This study detected, for the first time, the occurrence of several PPCPs, along the entire coast of SC, Brazil. The state's economy is characterized by activities related to tourism, agriculture and industries, with a predominance of textile, ceramic and metal-mechanics industries (SEBRAE, 2013; FIESC, 2021). Moreover, SC is rich in surface freshwater resources which flow into the coastal water of the Atlantic Ocean (ANA, 2021). The occurrence of PPCPs was evaluated in eight sampling points in a coastal marine latitudinal gradient from North to South in areas under strong influence of riverine flow. These surface water bodies belong to five hydrographic regions, where the main and most densely populated cities are located, and where the industrial park of the state is concentrated (SEBRAE, 2013; IBGE, 2020). The screening of the pre-selected twenty-seven PPCPs was based on the annual consumption, reported toxicity and environmental persistence (Cmed, 2021; Roveri et al. 2021b). These PPCPs, were recently identified as having the greatest relevance for studies of environmental monitoring in Brazil (Chaves et al., 2021). The occurrence of these chemical compounds was somewhat expected in the hereby study area as result of the wastewater discharges from industrial and domestic effluents (Krogh et al., 2017; Asfa et al., 2020; Shahriar et al., 2021).
3.1. Overall occurrence of PPCPs on the coastal waters of Santa Catarina
From the twenty-seven chemical compounds assessed, it was possible to quantitatively (>LOQ) identify nine compounds. Caffeine (12.58-119.80 ng/L), diclofenac (1.398-7.920 ng/L), losartan (0.432-3.200 ng/L), cocaine (0.0248-0.1686 ng/L) and benzoylecgonine (0.0146-1.094 ng/L) were quantified in all sampling points. The carbamazepine (0.0242-0.2720 ng/L) quantified in 75% of the samples. The acetaminophen (0.212-10.040 ng/L) was quantified in 60% of the samples. Both the atenolol (1.13-2.50 ng/L) and orphenadrine (0.073-0.0886 ng/L) were quantified in 25% of the samples. Figure 2 shows the occurrence of each compound, revealing similar profiles for cocaine, caffeine, diclofenac and losartan, with the greatest amounts being consistently reported on the north coast and north-central coast.
Overall, the MEC of these PPCPs, i.e., 119.8 ng/L (caffeine), 10.040 ng/L (acetaminophen), 7.920 ng/L (diclofenac), 3.2 ng/L (losartan), 2.5 ng/ L (atenolol), 1.094 ng/L (benzoylecgonine), 0.272 ng/L (carbamazepine) and 0.169 ng/L (cocaine), were similar or lower to the values reported in other parts of the world, including Brazil (For more details, see also Table S3). For instance, high concentrations of the caffeine (MEC: 3000 ng/L) were detected in coastal waters of the Red Sea in Saudi Arabia (Ali et al., 2017). In China, in Xiamen Bay, acetaminophen concentrations in range of 0.137 ng/L – 5.483 ng/L were measured (Chen et al., 2021). In Brazil, on the coast of the Guarujá city, São Paulo, was detected the occurrence of caffeine (33.5 ng/L – 6550.0 ng/L), valsartan (19.8 ng/L – 798 ng/L), losartan (3.6 ng/L – 548 ng/L), acetaminophen (18.3 ng/L – 391.0 ng/L), benzoylecgonine (0.9 ng/L – 278.0 ng/L), atenolol (0.1 ng/L – 140.0 ng/L), diclofenac (0.9 ng/L – 85.7 ng/L), among others (Roveri et al., 2020a). In the coastal waters of Santos, Brazil, losartan was found in similar concentrations (<LOD – 3.4 ng/L) (Roveri et al., 2020b), or slightly higher concentrations (0.2 ng/L – 8.6 ng/L) (Cortez et al., 2018).
