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Review

Factors Influencing Gaseous Emissions in Constructed Wetlands: A Meta-Analysis and Systematic Review

1
Key Laboratory of Wetland Ecology and Environment, Northeast Institute of Geography and Agroecology, Chinese Academy of Sciences, Changchun 130102, China
2
College of Resources and Environment, University of Chinese Academy of Sciences, Beijing 100049, China
3
USDA, Agricultural Research Service, San Joaquin Valley Agricultural Science Center, 9611 South Riverbend Avenue, Parlier, CA 93648-9757, USA
4
Department of Natural Sciences, Middlesex University, Hendon, London NW4 4BT, UK
*
Authors to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2023, 20(5), 3876; https://doi.org/10.3390/ijerph20053876
Submission received: 11 January 2023 / Revised: 8 February 2023 / Accepted: 17 February 2023 / Published: 22 February 2023
(This article belongs to the Topic Climate Change, Air Pollution, and Human Health)

Abstract

:
Constructed wetlands (CWs) are an eco-technology for wastewater treatment and are applied worldwide. Due to the regular influx of pollutants, CWs can release considerable quantities of greenhouse gases (GHGs), ammonia (NH3), and other atmospheric pollutants, such as volatile organic compounds (VOCs) and hydrogen sulfide (H2S), etc., which will aggravate global warming, degrade air quality and even threaten human health. However, there is a lack of systematic understanding of factors affecting the emission of these gases in CWs. In this study, we applied meta-analysis to quantitatively review the main influencing factors of GHG emission from CWs; meanwhile, the emissions of NH3, VOCs, and H2S were qualitatively assessed. Meta-analysis indicates that horizontal subsurface flow (HSSF) CWs emit less CH4 and N2O than free water surface flow (FWS) CWs. The addition of biochar can mitigate N2O emission compared to gravel-based CWs but has the risk of increasing CH4 emission. Polyculture CWs stimulate CH4 emission but pose no influence on N2O emission compared to monoculture CWs. The influent wastewater characteristics (e.g., C/N ratio, salinity) and environmental conditions (e.g., temperature) can also impact GHG emission. The NH3 volatilization from CWs is positively related to the influent nitrogen concentration and pH value. High plant species richness tends to reduce NH3 volatilization and plant composition showed greater effects than species richness. Though VOCs and H2S emissions from CWs do not always occur, it should be a concern when using CWs to treat wastewater containing hydrocarbon and acid. This study provides solid references for simultaneously achieving pollutant removal and reducing gaseous emission from CWs, which avoids the transformation of water pollution into air contamination.

1. Introduction

Constructed wetlands (CWs) are wastewater treatment systems that mimic the purification function of natural wetlands through physical, chemical, and biological processes. As a typical nature-based solution, CWs have been widely applied worldwide for treating various wastewater, including municipal wastewater, domestic sewage, agricultural runoff, industrial wastewater, etc. [1,2]. It is foreseeable that there will be a rapid increase in newly established CWs in the future, especially in developing countries and rural areas, due to their high efficiency of pollutant removal, stable effluent water quality, low investment, and simple maintenance.
As a result of plant respiration, microbial assimilation and decomposition, diffusion, and ebullition, some elements in the wastewater are released into the atmosphere in gaseous form during pollutant removal. The main gases emitted from the wastewater treatment systems include greenhouse gases (GHGs) such as carbon dioxide (CO2), methane (CH4), and nitrous oxide (N2O) and odorant substances including ammonia (NH3), volatile organic compounds (VOCs), and hydrogen sulfide (H2S) [3]. Therein, CO2 is one of the main GHGs that cause climate change. Methane and N2O, as more potent GHGs, have 28 and 298 times more global warming potential (GWP) than CO2 [4,5]. As the primary alkaline molecule, NH3 plays a crucial role in fine particle pollution, acidification, and nitrogen deposition, which have been causing global climate change and even harming human health [6]. VOCs are a diverse group of substances that can react with nitrite and hydroxyl radicals, increasing ozone (O3) concentrations in the lower troposphere and forming organic aerosols. In addition to the gases mentioned above, people are also concerned with H2S due to its odorous and hazardous properties and its potential contribution to the acidification of ecosystems [7]. For these reasons, there has been a growing concern about gas emissions from wastewater treatment systems.
Compared to wastewater treatment plants, CWs are reported to emit relatively lower CO2, CH4, and N2O [8,9]. However, a previous study showed that CWs emitted 2–10 times more GHGs than natural wetlands [10]. Additionally, the NH3 volatilization reportedly contributed to 44% of the total ammoniacal nitrogen (TAN) removal in free water surface flow (FWS) CWs [11]. In a marsh–pond–marsh system, NH3 volatilization can reach up to 79% of the nitrogen removal when the nitrogen loads are greater than 15 kg/ha/d [12]. In addition, VOCs and H2S emissions occur in CWs treating wastewater, such as petroleum-contaminated groundwater and acidic drainage, respectively. Therefore, it is necessary to be concerned about the various gas emissions from CWs, thereby preventing the transformation of water pollution into air pollution.
The biological, chemical, and physical processes of pollutant mitigation and transformation can be affected by various factors such as CW types, substrate types, wetland plants, wastewater characteristics, environmental conditions, etc., resulting in different levels of gas emissions. Therefore, it is essential to comprehend how these factors impact these gas emissions. Maucieri et al. [13] reviewed the research progress of GHG (CH4, N2O, and CO2) emissions from CWs. They applied a non-weighted meta-analysis to analyze a few influencing factors including CW typologies, wastewater composition, and plant species using data obtained from 29 papers published from 1997 to 2016. Their study demonstrated that the following: the CH4 emissions from subsurface flow (SSF) CWs were lower than FWS CWs; the N2O emissions from vertical subsurface flow (VSSF) CWs were lower than FWS CWs; the influent COD/N ratio of 5 was optimal to obtain the lowest N2O emission from CWs; plant presence significantly increases the CO2 emission compared to all unvegetated CW types and increases N2O and CH4 emissions in VSSF CWs; and no specific result was found about the impact of plant species richness on CH4 emission from CWs. However, with the globally increasing concern for carbon reduction, plenty of new relevant publications have arisen in recent years. Will the multiplied new literature still support the original cognition or provide new scientific conclusions? This remains unclear. Furthermore, except for the GHG emissions, there is no systematic review of the other gas (i.e., NH3, VOCs, and H2S) emissions, which limits the complete understanding of the comprehensive performance and possible impact of CWs.
To fill the above knowledge gaps, this study focused on the main influencing factors of multiple gaseous emission from CWs. Our study applied meta-analysis to quantitatively analyze the main influencing factors of GHG emission using data extracted from 63 publications from 1997 to 2021. Meanwhile, we qualitatively analyzed the influencing factors of NH3, VOC, and H2S emissions from CWs. Based on the conclusions obtained from the current research progress, recommendations for future study are also provided. The new scientific evidence and understanding obtained in this study will provide a reference for optimizing the design and operation of CWs, considering their ecological and environmental benefits.

