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 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.
- 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
EPA Enforcement Actions Help Protect Health of Vulnerable Communities from Lead Paint Hazards
WASHINGTON (October 28, 2022) – As part of National Lead Poisoning Prevention Week, today the U.S. Environmental Protection Agency (EPA) highlighted several federal enforcement actions completed from October 2021 through September 2022, as well as future planned investigations. These actions ensure that renovation contractors, landlords and realtors comply with rules that protect the public from exposure to lead from lead paint. By bringing companies into compliance with these rules, EPA protects future customers and their families.
Lead-contaminated dust from chipped or peeling lead-based paint in homes built prior to 1978 presents one of the most common causes of elevated blood lead levels in children. Infants and children are especially vulnerable to lead paint exposure because their growing bodies absorb more lead than adults do, and their brains and nervous systems are more sensitive to the damaging effects of lead.
“Because lead-based paint is the most common source of elevated blood lead levels in U.S. children, EPA is taking action against those who violate federal lead-based paint regulations and ensuring the public understands the danger of this hazard,” said Larry Starfield, EPA’s Acting Assistant Administrator for the Office of Enforcement and Compliance Assurance. “The enforcement actions EPA took this past year send a clear message that EPA is committed to enforcing regulations designed to protect the public from lead-based paint exposure.”
Reduction of childhood lead exposures is a high priority for EPA. These enforcement actions reflect the agency’s continuing commitment to implementing the Federal Lead Strategy and EPA’s Lead Strategy and result in reducing or eliminating lead exposures, particularly to children.
Regulations under the federal Toxic Substances Control Act (TSCA) and the Residential Lead-Based Paint Hazard Reduction Act (LHRA) apply to most pre-1978 dwellings and child-occupied facilities such as pre-schools and child-care centers. TSCA’s Renovation, Repair and Painting Rule (RRP) and Lead-based Paint Activities Rule require contractor certification and lead-safe work practices. LHRA’s Section 1018 Lead Disclosure Rule requires disclosure of information about lead-based paint before the sale or lease of most housing built before 1978. By ensuring compliance with federal lead-based paint requirements, EPA addresses a major source of lead exposure that occurs in communities across the nation.
The cases below involve alleged noncompliance with at least one of these lead paint requirements. These cases highlight the range of the Agency’s work, including:
- criminal prosecution in conjunction with the U.S. Department of Justice (DOJ),
- a focus on geographic areas that suffer from disproportionate levels of lead exposure, and
- bringing civil administrative actions against renovators with a far-reaching influence on the compliance landscape locally, regionally or nationwide.
By ensuring compliance with federal lead paint requirements, EPA strives to address major sources of lead exposure that occur throughout the nation and particularly in areas of environmental justice concern. In addition to EPA’s actions, the Agency supports states, tribes, and territories on the implementation and enforcement of the EPA-authorized lead-based paint programs.
Although the federal government banned residential use of lead-based paint in 1978, it persists in millions of older homes, sometimes under layers of new paint. Lead exposure, particularly at higher doses, continues to pose a significant health and safety threat to children, preventing them from reaching their fullest potential for their health, intellect, and future development. Even small amounts of lead dust can cause harm to children living in the home.
Case Highlights:
GB Group, Inc. Settles to Resolve Alleged Renovation Violations
Property Management Firm Settles Alleged Lead Renovation and Asbestos Violations
Property Manager Sentenced for Failure to Properly Notify Tenants about Lead Hazards
Owner of Maryland Lead Inspection Company Sentenced
To see additional highlights of FY2022 enforcement actions involving lead, see EPA’s 2022 Lead Enforcement Bulletin.
Members of the public can help protect our environment by identifying and reporting environmental violations. Learn more about reporting environmental violations.
Healthy Home and Health Community Articles
Lead in Drinking Water and Impacts on Wildlife
Asbestos is a naturally-occurring mineral created by geochemical processes within our planet. Although infamous for its link to cancer, it also has many potential beneficial properties. The difficulty is to avoid the negative aspects of this potentially dangerous mineral while enjoying its positive aspects.
Radon – Radionuclides – Cancer (Polycythemia vera (pol-e-sy-THEE-me-uh VEER-uh)) – Radon is a gas produced by the radioactive decay of the element radium whose remote parent is either uranium or thorium
Forever Chemicals – What Are PFOA, PFOS, PFAS, and PFCs ? Per- and polyfluoroalkyl substances (PFAS) are a grouping of man-made fluorinated organic chemicals that have a wide range of use in industrial application and commercial goods
EPA Withdraws 2017 Proposed Rule Addressing Health and Groundwater Protection Standards for Uranium In Situ Recovery
“The rule would have applied to byproduct materials produced by uranium in situ recovery (ISR) and would have subsequently been implemented by the U.S. Nuclear Regulatory Commission and its Agreement States.
