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
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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Bacterial contamination in private water wells send thousands of people hurling to the ER
“It may not have been bad shrimp or dirty lettuce that kept you up all night. A recent study shows that in North Carolina, microbes in drinking water from private wells are responsible for estimated 29,200 emergency room visits for acute GI illnesses each year. That number accounts for nearly all visits of that type and cause.
This is a particularly serious problem in North Carolina, where more than a third of all residents — 3.3 million — rely on private wells for their drinking water. These wells, which can source their water from beneath the ground, a spring or a river, are largely unregulated.
(This is why contaminants from coal ash, such as arsenic, lead and chromium 6, which have even more harmful long-term health effects, are of such concern — and why widespread testing is necessary.)
An article in this month’s Environmental Health Perspectives — among its co-authors is Jacqueline MacDonald Gibson of UNC’s Gillings School of Global Public Health — concludes that people on private wells are more likely to get sick from their water than those on community systems, such as municipal utilities.
enviro-health-perspectives-drinking-water
From the Study
The presence of total coliforms in groundwater indicates that microorganisms from surface water have been able to reach the aquifer and a more rigorous monitoring should begin for other microorganisms (pathogenic) which might also reach the aquifer. When fecal indicators are detected, anything can happen, and will happen, with potential serious public health implications.”
To learn or read more – Go to Article
More importantly to Act Now and Get Your Water Tested.
Monitoring your homes health and the Neighboorhood Hazard Reports.
Reduce Exposure to Toxic Chemicals and Compounds
“The Tendr coalition includes pediatric neurologists, several minority physician associations, nurses, learning disability advocacy groups, environmental organizations, and the Endocrine Society, which has compiled several scientific statements documenting adverse health effects linked to endocrine-disrupting chemicals that mimic or disrupt the hormones in our own bodies. Dozens of scientists and health providers have signed the statement, as has Linda Birnbaum, director of the National Institute of Environmental Health Sciences and the National Toxicology Program.”
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How to Limit Your Exposure to Toxic Chemicals
A coalition of doctors, scientists and health advocates says you may be able to reduce your overall exposure to toxic chemicals by taking the following steps:
- Reduce pesticide exposure by choosing organic strawberries, apples, nectarines, green beans, celery and spinach. (This may be expensive, you may want to consider growing your own or at least washing and rinsing the items or buying from a USA Source).
- Choose seafood low in mercury like salmon, sardines, and trout. (Limit the intake of bottom feeders).
- Breast-feed your baby if you can; if you use formula, make sure the water is lead-free. (Lead-free water may require the installation of a point of use water treatment system).
- When buying furniture with padding like a high chair, sofa or mattress, ask for products that are labeled free of toxic flame retardants.
- Avoid exposing the family to tobacco smoke, wood smoke from fireplaces and wood stoves, idling car exhaust, cooking fumes from stoves and grills.
- If you’re putting in a new floor, choose either phthalate-free vinyl flooring or wood, bamboo or cork. (Check on the sources of the materials).
- Avoid plastic toys, backpacks, lunch boxes and school supplies made of polyvinyl chloride (PVC) which can be a source of phthalates. (This may be tough- First Choice Buy Made in the USA).
- Choose fragrance-free personal care products to avoid phthalates in fragrances . (Try naturally scent oils)
- When using stool softeners, laxatives and other time-release capsules, look for phthalates on the list of inactive ingredients so you can avoid them. (How about eat more fiber).
