Total alpha and beta activities and Rn-222 concentrations were determined in water from different sections of seven aqueducts belonging to the water supply system of Campania region (Italy), known worldwide for its volcanism. Statistical analysis was performed on data to account for their variability across the aqueduct sections, and results were discussed considering the geology of reservoirs, the potential mixing processes occurring along the pipe network, the building/constituting materials of the aqueduct sections, and the integrity of the infrastructure. Guidelines proposed by Italian and international regulation entities were considered to determine if total alpha and beta activities and Rn-222 concentrations found at the taps of the different aqueducts should be considered detrimental to public health. Based on a deterministic and a stochastic approach, a health risk assessment was also tested for Rn-222, assuming direct ingestion and showering as potential exposure pathways. Results showed that applying guidelines returned an absence of hazard, whereas risk assessment returned a high probability of exposure to unacceptable Rn-222 doses for some aqueducts. Beyond the usefulness of obtained results to plan actions to improve the safety of drinking water in Campania, our outcomes represent a warning for bodies dealing with public health at any level: the use of guidelines can bring an underestimation of the risks exerted by the exposure to Rn-222 on human health. Further, using a probabilistic approach in risk assessment accounting for uncertainty can favor risk forecasts based on more “realistic” scenarios.
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