Exposure of young children to household water lead in the Montreal area (Canada): the potential influence of winter-to-summer changes in water lead levels on children's blood lead concentration

US drinking water quality: exposure risk profiles for seven legacy and emerging contaminants

BACKGROUND

Advances in drinking water infrastructure and treatment throughout the 20th and early 21st century dramatically improved water reliability and quality in the United States (US) and other parts of the world. However, numerous chemical contaminants from a range of anthropogenic and natural sources continue to pose chronic health concerns, even in countries with established drinking water regulations, such as the US.

OBJECTIVE/METHODS

In this review, we summarize exposure risk profiles and health effects for seven legacy and emerging drinking water contaminants or contaminant groups: arsenic, disinfection by-products, fracking-related substances, lead, nitrate, per- and polyfluorinated alkyl substances (PFAS) and uranium. We begin with an overview of US public water systems, and US and global drinking water regulation. We end with a summary of cross-cutting challenges that burden US drinking water systems: aging and deteriorated water infrastructure, vulnerabilities for children in school and childcare facilities, climate change, disparities in access to safe and reliable drinking water, uneven enforcement of drinking water standards, inadequate health assessments, large numbers of chemicals within a class, a preponderance of small water systems, and issues facing US Indigenous communities.

RESULTS

Research and data on US drinking water contamination show that exposure profiles, health risks, and water quality reliability issues vary widely across populations, geographically and by contaminant. Factors include water source, local and regional features, aging water infrastructure, industrial or commercial activities, and social determinants. Understanding the risk profiles of different drinking water contaminants is necessary for anticipating local and general problems, ascertaining the state of drinking water resources, and developing mitigation strategies.

IMPACT STATEMENT

Drinking water contamination is widespread, even in the US. Exposure risk profiles vary by contaminant. Understanding the risk profiles of different drinking water contaminants is necessary for anticipating local and general public health problems, ascertaining the state of drinking water resources, and developing mitigation strategies.

Reduction in water consumption in premise plumbing systems: Impacts on lead concentration under different water qualities

Water conservation measures are increasing in response to regulatory requirements addressing the need for lower environmental footprint and in response to water shortages. In households with lead service lines (LSLs), lowering consumption can adversely impact lead release as it will increase stagnation. Using a lead dissolution model and data from extensive pilot studies on excavated LSLs, the impact of adaptation to different water conservation strategies on dissolved lead contamination at the kitchen tap is assessed under three water qualities and three LSL lengths (3, 14 and 30 m) using hydraulic and water quality modelling. Consumers' behavioural variability is also assessed based on integration of EPANET and results of the stochastic water demand model SIMDEUM. Demand reduction increased the dissolved lead concentrations (Pb_diss) at the end of the LSL with mean values ranging from 28.4 to 63.3 μg/L (without corrosion control) and from 4.6 to 9.9 μg/L with corrosion control (addition of orthophosphate and pH adjustment). Adding orthophosphate (1 mg P/L) to the water reduces the mean Pb_diss values at the kitchen tap from 7.1 μg/L to 1.2 μg/L for a high water demand scenario and from 31.2 to 4.9 μg/L for a low water demand scenario. Finally, the Integrated Exposure Uptake Biokinetic (IEUBK) model is used to predict the potential blood lead levels (BLLs) for children aged 0-84 months. Results showed that the orthophosphate addition of only 1 mg P/L can significantly decrease the proportion of children with a BLL >5 μg/dL, from 82 % to 17 %, under the most extreme water conservation scenario studied, using the 90th percentile of Pb_diss concentrations during usage at kitchen tap. Wide variations of Pb_diss concentrations at the kitchen tap were calculated at times of use over a week (up to 155 μg/L in lower demand scenarios, without corrosion control) showing evident limitations of single random daytime sampling.

