Untreated Groundwater Research Articles

WITHDRAWN: SEM/SDD-EDS—An analytical tool to identify water borne micro minerals pick up in human scalp hair cuticle due to water quality

Abstract Water borne micro minerals calcium and aluminium pick up in human scalp hair cuticle and its change due to water quality and or the influence of hair care substances were identified using Scanning Electron Microscope/Silicon Drift Detector-Energy Dispersive X-ray spectrometry (SEM/SDD-EDS ) , a non-digestive and a non destructive method. Scalp hair obtained from four male volunteers, two each from urban and rural area respectively were used for this study where water quality supply to homes representing treated and untreated water supply as a reference. Water borne elements calcium and aluminium in the hair cuticle was significant and showed a clear trend among volunteers of urban and rural. Estimated pick up in concentration of calcium and aluminium are ascribed due to untreated ground water used directly in rural homes combined with oxidative damage caused due to periodic application of hair colouring substances and usage of uncontrolled aluminium containing coagulants/flocculants in treated water supply to urban homes respectively. Application of coconut oil on the scalp hair practised by a rural volunteer before hair wash and subsequent SEM/SDD-EDS analysis showed lower calcium pick up. Thus SEM/SDD-EDS is one of the suitable techniques to estimate concentration of water borne minerals in scalp hair cuticle.

Review: Epidemiological evidence of groundwater contribution to global enteric disease, 1948–2015

Globally, approximately 2.2 billion people rely on groundwater for daily consumption. It is widely accepted that groundwater is more pristine than surface water but while this assumption is frequently the case, groundwater is not ubiquitously free of contaminants; accordingly, this presumption can result in an unfounded and potentially hazardous sense of security among owners, operators and users. The current paper presents a review of published literature providing epidemiological evidence of the contribution of groundwater to global human enteric infection. An emphasis is placed on enteric pathogens transmitted via the faecal-oral route, and specifically those associated with acute gastrointestinal illness (AGI). The review identified 649 published groundwater outbreaks globally between 1948 and 2013 and several epidemiological studies that show there is an increased risk of AGI associated with the consumption of untreated groundwater. The review identified that the following five pathogens were responsible for most outbreaks: norovirus, Campylobacter, Shigella, Hepatitis A and Giardia. Crudely, the authors estimate that between 35.2 and 59.4 million cases of AGI per year globally could be attributable to the consumption of groundwater. Although groundwater is frequently presumed to be a microbiologically safe source of water for consumption, this review demonstrates that consumers served by an untreated groundwater supply remain at risk to enteric disease. The authors conclude that collaboration between microbiologists, hydrogeologists and epidemiologists is needed to better understand pathogen occurrence, persistence, detection and transport in groundwater as well as build stronger epidemiological evidence documenting the true magnitude of disease associated with groundwater globally.

Drinking-water treatment, climate change, and childhood gastrointestinal illness projections for northern Wisconsin (USA) communities drinking untreated groundwater

This study examined the relative importance of climate change and drinking-water treatment for gastrointestinal illness incidence in children (age <5 years) from period 2046–2065 compared to 1991–2010. The northern Wisconsin (USA) study focused on municipalities distributing untreated groundwater. A time-series analysis first quantified the observed (1991–2010) precipitation and gastrointestinal illness associations after controlling for seasonality and temporal trends. Precipitation likely transported pathogens into drinking-water sources or into leaking water-distribution networks. Building on observed relationships, the second analysis projected how climate change and drinking-water treatment installation may alter gastrointestinal illness incidence. Future precipitation values were modeled by 13 global climate models and three greenhouse-gas emissions levels. The second analysis was rerun using three pathways: (1) only climate change, (2) climate change and the same slow pace of treatment installation observed over 1991–2010, and (3) climate change and the rapid rate of installation observed over 2011–2016. The results illustrate the risks that climate change presents to small rural groundwater municipalities without drinking water treatment. Climate-change-related seasonal precipitation changes will marginally increase the gastrointestinal illness incidence rate (mean: ∼1.5%, range: −3.6–4.3%). A slow pace of treatment installation somewhat decreased precipitation-associated gastrointestinal illness incidence (mean: ∼3.0%, range: 0.2–7.8%) in spite of climate change. The rapid treatment installation rate largely decreases the gastrointestinal illness incidence (mean: ∼82.0%, range: 82.0–83.0%).

