Exposure to trihalomethanes (THMs) and haloacetic acids (HAAs) has been individually associated with adverse male reproductive effects; however, their joint male reproductive toxicity is largely unknown. This study aimed to explore the joint effects of THMs and trichloroacetic acid (TCAA) on semen quality in a Chinese population. A total of 337 men presenting to the Reproductive Center of Tongjing Hospital, in Wuhan, China to seek semen analysis were included this study. Baseline blood THMs [chloroform (TCM), bromodichloromethane (BDCM), dibromochloromethane (DBCM), and bromoform (TBM)] and urinary TCAA were analyzed and dichotomized at their median levels. The joint effects of THMs and TCAA on below-reference semen quality parameters were evaluated by calculating the relative excess risk due to interaction (RERI). After adjusting for potential confounders, we found a suggestive synergistic effect between Br-THMs (sum of BDCM, DBCM, and TBM) and TCAA for below-reference sperm count (RERI = 2.14, 95% CI: −0.37, 4.91) (P = 0.076); men with high Br-THMs and TCAA levels (above the median) had 3.31 times (95% CI: 1.21, 9.07) elevated risk of having below-reference sperm count than men with low Br-THMs and TCAA levels (below the median). No apparent joint effects were observed between THMs and TCAA for other semen quality parameters. Our results suggest that co-exposure to Br-THMs and TCAA is associated with additive effects on decreased semen quality. However, further studies in a larger sample size and mechanistic studies are needed to confirm the findings.

Pharmaceuticals in water are commonly found and are not efficiently removed by current treatment processes. Degradation of antiepileptic drug carbamazepine (CBZ) by UV/chlorine advanced oxidation process was systematically investigated in this study. The results showed that the UV/chlorine process was more effective at degrading CBZ than either UV or chlorination alone. The CBZ degradation followed pseudo-first order reaction kinetics, and the degradation rate constants (kₒbₛ) were affected by the chlorine dose, solution pH, and natural organic matter concentration to different degrees. Degradation of CBZ greatly increased with increasing chlorine dose and decreasing solution pH during the UV/chlorine process. Additionally, the presence of natural organic matter in the solution inhibited the degradation of CBZ. UV photolysis, chlorination, and reactive species (hydroxyl radical •OH and chlorine atoms •Cl) were identified as responsible for CBZ degradation in the UV/chlorine process. Finally, a degradation pathway for CBZ in the UV/chlorine process was proposed and the formation potentials of carbonaceous and nitrogenous disinfection by-products were evaluated. Enhanced formation of trichloroacetic acid, dichloroacetonitrile, and trichloronitromethane precursors should be considered when applying UV/chlorine advanced oxidation process to drinking water.