Arsenic Maximum Contaminant Level Research Articles

Public drinking water contaminant estimates for birth cohorts in the Environmental Influences on Child Health Outcomes (ECHO) Cohort.

The United States Environmental Protection Agency (USEPA) regulates over 80 contaminants in community water systems (CWS), including those relevant to infant health outcomes. Multi-cohort analyses of the association between measured prenatal public water contaminant concentrations and infant health outcomes are sparse in the US. Our objectives were to (1) develop Zip Code Tabulation Area (ZCTA)-level CWS contaminant concentrations for participants in the Environmental Influences on Child Health Outcomes (ECHO) Cohort and (2) evaluate regional, seasonal, and sociodemographic inequities in contaminant concentrations at the ZCTA-level. The ECHO Cohort harmonizes data from over 69 extant pregnancy and pediatric cohorts across the US. We used CWS estimates derived from the USEPA's Six-Year Review 3 (2006-2011) to develop population-weighted, average concentrations for 10 contaminants across 7640 ZCTAs relevant to the ECHO Cohort. We evaluated contaminant distributions, exceedances of regulatory thresholds, and geometric mean ratios (with corresponding percent changes) associated with ZCTA sociodemographic characteristics via spatial lag linear regression models. We observed significant regional variability in contaminant concentrations across the US. ZCTAs were most likely to exceed the maximum contaminant level for arsenic (n = 100, 1.4%) and the health-protective threshold for total trihalomethanes (n = 3584, 64.0%). A 10% higher proportion of residents who were American Indian/Alaskan Native and Hispanic/Latino was associated with higher arsenic (11%, 95% CI: 7%, 15%; and 2%, 95% CI: 0%, 3%, respectively) and uranium (15%, 95% CI: 10%, 21%; and 9%, 95% CI: 6%, 12%, respectively) concentrations. Nationwide epidemiologic analyses evaluating the association between US community water system contaminant concentration estimates and associated adverse birth outcomes in cohort studies are sparse because public water contaminant concentration estimates that can be readily linked to participant addresses are not available. We developed Zip Code Tabulation Area (ZCTA)-level CWS contaminant concentrations that can be linked to participants in the Environmental Influences on Child Health Outcomes (ECHO) Cohort and evaluated regional, seasonal, and sociodemographic inequities in contaminant concentrations for these ZCTAs. Future epidemiologic studies can leverage these CWS exposure estimates in the ECHO Cohort to evaluate associations with relevant infant outcomes.

Analysis of arsenic in rice and domestic water supply in Baguio City, Philippines

Numerous studies have found that rice and water, as components of the human diet, are potential pathways of arsenic exposure in humans. Due to the negative health effects linked with arsenic exposure, the quality of drinking water and rice samples must be continually monitored. This research was carried out in Baguio City, a small urban center in the Philippines. Following microwave digestion, arsenic in rice and water samples were determined using Atomic Absorption Spectrometry. The results showed that the National Food Authority (NFA) rice samples had arsenic content below the detection limit, indicating that this commercially available rice does not pose any health risk to Filipino consumers in terms of arsenic exposure. The arsenic value in other rice samples ranged from 8 μg/L to 27 μg/L, with the lowest and highest values found in organic brown rice and white rice varieties, respectively. Despite detectable arsenic in all 20 rice samples, all values were less than the maximum contaminant level (MCL) of 150 μg/L. Despite higher arsenic content in mixed rice than in white and organic colored rice, the mean differences are not significant, as proven by the Kruskal Wallis Test. All drinking water samples bought from water refilling stations had no detectable arsenic, while eight of the 18 (44%) of the spring water samples showed detectable amounts but are far below MCL of arsenic in drinking water. The findings suggest that the amount of arsenic in rice and spring water samples are too low to pose health risks over a short period of time.