2. Materials and Methods

The literature survey of peer-reviewed publications about CWs and gaseous (i.e., GHGs, NH3, VOCs, H2S) emission was carried out using the Web of Science. We collected the publications focused on gaseous emission from CWs and the factors that possibly impact the emission of gases. Due to the limited number of publications regarding a specific factor and/or a specific gas, not all publications conform to quantitative analysis. Therefore, the literature was analyzed considering two approaches: (1) a quantitative review with meta-analysis updates the information about how CW types, substrate types, and plant species and richness impact GHG emission; (2) a qualitative review provides a synthetic conclusion about factors affecting the NH3, VOC, and H2S emissions, as well as some specific factors affecting the GHG emission. The data processing of meta-analysis is described below in Section 2.1 and Section 2.2.

2.1. Literature Search and Data Collection Criteria

We initially searched the publications published before 23 November 2021 using Web of Science. The search term was TS = (“constructed wetland*” OR “artificial wetland*” OR “treatment wetland*”) AND TS = (“CO2” OR “carbon dioxide” OR “N2O” OR “nitrous oxide” OR “methane” OR “CH4” OR “GHG*” OR “greenhouse gas*.”)
The following criteria were used to select relevant publications: (1) select the publications focusing on the factors likely to affect GHG emission, e.g., the structure of CWs, wastewater characteristics and environmental conditions, etc.; (2) the published data must include at least one treatment group compared to a control group involved in the factors; (3) if the publications included different CW types, substrate types, plant species, and other factors, the observations were classified as independent results; (4) If the information involved unvegetated and vegetated systems, we chose the monoculture system compared to the unvegetated systems, and comparisons between polyculture systems containing various plant species and unvegetated systems were excluded; (5) the aquatic plants mainly refer to emergent and floating macrophytes, and trees and bushes (e.g., mangrove) were excluded; (6) to ensure the sample size of substrate types, studies using various types and sizes of gravel were all considered as a gravel-based system. The literature based on the search term described above showed 979 results. Finally, 63 peer-reviewed publications were used in this meta-analysis, and these publications came from 12 countries according to the first affiliation of the corresponding author, including China, Canada, Japan, etc. (Figure 1). The flowchart of the selection process is displayed in Supplementary Figure S1. The other publications were selectively used for the qualitative analysis of the GHGs from CWs.

2.2. Data Extraction and Calculation

Data were extracted directly from the text, tables, and figures from publications using GetData Graph Digitizer 2.24.
Meta-analysis was widely adapted to summarize experimental behavioral, medical, and social sciences evidence. The conventional effect size considers the logarithm ratio of the treatment value to the control value, but this effect size was not applicable in this study because there were negative GHG fluxes in our chosen studies. Therefore, we applied the index that was used in previous publications [13]:
T G H G = ± | G H G t G H G c | | G H G t | + | G H G c |
where GHGt and GHGc indicate individual, paired GHG values of the control and treatment group. The variable TGHG is assigned a sign based on the direction of difference (if any) in GHGs flux due to the treatment group activity: a negative T indicates a decrease in GHGs with the treated activity; conversely, a positive T indicates an increase in GHGs. The index ranges from −1 to +1, and an index of zero indicates no difference between the control and treatment groups.
We conducted an unweighted meta-analysis using GraphPad to calculate the 95% bias-corrected confidence intervals (95% CIs). It was considered significant (at p < 0.05) when 95% CIs did not overlap with zero [14]. The t-tests and one-way ANOVA were applied to test for the differences in variables.