Removal of toxic lead from aqueous solution using a low-cost adsorbent

Valorization of waste materials and byproducts as adsorbents is a sustainable approach for water treatment systems. Pottery Granules (PG) without any chemical and thermal modification were used as a low-cost, abundant, and environmentally benign adsorbent against Pb(II), the toxic metal in drinking water. The porous structure and complex mineral composition of PG made it an efficient adsorbent material for Pb(II). The effect of key physicochemical factors was investigated to determine the significance of contact time, PG dose, pH, solution temperature, and coexisting ions, on the process. Pb(II) removal increased by PG dose in the range of 5-15 g/L, and agitation time from 5 to 60 min. Increasing Pb(II) concentration led to a drop in Pb(II) removal, however, adsorption capacity increased significantly as concentration elevated. Pb(II) removal also increased significantly from ~ 45% to ~ 97% by pH from 2 to 12. A ~ 20% improvement in Pb(II) adsorption after rising the solution temperature by 30˚C, indicated the endothermic nature of the process. The sorption was described to be a favorable process in which Pb(II) was adsorbed in a multilayer onto the heterogeneous PG surface. The qmax of 9.47 mg/g obtained by the Langmuir model was superior among many reported low-cost adsorbents. The Pb(II) adsorption was described well by the Pseudo- first-order kinetic model. Na⁺, Mg²⁺, Ca²⁺, Cd²⁺, and Zn²⁺ showed a negligible effect on Pb(II) adsorption. However, the presence of Mn²⁺ and Fe²⁺ significantly hindered the process efficacy. In conclusion, the use of waste material such as PG against Pb(II) is a viable option from the economic and effectiveness points of view.

Levels of Lead in Residential Drinking Water and Iron Deficiency among Patients with End Stage Kidney Disease

Background

Although those with kidney disease may have heightened susceptibility to heavy metal toxicity, whether low levels of drinking water lead contamination have clinical consequence is unknown.

Methods

Given that lead toxicity is known to associate with iron deficiency, we merged data from the Environmental Protection Agency (EPA) Safe Drinking Water Information and United States Renal Data Systems to examine whether municipal 90th percentile drinking water lead levels associate with iron deficiency among incident dialysis patients. Iron deficiency was defined across thresholds of transferrin saturation (<10% and 20%) and ferritin (<100 and <200 ng/ml), and simultaneous transferrin saturation <20% and ferritin <200 ng/ml, all obtained within 30 days of dialysis initiation. The average 90th percentile of drinking water lead samples per patient city of residence over a 5-year period before dialysis initiation was examined at the <1 μg/L level of detection, and at the 25th, 50th, and 100th percentile of the EPA's actionable level (15 μg/L).

Results

Among 143,754 incident ESKD patients, those in cities with drinking water lead contamination had 1.06 (95% CI, 1.03 to 1.09), 1.06 (95% CI, 1.02 to 1.10), and 1.07 (95% CI, 1.03 to 1.11) higher adjusted odds of a transferrin saturation <20%, ferritin <200 ng/ml, and simultaneous transferrin saturation <20% and ferritin <200 ng/ml, respectively. These associations were apparent across the range of lead levels found commonly in the United States and were significantly greater among Black patients (multiplicative interaction P values between lead and race <0.05).

Conclusions

Even exposure to low levels of lead contamination, as commonly found in US drinking water, may have adverse hematologic consequence in patients with advanced kidney disease. These associations are particularly evident among Black people and, although consistent with other environmental injustices facing minorities in the United States, might reflect a greater susceptibility to lead intoxication.

Lead contamination of public drinking water and academic achievements among children in Massachusetts: a panel study

Background

Public drinking water can be an important source exposure to lead, which can affect children’s cognitive development and academic performance. Few studies have looked at the impact of lead exposures from community water supplies or their impact on school achievements. We examined the association between annual community water lead levels (WLLs) and children’s academic performances at the school district level.

Methods

We matched the 90th percentile WLLs with the grade 3–8 standardized test scores from the Stanford Education Data Archive on Geographic School Districts by geographic location and year. We used multivariate linear regression and adjusted for urbanicity, race, socioeconomic characteristics, school district, grade, and year. We also explored potential effect measure modifications and lag effects.

Results

After adjusting for potential confounders, a 5 μg/L increase in 90th percentile WLLs in a GSD was associated with a 0.00684 [0.00021, 0.01348] standard deviation decrease in the average math test score in the same year. No association was found for English Language Arts.

Conclusions

We found an association between the annual fluctuation of WLLs and math test scores in Massachusetts school districts, after adjusting for confounding by urbanicity, race, socioeconomic factors, school district, grade, and year. The implications of a detectable effect of WLLs on academic performance even at the modest levels evident in MA are significant and timely. Persistent efforts should be made to further reduce lead in drinking water.

Supplementary Information

The online version contains supplementary material available at 10.1186/s12889-021-12474-1.

