<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article  PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "http://dtd.nlm.nih.gov/publishing/3.0/journalpublishing3.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" dtd-version="3.0" xml:lang="en" article-type="research article"><front><journal-meta><journal-id journal-id-type="publisher-id">JWARP</journal-id><journal-title-group><journal-title>Journal of Water Resource and Protection</journal-title></journal-title-group><issn pub-type="epub">1945-3094</issn><publisher><publisher-name>Scientific Research Publishing</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.4236/jwarp.2020.121001</article-id><article-id pub-id-type="publisher-id">JWARP-97637</article-id><article-categories><subj-group subj-group-type="heading"><subject>Articles</subject></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Earth&amp;Environmental Sciences</subject></subj-group></article-categories><title-group><article-title>
 
 
  Microplastics and Wastewater Treatment Plants—A Review
 
</article-title></title-group><contrib-group><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Rana</surname><given-names>Zeeshan Habib</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Thies</surname><given-names>Thiemann</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Ruwaya</surname><given-names>Al Kendi</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib></contrib-group><aff id="aff1"><addr-line>Department of Biology, College of Science, United Arab Emirates University, Al Ain, UAE</addr-line></aff><aff id="aff2"><addr-line>Department of Chemistry, College of Science, United Arab Emirates University, Al Ain, UAE</addr-line></aff><pub-date pub-type="epub"><day>03</day><month>01</month><year>2020</year></pub-date><volume>12</volume><issue>01</issue><fpage>1</fpage><lpage>35</lpage><history><date date-type="received"><day>27,</day>	<month>November</month>	<year>2019</year></date><date date-type="rev-recd"><day>3,</day>	<month>January</month>	<year>2020</year>	</date><date date-type="accepted"><day>6,</day>	<month>January</month>	<year>2020</year></date></history><permissions><copyright-statement>&#169; Copyright  2014 by authors and Scientific Research Publishing Inc. </copyright-statement><copyright-year>2014</copyright-year><license><license-p>This work is licensed under the Creative Commons Attribution International License (CC BY). http://creativecommons.org/licenses/by/4.0/</license-p></license></permissions><abstract><p>
 
 
  The emission of microplastics into nature poses a threat to aquatic and terrestrial ecosystems. Their penetration of the food chain presents a danger to human health as well. Wastewater treatment plants can be seen as the last barrier between microplastics and the environment. This review focuses on the impact of waste treatment plants in retaining microplastics. Studies show that no wastewater treatment method leads to a complete retention of microplastics, and so wastewater treatment plants themselves are viewed as point sources for the discharge of microplastics into the aquatic environment. Problems associated with the utilization of microplastic loaded sewage sludge are also discussed in the review.
 
</p></abstract><kwd-group><kwd>Microplastics</kwd><kwd> Waste Water Treatment</kwd><kwd> Sewage Sludge</kwd><kwd> Aquatic Environment</kwd></kwd-group></article-meta></front><body><sec id="s1"><title>1. Introduction</title><p>Synthetic plastics have existed for just over a century [<xref ref-type="bibr" rid="scirp.97637-ref1">1</xref>], with their mass production starting in the 1950s [<xref ref-type="bibr" rid="scirp.97637-ref2">2</xref>]. In 2015 alone, 322 million metric tons of plastic were produced worldwide as compared to 350 thousand metric tons in 1950 [<xref ref-type="bibr" rid="scirp.97637-ref3">3</xref>]. Some of the plastic is recycled or incinerated for energy recovery at its end-of-life, where the fraction of the recycled plastic depends on the region. Thus, in 2009, 13.1 million out of 45 million metric tons of end-of-life plastic were either recycled (5.5 million tons) or incinerated (7.6 million tons) in the EC countries. There remains a significant difference in recycling efforts in different countries of the European community, however, with Germany leading in plastic recycling with slightly over 60% of end-of-life plastic being recycled and slightly less than 40% incinerated in 2011 [<xref ref-type="bibr" rid="scirp.97637-ref4">4</xref>]. Nevertheless, that leaves a significant amount of plastic material ending up as non-recycled waste. The inherent characteristics of polymer-derived plastics such as their high durability, light weight and inexpensiveness, which makes them so attractive for numerous applications and contribute to their dominance in the marketplace, make them environmental pollutants threatening biodiversity in both aquatic and terrestrial ecosystems. Already in the 1960s [<xref ref-type="bibr" rid="scirp.97637-ref5">5</xref>], there were spurious reports of birds ingesting plastic litter [<xref ref-type="bibr" rid="scirp.97637-ref6">6</xref>]. In the early 1970s, two important papers on the occurrence of plastic pellets in the Western Sargasso Sea [<xref ref-type="bibr" rid="scirp.97637-ref7">7</xref>] and of polystyrene pellets in coastal waters off UK [<xref ref-type="bibr" rid="scirp.97637-ref8">8</xref>] helped put the focus on the effect of plastic derived pollutants on marine ecosystems, and waste plastic debris came to be considered as a new global environmental challenge [<xref ref-type="bibr" rid="scirp.97637-ref9">9</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref10">10</xref>]. Today, it is estimated that about 5 trillion plastic particles are floating on the oceans, weighing 250,000 metric tons [<xref ref-type="bibr" rid="scirp.97637-ref11">11</xref>]. Overall, it is thought that with 275 million metric tons generated in 2010 (up from 245 million tons in 2008), 4.8 to 12.7 million metric tons of plastic debris entered the oceans that year alone [<xref ref-type="bibr" rid="scirp.97637-ref12">12</xref>]. Similarly, lakes and rivers exhibit a high load of plastic contamination that may range from 5 to 10 pieces/L [<xref ref-type="bibr" rid="scirp.97637-ref13">13</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref14">14</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref15">15</xref>]. The major sources of marine plastics include beach littering, cargo shipping, discharges from wastewater treatment plants, and harbor and fishery operations [<xref ref-type="bibr" rid="scirp.97637-ref16">16</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref17">17</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref18">18</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref19">19</xref>].</p><p>In the last decade, a new threat associated with plastic materials was identified: microplastics. In academia, contributions on “microplastics and the environment” started to appear in 2006, and grew rapidly in number from 2009 onwards, resulting in 500 scientific articles for 2018, alone (<xref ref-type="fig" rid="fig1">Figure 1</xref>). Microplastics are defined as plastic particles of ≤5 mm in size [<xref ref-type="bibr" rid="scirp.97637-ref9">9</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref20">20</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref21">21</xref>]. More recently, the term nanoplastic has been coined for particles ≤ 1 μm in size [<xref ref-type="bibr" rid="scirp.97637-ref9">9</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref22">22</xref>], although some authors define nanoplastics as particles of up to 100 nm in size [<xref ref-type="bibr" rid="scirp.97637-ref23">23</xref>], with the discussion still ongoing [<xref ref-type="bibr" rid="scirp.97637-ref24">24</xref>]. Nanoplastics in the environment are more difficult to detect and quantify adequately and will pose a challenge for years to come. Microplastics can be divided into “primary” and “secondary”. “Primary” microplastics acquire their size during production. “Primary” microplastics can be</p><p>found as micropellets in cosmetic formulations and in facial cleaners and body scrubs (median size of 0.2 - 0.4 mm), as microspherules in toothpastes (2 - 5 μm in size), as well as in scrubbers used for air-blasting surfaces to remove paints and rust [<xref ref-type="bibr" rid="scirp.97637-ref25">25</xref>] and as drilling fluids in oil and gas exploration. A newer application is their use in drug delivery systems [<xref ref-type="bibr" rid="scirp.97637-ref26">26</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref27">27</xref>]. In addition, synthetic polymer containing microparticles can also be released by the degradation of materials. The release of microfibers as a result of the washing of textiles has been widely reported as a source of microplastics [<xref ref-type="bibr" rid="scirp.97637-ref28">28</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref29">29</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref30">30</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref31">31</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref32">32</xref>]. These synthetic fibers, released by washing machines, are transported to waste water treatment plants [<xref ref-type="bibr" rid="scirp.97637-ref29">29</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref33">33</xref>], where a considerable amount of them pass through the different treatment stages into the effluents due to their smaller size and enter the aquatic environment. It is estimated that around 35% of microplastics reaching the ocean are from synthetic textiles [<xref ref-type="bibr" rid="scirp.97637-ref34">34</xref>].</p><p>Inventories of microplastics entering the environment have been attempted by organizations in different countries. A breakdown of the sources of microplastics in Sweden has been provided by Magnusson [<xref ref-type="bibr" rid="scirp.97637-ref35">35</xref>], which is given in detail below as an example of typical microplastic streams in developed countries. There is microplastic emission from plastic production, sandblasting material, cosmetic products, pharmaceutical drugs, textiles, road material and coatings. Using a spill factor of 0.04%, which was also used by Sundt et al. [<xref ref-type="bibr" rid="scirp.97637-ref26">26</xref>] for the estimation of pellet loss from the Norwegian plastic production plants, K. Magnusson et al. [<xref ref-type="bibr" rid="scirp.97637-ref35">35</xref>] have calculated a direct micropellet emission of 298 tons per year. In addition to that, there is loss due to the handling of plastic pellets which is set at between 0.0005% and 0.01%, adding another 12 - 235 tons of microplastics emitted into the environment. These numbers were modeled on emission factors proposed by Lassen et al. [<xref ref-type="bibr" rid="scirp.97637-ref36">36</xref>] for the Danish production industry. However, no actual measured numbers of emissions of microplastics during production exist. The use of microplastics (e.g. of urea formaldehyde resins) in abrasive products for sandblasting has been deemed to be limited, and the use of these materials in Swedish shipyards is strictly regulated. As to plastic particle containing drugs and vaccines, most of the polymers used for this purpose are assumed to be biodegradable, however, polycarbonate and polystyrene materials have been known to be used, also [<xref ref-type="bibr" rid="scirp.97637-ref37">37</xref>]. There is very little information what half-life they have in the human or animal body and how they are excreted, although a number of studies do exist on the uptake of micro- and nanoparticles, including of microplastics in mammals [<xref ref-type="bibr" rid="scirp.97637-ref38">38</xref>] and of nano-sized drug delivery systems in humans [<xref ref-type="bibr" rid="scirp.97637-ref39">39</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref40">40</xref>]. No study has been done on their environmental impact [<xref ref-type="bibr" rid="scirp.97637-ref35">35</xref>]. As a complete overview of personal care products in Sweden was not possible, the report