environments.

ª 2012 Elsevier Ltd. All rights reserved.

hyperthyroid treatments and most of the initial dose is eliminated from the body in urine (ICRP, 2004; UNSCEAR, 2000). In the United States, patient excreta are exempt from sewer discharge regulations and are therefore released directly into sewer systems (Martin and Fenner, 1997). Iodine-131 has been measured in aquatic environments receiving sewage effluent discharges, yet few published data exist for the radioisotope in sewage effluent (Chang et al., 2011; Erlandsson et al., 1989; Fischer et al., 2009; Kleinschmidt, 2009; Puhakainen, 1998; Rose, 2003; Smith et al., 2008; Sodd et al., 1975); most work has focused on sewage sludge. The results of several investigations indicate greater than 75% of 131I entering WPCPs leaves in the effluent (Barci-Funel et al., 1993; Dalmasso et al., 1997; Erlandsson et al., 1989, 1983; Erlandsson and Mattsson, 1978; Martin and Fenner, 1997; Prichard et al., 1981; Puhakainen, 1998; Stetar et al., 1993). It is not surprising then that medically-derived

* Corresponding author. Present address: US Naval Research Laboratory, NRC Postdoctoral Research Associate, Marine Biogeochemistry, Code 6114, 4555 Overlook Avenue SW, Washington, DC 20375, USA. Tel.: þ1 202 767 0787. E-mail address: [email protected] (P.S. Rose). 0043-1354/$ e see front matter ª 2012 Elsevier Ltd. All rights reserved. http://dx.doi.org/10.1016/j.watres.2012.07.045

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131

I is readily measurable in the environment (Fischer et al., 2009; Howe and Hunt, 1984; Howe and Lloyd, 1986; Marsh et al., 1988; Puhakainen, 1998; Rose, 2003; Smith et al., 2008; Sodd et al., 1975; Waller and Cole, 1999). While the occurrence and concentrations of 131I in sewage effluent have been poorly characterized, these studies suggest discharges of the radioisotope may be widespread and therefore useful as a tracer in receiving waters to study biogeochemical processes occurring on the time scale of approximately one month. Distributions of naturally occurring iodine have been wellstudied and indicate that iodine is biologically cycled and remineralized similar to other nutrient elements (Ullman and Aller, 1980, 1983, 1985; Upstill-Goddard and Elderfield, 1988). The nutrient-like behavior of iodine suggests that medicallyderived 131I may be used to study the short-term fate of wastewater nitrogen in aquatic systems. Wastewater discharges of 131I would also be useful to investigate the natural cycling of iodine in receiving waters. More specifically, the rates and mechanisms governing the transformations of natural iodine in aquatic systems are not well-known. Additionally, Smith et al. (2008) proposed 131I as a wastewaterspecific particle tracer and suggested its use as a tracer for short-term sediment dynamics. The objective of this study was to determine the occurrence and concentrations of 131I in sewage effluent at a relatively small WPCP with known inputs of the radioisotope from thyroid cancer inpatient treatments.

2.

Methods

2.1.

Study site

The Stony Brook WPCP, Suffolk County Sewer District #21, is a tertiary treatment facility located on the campus of Stony Brook University, Stony Brook, NY, USA. The plant’s service area includes the campus, the Stony Brook University Medical Center and a small number of private homes. The estimated size of the population served is 20,000. At the time of sampling, tertiary treatment was achieved via an oxidation ditch with both activated sludge and mixed liquor returns. Sodium hypochlorite was added to sewage effluent for disinfection prior to discharge from the plant. Travel time from the plant to its outfall in Port Jefferson Harbor, NY is 4e6 h. The oxidation ditch no longer receives mixed liquor returns and sewage effluent is disinfected using ultraviolet irradiation at the Port Jefferson WPCP (Suffolk County Sewer District #1) just prior to its discharge into Port Jefferson Harbor (Rose, 2011). The design capacity of the plant is approximately 9.5  106 liters per day (MLD) or 2.5  106 gallons per day (MGD). Average flow is approximately 6.8 MLD (1.8 MGD). Average daily maximum and minimum flows are approximately 7.6 MLD (2.0 MGD) and 3.8 MLD (1.0 MGD), respectively. During the summer months and weekends, when school is not in full session, average flows decrease as much as 20%. The average daily maximum to minimum ratio of daily flow is approximately 2, but maximum flow in a given day can exceed 4 times the minimum daily flow. Minimum flows generally occur between 7 and 8 AM, after which there is a rapid increase in flow until it peaks around 12 PM. Flow then decreases slowly until about 2 AM, then more rapidly until about 7 AM (Rose, 2011).

