In the activated sludge respiration inhibition test, toxicity is determined by the percentage reduction in oxygen consumption relative to the blank control. Positive inhibition values indicate impaired biological activity, while negative inhibition values indicate that the addition of the test substance has increased the biological activity in the test mixture compared to the blank control. The pivotal reference parameter is the effective concentration EC50, defined as the concentration of the test substance at which the oxygen consumption of the activated sludge is reduced by 50%. The classification of an effect as clearly toxic is contingent upon the surpassing of this inhibition threshold. Inhibition values well below this threshold are generally not considered toxic in terms of a relevant impact on the treatment process at WWTPs. To facilitate clearer interpretation of the results, three states are defined: “Toxic effects” refer to inhibition values greater than 50%, “inhibitory effects” describe values between 0% and 50%, and “stimulatory effects” correspond to values below 0%.
Additionally, the activity of the activated sludge met the minimum requirement in all experiments, as the blank control’s specific oxygen uptake rate consistently exceeded the normative threshold of 20 mg/g suspended solids per hour. As all EC
50 values lie within the normative reference range and the activity requirements for the blank control are met, the activated sludge can be considered suitable for toxicity testing in accordance with ISO 8192:2007 [
45]. In cases where only a limited number of measurements were available, measurement uncertainty cannot be determined, as this would require a sufficiently large dataset to reliably characterize input distributions and coverage intervals. Therefore, for the wastewater samples from the investigated discharges, for which a maximum of four replicates per sample were available, the variability of the inhibition results is reported using the standard deviation, as this provides an appropriate measure of the spread observed among replicate measurements.
3.2. Hospital Discharges
Toxicity tests were carried out at various discharge points from a hospital into the public sewer system. At location 7, wastewater from the dental department is pretreated using an amalgam separator before discharge into the public sewer system. At all other investigated discharge points, the wastewater is released without any pretreatment. The results for these samples from locations 1–7 are presented in
Figure 5,
Figure 6,
Figure 7,
Figure 8,
Figure 9 and
Figure 10.
Figure 5 represents the results for location 1; exact values can be seen in
Table A7 in the
Appendix A.
The results show that the samples predominantly exhibited stimulatory, with minor inhibitory effects observed at some dilution levels. The most negative inhibition values occur particularly at higher concentrations (e.g., DF 2.14) and the most marked negative inhibition values were observed in April 2024 (up to −41%) and April 2023 (up to −28%). Such values are characteristic of samples that contain substrates that are readily utilized by microorganisms. The few positive inhibition values (DF 10 in November 2022 and April 2025) are in the low single-digit range (max. around 11%). The findings show that the oxygen consumption levels in the wastewater sample preparations were higher than those observed in the blank control preparations. Therefore, the samples under investigation induced a stimulatory effect on microbial activity.
The standard wastewater parameters (COD, BOD
5, total nitrogen, and total phosphorus; see
Table A15 in the
Appendix A) are consistent with the biological findings. These results indicate sufficient nutrient availability and the presence of readily biodegradable organic matter. This is in agreement with the stimulatory effect of microbial activity observed in the inhibition tests.
Figure 6 and
Table A8 in the
Appendix A show the results of analysis of the seven investigated discharge samples from location 2 over a period of three years.
The inhibition values at dilution stages DF 10, DF 5 and DF 2.14 across all measurement times demonstrate that the majority of the values are negative, indicating that the wastewater samples have mostly a stimulatory effect on the oxygen consumption of the used activated sludge. As was evidenced in preceding studies, the most apparent negative inhibition values occur at higher sample concentrations. This phenomenon is particularly evident in April 2023 (−52.46%) and April 2024 (−65.27%). The limited number of positive inhibition values are recorded in October 2024 (up to 6.64%) and April 2025 (up to 15.62%), which shows only an inhibitory effect.
Figure 6.
Results (oxygen consumption and inhibition) of the samples from a hospital at discharge location 2. Sampling dates are given in the format day.month.year. (BC: Blind control, TSS: Total Suspended Solid, and DF: Dilution factor).
Figure 6.
Results (oxygen consumption and inhibition) of the samples from a hospital at discharge location 2. Sampling dates are given in the format day.month.year. (BC: Blind control, TSS: Total Suspended Solid, and DF: Dilution factor).
As before, the corresponding standard wastewater parameters (
Table A15) confirm the biological findings, suggesting that there is an adequate supply of nutrients and that there is an abundance of organic matter that can easily be broken down. This is consistent with the stimulatory effect of microbial activity observed in the inhibition tests.
The inhibition values of the six investigated samples from location 3 over a period of three years (
Figure 7 and
Table A9) show that the samples predominantly exhibited stimulatory effects, with minor inhibitory effects.
Figure 7.
Results (oxygen consumption and inhibition) of the samples from a hospital at discharge location 3. Sampling dates are given in the format day.month.year. (BC: Blind control, TSS: Total Suspended Solid, and DF: Dilution factor).
Figure 7.
