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Published 2 July 2008, doi:10.1136/bmj.a237
Cite this as: BMJ 2008;337:a237
Geoff Watts, freelance journalist
1 London
geoff@scileg.freeserve.co.uk
Many of the drugs we take end up in the water system. Geoff Watts investigates the implications
| The first 150 words of the full text of this article appear below. |
Every year in the United Kingdom we spend upwards of £10bn (
13bn; $20bn) on medicines. And where do they go? Down the drain, literally. Out of the bladder, through the sewage system, and into the rivers. Some drugs—unwanted or out of date—bypass the bladder and are flushed straight down the toilet. Either way, does it matter? To fish and other organisms living in the thin chemical soup that emerges from the sewage treatment plants it does; there is evidence of harm to aquatic ecosystems, particularly from endocrine disrupting chemicals such as ethinylestradiol, which is used in many oral contraceptives. For humans, protected by the purification technology that river water goes through before it re-emerges from the kitchen tap, the answer might seem to be no. But how well founded is this assumption?
In March this year the US news agency Associated Press announced the results of an investigation into
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