Disinfection By-products In Water Research Articles

Chlorobenzoquinones Aggravate RSL3-Induced Ferroptosis in ROS-Dependent Manner.

Chlorobenzoquinones (CBQs) are a class of emerging water disinfection byproducts that pose significant risks to public health. In this study, we found that three CBQs (tetrachloro-1,4-benzoquinone, 2,5-dichloro-1,4-benzoquinone, and 2-chloro-1,4-benzoquinone) can significantly aggravate cell death caused by Ras-selective lethal small molecule 3 (RSL3). Further study showed that the cell death caused by CBQs, either alone or in combination with RSL3, was related to iron accumulation and GPX4 inactivation, suggesting the occurrence of ferroptosis. Furthermore, reactive oxygen species are found to play a potential key role in mediating the toxicity of CBQs in CBQs and RSL3-induced ferroptosis. These findings will be helpful in understanding the toxic mechanism of CBQs to mammalian cells.

MS and NMR Analysis of Isotopically Labeled Chloramination Disinfection Byproducts: Hyperlinks and Chemical Reactions.

FT-ICR MS and NMR analysis of an isotopically labeled complex mixture of water disinfection byproducts formed by chloramine disinfection of model phenolic acids is described. A new molecular formula assignment procedure using the CoreMS Python library able to assign isotopically enriched formulas is proposed. Statistical analysis of the assigned formulas showed that the number of compounds, the diversity of the mixture, and the chlorine count increase during the chloramination reaction. The complex reaction mixture was investigated as a network of reactions using PageRank and Reverse PageRank algorithms. Independent of the MS signal intensities, the PageRank algorithm calculates the formulas with the highest probability at convergence of the reaction; these were chlorinated and nitrated derivatives of the starting materials. The Reverse PageRank revealed that the most probable chemical transformations in the complex mixture were chlorination and decarboxylation. These agree with the data obtained from INADEQUATE NMR spectra and literature data, indicating that this approach could be applied to gain insight into reactions pathways taking place in complex mixtures without any prior knowledge.

Hydrology Predominates Over Harvest History and Landscape Variation to Control Water Quality and Disinfection Byproduct Formation Potentials in Forested Pacific Coast Watersheds.

Despite the global importance of forested watersheds as sources of drinking water, few studies have examined the effects of forestry on drinking water treatability. Relatively little is known about how the interaction between landscape variation and flow impacts source water quality and what this interaction means for drinking water treatability. To address this knowledge gap, we examined variability in sediments, dissolved organic matter, and disinfection byproduct formation potentials (DBP-FPs) across a range of flow conditions in four small watersheds with contrasting forest harvest histories and soil characteristics on Vancouver Island. Storm event-driven change in streamflow was the primary driver of water quality and DBP-FPs at our sites, with greater changes during stormflow (e.g., a 3-fold increase in dissolved organic carbon concentrations) than those across contrasting watersheds. Flow-driven changes in water quality and DBP-FPs were not significantly different across watersheds with different harvest histories; muted responses may be attributed to widespread second growth forests (i.e., recent harvesting effects may be confounded by historical harvest), forestry practices (e.g., slash burning), or soils with low organic carbon storage. This study suggests that variation in hydrology predominates over harvest history and soil characteristics to drive water quality and DBP-FPs on the east coast of Vancouver Island.

Adaptation of water treatment processes for controlling disinfection byproducts in supply waters to compensate the effects of climate change

The water treatment processes (WTPs) need adaptation to climate change. Safe water supply is being challenged by the deteriorating trend of water quality, which can increase disinfection byproducts and impose cancer/non-cancer risks to humans. In this study, implications of climate change and water quality deterioration on the formation of trihalomethanes' (THMs), and risks from 2020 to 2050 were predicted. In 2020, averages of temperature, dissolved organic carbon (DOC) and pH in source waters from Newfoundland (Canada) were 7.92 °C, 6.40 mg/L and 6.53 respectively, which were predicted to be 9.95 °C, 8.56 mg/L and 7.65, respectively in 2050. Three scenarios of free chlorine and bromide ions [(2.0 mg/L, 10 μg/L), (3.5 mg/L, 25 μg/L) and (5.0 mg/L, 50 μg/L)] were simulated. Two models (Model-1 and Model-2) were applied for predicting THMs, risks and allowable DOC for target risks. For Model-1, DOC in 2030, 2040 and 2050 were predicted to be in the ranges of 4.53–4.92, 3.32–3.84 and 2.49–3.06 mg/L respectively to impose similar risks as of 2020. For Model-2, DOC ranges were 5.02–5.95, 3.92–4.99 and 3.60–4.80 mg/L respectively. The lower ranges of DOC in future years were due to increased effects of pH and temperature. To maintain the risks of 2050 to the levels of 2020, WTPs need to reduce DOC by 64.3–70.9 % (Model-1) and 43.8–57.9 % (Model-2). The granular activated carbon filtration is widely used for reducing DOC, which can be further assessed for extensive applications in the WTPs.