3. Results and Discussion

3.1. Factors Affecting GHG Emission from CWs

3.1.1. CW Types

Constructed wetlands can be generally separated into three typical types, i.e., FWS CWs, horizontal subsurface flow (HSSF) CWs, and VSSF CWs, which were distinguished by their structure and water flow direction. The water in both FWS and HSSF CWs flows horizontally, but they differ in water level. A typical FWS CW with emergent macrophytes is a shallow sealed basin or sequence of basins, including 20–30 cm of rooting soil (or the other medium), with a water depth of 20–40 cm. The HSSF CWs commonly consist of gravel or rock beds and are vegetated with wetland plants. The influent wastewater flows through the substrate medium under the surface of the bed in a more or less horizontal path [15]. The VSSF CWs comprise a substrate of gravel or coarse sand planted with macrophytes. The wastewater in VSSF CWs distributes uniformly at the surface of the wetland and then flows vertically to the bottom [16]. Different CWs provide aerobic and/or anaerobic zones (which mainly impact the formation and oxidation of CH4, nitrification, and denitrification) due to differences in water levels and flow patterns. The FWS CWs provide both aerobic and anaerobic zones. The anoxic and anaerobic processes are prevalent in HSSF CWs and relatively fewer aerobic zones appeared in VSSF CWs [15]. The various CWs provide different conditions to impact the processes of pollutants’ migration and transportation in CWs, consequently affecting GHG emission. Based on the meta-analysis, the HSSF and VSSF CWs emit less CH4 than FWS CWs (Figure 2a), but there was no significant difference between HSSF and VSSF CWs (t-test, p > 0.05). The HSSF CWs decrease the N2O emission as compared to VSSF and FWS CWs, and a statistically significant difference (t-test, p < 0.05) was observed between HSSF and VSSF CWs (Figure 2b).
Microbial community structure and activity are different in various types of CWs. The biochemical processes in CWs are driven by different oxidation-reduction potentials (ORP). The ORP can be divided into two levels, favored oxidative (aerobic) and reductive (anaerobic) conditions, ranging from +250 to +700 mV and +250 to −400 mV, respectively [16]. Though the total activity of the microbial community is in the same range in different CW types (different CWs provide different aerobic or anaerobic conditions), structural differences exist in microbial communities [17]. Therefore, the difference in the microbial community under varying conditions (i.e., different ORP values) may cause various CH4 and N2O emissions.
Methane is produced by methanogens during the mineralization of organic matter, which occurs in anaerobic conditions. Gui et al. [18] found that areas with ORP < −100 mV (i.e., anaerobic) were mainly located at the sand surface in FWS CWs but were not found in VSSF CWs. This observation can explain the lower CH4 emission in VSSF CWs compared to FWS CWs. In HSSF CWs, the aerobic area was mainly concentrated near the surface, when CH4 diffused from the bottom to the surface, and it is degraded simultaneously [18]. Therefore, HSSF and VSSF CWs can reduce CH4 emission compared to FWS CWs.
The nitrification and denitrification processes are considered the main source of N2O in CWs. These processes occur in all types of CWs and the extent of the process is determined by the available O2 [19]. Compared to FWS CWs, subsurface (SSF) CWs provide more anoxic conditions for denitrifying bacteria to grow. Especially in HSSF CWs, prevailing anoxic and anaerobic conditions provide suitable conditions for denitrification [20], while VSSF CWs are more aerobic and provide little denitrification compared to HSSF CWs [21]. In low dissolved oxygen (DO) conditions, N2O will be replaced by nitrogen gas (N2) as the end product of denitrification and can be considered as an N2O sink in wastewater treatment [22]. These above findings possibly explain the lower N2O emission in HSSF CWs compared to FWS and VSSF CWs, as illustrated in Figure 2b.
Both HSSF and VSSF CWs could effectively remove pollutants such as BOD (biochemical oxygen demand) and chemical oxygen demand (COD) [23]. The VSSF CWs are preferable to remove ammonia nitrogen (NH4+) than FWS and HSSF CWs, but exhibited poor nitrate (NO3-) removal ability [24]. A previous study showed that no significant difference was found between the TN removal of FWS and SSF CWs [15]. The SSF CWs are commonly used as the secondary treatment stage while FWS CWs are used as the tertiary stage. Overall, SSF CWs tend to perform better pollutant removal efficiency (e.g., organic pollutants) than FWS CWs. Although both HSSF and VSSF CWs can reduce CH4 emission, there is no statistical difference between them. In addition, HSSF CWs significantly reduce N2O emission compared to VSSF CWs as indicated in our meta-analysis. Therefore, HSSF CWs are recommended as the optimal wetland type when considering pollutant removal capacity and GHG emission.

3.1.2. Substrate Types

The substrate plays an essential role in CWs. It acts as a block and filter to remove pollutants, supports reactive conditions for pollutant transformation, and provides a surface for biofilm attachment [25]. Hence, different filling materials in CWs exhibited distinct performances due to their specific physical and chemical properties. Substrate materials provide habitats for microbial communities. Microbes attached to the substrates can harbor functional genes related to the conversion of N2O and N2 (e.g., nosZ, nirK, and nirS) and the production and consumption of CH4 (e.g., mcrA and pmoA) [25,26]. Thus, selecting the proper substrates can potentially alleviate the GWP via reducing N2O and CH4. To date, various substrates have attracted attention for their impact on greenhouse gas emissions, such as biochar, manganese ore, iron ochre, zeolites, activated alumina, etc. Therein, biochar has received considerably more attention than other substrate materials, and meta-analysis was conducted on biochar considering the number of publications and sample size. The meta-analysis shows that the biochar-amended CWs can alleviate the release of N2O compared to gravel-based CWs (Figure 3a). However, biochar tends to increase the emission of CH4 (Figure 3b).
Biochar, a porous carbon-rich material produced from biomass under limited temperature and O2 conditions, is considered a promising amendment in CWs and displays both a potent water purification ability and satisfactory GHG reduction effectiveness. Several studies demonstrate that the biochar-amended CWs reduce N2O emission compared to the gravel-based CWs [27,28,29]. The biochar-amended system also showed higher nitrogen removal efficiency than the gravel-based system due to the better adsorption capacity of biochar [29]. The adsorption of NO3- or/and NH4+ by biochar can decrease the substrate availability of nitrification and denitrification then suppress the production of N2O [30]. The large surface area and high porosity of biochar provide more attachment sites for abundant microbes and the carbon source released from biochar ultimately facilitates denitrification [28]. Biochar addition also regulates the microbial community structure and the abundance of functional genes. For example, biochar-amended CWs reduce the N2O emission by increasing the abundance of various bacteria (e.g., phyla of Proteobacteria, Firmicutes, Bacteroidetes, Actinobacteria, Chloroflexi) mainly participating in the denitrification process (mainly acts on the conversion of N2O to N2) [31,32]. Furthermore, biochar addition can increase the abundance of some bacteria harboring the nosZ gene that promote the biotransformation of N2O to N2 and the ratio of nosZ/ (nirS + nirK), which can partially explain the role of biochar in reducing N2O emission [25,33].
As illustrated in Figure 3b, biochar-amended CWs increased CH4 emission compared to gravel-based CWs. This result is probably because biochar had a high redox-active property or charging and discharging capacities, which can promote the direct interspecies electron transfer between methanogens and anaerobic bacteria (e.g., Geobacteraceae) and provides labile organic carbon for CH4 production [34]. When considering multiple GHGs, biochar-amended CWs commonly showed lower GWP than gravel-based CWs. For example, an 18–24% lower GWP in biochar-amended CWs than that of gravel-based CWs was reported by Guo et al. [29]. The capacity of biochar addition in mitigating GWP was also impacted by different types of CWs. In general, biochar-amended SSF CWs are more capable of mitigating GWP compared to FWS CWs [33].
Other substrate materials have also received attention in regards to GHG emission from CWs (Table S1 in the Supplementary Material). A few studies showed that the addition of manganese ore (Mn ore) and iron ore can reduce CH4 emission in CWs [35,36,37]. A high abundance of pmoA and low mcrA was observed in Mn-ore-amended CWs, indicating that Mn ore not only inhibits the CH4 production but also intensifies the CH4 oxidation. The manganese oxides can hinder the production of CH4 by competing for organic substrates and promoting the anaerobic oxidation of methane by providing electron acceptors [38]. Considering the comprehensive impacts on multiple GHGs in CWs, Mn-ore-amended CWs exhibited lower GWP than CWs filled with gravel and iron ore, respectively [39]. Mn ore was favorable for mitigating GWP compared to CWs amended with walnut shell and activated alumina [38]. However, there is limited research on the substrate materials that concurrently reduce both CH4 and N2O emissions from CWs. Hence, the use of substrate materials on reducing GHGs should be explored in the future.
Overall, biochar-amended CWs are favorable for enhancing the removal performance and mitigating GWP compared to gravel-based CWs. Biochar is easily available and can be produced from multifarious biomass such as agricultural residues, woods, livestock manures, and solid organic municipal wastes, which can simultaneously solve the problem of agricultural waste. Furthermore, biochar has already been applied in wastewater treatment and soil remediation [40,41]. Therefore, biochar is suggested to be a promising amendment for future CW design.

