Water filters for hormones in drinking water
GuideHealth & drinking water

Water filters for hormones in drinking water

Since 2022, a guideline value of 1 nanogram per litre has applied to 17-beta-estradiol in drinking water. What the figure means and which filtering method works at that level.

A water filter for hormones binds hormonally active substances at the tap. Since 19 January 2022, a guideline value of 1 nanogram per litre has applied to 17-beta-estradiol. For nonylphenol, it is 300 nanograms per litre. Both values are on the watch list of the EU Drinking Water Directive. As of 24 June 2025, the Umweltbundesamt (German Environment Agency) counts 40 pharmaceutical active substances in drinking water. In the home, activated carbon is what works. It binds dissolved organic molecules by adsorption, including residues of hormones and medicines. This article sets out the figures, puts the potency of the substances into perspective and shows the method that addresses them.

The figures on the hormone load in drinking water

Six documented figures outline the situation. All come from 3 official sources. They date from between 2022 and 2026.

Key figureValueSource and date
Guideline value for 17-beta-estradiol1 nanogram per litreImplementing Decision (EU) 2022/679 of 19.01.2022
Guideline value for nonylphenol300 nanograms per litrethe same decision
Pharmaceutical active substances in drinking water40Umweltbundesamt, as of 24.06.2025
Active substances in the environment overall414Umweltbundesamt, as of 24.06.2025
Active substances in sewage treatment plant effluents327Umweltbundesamt, as of 24.06.2025
Removal by ozone and activated carbon92 %Landesamt für Umwelt Bayern (Bavarian Environment Agency), 2019

The figures show a gradient. In the environment, 414 active substances turn up. In the effluent of sewage treatment plants, there are 327. In groundwater, 104. In drinking water, 40 remain. Each stage lowers the number. In the end, a residue remains, and it is measurable.

As for concentrations, the Umweltbundesamt gives a range. It mostly extends up to 0.1 micrograms per litre. In 2023, 45 active substances were above this. One microgram equals 1,000 nanograms.

The guideline value of 1 nanogram per litre

Since 19 January 2022, a guideline value of 1 nanogram per litre has applied to 17-beta-estradiol. It is set out in Commission Decision (EU) 2022/679. The decision placed the substance, together with nonylphenol, on the watch list. The list is based on Article 13(8) of Directive (EU) 2020/2184. Official Journal L 124 published the text on 27 April 2022.

A guideline value on the list and a limit value are two different things. A limit value is laid down in the German Drinking Water Ordinance. If it is exceeded, measures follow. A guideline value on the list initially obliges the Member States to measure. The detection limit of the analysis must be below the guideline value. For 17-beta-estradiol, this means below 1 nanogram per litre.

This leads to a point that the debate tends to overlook. Europe has only been measuring systematically since January 2023. Member States had to report their results to the Commission by 12 January 2026. A reliable body of data is therefore only just emerging.

Germany is running its own project on this. HoWiTri ran from 1 December 2022 to 1 April 2025. It was commissioned by the Bundesministerium für Gesundheit (Federal Ministry of Health). The testing was carried out by the Umweltbundesamt's drinking and bathing water hygiene department. The samples came from around 50 households. Bioassays with human cells were used. They test 4 to 6 hormonal endpoints. As of 4 August 2026, the final results were still pending.

How potent hormonally active substances are

The potency of the substances differs by a factor of thousands. Nonylphenol is around 5,000 times weaker than 17-beta-estradiol. For bisphenol A, the figure is around 15,000 times. Both factors are given by the Bundesinstitut für Risikobewertung (German Federal Institute for Risk Assessment). They appear in its opinion No. 008/2009 of 25 March 2009.

This is precisely the reason for the 2 unequal guideline values. For 17-beta-estradiol, 1 nanogram per litre applies. For nonylphenol, it is 300. The ratio of 1 to 300 follows the measured potency at the receptor.