Rapid and simple lead service line detection screening protocol using water sampling

Many water systems are challenged with uncertainty regarding service line material type. This work investigated using a simple drinking water flushed sampling approach and a more complicated and invasive sequential profile sampling approach to predict whether homes had an existing lead service line (LSL). Homes that never had an LSL (control groups) and homes with LSLs (study groups) in two communities having different degrees of corrosion control were sampled. Using control groups' results, community-specific "threshold" lead levels were determined and compared to results from study groups. The flushed sampling maximum lead concentration (FMC) of lead accurately predicted 100% and 60% of LSL sites for the community with poor and good corrosion control, respectively. The weighted average sequential profile lead concentration (WASLC) increased the 40% not identified as LSL sites by fully flushed samples to 100%. The WASLC closely followed by the maximum sequential profile lead concentration were most reliable in identifying LSLs.

Computational Investigation of Adsorptive Removal of Pb

Adsorption using metal–organic frameworks (MOFs) such as UiO-66 has shown great promise in remediating water sources contaminated with toxic heavy metals such as Pb2+, but detailed information about the adsorption process remains limited. In this article, we gained mechanistic insights into Pb2+ adsorption using both functionalised and defective UiO-66 by performing density functional theory calculations using cluster models. Our benchmarked approach led to a computational model of solvated Pb2+ (a hemidirected Pb(H2O)62+ complex) fully consistent with experimental reports. The analysis of Pb2+ adsorption using functionalised UiO-66 determined that factors such as electrostatic attraction, chelation, and limited constraints on the Pb2+ coordination geometry lead to enhanced binding affinity. For these reasons, UiO-66-COO– was identified as the most promising functionalised MOF, consistent with experimental literature. We additionally explored a novel aspect of Pb2+ adsorption by UiO-66: the role of missing linker defects that often characterise this MOF. We found that the defects expected to form in an aqueous environment can act as excellent adsorption sites for Pb2+ and the preferred adsorption geometry is again determined by electrostatic attraction, chelation, and constraints on the Pb2+ coordination geometry. Overall, we conclude that functional groups and defect sites can both contribute to Pb2+ adsorption and our study provides crucial design principles for improving the UiO-66 MOF performance in toxic Pb2+ removal from water.

A probabilistic toxicokinetic modeling approach to the assessment of the impact of daily variations of lead concentrations in tap water from schools and daycares on blood lead levels in children

The aim of this study was to assess the impact of exposure to tap water lead concentration ([Pb]_TW) occurring in schools or daycares on blood lead level (BLL) of attending children. Given the potentially wide variations in space and time of ([Pb]_TW) documented in the literature, a simple probabilistic toxicokinetic (STK) model that allows the simulation of the time-varying evolution of BLL in response to these variations was developed. Thus, basic toxicokinetic equations were assembled to simulate BLL in a typical infant, toddler and pupil. The STK model's steady-state BLL predictions showed good correspondence when validated against Integrated Exposure and Uptake BioKinetic model predictions for comparable [Pb]_TW values. Exposures to three distributions of [Pb]_TW in specific sets of Canadian schools and daycares documented in the scientific literature were simulated probabilistically with Monte Carlo simulations. For the highest distribution of [Pb]_TW simulated (median, 90th percentile = 24, 412 μg/L), average annual BLL (median, 97.5th percentile) varies between 1.5 and 6.4 μg/dL in infant and 1.1 and 3 μg/dL in pupils. Toddler's results were midway between those from the infants and pupils. Under this exposure scenario, the infant may present BLL > 5 μg/dL for a significant number of days over the course of the academic year (median; 97.5th: 17; 227 days). However, peak exposure may remain unnoticed if rare and drowned out by the background BLL. In conclusion, even if they may be sparse, peak exposure episodes to [Pb]_TW in schools and daycares may suffice to increased BLL in attending individuals. This finding emphasizes the need for further characterization of [Pb]_TW in schools and daycares in order to identify potentially problematic institutions and therefore avoid undesirable exposures for the children attending them.