Ground water as the source of an outbreak of Salmonella Enteritidis

In September 2014, an outbreak of gastroenteritis was reported to the Public Health Institute of Šibenik and Knin County in Croatia. The outbreak occurred in the County center of Šibenik, a town with 50,000 inhabitants, and it lasted for 12 days. An epidemiological investigation suggested a nearby water spring as the source of the outbreak. Due to the temporary closure of the public water supply system, the inhabitants started to use untreated water from a nearby spring. Microbiological analysis revealed that the outbreak was caused by Salmonella enterica subsp. enterica serovar Enteritidis that was isolated from stool samples of the patients and ground water. The isolates were further analysed with pulsed-field gel electrophoresis using XbaI, which revealed an identical macrorestriction profile. Although 68 cases were reported, it was estimated that the actual number of affected persons was more than several hundred. In order to prevent further spread of disease, public advice was released immediately after the first epidemiological indication and a warning sign was placed at the incriminated water source, after microbiological confirmation. It is necessary to regularly monitor microbiological quality of ground water especially in urban areas and provide adequate education and awareness to the inhabitants regarding the risk of using untreated ground water.

Ground water as the source of an outbreak of Salmonella Enteritidis

In September 2014, an outbreak of gastroenteritis was reported to the Public Health Institute of Šibenik and Knin County in Croatia. The outbreak occurred in the County center of Šibenik, a town with 50,000 inhabitants, and it lasted for 12days. An epidemiological investigation suggested a nearby water spring as the source of the outbreak. Due to the temporary closure of the public water supply system, the inhabitants started to use untreated water from a nearby spring. Microbiological analysis revealed that the outbreak was caused by Salmonella enterica subsp. enterica serovar Enteritidis that was isolated from stool samples of the patients and ground water. The isolates were further analysed with pulsed-field gel electrophoresis using XbaI, which revealed an identical macrorestriction profile. Although 68 cases were reported, it was estimated that the actual number of affected persons was more than several hundred. In order to prevent further spread of disease, public advice was released immediately after the first epidemiological indication and a warning sign was placed at the incriminated water source, after microbiological confirmation. It is necessary to regularly monitor microbiological quality of ground water especially in urban areas and provide adequate education and awareness to the inhabitants regarding the risk of using untreated ground water.

CO2 and carbonate as substrate for the activation of the microbial community in 180 m deep bedrock fracture fluid of Outokumpu Deep Drill Hole, Finland.

Microbial communities in deep subsurface environments comprise a large portion of Earth's biomass, but the metabolic activities in these habitats are largely unknown. Here the effect of CO2 and carbonate on the microbial community of an isolated groundwater fracture zone at 180 m depth of the Outokumpu Deep Scientific Drill Hole (Finland) was tested. Outokumpu groundwater at 180 m depth contains approximately 0.45 L L−1 dissolved gas of which methane contributes 76%. CO2, on the other hand, is scarce. The number of microbial cells with intracellular activity in the groundwater was low when examined with redox staining. Fluorescence Assisted Cell Sorting (FACS) analyses indicated that only 1% of the microbial community stained active with the redox sensing dye in the untreated groundwater after 4 weeks of starvation. However, carbon substrate and sulfate addition increased the abundance of fluorescent cells up to 7%. CO2 and CO2 + sulfate activated the greatest number of microbes, especially increasing the abundance of Pseudomonas sp., which otherwise was present at only low abundance in Outokumpu. Over longer exposure time (2 months) up to 50% of the bacterial cells in the groundwater were shown to incorporate inorganic carbon from carbonate into biomass. Carbon recapture is an important feature in this ecosystem since it may decrease the rate of carbon loss in form of CO2 released from cellular processes.