based its numbers on microplastics in liquid soap. Here, it was found that in 2012 Europe used 4360 tons of microplastics in liquid soap [<xref ref-type="bibr" rid="scirp.97637-ref41">41</xref>], of which 60 tons were used in Sweden [<xref ref-type="bibr" rid="scirp.97637-ref35">35</xref>]. To these might be added synthetic fibers, which contribute a large share to microplastics in our environment. It has been found that the laundering of 6 kg of synthetic textiles can release up to 729,000 fibers in one wash, with a new 100% polyester fleece shirt losing 0.4w% of its weight at the first wash (for discharge rates of synthetic fibers from washing textiles), see [<xref ref-type="bibr" rid="scirp.97637-ref28">28</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref42">42</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref43">43</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref44">44</xref>]. From this data, Magnusson et al. [<xref ref-type="bibr" rid="scirp.97637-ref35">35</xref>] have calculated an emission of 8 - 945 tons of synthetic fibers from Swedish households into the wastewater. Incidentally, household dust can act as a reservoir of synthetic fibers and other microplastics, contributing on the average 0.5w% - 1.5w% to the dust [<xref ref-type="bibr" rid="scirp.97637-ref45">45</xref>]. This leads to an estimate of 1 - 19 tons of microplastics in household dust in Sweden [<xref ref-type="bibr" rid="scirp.97637-ref35">35</xref>]. To this is added 93 tons per year of emissions from protective coatings and 35 - 158 tons per year from decorative coatings [<xref ref-type="bibr" rid="scirp.97637-ref35">35</xref>], 1638 - 2456 tons of potential loss of granulates from sports grounds and facilities with similar turfs [<xref ref-type="bibr" rid="scirp.97637-ref35">35</xref>]. Emissions due to road wear and abrasion of tires will be discussed, below. A similar compilation of primary sources of microplastics has been published by the countries Norway [<xref ref-type="bibr" rid="scirp.97637-ref26">26</xref>] Denmark [<xref ref-type="bibr" rid="scirp.97637-ref36">36</xref>] and Germany [<xref ref-type="bibr" rid="scirp.97637-ref30">30</xref>].</p><p>“Secondary” microplastics originate from larger plastic pieces that have deteriorated and broken down over time through weathering or other “wear-and-tear”. Microplastics in the environment can stem from the fragmentation of larger size materials that have already been emitted to the environment. The degradation of plastics can be influenced by the action of photodegradation, as well as by chemical, physical and biological action [<xref ref-type="bibr" rid="scirp.97637-ref46">46</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref47">47</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref48">48</xref>].</p><p>In principle, all of these microplastic materials can be transported to the ocean by rivers, discharged by water treatment plants or through surface-run off, often aided by the wind [<xref ref-type="bibr" rid="scirp.97637-ref49">49</xref>]. Wastewater treatment plants are of great importance to retain hazardous waste material that otherwise would be discharged unhindered into the environment [<xref ref-type="bibr" rid="scirp.97637-ref50">50</xref>]. Therefore, the current article looks at recent studies of the retention of microplastics in wastewater treatment plants.</p></sec><sec id="s2"><title>2. Composition of Microplastics, Their Distribution in the Environment and Their Impact on Living Organisms</title><p>Microplastics include a diversity of polymers that can be divided into seven main basic types: polyvinyl chlorides (PC, 1), polyethenes (low density [LDPE], high density [HDPE], 2), polyamides (PA, 3), polypropylenes (PP, 4), polyurethanes (PU, 5), polystyrenes (PS, 6) and polyethylene terephthalates (7) [<xref ref-type="bibr" rid="scirp.97637-ref51">51</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref52">52</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref53">53</xref>] (<xref ref-type="fig" rid="fig2">Figure 2</xref>). Nevertheless, the European community has listed more than 130 different polymers as constituents of microplastics [<xref ref-type="bibr" rid="scirp.97637-ref54">54</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref55">55</xref>]. The share of the different materials in the overall worldwide production of plastics is given by PlasticsEurope as follows: PP (4, 23%, for packaging, food containers and textiles), PE (2, 17% LDPE, 15% HDPE, for plastic bags, packaging, microbeads), PS (6, 7%, for packaging), PET (7, 7%, for plastic bottles, synthetic fibers), and PA (3, 1%, fibers [nylon]). In addition, there are poly(methyl)methacrylates (8, PPMA, 1%, for synthetic glass) and polycarbonates (9, 1%, for plastic bottles and synthetic glass) [<xref ref-type="bibr" rid="scirp.97637-ref56">56</xref>].</p><p>Plastic particles, many of them microplastics, have been detected in ocean surface waters with an average density of as high as 3.3 &#215; 10<sup>5</sup> plastic fragments/km<sup>2</sup></p><p>(in the North Pacific gyre) [<xref ref-type="bibr" rid="scirp.97637-ref25">25</xref>] and of 8 - 124 fibers per L sediment on beaches [<xref ref-type="bibr" rid="scirp.97637-ref28">28</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref57">57</xref>] with fresh water bodies having a concentration of 0.55 &#215; 10<sup>5</sup> to 342 &#215; 10<sup>5</sup> items/km<sup>2</sup> [<xref ref-type="bibr" rid="scirp.97637-ref58">58</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref59">59</xref>]. Even in Arctic waters, just south and southwest of Svalbard, Norway, microplastics have been found, at a mean concentration of 0.34 &#177; 0.32 particles per m<sup>3</sup> on the water surface [<xref ref-type="bibr" rid="scirp.97637-ref60">60</xref>]. Although microplastics can be found in the surface water, there are denser microplastics that can be found at different depths in the water column and that finally can be embedded in sediments [<xref ref-type="bibr" rid="scirp.97637-ref33">33</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref61">61</xref>]. In fact, it has been estimated that about two-thirds of the microplastics end up on the ocean floor in sediments and one-sixth on sea-shores. Terrestrial ecosystems have been found with a mean concentration of 5 mg microplastic/kg soil [<xref ref-type="bibr" rid="scirp.97637-ref62">62</xref>]. The pervasive presence of microplastics in nature means that all forms of organisms are exposed to microplastics [<xref ref-type="bibr" rid="scirp.97637-ref16">16</xref>]. Intricate studies have looked at the impact of microplastics on different organisms, both in their natural habitat and in laboratory settings. There is some trepidation about the impact of microplastics on biodiversity, which has been expressed in recent papers [<xref ref-type="bibr" rid="scirp.97637-ref63">63</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref64">64</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref65">65</xref>]. Thus, it has been shown that larger invertebrate species ingest microplastics, mistaking them for their natural prey because of similarities in shape, size and color, e.g., mistaking them for plankton [<xref ref-type="bibr" rid="scirp.97637-ref66">66</xref>] - [<xref ref-type="bibr" rid="scirp.97637-ref73">73</xref>]. There is some worry that microplastics accumulate along the food chain [<xref ref-type="bibr" rid="scirp.97637-ref74">74</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref75">75</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref76">76</xref>] with the accumulation of microplastics in the digestive tract of Talitrus saltator (Crustacea, Amphipoda), a species which is heavily fed upon by birds, given as an example [<xref ref-type="bibr" rid="scirp.97637-ref77">77</xref>]. Lastly, there is also the worry that ultimately microplastics can reach humans [<xref ref-type="bibr" rid="scirp.97637-ref78">78</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref79">79</xref>], although there is no proof thus far of accidental ingestion of microplastics through marine food sources [<xref ref-type="bibr" rid="scirp.97637-ref80">80</xref>]. That there can be an effect of microplastics on organisms has been demonstrated without doubt [<xref ref-type="bibr" rid="scirp.97637-ref81">81</xref>]. First reports date from the late 1980s and early 1990s with Hart’s studies on the feeding rates of the purple sea urchin Strongylocentrotus purpuratus upon ingestion of polystyrene divinylbenzene (10) microspheres [<xref ref-type="bibr" rid="scirp.97637-ref82">82</xref>]. Later studies have revealed that microplastic ingestion can lead to growth inhibition [<xref ref-type="bibr" rid="scirp.97637-ref83">83</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref84">84</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref85">85</xref>], reproductive disorders [<xref ref-type="bibr" rid="scirp.97637-ref84">84</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref86">86</xref>], reduced viability [<xref ref-type="bibr" rid="scirp.97637-ref87">87</xref>] and in extreme cases, increased mortality [<xref ref-type="bibr" rid="scirp.97637-ref88">88</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref89">89</xref>] of microalgae, lugworms, marine bivalves and amphipods, respectively. In 2012, the secretariat of the Convention on Biological Diversity (CBD) reported that man-made marine litter has known negative impacts on 663 species studied [<xref ref-type="bibr" rid="scirp.97637-ref90">90</xref>]. While meso- and macroplastics often affect larger organisms directly, microplastics in the marine environment affect crustaceans, mussels, fish and plankton directly [<xref ref-type="bibr" rid="scirp.97637-ref30">30</xref>].</p><p>A complicating factor is that microplastics can carry pathogens [<xref ref-type="bibr" rid="scirp.97637-ref91">91</xref>], chemical pollutants and potentially invasive species [<xref ref-type="bibr" rid="scirp.97637-ref92">92</xref>]. Organic matter can easily adsorb on the surface of microplastics. The hydrophobicity and large surface area of the microplastics usually facilitate the adsorption. Studied organic pollutants that attach themselves to microplastics and that are of high toxicity are DDTs (e.g., 11) [<xref ref-type="bibr" rid="scirp.97637-ref93">93</xref>], hexachlorocyclohexanes (12) [<xref ref-type="bibr" rid="scirp.97637-ref94">94</xref>], chlorinated benzenes (13) [<xref ref-type="bibr" rid="scirp.97637-ref95">95</xref>], chlorinated biphenyls (14) [<xref ref-type="bibr" rid="scirp.97637-ref96">96</xref>], and polycyclic aromatic hydrocarbons (PAHs) such as pyrene (15) [<xref ref-type="bibr" rid="scirp.97637-ref97">97</xref>], fluoranthene (16) [<xref ref-type="bibr" rid="scirp.97637-ref98">98</xref>] and benzo[a]pyrenes (17) [<xref ref-type="bibr" rid="scirp.97637-ref99">99</xref>] (<xref ref-type="fig" rid="fig3">Figure 3</xref>). In addition, organic materials that are inherent to the microplastics</p><p>themselves and that stem from the production process, such as nonylphenol (18) and bisphenol A (19), have been found to leach from the microplastics into the environment [<xref ref-type="bibr" rid="scirp.97637-ref100">100</xref>]. These include flame retardants such as tris-(2-chloroethyl) phosphate (TCEP, 20) and tris-(1-chloro-2-propyl) phosphate (TCPP, 21) as well as the ubiquitous plasticizer di(-2-ethylhexyl) phthalate (DEHP, 22) [<xref ref-type="bibr" rid="scirp.97637-ref57">57</xref>]. Clearly, for microplastics originating from the breakdown of larger plastic pieces, other common flame retardants must be considered such as the many brominated flame retardants, decabromodiphenyl ether (23), tetrabromobisphenol A (24) and tetrabromobisphenol A-bis(2,3-dibromopropyl ether) (25), among others [<xref ref-type="bibr" rid="scirp.97637-ref101">101</xref>] (<xref ref-type="fig" rid="fig4">Figure 4</xref>). These organic compounds can be released into the tissue of living organisms. A plethora of studies have been performed to understand the desorption of the organic material from the microplastic and its transport into the organisms’ tissues [<xref ref-type="bibr" rid="scirp.97637-ref102">102</xref>]. In addition, it has been found that also heavy metals such as cadmium, lead, zinc, and nickel can be transported by microplastics [<xref ref-type="bibr" rid="scirp.97637-ref103">103</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref104">104</xref>].