The hydraulic retention time of sewage in the Stony Brook WPCP is approximately 24e36 h, depending on the University schedule as mentioned above. The mean cell residence time, or the residence time of organic matter in the system, is about 36 d (Rose, 2011).

2.2.

Sample collection and preparation

Sewage effluent was collected as a grab sample from the final effluent stream before discharge from the plant using a 1 L high density polyethylene bottle. More than half of the samples were analyzed with no further treatment. The remaining samples were vacuum filtered through a 47 mm 0.7 mm glass fiber filter. Aliquots of the filtrate were retained and analyzed with no further treatment. Sample volumes analyzed were 150 mL and 170 mL. Straight-side polypropylene jars (64 mm height; 64 mm diameter) were used for counting. Pre-weighed filters that were retained for g-ray spectrometry determinations were dried at 40  C overnight and re-weighed before analysis. More than 80% of the samples were collected between 12 PM and 3 PM. Sampling replicates were also collected at the Stony Brook WPCP on six additional days.

2.3.

Determination of

131

I

The activity of 131I was determined by g-ray spectrometry (364.5 keV peak; branching ratio ¼ 0.812) using Canberra low energy germanium detectors. Generally, samples were counted for one day. Due to the relatively short half-life of 131I, activities were corrected to account for decay during data acquisition as described in Hoffman and Van Camerik (1967). All concentrations of 131I are reported for time of collection and with a 1s counting error. The counting efficiency for each geometry and each detector used in this investigation was determined using a certified 131I standard solution (Eckert & Ziegler Isotope Products, Valencia, CA). For the 150 mL and 170 mL sewage effluent samples, deionized water was spiked with the 131I standard solution and counted three times on each detector to determine the counting efficiency of these geometries (3 replicates per detector). The 131 I standard solution was applied to three filters with a pipette, using enough liquid to wet the filter entirely. Each filter was counted three times on each detector to determine the counting efficiency of the suspended solids samples (9 replicates per detector). In each case, the mean counting efficiency was used to calculate sample activities. Multi-day continuum background counts were determined for each detector with several 131I-free sewage effluent samples. The mean background count for each detector was used to determine limit of detection (LD) as described by Currie (1968). The detection limits were 1.7 Bq L1 for sewage effluent samples and 50 Bq g1 for suspended solids.

3.

Results

3.1.

Unfiltered effluent

Iodine-131 concentrations detected in unfiltered sewage effluent collected on 77 different days between June 2006 and March 2009

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ranged from 1.8  0.3 to 217  1 Bq L1 (median ¼ 11 Bq L1); nine samples < LD (Table 1). Percent differences among 131I concentrations in replicate samples were 0.9e7%. The variation among the replicates was within the counting error.

3.2.

4.

Filtered effluent

Iodine-131 concentrations detected in filtered sewage effluent collected on 46 different days between January 2007 and March 2009 ranged from 2.5  0.3 to 227  2 Bq L1 (median ¼ 18 Bq L1); three samples < LD (Table 2).

3.3.

The 131I and suspended solids concentrations are shown in Table 3 for samples with activities > LD.

