Variability and sampling of lead (Pb) in drinking water: Assessing potential human exposure depends on the sampling protocol

The toxicological analysis and safety assessment of heavy metals (Hg, Pb, Cd, and As) in Food for Special Medical Purposes (FSMP) available in Polish pharmacies for oncological patients

The presence of heavy metals in food products may seem an archaic concern; however, our study reveals that the risk is significant, unexpectedly in Food for Special Medical Purposes (FSMP) for oncology patients available in Polish pharmacies. This investigation fills that gap through a detailed toxicological analysis and health risk assessment of these heavy metals in FSMP products (n = 23) using inductively coupled plasma mass spectrometry (ICP-MS). Our comprehensive risk assessment involved evaluating (1) the concentrations of As, Cd, Hg, and Pb in both liquid and powdered FSMP formulations, (2) the amount of heavy metals ingested per serving as specified by the manufacturer, and (3) the cumulative daily and weekly intake adjusted for body weight, benchmarked against the provisional tolerable weekly intake (PTWI). While most samples were below PTWI limits, Cd levels raised concerns due to potential cumulative exposure risks, particularly for oncology patients consuming these products regularly. This study underscores the hidden dangers of heavy metal contamination in FSMP, emphasizing the need for vigilant monitoring and stringent regulatory frameworks to ensure patient safety. By uncovering these latent risks through meticulous toxicological assessment, our research provides crucial insights that could safeguard vulnerable populations. This study is significant due to concerns related to the complex risk assessment of FSMP for cancer patients, considering the complexity of oncological diseases and other comorbid factors, as well as the verification of available legal and regulatory acts of FSMP at the European Community level.

Standards for levels of lead in soil and dust around the world

Lead poisoning is a serious environmental health problem in every country in the world. Exposure to lead results in neurocognitive and behavioral changes, has adverse effects on the immune system, causes anemia, hypertension and perturbs other organ systems. The effects of lead poisoning are most critical for children because their bodies are growing and developing, and particularly because agents that reduce cognitive function and attention span as well as promote disruptive behavior will have life-long consequences. Lead exposure, especially to children, is a major health disparity issue. If the next generation starts with reduced cognitive ability, there will be significant barriers for development of skills and country-wide development. While there are many sources of exposure to lead, the commonest source is lead in soil and dust. Since lead is an element, it does not go away and past releases of lead into the environment remain as soil and dust contamination. This is an especially important route of exposure to children because children regularly play in soil and are exposed via hand-to-mouth activity. In addition to indoor sources of lead, contaminated soil is tracked on shoes or feet and blown by air currents into homes, accumulating in household dust which is a major source of exposure for both children and adults. The purpose of this review is to determine standards presumed to be health protective for lead and dust in different countries. We find that many countries have no standards for lead in soil and dust and rely on standards set by the World Health Organization or the US Environmental Protection Agency, and these standards may or may not be enforced. There is considerable variation in standards set by other countries.

An evaluation of properly operated NSF/ANSI-53 Pb certified drinking water filters in Benton Harbor, MI

Communities across the United States and particularly in the Midwest continue to grapple with the complications associated with aging infrastructure. This includes the presence of lead (Pb)-bearing plumbing components such as lead service lines, downstream galvanized iron pipes, and Pb/tin solder. The community of Benton Harbor, MI, experienced six Pb action level exceedances between 2018 and 2021, leading to increasing community concern and a request from the state of Michigan for the US Environmental Protection Agency involvement. Between 9 November and 17 December 2021, US EPA Region 5 and Office of Research and Development, along with the state of Michigan, conducted a water filter efficacy and Pb-nanoparticulate (<100 nm) study to evaluate the performance of NSF/ANSI-53 Pb-certified drinking water filters and the presence of nanoparticulate. In this study, a total of 199 properly installed and operated drinking water filters (combination of faucet mounted and pitcher) were tested in their residential locations. One hundred percent of the water filters were found to perform to the standard to which they were certified, with filtered drinking water Pb concentrations below 5 ppb (maximum observed was 2.5 ppb). In addition, Pb particulate was identified; however, discrete Pb-containing nanoparticles were not widely found or identified.

Repeated home drinking water sampling to improve detection of particulate lead spikes: a simulation study

BACKGROUND

Lead can be present in drinking water in soluble and particulate forms. The intermittent release of lead particulates in drinking water can produce highly variable water lead levels (WLLs) in individual homes, a health concern because both particulate and soluble lead are bioavailable. More frequent water sampling would increase the likelihood of identifying sporadic lead "spikes," though little information is available to aid in estimating how many samples are needed to achieve a given degree of sensitivity to spike detection.

OBJECTIVE

To estimate the number of rounds of tap water sampling needed to determine with a given level of confidence that an individual household is at low risk for the intermittent release of lead particulates.

METHODS

We simulated WLLs for 100,000 homes on 15 rounds of sampling under a variety of assumptions about lead spike release. A Markovian structure was used to describe WLLs for individual homes on subsequent rounds of sampling given a set of transitional probabilities, in which homes with higher WLLs at baseline were more likely to exhibit a spike on repeated sampling.