3.1.3. Plant Presence, Species, and Richness

Plants are an important component of CWs, and the presence of plants distinguishes CWs from lagoons or unvegetated filters. Plants play multiple roles in CWs, e.g., absorbing various pollutants, increasing substrate porosity, providing O2, and supporting a favorable environment for microbes [42]. Meanwhile, plant presence can directly or indirectly affect the transformation of pollutants and consequently impact the emission of gases in CWs. Except for O2 and CO2, gases emitted from wetlands have been commonly assumed to be generated from the sediment or soil surface through the water column, escape to the atmosphere by bubbling or diffusing called ebullition, or transport through the vascular system of emergent plants [43,44]. The plant species and combination can affect the contamination balances, and then impact removal efficiency and gas emission [45].
  • Influence of plants on CH4 emission
The available data from the literature show that the presence of plants reduces the CH4 emission from HSSF CWs but increases CH4 emission from FWS and VSSF CWs (Figure 4a–c). The structure of CWs can impact the activity of methanogens and methanotrophs due to the different redox conditions mentioned above. The presence of plants may further affect these microbes in different CWs, resulting to a varying extent in CH4 release. In vegetated HSSF CWs, the plant can transport O2 to the rhizosphere and promote the activity of methanotrophs, which is beneficial for the oxidization of CH4 [46]. In contrast, the unvegetated HSSF CWs are more conducive to methanogens’ inhabitation than vegetated HSSF CWs. As compared to HSSF CWs, FWS and VSSF CWs are more aerobic. There is speculation that the plant tissue can emit CH4 under aerobic conditions [47]. Plants can act as gas conduits for CH4 passing through and facilitating the gas transport from the sediment to the atmosphere [48]. These findings might explain the higher CH4 emission in vegetated FWS and VSSF CWs compared to unvegetated FWS and VSSF CWs.
Plant species can impact CH4 emission by changing the microbial communities and biochemical pathways for methanogenesis [49,50,51]. Different plant species can affect the microenvironment in CWs, as their plant roots release different levels of O2 and exudates [52]. For example, Phragmites australis is reported to restrain the activity of methane-producing microorganisms (e.g., methanogens) and promote the activity of methanotrophs in the root zone at a greater depth [53]. High proportions of gas space were found in rhizomes of P. australis, which supply the O2 demand in the rhizospheric environment, probably causing the attachment of numerous bacteria to the root surface (34–37% to be potential methane-oxidizing bacteria) [46]. Other plant species, e.g., Zizania latifolia, contributed to a more reductive status (i.e., the anaerobic condition) and higher biomass of methanogens (high level of CH4) [53]. The inhibition of methanogens and promotion of the methanotroph with different plants in CWs may be attributed to their O2 transformation ability. These results suggest that different plant species develop specific microbial communities in the rhizosphere, and the CH4 emission from CWs tends to be plant-species-specific.
Plant species richness also impacts CH4 emission from CWs. Meta-analysis shows that, irrespective of the number of plant species, polyculture CWs stimulate the CH4 emission compared to monoculture CWs (Figure 5) and there is no significant difference among the different combinations of various species (one-way ANOVA, p > 0.05). Higher amounts of methanogens and lower amounts of methanotrophs were observed in polyculture systems [53,54,55], which can partially explain the higher CH4 in polyculture systems since methanogens and methanotrophs and their activities play a dominant role in CH4 production and consumption in CWs. Notably, although studies support the emission of CH4 being positively related to methanogen numbers in polyculture CWs, Zhang et al. [47] found a negative correlation between CH4 emission and methanogen numbers and activity in polyculture CW microcosms, implying that plant tissues may also emit a certain amount of CH4 in aerobic conditions.
  • Influence of plants on CO2 emission
As presented in Figure 6a–c, the presence of plants promotes CO2 emission irrespective of CW types. In CWs, the sequestration and emission of CO2 are related to plant photosynthesis, respiration, soil respiration, and mineralization. In wastewater treatment, it is an inevitable procedure to convert organic matter into CO2. Vegetated CWs exhibited higher CO2 emission than the unvegetated CWs [56]. The cumulative CO2 efflux in vegetated CWs was higher than that of unvegetated units, indicating that the plant presence was significant for ecosystem respiration [57]. Wu et al. [58] demonstrated that CO2 flux in FWS CWs was also affected by plant species, and the highest net CO2 flux appeared in the Zizania caduciflora system, followed by the P. australis and Cyperus rotundus systems. In general, planted CWs tend to emit higher amounts of CO2 compared to unplanted systems and the extent of this promotive effect depends on plant species and their respective individual differences in growth characteristics and ecotypes.
  • Influence of plants on N2O emission
Nitrogen removal in CWs is accomplished by plant uptake, microbial activities (e.g., assimilation, nitrification, denitrification, and ammonification), decomposition, sedimentation, and volatilization [52]. The available nitrogen, carbon, and DO in water are major parameters involved in nitrogen transformation that can impact N2O emission from CWs. Wetlands plants are the primary drivers to change these parameters and affect N2O emission [59].
The result of meta-analysis suggests that the presence of plants decreases N2O emission in HSSF CWs but increases N2O emission in FWS and VSSF CWs (Figure 7a–c). The HSSF CWs provide more anaerobic conditions and favor the denitrification process compared to FWS and VSSF CWs. The presence of plants in CWs can provide carbon required for metabolic activities such as denitrification [60]. When the influent C/N ratio is insufficient to support denitrification, the available carbon from plants may be a more important factor than the O2 level to control the denitrification process and reduce N2O production. This process may partially explain the lower N2O production in vegetated HSSF CWs than in unvegetated HSSF CWs. However, when the influent C/N ratio is adequate, the O2 level may be the dominant factor controlling denitrification. The aerobic conditions (high level of O2) inhibit the denitrification and anaerobic conditions promote the conversion of N2O to N2. In unvegetated FWS and VSSF CWs, anaerobic conditions are prevailing. N2O can become a substitute for the electron acceptor and be consumed by microbes (e.g., denitrifying bacteria). Conversely, the vegetated FWS and VSSF CWs provide more aerobic conditions, and the consumption of N2O is low due to the high utilization rate of NO3- produced by the nitrification of ammonia [61].
Some studies suggested that high plant species richness tends to reduce N2O emission in CW microcosms [62,63], while others found that high plant diversity tends to enhance N2O emission [59,64]. In this study, meta-analysis indicates that polyculture CWs basically do not influence N2O emission compared to monoculture CWs (Figure 8). Although there is no consensus from previous studies regarding the effectiveness of plant species richness on N2O production, most of the available studies concur that specific plant species in the CWs, regardless of monoculture or polyculture, significantly impact N2O emission, resulting in a lower or higher flux of N2O [59,65,66].
Irrespective of monoculture or polyculture CWs, the different levels of N2O emission are possible because the plant species can impact the activity of ammonia-oxidizing bacteria (AOB), denitrifying bacteria, and the nitrification/denitrification process. The root structure of specific plant species can enhance or inhibit the AOB and influence N2O production [67,68]. Plant litter and detritus also exhibit species-specific differences [69]. For example, Cyperus alternifolius can exude more organic carbon from roots and utilize organic carbon as a source for denitrifying bacteria, which promotes the production of N2O [65]. The developed aerenchyma of plants also (e.g., P. arundinacea) results in the emission of high amounts of N2O due to incomplete denitrification [59]. However, different plant species tend to develop different types of denitrifying bacteria. For example, Rhizobium, Rhodopseudomonas, Bradyrhizobium, Rhodanobacter, Rubrivivax, and Pseudomonas were reported as dominant denitrifying bacteria in CWs planted with P. australis, Typha angustifolia, and C. alternifolius [70]. In contrast, Bradyrhizobium, Bosea, and Rhodopseudomonas were dominant denitrifying bacteria in CWs planted with Iris pseudacorus, Canna glauca, Scirpus Validus, and C. alternifolius [71]. Different plants may impact the denitrifying bacteria that participate in the reduction of NO3- to N2O or the conversion of N2O to N2 processes, leading to different amounts of N2O. In general, the N2O emission flux is plant-species-specific. We suggest that selecting the specific species is more important than increasing the species richness.