SubstanceRelative potencyWatch list guideline value
17-beta-estradiolReference, value 11 nanogram per litre
Nonylphenolaround 5,000 times weaker300 nanograms per litre
Bisphenol Aaround 15,000 times weakernot on the watch list for drinking water

A measured value on its own therefore says little. Only the value plus the potency of the substance give a picture. A concentration of 100 nanograms per litre means something quite different for bisphenol A than for estradiol.

How hormones get into drinking water

Hormones reach the water via 3 routes. The first is human excretion. The second is residues from medicines and cosmetics, including through incorrect disposal. The third is industrial wastewater. What all 3 routes have in common is the stage they pass through first: the sewage treatment plant. It only partially retains the substances. From there, rivers carry them onwards until they return via groundwater to drinking water production. The following sections go through the 3 routes one by one.

Via the contraceptive pill and natural excretion

Combined contraceptive preparations usually contain a synthetic oestrogen: ethinylestradiol. The body uses part of it. It excretes the rest in the urine. The substance remains chemically stable and largely survives conventional wastewater treatment. Estradiol and ethinylestradiol are therefore also on the list for rivers and lakes.

Then there are the body's own hormones. Every person releases oestrogens every day. This route via the bladder therefore applies to everyone, even with a completely healthy lifestyle.

Via pharmaceutical residues

According to the Umweltbundesamt (German Environment Agency), over 2,500 active substances are on the market in human medicine. For animals, there are over 400. Part of this leaves the body unchanged. Via the toilet, it ends up in wastewater. Today, 414 active substances have been detected in the environment.

This affects medicines for pain, high blood pressure and depression, as well as antibiotics. According to the Umweltbundesamt, 529 tonnes of antibiotics were dispensed in livestock farming in 2023. That is 69% less than in 2011. How such residues can be removed from water in a targeted way is shown in the article on pharmaceutical residues in tap water.

Via industrial chemicals

The third route is via wastewater from factories. Plasticisers, flame retardants and surfactants often affect the hormonal balance. They have persisted in the environment for decades. Nonylphenol belongs to the group of surfactants. The substance was long used as a building block for textiles and paper. Its guideline value of 300 nanograms per litre has been on the watch list since 2022. Related entries are covered in the article on heavy metals in tap water.

Why sewage treatment plants let hormones through

A standard wastewater treatment plant works with 3 stages. The first retains solids. The second breaks down the organic load biologically. The third removes nutrients such as nitrogen and phosphorus. Only the fourth stage targets trace substances at a few nanograms per litre. In Germany, it will not become mandatory until 2033.

The figures confirm the gap. In the effluent of German wastewater treatment plants, the Umweltbundesamt counts 327 pharmaceutical active substances. In surface waters there are 222, in groundwater 104. At the Mörfelden-Walldorf wastewater treatment plant, the performance of the biological stage was measured. For 17 important trace substances, it was 47%. So a good half of the load passes through.

From there, rivers carry the substances into groundwater and back into drinking water abstraction. Waterworks counter this with ozone and activated carbon. According to the Umweltbundesamt, the remaining quantities are a hundred to a million times below a prescribed daily dose.

What the fourth treatment stage achieves

The fourth stage specifically removes micropollutants. At the Weissenburg wastewater treatment plant in Bavaria, it has been running since October 2017. Across 12 indicator substances, it achieves around 92% in trouble-free operation.

Weissenburg connects 2 processes in series. First, ozone destroys a large proportion of the substances. Then a filter made of granular activated carbon binds the rest, including degradation products. For comparison, a second line ran with a sand filter instead of carbon. There, the rate was 83%. The gap of 9 points is therefore what separates activated carbon from the sand filter.

CombinationRemoval rateSource
Ozone and granular activated carbonaround 92%Landesamt für Umwelt Bayern (Bavarian Environment Agency), 2019
Ozone and sand filteraround 83%the same report
biological stage alone47 %Kompetenzzentrum Wasser Hessen

The costs are a matter of public record. Construction cost around 3.7 million euros gross. Operation comes to around 18 cents per cubic metre. The plant's electricity demand rose by around 25%, from 32 to 40 kilowatt hours per inhabitant per year.

The findings provide an argument for the household. In the wastewater treatment plant, activated carbon secures the last 9 points. In the cartridge on the tap, it works by the same principle: adsorption.