Variability and sampling of lead (Pb) in drinking water: Assessing potential human exposure depends on the sampling protocol

Lead (Pb) in drinking water has re-emerged as a modern public health threat which can vary widely in space and in time (i.e., between homes, within homes and even at the same tap over time). Spatial and temporal water Pb variability in buildings is the combined result of water chemistry, hydraulics, Pb plumbing materials and water use patterns. This makes it challenging to obtain meaningful water Pb data with which to estimate potential exposure to residents. The objectives of this review paper are to describe the root causes of intrinsic Pb variability in drinking water, which in turn impacts the numerous existing water sampling protocols for Pb. Such knowledge can assist the public health community, the drinking water industry, and other interested groups to interpret/compare existing drinking water Pb data, develop appropriate sampling protocols to answer specific questions relating to Pb in water, and understand potential exposure to Pb-contaminated water. Overall, review of the literature indicated that drinking water sampling for Pb assessment can serve many purposes. Regulatory compliance sampling protocols are useful in assessing community-wide compliance with a water Pb regulatory standard by typically employing practical single samples. More complex multi-sample protocols are useful for comprehensive Pb plumbing source determination (e.g., Pb service line, Pb brass faucet, Pb solder joint) or Pb form identification (i.e., particulate Pb release) in buildings. Exposure assessment sampling can employ cumulative water samples that directly capture an approximate average water Pb concentration over a prolonged period of normal household water use. Exposure assessment may conceivably also employ frequent random single samples, but this approach warrants further investigation. Each protocol has a specific use answering one or more questions relevant to Pb in water. In order to establish statistical correlations to blood Pb measurements or to predict blood Pb levels from existing datasets, the suitability of available drinking water Pb datasets in representing water Pb exposure needs to be understood and the uncertainties need to be characterized.

Modeled Impacts of Drinking Water Pb Reduction Scenarios on Children's Exposures and Blood Lead Levels

In recent years, environmental lead (Pb) exposure through drinking water has resulted in community public health concerns. To understand potential impacts on blood Pb levels (BLLs) from drinking water Pb reduction actions (i.e., combinations of lead service lines [LSL] and corrosion control treatment [CCT] scenarios), EPA's Stochastic Human Exposure and Dose Simulation (SHEDS)-Multimedia/Integrated Exposure Uptake and Biokinetic (IEUBK) model was applied for U.S. children aged 0 to <6 years. The results utilizing a large drinking water sequential sampling data set from 15 cities to estimate model input concentration distributions demonstrated lowest predicted BLLs for the "no LSLs" with "combined CCT" scenario and highest predicted BLLs for the "yes LSLs" and "no CCT" scenario. Modeled contribution to BLLs from ingestion of residential drinking water ranged from ∼10 to 80%, with the highest estimated for formula-fed infants (age 0 to <1 year). Further analysis using a "bounding" data set spanning a range of realistic water Pb concentrations and variabilities showed BLL predictions consistent with the sequential sampling-derived inputs. Our study illustrates (1) effectiveness of LSL replacement coupled with CCT for reducing Pb in drinking water and children's BLLs, and (2) in some age groups, under realistic local and residential water use conditions, drinking water can be the dominant exposure pathway.

Lead seasonality in humans, animals, and the natural environment

Lead adversely impacts the health of humans, animals, and the natural environment. Higher lead burdens in warm weather occur in humans, domesticated and wild animals; land and water species; urban and rural, developed and pristine environments. The array of evidence suggests that lead seasonality is multifactorial within the natural world, including humans. Seasonally higher temperatures, solar radiation, humidity and anthropogenic pollution result in lower pH (acidification) in air, water and soil. Environmental acidification increases lead's bioavailability and mobility thus intensifying human, animal and plant exposures. In addition, lead seasonality in the biosphere is influenced by higher growth rates, slightly increased exposures, and more Vitamin D metabolism. Methodologically, we applied a One Health perspective to EPA's Integrated Science Assessments of Lead to review the published literature, supplemented with subsequent and related publications to assess data on the seasonality of lead exposure across species and through the earth's systems. Our integrated assessment suggests that: 1) 'Seasonality' is a multifactorial, terrestrial phenomenon affecting the natural world; human activities have exacerbated natural cyclicities that impact lead exposures across species. 2) To be sustainable, human lead remediation strategies must consider the total environment. 3) Global warming and climate change events may increase lead exposures and toxicity to all species throughout the natural environment.