3.1.4. Influent Water and Environmental Conditions

Increased nutrients and organic matter input to CWs increase the productivity of a wetland ecosystem and increase the production of GHGs [72]. In addition to this direct influence of carbon and nitrogen input on GHG emission from CWs, an increasing number of studies have focused on the characteristics of influent wastewater (e.g., influent C/N ratio and salinity) and environmental conditions (e.g., temperature).
The influent C/N ratio remarkably impacts the pollutant removal efficiency and GHG emission from CWs. Most studies support the conclusion that a C/N ratio of 5 is optimal for removing COD and total nitrogen (TN) [73,74] and exhibited lower GHG emission [75,76,77]. Chen et al. [78] reported that the removal efficiency of NO3- increased with the increasing C/N ratio, but the TN removal percentage did not follow this trend. The high COD concentrations may inhibit the metabolism of microbes, resulting in decreased TN removal. For GHGs, most studies have focused on the influence of C/N on N2O emission, and only a few studies were concerned about the CO2 and CH4 emissions. When converted to CO2-equivalent, the contribution of N2O to total GHG emission was significant when C/N ratio ranged from approximately 1:2 to 1:4. However, N2O had a small contribution when C/N ratio was between about 3:1 and 8:1 [79]. The smaller N2O contribution under a C/N ratio of 10 was also reported by Chen et al. [78]. The relatively lower C/N ratio caused incomplete denitrification by denitrifiers (lacking the nosZ gene encoding N2O-reductase- ), resulting in increased N2O as an end product of denitrification [80]. In contrast, denitrification processes enhanced by the communities of denitrifiers (with the nosZ gene) under a higher C/N ratio (i.e., 5 and 10) can inhibit N2O release [75,78]. As for CO2 emission, it appears to be positively related to the influent carbon [77]. The high CO2 emission was attributed to the efficient degradation of influent carbon facilitated by an adequate O2 supply [81]. Compared to N2O, the contribution of CH4 to the total GHGs appears to be insignificant under different C/N ratios in SSF CWs [77,78]. These observations can be explained by the inhibited activity of methanogens under aerobic conditions or some of the CH4 generated in anaerobic conditions was oxidized to CO2 by methanotrophs in SSF CWs.
Some CWs are also applied to treat saline wastewater originating from sources including aquaculture, agriculture, and industrial sectors [82]. High salinity in wastewater impacts the function of microorganisms and plants, causing different pollutant removal capacities and GHG emissions in CWs. Therefore, it is important to be concerned about the impact of salt stress on CWs. High salinity tended to reduce pollutant removal efficiency and inhibit CO2 and CH4 emission from CWs via inhibiting plant growth and microbial communities (e.g., methanogens) [83,84]. A similar observation was reported by Poffenbarger et al. [85] that CH4 fluxes decreased from tidal marshes with increasing salinity. The response of N2O emission in CWs to salt stress remains limited, and there is no consensus from natural wetlands for reference, as both increases and no changes of N2O emission were reported in response to salinity [84,86,87]. Further research on N2O emission need to be investigated under different saline conditions, as well as the driven factors.
GHG emission from CWs is greatly affected by natural conditions, especially temperature. The production of GHGs by photosynthesis and heterotrophic microbial activities varies with temperature. The CH4 emission is higher in spring and summer than in fall and winter [88,89]. The increasing temperature stimulates plant synthesis and microbial activities (e.g., methanogens, etc.), resulting in more CH4 emissions from CWs [49,88]. In contrast, low temperatures (e.g., below 10 °C) tend to inhibit the development of plants and microbial activity resulting in CH4 decline [90]. With the seasonal temperature changes, CH4 emission was impacted by the transport potential of plants (e.g., P. australis and T. latifolia) [91]. Higher N2O emission also appeared in summer [67]. The high temperature may increase the abundance of nitrifying and denitrifying bacteria, leading to more N2O emission. In contrast, the plant withering and inactive microbial activity caused low N2O emission in winter [92]. In general, changes in seasonal temperature impact the development of plants and microbial communities and lead to different levels of CH4 and N2O emissions.
In summary, GHGs from CWs are affected by various factors including the structure of CWs (i.e., CW types, substrates, and plants), influent water parameters (e.g., C/N ratio, salinity), and environmental temperature. In view of the demand for carbon emission reduction targets, we suggest that the factors mentioned above should be optimized in the design and operation of CWs in the future. Additionally, it is promising to alleviate GHG emission by altering the microbial processes within CWs. Recent research implied that enhancing the anammox (anaerobic ammonium oxidation) and n-damo (nitrite-dependent anaerobic methane oxidation) processes may mitigate both CH4 and N2O emissions from CWs [93]. Anammox is an anerobic process that is different from denitrification—it is without N2O production and requires no external carbon source. The n-damo process serves as an essential CH4 and nitrogen sink and n-damo bacteria could utilize NO3- as an electron acceptor to produce N2 and CO2, inhibiting the production of N2O and CH4. To date, lab-scale studies found that anammox and n-damo processes can reduce N2O and CH4 emission to some extent [94,95]. In addition, n-damo archaea and anammox bacteria abundance can increase over time in CWs sediment, suggesting that the cooperation between two microbial processes completes the denitrification process from NO3- to N2 [96,97]. However, it is essential to investigate the optimum condition to culture two microorganisms and ensure their colonization within CWs.

