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PRACTITIONER POINTS Phenol/N ratio of 0.3 was set to start up the single-stage partial nitritation/anammox reactor. The single-stage partial nitritation /anammox reactor was rapidly started up when treating the phenol-ammonia wastewater. Total nitrogen removal rate and COD removal efficiencies could achieve to 73.0% and 79.5%, respectively. Microbial community structure evolved to stable distribution of which AOB, anammox bacteria, denitrification bacteria and heterotrophic nitrification bacteria coexisted. The treatment of deep wound sternal