Arsenic removal by layered double hydroxides (LDH): A mini review

ABSTRACT The World Health Organization (WHO) has classified arsenic as the most toxic chemical with carcinogenic effects and WHO has established a value of 10 μg/L arsenic as the maximum contaminant level for arsenic in potable water. High selectivity and high removal capacity are one of the most important factors when choosing an adsorbent. Hydrotalcite and hydrotalcite-like compounds have received much attention for the remediation of As-contaminated waters. The most interesting properties of layered double hydroxides (LDHs) include a large surface area and high anion exchange capacity. In this study, the importance of double-layered hydroxides, which has gained importance with the increasing environmental pollution recently, in removing oxyanion pollutants from water has been emphasized. This review article focuses on LDH synthesis and characterization techniques and arsenic removal potential using LDHs, as well as the safe consumability of water obtained after removal. In this review, various factors such as pH, dosage, and temperature that affect oxyanion adsorption on LDHs are discussed. The reusability of LDHs has been discussed. In addition, it has been investigated whether double-layer hydroxides (FeHT) could be used successfully in the removal of arsenic from polluted waters. It was also discussed whether the adsorbent used was safe for health.

Impact of lowering the US maximum contaminant level on arsenic exposure: Differences by race, region, and water arsenic in NHANES 2003–2014

Our objective was to evaluate regional and sociodemographic inequalities in water arsenic exposure reductions associated with the US Environmental Protection Agency's Final Arsenic Rule, which lowered the arsenic maximum contaminant level to 10 μg/L in public water systems. We analyzed 8544 participants from the 2003-14 National Health and Nutrition Examination Survey (NHANES) reliant on community water systems (CWSs). We estimated arsenic exposure from water by recalibrating urinary dimethylarsinate (rDMA) to remove smoking and dietary contributions. We evaluated mean differences and corresponding percent reductions of urinary rDMA comparing subsequent survey cycles to 2003-04 (baseline), stratified by region, race/ethnicity, educational attainment, and tertile of CWS arsenic assigned at the county level. The overall difference (percent reduction) in urine rDMA was 0.32 μg/L (9%) among participants with the highest tertile of CWS arsenic, comparing 2013-14 to 2003-04. Declines in urinary rDMA were largest in regions with the highest water arsenic: the South [0.57 μg/L (16%)] and West [0.46 μg/L, (14%)]. Declines in urinary rDMA levels were significant and largest among Mexican American [0.99 μg/L (26%)] and Non-Hispanic White [0.25 μg/L (10%)] participants. Reductions in rDMA following the Final Arsenic Rule were highest among participants with the highest CWS arsenic concentrations, supporting legislation can benefit those who need it the most, although additional efforts are still needed to address remaining inequalities in CWS arsenic exposure.

Evaluation of a water arsenic filter in a participatory intervention to reduce arsenic exposure in American Indian communities: The Strong Heart Water Study

Many rural populations, including American Indian communities, that use private wells from groundwater for their source of drinking and cooking water are disproportionately exposed to elevated levels of arsenic. However, programs aimed at reducing arsenic in American Indian communities are limited. The Strong Heart Water Study (SHWS) is a randomized controlled trial aimed at reducing arsenic exposure among private well users in American Indian Northern Great Plains communities. The community-led SHWS program installed point-of-use (POU) arsenic filters in the kitchen sink of households, and health promoters delivered arsenic health communication programs. In this study we evaluated the efficacy of these POU arsenic filters in removing arsenic during the two-year installation period. Participants were randomized into two arms. In the first arm households received a POU arsenic filter, and 3 calls promoting filter use (SHWS mobile health (mHealth) & filter arm). The second arm received the same filter and phone calls, and 3 in-person home visits and 3 Facebook messages (SHWS intensive arm) for program delivery. Temporal variability in water arsenic concentrations from the main kitchen faucet was also evaluated. A total of 283 water samples were collected from 50 households with private wells from groundwater (139 filter and 144 kitchen faucet samples). Ninety-three percent of households followed after baseline had filter faucet water arsenic concentrations below the arsenic maximum contaminant level of 10 μg/L at the final visit during our 2 year study period with no difference between study arms (98 % in the intensive arm vs. 94 % in the mHealth & filter arm). No significant temporal variation in kitchen arsenic concentration was observed over the study period (intraclass correlation coefficient = 0.99). This study demonstrates that POU arsenic filters installed for the community participatory SHWS program were effective in reducing water arsenic concentration in study households in both arms, even with delivery of the POU arsenic filter and mHealth program only. Furthermore, we observed limited temporal variability of water arsenic concentrations from kitchen faucet samples collected over time from private wells in our study setting.