In the existent published studies regarding the coastal area of Brazil (Table S3), the most frequently identified compounds are caffeine, acetaminophen, atenolol, orphenadrine, diclofenac, losartan and carbamazepine. Moreover, a recent review study showed that acetaminophen, caffeine and diclofenac represent the greatest threats to the aquatic environment in Brazil (Chaves et al., 2021), confirming the hereby findings.
3.2 Spatial distribution of PPCPs on the coastal waters of Santa Catarina
The spatial distribution of the screened PPCPs in the coastal waters of SC is shown in Figures 2 and 3, which highlight the sampling points with the highest and lowest occurrences, as well as the MEC of the reported compounds. The largest number of PPCPs was detected at points P3 and P5, belonging to the central-north and central coast, respectively. At these points, the highest concentrations of PPCPs were also found (67% of the reported values). Moreover, atenolol and orphenadrine were only recorded here. Caffeine, diclofenac, losartan and cocaine were detected at all sampling points along the coast of SC. The ubiquous presence of caffeine can be a strong indicator of water contamination by inadequately treated sewage (Li et al., 2020). High levels of caffeine associated with the presence of sanitary effluent have been found in inland and coastal waters in Brazil and in other parts of the world, suggesting that it can be used as a tracer of anthropogenic activity (Li et al., 2020; Rigueto et al., 2020; Roveri et al., 2020a). According to the National Water Agency (ANA), SC has a low sewage treatment coverage rate, with only 24% of the population served (ANA, 2021). The occurrence of caffeine in significant amounts in the aquatic ecosystem may be associated with the consumption of coffee and tea, drinks that are widely appreciated by the Brazilian people (Souza et al., 2013). Although the concentrations detected in this study were low compared to other reports (Table S3) probably because of the estuarine dispersion to the coastal area, in the absence of additional information to safely assess the real influence of this compound in the aquatic environment, precaution is recommended regarding its effects of the aquatic biota (Korekar et al., 2020). The concentrations of acetaminophen (0.212 ng/L–10.040 ng/L) and diclofenac (1.398 ng/L–7.920 ng/L) found in this study were similar to the levels found in other areas [e.g., Roveri et al. 2020b (0.0014 ng/L to 1.4000 ng/L); Ojemaye and Petrick, 2021 (3.7 ng/L to 4.18 ng/L)].
The other identified drugs, such as losartan, atenolol, orphenadrine, carbamazepine, valsartan and propranolol, were found in low concentrations compared to other studies (Table S3: Cortez et al., 2018; Roveri et al., 2020a; Yang et al., 2020). However, the fact that they have been positively quantified demonstrates that they have significance in environmental analysis. These low values may reflect seawater dilution or environmental degradation processes, which need to be taken into account in the ecological assessment (Biel-Maeso et al., 2018). Furthermore, other factors such as bioaccumulation and the mixture of compounds in the aquatic environment, generating other metabolites, can magnify the effects of these pollutants on the environment, and therefore these PPCPs should be a matter of concern and frequent monitoring (Cizmas et al., 2015; Yin et al., al. 2017; Brew et al., 2020). Recently, a hospital wastewater was investigated in south of Brazil, being detected 43 PPCPs and 31 metabolic products; thereafter a quantitative structure-activity relationship modelation, predicted the effect of both parental compounds and metabolites, based on their degradability and bioaccumulative proprieties, revealing that they could be toxic to the environment and human health (Wielens Becker et al., 2020). In almost all sampling points, the compounds detected more frequently and in greater quantity were caffeine, diclofenac and losartan, with the maximum values detected in the sampling points located on the north coast (P1: losartan and diclofenac) and centre-north (P3: caffeine and losartan). These sampling points are influenced by large rivers and the largest watershed in the SVA, Itajaí Hydrographic Basin, and nearby two of the largest cities in the state, namely Blumenau (309,011 inhabitants) and Joinville (515.288 inhabitants) (Ibge, 2010). The reported values, associated with a greater concentration of people in these regions, allow us to suggest that the presence of PPCPs in coastal waters of SC is mainly due to the contribution of domestic sewage discharged to the ocean through outfalls or due to the freshwater runoff (Dafouz et al., 2018), which are the main routes for contamination of the aquatic environment by these pollutants (Biel-Maeso et al., 2018; Li et al., 2020; Rigueto et al., 2020).