The timetable of the EU Wastewater Directive

Directive (EU) 2024/3019 makes the fourth stage mandatory. It has applied since 1 January 2025. It staggers the upgrade over 20 years in 3 steps.

DeadlineShare of plants above 150,000 population equivalents
31.12.203320 %
31.12.203960 %
31.12.2045all

For smaller plants between 10,000 and 150,000 population equivalents, the local risk is what counts. Member States are to designate the areas by the end of 2030. There, too, the deadline runs until the end of 2045.

The industry pays for the upgrade itself, through extended producer responsibility. Under Article 9(1), anyone who manufactures pharmaceuticals or cosmetics bears at least 80% of the costs of construction and operation. The system starts on 1 January 2029. The directive must be transposed into German law by the end of July 2027. The Umweltbundesamt reported on the status of this on 25 February 2026.

For households, the timetable means a long wait. By 2033, a fifth of the large plants will be upgraded. Anyone who wants to filter today has to do it themselves.

Which substances in water have a hormonal effect

Around 800 chemicals interfere with the hormonal system or are suspected of doing so. This affects receptors as well as the formation and conversion of hormones. The figure comes from the report by the World Health Organization (WHO) and the United Nations Environment Programme. It was published on 19 February 2013 under a title bearing the year 2012.

SubstanceTypical sourceDocumented effect
EthinylestradiolContraceptive pill, hormone preparationsoestrogenic in vertebrates, feminisation of fish
17-beta-estradiolendogenous hormone, preparationsReference value for oestrogenic effect
Bisphenol APolycarbonate, thermal paper, epoxy resinoestrogenic effect, indications of a link to diabetes
NonylphenolSurfactants, textile and paper industryoestrogenic, guideline value 300 nanograms per litre
PCBold transformers, contaminated siteslowers thyroid hormones in vertebrates
DDTInsecticide, legacy pollutantlower testosterone levels
PFOSWaterproofing of textiles and paperIndications of reduced fertility
Diethylhexyl phthalate (DEHP)Plasticiser in polyvinyl chlorideEffects on the development of boys
LevonorgestrelContraceptiondisrupts reproduction and spawning in fish

What stands out is the mixture. The substances occur together. Each one on its own is usually far below its effect threshold. How such a mixture should be assessed remains an open question to this day.

What research says about the health effects

Professional societies and the World Health Organization name 4 types of disease. First, cancer of organs that respond to hormones. Second, metabolic diseases such as diabetes. Third, fertility disorders. Fourth, disorders in the maturation of the nervous system. How small doses act in humans remains a subject of research.

Developing life is hit hardest. Embryos, foetuses and young children are considered the group at highest risk. There, even small amounts at the wrong time are considered a risk of permanent changes.

For assessment in drinking water, the Umweltbundesamt has a dedicated tool. The health-related indicator value has 5 levels. For strongly genotoxic substances, 0.01 micrograms per litre applies. The general threshold is 0.1. For substances toxic to the immune or nervous system, it is 0.3. For substances toxic in the medium term, 1.0; in the long term, 3.0. The agency examines effects on the hormonal balance second, straight after effects on genetic material. The values only become legally binding once they are included in the Drinking Water Ordinance.

Hormones in water bodies and the consequences for fish

In fish, the effect is clearly proven. In polluted rivers and lakes, entire populations are becoming feminised. Ethinylestradiol, levonorgestrel and persistent industrial chemicals disrupt mating and spawning.

The burden reaches even remote locations. A team led by Joan Grimalt in Barcelona and Reinhard Lackner at the University of Innsbruck examined 9 high-mountain lakes in Spain, Poland and Slovakia. They lie at altitudes between 1,395 and 2,688 metres, far from any wastewater discharge. In the blood, liver and muscle of the fish, the team found hexachlorobenzene and polychlorinated biphenyls. Male trout had elevated levels of vitellogenin, a protein of mature females. The study was published on 25 June 2015 in Nature Scientific Reports. In this case, the input comes via the air.