Results (oxygen consumption and inhibition) of the samples from a hospital at discharge location 3. Sampling dates are given in the format day.month.year. (BC: Blind control, TSS: Total Suspended Solid, and DF: Dilution factor).
As was the case with the preceding data, particularly strong negative inhibition was observed at the highest concentration. In April 2023 (−50.75%), October 2023 (−60.9%) and April 2024 (−61.24%), the samples exhibited distinct stimulatory effects of microbial activity. The inhibition values of DF 2.14 are also strongly negative in the other years (up to −41.75%), which underlines the consistency of this observation.
The corresponding standard wastewater parameters (
Table A15) also align with the biological results at this location, indicating adequate nutrient availability and the presence of readily biodegradable organic matter.
As with the preceding tables, the inhibition values at location 4 (
Figure 8 and
Table A10) indicate predominantly low-to-negative inhibition at all dilution levels.
Figure 8.
Results (oxygen consumption and inhibition) of the samples from a hospital at discharge location 4. Sampling dates are given in the format day.month.year. (BC: Blind control, TSS: Total Suspended Solid, and DF: Dilution factor).
Figure 8.
Results (oxygen consumption and inhibition) of the samples from a hospital at discharge location 4. Sampling dates are given in the format day.month.year. (BC: Blind control, TSS: Total Suspended Solid, and DF: Dilution factor).
The most significant negative inhibition occurs in April 2023 (up to approximately −28%), while at other points in time, there are predominantly slight deviations in the range of around −10% to +10%.
For this site, the wastewater parameters, see
Table A15, also indicate a readily biodegradable organic load, as reflected in the inhibition values.
The results (
Figure 9 and
Table A11) obtained from location 5 demonstrate the same pattern previously observed in the preceding tables.
Figure 9.
Results (oxygen consumption and inhibition) of the samples from a hospital at discharge location 5. Sampling dates are given in the format day.month.year. (BC: Blind control, TSS: Total Suspended Solid, and DF: Dilution factor).
Figure 9.
Results (oxygen consumption and inhibition) of the samples from a hospital at discharge location 5. Sampling dates are given in the format day.month.year. (BC: Blind control, TSS: Total Suspended Solid, and DF: Dilution factor).
The inhibition values are predominantly negative, especially in higher-concentration samples. The most negative values are observed in October 2023, with a recorded decrease of up to −68.63%. In comparison, in October 2024, all dilution levels showed an inhibitory effect (15–19%). The measurements from 2025 exhibited a minimal inhibitory effect (4–6%). It is important to note that, from October 2024, only qualified random samples were taken, rather than volume-proportional 24 h composite samples. Consequently, the composition of the samples may exhibit greater variability, which may account for the observed variations in the inhibition values.
At this location, there are considerable fluctuations in the organic load of the wastewater parameters (
Table A15), with the 24 h composite samples from 2022 and 2023 containing a high proportion of readily biodegradable material. In contrast, the grab samples from 2024 and 2025 were significantly more diluted. These differences are reflected in the inhibition results, which show a strong stimulatory effect of microbial activity at higher organic loads, and a low inhibitory effect in the grab samples.
Figure 10 and
Table A12 show the results of the measurements at two additional locations, locations 6 and 7.
Figure 10.
Results (oxygen consumption and inhibition) of the samples from a hospital at discharge location 6 and 7. Sampling dates are given in the format day.month.year. (BC: Blind control, TSS: Total Suspended Solid, and DF: Dilution factor).
Figure 10.
Results (oxygen consumption and inhibition) of the samples from a hospital at discharge location 6 and 7. Sampling dates are given in the format day.month.year. (BC: Blind control, TSS: Total Suspended Solid, and DF: Dilution factor).
The inhibition values from location 6 indicate a marked negative inhibition, particularly at a high concentration (−77.50%). At location 7, the inhibition values exhibit a divergent profile. Two of the three samples examined demonstrate toxic inhibition values at elevated concentrations and thus in a highly diluted state (68.04% and 53.67%). This indicates that the wastewater samples themselves possess toxic properties. This can be explained by the fact that the relatively small amount of wastewater (daily volumes amount to less than 3 m3/d) from this location comes from the dental department of the hospital. This is why this wastewater must also be regularly tested for certain heavy metals. However, despite the observed toxicity in the individual samples, these effects are not considered relevant to the overall WWTP performance, as the actual wastewater stream undergoes substantial dilution within the sewer system and the treatment plant. This is also why discharges from location 7 generally do not need to be tested for toxicity. It should also be noted that only three qualified random samples were analyzed, instead of 24 h composite samples. Consequently, the results reflect snapshot conditions rather than fully integrated discharge characteristics.
The discharge of location 6 shows a highly biodegradable organic load (
Table A15), which corresponds to a strong stimulatory effect of microbial activity. At location 7, the relationship between the corresponding heavy metal concentrations and biological effects is not linear. While the sample from April 2024 exhibited comparatively higher heavy metal levels without causing inhibition, the 2025 samples contained much lower concentrations of heavy metals yet still exhibited clear toxic effects (see also
Table A15). This suggests that other factors must have influenced microbial activity, in addition to the measured metals.