Suspended solids

Iodine-131 concentrations detected in suspended solids > 0.7 mm in sewage effluent collected on 36 different days between March 2007 and March 2009 ranged from 61  12 to 2801  32 Bq g1 (median ¼ 304 Bq g1); seven samples < LD.

Discussion

Previous studies have reported values up to 32.2 Bq L1 of 131I in sewage effluent from WPCPs ranging in size from 30 to 645 MLD (8e170 MGD) (Erlandsson et al., 1989; Fischer et al., 2009; Puhakainen, 1998; Smith et al., 2008; Sodd et al., 1975). The highest concentrations measured in sewage effluent from the Stony Brook WPCP were 217  1 Bq L1 following five inpatient treatments (unfiltered sewage effluent, Table 1) and 227  2 Bq L1 following four inpatient treatments (filtered sewage effluent, Table 2). Dates of inpatient treatments at the Stony Brook University Medical Center are listed in Table 4. It should be noted that while the suspended solids have relatively high specific activities of 131I, the contribution of the

Table 1 e Iodine-131 concentrations in unfiltered effluent samples collected from the Stony Brook WPCP. Sample volume [ 0.17 L.
131

I (Bq L1)

48.4  0.8 21.8  0.6 93  1 65  1 60  1 21.4  0.6 17.6  0.5 16.1  0.5 9.6  0.3 9.0  0.4 11.9  0.5 8.8  0.3 5.5  0.4 2.0  0.3 4.0  0.3
Sample collection date & time 8/30/06 1:46 PM 8/31/06 2:35 PM 9/14/06 2:22 PM 9/15/06 2:34 PM 9/18/06 2:25 PM 9/20/06 1:44 PM 9/22/06 12:41 PM 9/29/06 1:31 PM 10/19/06 2:05 PM 12/6/06 2:08 PM 12/7/06 1:37 PM 12/8/06 12:30 PM 12/11/06 12:43 PM 12/12/06 2:22 PM 12/13/06 1:00 PM 12/14/06 1:47 PM 12/15/06 12:29 PM 12/19/06 2:05 PM 12/20/06 11:22 AM 1/3/07 1:48 PM 1/5/07 12:42 PM 1/8/07 12:00 PM 1/9/07 1:35 PM 1/11/07 12:00 PM 1/15/07 2:18 PM 1/16/07 1:00 PM 1/23/07 12:53 PM 1/24/07 12:35 PM 1/25/07 1:25 PM 1/26/07 10:05 AM 1/28/09 12:00 PMa 3/14/09 1:07 PMa 3/15/09 1:31 PMa 3/16/09 12:36 PMa 3/17/09 1:30 PMa 3/18/09 12:30 PMa 3/19/09 12:34 PMa 3/20/09 1:00 PMa

I (Bq L1)

131

46.8  0.8 30.5  0.4 8.8  0.2 108  3 23.1  0.2 14.0  0.4 7.2  0.2 187  1 83.2  0.6 10.6  0.2 8.5  0.2 6.7  0.1 10.9  0.2 7.9  0.2 6.2  0.2 4.9  0.2 4.3  0.1 7.1  0.2 7.3  0.2
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Table 2 e Iodine-131 concentrations in filtered effluent samples collected from the Stony Brook WPCP. Sample volume [ 0.15 L.
I (Bq L1)

131

Sample collection date & time

5.6  0.3 34.1  0.5 24.8  0.9 5.0  0.3 4.0  0.3 43.0  0.8 42  1 8.4  0.4
3/29/07 11:35 AM 5/23/07 11:46 AM 5/24/07 10:33 AM 5/25/07 1:31 PM 5/30/07 12:12 PM 5/31/07 1:00 PM 6/4/07 11:39 AM 6/5/07 2:09 PM 6/6/07 12:59 PM 6/7/07 2:18 PM 6/8/07 2:25 PM 6/11/07 1:33 PM 6/12/07 2:33 PM 6/13/07 1:00 PM 6/14/07 2:30 PM 6/15/07 2:30 PM 6/19/07 2:31 PM 6/20/07 12:58 PM 6/21/07 2:15 PM 6/22/07 1:13 PM 6/28/07 1:55 PM 7/12/07 1:35 PM 7/14/07 1:00 PM