Regional assessment of concentrations and sources of pharmaceutically active compounds, pesticides, nitrate, and E. coli in post-glacial aquifer environments (Canada).

There is growing concern worldwide about the exposure of groundwater resources to pharmaceutically active compounds (PhACs) and agricultural contaminants, such as pesticides, nitrate, and Escherichia coli. For regions with a low population density and an abundance of water, regional contamination assessments are not carried out systematically due to the typically low concentrations and high costs of analyses. The objectives of this study were to evaluate regional-scale contaminant distributions in untreated groundwater in a rural region of Quebec (Canada). The geological and hydrogeological settings of this region are typical of post-glacial regions around the world, where groundwater flow can be complex due to heterogeneous geological conditions. A new spatially distributed Anthropogenic Footprint Index (AFI), based on land use data, was developed to assess surface pollution risks. The Hydrogeochemical Vulnerability Index (HVI) was computed to estimate aquifer vulnerability. Nine wells had detectable concentrations of one to four of the 13 tested PhACs, with a maximum concentration of 116ng·L-1 for benzafibrate. A total of 34 of the 47 tested pesticides were detected in concentrations equal to or greater than the detection limit, with a maximum total pesticide concentration of 692ng·L-1. Nitrate concentrations exceeded 1mg·L-1 N-NO3 in 15.3% of the wells, and the Canadian drinking water standard was exceeded in one well. Overall, 13.5% of the samples had detectable E. coli. Including regional-scale sources of pollutants to the assessment of aquifer vulnerability with the AFI did not lead to the identification of contaminated wells, due to the short groundwater flow paths between recharge and the sampled wells. Given the occurrence of contaminants, the public health concerns stemming from these new data on regional-scale PhAC and pesticide concentrations, and the local flow conditions observed in post-glacial terrains, there is a clear need to investigate the sources and behaviours of local-scale pollutants.

Mitigation of saltwater intrusion by ‘integrated fresh-keeper’ wells combined with high recovery reverse osmosis

Most countermeasures to mitigate saltwater intrusion in coastal, karstic or fractured aquifers are hindered by anisotropy, high transmissivities and complex dynamics. A coupled strategy is introduced here as a localized remedy to protect shallow freshwater reserves while utilizing the deeper intercepted brackish water. It is a double sourcing application where fresh-keeper wells are installed at the bottom of a deepened borehole of selected salinized wells, and then supported by high recovery RO desalination. The RO design has <1kWh/m3 energy consumption, and up to 96% recovery in addition to low scaling propensity without use of any anti-scalant. A feasibility study is presented as an example for a salinizing, brackish well (TDS ~1600mg/L) in the Damour coastal aquifer in Lebanon. The concept is expected to produce ca. 1000m3/d of freshwater from this well by pumping 250m3/d of fresh groundwater from the top well screen and 800m3/d of brackish groundwater (to be later desalinized) from the fresh-keeper well screen below. Cost analysis shows that the capital cost could be returned back in 1 to 4years depending on the choice of produced water (bottled or tap) and available market. As an alternative, water from the RO plant could be blended with lower quality water, for instance untreated brackish groundwater (if unpolluted), to supply 3 more volumes for domestic use. The usage of brackish groundwater from integrated fresh-keeper wells thus serves 3 purposes: production of high quality drinking water, financial gain and mitigation of water stress by overpumping.

Depth and Well Type Related to Groundwater Microbiological Contamination.

Use of groundwater from private wells in households has increased considerably, owing to a better cost/benefit ratio than that of water provided by local utilities for a fee. However, this water is usually untreated, which makes it a vehicle for diseases. Thus, monitoring this water is necessary to ensure its integrity and quality. We aimed to evaluate the physical, chemical, and microbiological parameters of untreated groundwater drawn from different types of wells, and the antimicrobial susceptibility profile of the bacteria isolated from this water. Wellwater samples were collected in two Brazilian cities. Although physical and chemical parameters of the water were suitable for drinking, Escherichia coli was detected in 33% of the samples. E. coli contaminated 65% of dug wells and 10.25% of drilled wells. Many bacteria isolated were resistant to multiple antibacterial agents, including β-lactams. Microbial contamination of this water was related to the well depth, and was more common in dug wells, making this water unfit for human consumption. Consumption of such contaminated and untreated water is a public health concern. Thus, individuals who regularly use such water must be alerted so they may either take preventive measures or connect to the water distribution system operated by local utilities.