Targeted Private Well Outreach Following a Change in Drinking Water Standard: Arsenic and the New Jersey Private Well Testing Act.

When the New Jersey Private Well Testing Act (PWTA) became effective in 2002, the maximum contaminant level (MCL) for arsenic in the United States was 50 μg/L. In 2006, the federal and New Jersey MCLs were lowered to 10 μg/L and 5 μg/L, respectively. To notify and provide free arsenic water testing for homeowners who had a PWTA arsenic result that passed for the MCL in 2006 or earlier but would exceed under the more health protective MCL enacted in 2006, which is still in effect as of this publication date. About 1200 homeowners with PWTA arsenic results between 5 μg/L and 50 μg/L were offered free arsenic water testing. More than 400 homeowners requested tests and 292 returned samples. New Jersey, United States. Homeowners with a passing PWTA arsenic result before 2006 that would have failed under the New Jersey arsenic MCL enacted in 2006. Return rate of testing kits; number of tests exceeding arsenic MCL; and participant survey results. Untreated well water samples (n = 279) were collected and 62.4% exceeded the New Jersey MCL. Treated well water samples (n = 102) were collected and 11.8% exceeded the current New Jersey MCL. In all, about 40% of drinking water samples from the tap, including those with or with no arsenic treatment, exceeded the New Jersey MCL. A survey of participants (n = 69) found that although many (67%) respondents reported that they at least had some idea that wells in their area are vulnerable to naturally occurring contaminants, such as arsenic, many (68%) reported that they had little or no idea that the New Jersey arsenic MCL had been lowered from 50 μg/L to 5 μg/L in 2006. This effort further illuminates the necessity and significance of public health outreach for private well water users, especially after drinking water standards change.

Perspectives on the Development of Filter Media for Point of Use Water Filters: Case Study of Arsenate Removal

The demand for access to clean water will continue to increase as the world population increases. For sustainable development and embracement of technological advancement, it is plausible to consider a filter material development approach that uses locally abundant natural resources as the raw material and nanotechnology techniques for material fabrication. The review and research paper will present a perspective of the authors on how to embrace nanotechnology for filter media development with key focus on the remediation of arsenate. Drinking water contaminated with arsenic is an emerging global challenge. Continuous exposure to drinking water with high levels arsenic could result in several types of cancer. With this in mind, the US EPA in 2001 set 10 ppb as the maximum contaminant level of arsenic from the initial 50 ppb. Therefore, arsenic remediation is key in mitigating these health risks in people residing near water bodies with elevated arsenic levels. Adsorption is considered to be the cheapest. However, from literature, majority of the adsorbents cannot be used in field applications due to challenges associated with low adsorption capacity and a high level of particle leaching into purified water thus posing health dangers. Therefore, it means that many of these adsorbents are economically non-viable. A new chitosan, aluminium, titanium, iron and zirconium (CTS-Al-Ti-Fe-Zr) hybrid was fabricated through the sol-gel process. The material was characterized by scanning electron microscopy, Brunauer–Emmett–Teller and Fourier Transform Infrared spectroscopy before and after adsorption. Batch adsorption properties towards As(V) were separately studied as a function of the effect of adsorbent dose, pH, initial concentration, contact time and competing ions. Characterization results show that the material is a polycrystalline with a specific surface area of 56.4 m2g−1. Further, FTIR and SEM-EDAX showed adsorption of arsenate on the surface of the nanocomposite. Research findings suggest that with only 100 mg of the adsorbent arsenate can be reduced to less than 10 ppb from an initial concentration of 300 ppb respectively. The maximum adsorption capacity for arsenate removal was recorded as 123 mg/g. The presence of SiO3 2-, CO3 2-, and HCO3 − ions resulted in a slight decline in the adsorption efficiency of arsenate. The equilibrium data fitted well with the Langmuir isotherm 0.99518. Data from the fabricated prototype Point-of-use filter showed that with 60.0 g of the nanocomposite, it is possible to reduce 650 L of drinking water with an arsenate initial concentration of 300 ppb to less 10 ppb. In conclusion, the research findings suggest that the nanocomposite material is capable of removal of arsenate from contaminated drinking water to WHO acceptable levels with a potential to be up scaled for commercial applications.