Analysis of brominide disinfection by-products (DBPs) in aquaculture water using ultra-high performance liquid chromatography-quadrupole-time of flight mass spectrometry (UPLC-Q-tof/MS).

halogenic disinfectants have been shown to produce toxic and carcinogenic disinfection by-products in the water disinfection process. Dibromohydantoin (DBDMH) is a commonly used water disinfectant in aquaculture. Aquaculture water has more complex matrix, and the analytical method for disinfection by-products (DBPs) have not been reported. Since the content of DBPs is related to the external conditions such as ultraviolet irradiation, temperatures, pH and humic acid. The semi-target screening method for mainly DBPs based on tracing mass spectrometry fragments of bromide and accurate mass of high resolution mass spectrometry was established by ultra performance liquid chromatography-quadrupole-time of flight-mass spectrometry (UPLC-Q-tof/MS). Br-DBPs as a important class of DBPs from DBDMH, which quantification analysis methods were developed based on accurate mass of high resolution mass spectrometry. through screening method to identify unknown Br-DBPs and quantitative analysis of the typical 4-bromophenol by-product of accurate mass was established. The conditions of the instrument parameters of mass spectrometry and SPE sample preparation procedure in complex real sample were optimized. The high efficiency method was demonstrated for the determination of Br-DBPs with a good linear correlation (R2 = 0.999) in the range of 0.500-200 μg L-1 and limit of detections (LODs) and limit of quantifications (LOQs) were 0.0250 ng L-1 and 0.0834 ng L-1, respectively. the developed screening and quantification analytical strategy for Br-DBPs is rapid, accurate and sensitivity applicable for environmental in aquaculture water monitoring.

The alternation of halobenzoquinone disinfection byproduct on toxicogenomics of DNA damage and repair in uroepithelial cells

Halobenzoquinones (HBQs) were recently discovered as an emerging class of drinking water disinfection byproducts with carcinogenic concern. However, the molecular mechanism underlying HBQs-induced DNA damage is not clear. In this study, we integrated in vitro genotoxicity, computational toxicology, and the quantitative toxicogenomic analysis of HBQs on DNA damage/repair pathways in human bladder epithelial cells SV-HUC-1. The results showed that HBQs could induce cytotoxicity with the descending order as 2,6-DIBQ > 2,6-DCBQ ≈ 2,6-DBBQ. Also, HBQs can increase DNA damage in SV-HUC-1 cells and thus generate genotoxicity. However, there is no significant difference in genotoxicity among the three HBQs. The results of molecular docking and molecular dynamics simulation further confirmed that HBQs had high binding fractions and stability to DNA. Toxicogenomic analysis indicated that HBQs interfered with DNA repair pathways, mainly affecting base excision repair, nucleotide excision repair and homologous recombination repair. These results have provided new insights into the underlying molecular mechanisms of HBQs-induced DNA damage, and contributed to the understanding of the relationship between exposure to DBPs and risks of developing bladder cancer.

Exposures to drinking water disinfection byproducts and kidney function in Chinese women