- Use nontoxic alternatives to pesticides in your yard and on your pets. (or use them as directed)
- Screen your house for lead. If it was built before 1978, lead paint may place your family at risk. If paint is chipping or peeling, it can build up in house dust and stick to children’s hands. (Lead Paint Testing and Comprehensive Water Testing)
- Reduce household dust that may contain lead, flame retardants, phthalates and pesticides. Take shoes off before you come into the house and use a doormat to trap dirt outside and inside the doorway. Damp mop, use a HEPA-filtered vacuum cleaner and dust with a microfiber cloth. (Least us not forget Mold and Radon)
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Know Your H20 – Get a Community Hazard Report
Groundwater Availability Analysis and Groundwater Quality Wayne County, Pennsylvania
The Wayne Tomorrow Action Committee invited the Keystone Clean Water Team to compile and develop a presentation on the general water quality, water availability, and some general recommendations related to groundwater resources in Wayne County, Pennsylvania. The Keystone Clean Water Team had Mr. Brian Oram, a local water quality expert and professional geologist, review the information and conduct the presentation for the Keystone Clean Water Team. During the education session, the members of the Wayne Tomorrow Action Committee and the Sustainability Committee for Wayne Tomorrow was present. A copy of the presentation Wayne County Planning for Our Future is available. For this training event, the following sponsors were recognized:
BF. Environmental Consultants
Water Research Center
Quantum Laboratories
Key Topics:
1. Private Wells are not regulated in Pennsylvania and there are NO minimum construction standards.
2. About 50% of private wells in Pennsylvania appear to have at least one water quality problem and causes the water to NOT meet the PADEP Drinking Water Standards.
3. Common problem is the pH of the water is low and the water is corrosive. Corrosive water can increase the concentration of trace metals like copper/lead/zinc (plumbing and fixtures) and iron/manganese/aluminum/arsenic (aquifer).4. From the USGS Study – 97 % of private wells have radon over 300 pCi/L, 6 Percent have elevated arsenic, well water with a pH of over 7.8 may be associated with the presence of methane, arsenic, fluoride, sodium, bromide, lithium, boron, and chloride. (Speaker note: Well water with a pH of 8.0 or more may be influenced by naturally occurring saline water).
5. Analysis – The County could consider using the GIS System to conduct Groundwater Vulnerability Analysis, Availability Analysis, and Identify the location of historic or current hazards of concern.
6. In general, Wayne County can use a basic water budgeting analysis to evaluate project sustainability and if possible promote the use of on-site well and septic system with proper installation and maintenance. The example demonstrated how projects could be analyzed to determine the estimated development capacity of a project based on water availability.
7. The Organization or County can not allocate water – this is the role of the Delaware River Basin Commission.
8. Wayne County is appears that 35 to 45 % of rainfall contributes to baseflow for the region.
9. Advisable to develop a County or Local Agency – Well Construction Standard.
10. Educational Materials are Available for PA from the Keystone Clean Water Team. The Keystone Clean Water Team is a 501c3 and donations are appreciated.
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), but we also do local educational workshops and local cellphone/small electronic recycling programs. If you would like to set up a program to help recycle cellphones at an event, business, or other organization. Through our program we can recycle cell phones, iPods, game systems, and small digital cameras. If your interested, please contact us. Our new PSAs.
Help the Organization and Get Your Water Tested or Order the Private Well Owner Guide (proceeds benefit This Organization). Water Science Basics!
ATSDR Initial Study Finds Elevated Levels of Radon Gas, Radium in Polycythemia Vera Study Area in Pennsylvania
ATLANTA (7/2014)—Some homes in Carbon, Luzerne, and Schuylkill counties of Pennsylvania have elevated levels of radon gas in indoor air and radium in soils, according to a health consultation released today by the Agency for Toxic Substances and Disease Registry (ATSDR). Researchers were unable to determine if a cluster of cases of Polycythemia Vera (PV) in people living in the counties is related to exposures to the substances.
The report provides an analysis of radiologic sampling information researchers reviewed to learn more about the possible cluster of PV cases in northeastern Pennsylvania. PV is a rare form of cancer of the blood that causes the body to make too many red blood cells. It occurs more often in men than women, and is rare in patients under age 40.
“Based on analysis of the samples, ATSDR considers the exposures to radon gas in indoor air at these homes to be of public health concern and encourages residents living in the study area to have their homes tested,” said Lora Werner, Director, ATSDR Region III. “The elevated levels of radium in soils are not considered to be a health risk but may be worthy of further study.”