Inequalities in Public Water Arsenic Concentrations in Counties and Community Water Systems across the United States, 2006-2011.

Background:In the United States, nationwide estimates of public drinking water arsenic exposure are not readily available. We used the U.S. Environmental Protection Agency’s (EPA) Six-Year Review contaminant occurrence data set to estimate public water arsenic exposure. We compared community water system (CWS) arsenic concentrations during 2006–2008 vs. after 2009–2011, the initial monitoring period for compliance with the U.S. EPA’s arsenic maximum contaminant level (MCL).Objective:Our objective was to characterize potential inequalities in CWS arsenic exposure over time and across sociodemographic subgroups.Methods:We estimated 3-y average arsenic concentrations for 36,406 CWSs (98%) and 2,740 counties (87%) and compared differences in means and quantiles of water arsenic (via quantile regression) between both 3-y periods for U.S. regions and sociodemographic subgroups. We assigned CWSs and counties MCL compliance categories (High if above the MCL; Low if below) for each 3-y period.Results:From 2006–2008 to 2009–2011, mean and 95th percentile CWS arsenic (in micrograms per liter) declined by 10.3% (95% CI: 6.5%, 14.1%) and 11.5% (8.3%, 14.8%) nationwide, by 11.4% (4.7%, 18.1%) and 16.3% (8.1%, 24.5%) for the Southwest, and by 36.8% (7.4%, 66.1%) and 26.5% (12.1%, 40.8%) for New England, respectively. CWSs in the High/High compliance category (not MCL compliant) were more likely in the Southwest (61.1%), served by groundwater (94.7%), serving smaller populations (mean 1,102 persons), and serving Hispanic communities (38.3%).Discussion:Larger absolute declines in CWS arsenic concentrations at higher water arsenic quantiles indicate declines are related to MCL implementation. CWSs reliant on groundwater, serving smaller populations, located in the Southwest, and serving Hispanic communities were more likely to continue exceeding the arsenic MCL, raising environmental justice concerns. These estimates of public drinking water arsenic exposure can enable further surveillance and epidemiologic research, including assessing whether differential declines in water arsenic exposure resulted in differential declines in arsenic-associated disease. https://doi.org/10.1289/EHP7313

Assessing uranium and select trace elements associated with breccia pipe uranium deposits in the Colorado River and main tributaries in Grand Canyon, USA.

Assessing chemical loading from streams in remote, difficult-to-access watersheds is challenging. The Grand Canyon area in northern Arizona, an international tourist destination and sacred place for many Native Americans, is characterized by broad plateaus divided by canyons as much as two-thousand meters deep and hosts some of the highest-grade uranium deposits in the U.S. From 2015–2018 major surface waters in Grand Canyon were monitored for select elements associated with breccia-pipe uranium deposits in the area, including uranium, arsenic, cadmium, and lead. Dissolved constituents in the Colorado River were monitored upstream (Lees Ferry), in the middle (Phantom Ranch), and downstream (Diamond Creek) of uranium mining areas. Concentrations of uranium, arsenic, cadmium, and lead at these main-stem sites varied little during the study period and were all well below human health and aquatic life benchmark criteria (30, 10, 5, and 15 μg/L maximum contaminant levels and 15, 150, 0.8, and 3.1 μg/L aquatic life criteria, respectively). Additionally, dissolved and sediment-bound constituents were monitored during a wide range of streamflow conditions at Little Colorado River, Kanab Creek, and Havasu Creek tributaries, whose watersheds have experienced different levels of uranium mining activities over time. Samples from the tributary sites contained ≤3.8 μg/L of dissolved cadmium and lead, and ≤17 μg/L of dissolved uranium. Dissolved arsenic also was mostly below human and aquatic life criteria at Little Colorado River and Kanab Creek; however, 63% of water samples from Havasu Creek were above the maximum contaminant level for arsenic. Arsenic in suspended sediment was greater than sediment quality guidelines in 9%, 35%, and 35% of samples from Little Colorado River, Kanab Creek, and Havasu Creek, respectively. At the concentrations observed during this study, tributaries contributed on average only about 0.12 μg/L of arsenic and 0.03 μg/L of uranium to the main-stem river. This study demonstrates how chemical loading from mined watersheds may be reliably assessed across a wide range of flow conditions in challenging locations.