I (Bq L1)

131

136  2 102  1 85  1 42.5  0.5 18.0  0.6 12.1  0.3 4.6  0.3 2.5  0.3 17.7  0.4 24.4  0.3 13.6  0.6 3.1  0.3 2.5  0.3 27.8  0.8 16.4  0.7 55.3  0.9 4.6  0.3 2.9  0.5 14.5  0.8 11.7  0.6 3.6  0.3 97  1 115  1

a Sample volume ¼ 0.17 L.

suspended solids to the total activity of the unfiltered effluent is minimal because the suspended solids concentrations are low (Table 3). Additionally, no settling of solids was observed during counting and therefore homogeneity of the sample was maintained during counting. The following discussion assumes there is no difference between the concentrations of 131 I measured in whole effluent and the filtered effluent collected at the Stony Brook WPCP. These concentrations can be primarily attributed to the frequency of thyroid cancer inpatient treatments performed at the University Medical Center, the size of the plant and sewage half-life. There are approximately 60 inpatient treatments per year at the University Medical Center with about an equal number of outpatients. While outpatients treated at the University Medical Center and other facilities are possible sources to the plant, they are not a significant source to the Stony Brook WPCP. Outpatients at the University Medical Center leave the hospital following administration of the 131I. Frequent or large inputs from persons treated at another facility are unlikely considering the size and composition of the population, which consists mainly of University students and employees. The University Medical Center is a regional thyroid cancer treatment facility. These treatments require specialized rooms and personnel, and therefore are not performed at all hospitals. Medical use is the only known source of 131I to this system (Rose, 2011). Typically, thyroid cancer inpatients remain in the hospital 24e30 h following treatment. Length of hospital stay is dependent on the time it takes for the patient’s external dose rate, measured at 1 m, to decrease to less than 10 mrem h1 from 20 to 30 mrem h1 after administration of the dose (Rose, 2011). This is consistent with the work of Driver and Packer (2001) who found that 55% of the initial activity administered to thyroid cancer patients is excreted in the first 24 h.

The data presented here clearly indicate that 131I is discharged from the plant for many days following a patient treatment. Larsen et al. (1995) found elevated 131I concentrations in digested sewage sludge at the Oak Ridge WPCP (Oak Ridge, TN) for more than one month following a single patient treatment. Previous work in the Stony Brook WPCP indicated that 131I can be detected in sewage sludge for at least two weeks after known inputs (Rose, 2003). Retention of sewage sludge is dependent on plant design and sludge removal practices. The recycling of biomass within a sewage treatment plant, or activated sludge, helps maintain a standing stock of bacteria necessary for sewage treatment. Therefore, organic matter may remain in a WPCP for a few weeks due to this recycling of solids. The residence time of organic matter in a system is well-known and described by the mean cell residence time. Martin and Fenner (1997) examined 131I concentrations in primary sewage sludge at the Ann Arbor WPCP (Ann Arbor, MI) following an input of 131I from a thyroid cancer treatment. They determined the effective sewer half-life for 131 I in that plant to be 1.6 d. In the same way, the concentrations of 131I in sewage effluent can be used to determine its sewage half-life. The term sewage half-life refers to the half-life of a wastewater constituent in a WPCP and is used to distinguish it from the sewer half-life described by Martin and Fenner (1997) derived from primary sludge data. The concentration of a wastewater constituent over time with no further input, follows an exponential decay: Ct ¼ C0 elt

(1)

where Ct is the concentration at time t, C0 is the initial concentration and l is the decay constant. The natural log of the 131I concentration in sewage effluent plotted versus time

