scholarly journals Incidence of waterborne lead in private drinking water systems in Virginia

2015 ◽  
Vol 13 (3) ◽  
pp. 897-908 ◽  
Author(s):  
Kelsey J. Pieper ◽  
Leigh-Anne H. Krometis ◽  
Daniel L. Gallagher ◽  
Brian L. Benham ◽  
Marc Edwards
Keyword(s):  
Public Health ◽  
Drinking Water ◽  
Environmental Protection Agency ◽  
Public Health Problem ◽  
Blood Lead ◽  
The United States ◽  
Water Systems ◽  
National Public Health ◽  
Lead Source ◽  
Drinking Water Systems

Although recent studies suggest contamination by bacteria and nitrate in private drinking water systems is of increasing concern, data describing contaminants associated with the corrosion of onsite plumbing are scarce. This study reports on the analysis of 2,146 samples submitted by private system homeowners. Almost 20% of first draw samples submitted contained lead concentrations above the United States Environmental Protection Agency action level of 15 μg/L, suggesting that corrosion may be a significant public health problem. Correlations between lead, copper, and zinc suggested brass components as a likely lead source, and dug/bored wells had significantly higher lead concentrations as compared to drilled wells. A random subset of samples selected to quantify particulate lead indicated that, on average, 47% of lead in the first draws was in the particulate form, although the occurrence was highly variable. While flushing the tap reduced lead below 15 μg/L for most systems, some systems experienced an increase, perhaps attributable to particulate lead or lead-bearing components upstream of the faucet (e.g., valves, pumps). Results suggest that without including a focus on private as well as municipal systems it will be very difficult to meet the existing national public health goal to eliminate elevated blood lead levels in children.

scholarly journals An approach for developing a national estimate of waterborne disease due to drinking water and a national estimate model application

2006 ◽  
Vol 4 (S2) ◽  
pp. 201-240 ◽  
Author(s):  
Michael Messner ◽  
Susan Shaw ◽  
Stig Regli ◽  
Ken Rotert ◽  
Valerie Blank ◽  
...  
Keyword(s):  
Drinking Water ◽  
Environmental Protection Agency ◽  
Water System ◽  
Credible Interval ◽  
The United States ◽  
Water Systems ◽  
Epidemiologic Studies ◽  
Incidence Rates ◽  
Waterborne Disease ◽  
Public Water Systems

In this paper, the US Environmental Protection Agency (EPA) presents an approach and a national estimate of drinking water related endemic acute gastrointestinal illness (AGI) that uses information from epidemiologic studies. There have been a limited number of epidemiologic studies that have measured waterborne disease occurrence in the United States. For this analysis, we assume that certain unknown incidence of AGI in each public drinking water system is due to drinking water and that a statistical distribution of the different incidence rates for the population served by each system can be estimated to inform a mean national estimate of AGI illness due to drinking water. Data from public water systems suggest that the incidence rate of AGI due to drinking water may vary by several orders of magnitude. In addition, data from epidemiologic studies show AGI incidence due to drinking water ranging from essentially none (or less than the study detection level) to a rate of 0.26 cases per person-year. Considering these two perspectives collectively, and associated uncertainties, EPA has developed an analytical approach and model for generating a national estimate of annual AGI illness due to drinking water. EPA developed a national estimate of waterborne disease to address, in part, the 1996 Safe Drinking Water Act Amendments. The national estimate uses best available science, but also recognizes gaps in the data to support some of the model assumptions and uncertainties in the estimate. Based on the model presented, EPA estimates a mean incidence of AGI attributable to drinking water of 0.06 cases per year (with a 95% credible interval of 0.02–0.12). The mean estimate represents approximately 8.5% of cases of AGI illness due to all causes among the population served by community water systems. The estimated incidence translates to 16.4 million cases/year among the same population. The estimate illustrates the potential usefulness and challenges of the approach, and provides a focus for discussions of data needs and future study designs. Areas of major uncertainty that currently limit the usefulness of the approach are discussed in the context of the estimate analysis.

