Treated Wastewater as an Irrigation Source in South Africa: A Review of Suitability, Environmental Impacts, and Potential Public Health Risks

Availability of irrigation water during growing seasons in the Republic of South Africa (RSA) remains a significant concern. Persistent droughts and unpredictable rainfall patterns attributed to climate change, coupled with an increasing population, have exacerbated irrigation water scarcity. Globally, treated wastewater has been utilised as an irrigation water source; however, despite global advances in the usage of treated wastewater, its suitability for irrigation in RSA remains a contentious issue. Considering this uncertainty, this review article aims to unravel the South African scenario on the suitability of treated wastewater for irrigation purposes and highlights the potential environmental impacts and public health risks. The review synthesised literature in the last two decades (2000–present) using Web of Science, ScienceDirect, ResearchGate, and Google Scholar databases. Findings reveal that treated wastewater can serve as a viable irrigation source in the country, enhancing various soil parameters, including nutritional pool, organic carbon, and fertility status. However, elevated levels of salts, heavy metals, and microplastics in treated wastewater resulting from insufficient treatment of wastewater processes may present significant challenges. These contaminants might induce saline conditions and increase heavy metals and microplastics in soil systems and water bodies, thereby posing a threat to public health and potentially causing ecological risks. Based on the reviewed literature, irrigation with treated wastewater should be implemented on a localised and pilot basis. This review aims to influence policy-making decisions regarding wastewater treatment plant structure and management. Stricter monitoring and compliance policies, revision of irrigation water standards to include emerging contaminants such as microplastics, and intensive investment in wastewater treatment plants in the country are recommended. With improved policies, management, and treatment efficiency, treated wastewater can be a dependable, sustainable, and practical irrigation water source in the country with minimal public health risks.