Healthy Drinking Water and Healthy Homes – Communicating to the Public: What is a Drinking Water Advisory?
Healthy Drinking Water and Healthy Homes – Communicating to the Public
What is a Drinking Water Advisory?
DO NOT PANIC ! What are Drinking Water Advisories and What Should You Do ?
Drinking water advisories let customers know that their tap water or drinking water could be contaminated and make them sick. There are no advisories for private well owners or drinking wate systems that are NOT regulated. Advisories are used to send a message to users, customers, individuals, business, schools and other institutions that there is a potential problem with the water and how to act without getting into the details that are part of a Community Water Supply System or a regulated Non-Community System like a school, gasoline station that serves food, etc. One thing we learned from Flint, Michigan and other case studies is that the citizens and most users do not really know what a “Drinking Water Advisory Means” and most Authorities or Water Companies DO NOT Know How to Explain the Situation.
The drinking water advisories typically fall into one of these 3 categories: “Boil Water Advisory”, “Do Not Drink Advisory”, and “Do Not Use Advisory”. Just to confuse you a little more, there is also something called a Health Advisories that are published by EPA and we will deal with these separately.
Boil Water Advisory
If your local health officials, water company, water provider, or Authority issues a boil water advisory, you should take the immediate action of not using your drinking water for consumption (DO NOT DRINK !).
The boil water advisory means that the water may or does contain a pathogen, i.e., a disease-causing agent. The primary actions would include establishing another temporary water source, such as bottled or bulk water, or boiling the water prior to use and consumption. (Please Note: I did not say filter the water or Microwave the water and I did not say drink hot water. I said BOIL!)
Boil water advisories the details.
- Use bottled water, bulk drinking water, or boiled water for drinking, and to prepare and cooking food, feeding the pets, brushing your teeth, and making baby formula.
- If bottled water is not available, bring your tap water to a full rolling boil for 1 minute for elevations below 6,500 feet and if you live at an elevation of over 6,500 feet a 3 minute rolling boil is needed. After boiling, allow the water to cool before use and while it is cooling give a good shake to try and “re-aerate” the water, it will taste better.
- If a boil water advisory is issued, you CAN NOT just filter your water through a particle filter or install or use a Class B UV water treatment system– this is NOT adequate. The verb in the sentence is “BOIL” not filter, but it is ok to boil and then filter (YES). They make some very good home water coolers
- Do not use ICE comes from your automatic ice maker even if the unit has a filter or inline UV unit, the water must be cooled and then cooled and then you can make ice.
- Breastfeeding is the better choice. If you formula feed your child, provide ready-to-use formula, if possible, or the water must be boiled (not Microwaved or heated) and cooled. The boiled water should be used within 72 hours (Source: Allinahealth.org)
- You a water screening test on your temporary water source and your water source when it comes off the boil water advisory.
Handwashing – (After COVID you should be a PRO)
- In many cases, you can use tap water and soap to wash hands during a boil water advisory. DO NOT wash your hands in boiling water or hot water. Follow the guidance from your local public health officials.
- Be sure to scrub your hands with soap and water for at least 20 seconds. Then, rinse them well under running water, but make sure to dry your hands.
- If soap and water are not available, use an alcohol-based hand sanitizer that contains at least 60% alcohol (Source: CDC).
Bathing and showering
- Be careful not to swallow any water when bathing or showering.
- Use caution when bathing babies and young children. Consider giving them a sponge bath to reduce the chance of them swallowing water. You do not need to use bottled water, but you can if you wish.
Brushing teeth
- Brush teeth with boiled water that has cooled or bottled water. Do not use tap water that you have not boiled. You may want to then store your toothbrush in some saline or salt water to prevent bacterial regrowth.
Washing dishes
- If possible, use disposable plates, cups, and utensils during a boil water advisory.
- Household dishwashers generally are safe to use if:
- The water reaches a final rinse temperature of at least 150 degrees Fahrenheit (66°Celsius), or
- The dishwater has a sanitizing cycle.
- At the end of the boil water advisory, we recommend running a sanitizing cycle and using a dishwasher cleaner tablet approved by the manufacturer.
- Sanitize all baby bottles.
- To wash dishes by hand:
- Wash and rinse the dishes as you normally would using hot water.
- In a separate basin, add 1 teaspoon of unscented household liquid bleach for each gallon of warm water.
- Soak the rinsed dishes in the water for at least one minute.
