Pollutants affect taxa in different ways, which is why ecotoxicity bioassays should be conducted on several species. Bioassays play a key role in improving hospital wastewater (HWW) technologies, which are beset, firstly, by remaining toxicity (inefficiency); and secondly, by toxicity caused by each technology belonging to an HWW treatment train. Both effects constitute carryover toxicity (CT).A new CT test based on four harmonized bioassays (approved by both US Environmental Protection Agency and the Organization for Economic Cooperation and Development, EPA-OECD) was developed to assess three wastewater technologies. Real-life complexity (the multiplicity of technologies, xenobiotics, taxa in trophic networks, and endpoints), as well as ill-suited conventional metrics warranted the use of information theory tools (entropy, chemometrics with principal components analysis, sensitivity and specificity, receiver-operating characteristic) and a Bayesian model (to identify screening and confirmatory capabilities of the CT test).The CT assessment showed that the effect of zeolite with hexadecyltrimethylammonium bromide (Ze) on Daphnia pulex had the highest toxicological cost. This cost was the inhibition or induction entailed by Ze or chlorination (Cl) disinfection given that anaerobic and aerobic digestion (AnA) fomented growth of coliforms.The dose-response curves showed a consistent pattern whereby the point called knee summarized most of the information (i.e., correlated well with the information entropy, R2 = 0.77). Sensitivity (Se) and specificity (Sp) of the 3-taxa test were high (rates of true positives and true negatives were 0.73 and 0.87, respectively). The knee was interpreted as the point at which induction or inhibition plateaued, that is, toxic saturation occurred.Physicochemical results pointed to fat, oil and grease (FOG) associated to total P as clear predictors of induction of bioindicator population growth, possibly related to the action of hormones and pharmaceutical endocrine disruptors (EDs) present in the hospital's pharmacopeia and patients' excreta. In turn, inhibition of population growth was related to high COD.
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