Two properties make these substances a problem. First, they are biologically active even in small quantities. Second, they remain in the environment for a long time. That is precisely why waterworks, too, struggle to hold them back.

Hormones in mineral water and the role of the bottle

Bottled mineral water also shows an oestrogenic effect. Researchers at Goethe University Frankfurt tested 20 samples from 14 brands. In 12 of them, they found an effect at the receptor. The values range from 2.65 to 75.2 nanograms per litre, calculated as estradiol.

A common claim needs correcting here. It is often said that the effect comes from the bottle made of polyethylene terephthalate (PET). The Bundesinstitut für Risikobewertung (German Federal Institute for Risk Assessment) examined exactly this and rejected it. For the same brand in glass and in plastic, the values were practically identical. The difference showed up between brands, less so between bottles.

There is also an argument from chemistry. Polyethylene terephthalate is made from different building blocks. Bisphenol A belongs to polycarbonate, diethylhexyl phthalate to polyvinyl chloride. Where the measured effect comes from remained open in the study.

In practical terms, the finding is still useful. Bottled water also carries hormonally active traces. Anyone who wants to reduce them turns to filtered tap water. The article Tap water or mineral water makes the full comparison. For details on the bottle itself, see the article on plasticisers in water bottles.

When a water filter for hormones makes sense

A water filter for hormones first solves a measurement problem. Detection at 1 nanogram per litre requires a laboratory. It takes equipment for chromatography combined with mass spectrometry. The limit of quantification must be below 1 nanogram per litre. For your own tap, such an analysis remains the exception.

This is exactly where the precautionary principle comes in. 3 points support it. A binding limit value is still pending. The substances are biologically active even in small quantities. And by 2033, the fourth stage will have reached only a fifth of the large plants. A filter on the tap works immediately, no matter how far along the local wastewater treatment plant is.

It makes particular sense in households with pregnant women, babies and young children. It is precisely these people that professional societies consider the most sensitive group. What else matters here is set out in the article on tap water during pregnancy.

The three methods compared

3 methods are effective against hormonally active substances: activated carbon, reverse osmosis and distillation. A pure ion exchanger, by contrast, targets limescale and dissolved salts.

MethodOperating principleMain drawbackEveryday practicality
Activated carbon block filterAdsorption on the internal surfaceCartridge change requiredhigh, directly at the tap
Reverse osmosisRetention at the membranehigh proportion of wastewatermedium, system required
DistillationEvaporation and condensationslow, energy-intensivelow
Ion exchangerExchange of calcium and magnesiumtargets hardness-forming mineralsunsuitable for trace substances

Activated carbon block filter

An activated carbon block filter forces the water through sintered activated carbon. The internal surface area of one gram reaches up to 1,500 square metres. Dissolved organic molecules attach to it, and hormone residues and pharmaceutical residues are precisely among them.

Three mechanisms work at the same time. Mechanically, the pore structure retains particles such as sand, rust and fibres. Catalytically, the block converts free chlorine into odourless chloride. By adsorption, it binds the dissolved organic substances, as well as lead and copper. The guide Activated carbon filters for water explains how it works in detail.

The ongoing effort is limited to changing the cartridge, roughly every 4 months depending on the model and water hardness. Which cartridge suits which purpose is shown in the overview of water filter cartridges.

Reverse osmosis

Reverse osmosis forces water under pressure through a semi-permeable membrane. Its pores measure around 0.0001 micrometres. As a result, it is essentially water molecules that pass through. Dissolved substances are held back, hormones included.

The price for this is wastewater. Depending on the system, a multiple of the drinking water obtained drains away as concentrate. On top of this comes the loss of minerals. For households that put maximum purity before efficiency, the method nevertheless remains an option. The overview of filtration technologies and filtering methods puts the technical differences into context.

Distillation

In distillation, water evaporates and condenses back elsewhere. Substances with a higher boiling point remain in the vessel. The end result is water of high purity.

The effort involved counts against it. Each litre takes time and energy, and the minerals are lost. The method is therefore poorly suited to the permanent supply of a household.

