SilentSpringInstitute/ej_ucmr3
Code associated with the UCMR3 paper entitled "Socioeconomic disparities in exposures to PFAS and other unregulated industrial drinking water contaminants in U.S. public water systems"
Sociodemographic Factors Are Associated with the Abundance of PFAS Sources and Detection in U.S. Community Water Systems
Abstract. Drinking water contaminated by per- and polyfluoroalkyl substances (PFAS) is a widespread public health concern, and exposure–response relationsh
US drinking water quality: exposure risk profiles for seven legacy and emerging contaminants
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.
Guideline levels for PFOA and PFOS in drinking water: the role of scientific uncertainty, risk assessment decisions, and social factors
Communities across the U.S. are discovering drinking water contaminated by perfluoroalkyl and polyfluoroalkyl substances (PFAS) and determining appropriate actions. There are currently no federal PFAS drinking water standards despite widespread drinking water contamination, ubiquitous population-level exposure, and toxicological and epidemiological evidence of adverse health effects. Absent federal PFAS standards, multiple U.S. states have developed their own health-based water guideline levels to guide decisions about contaminated site cleanup and drinking water surveillance and treatment. We examined perfluorooctanoic acid (PFOA) and perfluorooctane sulfonate (PFOS) water guideline levels developed by the U.S. Environmental Protection Agency (EPA) and state agencies to protect people drinking the water, and summarized how and why these levels differ. We referenced documents and tables released in June 2018 by the Interstate Technology and Regulatory Council (ITRC) to identify states that have drinking water and groundwater guideline levels for PFOA and/or PFOS that differ from EPA’s health advisories (HAs). We also gathered assessment documents from state websites and contacted state environmental and health agencies to identify and confirm current guidelines. Seven states have developed their own water guideline levels for PFOA and/or PFOS ranging from 13 to 1000 ng/L, compared to EPA’s HA of 70 ng/L for both compounds individually or combined. We find that the development of PFAS guideline levels via exposure and hazard assessment decisions is influenced by multiple scientific, technical, and social factors, including managing scientific uncertainty, technical decisions and capacity, and social, political, and economic influences from involved stakeholders. Assessments by multiple states and academic scientists suggest that EPA’s HA is not sufficiently protective. The ability of states to develop their own guideline levels and standards provides diverse risk assessment approaches as models for other state and federal regulators, while a sufficiently protective, scientifically sound, and enforceable federal standard would provide more consistent protection.
Tap Water Contributions to Plasma Concentrations of Poly- and Perfluoroalkyl Substances (PFAS) in a Nationwide Prospective Cohort of U.S. Women
Abstract Background: Between 2013 and 2015, concentrations of poly- and perfluoroalkyl substances (PFAS) in public drinking water supplies serving at least six million individuals exceeded the level set forth in the health advisory established by the U.S. Environmental Protection Agency. Other than data reported for contaminated sites, no systematic or prospective data exist on the relative source contribution (RSC) of drinking water to human PFAS exposures. Objectives: This study estimates the RSC of tap water to overall PFAS exposure among members of the general U.S. population. Methods: We measured concentrations of 15 PFAS in home tap water samples collected in 1989–1990 from 225 participants in a nationwide prospective cohort of U.S. women: the Nurses’ Health Study (NHS). We used a one-compartment toxicokinetic model to estimate plasma concentrations corresponding to tap water intake of PFAS. We compared modeled results with measured plasma PFAS concentrations among a subset of 110 NHS participants. Results: Tap water perfluorooctanoic acid (PFOA) and perfluorononanoic acid (PFNA) were statistically significant predictors of plasma concentrations among individuals who consumed ≥8 cups of tap water per day. Modeled median contributions of tap water to measured plasma concentrations were: PFOA 12% (95% probability interval 11%–14%), PFNA 13% (8.7%–21%), linear perfluorooctanesulfonic acid (nPFOS) 2.2% (2.0%–2.5%), branched perfluorooctanesulfonic acid (brPFOS) 3.0% (2.5%–3.2%), and perfluorohexanesulfonic acid (PFHxS) 34% (29%–39%). In five locations, comparisons of PFASs in community tap water collected in the period 2013–2016 with samples from 1989–1990 indicated increases in quantifiable PFAS and extractable organic fluorine (a proxy for unquantified PFAS). Conclusions: Our results for 1989–1990 compare well with the default RSC of 20% used in risk assessments for legacy PFAS by many agencies. Future evaluation of drinking water exposures should incorporate emerging PFAS. https://doi.org/10.1289/EHP4093
Characteristics of ‘early adopters’ of water treatment capacity needed to remove PFAS and other emerging contaminants in the United States