BackgroundDisinfection byproducts (DBPs), the ubiquitous contaminants in drinking water, have been shown to impair renal function in experimental studies. However, epidemiological evidence is sparse. ObjectiveTo investigate exposures to DBPs in associations with renal function among women. MethodsA total of 920 women from December 2018 to January 2020 were abstracted from the Tongji Reproductive and Environmental (TREE) Study, an ongoing cohort study in Wuhan, China. Urine samples were gathered at baseline recruitment and analyzed for dichloroacetic acid (DCAA) and trichloroacetic acid (TCAA) as biomarkers of DBP exposures. Serum uric acid (UA), creatinine, and estimated glomerular filtration rate (eGFR) were measured as indicators of renal function. Multivariate linear regression and restricted cubic spline (RCS) models were conducted to assess urinary DCAA and TCAA concentrations in associations with renal function indicators. Stratified analyses by age and body mass index (BMI) were also performed. ResultsWe found null evidence of urinary TCAA in associations with renal function indicators. However, elevated urinary DCAA tertiles were related to decreased eGFR (β = −1.78%, 95% CI: 3.21%, −0.36%, comparing the upper vs. lower tertile; P for trend = 0.01). This inverse association still existed when urinary DCAA concentration was treated as a continuous variable, and the dose-response relationship was linear based on the RCS model (P for overall association = 0.002 and P for non-linear associations = 0.44). In the stratified analyses, we found an association of urinary DCAA concentration with decreased UA level among women <30 years but an association with increased UA level among women ≥30 years (P for interaction = 0.04). ConclusionUrinary DCAA but not TCAA was associated with impaired renal function among women undergoing assisted reproductive technology.

Non-regulated haloaromatic water disinfection byproducts act as endocrine and lipid disrupters in human placental cells

The disinfection of drinking water generates hundreds of disinfection byproducts (DBPs), including haloaromatic DBPs. These haloaromatic DBPs are suspected to be more toxic than haloaliphatic ones, and they are currently not regulated. This work investigates their toxicity and ability to interfere with estrogen synthesis in human placental JEG-3 cells, and their genotoxic potential in human alveolar A549 cells. Among the haloaromatic DBPs studied, halobenzoquinones (2,6-dichloro-1,4-benzoquinone (DCBQ) and 2,6-dibromo-1,4-benzoquinone (DBBQ)) showed the highest cytotoxicity (EC50: 18–26 μg/mL). They induced the generation of very high levels of reactive oxygen species (ROS) and up-regulated the expression of genes involved in estrogen synthesis (cyp19a1, hsd17b1). Increased ROS was linked to significant depletion of polyunsaturated lipid species from inner cell membranes. The other DBPs tested showed low or no significant cytotoxicity (EC50 ≥ 100 μg/mL), while 2,4,6-trichloro-phenol (TCP), 2,4,6-tribromo-phenol (TBP) and 3,5-dibromo-4-hydroxybenzaldehyde (DCHB) induced the formation of micronuclei at concentrations much higher than those typically found in water (100 μg/mL). This study reveals the different modes of action of haloaromatic DBPs, and highlights the toxic potential of halobenzoquinones, which had a significant impact on the expression of placenta steroid metabolism related genes and induce oxidative stress, implying potential adverse health effects.

Cocamidopropyl betaine - a potential source of nitrogen-containing disinfection by-products in pool water.

Water treatment for most public pools involves disinfection with active chlorine leading to the formation of disinfection by-products (DBPs). Among them, nitrogen-containing compounds (N-DBPs) having increased toxicity and adverse effects on human health are of the greatest concern. Being the major component of various body washers for swimmers, cocamidopropyl betaine (CAPB) represents a potential and still underestimated anthropogenic precursor of N-DBPs in pool water. The purpose of this study was to investigate CAPB transformation pathways and mechanisms under the aqueous chlorination conditions. High-performance liquid and two-dimensional gas chromatography hyphenated with high-resolution mass spectrometry were used for the search and tentative identification of the primary and final CAPB transformation products. A wide range of DBPs containing up to five chlorine atoms including these in combination with hydroxyl and additional carbonyl groups has been revealed in model chlorination experiments for the first time. The proposed mechanism of their formation involves nucleophilic substitution of the secondary amide hydrogen atom at the first stage with subsequent free radical and electrophilic addition reactions resulting in non-selective introduction of halogen atoms and hydroxyl groups in the alkyl chain. The deep transformation products include short-chain chlorinated hydrocarbons and their oxidation products as well as dimethylcarbamoyl chloride possessing high toxicity and carcinogenic properties. Targeted analysis of real swimming pool water samples confirmed the results of model experiments enabling semi-quantitative determination of CAPB (0.8µg L-1) and 18 primary DBPs, including 10 chlorine-containing compounds with the total concentration of 0.1µg L-1. Among them, monochloro (50%) and hydroxydichloro (25%) derivatives predominate. The toxicity and health of the main DBPs has been estimated using QSAR/QSTR approach. Thus, the possibility of formation of new classes of potentially toxic chlorine-containing DBPs associated with the widespread use of detergents and cosmetics was shown.