Adsorption study of heavy metals in aqueous solutions aiming at the treatment of contaminated groundwater

This study evaluates the application of the vegetal activated carbon (AC), vegetable AC impregnated with Ag and Cu (0.08% m/m) and cationic Supergel^TM SGC650H resin for adsorption of Fe³⁺ and Pb²⁺ ions in closed and batch system. The best adsorption capacities were obtained by using the cationic resin SGC650H, pH 3, temperature of 30 °C and stirring speed of 100 rpm. Thus, the kinetic and equilibrium experiments, in mono- and bicomponent, were performed using SGC650H resin, wherein the kinetic models of pseudo-first and pseudo-second order presented a good fit to the kinetic data, for mono- and bicomponent, respectively. The Langmuir isotherm adequately represented the monocomponent equilibrium data, showing maximum adsorption capacities values of 7.18 and 4.00 meq g^-1 for Fe³⁺ and Pb²⁺, respectively. An inhibitory effect between the metal species was verified by fitting the modified extended Langmuir isotherm model to the binary equilibrium data, which allowed to predict changes in the surface affinity to the adsorbent by the metal ions. Based on the observed results, the use of SGC650H resin presents great potential for water treatment systems contaminated with heavy metals.

Public Health Consequences of Lead in Drinking Water

PURPOSE OF REVIEW

Lead can enter drinking water from lead service lines and lead-containing plumbing, particularly in the presence of corrosive water. We review the current evidence on the role of drinking water as a source of lead exposure and its potential impacts on health, with an emphasis on children. Drinking water guidelines and mitigation strategies are also presented.

RECENT FINDINGS

The impact of lead on neurodevelopmental effects in children even at low levels of exposure is well established. Population and toxicokinetic modeling studies have found a clear relationship between water lead levels and blood lead levels in children at low levels of lead in drinking water. Various mitigation strategies can lower lead levels in water. The importance of drinking water as a contributor to total lead exposure depends on water lead levels and the amount consumed, as well as the relative contribution of other sources. Efforts should be made to reduce lead exposure for all sources, including drinking water, considering that no threshold level of exposure exists for the neurodevelopmental effects of lead in children.

True exposure to lead at the tap: Insights from proportional sampling, regulated sampling and water use monitoring

This work aimed to evaluate the ability of four regulatory sampling protocols to accurately determine weekly water lead levels (WLLs) of exposure at the kitchen tap in twenty-nine households with or without a lead service line (LSL). Proportional sampling was used as the gold standard to which the other protocols, 5-min flush, 30-min stagnation, 6-h stagnation and random daytime were compared. Random daytime samples provided mean WLLs closest to true exposure in the households monitored overall compared to other sampling protocols. Strikingly, mean WLLs after 5 min of flushing underestimated lead exposure by 47%. Supporting these observations, water usage patterns revealed that full flushing only occurs in 3.4% of usage events within the service line and in 0.26% at the tap. The time between usage events in the service line was approximately 30 min but the 30-min protocol tended to slightly underestimate WLLs. These differences were explained by flushing prior to the 30-min stagnation sampling, which limited the contribution of the LSL to WLLs. Furthermore, the average stagnation at the kitchen time was 106 min and usage events rarely exceeded the water volume within premise plumbing (1.1 L). Mean WLLs after 6 h of stagnation without flushing overestimated exposure by 29% but provided a conservative indicator of WLLs of exposure.

Drinking water lead and socioeconomic factors as predictors of blood lead levels in New Jersey's children between two time periods

As blood lead levels have decreased over time, the relative contributions of alternative lead sources warrant further examination. Much attention has been paid to the relative contribution of lead in drinking water, particularly after the discovery of contaminated drinking water in Flint, Michigan which has also renewed interest in the persistent socioeconomic and racial disparities in children's exposure to lead. As the environmental sources of lead exposure are shifting in importance over time, we decided to examine how demographic, socioeconomic, and environmental factors may confound or interact with each other, and whether these relationships have changed over time. The study population included all New Jersey resident children aged 6-26 months with at least one blood lead specimen collected between 2000 and 2004 (n = 288,758) or 2010 and 2014 (n = 326,530). Reported 90th percentile water lead data (in parts per billion) was summarized annually for each water system statewide. Children's blood lead levels have decreased over time from a statewide geometric mean of 2.47 µg/dL (95% CI 2.46, 2.48) between 2000 and 2004 to 1.57 µg/dL (95% CI 1.57, 1.57) between 2010 and 2014. Individual-level factors of child's age and season of blood draw and area-based measures of race, older housing, and poverty were predictors of children's blood lead levels. Conclusions regarding area-based measure of Hispanic ethnicity are limited and require further research. The narrow range and low levels of area-based lead concentrations in drinking water limits the ability to detect associations with blood lead levels. Racial disparities in blood lead continue to persist but economic disparities may be narrowing as blood lead concentrations continue to decline.