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Table 3 e Iodine-131 concentrations in suspended solids > 0.7 mm in sewage effluent samples collected from the Stony Brook WPCP. Corresponding 131I values for the filtered sewage effluent. The mean contribution of 131I associated with the suspended solids to the total activity in an unfiltered effluent sample is 3%. Sample collection date & time 3/10/07 11:15 AM 3/11/07 10:42 AM 3/12/07 1:07 PM 3/13/07 12:48 PM 3/14/07 12:43 PM 3/15/07 12:46 PM 3/16/07 12:41 PM 3/20/07 11:12 AM 3/21/07 1:12 PM 3/23/07 12:42 PM 3/27/07 12:43 PM 3/28/07 1:12 PM 5/23/07 11:46 AM 5/24/07 10:33 AM 5/25/07 1:35 PM 5/30/07 12:12 PM 5/31/07 1:00 PM 6/4/07 11:39 AM 6/5/07 2:09 PM 6/6/07 12:59 PM 6/7/07 2:18 PM 6/8/07 2:25 PM 6/11/07 1:33 PM 6/13/07 1:00 PM 6/14/07 2:30 PM 6/15/07 2:30 PM 6/19/07 2:31 PM 7/12/07 1:35 PM 7/14/07 1:00 PM

ISolids (Bq g1)

131

131

651  17 341  12 221  8 295  11 312  8 2801  32 1289  19 91  5 80  4 227  6 76  6 779  11 1797  34 353  5 916  19 345  7 383  10 153  6 61  12 126  10 260  18 164  17 72  9 369  30 203  35 722  55 154  21 1282  27 1157  28

51.6  0.9 37.5  0.7 24.2  0.6 29.7  0.8 23.3  0.6 227  2 175  2 8.6  0.4 4.6  0.3 32.9  0.5 5.1  0.4 93  1 102  1 85  1 42.5  0.5 18.0  0.6 12.1  0.3 4.6  0.3 2.5  0.3 17.7  0.4 24.4  0.3 13.6  0.6 3.1  0.3 27.8  0.8 16.4  0.7 55.3  0.9 4.6  0.3 97  1 115  1

results in a line with slope l from which the sewage half-life of 131 I (TI-131) can be derived: l¼

ln 2 TI-131

IEffluent (Bq L1)

(2)

In this study, there were twelve time series with sufficient data following an inpatient treatment, in which there was no further known input of 131I. The TI-131 determined from these plots ranged from 0.75 to 3.47 d (mean ¼ 2.1  0.7 d, Fig. 1). This is reasonable if we consider that these data indicate that 131I can be measured in sewage effluent for two weeks following a patient treatment. The TI-131 represents removal of 131I from the plant in sewage effluent discharges, losses to sewage sludge as well as through radioactive decay. The sewage half-life of non-radioactive iodine (Ts) can be estimated by accounting for radioactive decay. For each time series, the 131I concentrations were decay-corrected using the relationship in Equation (1) and the known decay constant for 131 I, where C0 ¼ the concentration of 131I measured on the first day of the time series and t ¼ time elapsed since the first day of the time series. Decay-corrected data plotted as described above for each time series are shown in Fig. 2. The range of values for Ts is between 0.86 and 6.20 d (mean ¼ 3  1 d, Fig. 2). The time series beginning June 14, July 27 and May 23 are the longest time series containing the most data. The Ts values for these three time series are in good agreement: 3.79, 3.33 and 4.01 d, respectively. Construction in the Stony Brook plant likely affected the flow in March 2009 and may account for the