- Let the dishes air dry completely before using again.
Laundry
Washing Clothes (Assuming the drinking water is not discolored or turbid)
- Assuming the water is not discolored or turbid, it is likely safe to wash clothes as usual, but I would clean the unit by using chlorine or a citric acid cleaner or a clothes washer cleaner tablet approved by the manufacturer.
Do Not Drink Water Advisory
Local health authorities issue a do not drink water advisory when your community’s water is, or could be, contaminated with harmful chemicals and toxins, and when boiling water will not make it safe.
Authorities may recommend limited use of tap water for some tasks, depending on the harmful chemical or toxin contaminating the water. Follow health officials’ advice carefully to protect your health and your family’s health.
During a do not drink water advisory, use bottled water for: drinking and cooking, brushing teeth, washing fruits and vegetables, preparing food, mixing baby formula, making ice, and drinking water to pets and livestock.
In some instances, it will be safe to wash hands, flush toilets and shower; in other instances, it will not. You should be cautious when bathing a baby and young children; they might swallow water.
Do not drink or use water from any appliance connected to your water supply lines. This includes the water and ice dispensers in your refrigerator, freezer and dishwasher.
Do Not Use Water Advisory
Local health authorities issue a do not use water advisory when your community’s water is, or could be, contaminated with germs, harmful chemicals, toxins, or radioactive materials. Under this advisory any contact, even with the skin, lungs, or eyes, can be dangerous. Do not drink or use tap water from the impacted system for any purpose as long as the advisory is in effect, including for bathing. These types of advisories are rare.
EPA Health Advisory (HAs)
HAs primarily serve as information to drinking water systems and officials responsible for protecting public health when emergency spills or other contamination situations occur. The Safe Drinking Water Act (SDWA) authorizes EPA to issue HAs for contaminants that are not subject to a National Primary Drinking Water Regulation (NPDWR) (Source: 42 U.S.C. §300g-1(b)(1)(F)). HA documents provide technical information on chemical and microbial contaminants that can cause human health effects and are known or anticipated to occur in drinking water. HA values/levels identify the concentration of a contaminant in drinking water at which adverse health effects and/or aesthetic effects are not anticipated to occur over specific exposure duration (e.g., 1 day, 10 days, a lifetime).
HA: Health Advisory- An estimate of acceptable drinking water levels for a chemical substance based on health effects information; a Health Advisory is not a legally enforceable Federal standard, but serves as technical guidance to assist Federal, state, and local officials.
“One-day HA: The concentration of a chemical in drinking water that is not expected to cause any adverse noncarcinogenic effects for up to one day of exposure
Ten-day HA: The concentration of a chemical in drinking water that is not expected to cause any adverse noncarcinogenic effects for up to ten days of exposure.
Lifetime HA: The concentration of a chemical in drinking water that is not expected to cause any adverse noncarcinogenic effects for a lifetime of exposure.”
Drinking Water Advisories – Water Standards and Health Advisory Tables (2018)
Listing of Drinking Water Contaminants
EPA Health Advisory’s for PFOA, PFOS, GenX Chemicals– Hexafluoropropylene oxide (HFPO) Dimer Acid and Ammonium Salts, and Perfluorobutane Sulfonic Acid and Potassium Salts (PFBS)
Drinking Water Health Advisories for Two Cyanobacterial Toxins
Water Treatment Systems
Crystal Quest – Point of Use, Point of Entry, Whole House, Coolers, Pitchers
US Water Systems – Disinfection, Iron, Manganese, PFOS, Taste, Odors
Healthy Homes, Healthy Communities, and Healthy Drinking Water Initiatives or Programs
Healthy Drinking Water and Healthy Homes
The Healthy Homes, Healthy Communities, and Healthy Drinking Water Initiatives or Programs
The Healthy Homes Program / Healthy Home Initiates
“Environmental hazards in the home potentially harm millions of children each year. The Healthy Homes Program addresses multiple childhood diseases, exposures, and injuries that may originate in the home. The Initiative has a focus on housing-related hazards and educating and informing the public. This was one of the key factors missing in the Flint Michigan Drinking Water Crisis. In response to Congress, the US Department of Housing and Urban Development (HUD) launched its Healthy Homes Initiative (HHI) in 1999. The objective of the program was to protect children and their families from housing-related health and safety hazards.