3.3. Ecological risk assessment
Table 2 presents the summary data regarding the four chemical compounds that indicated ecological potential risks. The complete data for the nine detected and quantified PPCPs is showed in Table S2. The results show the following trend: (i) in relation to acute toxicity, six of the compounds (acetaminophen, atenolol, benzoylecgonine, carbamazepine, cocaine and orphenadrine) showed no ecotoxicity to algae, crustaceans and fish, while three of them (caffeine, diclofenac, and losartan) showed low to moderate ecotoxicity: caffeine and diclofenac had low ecotoxicity to crustacean and fish, respectively; losartan showed moderate toxicity to crustaceans; (ii) regarding the chronic toxicity, seven of the compounds showed no toxicity to algae, crustaceans, and fish (diclofenac, losartan, atenolol, benzoylecgonine, carbamazepine, cocaine and orphenadrine), while two of them (caffeine and acetaminophen) showed low and moderate toxicity to algae and fish: caffeine had low toxicity to algae, while acetaminophen had moderate toxicity to fish. The hereby reported compounds with potential, acute or chronic, ecotoxicity can cause deleterious effects in the aquatic environment.
Table 2: Ecological risk assessment results regarding the pharmaceuticals and illicit drug detected in coastal waters along of the Santa Catarina State, southern Brazil. This summary table presents the name of each compound; measured environmental concentration (MEC, ng/L); acute and chronic toxicity data: [(trophic level; organism’s test, toxicological endpoint, and concentration (ng/L)]; Assessment Factor (AF); and Predicted No-Effect Concentration (PNEC, ng /L). Data from the toxicological endpoints was obtained from several published works (References) available from the Ecotoxicology Database (ECOTOX), or, in the absence of derived experimentally data, estimated from the ECOSAR program. Note: Freshwater (1); Seawater (2); EC10: 10% Effective Concentration; EC50: 50% Effective Concentration; LC50: 50% Lethal Concentration; NOEC: No Observed Effect. Concentration; LOEC: Lowest Observed Effect Concentration. For further details, see M&M and Table S3.

Caffeine in environmentally relevant concentrations can cause oxidative stress, lipid peroxidation and even mortality to aquatic organisms (Li et al., 2020). However, the caffeine concentrations found in this study, in general, do not acutely affect the aquatic environment (Gray et al., 2021). However, the fact that it was detected frequently and in all sampling points, and its direct connection with human activity, suggests the use of caffeine as a potential indicator of the presence of contamination from sanitary effluent discharges (Henderson, 2020; Rigueto et al., 2020; Li et al., 2020). Moreover, investigations carried out in recent years have evaluated the presence of caffeine in tissues of organisms such as fish, molluscs and suggesting bioaccumulation (Li et al. 2020; de Sousa et al. 2021). The presence of caffeine in high concentrations in the environment, results in a high-risk quotient for chronic exposure of biota (Dafouz et al., 2018), suggesting a high probability of adverse effects in the aquatic compartment (Pires et al., 2016; Santos- Silva et al., 2018; Godoi et al., 2020).
The occurrence of acetaminophen in the hereby reported concentration suggests a ecological risk considered moderate to fish. The toxicity caused by acetaminophen is generally mediated by reactive oxygen species and can result in multiple effects, ranging from protein denaturation to lipid peroxidation and DNA damage (Antunes et al., 2013), mainly as results of oxidative stress mechanisms (Nunes et al., 2014). Recently, it was show that relatively low levels of this compound can exert adaptive changes with unpredictable consequences in the gastropod Phorcus lineatus (Almeida and Nunes, 2019).
