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
Private Well Water System Drinking Water Well Owner Homebuyer in Rural Pennsylvania
Welcome to Pennsylvania and Welcome to Managing Your Own Small Water Company
In Pennsylvania, there are generally no specific construction standards for private wells and there is only some general guidance with respect to well placement and construction. Further, private well water is not regulated by the EPA or PADEP and therefore it is up to YOU to check your water to ensure that the well produces good clean and adequate water. This is only a short summary of the information. If you are interested we offer a Private Well Owner Training Course that can be offered as a Workshop for Your Community, Association, or other Organization (Some of our community project pages).
There are a number of steps to this process and well will break them down as follows:
Well Placement
Well Construction
Well Testing (Yield and Quality)
Well Maintenance
Annual Water Testing
Well Placement
In general, the primary guidance with to water well placement in Pennsylvania is that a water well should be 100 feet from a septic system (regulated), 50 feet from a septic tank (regulated), 10 feet from a sewer line under pressure (regulated), 300 + feet from petrochemical storage, and 10 feet from a property line. To be honest, these isolation distance do not consider impacts from other natural conditions or activities. In general, we would recommend the following:
1. If possible, the private well owner should control all activities within a 50 to 100 foot radius of the wellhead, i.e.., top of the water well. These activities should include: use of pesticides and herbicides, storage of toxic or hazardous chemicals, storage or management of manure and other waste, diversion of surface water and runoff, overuse of the area by grazing animals, location of burrow pits, burn pipes, rubbish storage, or storage of used cars or other items that may contain antifreeze, oils, and greases.
2. Well casing should extend at least 18 inches above grade.
3. Well should be fitted with a sanitary well cap that has some form of venting.
4. The well should be located at least 10 feet from a property line.
5. It might be wise to install a Well Seal.
Other suggested isolation distances
Delineated wetlands or floodplains (25 feet)- with top of casing 3 feet above flood elevation.
Surface waters (25 feet) Storm water Systems (25 feet)
BioInfiltration Stormwater Systems (100 feet +)
Spray Irrigation/ Septage Disposal (100 feet+)
Sinkholes and Closed Depressions (100 feet +)
Farm silos / manure storage (200 feet) Septic Systems (100 feet)
Septic Tanks/Holding Tanks (50 feet)
Chemical Storage/Preparation Area (300 feet)
Well Construction
1. Prefer the use of steel casing that extends at least 15 feet to 20 feet into firm bedrock or 60 feet below ground, whichever is greater.
2. Casing should be of adequate wall thickness to deal with corrosion and stress – 19lb casing+ (Steel).
3. The base of the casing should contain a harden driveshoe on the bottom of the casing and casing centralized in the borehole.
4. Wells drilled by a licensed well driller using only potable water as the drilling fluid.
5. Casing should be double circumferential welded or threaded casing.
6. Well caps should be sanitary well caps that are properly vented.
7. Annular space should have a neat cement grout layer that is at least 1.5 inches thick.
8. Pitless adapters should be used over well pits and if possible an NSF 61 pitless adapter used.
Well Testing (Yield and Quality)
After the well is drilled, the well should be developed using surging, air-lift, or pumping the well. This is done to clean out the well cuttings and improve yield. In some cases, this needs to be done to improve the efficiency of the borehole. If the well yield is low, some well drillers will hydrofrac the well. If you are going to hydrofrac a water well, we recommend zone hydraulic fracturing to isolate the deeper potential water-bearing zones. After the well development has been completed, a shock wellbore disinfection should be conducted. The well should be allowed to fully recover and a minimum 2-hour yield test is recommend. After the yield testing, the well should be shock disinfected. For information on shock disinfection – we recommend visiting Water-Research Center (Know Your H20) . The well yield data should include the static water level (water level before pumping), maximum dynamic water level (maximum depth to water during pumping), pumping rate, and length of the pumping test. This data should be included on the well log and the specific capacity of the well should be reported. The specific capacity is the rate of yield or gallons per minute per foot of drawdown. The drawdown is the difference between the static and dynamic water level measurement.
Before the end of the yield testing, it is recommended that a general water quality analysis of the well be conducted. This testing should include bacterial quality, general water quality, and specific parameters that are known problems for your region. Do not rely on a free water analysis or a basic water quality screening down by the well driller. This should be either information or certified testing conducted by a laboratory. For information on this type of testing, please contact the Keystone Clean Water Team or the Water-Research Center. The initial water quality testing data should be reviewed and evaluated. The first well or city water quality test should be a comprehensive water quality check. If you are want informational water testing, we would recommend either the Well Water Check or the City Water Check Option. This evaluation should include the need for any further action to improve the well security, continue with well development, or add equipment to improve well water quality. In some cases, water treatment systems are installed as an additional barrier or layer of protection. In many cases, the only type of additional treatment that is needed is a whole-house particle filter and a sanitary well cap. For information on Do-it-Yourself Water Treatment Systems (US Water Systems, FilterWater.com, or Crystal Quest) .
Well and System Maintenance
At a minimum, the well water system should go through an annual inspection. This inspection could be associated with the annual water quality test or inspection of any water treatment systems. During this evaluation, the aesthetic quality of the water should be evaluated and some basic field water quality screening should be conducted. For the field water screening, it is possible this can be done using a number of low-cost meters or an informational water quality screening test.
Annual Water Testing
Depending on the results of the initial evaluation, the results should be evaluated to determine what are the water quality parameters that should be monitored to help track the general water quality of the well. If a water treatment system was installed, the annual water quality evaluation should include the performance of the water treatment system. If you need help with determining what you need, WE can Help – We first recommend our Self-Diagnostic Tool and then maybe the DIY Water Testing or Informational Water Testing Program. The Keystone Clean Water Team can provide guidance on the selection of water quality parameters, review water quality data, and make recommendations on the water quality parameters. If you are interested, you may want to obtain a copy of our Educational Booklet and Brochure.
To Review a Number of our Case Studies – Common Private Well Problems and Fixes.
In some cases, you may need Baseline Water Testing.
Everything we do began with an idea.
We have offered “Free” Assistance to this effort, but if you are a private well owner that needs assistance we are happy to help.
We realize your time is precious and the world is hectic. CCGG’s volunteers do only what they’re comfortable with. It can be a little or a lot. Get YOUR WATER Tested – Discounted Screening Tests !
For more information, please go to CCGG’s About Page or contact us. Follow us on Twitter
Keystone Clean Water Team is a 501(c)(3) IRS approved nonprofit, volunteer organization and your donation is tax deductible to the extent allowed by law. Unsolicited donations are appreciated (Helps us complete our mission and we have a current Go Fund Me Campaign. If your interested, please contact us.
Help the Organization and Get Your Water Tested (Partner Site) or Order the Private Well Owner Guide (proceeds benefit This Organization).
Buying the Home – Most Important Location Location Water
The Role of Water Treatment Professionals in Real Estate Transactions
The Best Drinking Water Test / Testing Kits
The Top Drinking Water Contaminants for Private Well Owners and City Water Sources of Drinking Water.