Measurement of haloacetic acids in human urine samples from six megacities of China using a refined detection method

Haloacetic acids (HAAs) are common disinfection by-products in chlorine disinfected water. Humans are extensively exposed to them. However, nationwide biomonitoring data were not available for any country. This study developed a labor-efficient and sensitive method for the detection of urinary HAAs, including trichloroacetic acid (TCAA) and dichloroacetic acid (DCAA), and conducted an exposure assessment in a Chinese population. A total of 850 first-morning-void urine samples were collected from adults in six megacities in China: Wuhan (central), Lanzhou (northwest), Chengdu (southwest), Taiyuan (north), Shanghai (east), and Dalian (northeast). Each participant (n = 425) provided a pair of urine samples during the warm (September to October 2018) and cold (December 2018 to January 2019) seasons. The detection method achieved good retention of the target analytes using a Fluoro-Phenyl column and excellent selectivity using in-source fragmentation ions as precursor ions in multiple reaction monitoring. The detection rate of urinary TCAA in Chinese populations was high (78.5%) but varied among different regions (54.0% to 98.0%). DCAA was rarely detected (<10%). The overall median value of specific gravity adjusted TCAA concentrations was 5.70 μg/L in the warm season and 3.87 μg/L in the cold season, respectively. Higher urinary TCAA concentrations were more likely to occur in Wuhan (Yangtze River Basin), urban areas, and during the warm season. The upstream region of the Yangtze River Basin (Chengdu) typically has lower TCAA concentrations. TCAA formation in coastal cities such as Shanghai and Dalian may be impacted by seawater intrusion. Estimated daily intakes of TCAA were lower than its chronic reference dose of 20 μg/kg-bw/day. This detection method can be applied to future biomonitoring of urinary HAAs. More attention should be paid to the highly exposed subgroups when exploring the health effects of long-term TCAA exposure.

Modeling source water disinfection byproducts formation potential using environmental variables

AbstractPredictive models of disinfection byproducts (DBPs) formation in treated drinking water have been widely used to guide operational decisions. However, very few studies have addressed the issue of managing DBPs through watershed protection programs and proactive management of water supply systems through predictive modeling of DBP formation potential in source waters. Here, we propose a two‐component, simple statistical approach to predict the formation potentials of the sum of five haloacetic acids (HAA5fp) and total trihalomethanes (TTHMfp) in source water streams using environmental variables and ultraviolet absorbance at 254 nm wavelength (UV254) as a surrogate for DBP precursors. In the first component of the model, using three feature selection regression models and cross‐validation of subsets of the selected predictors, we identified three commonly monitored variables—streamflow, soil temperature, and total phosphorus for predicting UV254. In the second component, HAA5fp and TTHMfp are predicted from UV254. The approach is successfully demonstrated for two source water streams of the New York City water supply system (R2 was 0.8, and 0.7–0.8 for the two model components). Long‐term predictions of HAA5fp and TTHMfp showed distinct seasonal patterns that are linked to differences in land uses of the two watersheds. Moreover, sensitivity analysis showed that transport processes were important in one watershed whereas production processes were more important in the other.

Wrangling Whole Mixtures Risk Assessment: Recent Advances in Determining Sufficient Similarity.

Human health risk assessments for complex mixtures can address real-world exposures and protect public health. While risk assessors typically prefer whole mixture approaches over component-based approaches, data from the precise exposure of interest are often unavailable and surrogate data from a sufficiently similar mixture(s) are required. This review describes recent advances in determining sufficient similarity of whole, complex mixtures spanning the comparison of chemical features, bioactivity profiles, and statistical evaluation to determine "thresholds of similarity". Case studies, including water disinfection byproducts, botanical ingredients, and wildfire emissions, are used to highlight tools and methods. Limitations to application of sufficient similarity in risk-based decision making are reviewed and recommendations presented for developing best practice guidelines.

Disinfection by-products in drinking water and risk of colorectal cancer: a population-based cohort study.