At the request of ATSDR, the Pennsylvania Department of Environmental Protection (PADEP) collected and analyzed environmental samples within the tri-county area and ATSDR evaluated the possible health effects of exposure to the radiological elements in the samples.
The ATSDR report also found:
- Some houses in the study area had elevated levels of radon gas in indoor air. Radon gas was also found in the private well water of some homes.
- Soils from the study area had slightly elevated levels of radium.
- Without additional information, ATSDR cannot determine if the cluster of cases of PV disease in the tri-county area is related to the radiological exposures observed in the environmental sampling information.
This report is part of a larger investigation of the cluster of cases of PV in northeast Pennsylvania. Overall, there are 18 projects in four areas for investigation: epidemiology, genetics, toxicology, and environmental analysis. The findings of these projects will provide information about PV and other blood disorders, as well as share information on environmental investigations in the study area.
ATSDR recommends:
- All residents in the study area should have their homes tested for radon gas. Houses with elevated radon levels should be retested. If a home is retested and elevated radon levels continue, residents should contact the state of Pennsylvania radon program hotline at 1-800-237-2366 and request additional information on how to reduce the radon levels in the home.
- People in homes with high levels of radon in their drinking water should contact the PADEP Radon Program for assistance. Home water supplies can be treated to reduce radon levels.
The health consultation report on radon gas and radium in the PV study area is available at:www.atsdr.cdc.gov/sites/polycythemia_vera.
For more information, please call 1-800-CDC-INFO (1-800-232-4636). Please request information about: “Review of Radiological Data Measured in the Polycythemia Vera Investigation Study Area in Carbon, Luzerne, and Schuylkill Counties.”
Our Radon Portal – Links to Air and Water Testing -Outside of Study Area –http://www.water-research.net/index.php/radon
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ATSDR, a federal public health agency of the U.S. Department of Health and Human Services, evaluates the potential for adverse human health effects of exposure to hazardous substances in the environment.
ATSDR/CDC Northeast PA Polycythemia Vera (PV) Investigation Projects Update
Background
In 2004, using state cancer registry records, the Pennsylvania Department of Health (PADOH) found a PV cluster in northeast Pennsylvania. PV is part of a disease group called myeloproliferative neoplasms (MPN), which is a group of slow-growing blood cancers where the bone marrow makes too many red blood cells, white blood cells, or platelets.
In 2006, ATSDR was asked to help study PV patterns in the area. From 2007-2008, ATSDR reviewed medical records, conducted genetic testing, and confirmed this PV cluster.
In 2009, Congress funded ATSDR to continue this investigation. ATSDR is overseeing 18 projects with PADOH, the Pennsylvania Department of Environmental Protection, and various universities and private organizations. These projects are based on recommendations from an expert panel. The panel identified four areas for investigation; epidemiology, genetics, toxicology, and environmental studies.
As of October 1, 2013, all of the contracts for the 18 projects have ended. The last to end was the tissue bank contract, which closed for recruitment of new tissue donations from the PA tri-county study area in May 2014. At this time, no new samples will be added from the tri-county study area, but the geographically identified (but de-identified in terms of personal information) donations from the tri-county study area will continue to be available for researchers to access via this national tissue bank established at the Myleloproliferative Disease Research Consortium (MPD-RC). You can continue to follow the work of the overall MPD-Research Consortium on their website at: http://www.mpd-rc.org/home.php.
Status
The graphic with this email provides this summary as of August 2014. I’ve attached this graphic both as a “snapshot” in the body of this email, as well as a pdf attachment. Projects highlighted in “green” in the attached graphic have work complete and a final product available (if applicable). Projects highlighted in “yellow” have final products in progress and undergoing clearance. Projects highlighted in “red” have final products that are anticipated but not yet started.
