The appropriateness of using treated wastewater for crop or agricultural irrigation remains a bone of contention among experts and policymakers. Here, we outline and analyze not only the benefits but also the drawbacks of such a practice in order to suggest a way forward. To ensure that our review reflects the state-of-the-art in terms of technological advances and best practices, only literature published in the last decade is considered except for literature on the history of reuse. The review begins by highlighting growing water scarcity, the history of wastewater reuse in agriculture, and the limitations of existing studies. A short overview of the approach used in the write-up is outlined after the introduction. It then proceeds with an in-depth look at three broad areas: environmental impacts, public health impacts, and economic impacts. In terms of environmental impacts, effects on soil quality, water resources, plant growth, and soil microbial communities are analyzed. For each sub-area, the positive effects are described before the negative ones. The same approach is then applied to public health impacts, the focus of which is on human exposure to heavy metals and pathogens, and economic impacts, which are assessed with particular reference to investment cost, financial benefit to wastewater treatment plants (WWTPs), farm expenditure and income. Having weighed the advantages and disadvantages in each area, innovative measures are proposed for optimizing the benefits and mitigating the drawbacks of using treated wastewater for crop irrigation. Special consideration was given to contaminants of emerging concern and the known or perceived environmental and health risks associated with these contaminants. (C) 2020 Elsevier B.V. All rights reserved.