</p></sec><sec id="s3"><title>3. Wastewater Treatment Plants and Microplastics</title><p>A major share of the microplastics entering the environment does so through sewage water. This includes micropellets stemming from cosmetic formulations, especially from facial scrubs [<xref ref-type="bibr" rid="scirp.97637-ref105">105</xref>], and textile fibers [<xref ref-type="bibr" rid="scirp.97637-ref106">106</xref>], the latter coming from the shedding of particles during the washing process of textiles [<xref ref-type="bibr" rid="scirp.97637-ref28">28</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref107">107</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref108">108</xref>]. It has been noted that textile fibers released to the environment for the most part are natural fibers. Talvitie et al. have reported that the most common fibers emitted from a large wastewater treatment plant (WWTP) in Finland were natural (66%), where (natural) cotton and (synthetic) polyester made the largest contribution with 44% and 33%, respectively [<xref ref-type="bibr" rid="scirp.97637-ref109">109</xref>]. As organic pollutants in general are adsorbed on fibers, regardless of whether they are natural or synthetic, and textile fibers tend to be impregnated with flame retardants, both</p><p>could lead to an environmental impact. However, natural fibers tend to degrade more quickly.</p><p>Even though the abundance of microplastics and their impact on the environment have been studied extensively, especially in the last decade, the idea that wastewater treatment plants can also be considered as point sources in the release of microplastics into the aquatic environment has only recently gained traction, both within the scientific community [<xref ref-type="bibr" rid="scirp.97637-ref29">29</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref109">109</xref>] - [<xref ref-type="bibr" rid="scirp.97637-ref119">119</xref>] and within governmental agencies [<xref ref-type="bibr" rid="scirp.97637-ref26">26</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref120">120</xref>]. Vermaire et al. have found a significantly higher concentration of microplastics downstream of a wastewater treatment plant (1.99 per m<sup>3</sup>) on the Ottawa river as compared to upstream (0.71 per m<sup>3</sup>) [<xref ref-type="bibr" rid="scirp.97637-ref119">119</xref>]. Other studies have found an elevated concentration of microplastics (MPs) downriver from WWTPs [<xref ref-type="bibr" rid="scirp.97637-ref14">14</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref121">121</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref122">122</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref123">123</xref>]. Municipal and industrial effluent runoffs contain macro- and microplastics. While large plastics tend to be removed in water processing units, technologies in WWTPs are not specifically designed to remove or degrade the micro- or nanoplastics from final effluents [<xref ref-type="bibr" rid="scirp.97637-ref110">110</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref114">114</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref124">124</xref>]. Thus, effluents containing microplastics enter the oceans from municipal sewage treatment plants directly or indirectly via riverine systems [<xref ref-type="bibr" rid="scirp.97637-ref25">25</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref28">28</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref33">33</xref>]. It is estimated that in Europe alone, effluents from wastewater treatment plants are releasing 520,000 tons of plastic every year [<xref ref-type="bibr" rid="scirp.97637-ref15">15</xref>]. It must be noted, however, that microplastics smaller than 5 μm are not easily quantified (see below) and not always recorded, and therefore the numbers could in fact be higher. The abundant presence of polypropylene (4) and polyethylene (2) beads and acrylic (26), polyamide (3), polyester (27) and nylon (28) fibers in marine sediments reflect this [<xref ref-type="bibr" rid="scirp.97637-ref14">14</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref25">25</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref28">28</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref29">29</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref117">117</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref124">124</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref125">125</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref126">126</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref127">127</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref128">128</xref>] (<xref ref-type="fig" rid="fig5">Figure 5</xref>). A comparison of plastic fibers detected in shoreline sediment with samples and fibers collected from wastewater effluents clearly suggests that a considerable portion of detected microfibers is associated with wastewater effluents [<xref ref-type="bibr" rid="scirp.97637-ref28">28</xref>]. Microplastics found in the Laurentian Great Lakes with an abundance 7.4 &#215; 10<sup>5</sup> particles/km<sup>2</sup> were linked to wastewater treatment plant effluents [<xref ref-type="bibr" rid="scirp.97637-ref125">125</xref>] as were microplastics found in St. Lawrence River sediments [<xref ref-type="bibr" rid="scirp.97637-ref129">129</xref>]. Then,</p><p>there is the issue with microplastics stemming from personal care products. A statistical analysis revealed that worldwide wastewater treatment plants are passing 8 trillion microbeads into our aquatic ecosystems daily [<xref ref-type="bibr" rid="scirp.97637-ref130">130</xref>]. Microplastics from personal care products can take the form of spherical beads, but oftentimes have irregular shapes, so that they are not always well identified when present in an environmental sample. Oftentimes, the particles characterized as “fragments” in the individual studies on microplastics in the environment have the size and topography of microplastics found in personal care-product formulations [<xref ref-type="bibr" rid="scirp.97637-ref105">105</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref131">131</xref>]. Therefore, many studies view particles described as “fragments” and (spherical) micropellets as microbeads. This may lead to uncertainties in the quantification of plastic microbeads from personal care products as reported from different regions of the globe.</p><p>Tire and road wear material can be seen as synthetic plastic containing and have been the focus of a number of studies. Of late, the contribution of tire and road wear particles (TRWP) to microplastic emissions has been highlighted, where within the area of the Seine watershed per capita release of TRWP was estimated to be 1.8 kg/year, with 2% of that amount being transported to the Seine estuary [<xref ref-type="bibr" rid="scirp.97637-ref132">132</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref133">133</xref>]. In the same paper, the author estimated a TRWP generation rate of 1 kg per inhabitant and year throughout Europe [<xref ref-type="bibr" rid="scirp.97637-ref132">132</xref>]. It has been estimated that 2300 tons of TRWP have been transported into the Mediterranean Sea and 1600 tons into the Black Sea, both in the year 2000 alone [<xref ref-type="bibr" rid="scirp.97637-ref134">134</xref>]. However, different numbers come from Sweden, where an annual emission of 7674 tons of rubber wear [<xref ref-type="bibr" rid="scirp.97637-ref35">35</xref>] and 110,000 tons of asphalt abrasion is calculated [<xref ref-type="bibr" rid="scirp.97637-ref35">35</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref135">135</xref>], of which about 23,000 tons is extremely mobile material [<xref ref-type="bibr" rid="scirp.97637-ref136">136</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref137">137</xref>], making for 3 kg mobile TRWP generation per inhabitant and year. This would amount to 0.76 kg/inhabitant and year of tire wear alone. Similar data has been obtained in Norway (4500 t/year [<xref ref-type="bibr" rid="scirp.97637-ref26">26</xref>] ) and Denmark (4200 - 6600 t/year [<xref ref-type="bibr" rid="scirp.97637-ref36">36</xref>] ), while for Germany, the numbers estimated left a large margin of uncertainty (60 - 110,000 t/year [<xref ref-type="bibr" rid="scirp.97637-ref30">30</xref>] ). Tires contain styrene-butadiene rubber (29) and natural rubber (30) (<xref ref-type="fig" rid="fig5">Figure 5</xref>), two materials that as anthropogenic macromolecular compounds have started to be included in the term “plastics” [<xref ref-type="bibr" rid="scirp.97637-ref132">132</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref138">138</xref>]. The study by Unice et al. [<xref ref-type="bibr" rid="scirp.97637-ref132">132</xref>] set the wastewater treatment plant’s removal efficiency of TRWP at 95%.</p><p>Municipal wastewater treatment facilities have a basic common design (<xref ref-type="fig" rid="fig6">Figure 6</xref>), although each facility will differ in the configuration of this basic design. Aeration, flocculation, and sedimentation can be seen as the common steps of the process. The primary treatment removes large debris items with screen meshes sized 6 mm or larger. It has been understood that an average of 65% of the influent microplastics are removed during a typical primary treatment stage [<xref ref-type="bibr" rid="scirp.97637-ref139">139</xref>], where microplastics of low density tend to collect in the grease layer [<xref ref-type="bibr" rid="scirp.97637-ref117">117</xref>], where they are skimmed off [<xref ref-type="bibr" rid="scirp.97637-ref111">111</xref>]. Secondary treatment removes suspended and dissolved organic material, through the action of microorganisms within large aeration tanks. By flocculation processes and in settling tanks sewage sludge is</p><p>separated from the post-processing effluent. This is followed by disinfection processes, polishing or possibly advanced (tertiary) treatment, such as filtration through sand and/or activated carbon columns, before the treated water is discharged into a neighboring waterbody. Removal rates of 96% - 99% for secondary wastewater treatment plants [<xref ref-type="bibr" rid="scirp.97637-ref112">112</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref115">115</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref117">117</xref>] and of 90% - 99.9% for tertiary wastewater treatment plants [<xref ref-type="bibr" rid="scirp.97637-ref111">111</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref115">115</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref118">118</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref140">140</xref>] have been reported. Nevertheless, it has been noted that even the tertiary stage proves ineffective to completely remove the microplastic from the final effluent [<xref ref-type="bibr" rid="scirp.97637-ref109">109</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref141">141</xref>], see also below. Thus, as microplastic is not specifically targeted in any of the three treatment phases, it can escape through the treatment plants [<xref ref-type="bibr" rid="scirp.97637-ref142">142</xref>] and via effluents finally reaches the ocean [<xref ref-type="bibr" rid="scirp.97637-ref28">28</xref>]. Nevertheless, it has also been noted that beads/pellets, although thoroughly studied (see below), are by far the least abundant constituent of microplastics in the effluents of the wastewater treatment plants [<xref ref-type="bibr" rid="scirp.97637-ref139">139</xref>], with fibers making up the major contribution to the microplastics being released by wastewater treatment plants [<xref ref-type="bibr" rid="scirp.97637-ref28">28</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref114">114</xref>]. This can be seen nicely in the work of R. Sutton et al. [<xref ref-type="bibr" rid="scirp.97637-ref141">141</xref>], where 80% of microplastics found in the effluent of four WWTPs with secondary and four WWPTs with tertiary treatment on San Francisco bay have been noted to be fibers. Similar results have been reported by Vermaire et al., where 70% and more of the plastic particles in the effluent have been found to be microfibers [<xref ref-type="bibr" rid="scirp.97637-ref119">119</xref>].