When does the fluazifop-P-butyl degradate, TFMP, leach through an agricultural loamy soil to groundwater?

In intensely cultivated regions, it is crucial to have knowledge of the leaching potential related to pesticides in agricultural production. This is especially true in countries, like Denmark, that base its drinking water supply on untreated groundwater. Since fluazifop-P-butyl (FPB) is applied to control perennial and annual weed grasses in agricultural fields, the objective of this study was to evaluate leaching of its two degradation products – fluazifop-P (FP; free acid; (R)-2-(4-(5-trifluoromethyl-2-pyridyloxy)phenoxy)propionic acid) and TFMP (5-(trifluoromethyl)-2(1H)-pyridinone) – through an agricultural field consisting of loamy soil. Drainage and groundwater samples were collected over a five-year period following four spring/summer applications of FPB, and analysed for both FP and TFMP. FP was only detected once in groundwater, whereas TFMP within the first year after the first and fourth application was detected in concentrations exceeding the value of 0.1μgL−1 in 100% and 24% of the drainage samples and 9% and 14% of the groundwater samples, respectively. Detections of TFMP up to 18months after application were obtained both in the drainage and groundwater. What differentiated the first and fourth FPB applications from the two others were heavy precipitation events within one week of FPB application, which resulted in rapid transport of TFMP through the discontinuities in the soil and contributed to relatively high TFMP detections in drainage and groundwater. This study indicated that pesticide degradates like TFMP, often being more soluble than the pesticide, have a relatively high leaching potential especially associated with heavy precipitation events shortly after the application. Hence, such pesticide degradates should like in Denmark be considered “relevant” meaning that the EU value for drinking water applies to them, having its leaching potential regulatory assessed based on high quality estimations of their persistence, and be exposed to an assessment of the risk to consumers of drinking contaminated groundwater.

Arsenic and other trace elements in groundwater and human urine in Ha Nam province, the Northern Vietnam: contamination characteristics and risk assessment.

The contamination characteristics of arsenic and other trace elements in groundwater and the potential risks of arsenic from the groundwater were investigated. Elevated contamination of arsenic, barium and manganese was observed in tube-well water of two villages (Chuyen Ngoai and Chau Giang) in Ha Nam province in the Northern Vietnam. Concentrations of As in the groundwater ranged from 12.8 to 884µg/L with mean values in Chuyen Ngoai and Chau Giang were 614.7 and 160.1µg/L, respectively. About 83% of these samples contained As concentrations exceeding WHO drinking water guideline of 10μg/L. The mean values of Mn and Ba in groundwater from Chuyen Ngoai and Chau Giang were 300 and 657μg/L and 650 and 468μg/L, respectively. The mean value of Ba concentration in groundwater in both Chuyen Ngoai and Chau Giang was about 22% of the samples exceeded the WHO guideline (700µg/L). Arsenic concentrations in human urine of residents from Chuyen Ngoai and Chau Giang were the range from 8.6 to 458µg/L. The mean values of Mn and Ba in human urine of local people from Chuyen Ngoai were 46.9 and 62.8μg/L, respectively, while those in people from Chau Giang were 25.9 and 45.9μg/L, respectively. The average daily dose from ingesting arsenic for consuming both untreated and treated groundwater is from 0.02 to 11.5 and 0.003 to 1.6μg/kgday, respectively. Approximately, 57% of the families using treated groundwater and 64% of the families using untreated groundwater could be affected by elevated arsenic exposure.

Giardiasis outbreaks in the United States, 1971-2011.

