Private, public, and bottled drinking water: Shared contaminant-mixture exposures and effects challenge

Background: Humans are primary drivers of environmental–contaminant exposures worldwide, including in drinking-water (DW). In the United States, point-of-use DW (POU–DW) is supplied via private tapwater (TW), public-supply TW, and bottled water (BW). Differences in management, monitoring, and messag...

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Main Authors: Paul M. Bradley, Kristin M. Romanok, Kelly L. Smalling, Stephanie E. Gordon, Bradley J. Huffman, Katie Paul Friedman, Daniel L. Villeneuve, Brett R. Blackwell, Suzanne C. Fitzpatrick, Michael J. Focazio, Elizabeth Medlock-Kakaley, Shannon M. Meppelink, Ana Navas–Acien, Anne E. Nigra, Molly L. Schreiner
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Environment International
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Online Access:http://www.sciencedirect.com/science/article/pii/S0160412024008079
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author Paul M. Bradley
Kristin M. Romanok
Kelly L. Smalling
Stephanie E. Gordon
Bradley J. Huffman
Katie Paul Friedman
Daniel L. Villeneuve
Brett R. Blackwell
Suzanne C. Fitzpatrick
Michael J. Focazio
Elizabeth Medlock-Kakaley
Shannon M. Meppelink
Ana Navas–Acien
Anne E. Nigra
Molly L. Schreiner
author_facet Paul M. Bradley
Kristin M. Romanok
Kelly L. Smalling
Stephanie E. Gordon
Bradley J. Huffman
Katie Paul Friedman
Daniel L. Villeneuve
Brett R. Blackwell
Suzanne C. Fitzpatrick
Michael J. Focazio
Elizabeth Medlock-Kakaley
Shannon M. Meppelink
Ana Navas–Acien
Anne E. Nigra
Molly L. Schreiner
author_sort Paul M. Bradley
collection DOAJ
description Background: Humans are primary drivers of environmental–contaminant exposures worldwide, including in drinking-water (DW). In the United States, point-of-use DW (POU–DW) is supplied via private tapwater (TW), public-supply TW, and bottled water (BW). Differences in management, monitoring, and messaging and lack of directly–intercomparable exposure data influence the actual and perceived quality and safety of different DW supplies and directly impact consumer decision–making. Objectives: The purpose of this paper is to provide a meta-analysis (quantitative synthesis) of POU–DW contaminant–mixture exposures and corresponding potential human–health effects of private-TW, public-TW, and BW by aggregating exposure results and harmonizing apical–health–benchmark–weighted and bioactivity–weighted effects predictions across previous studies by this research group. Discussion: Simultaneous exposures to multiple inorganic and organic contaminants of known or suspected human-health concern are common across all three DW supplies, with substantial variability observed in each and no systematic difference in predicted cumulative risk between supplies. Differences in contaminant or contaminant–class exposures, with important implications for DW–quality improvements, were observed and attributed to corresponding differences in regulation and compliance monitoring. Conclusion: The results indicate that human-health risks from contaminant exposures are common to and comparable in all three DW–supplies, including BW. Importantly, this study’s target analytical coverage, which exceeds that currently feasible for water purveyors or homeowners, nevertheless is a substantial underestimation of the breadth of contaminant mixtures in the environment and potentially present in DW. Thus, the results emphasize the need for improved understanding of the adverse human-health implications of long-term exposures to low–level inorganic–/organic–contaminant mixtures across all three distribution pipelines and do not support commercial messaging of BW as a systematically safer alternative to public-TW. Regardless of the supply, increased public engagement in source-water protection and drinking–water treatment is necessary to reduce risks associated with long-term DW–contaminant exposures, especially in vulnerable populations, and to reduce environmental waste and plastics contamination.