The proposed rule published on January 19, 2017 (82 FR 7400), entitled “Health and Environmental Protection Standards for Uranium and Thorium Mill Tailings,” was withdrawn as of October 30, 2018. The EPA withdrew the proposed rule because:
The EPA, informed in part by feedback received on the proposal, has serious questions as to whether the proposed rule as written is within the EPA’s authority under UMTRCA
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The EPA no longer believes national rulemaking to promulgate standards is currently necessary; the EPA believes the existing regulatory structures are sufficient to ensure the targeted protection of public health and the environment at existing ISR facilities.”
Learn More
Radiological Contaminants in Water
Radon occurrence in groundwater from 16 geologic units in Pennsylvania
Evaluation of radon occurrence in groundwater from 16 geologic units in Pennsylvania, 1986–2015, with application to potential radon exposure from groundwater and indoor air
Scientific Investigations Report 2017-5018
“Results from 1,041 groundwater samples collected during 1986‒2015 from 16 geologic units in Pennsylvania, associated with 25 or more groundwater samples with concentrations of radon-222, were evaluated in an effort to identify variations in radon-222 activities or concentrations and to classify potential radon-222 exposure from groundwater and indoor air. Radon-222 is hereafter referred to as “radon.” Radon concentrations in groundwater greater than or equal to the proposed U.S. Environmental Protection Agency (EPA) maximum contaminant level (MCL) for public-water supply systems of 300 picocuries per liter (pCi/L) were present in about 87 percent of the water samples, whereas concentrations greater than or equal to the proposed alternative MCL (AMCL) for public water-supply systems of 4,000 pCi/L were present in 14 percent. The highest radon concentrations were measured in groundwater from the schists, gneisses, and quartzites of the Piedmont Physiographic Province.
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In this study, conducted by the U.S. Geological Survey in cooperation with the Pennsylvania Department of Health and the Pennsylvania Department of Environmental Protection, groundwater samples were aggregated among 16 geologic units in Pennsylvania to identify units with high median radon concentrations in groundwater. Graphical plots and statistical tests were used to determine variations in radon concentrations in groundwater and indoor air. Median radon concentrations in groundwater samples and median radon concentrations in indoor air samples within the 16 geologic units were classified according to proposed and recommended regulatory limits to explore potential radon exposure from groundwater and indoor air. All of the geologic units, except for the Allegheny (Pa) and Glenshaw (Pcg) Formations in the Appalachian Plateaus Physiographic Province, had median radon concentrations greater than the proposed EPA MCL of 300 pCi/L, and the Peters Creek Schist (Xpc), which is in the Piedmont Physiographic Province, had a median radon concentration greater than the EPA proposed AMCL of 4,000 pCi/L. Median concentrations of radon in groundwater and indoor air were determined to differ significantly among the geologic units (Kruskal-Wallis test, significance probability, p<0.001), and Tukey’s test indicated that radon concentrations in groundwater and indoor air in the Peters Creek Schist (Xpc) were significantly higher than those in the other units. Also, the Peters Creek Schist (Xpc) was determined to be the area with highest potential of radon exposure from groundwater and indoor air and one of two units with the highest percentage of population assumed to be using domestic self-supplied water (81 percent), which puts the population at greater potential of exposure to radon from groundwater.
Potential radon exposure determined from classification of geologic units by median radon concentrations in groundwater and indoor air according to proposed and recommended regulatory limits is useful for drawing general conclusions about the presence, variation, and potential radon exposure in specific geologic units, but the associated data and maps have limitations. The aggregated indoor air radon data have spatial accuracy limitations owing to imprecision of geo-coded test locations. In addition, the associated data describing geologic units and the public water supplier’s service areas have spatial and interpretation accuracy limitations. As a result, data and maps associated with this report are not recommended for use in predicting individual concentrations at specific sites nor for use as a decision-making tool for property owners to decide whether to test for radon concentrations at specific locations. Instead, the data and maps are meant to promote awareness regarding potential radon exposure in Pennsylvania and to point out data gaps that exist throughout the State.”
Link to Study “sir20175018”
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