Groundwater quality monitoring of the Serra Geral aquifer in Toledo, Brazil

In this work, a physical-chemical, elemental and microbiological groundwater monitoring was performed on wells of the Serra Geral aquifer, located in the western region of the Brazilian state of Paraná, along with an evaluation of the elemental composition of soil sediments in the region of groundwater monitoring. The monitoring was carried out in 10 wells distributed throughout the rural area of the municipality of Toledo-PR. Elemental analyses were performed using the analytical technique of total reflection X-ray fluorescence spectrometry. From the results obtained, it was observed that in some wells, iron and lead concentrations were above the maximum limits allowed by the Brazilian legislation in some months, demonstrating that the evaluated groundwater is susceptible to contamination. By the analysis of the soil sediments, the presence of iron and lead in the region soil/rock was verified, which may be associated to rainwater percolation making it necessary to periodically monitor the groundwater consumed by the population of the municipality of Toledo-PR.

Intake of lead (Pb) from tap water of homes with leaded and low lead plumbing systems

Methods of quantifying consumer exposure to lead in drinking water are increasingly of interest worldwide, especially those that account for consumer drinking habits and the semi-random nature of water lead release from plumbing systems. A duplicate intake protocol was developed in which individuals took a sub-sample from each measured drink they consumed in the home over three days in both winter and summer. The protocol was applied in two different water company regional areas (WC1 and WC2), selected to represent high risk situations in England, with the presence or absence of lead service pipes or phosphate corrosion control. Consumer exposure to lead was highest in properties with lead service pipes, served by water without P dosing. The protocol indicated that a small number of individuals in the study, all from homes with lead service pipes, consumed lead at levels that exceeded current guidance from the European Food Standards Agency. Children's potential blood lead levels (BLLs) were estimated using the Internal Exposure Uptake Biokinetic model (IEUBK). The IEUBK model predicted that up to 46% of children aged 0-7 years old may have elevated BLLs (>5 μg/dL) when consuming the worst case drinking water quality (>99%ile). Estimating blood lead levels using the IEUBK model for more typical lead concentrations in drinking water identified in this study (between 0.1 and 7.1 μg/L), predicts that elevated BLLs may affect a small proportion of children between 0 and 7 years old.

High Content of Lead Is Associated with the Softness of Drinking Water and Raised Cardiovascular Morbidity: A Review

Daily ingestion of lead (Pb), even through piped drinking water, has long time been an important issue of concern, attracting for decades research in environmental science and toxicology, and again comes to prominence because of recent high-profile cases of exposure of populations in several countries to Pb-contaminated water. Numerous studies have reported an association between Pb in water and the risk of cardiovascular pathologies. Low levels of magnesium and calcium, i.e., low degree of hardness of the drinking water, may accentuate Pb leaching from water pipes and furthermore increase Pb absorption. This review evaluates the evidence for an association between Pb exposure from drinking water and cardiovascular end points in human populations.

Drinking water lead, iron and zinc concentrations as predictors of blood lead levels and urinary lead excretion in school children from Montevideo, Uruguay

The global burden of water-based lead (Pb) exposure on children is largely unknown; however, the importance of water sources as a path of Pb exposure is receiving increased attention due to recent prominent exposure events related to corroded plumbing infrastructure in the US. This study investigated the contribution of Pb in household drinking and cooking water to Pb levels in blood (PbB) and urine (PbU) within 353 early school-aged children from Montevideo, Uruguay. Additionally, the analysis considered the child's iron status and the water content of iron (WFe) and zinc (WZn) in relation to water Pb and blood/urine Pb concentrations. Lead concentrations for both PbB and PbU were fairly low (M ± SD: 4.2 ± 2.1 μg/dL; Median [5%, 95%]: 1.9 [0.6, 5.1 μg/L, respectively]); however 21% of the sample had a PbB >5 μg/dL but ≤ 10 μg/dL. Overall, there was little evidence of an association between water metal concentrations and children's PbB/PbU. However, when the sample was stratified by children's iron status, WPb was positively related to PbU, but negatively related to PbB in iron-replete children, even after adjusting for WFe and WZn. In iron-deficient children, there was no elevation in PbU with increasing WPb. In this sample of children with low Pb levels, there were no overwhelming relationships between WPb and either PbB or PbU, however, there was some evidence that iron-replete status promotes excretion of WPb.