3.2. Factors Affecting NH3 Volatilization from CWs

NH3 volatilization is an unexpected but main pathway to remove nitrogen in CWs especially for treating swine wastewater and agricultural wastewater, and it has received much attention in recent decades [11,98]. NH3 volatilization in different CWs has been reported to contribute a minimum of 1.7% and a maximum of 44% of nitrogen removal [11,99,100]. In a marsh–pond–marsh system, the NH3 volatilization can even reach up to 79% of the nitrogen removal when the nitrogen load is greater than 15 kg/ha/d [12]. In general, NH3 volatilization occupies a large proportion of nitrogen removal in specific conditions. Therefore, it is essential to understand the mechanism and influencing factors of NH3 volatilization in CWs.
As a soluble gas, NH3 is directly transferred across the water–air interface, the surface partial pressure of which is a function of Henry’s Law (i.e., equilibrium between NH3 and NH4+), rather than ebullition and vegetative transport [11]. In CWs, NH3 volatilization is mainly controlled by wastewater characteristics (especially nitrogen concentration and pH), CW types, and wetland plants, as presented in Table S2 in the Supplementary Material.

3.2.1. Wastewater Characteristics

The NH4+ concentration in CWs will impact NH3 volatilization, and the NH3 flux in CWs is positively related to nitrogen loadings (or NH4+ concentration). For example, when influent NH4+ concentration was 136.4, 402.0, and 549.9 mg/L, the estimated NH3 volatilization occupied 10.5%, 12.3%, and 20.4 of the nitrogen removal, respectively [101]. Poach et al. [102] demonstrated that a CW receiving partially nitrified wastewater exhibited a low level of NH3 volatilization, suggesting that the nitrification process lowered the NH4+ concentration, decreasing NH3 release. Similarly, it has also been shown that the NH3 volatilization in marsh–pond–marsh systems could be reduced by decreasing the NH4+ concentration in wastewater [12].
The pH value of wastewater can also impact NH3 volatilization. NH3 volatilization is a physicochemical process in which NH4+ is in equilibrium between the gaseous and hydroxyl forms [102]:
N H 3   ( a q ) + H 2 O = N H 4 + + O H
In this reaction, alkaline pH favors the presence of the aqueous form of NH3 in the solution, while the ion form dominates in acidic or neutral pH conditions. The volatilization losses of NH3 in flooded soils and sediments are insignificant when the pH value is below 7.5, and the losses are generally not serious when the pH value is below 8.0 [103]. If the pH value is above 8.0, more nitrogen tends to be lost in the form of NH3 in the aquatic system. For example, high amounts of NH3 release were observed in pilot hybrid CWs under high pH values; specifically, in CWs with a pH value ranging from 8.4–12.3, NH3 volatilization accounted for 5.9–23.1% of TN removal, while in the same CWs with a pH value of 6.9, the proportion was only 1.7% [99].

3.2.2. CW Types

The FWS CWs and open ponds exhibited higher NH3 volatilization than SSF CWs and marshes. NH3 volatilization occupied 9–44% of the TAN removal in FWS CWs, but the proportion was only 1–18% in SSF CWs [11]. VanderZaag et al. found that SSF CWs maintained healthier canopies and had more aboveground phytomass and significantly higher canopy densities than FWS CWs. The smaller boundary layer above the surface of FWS CWs than in SSF CWs increases the turbulent mixing and NH3 volatilization [11]. In a marsh–pond–marsh CW, pond sections produced rates of NH3 volatilization greater than 36 mg/m2/h, while marsh sections produced rates of less than 16 mg/m2/h at nitrogen loads greater than 15 kg/ha/d [104]. It was inferred that the algae photosynthesis created high pH values (by consuming CO2) during the day time in pond sections, which promoted the NH3 volatilization [12,24].

3.2.3. Plant Species and Richness

Most plants are able to absorb various forms of nitrogen, especially those that have adapted to the presence of nitrogen. Different plant species exhibited different forms of nitrogen uptake preferences, depending on the form of nitrogen available in the soil [24]. Different plant species may absorb different amounts of nitrogen leading to various levels of NH3 volatilization. High plant species richness tends to reduce NH3 volatilization and the plant composition showed greater effects than species richness. For example, Luo et al. [63] indicated that high plant diversity can reduce NH3 volatilization in floating CWs. The communities with R. japonicus showed lower NH3 volatilization (8.80 μg/m2/h) than communities without this species (23.6 μg/m2/h) [105]. As NH3 volatilization is positively related to NH4+ content in wastewater, it is probable that some plant species have a well-developed root system, absorbing more NH4+ in the system, thus reducing NH3 volatilization [105]. Communities with high species richness may absorb more NH4+ and utilize more NO3- and produce higher biomass due to niche differentiation (competition) among species. Plants with a higher biomass absorb more NH4+ and release more H+ to maintain the ion balance (between the plant and soil environment), therefore lowering the pH of the water [63]. This explains why the high species richness can mitigate NH3 volatilization.
In general, NH3 volatilization from CWs is influenced by wastewater characteristics, CW types, wetland plants, etc. NH3 volatilization can be reduced by adjusting the wastewater characteristics, such as lowering the nitrogen concentrations and pH value and selecting SSF CWs rather than FWS CWs. Moreover, plant species are also important. In addition to the factors mentioned above, environmental conditions such as air temperature, humidity, and wind speed are likely to impact NH3 volatilization [100]. As an important gas product of nitrogen recycling, NH3 volatilization is as important as N2O emission in CWs, as it accounts for higher proportions of nitrogen removal. It is necessary to simultaneously explore the GHG and NH3 emission from CWs, avoiding the increase in one pollutant as a result of reducing another pollutant.