Why an ion exchanger has a different job here

An ion exchanger swaps calcium and magnesium ions for sodium or hydrogen ions. This lowers the water hardness. Organic trace substances remain unaffected, because they are uncharged and escape the exchange principle.

Standard filter jugs combine an ion exchanger with loose activated carbon. The adsorption performance then depends on the quantity and contact time of the carbon, both of which are small in a jug. The design also brings a germ issue with it, which the guide on the risk of germ growth in jug filters covers with measured values.

How to recognise a tested filter

Hormonally active substances have their own standard in filter testing. The American standard NSF/ANSI 401 is called Drinking Water Treatment Units, Emerging Compounds and Incidental Contaminants. It covers up to 15 substances. It is published by the National Sanitation Foundation (NSF) and the American National Standards Institute (ANSI).

Three of them relate directly to hormones, and a fourth test point is added from the NSF database:

  1. Estrone: a natural oestrogen and a breakdown product of 17-beta-estradiol.
  2. Nonylphenol: the same substance that is on the European watch list.
  3. Bisphenol A: the best-known hormonally active building block of plastics.
  4. Microplastics: listed in the NSF test database as a separate function under Standard 401.

The remaining 12 parameters cover pharmaceuticals, pesticides and industrial chemicals. These include ibuprofen, naproxen, carbamazepine, trimethoprim, atenolol, phenytoin, meprobamate, linuron, metolachlor and the insect repellent diethyltoluamide (DEET). Added to these are the flame retardants tris(2-chloroethyl) phosphate (TCEP) and tris(1-chloro-2-propyl) phosphate (TCPP). A test certificate according to the standard therefore proves performance against a fixed list of substances rather than a general promise.

When comparing, it is worth looking at 3 details: the test standard, the testing institute and the test date. Anyone who finds all 3 details can put a manufacturer's claim into context. If they are missing, the performance claim remains unsubstantiated.

What Alb Filter contributes here

The Active Plus cartridge from Alb Filter works with a block of sintered activated carbon. The block binds dissolved organic molecules through adsorption, i.e. through the same mechanism that secures the last 9 points in Weissenburg. It can be installed on the tap or in the under-sink area.

The Nano cartridge adds a hollow-fibre membrane to the carbon block. According to the manufacturer, it has a pore size of 0.1 micrometres and thus also retains bacteria and particles. For hormonally active substances, adsorption on the activated carbon remains the key mechanism, because dissolved molecules are much smaller than the pores of a membrane.

One limitation must be mentioned. Published retention rates for estradiol or ethinylestradiol are not yet available for the cartridges. The article therefore names the mechanism of action and the relevant test standard instead of a product figure. The overview of drinking water filters compares the different designs.

What researchers are currently working on

A process from Karlsruhe reduced estradiol from 100 to 2 nanograms per litre, i.e. by 98%. It was developed by a group led by Andrea Schäfer and Roman Lyubimenko at the Karlsruhe Institute of Technology (KIT). It works photocatalytically. A large-pore membrane with palladium porphyrin generates reactive oxygen under simulated sunlight. This breaks the hormone molecules down into harmless products. The throughput is 60 to 600 litres per square metre of membrane per hour. KIT presented the work on 11 May 2021; it was published in Applied Catalysis B: Environmental.

The difference from activated carbon is fundamental. Adsorption binds the substance and holds it in the filter material until the cartridge is changed. Photocatalysis destroys the molecule. Both routes lead to clean water, but only one produces a loaded filter as residue.

The final value of 2 nanograms per litre is close to the European guideline value of 1 nanogram per litre. It will be years before such systems are in place at waterworks. For households, adsorption remains the available method.

The limits of these statements

3 limitations need to be disclosed. First, the data on German drinking water is based on a measurement obligation that has only applied since January 2023. Comprehensive evaluations of the watch list were still outstanding as of 4 August 2026.

Second, there is as yet no proven harm from the measured quantities. Nevertheless, as of 18 December 2024, the Umweltbundesamt maintains that even low concentrations in drinking water are undesirable. As its reason, it states that long-term risks are currently difficult to derive scientifically. Anyone who filters is therefore following the precautionary principle rather than reacting to proven harm.