Suspended solids > 0.7 mm (103 g L1) 1.9 2.6 2.9 2.5 2.4 2.4 4.6 3.3 3.2 3.2 2.3 1.9 1.2 4.4 1.6 2.3 2.6 2.7 2.0 1.5 0.8 1.3 1.5 1.1 1.1 0.9 1.1 0.8 1.4

comparatively short Ts for that sampling period (Rose, 2011). The time series beginning June 21, 2007 results in a relatively long Ts (6.2 d) that does not seem reasonable. Rather, it is possible that there was an input of 131I between June 22 and June 28, the dates of the second and third samples taken in the time series. Daily fluctuations in flow are likely to be the primary source of variation in these estimates. The behavior of iodine in the Stony Brook WPCP is consistent with a dissolved constituent that is not retained in the plant or lost to sewage sludge to a significant extent. The theoretical removal of a non-reactive, dissolved species is described by Equation (1), where l is the ratio of the plant through flow to the total volume, which includes return flows. In the Stony Brook WPCP, the through flow is 6.8 MLD (1.8 MGD) and the total flow out of the oxidation ditch is 21.9 MLD (5.8 MGD, Fig. 3). Using these values, the theoretical l is 0.3 d1. The mean l for iodine in the Stony Brook WPCP is also 0.3 d1 (Fig. 2). The agreement between these values suggests that most 131I entering the plant leaves in the effluent. Iodine-131 was not measured in sewage sludge as part of this work, but was investigated previously (Rose, 2003). In that study, the highest 131I concentration in sewage sludge was 148 Bq g1 dry weight. In the present study, most 131I concentrations in the effluent suspended solids are at least twice that value. We do not believe that the 131I concentrations in the effluent suspended solids are representative of sewage sludge. Iodine is likely associated with particulate organic matter (Bors et al., 1991; Brewer et al., 1980; Calvert

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Table 4 e Thyroid cancer inpatient treatment dates at the Stony Brook University Medical Center between June 2006 and July 2007 and JanuaryeMarch 2009. Approximate total 131I activity administered each month (Rose, 2011). Year

Month

Inpatient treatment date

Approximate total

a

131

I administered (GBq)

2006

June July August September October November December

6, 8, 9, 13, 23 18, 20, 25, 26 7, 9,a 10, 11, 15, 16, 26 6, 8,a 14, 15, 27, 28 5, 6, 11, 18, 20, 24, 25, 31 1, 2, 14, 17 1, 8, 12, 15, 20, 28

38.5 26.5 43.7 43.5 38.9 22.8 31.8

2007

January February March April May June July

6, 24, 25, 31 7 9,a 12, 14, 21, 27, 28, 29, 30a 13, 17 2, 15, 17, 18, 21, 22 5, 12, 14, 20, 28, 29 2, 5, 6, 11, 12, 13, 18, 25

22.9 7.4 55.5 13.0 35.2 37.9 45.3

2009

January February March

14, 15, 23 20, 25, 27 13, 18

11.1 13.9 13.9

a Indicates two inpatient treatments.

specific activity of 131I in sewage sludge relative to suspended solids. Thus, a mass balance using suspended solids and effluent concentrations is not appropriate. Furthermore, the frequency of patient treatments and the time it takes for 131I to

et al., 1993; Francois, 1987; Sheppard and Thibault, 1992; Ullman and Aller, 1980; Upstill-Goddard and Elderfield, 1988; Whitehead, 1973a,b) and diluted by denser, mineral phases (e.g., sand) in sewage sludge, which would decrease the 5.0 4.0 ln [ 131I ]