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spelling doaj-art-5a48e758e5b4430c9a1e370d6a2367302025-01-24T04:44:06ZengElsevierEnvironment International0160-41202025-01-01195109220Private, public, and bottled drinking water: Shared contaminant-mixture exposures and effects challengePaul M. Bradley0Kristin M. Romanok1Kelly L. Smalling2Stephanie E. Gordon3Bradley J. Huffman4Katie Paul Friedman5Daniel L. Villeneuve6Brett R. Blackwell7Suzanne C. Fitzpatrick8Michael J. Focazio9Elizabeth Medlock-Kakaley10Shannon M. Meppelink11Ana Navas–Acien12Anne E. Nigra13Molly L. Schreiner14U.S. Geological Survey, Columbia, SC, USA; Corresponding author at: USGS, South Atlantic Water Science Center, Columbia, SC 29210, USA.U.S. Geological Survey, Lawrenceville, NJ, USAU.S. Geological Survey, Lawrenceville, NJ, USAU.S. Geological Survey, Kearneysville, WV, USAU.S. Geological Survey, Columbia, SC, USAU.S. Environmental Protection Agency, Durham, NC, USAU.S. Environmental Protection Agency, Duluth, MN, USAU.S. Environmental Protection Agency, Duluth, MN, USAU.S. Food and Drug Administration, Silver Spring, MD, USAU.S. Geological Survey, Reston, VA, USAU.S. Environmental Protection Agency, Durham, NC, USAU.S. Geological Survey, Iowa City, IA, USADepartment of Environmental Health Sciences, Columbia University, New York, NY, USADepartment of Environmental Health Sciences, Columbia University, New York, NY, USAU.S. Geological Survey, Lawrenceville, NJ, USABackground: Humans are primary drivers of environmental–contaminant exposures worldwide, including in drinking-water (DW). In the United States, point-of-use DW (POU–DW) is supplied via private tapwater (TW), public-supply TW, and bottled water (BW). Differences in management, monitoring, and messaging and lack of directly–intercomparable exposure data influence the actual and perceived quality and safety of different DW supplies and directly impact consumer decision–making. Objectives: The purpose of this paper is to provide a meta-analysis (quantitative synthesis) of POU–DW contaminant–mixture exposures and corresponding potential human–health effects of private-TW, public-TW, and BW by aggregating exposure results and harmonizing apical–health–benchmark–weighted and bioactivity–weighted effects predictions across previous studies by this research group. Discussion: Simultaneous exposures to multiple inorganic and organic contaminants of known or suspected human-health concern are common across all three DW supplies, with substantial variability observed in each and no systematic difference in predicted cumulative risk between supplies. Differences in contaminant or contaminant–class exposures, with important implications for DW–quality improvements, were observed and attributed to corresponding differences in regulation and compliance monitoring. Conclusion: The results indicate that human-health risks from contaminant exposures are common to and comparable in all three DW–supplies, including BW. Importantly, this study’s target analytical coverage, which exceeds that currently feasible for water purveyors or homeowners, nevertheless is a substantial underestimation of the breadth of contaminant mixtures in the environment and potentially present in DW. Thus, the results emphasize the need for improved understanding of the adverse human-health implications of long-term exposures to low–level inorganic–/organic–contaminant mixtures across all three distribution pipelines and do not support commercial messaging of BW as a systematically safer alternative to public-TW. Regardless of the supply, increased public engagement in source-water protection and drinking–water treatment is necessary to reduce risks associated with long-term DW–contaminant exposures, especially in vulnerable populations, and to reduce environmental waste and plastics contamination.http://www.sciencedirect.com/science/article/pii/S0160412024008079Point of useDrinking waterPublic supplyPrivate supplyBottled waterContaminant mixtures
spellingShingle Paul M. Bradley
Kristin M. Romanok
Kelly L. Smalling
Stephanie E. Gordon
Bradley J. Huffman
Katie Paul Friedman
Daniel L. Villeneuve
Brett R. Blackwell
Suzanne C. Fitzpatrick
Michael J. Focazio
Elizabeth Medlock-Kakaley
Shannon M. Meppelink
Ana Navas–Acien
Anne E. Nigra
Molly L. Schreiner
Private, public, and bottled drinking water: Shared contaminant-mixture exposures and effects challenge
Environment International
Point of use
Drinking water
Public supply
Private supply
Bottled water
Contaminant mixtures
title Private, public, and bottled drinking water: Shared contaminant-mixture exposures and effects challenge
title_full Private, public, and bottled drinking water: Shared contaminant-mixture exposures and effects challenge
title_fullStr Private, public, and bottled drinking water: Shared contaminant-mixture exposures and effects challenge
title_full_unstemmed Private, public, and bottled drinking water: Shared contaminant-mixture exposures and effects challenge
title_short Private, public, and bottled drinking water: Shared contaminant-mixture exposures and effects challenge
title_sort private public and bottled drinking water shared contaminant mixture exposures and effects challenge
topic Point of use
Drinking water
Public supply
Private supply
Bottled water
Contaminant mixtures
url http://www.sciencedirect.com/science/article/pii/S0160412024008079
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