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 water 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.
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 Microwavedor heated) and cooled. The boiled water should be used within 72 hours (Source: Allinahealth.org)
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.
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.
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.”
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 .”
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 .
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.
WASHINGTON – Today, the U.S. Environmental Protection Agency (EPA) published the Final Fifth Drinking Water Contaminant Candidate List (CCL 5), which will serve as the basis for EPA’s regulatory considerations over the next five-year cycle under the Safe Drinking Water Act. This update includes a substantial expansion of per- and polyfluoroalkyl substances (PFAS), an important first step towards identifying additional PFAS that may require regulation under the Safe Drinking Water Act.
“Following public engagement and robust scientific review, the final contaminant candidate list is the latest milestone in our regulatory efforts to ensure safe, clean drinking water for all communities,” said EPA Assistant Administrator for Water Radhika Fox. “As EPA takes action to protect public health and the environment from PFAS, including proposing the first nationwide drinking water standards later this year, today’s final CCL 5 looks further forward to consider additional protective steps for these forever chemicals.”
A year ago, EPA published the PFAS Strategic Roadmap, outlining an Agency-wide approach to addressing PFAS in the environment. Today’s announcement strengthens EPA’s commitment to protect public health from impacts of PFAS and support the Agency’s decision-making for potential future regulations of PFAS.
In developing the Final CCL 5, EPA requested public nominations, providing an opportunity for people to make recommendations to the Agency about specific contaminants of concern that may disproportionally affect their local community. EPA further enhanced the CCL process based on comments received on this CCL and previous CCLs, including by prioritizing data most relevant to drinking water exposure, improving considerations of sensitive populations including children, and considering the recommendations included in the Review of the EPA’s Draft Fifth Contaminant Candidate List (CCL 5) report from the Science Advisory Board. These improvements resulted in a Final CCL 5 that can better inform prioritization of contaminants for potential regulatory actions and/or research efforts.