Larger CWS were 7–8 times more likely than smaller systems to adopt advanced treatment processes over 2004–2022. , Past work shows exposures to drinking water contaminants can differ among regions with varying sociodemographic composition, in part due to disparities in siting of pollution sources. Drinking water treatment by reverse osmosis, ion exchange, or activated carbon has been recommended by United States (US) regulatory agencies for community water systems (CWS) with elevated concentrations of emerging chemical toxicants such as per- and polyfluoroalkyl substances (PFAS). However, barriers faced by CWS in implementing such technologies are not well understood. Here we used a national scale ( n = 36 611 CWS) Kaplan–Meier “survival” analysis, as well as adjusted piecewise logistic regression models, to retrospectively examine characteristics of CWS that were “early adopters” of these treatment technologies between 2004–2022. Results showed the largest CWS serving >100 000 customers adopted the treatment technologies considered here 7–8 times faster than small and very small CWS serving <3300 customers from 2004–2022. Nationally and for a case study of CWS with elevated PFAS concentrations, the odds of CWS adopting the treatment technologies considered in this study between 2004–2022 were significantly lower (10–25%) for each 10% higher proportion of non-Hispanic Black residents. Results were generally consistent when focusing on CWS with prior MCL violations and in CWS across different US regions , system sizes, and source water types. The proportion of American Indian and Alaskan Native residents was also inversely associated with adoption of the treatment technologies for certain groups of CWS. These results suggest managerial and financial barriers to removal of high levels of emerging contaminants in drinking water may be most pronounced for some small CWS and those serving selected historically marginalized communities.
County-level associations between drinking water PFAS contamination and COVID-19 mortality in the United States
Epidemiologic and animal studies both support relationships between exposures to per- and polyfluoroalkyl substances (PFAS) and harmful effects on the immune system. Accordingly, PFAS have been identified as potential environmental risk factors for adverse COVID-19 outcomes.
Replication Data for: Sociodemographic Factors are Associated with the Abundance of PFAS Sources and Detection in U.S. Community Water Systems
This repository holds two replication datasets for the study titled, "Sociodemographic Factors are Associated with the Abundance of PFAS Sources and Detection in U.S. Community Water Systems." Additional information is available in the readme file for download.
PFAS Statewide Sampling Dataset: PFAS drinking water sampling data from U.S. community water systems
This repository contains a sample of U.S. community water systems (CWS) included in the PFAS statewide sampling dataset. In the first versions of this dataset, 18 states were included as part of Liddie et al., 2023. The statewide sampling dataset now includes compiled data from 28 U.S. statewide sampling campaigns of CWS for per- and polyfluoroalkyl substances (PFAS) in drinking water. The full dataset of samples spans the 2016-2024 period. All data were either publicly available or provided by state agencies upon request. The full dataset contains approximately 98,000 samples from 11,138 CWS in Alabama, Arizona, California, Colorado, Georgia, Illinois, Indiana, Iowa, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, New Hampshire, New Jersey, New York, Ohio, Pennsylvania, Rhode Island, South Carolina, Tennessee, Utah, Vermont, Virginia, Washington, and Wisconsin. Concentrations of 5-40 targeted PFAS were analyzed by multiple labs contracted by the states using comparable methods, including either US EPA Method 537, 537.1, or 533. We assigned a conservative, uniform detection limit at the 98th percentile of all reports detection limits (5 ng/L) for the 5 PFAS that were measured in all states consistently. This dataset also incorporates data from the US EPA’s Safe Drinking Water Information System, including the source water type, county served, zip code, system city, and total population served. The 8-digit hydrological unit code in which a CWS intake is estimated to reside is also provided using data from the United States Geological Survey. This was done by geocoding each CWS using geographical data provided by state agencies, reported zip codes (when available), or based on additional information provided by each system (e.g., system name, city, city served). At this time, the full datasets (either system-level or sample-level) are available by request (see contact information below). Note that additional fields, such continuous concentration data, reported detection limits, concentrations of other PFAS analytes, are also available. Proper citation of both this repository and the original associated paper (see recommended citations below) are required for use of these data. Due to the significant time investment required to curate these data, additional data requests beyond the scope of the details listed here are welcomed but should be agreed upon (e.g., in terms of co-authorship) with the primary point of contact. Please contact Jahred Liddie (jliddie@g.harvard.edu) for questions/suggestions, access to additional variables, or access to the full sampling datasets.