Diclofenac presented a low risk to fish. However, existent studies suggest that the presence of this drug and its metabolites may represent a high risk to aquatic biota due to its synergistic interactions with other contaminants (Sathishkumar et al., 2019). Ecotoxicological effects tested through the food chain, using fish (Solea senegalensis) fed with worms (Hediste diversicolor) exposed to environmentally realistic concentrations of diclofenac, showed a significant decrease in the activities of the enzymes catalase and acetylcholinesterase, suggesting that exposure to diclofenac can cause significant physiological and neurotoxic disorders in aquatic organisms (Nunes et al., 2020). Exposure of fish (Danio rerio) embryos and larvae to diclofenac resulted also in oxidative stress problems (Bio and Nunes, 2020). Diclofenac tested on mussel embryos (Mitylus galloprivincialis) affected enzymatic processes of gene transcription and promoted malformation of the physical structure of the shell (Balbi et al., 2018). Moreover, the study of the biotransformation processes occurring in aquatic organisms, namely in amphipod crustacean (e.g., Gammarus pulex and Hyalella azteca) exposed to diclofenac, showed that it produces methylated metabolites, more bioaccumulative and toxic than the parental compound, which should be considered for a comprehensive risk assessment (Fu et al., 2020).
Losartan showed moderate acute toxicity risk to crustaceans. Biological effects of losartan have been already reported in mussels Perna perna exposed to concentrations of losartan up to 3000 ng/L resulting in cytotoxic effects on gills and hemocytes (Cortez et al., 2018). But, the hereby reported values were much lower (0.432 ng/L to 3.200 ng/L). However, studies carried out in the city of Guarujá, São Paulo, Brazil, detected a significant amounts of losartan (3.6 ng/L – 548.0 ng/L) showing that the compound may present moderate to severe risks for algae, crustaceans and fish (Roveri et al., 2020a). Losartan effects were evaluated through inhibition tests with aquatic plants (Lemna minor) (Godoy et al., 2015) and bacteria (Aliivibrio fischeri) (Turek et al., 2020), but no significant toxic effects were observed. Losartan is present in urine in significant concentrations, around 35% (Guateque-Londoño et al., 2020), not being completely removed in WWTPs (Gurke et al., 2015). Regions with high population density and intense agricultural activities, represent a potential risk to the local ecosystem (Osório et al., 2016), since it causes cytotoxic effects on aquatic organisms (Cortez et al., 2018).
Carbamazepine, cocaine, benzoylecgonine, orphenadrine and atenolol did not present any risk (RQ < 0.01) for all trophic levels tested, which does not raise immediate concern regarding their toxic effects in the aquatic environment. However, these PPCPs are not alone in in the aquatic compartment; they are present in complex mixtures of chemical compounds, where additive or synergistic effects are expected to occur, causing deleterious effects sometime greater than those caused by the individual drug (Fernandéz et al., 2013; Di Nica et al., 2016). Chronic exposure to a mixture of PPCPs in zebrafish (Danio rerio) altered their metabolism, causing a significant reduction in the hepatosomatic index and histological changes in the liver and intestinal tissues, in addition to other observed effects (Hamid et al., 2021). Similarly, a mixture of PPCPs was tested on freshwater algae (Chlorella vulgaris) observing that the toxic effects of the mixture were greater than the effects of each individual substance (Geiger et al., 2016). Several ecotoxicological tests performed on different aquatic organisms exposed to 10 PPCPs in ecologically relevant concentrations, independently and in mixture, showed that the toxicity was 6.5 times, 100 times and 15,000 times greater than the concentrations of the individual compounds for algae (Pseudokirchneriella subcapitata), daphnia (Ceriodaphia dubia) and fish (Danio rerio), respectively (Watanabe et al., 2016). Other effects of mixtures of PPCPs in water were also observed, such as the increase in antibiotic-resistant bacteria (Cizmas et al., 2015). Moreover, PPCPs present in natural waters, like acetaminophen, which act as drinking water sources, during the chlorination step in conventional water plants could results in the formation of more toxic byproducts, such as trihalomethanes (Ding et al., 2018).