Valuing the Cancer Mortality Risk Reduction from Lowering the Arsenic Maximum Contaminant Level in New Hampshire Municipal Water Supplies.

This study uses a 2018 stated preference survey to elicit a willingness to pay (WTP) to reduce the cancer morbidity and mortality risk from arsenic exposure through drinking water. Respondents who use a public water supply are willing to pay $35.43 per month for the risk reduction associated with lowering the maximum allowable level of arsenic in drinking water from 10 to a hypothetical level of 3 ppb; households on private wells are willing to pay $29.19. Respondents from households with children were willing to pay significantly more than respondents from households without children. We derive values of a statistical life (VSL) of $4.61 million and $3.48 million per household member, respectively, in households using municipal or well water. Shortly after the initial release of these findings, New Hampshire became the second state to set a maximum allowable level for arsenic below the national limit of 10 ppb.

Maximum contaminant level of arsenic in drinking water potentiates quinalphos-induced renal damage on co-administration of both arsenic and quinalphos in Wistar rats.

This study was designed to determine alterations in renal biomarkers, antioxidant profile, and histomorphology of renal tissue following subacute exposure to quinalphos alone or in conjunction with arsenic in rats. A total of 54 adult Wistar rats were randomly divided into nine groups of six rats each and were administered sub-lethal concentrations of quinalphos (1/100th and 1/10th of LD50) orally daily and arsenic (50 and 100ppb) in drinking water for 28days. Significantly (p < 0.05) decreased levels of antioxidant biomarkers in renal tissue, viz., total thiols, catalase, superoxide dismutase, glutathione peroxidase, glutathione-s-transferase, and glutathione reductase along with increased (p < 0.05) thiobarbituric acid reacting substance (TBRAS) levels indicated that significant oxidative damage to renal tissue occurred following repeated administrations of quinalphos at either dose levels or arsenic at the concentration of 100ppb when compared with the control rats. The alterations in the antioxidant parameters were observed to be more pronounced in co-administered groups as compared with either toxicant administered group. Similarly, activity of renal acetylcholinesterase was decreased after repeated exposure to quinalphos or arsenic, but inhibition was higher (up to 48%) in rat renal tissue co-exposed with quinalphos and arsenic at the higher concentration. These findings corroborated with the histopathological alterations in renal tissue of toxicant exposed rats. The altered plasma and tissue antioxidant biomarkers along with histopathological changes in the kidney at higher dose level of either toxicant indicate that renal tissue is significantly impacted by these toxicants, and these effects become more pronounced after their co-administration.

Arsenite removal from groundwater by aerated electrocoagulation reactor with Al ball electrodes: Human health risk assessment

The application of conventional electrocoagulation (EC) process for removal of As(III) from groundwater suffers from the need of external oxidation agent for oxidation of As(III) to As(V). To tackle this limitation, an aerated EC reactor for the removal of As(III) from groundwater was evaluated in this study. The effect of initial pHi, air flow rate, applied current, and electrode height in the EC reactor was examined. The experimental results showed that removal of arsenic mostly dependent on the applied current, electrode height in EC reactor, and air flow rate. The As(III) removal efficiency (99.2%) was maximum at pHi of 7.5, air flow rate of 6 L min−1, applied current of 0.30 A, and electrode height in EC reactor of 5 cm, with an total operating cost of 0.583 $ m−3. Furthermore, the carcinogenic risk (CR) and non-carcinogenic risk of arsenic (As) was in the range of tolerable limits at all operating conditions except applied current of 0.075 A at the end of the aerated EC process to remove As from groundwater. The present EC reactor process is able to remove As(III) from groundwater to below 10 μg L−1, which is maximum contaminant level of arsenic in drinking water according to the World Health Organization (WHO).