Colorectal cancer is the third most common malignancy worldwide and is strongly linked to lifestyle and environmental risk factors. Although several drinking-water disinfection by-products are confirmed rodent carcinogens, the evidence in humans for carcinogenicity associated with these by-products, including colorectal cancer, is still inconclusive. We assessed the association of long-term exposure to trihalomethanes (THMs), the most prevalent disinfection by-products in chlorinated drinking water, with incidence of colorectal cancer in 58 672 men and women in 2 population-based cohorts. Exposure was assessed by combining long-term information of residential history with drinking water-monitoring data. Participants were categorized according to no exposure, low exposure (<15µg/L), and high exposure (≥15µg/L). Incident cases of colorectal cancer were ascertained by use of the Swedish National Cancer Register. During an average follow-up of 16.8years (988 144 person-years), 1913 cases of colorectal cancer were ascertained (1176 cases in men and 746 in women, respectively). High THM concentrations in drinking water (≥15 µg/L) were associated with increased risk of colorectal cancer in men (hazard ratio = 1.26, 95% confidence interval = 1.05-1.51) compared with no exposure. When subsites were assessed, the association was statistically significant for proximal colon cancer (hazard ratio = 1.59, 95% confidence interval = 1.11 to 2.27) but not for distal colon cancer or rectal cancer. In women, we observed overall no association of THMs with colorectal cancer. These results add further evidence that disinfection by-products in drinking water may be a possible risk factor for proximal colon cancer in men. This observation was made at THM concentrations lower than those in most previous studies.

Toxic effects of disinfection by-products on Pseudokirchneriella subcapitata and co-cultured algae community

The widespread use of disinfectants in response to the COVID-19 pandemic may increase the concentration of disinfection by-products (DBPs) in surface water, posing ecological risks. This study assessed the acute toxicity of haloacetic acids and halophenols DBPs to Pseudokirchneriella subcapitata, and evaluated the impact of environmental concentrations of DBPs on co-cultured algae communities. The results showed that after exposure to disinfection by-products, the photosynthetic pigments of Pseudokirchneriella subcapitata were significantly reduced, and the MDA content and antioxidant enzyme activity were increased. The results of the ecological risk assessment showed that the RQ values of TBAA, 2,4-DBP, and 2,6-DBP were >0.1, with medium and high ecological risks. Despite this, the three DBPs with the highest risk values had little effect on the community structure of co-cultured algae. In contrast, the disinfection by-products with low ecological risk had a greater impact on the community structure and greatly promote the growth of cyanobacteria, which may cause new ecological risks. Therefore, not only high-risk disinfection by-products need to be paid attention to, but the impact of low-risk disinfection by-products cannot be ignored.

Occurrence of bromide and bromate in chlorinated indoor swimming pools, and associated health risks

Swimming is a physical activity that is accessible to people of all ages in all seasons. However, continuous organic and inorganic precursor load and disinfectant dosing make pool water chemistry much more complex than other disinfected waters. Carcinogenic bromate compound is one of the hundreds of disinfection by-products in pool water. The occurrence of bromate in pool waters depends on the precursor content of filling water, the disinfection process, operating parameters, and the purity of disinfectants. While the average filling water bromide concentrations of University Campus indoor swimming pool in Gülbahçe –Urla (SP1) and Buca public indoor swimming pool (SP2) were determined to be 182 μg/L and 11.0 μg/L, respectively, the average bromate concentrations of SP1 and SP2 were 59.4 μg/L and 68.3 μg/L. Estimated chronic-toxic health risks of accidental ingestion of pool water during swimming (between 10-3 and 10-1) were lower than the threshold level (‘1’). Although the carcinogenic risks in central tendency scenario (

Genotoxicity Induced by Low Dose and Mixed Exposure to Haloacetaldehydes, an Emerging Class of Drinking Water Disinfection By-products

Genotoxicity Induced by Low Dose and Mixed Exposure to Haloacetaldehydes, an Emerging Class of Drinking Water Disinfection By-products

Effect of spray aeration on unregulated drinking water disinfection byproducts

AbstractSpray aeration is a comparatively low‐cost option to reduce trihalomethane (THM) concentrations in distribution system storage. The effect of spray aeration on unregulated, toxic disinfection by‐products was investigated in a bench‐scale apparatus in closed‐tank and open‐tank experiments. In the closed‐tank experiments, initially over 90% of THMs, trichloroacetonitrile, and chloropicrin were removed, while 36% of dihaloacetonitriles were removed. However, due to the buildup of concentrations in the tank headspace, removal rates for all compounds decreased significantly with time, falling to 44% removal of THMs, 76% removal of trichloroacetonitrile, and 58% removal of chloropicrin. Removal of dihaloacetonitriles decreased to zero. In the open‐tank experiments, THM removal rates were high and did not decrease with time. Considering the results with open and closed tanks as approximate bounds for performance expected under real‐world conditions in storage tanks, the findings suggest that spray aeration may not significantly reduce haloacetonitrile‐related toxicity while halonitromethane‐related toxicity may be reduced.