</p><p>Situations have been found to be quite different for different water treatment plants, depending on the composition of the influx and the type of wastewater treatment plant. The outcomes of the studies also depend on the sampling and analysis techniques, i.e., to what minimum size the microplastics were quantified. Primpke et al. found that microplastic emissions can be quite different on two different days, so that sampling time and duration of the study are important variables in assessing the retention of microplastics in different wastewater treatment plants [<xref ref-type="bibr" rid="scirp.97637-ref161">161</xref>]. Evidently, all water treatment plants reduce the number of microplastics, when comparing influx to effluent (see <xref ref-type="table" rid="table1">Table 1</xref>). Many investigations have concentrated on plastic microbeads [<xref ref-type="bibr" rid="scirp.97637-ref117">117</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref147">147</xref>], which mostly derive from daily care products such as facial cleansers, body washes, including shampoos, and toothpastes. Early studies have found relatively low concentrations of microplastics in the treated water ranging from 0.0009 [<xref ref-type="bibr" rid="scirp.97637-ref111">111</xref>] to 0.009 particles per L [<xref ref-type="bibr" rid="scirp.97637-ref55">55</xref>] for secondary treatment and 0.00002 [<xref ref-type="bibr" rid="scirp.97637-ref111">111</xref>] to 1 particle per L [<xref ref-type="bibr" rid="scirp.97637-ref28">28</xref>] for tertiary treatment. A study of the effluent from 8 WTTPs in the San Francisco bay area found no microbeads at all in the 0.086 microplastic particles per L discharge [<xref ref-type="bibr" rid="scirp.97637-ref141">141</xref>], although plastic fragments made up 17% of the discharged microplastics. A study of a large secondary wastewater treatment plant on the River Clyde, Glasgow, serving approx. 650,000 inhabitants, was found to reduce the number of microbeads from 15.7 (&#177;5.23) particles per L to 0.25 (&#177;0.24) particles per L [<xref ref-type="bibr" rid="scirp.97637-ref117">117</xref>]. This constitutes a reduction of 98.4%, which is comparable to the results of a Swedish study involving a small water treatment facility serving 14,000 people [<xref ref-type="bibr" rid="scirp.97637-ref55">55</xref>], where 99% of the microbeads were retained by the water treatment plant. Nevertheless, it was calculated that the water treatment plant on the Clyde still discharges 6.5 &#215; 10<sup>7</sup> microbeads into the river per day. This number may be compared with the estimated 8 trillion (8 &#215; 10<sup>12</sup>) microbeads which are released into the aquatic environment worldwide on a daily basis [<xref ref-type="bibr" rid="scirp.97637-ref65">65</xref>]. For Lubljana, Slovenia, G. Kalč&#237;kov&#225; et al. have estimated a release of 15.2 mg of microbeads per person into the sewerage water with 1.1 &#215; 10<sup>8</sup> particles reaching the river water giving a microbead concentration of 21 particles/m<sup>3</sup>. Furthermore, lab experimentation showed that on average 52% of microbeads were captured by activated sludge, constituting a large fraction of the smaller particles (60 - 70 μm), while the larger particles were less well retained [<xref ref-type="bibr" rid="scirp.97637-ref147">147</xref>]. Studies from mainland China estimate that up to 209.7 trillion microbeads (equaling 306.9 tons) are carried into the aquatic environment annually, 167.5 trillion microbeads of which stem from an incomplete removal in wastewater treatment plants [<xref ref-type="bibr" rid="scirp.97637-ref162">162</xref>], with the remainder originating from untreated wastewater, mostly from urban areas. A US estimate for the release of microbeads through treated sewage into American waterways for 2015 is conservative at 2.9 trillion beads [<xref ref-type="bibr" rid="scirp.97637-ref163">163</xref>]. A more recent estimate based on a newer assessment of the wastewater volume being processed [<xref ref-type="bibr" rid="scirp.97637-ref164">164</xref>] puts this number at 1.1 trillion - 8.4 trillion microbeads per year [<xref ref-type="bibr" rid="scirp.97637-ref114">114</xref>]. A study performed in New York State in 2015 found that of 34 water treatment facilities in the state, microbeads were found in the treated effluent of 25 treatment plants [<xref ref-type="bibr" rid="scirp.97637-ref120">120</xref>]. Of the 9 facilities, where no microbeads could be confirmed, 6 employed advanced filtration techniques such as membrane microfiltration, continuous backwash upflow dual sand (CBUDS) microfiltration and rapid sand filters [<xref ref-type="bibr" rid="scirp.97637-ref120">120</xref>]. However, 4 of the facilities, where microbeads had been found in the treated effluent, also used filtration techniques such as rapid sand</p><table-wrap-group id="1"><label><xref ref-type="table" rid="table1">Table 1</xref></label><caption><title> Displays the large variety in the concentration of microplastics that has been reported in waste water effluents (Browne et al., 2011; Dris et al., 2015; Leslie et al., 2017; Talvitie et al., 2017; Carr et al., 2016; Magnusson and Nor&#233;n, 2014; Mason et al., 2016; Michielssen, 2016; Murphy et al., 2016; Talvitie et al., 2015; Estahbanadi et al., 2016; Mintenig et al., 2017; Ziajahromi et al., 2017; Sutton et al., 2016; Dyachenko et al., 2017; Talvitie et al., 2017; Talvitie and Heinonen, 2014; Gűndoğdu et al., 2018; Kalčikov&#225; et al., 2017; Gies et al., 2018; Simon et al., 2018; Wisniowska et al., 2018; Yang et al., 2019; Bayo et al., 2019; Long et al., 2019; Blair et al., 2019; Xu et al., 2019; Lv et al., 2019; Liu et al., 2019; Wolff et al., 2019; Cnley et al., 2019; Magni et al., 2019)</title></caption><table-wrap id="1_1"><table><tbody><thead><tr><th align="center" valign="middle"  rowspan="2"  >Reference</th><th align="center" valign="middle"  rowspan="2"  >Map locations</th><th align="center" valign="middle"  rowspan="2"  >MPs concentration</th><th align="center" valign="middle"  rowspan="2"  >Lower size limit for fractionation &#181;m</th><th align="center" valign="middle"  rowspan="2"  >Type of the WWTP</th><th align="center" valign="middle"  rowspan="2"  >Retention/ Efficiency</th><th align="center" valign="middle"  rowspan="2"  >Country</th><th align="center" valign="middle" ></th></tr></thead><tr><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle"  rowspan="2"  >Lares et al., 2018 [<xref ref-type="bibr" rid="scirp.97637-ref143">143</xref>]</td><td align="center" valign="middle"  rowspan="2"  >1</td><td align="center" valign="middle"  rowspan="2"  >1.05 particles/L</td><td align="center" valign="middle"  rowspan="2"  >250</td><td align="center" valign="middle"  rowspan="2"  >Primary and secondary</td><td align="center" valign="middle"  rowspan="2"  >CAS 99%, MBR 99.4%</td><td align="center" valign="middle"  rowspan="2"  >Finland</td><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle" >Magnusson and Nor&#233;n, 2014 [<xref ref-type="bibr" rid="scirp.97637-ref112">112</xref>]</td><td align="center" valign="middle" >2</td><td align="center" valign="middle" >0.00825 particles/L</td><td align="center" valign="middle" >300</td><td align="center" valign="middle" >Mechanical, chemical and biological treatment</td><td align="center" valign="middle" >99.9%</td><td align="center" valign="middle" >Sweden</td><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle" >Dyachenko et al., 2017 [<xref ref-type="bibr" rid="scirp.97637-ref144">144</xref>]</td><td align="center" valign="middle" >3</td><td align="center" valign="middle" >0.02 particles/L</td><td align="center" valign="middle" >125</td><td align="center" valign="middle" >Primary, secondary and tertiary</td><td align="center" valign="middle" >n.a.</td><td align="center" valign="middle" >USA</td><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle"  rowspan="2"  >Mason et al., 2016 [<xref ref-type="bibr" rid="scirp.97637-ref114">114</xref>]</td><td align="center" valign="middle"  rowspan="2"  >4</td><td align="center" valign="middle"  rowspan="2"  >0.05 particles/L</td><td align="center" valign="middle"  rowspan="2"  >125</td><td align="center" valign="middle"  rowspan="2"  >17 WWTPs, Tertiary</td><td align="center" valign="middle"  rowspan="2"  >n.a.</td><td align="center" valign="middle"  rowspan="2"  >USA</td><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle" >Murphy et al., 2016 [<xref ref-type="bibr" rid="scirp.97637-ref117">117</xref>]</td><td align="center" valign="middle" >5</td><td align="center" valign="middle" >0.25 particles/L</td><td align="center" valign="middle" >11</td><td align="center" valign="middle" >Primary and secondary</td><td align="center" valign="middle" >98%</td><td align="center" valign="middle" >UK</td><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle" >Carr et al., 2016 [<xref ref-type="bibr" rid="scirp.97637-ref111">111</xref>]</td><td align="center" valign="middle" >6</td><td align="center" valign="middle" >0.88 particles/m<sup>3</sup></td><td align="center" valign="middle" >45</td><td align="center" valign="middle" >Primary, secondary and tertiary</td><td align="center" valign="middle" >99.9%</td><td align="center" valign="middle" >USA</td><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle" >Ziajahromi et al., 2017 [<xref ref-type="bibr" rid="scirp.97637-ref140">140</xref>]</td><td align="center" valign="middle" >7</td><td align="center" valign="middle" >0.28 particles/L</td><td align="center" valign="middle" >25</td><td align="center" valign="middle" >Primary, secondary and tertiary</td><td align="center" valign="middle" >92% - 99%</td><td align="center" valign="middle" >Australia</td><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle" >Ziajahromi et al., 2017 [<xref ref-type="bibr" rid="scirp.97637-ref140">140</xref>]</td><td align="center" valign="middle" >7</td><td align="center" valign="middle" >0.48 particles/L</td><td align="center" valign="middle" >25</td><td align="center" valign="middle" >Primary and secondary</td><td align="center" valign="middle" >89%</td><td align="center" valign="middle" >Australia</td><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle" >Ziajahromi et al., 2017 [<xref ref-type="bibr" rid="scirp.97637-ref140">140</xref>]</td><td align="center" valign="middle" >7</td><td align="center" valign="middle" >1.54 particles/L</td><td align="center" valign="middle" >25</td><td align="center" valign="middle" >Primary</td><td align="center" valign="middle" >66%</td><td align="center" valign="middle" >Australia</td><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle" >Michielssen et al., 2016 [<xref ref-type="bibr" rid="scirp.97637-ref115">115</xref>]</td><td align="center" valign="middle" >8</td><td align="center" valign="middle" >0.5 to 5.9 particles/L (incl. all textile fibers)</td><td align="center" valign="middle" >20</td><td align="center" valign="middle" >2 WWTPs: primary, secondary and tertiary</td><td align="center" valign="middle" >95% - 99%</td><td align="center" valign="middle" >USA</td><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle"  rowspan="2"  >Mintenig et al., 2014 and 2017 [<xref ref-type="bibr" rid="scirp.97637-ref116">116</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref127">127</xref>]</td><td align="center" valign="middle"  rowspan="2"  >9</td><td align="center" valign="middle"  rowspan="2"  >0.1 to 10.1 particles/L</td><td align="center" valign="middle"  rowspan="2"  >20</td><td align="center" valign="middle"  rowspan="2"  >12 WWTPs: mostly secondary and tertiary</td><td align="center" valign="middle"  rowspan="2"  >97%</td><td align="center" valign="middle"  rowspan="2"  >Germany</td><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle"  rowspan="2"  >Talvitie et al., 2015 [<xref ref-type="bibr" rid="scirp.97637-ref118">118</xref>]</td><td align="center" valign="middle"  rowspan="2"  >10</td><td align="center" valign="middle"  rowspan="2"  >13.5 particles/L (incl. all textile fibers)</td><td align="center" valign="middle"  rowspan="2"  >20</td><td align="center" valign="middle"  rowspan="2"  >Primary, secondary and tertiary</td><td align="center" valign="middle"  rowspan="2"  >97.6%</td><td align="center" valign="middle"  rowspan="2"  >Finland</td><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle"  rowspan="2"  >Talvitie et al., 2017 [<xref ref-type="bibr" rid="scirp.97637-ref109">109</xref>]</td><td align="center" valign="middle"  rowspan="2"  >10</td><td align="center" valign="middle"  rowspan="2"  >0.005 to 0.3 particles/L</td><td align="center" valign="middle"  rowspan="2"  >20</td><td align="center" valign="middle"  rowspan="2"  >4 tertiary WWTPs</td><td align="center" valign="middle"  rowspan="2"  >99%</td><td align="center" valign="middle"  rowspan="2"  >Finland</td><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle"  rowspan="2"  >Leslie et al., 2017 [<xref ref-type="bibr" rid="scirp.97637-ref33">33</xref>]</td><td align="center" valign="middle"  rowspan="2"  >11</td><td align="center" valign="middle"  rowspan="2"  >9 to 91 particles/L</td><td align="center" valign="middle"  rowspan="2"  >0.7</td><td align="center" valign="middle"  rowspan="2"  >7 WWTPs</td><td align="center" valign="middle"  rowspan="2"  >72%</td><td align="center" valign="middle"  rowspan="2"  >Netherlands</td><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle"  rowspan="2"  >Browne et al., 2011 [<xref ref-type="bibr" rid="scirp.97637-ref28">28</xref>]</td><td align="center" valign="middle"  rowspan="2"  >12</td><td align="center" valign="middle"  rowspan="2"  >1 particles/L</td><td align="center" valign="middle"  rowspan="2"  >(filtered)</td><td align="center" valign="middle"  rowspan="2"  >Primary, secondary and tertiary</td><td align="center" valign="middle"  rowspan="2"  >n.a.</td><td align="center" valign="middle"  rowspan="2"  >Australia</td><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle"  rowspan="2"  >Dris et al., 2015 [<xref ref-type="bibr" rid="scirp.97637-ref28">28</xref>]</td><td align="center" valign="middle"  rowspan="2"  >13</td><td align="center" valign="middle"  rowspan="2"  >14 to 50 particles/L</td><td align="center" valign="middle"  rowspan="2"  >100</td><td align="center" valign="middle"  rowspan="2"  >Secondary</td><td align="center" valign="middle"  rowspan="2"  >83% - 95%</td><td align="center" valign="middle"  rowspan="2"  >France</td><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle"  rowspan="2"  >Carr et al., 2016 [<xref ref-type="bibr" rid="scirp.97637-ref111">111</xref>]</td><td align="center" valign="middle"  rowspan="2"  >14</td><td align="center" valign="middle"  rowspan="2"  >90 particles/L</td><td align="center" valign="middle"  rowspan="2"  >90 - 300</td><td align="center" valign="middle"  rowspan="2"  >Primary, secondary and tertiary</td><td align="center" valign="middle"  rowspan="2"  >95% - 99%</td><td align="center" valign="middle"  rowspan="2"  >USA</td><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle"  rowspan="2"  >Talvitie and Heinonen 2014 [<xref ref-type="bibr" rid="scirp.97637-ref145">145</xref>]</td><td align="center" valign="middle"  rowspan="2"  >15</td><td align="center" valign="middle"  rowspan="2"  >70 Particles/L</td><td align="center" valign="middle"  rowspan="2"  >20</td><td align="center" valign="middle"  rowspan="2"  >n.a</td><td align="center" valign="middle"  rowspan="2"  >95.6%</td><td align="center" valign="middle"  rowspan="2"  >Russia</td><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle" >Gűndoğdu et al., 2018 [<xref ref-type="bibr" rid="scirp.97637-ref146">146</xref>]</td><td align="center" valign="middle" >16</td><td align="center" valign="middle" >7.02 particles/L</td><td align="center" valign="middle" >n.a.</td><td align="center" valign="middle" >Secondary</td><td align="center" valign="middle" >73%</td><td align="center" valign="middle" >Turkey (Seyhan)</td><td align="center" valign="middle" ></td></tr></tbody></table></table-wrap><table-wrap id="1_2"><table><tbody><thead><tr><th align="center" valign="middle" >Gűndoğdu et al., 2018 [<xref ref-type="bibr" rid="scirp.97637-ref146">146</xref>]</th><th align="center" valign="middle" >17</th><th align="center" valign="middle" >4.11 particles/L</th><th align="center" valign="middle" >n.a.</th><th align="center" valign="middle" >Secondary</th><th align="center" valign="middle" >79%</th><th align="center" valign="middle" >Turkey (Yűreğir)</th></tr></thead><tr><td align="center" valign="middle" >Estahbanadi and Fahrenfeld 2016 [<xref ref-type="bibr" rid="scirp.97637-ref116">116</xref>]</td><td align="center" valign="middle" >18</td><td align="center" valign="middle" >0.028 to 0.44 particles/L</td><td align="center" valign="middle" >250 - 500</td><td align="center" valign="middle" >Primary and secondary</td><td align="center" valign="middle" >n.a.</td><td align="center" valign="middle" >USA</td></tr><tr><td align="center" valign="middle" >Kalčikov&#225; et al., 2017 [<xref ref-type="bibr" rid="scirp.97637-ref147">147</xref>]</td><td align="center" valign="middle" >19</td><td align="center" valign="middle" >0.021 particles/L</td><td align="center" valign="middle" >37 to 95</td><td align="center" valign="middle" >Primary (Mechanical and Biological)</td><td align="center" valign="middle" >87%</td><td align="center" valign="middle" >Slovenia</td></tr><tr><td align="center" valign="middle" >Simon et al., 2018 [<xref ref-type="bibr" rid="scirp.97637-ref148">148</xref>]</td><td align="center" valign="middle" >20</td><td align="center" valign="middle" >54 particles/L</td><td align="center" valign="middle" >10 to 500</td><td align="center" valign="middle" >-</td><td align="center" valign="middle" >98.3%</td><td align="center" valign="middle" >Denmark</td></tr><tr><td align="center" valign="middle" >Sutton et al., 2016 [<xref ref-type="bibr" rid="scirp.97637-ref141">141</xref>]</td><td align="center" valign="middle" >21</td><td align="center" valign="middle" >0.071 particles/L</td><td align="center" valign="middle" >125</td><td align="center" valign="middle" >Primary and secondary</td><td align="center" valign="middle" >n.a.</td><td align="center" valign="middle" >USA</td></tr><tr><td align="center" valign="middle" >Michielssen et al., 2016 [<xref ref-type="bibr" rid="scirp.97637-ref115">115</xref>]</td><td align="center" valign="middle" >22</td><td align="center" valign="middle" >5.9 particles/L</td><td align="center" valign="middle" >20</td><td align="center" valign="middle" >Primary and secondary</td><td align="center" valign="middle" >93.8%</td><td align="center" valign="middle" >USA (Detroit)</td></tr><tr><td align="center" valign="middle" >Michielssen et al., 2016 [<xref ref-type="bibr" rid="scirp.97637-ref115">115</xref>]</td><td align="center" valign="middle" >23</td><td align="center" valign="middle" >37.4 particles/L</td><td align="center" valign="middle" >20</td><td align="center" valign="middle" >Primary and secondary</td><td align="center" valign="middle" >89.8%</td><td align="center" valign="middle" >USA (Northfield)</td></tr><tr><td align="center" valign="middle" >Gies et al., 2018 [<xref ref-type="bibr" rid="scirp.97637-ref149">149</xref>]</td><td align="center" valign="middle" >24</td><td align="center" valign="middle" >0.5 particles/L</td><td align="center" valign="middle" >64</td><td align="center" valign="middle" >Primary and secondary</td><td align="center" valign="middle" >98.3%</td><td align="center" valign="middle" >Canada</td></tr><tr><td align="center" valign="middle" >Wisniowska et al., 2018 [<xref ref-type="bibr" rid="scirp.97637-ref150">150</xref>]</td><td align="center" valign="middle" >25</td><td align="center" valign="middle" >0.028 to 0.96 particles/L</td><td align="center" valign="middle" >n.a.</td><td align="center" valign="middle" >n.a.</td><td align="center" valign="middle" >95% - 99%</td><td align="center" valign="middle" >Poland</td></tr><tr><td align="center" valign="middle" >Yang et al., 2019 [<xref ref-type="bibr" rid="scirp.97637-ref151">151</xref>]</td><td align="center" valign="middle" >26</td><td align="center" valign="middle" >0.59 particles/L</td><td align="center" valign="middle" >50</td><td align="center" valign="middle" >Primary and secondary</td><td align="center" valign="middle" >95%</td><td align="center" valign="middle" >China (Beijing)</td></tr><tr><td align="center" valign="middle" >Bayo et al., 2019 [<xref ref-type="bibr" rid="scirp.97637-ref152">152</xref>]</td><td align="center" valign="middle" >27</td><td align="center" valign="middle" >0.25 particles/L</td><td align="center" valign="middle" >n.a</td><td align="center" valign="middle" >Primary</td><td align="center" valign="middle" >90.3%</td><td align="center" valign="middle" >Spain (Cartagena)</td></tr><tr><td align="center" valign="middle" >Long et al., 2019 [<xref ref-type="bibr" rid="scirp.97637-ref153">153</xref>]</td><td align="center" valign="middle" >28</td><td align="center" valign="middle" >0.20 e 1.73 items/L</td><td align="center" valign="middle" >28.3</td><td align="center" valign="middle" >Primary and secondary</td><td align="center" valign="middle" >97.8%</td><td align="center" valign="middle" >China (Xiamen)</td></tr><tr><td align="center" valign="middle" >Blair et al., 2019 [<xref ref-type="bibr" rid="scirp.97637-ref154">154</xref>]</td><td align="center" valign="middle" >29</td><td align="center" valign="middle" >&lt;1 and 3 particles/L</td><td align="center" valign="middle" >300</td><td align="center" valign="middle" >Tertiary</td><td align="center" valign="middle" >96%</td><td align="center" valign="middle" >UK</td></tr><tr><td align="center" valign="middle" >Xu et al., 2019 [<xref ref-type="bibr" rid="scirp.97637-ref155">155</xref>]</td><td align="center" valign="middle" >30</td><td align="center" valign="middle" >9.04 particles/L</td><td align="center" valign="middle" >1000</td><td align="center" valign="middle" >Primary and secondary</td><td align="center" valign="middle" >97.2%</td><td align="center" valign="middle" >China (Changzhu)</td></tr><tr><td align="center" valign="middle" >Lv et al., 2019 [<xref ref-type="bibr" rid="scirp.97637-ref156">156</xref>]</td><td align="center" valign="middle" >31</td><td align="center" valign="middle" >0.13 and 0.05 particles/L</td><td align="center" valign="middle" >25</td><td align="center" valign="middle" >n.a.</td><td align="center" valign="middle" >MBR 99.5%, OD 97%</td><td align="center" valign="middle" >China</td></tr><tr><td align="center" valign="middle" >Liu et al., 2019 [<xref ref-type="bibr" rid="scirp.97637-ref157">157</xref>]</td><td align="center" valign="middle" >32</td><td align="center" valign="middle" >28.4 particles/L</td><td align="center" valign="middle" >100</td><td align="center" valign="middle" >Primary and secondary</td><td align="center" valign="middle" >64.4%</td><td align="center" valign="middle" >China</td></tr><tr><td align="center" valign="middle" >Wolff et al., 2019 [<xref ref-type="bibr" rid="scirp.97637-ref158">158</xref>]</td><td align="center" valign="middle" >33</td><td align="center" valign="middle" >59 and 30 particles/L</td><td align="center" valign="middle" >10</td><td align="center" valign="middle" >Primary and secondary</td><td align="center" valign="middle" >n.a</td><td align="center" valign="middle" >Germany</td></tr><tr><td align="center" valign="middle" >Conley et al., 2019 [<xref ref-type="bibr" rid="scirp.97637-ref159">159</xref>]</td><td align="center" valign="middle" >34</td><td align="center" valign="middle" >3.7, 17.6 and 17.2 particles/L</td><td align="center" valign="middle" >23</td><td align="center" valign="middle" >Primary and secondary</td><td align="center" valign="middle" >97.6%, 85.2%, 85.5%</td><td align="center" valign="middle" >USA (South Carolina)</td></tr><tr><td align="center" valign="middle" >Magni et al., 2019 [<xref ref-type="bibr" rid="scirp.97637-ref160">160</xref>]</td><td align="center" valign="middle" >42</td><td align="center" valign="middle" >0.4 particles/L</td><td align="center" valign="middle" >8</td><td align="center" valign="middle" >Primary, Secondary and tertiary</td><td align="center" valign="middle" >84%</td><td align="center" valign="middle" >Italy</td></tr></tbody></table></table-wrap></table-wrap-group><p><sup>a</sup>Numbers given in the second column coincide with the numbers in the site map of <xref ref-type="fig" rid="fig6">Figure 6</xref>, showing the locations of the studies on a world map.