3.3. VOC Emission from CWs

VOCs are a diverse group of substances that can react with O3, hydroxyl radicals (·OH), and NO3, which consequently influence atmospheric chemistry. Globally, VOC emission is estimated to be dominated by biogenic sources [106]. To date, studies on VOCs from CWs have mainly focused on substances, including isoprene (C5H8), monochlorobenzene (MCB), benzene, and methyl tert-butyl ether (MTBE). C5H8 can participate in aerosol formation and contribute to the greenhouse effect. The global emission of C5H8 was estimated to be around 500 Tg C/yr, roughly equivalent to the flux of CH4 into the atmosphere, making it the most important hydrocarbon emitted by plants [107]. Most aquatic plants emit high amounts of C5H8 because the isoprenoid biosynthesis requires large amounts of phosphorylated intermediates [108]. The average emission potential of C5H8 from a boreal fen was reported to be 680 μg/m2/h [106]. However, research showed that reconstructed wetlands (a measure to treat urban and industrial wastes in polluted areas) planted with P. australis for treating municipal wastewater would not contribute to high hydrocarbon loads, especially C5H8 [108]. For MCB volatilization, researchers have different opinions on the role of MCB in CWs. Keefe et al. [109] attributed the primary part of VOC (MCB, 1.4-DCB etc.) removal from a CW to volatilization based on model simulations. Meanwhile, MCB volatilization accounted for only 2–4% of the overall removal and volatilization is a subordinate elimination process for MCB in HSSF CWs [110]. The MCB degradation by bacteria may be the dominant removal process rather than volatilization [111]. As for the treating of benzene- and MTBE-contaminated wastewater, different CWs exhibited different volatilization capacities. Benzene and MTBE via volatilization accounted for 5.6% and 2.4% of the overall contaminant mass loss in common reed CWs, respectively [112]. Volatilization fluxes of benzene and MTBE were low (<5% of total removal) in the CWs [113]. All these studies agree that microbial degradation and plant uptake play dominant roles in the removal process of benzene and MTBE. However, higher MTBE volatilization was observed in the root mat system (i.e., CWs only supported by the densely woven root bed) (24%) compared to conventional CWs (<5% total removal) [113], suggesting that the direct contact of aqueous and gaseous phases may facilitate the MTBE volatilization in root mat systems. The volatilization flux of benzene and MTBE varied with the seasons and the highest fluxes were observed in summer [114].
In general, the fate of VOCs in CWs involved multiple processes, including rhizosphere microbial degradation, surface volatilization, plant uptake, etc. These processes can be impacted by the physical and chemical properties of the contaminant (e.g., vapor pressure, air–water partition coefficient, and octanol–water partition coefficient), and environmental conditions, resulting in different levels of VOC emission. VOCs are a group of pollutants that include various types of substances that can participate in complex atmospheric chemical reactions. Few studies have reported the volatilization of VOCs from CWs and we suggest that more exploration should be conducted when using CWs to treat wastewater containing VOCs in the future.

3.4. H2S Emission from CWs

In wetlands, sulfur is transformed by microbiological processes. Sulfate reduction is accomplished by anaerobes such as Desulfovibrio spp. [16]. Adelere and Uduoghene [114] found that, in contrast to CH4 and CO2 emission (38~54%), the CO and H2S emission only accounted for ~0.03% and ~0.14% of the total biogas production in CWs. They inferred that CO and H2S can be converted to H2CO3 and H2SO4 at the stage of the biological remediation process. The sulfur in influent wastewater is usually in the form of sulfate in an oxidizing environment, but in the form of sulfide in a reducing environment. Sulfates are highly soluble under all temperature and pH conditions, while the solubility of sulfides depends on pH. In an acidic pH (<6), sulfide will be present as H2S [115]. The H2S emission from CWs also exhibits seasonal variations. For instance, the H2S emission from CWs during the rainy season (i.e., September) was as high as 2545 µg/L and only 900 µg/L in the dry season (i.e., March) [116]. Machemer et al. [117] also indicated that the H2S emission from the substrate surface of CWs was higher in summer (150 nmol/cm2/d) than in winter (0.17–0.35 nmol/cm2/d) when CWs were used to remove heavy metals from acid mine drainage. The concentration of SO42− in water varied with microbial reduction, which is a process highly impacted by seasonal temperature. High temperatures in summer and fall accelerate the activity of microcosms to decompose organic matter, resulting in high levels of H2S [116]. The lower level of H2S observed in winter was because the SO42−-reducing bacterial activity was inhibited by the low temperature and H2S was trapped in the substrate by the freezing surface [117]. Though H2S emission only occurs in CWs for treating specific wastewater (e.g., acidic drainage), it is an important part of the biogeochemical cycle of sulfur and should be a concern.