RESULTS

Assuming 2% of homes had a spike on the first round of sampling and a mid-range estimate of transitional probabilities, the initial round of sampling had a 6.4% sensitivity to detect a spike. Seven rounds of sampling would be needed to increase the sensitivity to 50%, which would leave unrecognized the more than 15,000 homes that intermittently exhibit spikes.

SIGNIFICANCE

For assessing household risk for lead exposure through drinking water, multiple rounds of water sampling are needed to detect the infrequent but high spikes in WLLs due to particulate release. Water sampling procedures for assessment of lead exposure in individual homes should be modified to account for the infrequent but high spikes in WLL.

IMPACT

It has been known for decades that intermittent "spikes" in water lead occur due to the sporadic release of lead particulates. However, conventional water sampling strategies do not account for these infrequent but hazardous events. This research suggests that current approaches to sampling tap water for lead testing identify only a small fraction of homes in which particulate spikes occur, and that sampling procedures should be changed substantially to increase the probability of identifying the hazard of particulate lead release into drinking water.

Lead exposure induces neuronal apoptosis via NFκB p65/RBBP4/Survivin signaling pathway

Lead (Pb), as a heavy metal that is easily exposed in daily life, can cause damage to various systems of body. Apoptosis is an autonomous cell death process regulated by genes in order to maintain the stability of internal environment, which plays an important role in the development of nervous system. RB binding protein 4 (RBBP4) is one of the core histone binding subunits and is closely related to the apoptosis process of nervous system cells. However, it is not known whether RBBP4 can regulate neuronal apoptosis in lead-exposed environments. We exposed PC12 cells to 0 μM (control group), 1 μM, and 100 μM PbAc for 24 h to obtain cell samples. The female rats ingested drinking water containing 0, 0.5 g/L, and 2.0 g/L PbAc from the first day of pregnancy to three weeks after delivery to obtain hippocampal tissue samples from mammary rats. The results of TUNEL showed that lead exposure promoted the onset of apoptosis in cells and hippocampus. The mRNA and protein levels of the apoptosis-related protein Survivin were significantly reduced in the lead-exposed group compared to the control group. In addition, we found that lead exposure reduces the mRNA and protein levels of RBBP4 in PC12 cells and hippocampus, and increases the mRNA and protein levels of NFκB p65. Moreover, inhibiting NFκB p65 can reverse the decrease in RBBP4 expression in the lead exposure model. Overexpression of RBBP4 increased Survivin expression and reduced apoptosis induced by lead exposure. This suggests that lead exposure induces apoptosis through the NFκB p65/RBBP4/Survivin signaling pathway.

The Behavior of Polymeric Pipes in Drinking Water Distribution System-Comparison with Other Pipe Materials

The inner walls of the drinking water distribution system (DWDS) are expected to be clean to ensure a safe quality of drinking water. Complex physical, chemical, and biological processes take place when water comes into contact with the pipe surface. This paper describes the impact of leaching different compounds from the water supply pipes into drinking water and subsequent risks. Among these compounds, there are heavy metals. It is necessary to prevent these metals from getting into the DWDS. Those compounds are susceptible to impacting the quality of the water delivered to the population either by leaching dangerous chemicals into water or by enhancing the development of microorganism growth on the pipe surface. The corrosion process of different pipe materials, scale formation mechanisms, and the impact of bacteria formed in corrosion layers are discussed. Water treatment processes and the pipe materials also affect the water composition. Pipe materials act differently in the flowing and stagnation conditions. Moreover, they age differently (e.g., metal-based pipes are subjected to corrosion while polymer-based pipes have a decreased mechanical resistance) and are susceptible to enhanced bacterial film formation. Water distribution pipes are a dynamic environment, therefore, the models that are used must consider the changes that occur over time. Mathematical modeling of the leaching process is complex and includes the description of corrosion development over time, correlated with a model for the biofilm formation and the disinfectants-corrosion products and disinfectants-biofilm interactions. The models used for these processes range from simple longitudinal dispersion models to Monte Carlo simulations and 3D modeling. This review helps to clarify what are the possible sources of compounds responsible for drinking water quality degradation. Additionally, it gives guidance on the measures that are needed to maintain stable and safe drinking water quality.

Lead levels in drinking water from point-of-use dispensers: a case study of elementary schools in Taichung, Taiwan

Drinking water contaminated with lead has adverse health consequences, particularly in young children. Water dispensed from point-of-use dispensers is generally regarded as drinking water instead of conventional tap water in Taiwan, and such dispensers are installed in all public facilities, including elementary schools. However, studies on drinking water quality are mainly focused on tap water, while dispenser water quality is less known. Hence, this study investigated lead concentrations in drinking water from point-of-use dispensers in elementary schools of Taichung, Taiwan. Water samples were collected between September 2019 and February 2021 from 86 schools across 24 districts utilizing a modified first draw sampling protocol to collect ten 100-mL sequential samples. Approximately 26% of the schools had at least one sample exceeding 10 μg/L (Taiwan EPA standard), with the highest level reaching 99.2 μg/L. Exceedance tendency varied with water use, seasons, and age of the schools. Samples collected over the weekends and during summer showed higher levels and frequencies of contamination. Lead levels surpassing the standard were observed in 14% of weekend and 17% of summer samples, compared to only 4% of weekday and 4% of winter samples. Similarly, while older schools (age > 40 years) exhibited higher contamination, young schools (age < 20 years) were also not entirely safe. This study reveals that point-of-use dispensers do not always provide safe drinking water. Findings also indicate the susceptibility of children in elementary schools to lead exposure through their drinking water. Therefore, a routine monitoring program for heavy metals, including lead, in drinking water is urgently needed.