Third, there is no recognised assessment method for mixtures of 40 individual substances in the range of a few nanograms. This is exactly where effect-based bioassays come in, such as those used in the HoWiTri project. Their results will shape assessment in the years to come. How water quality can be measured in the first place is explained in the guide How do you measure water quality.

Alb Filter Fusion under-sink bundle with one year of free cartridges

Related to this topic

Alb Filter Fusion – activated carbon against hormones

High-performance activated carbon filter made of stainless steel for the tap. It reliably adsorbs hormone residues, pharmaceutical residues and plasticisers – for clean water straight from the mains.

Frequently asked questions

Does tap water contain hormones?

Hormonally active substances can be detected in German drinking water in traces of a few nanograms per litre. As of 24 June 2025, the Umweltbundesamt (German Environment Agency) counts a total of 40 pharmaceutical active substances in drinking water. The quantities are a hundred to a million times below a daily dose, but the agency explicitly considers them undesirable. A binding limit value for hormones in the German Drinking Water Ordinance has yet to be set.

Is there a limit value for oestrogen in drinking water?

Since 19 January 2022, a guideline value of 1 nanogram per litre has applied to 17-beta-estradiol, and one of 300 nanograms per litre to nonylphenol. Both are on the watch list under Article 13(8) of the EU Drinking Water Directive. A guideline value on this list requires measurement; a limit value in the Drinking Water Ordinance requires action.

Can hormones be filtered out of water?

Activated carbon, reverse osmosis and distillation effectively remove hormonally active substances. In everyday life, the activated carbon block filter goes furthest, because it works directly on the tap and also binds chlorine, lead and organic trace substances.

Why is activated carbon particularly good at binding hormones?

Activated carbon has an internal surface area of up to 1,500 square metres per gram. Dissolved organic molecules attach to it through adsorption. Chemically, hormones and pharmaceutical active substances are precisely such molecules. At the Weissenburg wastewater treatment plant, the activated carbon stage contributes 9 percentage points to the total elimination of 92%.

Does a filter jug remove hormones?

Conventional filter jugs work mainly with ion exchangers and therefore target limescale and dissolved salts. The loose activated carbon mixed in binds organic substances only to a limited extent, because the quantity and contact time remain small. For hormonally active substances, activated carbon block filters, reverse osmosis or distillation are much better suited.

Does a reverse osmosis system filter out hormones?

The membrane of a reverse osmosis system retains dissolved substances, including hormones and pharmaceutical residues. The drawback lies in the proportion of wastewater: depending on the system, a multiple of the drinking water obtained is produced as concentrate.

Are there hormones in mineral water too?

Yes. A study by Goethe University Frankfurt tested 20 samples from 14 brands. 12 of them showed an oestrogenic effect. The values ranged from 2.65 to 75.2 nanograms per litre, calculated as estradiol. The Bundesinstitut für Risikobewertung (German Federal Institute for Risk Assessment) considers a link to the plastic bottle to be unresolved on the basis of the data.

Do hormones from the contraceptive pill get into drinking water?

Ovulation inhibitors contain ethinylestradiol, part of which the body excretes unchanged. The substance remains chemically stable and largely survives conventional wastewater treatment. In addition to the pill, the endogenous oestrogens of all people contribute to the input.

How often does the filter cartridge need to be changed?

Depending on the model and water hardness, an activated carbon block filter needs a new cartridge roughly every 4 months. Changing it in good time keeps the adsorption performance constant, because the internal surface gradually becomes occupied.

From when do wastewater treatment plants have to remove hormones?

Under Directive (EU) 2024/3019, around 20% of wastewater treatment plants above 150,000 population equivalents must have a fourth treatment stage by 31 December 2033, then 60% by the end of 2039 and all of them by the end of 2045. Manufacturers of pharmaceuticals and cosmetics bear at least 80% of the costs.

How can I recognise a tested hormone filter?