4. Conclusions

The multiple gaseous emissions from CWs are commonly impacted by the structure and component of CWs, influent water characteristics, and environmental parameters. The present knowledge can be concluded as follows: (1) To control CH4 and N2O emissions, HSSF CWs are recommended rather than FWS and VSSF CWs. Biochar is a promising substrate amendment to mitigate N2O emission from CWs. The use of specific plant species is recommended rather than increasing the plant species richness. An influent C/N ratio of 5 will probably result in lower N2O emissions. High salinity reduces the removal efficiency of pollutants and GHG (mainly CH4 and CO2) emissions. Additionally, high environmental temperatures promote the microbial activity and development of plants leading to high emissions of CH4 and N2O; conversely, relatively lower emissions occur in low temperatures. (2) The NH3 volatilization from CWs positively relates to the influent nitrogen concentration and pH. The SSF CWs are preferred to reduce NH3 volatilization rather than FWS CWs. High plant species richness will probably reduce NH3 volatilization, and specific plant species play an important part in alleviating NH3 volatilization. (3) VOCs volatilization from CWs is impacted by the physiochemical properties of contaminants and environmental conditions. (4) The H2S emission from CWs is mainly affected by the pH value of the system and seasonal variations.
This study provides conclusive suggestions for the design and operation of CWs from the perspective of simultaneously removing pollutants and abating multiple gaseous emissions in CWs. Meanwhile, we have made specific recommendations for future explorations and investigations as follows: (1) The conclusions illustrated in this study are based on previous studies, which were mainly conducted in small- and medium-scale experiments. We suggest that long-term field investigations during the practical operation of CWs should be strengthened in the future, thereby supplementing conclusions to better support the design of low-emission CWs. Meanwhile, more field investigation is a foundation to provide data support for evaluating the contribution of CWs to global carbon emissions. (2) It is foreseeable that regulating the parameters discussed in this study can reduce GHG emission to some extent. However, there is still room for improvement with more innovative interventions. For example, simultaneously regulating the anammox and n-damo processes is theoretically prospective to mitigate both CH4 and N2O emissions from CWs. (3) The majority of available studies focused on GHG emissions or NH3 volatilization, respectively. Though the VOC and H2S emissions only occur when CWs are applied for treating specific wastewater, the emission mechanisms and regulating strategies need to be further investigated as they do harm the environment and humans. We suggested that the different forms of gases for specific elements should be investigated simultaneously in the future.

Supplementary Materials

The following supporting information can be downloaded at: https://www.mdpi.com/article/10.3390/ijerph20053876/s1, Figure S1: The flow diagram of the literature search and selection process, Table S1: CH4 and N2O emission from different substrate-amended CWs, Table S2: NH3 volatilization from CWs and ponds is affected by several factors. References [11,12,35,36,37,38,39,63,99,100,101,105,118,119] are cited in the supplementary materials.

Author Contributions

Conceptualization, S.H. (Sile Hu) and H.Z.; methodology, S.H. (Sile Hu); validation, S.H. (Shengnan Hou), X.W. and H.Z.; formal analysis, S.H. (Sile Hu); investigation, S.H. (Sile Hu) and X.W.; resources, H.Z. and B.Y.; writing—original draft preparation, S.H. (Sile Hu); writing—review and editing, G.B., B.S., S.H. (Shengnan Hou) and H.Z.; visualization, S.H. (Shengnan Hou) and S.H. (Sile Hu); supervision, H.Z.; project administration, H.Z.; funding acquisition, H.Z. All authors have read and agreed to the published version of the manuscript.

Funding

This work was supported by CAS Interdisciplinary Innovation Team Project (No. JCTD-2020-14), the Strategic Priority Research Program of the Chinese Academy of Sciences (Grant No. XDA28040102), National Natural Science Foundation of China (No. U21A2037), and Youth Innovation Promotion Association, CAS (No. Y2021068).

Institutional Review Board Statement

Not applicable.

Informed Consent Statement

Not applicable.

Data Availability Statement

Data are available on request.

Conflicts of Interest

The authors declare no conflict of interest.

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Figure 1. The distribution of publications used in meta-analysis related to GHG emission from CWs.
Figure 1. The distribution of publications used in meta-analysis related to GHG emission from CWs.
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Figure 2. Effect on T index of CH4 (a) and N2O (b) emission from different CW types compared to FWS CWs. The n throughout the manuscript refers to samples used in the analysis and the error bars are 95% CIs.
Figure 2. Effect on T index of CH4 (a) and N2O (b) emission from different CW types compared to FWS CWs. The n throughout the manuscript refers to samples used in the analysis and the error bars are 95% CIs.
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Figure 3. Effect on T index of N2O (a) and CH4 (b) emission from biochar-amended CWs compared to gravel-based CWs.
Figure 3. Effect on T index of N2O (a) and CH4 (b) emission from biochar-amended CWs compared to gravel-based CWs.
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Figure 4. Effect on T index of CH4 emission from different types of vegetated CWs, i.e., HSSF (a), FWS (b), and VSSF (c), compared to unvegetated CWs.
Figure 4. Effect on T index of CH4 emission from different types of vegetated CWs, i.e., HSSF (a), FWS (b), and VSSF (c), compared to unvegetated CWs.
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Figure 5. Effect on T index of CH4 emission from monoculture CWs compared to polyculture CWs (two, three, and four species).
Figure 5. Effect on T index of CH4 emission from monoculture CWs compared to polyculture CWs (two, three, and four species).
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Figure 6. Effect on T index of CO2 emission from different types of vegetated CWs, i.e., FWS (a), HSSF (b), and VSSF (c), compared to unvegetated CWs.
Figure 6. Effect on T index of CO2 emission from different types of vegetated CWs, i.e., FWS (a), HSSF (b), and VSSF (c), compared to unvegetated CWs.
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Figure 7. Effect on T index of N2O emission from different types of vegetated CWs, i.e., HSSF (a), FWS (b), and VSSF (c), compared to unvegetated CWs.
Figure 7. Effect on T index of N2O emission from different types of vegetated CWs, i.e., HSSF (a), FWS (b), and VSSF (c), compared to unvegetated CWs.
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Figure 8. Effect on T index of N2O emission from monoculture CWs compared to polyculture CWs (two, three, and four species).
Figure 8. Effect on T index of N2O emission from monoculture CWs compared to polyculture CWs (two, three, and four species).
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Hu, S.; Zhu, H.; Bañuelos, G.; Shutes, B.; Wang, X.; Hou, S.; Yan, B. Factors Influencing Gaseous Emissions in Constructed Wetlands: A Meta-Analysis and Systematic Review. Int. J. Environ. Res. Public Health 2023, 20, 3876. https://doi.org/10.3390/ijerph20053876

AMA Style

Hu S, Zhu H, Bañuelos G, Shutes B, Wang X, Hou S, Yan B. Factors Influencing Gaseous Emissions in Constructed Wetlands: A Meta-Analysis and Systematic Review. International Journal of Environmental Research and Public Health. 2023; 20(5):3876. https://doi.org/10.3390/ijerph20053876

Chicago/Turabian Style

Hu, Sile, Hui Zhu, Gary Bañuelos, Brian Shutes, Xinyi Wang, Shengnan Hou, and Baixing Yan. 2023. "Factors Influencing Gaseous Emissions in Constructed Wetlands: A Meta-Analysis and Systematic Review" International Journal of Environmental Research and Public Health 20, no. 5: 3876. https://doi.org/10.3390/ijerph20053876

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