Giardia intestinalis is the leading parasitic aetiology of human enteric infections in the United States, with an estimated 1·2 million cases occurring annually. To better understand transmission, we analysed data on all giardiasis outbreaks reported to the Centers for Disease Control and Prevention for 1971-2011. The 242 outbreaks, affecting ~41 000 persons, resulted from waterborne (74·8%), foodborne (15·7%), person-to-person (2·5%), and animal contact (1·2%) transmission. Most (74·6%) waterborne outbreaks were associated with drinking water, followed by recreational water (18·2%). Problems with water treatment, untreated groundwater, and distribution systems were identified most often during drinking water-associated outbreak investigations; problems with water treatment declined after the 1980s. Most recreational water-associated outbreaks were linked to treated swimming venues, with pools and wading pools implicated most often. Produce was implicated most often in foodborne outbreaks. Additionally, foods were most commonly prepared in a restaurant and contaminated by a food handler. Lessons learned from examining patterns in outbreaks over time can help prevent future disease. Groundwater and distribution system vulnerabilities, inadequate pool disinfection, fruit and vegetable contamination, and poor food handler hygiene are promising targets for giardiasis prevention measures.

Toxicological and chemical assessment of arsenic-contaminated groundwater after electrochemical and advanced oxidation treatments

Owing to its proven toxicity and mutagenicity, arsenic is regarded a principal pollutant in water used for drinking. The objective of this study was the toxicological and chemical evaluation of groundwater samples obtained from arsenic enriched drinking water wells before and after electrochemical and ozone–UV–H2O2-based advanced oxidation processes (EAOP). For this purpose, acute toxicity test with Daphnia magna and chronic toxicity test with Lemna minor L. were employed as well as in vitro bioassays using human peripheral blood lymphocytes (HPBLs). Several oxidative stress parameters were estimated in L.minor. Physicochemical analysis showed that EAOP treatment was highly efficient in arsenic but also in ammonia and organic compound removal from contaminated groundwater. Untreated groundwater caused only slight toxicity to HPBLs and D. magna in acute experiments. However, 7-day exposure of L. minor to raw groundwater elicited genotoxicity, a significant growth inhibition and oxidative stress injury. The observed genotoxicity and toxicity of raw groundwater samples was almost completely eliminated by EAOP treatment. Generally, the results obtained with L. minor were in agreement with those obtained in the chemical analysis suggesting the sensitivity of the model organism in monitoring of arsenic-contaminated groundwater. In parallel to chemical analysis, the implementation of chronic toxicity bioassays in a battery is recommended in the assessment of the toxic and genotoxic potential of such complex mixtures.

Inactivation of bacteria and murine norovirus in untreated groundwater using a pilot-scale continuous-flow intense pulsed light (IPL) system

The objective of this study was to characterize the inactivation effects of a pilot-scale continuous-flow intense pulsed light (IPL) system on microorganisms in untreated groundwater used in the food industry. The inactivation effects of laboratory- and pilot-scale IPL systems on murine norovirus (MNV), a human norovirus surrogate, were also investigated. Flow rates of 40, 32, 20 and 12 l/min were tested (corresponding to 89, 113, 179, and 290 s of treatment time in a chamber, respectively). A 290-s pilot-scale IPL treatment at an energy dose of 14.02 J/cm2 resulted in a 4.79-log reduction of Escherichia coli C600 in water with an initial count of 105–106 CFU/ml, while a 270-s treatment at an energy dose of 13.05 J/cm2 resulted in a 2.91-log inactivation of aerobic and facultative anaerobic heterotrophs in untreated groundwater with the initial count of 4.5 × 104 CFU/ml. An 89-s treatment at a dose of 4.30 J/cm2 resulted in a 3.35-log inactivation of MNV in water with the initial count of 103–104 PFU/ml. The energy dose and the inactivation level showed linearity for this system. These trends should form the basis of a large-scale IPL-based water management system with improved energy efficiency.

Holding-time and method comparisons for the analysis of fecal-indicator bacteria in groundwater.