scholarly journals Review of perchlorate occurrence in large public drinking water systems in the United States of America

2018 ◽  
Vol 19 (3) ◽  
pp. 681-694
Author(s):  
Steven J. Luis ◽  
Elizabeth A. Miesner ◽  
Clarissa L. Enslin ◽  
Keith Heidecorn
Keyword(s):  
United States ◽  
Decision Making ◽  
Drinking Water ◽  
Environmental Protection Agency ◽  
The United States ◽  
Water Systems ◽  
Contaminant Monitoring ◽  
Public Drinking Water ◽  
Regulatory Bodies ◽  
Public Drinking

Abstract When deciding whether or not to regulate a chemical, regulatory bodies often evaluate the degree to which the public may be exposed by evaluating the chemical's occurrence in food and drinking water. As part of its decision-making process, the United States Environmental Protection Agency (USEPA) evaluated the occurrence of perchlorate in public drinking water by sampling public water systems (PWSs) as part of the first implementation of the Unregulated Contaminant Monitoring Rule (UCMR 1) between 2001 and 2005. The objective of this paper is to evaluate the current representativeness of the UCMR 1 dataset. To achieve this objective, publicly available sources were searched to obtain updated perchlorate data for the majority of large PWSs with perchlorate detections under UCMR 1. Comparison of the updated and UCMR 1 perchlorate datasets shows that the UCMR 1 dataset is no longer representative because the extent and degree of occurrence has decreased since implementation of UCMR 1. Given this finding, it seems appropriate for regulatory bodies engaged in decision-making processes over several years to periodically re-evaluate the conditions that prompted the regulatory effort, thereby ensuring that rules and regulations address actual conditions of concern.

scholarly journals A qualitative study of the experiences and information needs of public health inspectors that inspect small drinking water systems in Ontario, Canada

2019 ◽  
Vol 62 (3) ◽  
pp. 92-96
Author(s):  
Wendy Pons ◽  
Andria Jones-Bitton ◽  
Steven Lam ◽  
Scott A. McEwen ◽  
Katarina Pintar ◽  
...  
Keyword(s):  
Public Health ◽  
Drinking Water ◽  
Information Needs ◽  
Cost Benefit ◽  
Water Systems ◽  
Future Research ◽  
Water Safety ◽  
Technical Ability ◽  
The Impact ◽  
Drinking Water Systems

Public health inspectors (PHIs) play an important role in enforcing the regulation and monitoring of approximately 9000 small noncommunity drinking water systems across Ontario. These small drinking water systems (SDWS) are diverse and face unique challenges. The purpose of this research was to explore PHIs’ insights and needs related to these SDWS in Ontario, Canada, to inform future policy and training initiatives to support safe drinking water. Data were collected through teleconference-conducted focus groups. Transcripts were analyzed and three major themes were found: the operator–PHI relationship, PHI training and information needs, and operational challenges. Overall, participants reported that they felt confident in their ability to inspect SDWSs. Main concerns to water safety were the technical ability of the water operator to manage their water supply and the impact of having a long time period between inspections of water systems. Future research should explore the cost-benefit of increasing inspection frequency in SDWSs and a variety of training and education initiatives for PHIs and operators of SDWSs.

scholarly journals A Systematic Review of Waterborne Disease Outbreaks Associated with Small Non-Community Drinking Water Systems in Canada and the United States

PLoS ONE ◽  
2015 ◽  
Vol 10 (10) ◽  
pp. e0141646 ◽  
Author(s):  
Wendy Pons ◽  
Ian Young ◽  
Jenifer Truong ◽  
Andria Jones-Bitton ◽  
Scott McEwen ◽  
...  
Keyword(s):  
United States ◽  
Systematic Review ◽  
Drinking Water ◽  
Disease Outbreaks ◽  
The United States ◽  
Water Systems ◽  
Waterborne Disease ◽  
Drinking Water Systems

scholarly journals Estimating virus occurrence using Bayesian modeling in multiple drinking water systems of the United States