</p><p>filters and continuous backwash sand filters [<xref ref-type="bibr" rid="scirp.97637-ref120">120</xref>]. Also, Sutton et al. commented that plants with tertiary treatment stages such as with granular filtration do not always display lower concentrations of microplastics than plants with solely secondary treatment processes [<xref ref-type="bibr" rid="scirp.97637-ref141">141</xref>]. Furthermore, Primpke et al. showed that a post-filtration treatment reduced the microplastic concentration by more than 70%, but was only efficient with particles &gt; 100 μm [<xref ref-type="bibr" rid="scirp.97637-ref161">161</xref>].</p><p>Carr et al. have performed a study on 8 water treatment plants in South California [<xref ref-type="bibr" rid="scirp.97637-ref111">111</xref>]. Mason et al. looked at 17 wastewater treatment plants in the state’s New York, California, Ohio and Wisconsin, in the years 2013-2015. They found that on the average the effluent contained less than 1 particle of microplastic per L, with fibers (59% overall) and plastic fragments (33% overall) being the dominant contributors and with micropellets making up 1% of the mix [<xref ref-type="bibr" rid="scirp.97637-ref114">114</xref>]. Again, there is no clear-cut dependence of the concentration of microplastic in the effluent on whether special filtration techniques are used as a tertiary treatment stage [<xref ref-type="bibr" rid="scirp.97637-ref111">111</xref>] Nevertheless, Mahon’s studies from 7 wastewater treatment plants in Ireland seem to suggest that also the anaerobic digestion step may be contributing significantly to the removal of microplastics [<xref ref-type="bibr" rid="scirp.97637-ref113">113</xref>]. J. Talvitie et al. have given most likely the most detailed study to date on the removal efficiency of different advanced tertiary stage treatment methods [<xref ref-type="bibr" rid="scirp.97637-ref109">109</xref>]. A very detailed study looks at the removal of microlitter along the different treatment steps of the largest WWTP in Finland, situated in Viikinm&#228;ki and serving 800,000 inhabitants of the Helsinki metropolitan area [<xref ref-type="bibr" rid="scirp.97637-ref109">109</xref>]. A typical day of the study saw 1.93 &#215; 10<sup>11</sup> particles of microlitter carried into the WWTP. Of these 98.4% were retained in the pre-treatment step which consists of a coarse screening (10 mm), chemical treatment and a primary sedimentation [<xref ref-type="bibr" rid="scirp.97637-ref109">109</xref>]. Of the 3.07 &#215; 10<sup>9</sup> particles of microlitter remaining in the water, 88.1% are retained in the subsequent activated sludge process. This is followed by a tertiary treatment through a biologically active filter (BAF), where 46.2% of the remaining microlitter particles are retained, leading to an effluent loaded with 1.97 &#215; 10<sup>8</sup> particles of microlitter [<xref ref-type="bibr" rid="scirp.97637-ref109">109</xref>]. The microplastic load of the effluent was reported to vary between 1.7 &#215; 10<sup>6</sup> to 1.4 &#215; 10<sup>8</sup> particles per day, with 270,000 m<sup>3</sup> water treated [<xref ref-type="bibr" rid="scirp.97637-ref109">109</xref>]. This can be compared to daily microplastic effluent loads of two large secondary WWTPs in USA and UK with 6.5 &#215; 10<sup>7</sup> particles of microplastic [in 260.954 m<sup>3</sup> of treated water [<xref ref-type="bibr" rid="scirp.97637-ref117">117</xref>] ] and 0.93 &#215; 10<sup>6</sup> particles of microplastic [calcd. value in 1.060,000 m<sup>3</sup> of treated water, [<xref ref-type="bibr" rid="scirp.97637-ref111">111</xref>] ]. Another study comes from Finland, where wastewater and sludge samples were collected from the Kenk&#228;veronniemi WWTP, situated near the city of Mikkeli [<xref ref-type="bibr" rid="scirp.97637-ref143">143</xref>]. The treatment plant purifies 10,000 m<sup>3</sup> wastewater per day and features screening, grit separation, primary separation, biological treatment with activated sludge, final sedimentation and disinfection [<xref ref-type="bibr" rid="scirp.97637-ref143">143</xref>]. Here, also the effect of a pilot-scale membrane bioreactor as a tertiary treatment was studied. The bioreactor treats 3 m<sup>3</sup> of wastewater per day. The Kenk&#228;veronniemi WWTP had a microplastics removal efficiency of overall 98.3%, with a removal efficiency of 89.8% and 99.1% for particles and fibers, respectively, leading to a concentration of 1000 microplastics per m<sup>3</sup> of effluent, comprising of fibers and particles in equal measure. The membrane bioreactor released 400 microplastics per m<sup>3</sup> of effluent.</p><p>Ziajahromi et al. give a detailed study, where the effectiveness of primary, secondary and tertiary WWTPs in Sydney, Australia, to retain microplastics is compared [<xref ref-type="bibr" rid="scirp.97637-ref140">140</xref>]. The primary WWTP involves screening, grit removal and sedimentation, the secondary WWTP adds to these processes a secondary aeration, sedimentation and UV disinfection, while the tertiary WWTP operates with screening, sedimentation, biological treatment, flocculation, disinfection, ultrafiltration and reverse osmosis [<xref ref-type="bibr" rid="scirp.97637-ref140">140</xref>]. The primary WWTP serving 1,000,000 inhabitants contains about 1500 MP per m<sup>3</sup> in its effluent leading to a discharge of 4.6 &#215; 10<sup>8</sup> MPs per day [calcd. value for 308,000 m<sup>3</sup> treated water, [<xref ref-type="bibr" rid="scirp.97637-ref140">140</xref>] ] into the deep ocean. The secondary WWTP serves 67,130 inhabitants and shows 1440 MP per m<sup>3</sup> treated wastewater after the primary treatment stage, which is reduced to 480 MP per m<sup>3</sup> in the final effluent. The estimated discharge of MPs in the final effluent is 8.2 &#215; 10<sup>6</sup> particles per day [calcd. value for 17,000 m<sup>3</sup> treated water, [<xref ref-type="bibr" rid="scirp.97637-ref140">140</xref>] ]. The tertiary WWTP serving 150,870 inhabitants showed 2200 MPs per m<sup>3</sup> effluent after the primary stage, which was decreased to 280 MPs per m<sup>3</sup> effluent after ultrafiltration and to 210 MPs per m<sup>3</sup> after reverse osmosis. This leads to discharges of 3.6 &#215; 10<sup>6</sup> MPs and 1.0 &#215; 10<sup>7</sup> MPs per day through the routes of ultrafiltration and reverse osmosis, respectively [with 13,000 m<sup>3</sup> and 48,000 m<sup>3</sup> water treated, respectively, [<xref ref-type="bibr" rid="scirp.97637-ref140">140</xref>] ]. The study of Ziajahromi shows one of few examples where the increase of the number of the treatment stages led to a decrease of MP concentration.</p><p>Other notable studies are a one-day investigation carried out at Central WWTP of Vodokanal in St. Petersburg, Russia. It was found that the influx carried a heavy load of 467 fibers and 160 synthetic particles per L. After mechanical treatment, the load was reduced to 33 fibers and 21 synthetic particles per L, and at the last purification sampling point the load was reduced further to 16 fibers and 7 synthetic particles per L. Although microplastics were found to be withheld in the WWTP, the final microplastic concentration remained significant [<xref ref-type="bibr" rid="scirp.97637-ref145">145</xref>]. Other studies have been carried out with European water treatment plants [<xref ref-type="bibr" rid="scirp.97637-ref35">35</xref>] such as in the Netherlands, where the Leslie et al. found an average retention rate of 72% in the wastewater sludge [<xref ref-type="bibr" rid="scirp.97637-ref33">33</xref>].</p><p>Apart from plastic microbeads, plastic fibers, and smaller particles resulting from the break-down of larger particles, tire and road wear particles (TRWP) contribute to the overall microplastic load [<xref ref-type="bibr" rid="scirp.97637-ref15">15</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref26">26</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref165">165</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref166">166</xref>]. To assess TRWP in the Seine watershed, Unice et al. based their model on an average wastewater treatment removal efficiency of the particles of 95% [<xref ref-type="bibr" rid="scirp.97637-ref132">132</xref>], where the fraction of urban run-off directed to combined sewers was set at 75%, with rural runoff going into grassed ditches and swales. All the above was modeled to contribute to the removal of 8351 tons TRWP in 2008 out of 27,607 tons TRWP released that year (30% of the total). Due to their relatively high density of 1.2 - 1.3 g/cm<sup>3</sup> [<xref ref-type="bibr" rid="scirp.97637-ref166">166</xref>], it is expected that TRWP would collect in the wastewater sludge. It was understood that the TRWP containing wastewater sludge would be reused on soil or incinerated [<xref ref-type="bibr" rid="scirp.97637-ref132">132</xref>]. TWRP are difficult to identify in samples, potentially also because of their small average size, estimated at 5 - 25 μm [<xref ref-type="bibr" rid="scirp.97637-ref167">167</xref>].</p></sec><sec id="s4"><title>4. Microplastics in Sewage Sludge</title><p>With the waste-water passing through a water treatment plant, the major portion of microplastics is retained in the sewage sludge [<xref ref-type="bibr" rid="scirp.97637-ref55">55</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref140">140</xref>]. High concentrations of microplastics in WWTP sludge samples have been revealed in many studies [<xref ref-type="bibr" rid="scirp.97637-ref36">36</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref55">55</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref111">111</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref113">113</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref152">152</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref168">168</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref169">169</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref170">170</xref>]. In their study, Mahon et al. [<xref ref-type="bibr" rid="scirp.97637-ref113">113</xref>] found microplastic in the sludge in concentrations of 4.20 to 15.4 &#215; 10<sup>3</sup> particles kg<sup>−1</sup> dry sludge. Lassen et al. [<xref ref-type="bibr" rid="scirp.97637-ref36">36</xref>] reported that sludge from WWTPs studied in Germany contains 1.00 to 24.0 &#215; 10<sup>3</sup> MP particles (&lt;10 mm) per kg of dry sludge. A rigorous study of microplastic content in sludge from 8 WWTPs in Norway (Oslo, Stavanger, Troms&#248;, Federickstand, among others) serving altogether 1,500,000 inhabitants and producing about 100,000 tons of sludge revealed an overall average plastic abundance of 6077 particles kg<sup>−1</sup> (dw), of which 37.6% were beads, 31.8% fragments, and 28.9% fibers. The most common polymer constituents were found to be polyethylene (30.5%), polyethylene terephthalate (26.7%) and polypropylene (20.3%) [<xref ref-type="bibr" rid="scirp.97637-ref170">170</xref>]. A comparison of microplastic concentrations in different study locations is given below in <xref ref-type="table" rid="table2">Table 2</xref>. Here, Sujathan et al. report a very high count of microplastic particles at 4.95 &#215; 10<sup>5</sup> per kg (dw) in return activated sludge from a treatment plant in Seelze, Germany [<xref ref-type="bibr" rid="scirp.97637-ref171">171</xref>]. In the study, microplastics as small as 0.48 μm could be identified, which may mean that many microplastic particles in WWTP sludge are indeed small and escape detection [<xref ref-type="bibr" rid="scirp.97637-ref170">170</xref>].