3.3. WWTP
Toxicity tests were carried out on 12 volume-proportional 24 h composite samples flowing into the WWTP over a period of one year. The results for these daily influent samples are presented in
Figure 11 and
Table A13 and
Table A14.
Across the entire sampling period, which encompassed all months from January to December 2024, the influent wastewater samples from the treatment plant exhibited consistently stable oxygen consumption rates and no indications of toxic effects. The inhibition values across all dilution stages remained predominantly negative or close to zero (with the exception of November). Even the sample from November show moderate positive inhibition values of up to 21.3% for DF 5. Slight positive inhibition is also shown at other dilution levels. No operational or chemical cause could be identified for the elevated inhibition observed in November, since all parameters routinely monitored at the wastewater treatment plant were within the normal operating ranges at the time of sampling. The data demonstrate that the WWTP influent had consistently no toxic effects to the activated sludge, and that the biological system remained fully capable of degrading the incoming organic load under all tested conditions.
As in the previous cases, the corresponding relevant chemical parameters were also analyzed for the associated samples and are shown in
Table A16. Throughout the sampling year, conventional wastewater exhibited fluctuating, predominantly biodegradable organic loads. This is reflected in the inhibition values across the different sampling periods.
In summary, a toxic effect of the tested wastewater on the activated sludge from the examined WWTP was observed at the two samples from the dental department in a hospital, where it is known that toxic heavy metals can enter wastewater. Furthermore, it was observed that elevated sample concentrations in wastewater from individual industrial companies could result in a modest reduction in biological activity, indicating the potential presence of problematic compounds that only exhibit an inhibitory effect at higher concentrations. Conversely, numerous samples exhibited a stimulatory effect, as evidenced by the negative inhibition values, suggesting an augmentation in microbial oxygen consumption due to the presence of readily degradable organic substances. This finding indicates that the investigated wastewater discharges do not invariably exert a detrimental effect on the microbiology of the WWTP; indeed, they can also exert a beneficial influence.
3.4. Applicability of ISO 8192:2007 for Wastewater Monitoring
The employed measurement method has been shown to have potential as a valuable tool for companies and WWTPs operators. Although many of the samples examined did not exhibit or only exibited little inhibitory effects, the highly inhibitory effects observed for samples from industrial company No. 3 and the toxic effects at location 7 at the hospital demonstrate that the method is suitable for detecting toxicological changes in wastewater discharged by industrial companies. These findings highlight the potential of the method as a preventive monitoring tool. Overall, the results obtained emphasize the importance of systematic ecotoxicological monitoring for wastewater treatment plant operators to ensure effective biological treatment against potentially toxic discharges from critical wastewater generation areas.
This tool may provide a means of assessing the impact of wastewater on the biological treatment performance of a WWTP for companies regardless of whether they are direct or indirect dischargers. Moreover, regularly carrying out such toxicity tests may facilitate the early detection of changes in operating procedures, and may thereby support compliance with limit values and the long-term operational safety of WWTPs. For authorities and legal representatives, the procedure may provide a robust foundation for the continuous assessment of wastewater quality from various dischargers. Additionally, it may facilitate the identification of potential polluters in the event of malfunctions or peak loads in the WWTPs. The results suggest that the ISO 8192:2007 method could potentially form the basis of a practical toxicity monitoring strategy at wastewater treatment plants, provided it is applied regularly.
Due to its time-consuming nature, and since it requires activated sludge from the relevant treatment plant in order to produce meaningful and representative results, this monitoring method is primarily intended for WWTPs operators and direct dischargers. While in principle the method can also be applied by indirect dischargers, it requires access to activated sludge from the receiving WWTPs, which may increase organizational effort. As an alternative, indirect dischargers could commission external laboratories with access to appropriate sludge to conduct testing on their behalf.
A forward-looking monitoring approach may include regular testing of influent samples, as well as targeted testing of wastewater streams from critical dischargers. Based on the findings reported in the literature for comparable measurement approaches that similarly rely on respiratory inhibition tests, a monitoring frequency of two measurements per week is recommended to detect relevant changes [
53]. However, this recommendation only applies to the wastewater treatment plant under investigation and its current operational conditions; application of this approach in other plants with different boundary conditions is limited. Establishing site-specific baseline oxygen consumption and inhibition ranges may enable operators to distinguish between normal operational variability and unusual deviations. Sudden increases in inhibition values or atypical changes in oxygen uptake could then act as an early warning signal, prompting further investigation before there are any adverse effects on the performance of the biological treatment. In this context, determining measurement uncertainty is essential for defining a site-specific validity range for the applied test method. Only by quantifying this measurement uncertainty can operators reliably assess whether observed changes in oxygen consumption or inhibition values exceed the expected variability. This knowledge is crucial in order to avoid misinterpreting normal measurement variations as critical process disturbances and to ensure that any identified deviations genuinely reflect changes in wastewater composition or biological activity, rather than being due to methodological uncertainty.