2018 ◽  
Vol 619-620 ◽  
pp. 1330-1339 ◽  
Author(s):  
Eunice A. Varughese ◽  
Nichole E. Brinkman ◽  
Emily M. Anneken ◽  
Jennifer L. Cashdollar ◽  
G. Shay Fout ◽  
...  
Keyword(s):  
United States ◽  
Drinking Water ◽  
Bayesian Modeling ◽  
The United States ◽  
Water Systems ◽  
Drinking Water Systems

scholarly journals A review of household drinking water intervention trials and an approach to the estimation of endemic waterborne gastroenteritis in the United States

2006 ◽  
Vol 4 (S2) ◽  
pp. 71-88 ◽  
Author(s):  
John M. Colford ◽  
Sharon Roy ◽  
Michael J. Beach ◽  
Allen Hightower ◽  
Susan E. Shaw ◽  
...  
Keyword(s):  
United States ◽  
Drinking Water ◽  
The United States ◽  
Water Systems ◽  
Epidemiologic Studies ◽  
Other Information ◽  
Public Drinking Water ◽  
Public Drinking ◽  
Intervention Trials ◽  
Drinking Water Systems

The incidence of acute gastrointestinal illness (AGI) attributable to public drinking water systems in the United States cannot be directly measured but must be estimated based on epidemiologic studies and other information. The randomized trial is one study design used to evaluate risks attributable to drinking water. In this paper, we review all published randomized trials of drinking water interventions in industrialized countries conducted among general immunocompetent populations. We then present an approach to estimating the incidence (number of cases) of AGI attributable annually to drinking water. To develop a national estimate, we integrate trial results with the estimated incidence of AGI using necessary assumptions about the estimated number of residents consuming different sources of drinking water and the relative quality of the water sources under different scenarios. Using this approach we estimate there to be 4.26–11.69 million cases of AGI annually attributable to public drinking water systems in the United States. We believe this preliminary estimate should be updated as new data become available.

scholarly journals Artificial Intelligence in Public Health Prevention of Legionelosis in Drinking Water Systems

2014 ◽  
Vol 11 (8) ◽  
pp. 8597-8611 ◽  
Author(s):  
Peter Sinčak ◽  
Jaroslav Ondo ◽  
Daniela Kaposztasova ◽  
Maria Virčikova ◽  
Zuzana Vranayova ◽  
...  
Keyword(s):  
Public Health ◽  
Artificial Intelligence ◽  
Drinking Water ◽  
Water Systems ◽  
Health Prevention ◽  
Drinking Water Systems

scholarly journals International Perspectives on COVID-19 Communication Ecologies: Public Health Agencies’ Online Communication in Italy, Sweden, and the United States

2021 ◽  
pp. 000276422199283
Author(s):  
Serena Tagliacozzo ◽  
Frederike Albrecht ◽  
N. Emel Ganapati
Keyword(s):  
Public Health ◽  
United States ◽  
Social Groups ◽  
Online Communication ◽  
The United States ◽  
Negative Consequences ◽  
Public Health Agencies ◽  
Communication Ecology ◽  
Health Agencies ◽  
National Public Health

Communicating during a crisis can be challenging for public agencies as their communication ecology becomes increasingly complex while the need for fast and reliable public communication remains high. Using the lens of communication ecology, this study examines the online communication of national public health agencies during the COVID-19 pandemic in Italy, Sweden, and the United States. Based on content analysis of Twitter data ( n = 856) and agency press releases ( n = 95), this article investigates two main questions: (1) How, and to what extent, did national public health agencies coordinate their online communication with other agencies and organizations? (2) How was online communication from the agencies diversified in terms of targeting specific organizations and social groups? Our findings indicate that public health agencies relied heavily on internal scientific expertise and predominately coordinated their communication efforts with national government agencies. Furthermore, our analysis reveals that agencies in each country differed in how they diversify information; however, all agencies provided tailored information to at least some organizations and social groups. Across the three countries, information tailored for several vulnerable groups (e.g., pregnant women, people with disabilities, immigrants, and homeless populations) was largely absent, which may contribute to negative consequences for these groups.

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