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Bottled Water Contaminant Exposures and Predicted Human Effects
Citation:
Bradley, P., K. Romanok, K. Smalling, M. Focazio, N. Evans, S. Fitzpatrick, C. Givens, S. Gordon, J. Gray, E. Green, D. Griffin, M. Hladik, L. Kanagy, J. Lisle, K. Loftin, R. McCleskey, E. Medlock Kakaley, A. Navas-Acien, D. Roth, AND C. Weis. Bottled Water Contaminant Exposures and Predicted Human Effects. ENVIRONMENT INTERNATIONAL. Elsevier B.V., Amsterdam, Netherlands, 171(107701):1, (2023). https://doi.org/10.1016/j.envint.2022.107701
Impact/Purpose:
Bottled water (BW) consumption in the United States and globally has increased amidst heightened concern about environmental¿contaminant exposures and health risks in drinking water supplies, despite a paucity of directly comparable, environmentally-relevant contaminant exposure data for BW. This study provides insight into exposures to and cumulative risks to human health from inorganic/organic/microbial contaminants in BW. This study is also part of an ongoing multi-Agency/institution collaboration to inform drinking-water exposure and water-supply data gaps by assessing TW inorganic/organic contaminant mixtures and associated source water and premise plumbing/point-of-use treatment drivers in a range of socioeconomic and source-water vulnerability settings across the US.
Description:
Background: Bottled water (BW) consumption in the United States and globally has increased amidst heightened concern about environmental contaminant exposures and health risks in drinking water supplies, despite a paucity of directly comparable, environmentally-relevant contaminant exposure data for BW. This study provides insight into exposures to and cumulative risks to human health from inorganic/organic/microbial contaminants in BW. Methods: BW from 30 total domestic US (23) and imported (7) sources, including purified tapwater (7) and spring water (23), were analyzed for 3 field parameters, 53 inorganics, 465 organics, 14 microbial metrics, and in vitro estrogen receptor (ER) bioactivity. Health benchmark weighted cumulative hazard indices and ratios of organic contaminant in vitro exposure-activity cutoffs were assessed for detected regulated and unregulated inorganic and organic contaminants. Results: 48 inorganics and 45 organics were detected in sampled BW. No enforceable chemical quality standards were exceeded, but several inorganic and organic contaminants with maximum contaminant level goal(s) (MCLG) of zero (no known safe level of exposure to vulnerable sub-populations) were detected. Among these, arsenic, lead, and uranium were detected in 67%, 17%, and 57% of BW, respectively, almost exclusively in spring-sourced samples not treated by advanced filtration. Organic MCLG exceedances included frequent detections of disinfection byproducts (DBP) in tapwater-sourced BW and sporadic detections of DBP and volatile organic chemicals in BW sourced from tapwater and springs. Precautionary health?based HI screening levels were exceeded frequently and attributed primarily to DBP in tapwater-sourced BW and co-occurring inorganic and organic contaminants in spring-sourced BW. Conclusion: The results indicate that simultaneous exposures to multiple drinking-water contaminants of potential human-health concern are common in BW. Improved understandings of human exposures based on more environmentally realistic and directly comparable POU-exposure characterizations, like this BW study, are essential to public health because drinking-water is a biological necessity and, consequently, a high-vulnerability vector for human contaminant exposures.
