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. 2020 Feb 3;16:13. doi: 10.1186/s12992-020-0546-y

Table 4.

Information from articles on the efficacy of different wastewater treatment systems to remove microbial agents

Author/Year/Ref Sample Size Type of samples/City Types of wastewater treatment systems Microbial agent Microbial agent removal rate Compliance with US-EPA Standard (Ref. [26, 27])
Hashemi et al., 2010 [28] 17 Municipal wastewater/Esfahan UV disinfection system including low pressure (LP) Total coliforms 1000 MPN/100 mL Yes
Fecal coliforms 400 MPN/100 mL Yes
Fecal streptococci 400 MPN/100 mL Yes
UV disinfection system including medium pressure (MP) Total coliforms 1000 MPN/100 mL Yes
Fecal coliforms 400 MPN/100 mL Yes
Fecal streptococci 400 MPN/100 mL Yes
LP + MP Total coliforms 1000 MPN/100 mL Yes
Fecal coliforms 400 MPN/100 mL Yes
Fecal streptococci 400 MPN/100 mL Yes
Banejad et al., 2010 [29] 12 Domestic wastewater/Hamedan Flocculation and coagulation with moringa peregrina seeds Total coliforms 97% Yes
Escherichia coli 97% Yes
Derayat et al., 2011 [30] 120 Municipal wastewater/Kermanshah and Gilangharb Conventional activated sludge Cysts 97.5% Yes
Parasite eggs 98.3% Yes
Stabilization pond systems Cysts 100% Yes
Parasite eggs 100% Yes
Baghapour et al., 2013 [31] 64 Municipal wastewater/Shiraz Activated sludge Total coliforms 1291.11 ± 1165.88 MPN/100 mL No
Fecal coliforms 675.22 ± 1008.21 MPN/100 mL No
Helminth egg 73.61 ± 96.125 N/L No
Safari et al., 2013 [32] 7 Municipal wastewater/Shahrak Gharb Tehran Two-stage fluidized bed reactor (FBR) Fecal coliforms (without chlorine addition) 35–75% No
Fecal coliforms (with the chlorine addition) 67–97% No
Navidjouy et al., 2014 [33] 8 Municipal treatment plants and slaughterhouse treatment plants/Tehran Activated sludge Helminth egg 94.8–95.7% Yes
Protozoa (oo)cyst 79.3–85.8% No
Karimi et al., 2014 [34] 100 Municipal wastewater/Yazd Wetlands Fecal coliforms 1.13 × 1014 MPN/100 No
Escherichia coli 5.03 × 1012 MPN/100 mL No
Aslani et al., 2014 [35] 9 Municipal wastewater/North of Tehran Activated sludge effluent Fecal coliforms 5.5  ± 05 MPN/100 mL No
Jamshidi et al., 2014 [36] 70 Lit Domestic wastewater/Tehran Anaerobic baffled reactor (ABR) followed by Bio-rack wetland planted with Phragmites sp. and Typha sp. Total coliforms 99% Yes
Nahavandi et al., 2015 [37] 8 Municipal treatment plants and slaughterhouse treatment plants/Tehran Activated sludge Helminth egg 94.8–95.7% Yes
Protozoa (oo)cyst 79.3–85.8% No
Ghoreishi et al., 2016 [38] 9 Municipal wastewater/Azerbaijan Province Extended aeration activated sludge/Tabriz Total coliforms 2.17 × 105 MPN/100 mL No
Extended aeration activated sludge/Marand Total coliforms 1.34 × 106 MPN/100 mL No
Extended aeration activated sludge/Jolfa Total coliforms 1.82 × 106 MPN/100 mL No
Activated sludge/Ajabshir Total coliforms 4.53 × 105 MPN/100 mL No
Extended aeration activated sludge/Ahar Total coliforms 2.25 × 103 MPN/100 mL No
Extended aeration activated sludge/Mianeh Total coliforms 3.93 × 103 MPN/100 mL No
Conventional activated sludge/Maragheh Total coliforms 3.02 × 104 MPN/100 mL No
SBR/Bostanabad Total coliforms 1.09 × 106 MPN/100 mL No
Extended aeration activated sludge/Sarab Total coliforms 2.02 × 103 MPN/100 mL No
Mollaie Tavani et al., 2017 [39] 16 Hospital wastewater/Behshahr Conventional activated sludge Total coliforms 46 MPN/100 mL Yes
Fecal coliforms 4.75 MPN/100 mL Yes
Sasani et al., 2017 [40] 36 Municipal wastewater/Ahvaz Conventional activated sludge Total coliforms 7.8 × 1012 MPN/100 mL No
Choopan et al., 2018 [41] 45 Municipal wastewater/Torbat-heydarieh Activated sludge Fecal coliforms 200 MPN/100 mL Yes

*In compliance with the US-EPA standard, the results of studies within the US-EPA standard range were marked with Yes and the results of studies that exceeded the US-EPA standard were marked with No.