3.0

June 14 - 23, 2006 TI-131 = 2.64 ± 0.02 d

4.0

June 26 - 30, 2006 TI-131 = 2.15 ± 0.08 d

2.0

4.0

TI-131 = 2.11 ± 0.05 d

3.0

1.0 y = -0.263 ± 0.002 x + 4.510

0 6.0

2

4

6

8

y = -0.323 ± 0.013 x + 2.493

0.0 10

0 5.0

August 17 - 25, 2006

1

2

3

4

0

1

5.0

August 29 - 31, 2006

2

3

4

0.0 5

TI-131 = 1.98 ± 0.03 d

February 1 - 7, 2007

3.0

TI-131 = 1.54 ± 0.01 d

4.0

3.0 y = -0.350 ± 0.004 x + 5.187

1.0 0

2

4

6

8

y = -0.450 ± 0.003 x + 4.289

2.0 10

June 6 - 12, 2007 TI-131 = 2.70 ± 0.13 d

0 5.0

1

2

TI-131 = 1.75 ± 0.04 d

3.0

2.0

2.0

0 4.0

June 15 - 20, 2007

4.0

TI-131 = 1.12 ± 0.04 d

1

2

3

4

5

0.0 6

6

8 10 12

May 23 - June 5, 2007 TI-131 = 2.59 ± 0.03 d

y = -0.267 ± 0.003 x + 4.530

0 2 4 6 8 10 12 14 6.0

June 21 - 28, 2007

March 14 - 18, 2009 TI-131 = 0.75 ± 0.01 d

TI-131 = 3.47 ± 0.15 d

3.0

4.0

3.0 2.0

2.0 2.0

1.0 0.0

4

1.0 y = -0.396 ± 0.009 x + 3.506

0.0

3

2

4.0

3.0

1.0

2.0

y = -0.328 ± 0.007 x + 3.733

0 5.0

4.0

4.0

3.0

y = -0.344 ± 0.008 x + 3.196

1.0 5

5.0

4.0

2.0

2.0

1.0

1.0

ln [ 131I ]

TI-131 = 2.02 ± 0.04 d

3.0

July 27 - August 7, 2006

3.0 2.0

ln [ 131I ]

5.0

July 21 - 25, 2006

2.0 1.0

1.0 y = -0.257 ± 0.012 x + 3.300

0 1 2 3 4 5 6 7 Time (d)

y = -0.617 ± 0.020 x + 4.000

0.0 0

1

2

3

4

Time (d)

5

y = -0.200 ± 0.009 x + 2.700

0.0 6

0

2

4 Time (d)

6

0.0 8

y = -0.918 ± 0.013 x + 4.139

0

1

2

3

4

Time (d)

Fig. 1 e Weighted error least squares regression of the natural log of 131I concentrations in sewage effluent versus time in the Stony Brook WPCP for twelve sampling periods between inpatient treatments. TI-131 represents the sewage half-life of 131 I for each time series (mean TI-131 [ 2.1 ± 0.7 d).

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5.0

3.0

June 14 - 23, 2006

5.0

July 21 - 25, 2006

Ts = 3.13 ± 0.12 d

Ts = 3.79 ± 0.02 d

ln [ 131I ]

4.0

June 26 - 30, 2006

Ts = 2.79 ± 0.05 d

4.0

2.0

3.0

3.0

1.0

2.0

July 27 - August 7, 2006

4.0

Ts = 3.33 ± 0.06 d

3.0 2.0 1.0

y = -0.183 ± 0.001 x + 4.524

y = -0.222 ± 0.008 x + 2.455

2.0 0

2

4

6

8

10

0 5.0

August 17 - 25, 2006

5.0

Ts = 2.61 ± 0.02 d

1

2

3

4

5.0

1

Ts = 1.84 ± 0.01 d

2

3

4

5

0

2

5.0

February 1 - 7, 2007

4.0

6

8 10 12

May 23 - June 5, 2007

4.0

Ts = 2.25 ± 0.04 d

4

Ts = 4.01 ± 0.03 d

3.0 3.0

3.0

2.0

3.0 y = -0.266 ± 0.002 x + 5.218

y = -0.376 ± 0.002 x + 4.335

1.0 2

4

6

8

10

June 6 - 12, 2007 Ts = 2.69 ± 0.07 d

3.0

0 5.0

1

2

4.0

Ts = 1.31 ± 0.03 d

y = -0.173 ± 0.001 x + 4.544

1.0 0

3

June 15 - 20, 2007

4.0

y = -0.309 ± 0.005 x + 3.528

0.0

2.0 0

4.0

2.0

1.0

2.0

ln [ 131I ]