As part of the US Geological Survey National Water-Quality Assessment Program, groundwater samples from domestic- and public-supply wells were collected and analyzed for fecal-indicator bacteria. A holding time comparison for total coliforms, Escherichia coli, and enterococci was done by analyzing samples within 8h using presence/absence methods and within 18-30h using quantitative methods. The data indicate that results obtained within 18-30h were not significantly different from those obtained within 8h for total coliforms and enterococci, by Colilert® and Enterolert® methods (IDEXX Laboratories Inc., Westbrook, ME), respectively. Quantitative laboratory methods for samples analyzed within 18-30h showed a statistically significant higher detection frequency when compared to presence/absence methods done within 8h for the following methods, E. coli by Colilert and enterococci by membrane filtration on mEI agar. Additionally, a comparison of methods for the enumeration of enterococci was done. Using non-parametric statistical analyses, results from the two methods were statistically different. In this study, the membrane filtration method on mEI agar was more sensitive, resulted in more detections of enterococci, and results were easier to interpret than with the quantitative Enterolert method. The quantitative Enterolert method produced varying levels of fluorescence, which required additional verification steps to eliminate false-positive results. It may be more advantageous to analyze untreated groundwater for enterococci using the membrane filtration method on mEI agar.

Surveillance for Waterborne Disease Outbreaks Associated with Drinking Water - United States, 2011-2012.

Advances in water management and sanitation have substantially reduced waterborne disease in the United States, although outbreaks continue to occur. Public health agencies in the U.S. states and territories* report information on waterborne disease outbreaks to the CDC Waterborne Disease and Outbreak Surveillance System (http://www.cdc.gov/healthywater/surveillance/index.html). For 2011-2012, 32 drinking water-associated outbreaks were reported, accounting for at least 431 cases of illness, 102 hospitalizations, and 14 deaths. Legionella was responsible for 66% of outbreaks and 26% of illnesses, and viruses and non-Legionella bacteria together accounted for 16% of outbreaks and 53% of illnesses. The two most commonly identified deficiencies† leading to drinking water-associated outbreaks were Legionella in building plumbing§ systems (66%) and untreated groundwater (13%). Continued vigilance by public health, regulatory, and industry professionals to identify and correct deficiencies associated with building plumbing systems and groundwater systems could prevent most reported outbreaks and illnesses associated with drinking water systems.

Estimation of Groundwater Radon in North Carolina Using Land Use Regression and Bayesian Maximum Entropy.

Radon ((222)Rn) is a naturally occurring chemically inert, colorless, and odorless radioactive gas produced from the decay of uranium ((238)U), which is ubiquitous in rocks and soils worldwide. Exposure to (222)Rn is likely the second leading cause of lung cancer after cigarette smoking via inhalation; however, exposure through untreated groundwater is also a contributing factor to both inhalation and ingestion routes. A land use regression (LUR) model for groundwater (222)Rn with anisotropic geological and (238)U based explanatory variables is developed, which helps elucidate the factors contributing to elevated (222)Rn across North Carolina. The LUR is also integrated into the Bayesian Maximum Entropy (BME) geostatistical framework to increase accuracy and produce a point-level LUR-BME model of groundwater (222)Rn across North Carolina including prediction uncertainty. The LUR-BME model of groundwater (222)Rn results in a leave-one out cross-validation r(2) of 0.46 (Pearson correlation coefficient = 0.68), effectively predicting within the spatial covariance range. Modeled results of (222)Rn concentrations show variability among intrusive felsic geological formations likely due to average bedrock (238)U defined on the basis of overlying stream-sediment (238)U concentrations that is a widely distributed consistently analyzed point-source data.