Drinking water disinfection byproduct iodoacetic acid affects thyroid hormone synthesis in Nthy-ori 3–1 cells

Iodoacetic acid (IAA) is an emerging and the most genotoxic iodinated disinfection byproduct to date. IAA can disrupt the thyroid endocrine function in vivo and in vitro, but the underlying mechanisms remain unclear. In this work, transcriptome sequencing was used to investigate the effect of IAA on the cellular pathways of human thyroid follicular epithelial cell line Nthy-ori 3–1 and determine the mechanism of IAA on the synthesis and secretion of thyroid hormone (TH) in Nthy-ori 3–1 cells. Results of transcriptome sequencing indicated that IAA affected the TH synthesis pathway in Nthy-ori 3–1 cells. IAA reduced the mRNA expression of thyroid stimulating hormone receptor, sodium iodide symporter, thyroid peroxidase, thyroglobulin, paired box 8 and thyroid transcription factor-2, inhibited the cAMP/PKA pathway and Na+-K+-ATPase, and decreased the iodine intake. The results were confirmed by our previous findings in vivo. Additionally, IAA downregulated glutathione and the mRNA expression of glutathione peroxidase 1, leading to increased reactive oxygen species production. This study is the first to elucidate the mechanisms of IAA on TH synthesis in vitro. The mechanisms are associated with down-regulating the expression of genes related to TH synthesis, inhibiting iodine uptake, and inducing oxidative stress. These findings may improve future health risk assessment of IAA on thyroid in human.

Thiol Reactome: A Nontargeted Strategy to Precisely Identify Thiol Reactive Drinking Water Disinfection Byproducts.

The precise identification of predominant toxic disinfection byproducts (DBPs) from disinfected water is a longstanding challenge. We propose a new acellular analytical strategy, the 'Thiol Reactome', to identify thiol-reactive DBPs by employing a thiol probe and nontargeted mass spectrometry (MS) analysis. Disinfected/oxidized water samples had reduced cellular oxidative stress responses of 46 ± 23% in Nrf2 reporter cells when preincubated with glutathione (GSH). This supports thiol-reactive DBPs as the predominant drivers of oxidative stress. This method was benchmarked using seven classes of DBPs including haloacetonitriles, which preferentially reacted with GSH via substitution or addition depending on the number of halogens present. The method was then applied to chemically disinfected/oxidized waters, and 181 tentative DBP-GSH reaction products were detected. The formulas of 24 high abundance DBP-GSH adducts were predicted, among which nitrogenous-DBPs (11) and unsaturated carbonyls (4) were the predominant compound classes. Two major unsaturated carbonyl-GSH adducts, GSH-acrolein and GSH-acrylic acid, were confirmed by their authentic standards. These two adducts were unexpectedly formed from larger native DBPs when reacting with GSH. This study demonstrated the "Thiol Reactome" as an effective acellular assay to precisely identify and broadly capture toxic DBPs from water mixtures.

Novel insights into impacts of the “7.20” extreme rainstorm event on water supply security of Henan Province, China: Levels and health risks of tap water disinfection by-products

Spatial distributions, levels, and comprehensive assessments of post-flood tap water disinfection by-products (DBPs) were first studied in Henan Province after the “7.20” Extreme Rainstorm Event in 2021. DBPs levels and health risks in tap water were higher in areas flooded (waterlogged) by storm or upstream flood discharge (WA) and rainstorm-affected areas (RA) compared with other areas (OA), suggesting that extreme rainstorm and flooding events may somehow exacerbate DBPs contamination of tap water through disinfection. WA sites were characterized as contamination hotspots. The results revealed high haloacetic acids (HAAs) levels in WA (Avg: 57.79 μg·L−1) and RA (Avg: 32.63 μg·L−1) sites. Compared with normal period, DBPs-caused cancer risk increased by 3 times, exceeding the negligible risk level. Cancer risk came primarily from the ingestion of trihalomethanes (THMs) (>80%), children were the sensitive group. Those between 30 and 69 showed approximately 1.7 times higher disability-adjusted life yearsper person-yearthan other age groups. Apart from regulated DBPs, bromochloracetic acid (BCAA) and dibromoacetonitrile (DBAN) appear to be the main toxicity contributors in these samples. Our results provide a scientific basis for preventing and controlling health risks from tap water DBPs and for assessing the social benefits and burdens of emergency disinfection.