</p><p>It must be noted that while sewage sludge is added to soil, smaller amounts of sludge can also be incinerated. Also, an appreciable quantity, up to 45% [<xref ref-type="bibr" rid="scirp.97637-ref109">109</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref117">117</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref128">128</xref>] of microplastics, especially those of low density such as LDPE and</p><table-wrap id="table2" ><label><xref ref-type="table" rid="table2">Table 2</xref></label><caption><title> Summary of significant studies on microplastic content in sewage sludge</title></caption><table><tbody><thead><tr><th align="center" valign="middle" >Specific Location</th><th align="center" valign="middle" >Map locations</th><th align="center" valign="middle" >Country</th><th align="center" valign="middle" >MP size range</th><th align="center" valign="middle" >MP concentration (particles kg<sup>−1</sup> d.w.b and w.wc)</th><th align="center" valign="middle" >References</th><th align="center" valign="middle" ></th></tr></thead><tr><td align="center" valign="middle"  rowspan="2"  >(7 WWTPs,)</td><td align="center" valign="middle"  rowspan="2"  >35</td><td align="center" valign="middle"  rowspan="2"  >Ireland</td><td align="center" valign="middle"  rowspan="2"  >250 &#181;m - 4 mm</td><td align="center" valign="middle"  rowspan="2"  >4196 - 15,385<sup>a</sup></td><td align="center" valign="middle"  rowspan="2"  >Mahon et al., 2017 [<xref ref-type="bibr" rid="scirp.97637-ref113">113</xref>]</td><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle" >(7 WWTPs,)</td><td align="center" valign="middle" >11</td><td align="center" valign="middle" >Netherlands</td><td align="center" valign="middle" >0.7 &#181;m - 5 mm</td><td align="center" valign="middle" >370 - 950<sup>b</sup></td><td align="center" valign="middle" >Leslie et al., [<xref ref-type="bibr" rid="scirp.97637-ref33">33</xref>]</td><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle" >Lysekil</td><td align="center" valign="middle" >2</td><td align="center" valign="middle" >Sweden</td><td align="center" valign="middle" >300 &#181;m - 5 mm</td><td align="center" valign="middle" >16.7<sup>a</sup> &#215; 10<sup>4</sup></td><td align="center" valign="middle" >Magnusson and Nor&#233;n, 2014 [<xref ref-type="bibr" rid="scirp.97637-ref112">112</xref>]</td><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle" >Ithaca, New York</td><td align="center" valign="middle" >36</td><td align="center" valign="middle" >USA</td><td align="center" valign="middle" >No Data</td><td align="center" valign="middle" >About 1000 - 4000<sup>a</sup></td><td align="center" valign="middle" >Zubris and Ricahrd, 2017 [<xref ref-type="bibr" rid="scirp.97637-ref19">19</xref>]</td><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle" >Los Angeles County</td><td align="center" valign="middle" >14</td><td align="center" valign="middle" >USA</td><td align="center" valign="middle" >&lt;5 mm</td><td align="center" valign="middle" >5000</td><td align="center" valign="middle" >Carr et al., 2016 [<xref ref-type="bibr" rid="scirp.97637-ref111">111</xref>]</td><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle" >(28 WWTPs,)</td><td align="center" valign="middle" >37</td><td align="center" valign="middle" >China</td><td align="center" valign="middle" >37 &#181;m - 5 mm</td><td align="center" valign="middle" >1565 - 56,386<sup>b</sup></td><td align="center" valign="middle" >Li et al., 2018 [<xref ref-type="bibr" rid="scirp.97637-ref176">176</xref>]</td><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle" >Oldenburg</td><td align="center" valign="middle" >9</td><td align="center" valign="middle" >Germany</td><td align="center" valign="middle" >&lt;5 mm</td><td align="center" valign="middle" >1000 to 24,000<sup>b</sup></td><td align="center" valign="middle" >Mintening et al., 2014, 2017 [<xref ref-type="bibr" rid="scirp.97637-ref116">116</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref117">117</xref>]</td><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle" >Seelze</td><td align="center" valign="middle" >38</td><td align="center" valign="middle" >Germany</td><td align="center" valign="middle" >20 to 100 &#181;m</td><td align="center" valign="middle" >495,000<sup>b</sup></td><td align="center" valign="middle" >Sujathan et al., 2017 [<xref ref-type="bibr" rid="scirp.97637-ref170">170</xref>]</td><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle" >Glasgow</td><td align="center" valign="middle" >5</td><td align="center" valign="middle" >UK</td><td align="center" valign="middle" >1.34 - 1.62 mm</td><td align="center" valign="middle" >About 2000<sup>c</sup></td><td align="center" valign="middle" >Murphy et al., 2016 [<xref ref-type="bibr" rid="scirp.97637-ref117">117</xref>]</td><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle" >Mikkeli</td><td align="center" valign="middle" >1</td><td align="center" valign="middle" >Finland</td><td align="center" valign="middle" >&lt;1 mm</td><td align="center" valign="middle" >8.2-301.4<sup>c</sup></td><td align="center" valign="middle" >Lares et al., 2018 [<xref ref-type="bibr" rid="scirp.97637-ref143">143</xref>]</td><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle" >Vancouver</td><td align="center" valign="middle" >24</td><td align="center" valign="middle" >Canada</td><td align="center" valign="middle" >64 &#181;m</td><td align="center" valign="middle" >4400<sup>c</sup></td><td align="center" valign="middle" >Gies et al., 2018 [<xref ref-type="bibr" rid="scirp.97637-ref149">149</xref>]</td><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle" >(10 WWTPs)</td><td align="center" valign="middle" >39</td><td align="center" valign="middle" >Norway</td><td align="center" valign="middle" >54 &#181;m to 5 mm</td><td align="center" valign="middle" >6 077<sup>b</sup></td><td align="center" valign="middle" >Lusher et al., 2018 [<xref ref-type="bibr" rid="scirp.97637-ref169">169</xref>]</td><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle" >Jiangsu</td><td align="center" valign="middle" >40</td><td align="center" valign="middle" >China</td><td align="center" valign="middle" >25 to &gt;500 μm</td><td align="center" valign="middle" >1.6 and 0.7<sup>c </sup></td><td align="center" valign="middle" >Lv et al., 2019 [<xref ref-type="bibr" rid="scirp.97637-ref156">156</xref>]</td><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle" >Wuhan</td><td align="center" valign="middle" >41</td><td align="center" valign="middle" >China</td><td align="center" valign="middle" >100 to 800 μm</td><td align="center" valign="middle" >24,030<sup>b </sup></td><td align="center" valign="middle" >Liu et al., 2019 [<xref ref-type="bibr" rid="scirp.97637-ref157">157</xref>]</td><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle" >Beijing</td><td align="center" valign="middle" >26</td><td align="center" valign="middle" >China</td><td align="center" valign="middle" >681.46 μm   </td><td align="center" valign="middle" >95.16<sup>a</sup></td><td align="center" valign="middle" >Yang et al., 2019 [<xref ref-type="bibr" rid="scirp.97637-ref151">151</xref>]</td><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle" >Italy</td><td align="center" valign="middle" >42</td><td align="center" valign="middle" >Italy</td><td align="center" valign="middle" >0.5 - 0.1 mm</td><td align="center" valign="middle" >113,000<sup>b </sup></td><td align="center" valign="middle" >Magni et al., 2019 [<xref ref-type="bibr" rid="scirp.97637-ref160">160</xref>]</td><td align="center" valign="middle" ></td></tr></tbody></table></table-wrap><p><sup>a</sup>Numbers given in the second column coincide with the numbers in the site map of <xref ref-type="fig" rid="fig6">Figure 6</xref>, showing the locations of the studies on a world map. <sup>b</sup>DM, dry matter. <sup>c</sup>The unit is particles kg<sup>−1</sup> wet weight and the dry weights of the wet sewage sludge samples were all below 1%.</p><p>PP, can be separated off in the primary steps of the wastewater treatment, in grit traps and during grease skimming. These separated wastes are usually put into landfills or are incinerated [<xref ref-type="bibr" rid="scirp.97637-ref111">111</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref170">170</xref>].</p><p>The application of sludge to agricultural soils and municipal green areas as well as its use by soil producers in certain parts of the world raises the concentration of microplastics in soils significantly. In addition, microplastics are entering soil via plastic mulching, irrigation with grey water, and through run-offs. Also, air movement contributes to the dissemination of microplastics in farming areas [<xref ref-type="bibr" rid="scirp.97637-ref29">29</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref172">172</xref>]. The occurrence and fate of microplastics in soil are less studied [<xref ref-type="bibr" rid="scirp.97637-ref80">80</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref172">172</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref173">173</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref174">174</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref175">175</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref176">176</xref>] than of microplastics in the marine environment. It has been calculated that in Norway alone, 500 billion (5 &#215; 10<sup>11</sup>) pieces of microplastic find their way into the soil via sewage sludge applied to agricultural soils [<xref ref-type="bibr" rid="scirp.97637-ref170">170</xref>]. This compares with an estimated 1.56 &#215; 10<sup>14</sup> plastic particles per year entering Chinese soil [<xref ref-type="bibr" rid="scirp.97637-ref177">177</xref>], and 300,000 and 430,000 tons/year of plastic distributed over European and North American agricultural land [<xref ref-type="bibr" rid="scirp.97637-ref173">173</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref178">178</xref>]. While plastics structurally weather under the influence of humidity, temperature, UV-radiation and wind [<xref ref-type="bibr" rid="scirp.97637-ref80">80</xref>], they remain chemically intact in the soil for long periods of time [<xref ref-type="bibr" rid="scirp.97637-ref179">179</xref>], with slow chemical oxidation and UV driven bond scission being the two main degradation mechanisms reported [<xref ref-type="bibr" rid="scirp.97637-ref9">9</xref>].</p><p>In the WWTP, sludge undergoes prior steps such as thickening and dewatering, which can involve a centrifugation step. This is often followed by digestion steps, which can include anaerobic digestion or aerobic digestion/composting. It has been shown that a fraction of up to 20% of the microplastic can be recycled back into the reject water during the sludge dewatering step [<xref ref-type="bibr" rid="scirp.97637-ref33">33</xref>]. The fate of microplastics in thermal treatment processes such as in the Cambi process (i.e., at 160˚C) and including incineration has not been studied in detail. Mahon et al. have noted a potential shredding of MPs in lime stabilization processes, leading to smaller sized MPs. MPs having gone through the sludge thermal drying process showed signs of melting and blistering [<xref ref-type="bibr" rid="scirp.97637-ref113">113</xref>]. Thermoplastic containing microbeads from rinse-off cosmetics have been found to change shape and morphology at temperatures as low as 85˚C. Temperature cycling of these microbeads between 25˚C and 100˚C on silica gel as simulated sandy soil led to fragmentation of the beads [<xref ref-type="bibr" rid="scirp.97637-ref180">180</xref>]. Synthetic fibers seem to be more ubiquitous and more indestructible. Rom et al. have looked at polylactide microfibers and have found that they were not biodegraded by treatment with activated sludge under mesophilic (36˚C) or thermophilic (56˚C) conditions, even after 4 weeks [<xref ref-type="bibr" rid="scirp.97637-ref181">181</xref>].