Scale Formation Under Blended Phosphate Treatment for a Utility With Lead Pipes

US corrosion control practice often assumes that the orthophosphate component of blended phosphate corrosion inhibitors causes the formation of low-solubility lead-orthophosphate solids that control lead release into drinking water. This study identified the solids that formed on the interior surface of a lead service line and a galvanized steel pipe excavated from a system using a proprietary blended phosphate chemical. The scale was analyzed by X-ray diffraction, X-ray fluorescence, and scanning electron microscopy/energy dispersive spectroscopy. Instead of crystalline lead-orthophosphate solids, a porous amorphous layer rich in aluminum, calcium, phosphorus, and lead was observed at the lead pipe scale-water interface. Thus, the mechanism inhibiting lead release into the water was not a thermodynamically predictable passivating lead-orthophosphate scale, but rather an amorphous barrier deposit that was possibly vulnerable to disturbances. Galvanized pipe scales showed relatively crystalline iron and zinc compounds, with additional surface deposition of aluminum, phosphorus, calcium, and lead.

A discussion about public health, lead and Legionella pneumophila in drinking water supplies in the United States

Lead (Pb) in public drinking water supplies has garnered much attention since the outset of the Flint water crisis. Pb is a known hazard in multiple environmental matrices, exposure from which results in long-term deleterious health effects in humans. This discussion paper aims to provide a succinct account of environmental Pb exposures with a focus on water Pb levels (WLLs) in the United States. It is understood that there is a strong correlation between WLLs and blood Pb levels (BLLs), and the associated health effects. However, within the Flint water crisis, more than water chemistry and Pb exposure occurred. A cascade of regulatory and bureaucratic failures culminated in the Flint water crisis. This paper will discuss pertinent regulations and responses including their limitations after an overview of the public health effects from Pb exposure as well as discussion on our limitations on monitoring and mitigating Pb in tap water. As the Flint water crisis also included increased Legionnares' disease, caused by Legionella pneumophila, this paper will discuss factors influencing L. pneumophila growth. This will highlight the systemic nature of changes to water chemistry and public health impacts. As we critically analyze these important aspects of water research, we offer discussions to stimulate future water quality research from a new and systemic perspective to inform and guide public health decision-making.

Paper-based analytical device for sampling, on-site preconcentration and detection of ppb lead in water

A simple and cost effectiveness procedure based on a paper based analytical device (PAD) for sampling, on-site preconcentration and determination of Pb(II) in water samples was developed. The inkjet printing method was used for patterning of PAD. Colorimetric assay was developed on a PAD for Pb(II) detection in µgL(-1) level. This µgL(-1) level detection limit was achieved by in situ- and on-site preconcentration of Pb(II) onto adsorption filter paper disc with a home-made holder before color development. Water sample was loaded onto a circular filter paper coated with zirconium silicate in 3% sodium carboxymethylcellulose for Pb(II) preconcentration. Subsequently, sodium rhodizonate in tartrate buffer solution (pH 2.8) was used as colorimetric reagent for direct Pb(II) detection on a PAD. Detection was achieved by measuring the pink color and recorded by scanner or digital camera. ImageJ software was used for measuring grey scale values. The calibration curve was linear in the range of 10µgL(-1) and 100µgL(-1), with a detection limit of 10µgL(-1). The developed method was successfully applied to the determination of Pb(II) in drinking water, tap water and surface water near electronic waste storage and the results were compared with those by graphite furnace atomic absorption spectroscopy (GF-AAS) with good agreement.