0.0 0

5

August 29 - 31, 2006

4.0

4.0

y = -0.208 ± 0.003 x + 3.626

1.0

0.0

6.0

ln [ 131I ]

y = -0.248 ± 0.004 x + 3.175

1

2

3

4

5

6

0 2 4 6 8 10 12 14 6.0

June 21 - 28, 2007

March 14 - 18, 2009

Ts = 6.20 ± 0.17 d

3.0

Ts = 0.86 ± 0.01 d

4.0

3.0 2.0 2.0

2.0

1.0

y = -0.257 ± 0.007 x + 3.378

0 1 2 3 4 5 6 7 Time (d)

2.0

1.0

1.0 y = -0.529 ± 0.012 x + 4.012

0.0 0

1

2

3

4

5

Time (d)

y = -0.112 ± 0.003 x + 2.665

0.0 6

0

2

4

6

0.0 8

Time (d)

y = -0.808 ± 0.010 x + 4.121

0

1

2

3

4

Time (d) 131

Fig. 2 e Weighted error least squares regression of the natural log of decay-corrected I concentrations in sewage effluent versus time in the Stony Brook WPCP for twelve sampling periods between inpatient treatments. Ts represents the sewage half-life for each time series (mean Ts [ 3 ± 1 d).

Fig. 3 e Flow schematic of the Stony Brook WPCP. The flow values represent average flows, rather than design flows. Average flows for the activated sludge and mixed liquor returns were determined in a June 2006 survey of the plant and represent the most accurate data available (Rose, 2011). Sludge removal processes are not included in this diagram.

be removed from the Stony Brook WPCP preclude any reasonable estimate of total discharges leaving in the effluent from a single patient treatment using this data set.

5.

Conclusions

Iodine-131concentrations in sewage effluent from the Stony Brook WPCP are a function of thyroid cancer inpatient treatments at the University Medical Center as well as the size and

design of the plant. Activated sludge and mixed liquor returns cause 131I to remain in the plant significantly longer than the 24-h hydraulic retention time of this facility. Sewage half-life describes the time it takes to decrease the concentration of a wastewater constituent by 50%. In the Stony Brook WPCP, it requires five sewage half-lives (w15 days) to remove most of the iodine. The mean decay constant determined experimentally for iodine (l ¼ 0.3 d-1, Fig. 2) is the same as the theoretical decay constant for a non-reactive, dissolved wastewater constituent and suggests that most of the 131I

5670

w a t e r r e s e a r c h 4 6 ( 2 0 1 2 ) 5 6 6 3 e5 6 7 1

entering the plant leaves in the effluent. As a result, concentrations up to 227 Bq L1 were measured following a series of inpatient treatments. This concentration is seven times greater than the highest value reported in the literature (32.2 Bq L1, Puhakainen, 1998). This work demonstrates that medical use of 131I can result in relatively continuous discharges of this radioisotope in sewage effluent. Considering the annual number of therapeutic treatments per capita (average ¼ 188 per million people), WPCPs serving major population centers are likely to be continuous sources of 131I to the environment. Our field study showed that medically-derived 131I can be used to investigate the fate of wastewater constituents in surface waters (Rose, 2011). Sewage effluent discharges of 131I can also be used to further understand the aquatic biogeochemistry of naturally occurring iodine and the behavior radioactive iodine in the context of accidental releases. However, data from more WPCPs are needed to determine the extent to which 131I can be used as a tracer of biogeochemical processes in receiving waters.

Acknowledgments We thank Milton Cruz and Eugene Brewer at Suffolk County Department of Public Works for help with sample collection and providing information about the SBWPCP. Joseph Daly at Stony Brook University, Environmental Health and Safety provided us with patient treatment data and information regarding the medical use of 131I. We also thank David Hirschberg, Christina Heilbrun and Alisha Renfro for assistance in the laboratory at Stony Brook University.

references

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