HUD has developed a new Healthy Homes Strategic plan that lays out the next steps their office will take to advance the healthy homes agenda nationwide. The HHI builds upon HUD’s successful Lead Hazard Control programs to expand its efforts to address a variety of environmental health and safety concerns including: mold , lead , allergens/ asthma, air quality gases and VOCs , pesticides , and radon .”
Learn More – https://www.hud.gov/program_offices/healthy_homes/hhi
New Healthy Homes Strategic Plan -https://www.hud.gov/sites/documents/DOC_13701.pdf
Healthy Communities
The Center for Disease Control (CDC) developed the Healthy Communities Program (HCP). The program uses local, state, territory, and national partnerships to attempt to prevent chronic diseases and reduce health disparities (Note: For me this is a buzz word related to equity, we will never have equal outcomes in communities because of genetics, individual choice, and economics, and lifestyle issues, but we can attempt to treat all individuals equally).
Nearly 50% Americans die of one chronic disease, such as: heart disease, stroke, diabetes, cancer (polycythemica vera/ radon), obesity, and arthritis.
Chronic diseases make up 7 of the 10 leading causes of death in the United States and based on our recent experience with COVID, these diseases made individuals more vulnerable to the negative and adverse impacts associated with COVID-19. Not only can these diseases result in death, they can also be associated with chronic pain, inability to function and support an individual or family, limit daily activities, and significant impact a family’s budget and health care costs.
The Healthy Communities Program attempts to raise awareness and provide fact-based information, but also encourage citizens to make better choices, increase physical activity, make better food choices, and reduce the use of tobacco. These efforts addressed key factors that raise the risk of disease, including: CDC funded 331 communities and 52 state and territorial health departments through HCP .
Healthy Drinking Water/ Water Initiatives
The Center for Disease Control (CDC) implemented an education and information about healthy water, including drinking water, swimming / recreational water , diseases related to poor sanitation and hygiene and waterborne disease , and and how to make water safe to drink in emergencies for outbreaks, preparedness, and response.
The Know Your H20 Program started our education outreach efforts in 1985 and created a formal program known as the Homeowner Outreach Program in 1989 and part of our program includes educating users about current and historic hazards in their communities (Neighborhood Hazard Report), community outreach efforts, asbestos, “Forever Chemicals (pfos, pfoa)“, and fact based information on drinking water and other environmental contaminants.
Drinking water comes from a variety of sources including public water systems , private wells , or bottled water. Ensuring safe and healthy drinking water may be as simple as turning on the tap from an EPA-regulated public water system. Other water sources may need to have point-of-use or whole house filtration systems, citizens educated and informed, water quality monitored, water distribution systems flushed and septic systems need to be serviced or inspected. It is important to know where drinking water comes from, how it’s been treated, and if it’s safe to drink. Therefore, it is important to Know Your H20 and Get on the Path to Clean Water.
Call to Action:
Step 1: Get Informed
Step 2: Get Tested
Step 3: Get Treatment
Learn More at https://www.cdc.gov/healthywater/drinking/index.html
Microplastics in Bottled Water – New Study
Study Summary:
- “Tests reveal bottled water contains nearly twice as many microplastic particles per liter as tap water. The contamination is thought to originate from the manufacturing process of the bottles and caps
- Researchers tested 259 bottles of 11 popular bottled water brands for the presence of microscopic plastic. On average, the bottled water tested contained 325 pieces of microplastic per liter
- Only 17 of 259 bottles were found to be free of microplastic particles (5 mm and 0.003 mm), and none of the brands tested consistently free of plastic contaminants. The worst offender was Nestlé Pure Life, the most contaminated sample of which contained 10,390 particles per liter
- In response to these findings, the World Health Organization has vowed to launch a safety review to assess the potential short- and long-term health risks of consuming microplastic in water
- A report by the U.K. Government Office for Science warns plastic debris littering the world’s oceans — 70 percent of which does not biodegrade — is likely to triple by 2025 unless radical steps are taken to curb pollution.”
We recommend the following:
- Get Your Drinking Water Tested you must Know Your H20.
- Read our article on Plastics.
- Consider treating your existing tapwater .
- Microplastic Testing of Your Drinking Water.
NSF Intl. has developed a test method and protocol to verify a water treatment device’s ability to reduce perfluorooctanoic acid (PFOA) and perfluorooctane sulfonate (PFOS) to below the health advisory levels set by the U.S. Environmental Protection Agency (EPA).
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