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. 2021 Aug 19;299:113563. doi: 10.1016/j.jenvman.2021.113563

Table 2.

Various efficient wastewater treatment processes employed by selected countries for the eradication of SARS-CoV-2 RNA.

Country Treatment stage Wastewater treatment Processes Results References
India Secondary + tertiary treatment – Sequencing batch reactor (SBR) + Cl2 (site: 3 and 4) All negative Arora et al. (2020)
– Moving bed biofilm reactor (MBBR) + UV (site: 5) All negative
– Sequencing batch reactor (SBR) + without tertiary (site: 6) All negative
Iran – Tehran Secondary + tertiary treatment – Extended aeration activated sludge (EAAS) system + Cl2 disinfection (Modules: 1–4) Positive samples: 2/4 = 50.0% Nasseri et al. (2021)
– Oxidation ditch method + UV disinfection (Modules: 5–6) All negative
– Anzali – Extended aeration activated sludge (EAAS) system + Cl2 disinfection All negative
– Qom – Conventional activated sludge (CAS) system with diffuser aeration + Cl2 disinfection All negative
Japan Secondary treatment – Activated sludge (AS) system Positive sample: 1/5 = 20.0% Haramoto et al. (2020)
Italy (Padua, Veneto, NE Italy) Secondary + tertiary treatment – Activated sludge (AS) system + peracetic acid and terminal UV lamps Positive sample: 2/2 = 100% Baldovin et al. (2021)
Spain Secondary treatment – Activated sludge (AS) system Positive sample: 2/18 = 11.1% Randazzo et al. (2020b)
Tertiary treatment – Coagulation, flocculation, and filtration, UV and NaClO disinfection Positive sample: 0/13 = 0%
Spain (North–Western) Primary treatment – Primary settler Positive sample: 1/2 = 50% Balboa et al. (2021)
Secondary treatment – SBR and microfiltration Positive sample: 0/5 = 0%
USA Secondary treatment – Activated sludge (AS) system Positive sample: 0/4 = 0% Sherchan et al. (2020)
Tertiary treatment (Final effluent) – Cl2 disinfection Positive sample: 0/4 = 0%
UAE Secondary treatment – Activated sludge process (ASP)/clarification Positive sample Hasan et al. (2021)
Tertiary treatment – Sand filtration, disinfection, and chlorination None of the 11 WWTPs' treated effluents tested positive
Israel Secondary treatment – Activated sludge process – ~1 log10 RNA removal by the primary and secondary treatment Abu Ali et al. (2021)
Tertiary treatment – Sand filtration and disinfection through chlorination – > 100 copies/L of SARS-CoV-2 RNA remained the secondary effluent
Saudi Arabia Secondary treatment – Activated sludge (AS) system N1: 0.3 log10 reduction (50%) Hong et al. (2021)
Tertiary treatment – Chlorination N3: 0.5 log10 reduction (70%)
(Hospital WWTP)