Children's Blood Lead Seasonality in Flint, Michigan (USA), and Soil-Sourced Lead Hazard Risks

In Flint; MI; USA; a public health crisis resulted from the switching of the water supply from Lake Huron to a more corrosive source from the Flint River in April 2014; which caused lead to leach from water lines. Between 2010 and 2015; Flint area children’s average blood lead patterns display consistent peaks in the third quarter of the year. The third quarter blood lead peaks displayed a declining trend between 2010 and 2013; then rose abruptly between the third quarters of 2013 from 3.6% blood lead levels ≥5 µg/dL to a peak of about 7% in the third quarter of 2014; an increase of approximately 50%. The percentage of blood lead level ≥5 µg/dL in the first quarter of 2015 then dropped to 2.3%; which was the same percentage as the first quarter of 2014 (prior to the Flint River water source change). The Flint quarterly blood lead level peak then rose to about 6% blood lead levels ≥ 5 µg/dL in the third quarter of 2015; and then declined to about 2.5% in the fourth quarter of 2015. Soil lead data collected by Edible Flint food collaborative reveal generally higher soil lead values in the metropolitan center for Flint; with lower values in the outskirts of the city. The questions that are not being asked is why did children’s blood lead levels display a seasonal blood lead pattern before the introduction of the new water supply in Flint; and what are the implications of these seasonal blood lead patterns? Based upon previous findings in Detroit and other North American cities we infer that resuspension to the air of lead in the form of dust from lead contaminated soils in Flint appears to be a persistent contribution to lead exposure of Flint children even before the change in the water supply from Lake Huron to the Flint River.

Use of a Cumulative Exposure Index to Estimate the Impact of Tap Water Lead Concentration on Blood Lead Levels in 1- to 5-Year-Old Children (Montréal, Canada)

BACKGROUND

Drinking water is recognized as a source of lead (Pb) exposure. However, questions remain about the impact of chronic exposure to lead-contaminated water on internal dose.

OBJECTIVE

Our goal was to estimate the relation between a cumulative water Pb exposure index (CWLEI) and blood Pb levels (BPb) in children 1-5 years of ages.

METHODS

Between 10 September 2009 and 27 March 2010, individual characteristics and water consumption data were obtained from 298 children. Venous blood samples were collected (one per child) and a total of five 1-L samples of water per home were drawn from the kitchen tap. A second round of water collection was performed between 22 June 2011 and 6 September 2011 on a subsample of houses. Pb analyses used inductively coupled plasma mass spectroscopy. Multiple linear regressions were used to estimate the association between CWLEI and BPb.

RESULTS

Each 1-unit increase in CWLEI multiplies the expected value of BPb by 1.10 (95% CI: 1.06, 1.15) after adjustment for confounders. Mean BPb was significantly higher in children in the upper third and fourth quartiles of CWLEI (0.7-1.9 and ≥ 1.9 μg/kg of body weight) compared with the first (< 0.2 μg/kg) after adjusting for confounders (19%; 95% CI: 0, 42% and 39%; 95% CI: 15, 67%, respectively). The trends analysis yielded a p-value < 0.0001 after adjusting for confounders suggesting a dose-response relationship between percentiles of CWLEI and BPb.

CONCLUSIONS

In children 1-5 years of age, BPb was significantly associated with water lead concentration with an increase starting at a cumulative lead exposure of ≥ 0.7 μg Pb/kg of body weight. In this age group, an increase of 1 μg/L in water lead would result in an increase of 35% of BPb after 150 days of exposure.

Heavy Metal Contamination in Rice-Producing Soils of Hunan Province, China and Potential Health Risks

We studied Cd, Cr, As, Ni, Mn, Pb, and Hg in three agricultural areas of Hunan province and determined the potential non-carcinogenic and carcinogenic risks for residents. Soil and brown rice samples from Shimen, Fenghuang, and Xiangtan counties were analyzed by atomic absorption spectroscopy. Soil levels of Cd and Hg were greatest, followed by As and Ni. The mean concentrations of heavy metals in brown rice were Cd 0.325, Cr 0.109, As 0.344, Ni 0.610, Mn 9.03, Pb 0.023, and Hg 0.071 mg/kg, respectively. Cd and Hg had greater transfer ability from soil to rice than the other elements. Daily intake of heavy metals through brown rice consumption were estimated to be Cd 2.30, Cr 0.775, As 2.45, Ni 4.32, Pb 0.162, Mn 64.6 and Hg 0.503 µg/(kg·day), respectively. Cd, Hg and As Hazard Quotient values were greater than 1 and Cd, Cr, As and Ni Cancer Risk values were all greater than 10(-4). The total non-carcinogenic risk factor was 14.6 and the total carcinogenic risk factor was 0.0423. Long-term exposure to heavy metals through brown rice consumption poses both potential non-carcinogenic and carcinogenic health risks to the local residents.