Hydrogeological controls of arsenic and uranium dissolution into groundwater of the Pine Ridge Reservation, South Dakota

AbstractThis study integrates geochemical modeling, spatial analysis and several statistical methods including principal component analysis, multivariate regression and cluster analysis to investigate hydrogeologic controls of arsenic and uranium contamination within groundwater of the Arikaree aquifer on the Pine Ridge Reservation (PRR). Located in southwestern South Dakota, the PRR is largely rural and many people rely on domestic supply wells completed in the Arikaree aquifer as their primary drinking water source. Locally, the White River Group, which unconformably underlies the Arikaree Group, is enriched in arsenic and uranium related to volcanic ash deposits and acts as a geogenic metal source. Geochemical data from over 250 groundwater samples were obtained through collaboration with the Oglala Sioux Tribe. Cluster spatial statistics analyses delineated four regions of statistically significant variations in groundwater chemistry that represent upgradient, intermediate, and downgradient portions of the Arikaree aquifer. Groundwater evolves as it flows through the Arikaree aquifer with increasing alkalinity, sodium, and pH along flow paths. These chemical changes are likely due to dissolution of carbonate minerals and volcanic ash. Thermodynamic calculations suggest increasing supersaturation of the groundwater with respect to calcite; thus, volcanic ash dissolution may be an important secondary source of alkalinity. Elevated alkalinity and pH levels were found to be the driving factors of arsenic and uranium mobility, and downgradient sections of the aquifer in the northern portions of the PRR are most likely to be impacted by metal(loid) contamination, with 73% of the wells in this grouping failing a USEPA maximum contaminant level for arsenic, uranium, and/or gross alpha.

Reliable Predictors of Arsenic Occurrence in the Southern Gulf Coast Aquifer of Texas

Arsenic contamination of groundwater in the Southern Gulf Coast Aquifer of Texas is a critical public health concern as much of the area is rural in nature with decentralized water supplies. Previous studies have pointed to volcanic deposits as the regional source of arsenic but no definitive or reliable predictors of arsenic maximum contaminant level (MCL) exceedance have been identified. In this study, we have studied the effect of various hydrogeochemical parameters as well as soil and land-use variables on arsenic MCL exceedance using logistic regression (LR) techniques. The LR models display good accuracy of 75% or higher but suffer from a high rate of false negatives, highlighting the challenges in capturing the spatial irregularities of arsenic in this region. Despite not displaying high statistical significance, pH appears to be an important variable in the LR models—its effect on arsenic exceedance is not clear and warrants further investigation. The results of the study also show that groundwater vanadium and fluoride are consistently the only significant variables in the models developed; the positive coefficients for both these elements indicates a common geogenic source for arsenic, fluoride and vanadium, corroborating the findings of earlier studies.

Trends in urinary arsenic among the U.S. population by drinking water source: Results from the National Health and Nutritional Examinations Survey 2003–2014