A Statistical Approach for Identifying Private Wells Susceptible to Perfluoroalkyl Substances (PFAS) Contamination
Abstract. Drinking water concentrations of per- and polyfluoroalkyl substances (PFAS) exceed provisional guidelines for millions of Americans. Data on priv
Replication Data for: Characteristics of 'Early Adopters' of Water Treatment Capacity Needed to Remove PFAS and other Emerging Contaminants in the United States
This repository holds replication datasets for the study titled, "Characteristics of 'Early Adopters' of Water Treatment Capacity Needed to Remove PFAS and other Emerging Contaminants in the United States." Additional information is available in the readme file for download.
Replication Data for: County-Level Associations between Drinking Water PFAS Contamination and COVID-19 Mortality in the United States
This repository holds two replication datasets for the study titled, "County-Level Associations between Drinking Water PFAS Contamination and COVID-19 Mortality in the United States." Additional information is available in the readme file for download.
High organofluorine concentrations in municipal wastewater affect downstream drinking water supplies for millions of Americans
Wastewater receives per- and polyfluoroalkyl substances (PFAS) from diverse consumer and industrial sources, and discharges are known to be a concern for drinking water quality. The PFAS family includes thousands of potential chemical structures containing organofluorine moieties. Exposures to a few well-studied PFAS, mainly perfluoroalkyl acids (PFAA), have been associated with increased risk of many adverse health outcomes, prompting federal drinking water regulations for six compounds in 2024. Here, we find that the six regulated PFAS (mean = 7 to 8%) and 18 measured PFAA (mean = 11 to 21%) make up only a small fraction of the extractable organofluorine (EOF) in influent and effluent from eight large municipal wastewater treatment facilities. Most of the EOF in influent (75%) and effluent (62%) consists of mono- and polyfluorinated pharmaceuticals. The treatment technology and sizes of the treatment facilities in this study are similar to those serving 70% of the US population. Despite advanced treatment technologies, the maximum EOF removal efficiency among facilities in this work was <25%. Extrapolating our measurements to other large facilities across the United States results in a nationwide EOF discharge estimate of 1.0 to 2.8 million moles F y −1 . Using a national model that simulates connections between wastewater discharges and downstream drinking water intakes, we estimate that the sources of drinking water for up to 23 million Americans could be contaminated above regulatory thresholds by wastewater-derived PFAS alone. These results emphasize the importance of further curbing ongoing PFAS sources and additional evaluations of the fate and toxicity of fluorinated pharmaceuticals.
Delayed discovery, dissemination, and decisions on intervention in environmental health: a case study on immunotoxicity of perfluorinated alkylate substances
Identification and characterization of environmental hazards that impact human health must rely on the best possible science to inform and inspire appropriate public health intervention. The perfluorinated alkylate substances (PFASs) are persistent emerging pollutants that are now being recognized as important human health hazards. Although the PFASs have been produced for over 60 years, academic research on environmental health aspects has appeared only in the most recent 10 years or so. In the meantime, these persistent chemicals accumulated in the global environment. Some early studies e.g., on population exposures and toxicity, were not released to the public until after year 2000. Still, the first PFAS risk assessments ignored these reports and relied on scant journal publications. The first guidelines and legal limits for PFAS exposure, e.g., from drinking water, were proposed 10 years ago. They have decreased substantially since then, but remain higher than suggested by data on human adverse effects, especially on the immune system, that occur at background exposure levels. By now, the best-known PFASs are being phased out, and related PFASs are being introduced as substitutes. Given the substantial delays in discovery of PFAS toxicity, in dissemination of findings, and in regulatory decisions, PFAS substitutes and other persistent industrial chemicals should be subjected to prior scrutiny before widespread usage.
Isolating the AFFF Signature in Coastal Watersheds Using Oxidizable PFAS Precursors and Unexplained Organofluorine
Abstract. Water supplies for millions of U.S. individuals exceed maximum contaminant levels for per- and polyfluoroalkyl substances (PFAS). Contemporary an
Emerging questions in exposure, regulation, and remediation of PFAS
My research is highly interdisciplinary and includes exposure and risk analysis. Many of our colleagues have diverse backgrounds and work together to address the interdisciplinary challenges associated with PFAS contamination …I think one of the largest gaps right now is understanding the importance of different exposure pathways for the general population.Given the tremendous physical and mental toll affected communities have experienced due to their exposure to PFAS, there is an unusually strong connection between citizens and scientists, and I hope that bond will strengthen over time.