As of August 5, 2014, work is complete and a final product is available (if applicable) for 6 projects. We are happy to announce that one new project (#16/17, PADEP’s environmental testing) moved from yellow to green since my May update; we now have a factsheet and final ATSDR health consultation report evaluating an initial set of radiological environmental sampling results from the study area. At the request of ATSDR, PADEP collected and analyzed environmental samples within the tri-county area and ATSDR evaluated the possible health effects of exposure to the radiological elements in the samples. Environmental samples from the cluster area were collected as a component of the overall research investigation into the PV disease cluster:
- Indoor air was analyzed for radon.
- Soil, sediment and water samples were analyzed for metals, organic compounds, and radioactive substances.
This ATSDR public health report focuses on an initial set of the radiological environmental sampling information. Additional reports evaluating other environmental and health information from the PV investigation will be released at a later date.
The ATSDR report found:
- Some houses in the study area had elevated levels of radon gas in indoor air. Radon gas was also found in the private well water of some homes.
- Soils from the study area had slightly elevated levels of radium.
- Without additional information, ATSDR cannot determine if the cluster of cases of PV disease in the tri-county area is related to the radiological exposures observed in the environmental sampling information.
In this report, ATSDR recommends:
- All residents in the study area should have their homes tested for radon gas. Houses with elevated radon levels should be retested. If a home is retested and elevated radon levels continue, residents should contact the state of Pennsylvania radon program hotline at 1-800-237-2366 and request additional information on how to reduce the radon levels in the home.
- People in homes with high levels of radon in their drinking water should contact the PADEP Radon Program for assistance. Home water supplies can be treated to reduce radon levels.
- ATSDR recommends that in those areas where radium in soils seems to be elevated, additional sampling may be helpful to further understand this exposure pathway. ATSDR will discuss the potential for a future collaboration with the U.S. Geological Survey to further evaluate levels of radiological contaminants in environmental media in the study area.
These documents are available at:
http://www.atsdr.cdc.gov/HAC/pha/PolycythemiaVera/Polycythemia%20Vera%20Investigation%20in%20PA_HC_07-22-2014%20FINAL.pdf
http://www.atsdr.cdc.gov/HAC/pha/PolycythemiaVera/PV%20(Still%20Creek)%20Tri%20County%20-%20FINAL%20Fact%20Sheet%20-%20Review%20of%20Radiological.pdf
Final products for another 9 projects are still in progress and remain coded as yellow. Final products for 2projects are anticipated but not yet started and remain coded as red.
For more information:
Visit ATSDR’s web page on PV: http://www.atsdr.cdc.gov/sites/polycythemia_vera/index.html
Call ATSDR’s toll-free PV information line: 866-448-0242 or email jcx0@cdc, which will connect you to Dr. Elizabeth Irvin-Barnwell, ATSDR Division of Toxicology and Human Health Sciences.
Contact Lora Siegmann Werner, ATSDR Region 3, by phone at 215-814-3141 or by email at lkw9@cdc.gov.
Other Resources
1. Radiological Testing and Screening – http://www.water-research.net/index.php/radiological-contaminants
2. Radiological – Testing Parameters – Radon
EPA recommends radon testing in January
Protect your family from the second leading cause of lung cancer in the U.S.
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PHILADELPHIA (January 8, 2013) – January is national Radon Action Month and the
U. S. Environmental Protection Agency encourages everyone to test their homes for radon. January is an especially good time to test homes and schools because windows and doors are closed tightly and people spend more time indoors.
Unsafe levels of radon can lead to serious illness. The Surgeon General has warned that radon is the second leading cause of lung cancer in the United States with an estimated 21,000 deaths a year. Only smoking causes more lung cancer deaths. By making simple fixes in a home or building people can lower their health risks from radon.
Radon is a colorless, odorless, tasteless gas; so testing is the only way to know if radon is present in your home or school. Test kits are available in home improvement centers and hardware stores and costs approximately $20. The kits are simple to use with easy testing and mailing instructions.
Make the commitment to protect your family. Test for radon in air / water . Fix the problem if you find elevated radon levels. Save a life!
For more information about radon and radon testing see: http://www.epa.gov/radon/
Radon and other air/water testing kits
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More Educational Materials Private Well Owner Outreach on Radon