BackgroundIn 2001, the United States revised the arsenic maximum contaminant level for public drinking water systems from 50µg/L to 10µg/L. This study aimed to examine temporal trends in urinary arsenic concentrations in the U.S. population from 2003 to 2014 by drinking water source among individuals aged 12 years and older who had no detectable arsenobetaine - a biomarker of arsenic exposure from seafood intake. MethodsWe examined data from 6 consecutive cycles of the National Health and Nutrition Examination Survey (2003–2014; N=5848). Total urinary arsenic (TUA) was calculated by subtracting arsenobetaine’s limit of detection and detectable arsenocholine from total arsenic. Additional sensitivity analyses were conducted using a second total urinary arsenic index (TUA2, calculated by adding arsenite, arsenate, monomethylarsonic acid, dimethylarsinic acid). We classified drinking water source using 24-h dietary questionnaire data as community supply (n=3427), well or rain cistern (n=506), and did not drink tap water (n=1060). ResultsGeometric means (GM) of survey cycles were calculated from multivariate regression models adjusting for age, gender, race/ethnicity, BMI, income, creatinine, water source, type of water consumed, recent smoking, and consumption of seafood, rice, poultry, and juice. Compared to 2003–2004, adjusted TUA was 35.5% lower in 2013–2014 among the general U.S. population. Stratified analysis by smoking status indicated that the trend in lower TUA was only consistent among non-smokers. Compared to 2003–2004, lower adjusted TUA was observed in 2013–2014 among non-smoking participants who used community water supplies (1.98 vs 1.16µg/L, p<0.001), well or rain cistern users (1.54 vs 1.28µg/L, p<0.001) and who did not drink tap water (2.24 vs 1.53µg/L, p<0.001). Sensitivity analyses showed consistent results for participants who used a community water supplier and to a lesser extent those who did not drink tap water. However, the sensitivity analysis showed overall exposure stayed the same or was higher among well or rain cistern users. Finally, the greatest decrease in TUA was among participants within the highest exposure percentiles (e.g. 95th percentile had 34% lower TUA in 2013/2014 vs 2003/2004, p<0.001). ConclusionsOverall, urinary arsenic levels in the U.S. population declined over a 12-year period that encompassed the adoption of the revised Arsenic Rule. The most consistent trends in declining exposure were observed among non-smoking individuals using public community water systems. These results suggest regulation and prevention strategies to reduce arsenic exposures in the U.S. may be succeeding.

Standards for arsenic in drinking water: Implications for policy in Mexico.

Global concern about arsenic in drinking water and its link to numerous diseases make translation of evidence-based research into national policy a priority. Delays in establishing a maximum contaminant level (MCL) to preserve health have increased the burden of disease and caused substantial and avoidable loss of life. The current Mexican MCL for arsenic in drinking water is 25μg/l (2.5 times higher than the World Health Organization (WHO) recommendation from 1993). Mexico's struggles to set its arsenic MCL offer a compelling example of shortcomings in environmental health policy. We explore factors that might facilitate policy change in Mexico: scientific evidence, risk communication and public access to information, economic and technological resources, and politics. To raise awareness of the health, societal, and economic implications of arsenic contamination of drinking water in Mexico, we suggest action steps for attaining environmental policy change and better protect population health.

Arsenic in private well water part 2 of 3: Who benefits the most from traditional testing promotion?

Arsenic, a toxic element naturally found in groundwater, is a public health concern for households drinking from wells. Private well water is not regulated to meet the federal drinking water arsenic Maximum Contaminant Level (MCL) of 10μg/L, or the more protective 5μg/L New Jersey (NJ) state MCL. In the absence of consistent private well regulation, public health efforts have relied on promoting testing in affected communities to various degrees of success. Few interventions publish results, and more often focus on the outcome of tested wells rather than who completed a test, and more importantly, who did not. Through our survey of randomly selected addresses (n=670) in 17 NJ towns we find higher rates of arsenic testing in areas with a history of testing promotion. However, we also see a stronger correlation of testing behavior with income and education in high promotion areas, suggesting that community engagement activities may be exacerbating socioeconomic status (SES) testing disparities. Well owners with a bachelor's degree had ten times greater odds of participating in our direct mail testing intervention than those with less education when tests cost $40. After all households (n=255) were offered free tests to overcome many of the usual testing barriers – awareness, convenience, and cost – only 47% participated and those who chose to return water samples were of higher income and education than those who did not. Our findings highlight that while efforts to promote and provide arsenic testing succeed in testing more wells, community testing interventions risk increasing SES disparities if those with more education and resources are more likely to take advantage of testing programs. Therefore, testing interventions can benefit by better targeting socially vulnerable populations in an effort to overcome SES-patterned self-selection when individuals are left alone with the responsibility of managing their drinking water quality.