</p></sec><sec id="s5"><title>5. Microplastics, Wastewater Treatment Plants and Future Developments</title><p>A prognosis of the scale of release of microplastics into the environment in the future may reflect on a number of variables. Two are future legislation involving plastics in consumer products and the development of wastewater treatment processes. A third important factor is the advancement of research in the analysis of micro- and nanoplastics in the environment and a better understanding of the impact of such plastics.</p><p>Significant legislative progress has been made in the reduction of microplastics in personal care products as the use of microplastic beads in these has been banned in some countries and manufacturers have started to phase them out [<xref ref-type="bibr" rid="scirp.97637-ref182">182</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref183">183</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref184">184</xref>]. Already today microbeads are made of cellulose derivatives, polylactide resins, or waxes (see <xref ref-type="fig" rid="fig7">Figure 7</xref>) that degrade more readily in the environment, oftentimes leading to more innocuous end-products. It is anticipated that the emission of microplastics via sewage water will be reduced somewhat as a consequence of further legislative efforts to prohibit the use of microbeads in cosmetic products [<xref ref-type="bibr" rid="scirp.97637-ref44">44</xref>]. As microplastic beads are not the main contributor to microplastics in the environment, this legislative effort may not be enough. The ban of single-use plastics in the EC countries by 2021 will contribute further to a containment of microplastic wastes. Other countries such as Malaysia and China have announced similar bans to come into effect by 2030, while Ruanda, Kenya, China, Romania, Bangladesh and India are among the 51 countries that have already imposed a complete ban on single-use LDPE plastic bags [<xref ref-type="bibr" rid="scirp.97637-ref185">185</xref>]. Polystyrene containing foam food containers have been banned in China, India and Zimbabwe, among other countries (see also <xref ref-type="table" rid="table3">Table 3</xref>). A remaining problem will</p><table-wrap id="table3" ><label><xref ref-type="table" rid="table3">Table 3</xref></label><caption><title> Summary of significant regulation set on the sale, manufacture and import of products containing plastic microparticles across the world until July 2018, see also: Hurley et al. [<xref ref-type="bibr" rid="scirp.97637-ref174">174</xref>] Wilkinson et al. [<xref ref-type="bibr" rid="scirp.97637-ref186">186</xref>]</title></caption><table><tbody><thead><tr><th align="center" valign="middle" >Country</th><th align="center" valign="middle" >Implementation Date</th><th align="center" valign="middle" >Regulation</th><th align="center" valign="middle" >Comments</th></tr></thead><tr><td align="center" valign="middle" >Canada</td><td align="center" valign="middle" >18-Jul</td><td align="center" valign="middle" >Changes to the Canadian Environmental Protection Act</td><td align="center" valign="middle" >The government has imposed a ban on the sale of microbeads containing shower gels, toothpaste and scrubs since July 1, 2018. Furthermore, the production of microbeads containing the listed items is banned six months before the sales ban. The ban list also includes all-natural and non-prescription drugs that contain microplastics.</td></tr><tr><td align="center" valign="middle" >United Kingdom</td><td align="center" valign="middle" >Oct. 2017</td><td align="center" valign="middle" >Newly proposed legislation</td><td align="center" valign="middle" >Prohibits the sale and manufacture of all those cosmetics and personal care products that contain microplastics and materials hazardous to the marine environment [<xref ref-type="bibr" rid="scirp.97637-ref187">187</xref>] .</td></tr><tr><td align="center" valign="middle" >USA</td><td align="center" valign="middle" >17-Jul/Jan. 2018</td><td align="center" valign="middle" >Microbeads free water act of 2015</td><td align="center" valign="middle" >Prohibits the manufacture and interstate commerce of all those cosmetic products that intentionally added plastic particles &gt; 5 mm in diameter. Manufacture ban on microbeads containing cosmetic products since July 2017 and a sales ban since January 2018. (Microbeads Free Waters Act of 2015).</td></tr><tr><td align="center" valign="middle" >France</td><td align="center" valign="middle" >Jan. 2018</td><td align="center" valign="middle" >Newly proposed legislation</td><td align="center" valign="middle" >The sale of cosmetic products containing microplastics and cotton buds having plastic stems is banned in France.</td></tr><tr><td align="center" valign="middle" >New Zealand</td><td align="center" valign="middle" >18-Jul</td><td align="center" valign="middle" >Changes to the Waste Minimization At of 2008</td><td align="center" valign="middle" >The manufacture and sale of microplastic containing personal care products is banned and a penalty will be imposed on any entity found to be involved in a breach of the ban. (Waste Minimization Act of 2008).</td></tr><tr><td align="center" valign="middle" >China, Taiwan</td><td align="center" valign="middle" >Jan. 2018</td><td align="center" valign="middle" >Newly proposed legislation</td><td align="center" valign="middle" >Ban on the import and manufacture of microbead containing rinse-off cosmetics; a ban of sale of such products was put into place in July 2018.</td></tr><tr><td align="center" valign="middle" >South Korea</td><td align="center" valign="middle" >17-Jul/July 2018</td><td align="center" valign="middle" >Regulation on safety Standards of Cosmetics</td><td align="center" valign="middle" >Ban on the manufacture of microplastic containing personal care products from July 2017 and a ban of sale from July 2018 [<xref ref-type="bibr" rid="scirp.97637-ref188">188</xref>] .</td></tr><tr><td align="center" valign="middle" >Sweden</td><td align="center" valign="middle" >1-Jul-18</td><td align="center" valign="middle" >Proposed by the Swedish Chemical Agency</td><td align="center" valign="middle" >Ban on the manufacture, import and sale of microbeads in rinse-off cosmetics.</td></tr></tbody></table></table-wrap><p>be microplastics derived from textile fibers and from tire and road wear particles (TRWPs).</p><p>The topic of removing microplastics in wastewater has only come up in the last decade or so. Many modern wastewater treatment plants have shown a retention rate of 95% - 99% (see <xref ref-type="table" rid="table1">Table 1</xref>). There is room for improvement in filtration and flotation techniques. Membrane filtration technology can remove from 99.4% to 99.9% of microplastics [<xref ref-type="bibr" rid="scirp.97637-ref112">112</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref143">143</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref156">156</xref>] from wastewater that has undergone preliminary processing. These techniques have to be balanced with the necessity of high water through-put at an acceptable cost. Existing water treatment plants may be refitted accordingly. Clearly, it must be noted that up to 80% of the wastewater worldwide is draining off into the environment untreated. In addition, regions microplastics disbursed in the environment on land such as TRWPs may be moved only very periodically via sudden and uncontrolled run-offs, such as in many of the arid regions in the world.</p><p>The advancement in scientific knowledge in microplastics and their interaction with the environment has led to the development of new analytical methodologies concerning the sampling and characterization of the materials. This new knowledge base will contribute significantly towards minimizing the emission of microplastics into the environment. Nevertheless, often, it remains difficult to compare directly different studies from different research groups. Frequently, estimates from different groups on regional and worldwide abundance of microplastics in the aqueous environment based on studies restricted to but a few areas differ widely. Also, it has been noted previously [<xref ref-type="bibr" rid="scirp.97637-ref139">139</xref>] that different studies on the occurrence of microplastics in waterbodies reported the data either in particles per volume or as particles per surface area of the waterbodies [<xref ref-type="bibr" rid="scirp.97637-ref189">189</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref190">190</xref>], where there is not always a meaningful conversion between the two units. Therefore, a more rigorous standardization of methodologies and reporting is needed. Much less has been done on the fate of microplastics in soils.</p><p>Worrisome also seems the lack of exact data on the occurrence of nanoplastics in the environment and their uptake in organisms, where an adequate methodology in sampling and characterization needs to be disseminated. There is a concern about small sized plastics in drinking water, especially in bottled water, which was thought to derive from the production of plastic bottles [<xref ref-type="bibr" rid="scirp.97637-ref191">191</xref>], but because of the material composition of some of the microplastics found in the drinking water now is thought to partially come from external sources [<xref ref-type="bibr" rid="scirp.97637-ref192">192</xref>]. Recently, nano- and microplastics in form of fragments and fibers have also been found in honey [<xref ref-type="bibr" rid="scirp.97637-ref193">193</xref>], beer [<xref ref-type="bibr" rid="scirp.97637-ref194">194</xref>] and salt [<xref ref-type="bibr" rid="scirp.97637-ref195">195</xref>].</p></sec><sec id="s6"><title>6. Conclusion</title><p>WWTPs constitute the last line of defense in our battle to reduce emissions of microplastics into the environment. Clearly, a very large percentage of microplastics are retained by WWTPs and thus WWTPs lead to a much reduced, channeled emission of microplastics. Primary stages of WWTPs have been recorded to remove 78% - 98% of microplastics, secondary stages make for another 7% - 20% retained microplastics. The contribution of tertiary stages varies. So far, all tertiary treatment methods such as ultrafiltration and reverse osmosis lead to the discharge of MPs in the effluent so that there is effectively no commercial separation method put into place that leads to zero emission of microplastics from WWTPs. Moreover, while by far the most MPs are already retained in the primary stage, the fate of the remaining MPs through subsequent treatment stages is not always easy to predict [<xref ref-type="bibr" rid="scirp.97637-ref143">143</xref>] as diverse feedback cycles exist. Water from dewatering sludge and water from rinsing removed solids and grease, which are mixed back into the influent, may carry appreciable amounts of MPs [<xref ref-type="bibr" rid="scirp.97637-ref109">109</xref>] [<xref ref-type="bibr" rid="scirp.97637-ref143">143</xref>]. Much of the microplastics end up in the sludge. Therefore, the fate of the sludge also determines the fate of the embedded microplastics, and it is here that more research needs to be done in order to avoid exposure of the soil to highly mobile plastics or constituent compounds of plastics.</p></sec><sec id="s7"><title>Acknowledgements</title><p>The authors acknowledge Eng. Wajeeh Kittaneh, Department of Geology, United Arab Emirates University for his help with the photos shown in <xref ref-type="fig" rid="fig7">Figure 7</xref>.</p></sec><sec id="s8"><title>Conflicts of Interest</title><p>The authors declare no conflicts of interest regarding the publication of this paper.</p></sec><sec id="s9"><title>Cite this paper</title><p>Habib, R.Z., Thiemann, T. and Al Kendi, R. (2020) Microplastics and Wastewater Treatment Plants—A Review. Journal of Water Resource and Protection, 12, 1-35. https://doi.org/10.4236/jwarp.2020.121001</p></sec></body><back><ref-list><title>References</title><ref id="scirp.97637-ref1"><label>1</label><mixed-citation publication-type="other" xlink:type="simple">Gorman, M. (1993) Environmental Hazards—Marine Pollution. ABC-CLIO, Santa Barbara.</mixed-citation></ref><ref id="scirp.97637-ref2"><label>2</label><mixed-citation publication-type="other" xlink:type="simple">Beall, G. 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