Socio-economic aspects of domestic groundwater consumption, vending and use in Kisumu, Kenya

Shallow hand-dug wells are commonly used to supplement partial or intermittent piped water coverage in many urban informal settlements in sub-Saharan Africa. Such wells are often microbially contaminated. This study aimed to quantify the amount of such groundwater consumed, identify the socio-economic profile of well owners and consumers, and patterns of domestic water usage in informal settlements in Kisumu, Kenya. Building on a previous study, 51 well owners and 137 well customers were interviewed about well water abstraction, water usage and handling patterns, asset ownership, and service access. An estimated 472 m3 of groundwater per day was abstracted in two informal settlements, with most groundwater consumers using this water for purposes other than drinking or cooking. According to an asset index, well owners were significantly wealthier than both the customers purchasing their groundwater and those drinking or cooking with untreated groundwater. This suggests that shallow groundwater sources provide poorer urban households with a substantial volume of water for domestic purposes other than drinking and cooking. Ongoing challenges are thus to raise awareness of the health risks of such water among the minority of consumers who consume untreated groundwater and find means of working with well owners to manage well water quality.

Sustainable Water Management for Urban Agriculture, Gardens and Public Open Space Irrigation: A Case Study in Perth

Urban agriculture has been increasingly popular as a form of modern agriculture in urban settings. It includes community gardens, fruit orchards, home gardens, veggie patches, public open spaces, reserves, urban forest, and recreational landscaping. However, irrigation using urban water supply has been identified as a major constraints for the development of urban agriculture. This study presents a sustainable water management trial at Butler, a northern sub-urban development in Perth, Western Australia, for urban irrigation. The trial system consists of a number of water saving features including untreated fit-for-purpose groundwater supplied via a third pipe network, drip irrigation, local weather station, soil moisture sensors connected with a local weather station, night time irrigation, soil enhancement with conditioning and mulching, and use of native plants and vegetation. The trial outcome was compared against controlled areas in terms of irrigation efficiency and sustainable water management for urban agriculture. The study demonstrated that a fit-for-purpose irrigation along with water sensitive land management could be a sustainable alternative for urban agriculture that would achieve a significant water saving and irrigation efficiency at urban settings. However, quality of untreated groundwater can be an issue while utilizing it for irrigation, but the research has shown that it can be managed with innovative irrigation techniques. This indicates that the fit-for-purpose irrigation system with water sensitive land management practices would be highly supportive in sustainable development of urban agriculture, vegetation and recreational landscaping.

Birth Defects and Disinfection By-Product Exposures and Source Water

Previous epidemiological studies suggest that women exposed to disinfection byproducts have an increased risk of delivering babies with neural tube, genitourinary system, and ventricular septal defects. The risk of birth defects (n=3,500) among all live births from 275 towns in Massachusetts was examined relative to different water sources, disinfection types, and disinfection byproduct concentrations using 2000 to 2004 data. Preliminary unadjusted and adjusted results for combined birth defects were largely null among the water source and disinfection exposure metrics. Adjusted odds ratios (aORs) ranged from 1.17 to 1.37 for obstructive urinary defects among births linked to drinking water treated with chlorine, chloramines, and other alternative disinfectants compared to untreated ground water systems. Compared to untreated ground water, increased aORs for cardiac defects were noted for chlorinated surface water (1.14; 95%CI=0.92, 1.41) and chloraminated water (1.08; 95%CI=0.88, 1.33). Increased aORs for hypospadias and epispadias were found for chlorinated surface water (1.19; 95%CI=0.80, 1.78) and chloraminated water (1.17; 95%CI=0.79, 1.72) compared to untreated ground water. Preliminary analyses showed no increased risk of combined birth defects for total trihalomethane or total haloacetic acid exposures compared to the lowest quintiles. Small increased aORs for ventricular septal defects were detected for the upper two brominated trihalomethane quintiles (aOR range=1.15-1.24), while increased risks for obstructive genitourinary defects were detected for the upper three bromodichloromethane (aOR range=1.10-1.51) and brominated trihalomethane (aOR range=1.61-1.91) quintiles. These preliminary data indicate larger risks for birth defects for brominated disinfection byproducts, but further analyses are needed to confirm these results. The views expressed herein are those of the authors only and do not necessarily reflect the views or policies of the USEPA.