Does Water Quality Improve When a Safe Drinking Water Act Violation Is Issued? A Study of the Effectiveness of the SDWA in California

Abstract The Safe Drinking Water Act addresses harmful contaminants in drinking water by providing states the authority to monitor public water systems, notify the public of exceedances above allowable levels, and cite persistent violators. Violating water systems are subject to intense regulatory and public scrutiny. The response of contaminant levels to violation status has not been explored empirically. This paper addresses this relationship through an event study using data on arsenic and nitrate levels in California. I find that violation status has a significant positive effect on nitrate levels post-violation, but no effect on arsenic levels. I also examine the effect of the 2006 arsenic Maximum Contaminant Level revision, finding a discontinuity in contaminant levels at revision. These results suggest that while public disclosure may deter systems from violating, once they go into violation the Public Notification Rule is not effective at encouraging a return to compliance.

Blood Pressure Changes in Relation to Arsenic Exposure in a U.S. Pregnancy Cohort.

BackgroundInorganic arsenic exposure has been related to the risk of increased blood pressure based largely on cross-sectional studies conducted in highly exposed populations. Pregnancy is a period of particular vulnerability to environmental insults. However, little is known about the cardiovascular impacts of arsenic exposure during pregnancy.ObjectivesWe evaluated the association between prenatal arsenic exposure and maternal blood pressure over the course of pregnancy in a U.S. population.MethodsThe New Hampshire Birth Cohort Study is an ongoing prospective cohort study in which > 10% of participant household wells exceed the arsenic maximum contaminant level of 10 μg/L established by the U.S. EPA. Total urinary arsenic measured at 24–28 weeks gestation was measured and used as a biomarker of exposure during pregnancy in 514 pregnant women, 18–45 years of age, who used a private well in their household. Outcomes were repeated blood pressure measurements (systolic, diastolic, and pulse pressure) recorded during pregnancy.ResultsUsing linear mixed effects models, we estimated that, on average, each 5-μg/L increase in urinary arsenic was associated with a 0.15-mmHg (95% CI: 0.02, 0.29; p = 0.022) increase in systolic blood pressure per month and a 0.14-mmHg (95% CI: 0.02, 0.25; p = 0.021) increase in pulse pressure per month over the course of pregnancy.ConclusionsIn our U.S. cohort of pregnant women, arsenic exposure was associated with greater increases in blood pressure over the course of pregnancy. These findings may have important implications because even modest increases in blood pressure impact cardiovascular disease risk.CitationFarzan SF, Chen Y, Wu F, Jiang J, Liu M, Baker E, Korrick SA, Karagas MR. 2015. Blood pressure changes in relation to arsenic exposure in a U.S. pregnancy cohort. Environ Health Perspect 123:999–1006; http://dx.doi.org/10.1289/ehp.1408472

Using an environmental public health tracking biomonitoring study to validate safe water restoration efforts in Florida.

Inorganic arsenic is a carcinogen when consumed over many years and is the type of arsenic that is associated with well water. Private wells in many central Florida counties have been found to contain levels of arsenic above 10 μg/L, which is the maximum contaminant level (MCL) established by the US Environmental Protection Agency. The purpose of this study was to test whether individuals living in homes with arsenic levels above the MCL who use bottled water or have a point of use (POU) filter on their main source of water in the house (eg, kitchen sink) are ingesting unsafe levels of arsenic through other unfiltered water sources in the home. Case-control study of residents with private wells above (case) and below (control) the MCL for arsenic in drinking water (10 μg/L) conducted between April and July 2013. Residents with private wells living in Hernando County, Florida, where nearly 400 unique wells of 1200 tested have been found to have elevated arsenic levels (targeted sampling). Participants with elevated water arsenic levels were referred to the Florida Safe Water Restoration Program for assistance in obtaining bottled water vouchers and/or POU filters. Creatinine-corrected total urinary arsenic levels and information on water use and consumption behaviors, dietary intake, and other possible exposure sources. Total urinary arsenic levels were similar for cases using POU filters or bottled water when compared with controls (geometric means of 7.17 and 7.19 μg/L, respectively). The current practice used by the Florida Safe Water Restoration Program of supplying POU filters or bottled water to households with arsenic levels in private wells between 10 and 50 μg/L appears to be sufficient to protect residents from arsenic exposure through tap water.