3 details are decisive: the test standard, the testing institute and the test date. The relevant standard is called NSF/ANSI 401. Among other things, it lists estrone, nonylphenol, bisphenol A and microplastics as test parameters.

Are hormones in drinking water dangerous?

No harm from the measured quantities has been proven so far. They are a hundred to a million times below a prescribed daily dose. Nevertheless, as of 18 December 2024, the Umweltbundesamt describes them as undesirable, because long-term risks are currently difficult to derive. Professional societies link hormonally active substances to cancer as well as metabolic, fertility and developmental disorders. They consider embryos, foetuses and young children to be the most sensitive group. In the end, it is therefore a question of precaution, and each household answers it for itself.

Sources

  1. Commission Implementing Decision (EU) 2022/679 of 19 January 2022, watch list under Article 13(8) of Directive (EU) 2020/2184, Official Journal L 124 of 27 April 2022
  2. Umweltbundesamt (German Environment Agency), Pharmaceutical residues in the environment, as of 24 June 2025: https://www.umweltbundesamt.de/daten/chemikalien/arzneimittelrueckstaende-in-der-umwelt
  3. Umweltbundesamt (German Environment Agency), Health-related indicator value: https://www.umweltbundesamt.de/themen/wasser/trinkwasser/trinkwasserqualitaet/toxikologie-des-trinkwassers/gesundheitlicher-orientierungswert-gow
  4. Umweltbundesamt (German Environment Agency), Questions and answers on the Urban Wastewater Treatment Directive, as of 25 February 2026: https://www.umweltbundesamt.de/themen/wasser/abwasser/faq-zur-kommunalabwasserrichtlinie-karl
  5. Bundesministerium für Gesundheit (German Federal Ministry of Health), HoWiTri project, duration 1 December 2022 to 1 April 2025: https://www.bundesgesundheitsministerium.de/ministerium/ressortforschung/suche-projektsteckbriefe/handlungsfelder/gesundheitsfoerderung-und-praevention/howitri
  6. Bundesinstitut für Risikobewertung (German Federal Institute for Risk Assessment), Opinion No. 008/2009 of 25 March 2009: https://www.bfr.bund.de/cm/343/bfr_bewertet_untersuchungsergebnisse_zu_mineralwasserproben_mit_hormonaehnlicher_wirkung.pdf
  7. Bayerisches Landesamt für Umwelt (Bavarian Environment Agency), Pilot project for a 4th treatment stage at the Weissenburg wastewater treatment plant, 2019: https://www.lfu.bayern.de/wasser/anthropogene_spurenstoffe/vierte_reinigungsstufe/doc/klaeranlage_weissenburg.pdf
  8. Kompetenzzentrum Wasser Hessen (Hesse Water Competence Centre), The fourth treatment stage is proving effective: https://www.kompetenzzentrum-wasser-hessen.de/vierte-reinigungsstufe-zeigt-wirkung/
  9. Directive (EU) 2024/3019 concerning urban wastewater treatment, in force since 1 January 2025: https://eur-lex.europa.eu/eli/dir/2024/3019/oj
  10. Umweltbundesamt, Environmental effects of pharmaceuticals, as of 18 December 2024: https://www.umweltbundesamt.de/umweltwirkungen-von-arzneistoffen
  11. World Health Organization and United Nations Environment Programme, State of the Science of Endocrine Disrupting Chemicals 2012, published on 19 February 2013: https://www.who.int/publications/i/item/state-of-the-science-of-endocrine-disrupting-chemicals
  12. Karlsruher Institut für Technologie (Karlsruhe Institute of Technology), press release 043/2021 of 11 May 2021: https://www.kit.edu/kit/pi_2021_043_wasseraufbereitung-hormone-mit-sonnenlicht-entfernen.php
  13. NSF, certification database for Drinking Water Treatment Units (DWTU) under standard NSF/ANSI 401: https://info.nsf.org/Certified/DWTU/
  14. Universität Innsbruck (University of Innsbruck), Fish in high mountain lakes are becoming feminised, 25 June 2015: https://www.uibk.ac.at/ipoint/news/2015/fische-in-hochgebirgsseen-verweiblichen.html.de

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