Reduction in water consumption in premise plumbing systems: Impacts on lead concentration under different water qualities

Water conservation measures are increasing in response to regulatory requirements addressing the need for lower environmental footprint and in response to water shortages. In households with lead service lines (LSLs), lowering consumption can adversely impact lead release as it will increase stagnation. Using a lead dissolution model and data from extensive pilot studies on excavated LSLs, the impact of adaptation to different water conservation strategies on dissolved lead contamination at the kitchen tap is assessed under three water qualities and three LSL lengths (3, 14 and 30 m) using hydraulic and water quality modelling. Consumers' behavioural variability is also assessed based on integration of EPANET and results of the stochastic water demand model SIMDEUM. Demand reduction increased the dissolved lead concentrations (Pb_diss) at the end of the LSL with mean values ranging from 28.4 to 63.3 μg/L (without corrosion control) and from 4.6 to 9.9 μg/L with corrosion control (addition of orthophosphate and pH adjustment). Adding orthophosphate (1 mg P/L) to the water reduces the mean Pb_diss values at the kitchen tap from 7.1 μg/L to 1.2 μg/L for a high water demand scenario and from 31.2 to 4.9 μg/L for a low water demand scenario. Finally, the Integrated Exposure Uptake Biokinetic (IEUBK) model is used to predict the potential blood lead levels (BLLs) for children aged 0-84 months. Results showed that the orthophosphate addition of only 1 mg P/L can significantly decrease the proportion of children with a BLL >5 μg/dL, from 82 % to 17 %, under the most extreme water conservation scenario studied, using the 90th percentile of Pb_diss concentrations during usage at kitchen tap. Wide variations of Pb_diss concentrations at the kitchen tap were calculated at times of use over a week (up to 155 μg/L in lower demand scenarios, without corrosion control) showing evident limitations of single random daytime sampling.

Temporal transition trends of cord blood lead levels in various human development index countries and in the Taipei metropolitan area

Since low-level lead exposure is still of concern for neonates, it is worth further characterizing the temporal transition trends of cord blood lead levels (CBLLs) globally and locally in Taipei, Taiwan, after the cessation of leaded gasoline use. A literature review on CBLLs around the world was performed by searching three databanks, i.e., PubMed, Google Scholar and Web of Science, with the search keywords "cord blood" combined with "lead" or "Pb" for studies published from 1975 to May 2021. In total, 66 articles were included. Linear regressions for the reciprocal of sample size weighed CBLLs against calendar year presented a high r² value (0.722) for the very high Human Development Index (HDI) countries and a moderate r² value (0.308) for the combined high and medium HDI countries. The predicted CBLLs in 2030 and 2040 were 6.92 (95% CI: 6.02-7.81) μg/L and 5.85 (95% CI: 5.04-6.66) μg/L, respectively, for the very high HDI countries and 13.10 (95% CI: 7.12-19.09) μg/L and 10.63 (95% CI: 5.37-15.89) μg/L, respectively, for the combined high and medium HDI countries. To characterize the CBLL transitions in the Great Taipei metropolitan area, data from five studies conducted from 1985 to 2018 were employed. Although the results of the early four studies indicated that the Great Taipei metropolitan area did not reach the pace in CBLL reduction among the very high HDI countries, the CBLLs of the latest study during 2016-2018 were pretty low (8.1 ± 4.5 μg/L), approximately 3 years in advance of the very high HDI countries as one group to reach this low CBLL. In conclusion, further effective reduction in environmental lead exposure is challenging and must be based on the efforts from the aspects reflected by the HDI index compositions, i.e., economics, education and health, mostly implying health disparity and inequality.

A literature review of bench top and pilot lead corrosion assessment studies

Bench top and pilot lead corrosion studies are gaining more interest, considering revisions and upcoming improvements to the Lead and Copper Rule. This literature review identified studies ranging from simpler month(s)-long bench top dump-and-fill stagnant water tests (coupon tests/standing pipe tests) to more complicated year(s)-long intermittent flow pilot studies (recirculating pipe loops/once through pipe rigs). With increasing complexity in design and operation, studies more closely approximated real plumbing conditions (e.g., by incorporating harvested lead pipes and intermittent flow regimes) at increased cost, footprint, and duration. Comparison of bench top and pilot designs (in terms of lead test piece age/dimensions/configuration/replicates, study duration, sample collection, and other factors) can assist drinking water utilities, consultants, academics, and others to select a design that matches their needs and constraints. No matter the choice, surrogate systems cannot replace actual system water testing and are best complemented by other corrosion assessment tools.

A national survey of lead and other metal(loids) in residential drinking water in the United States

BACKGROUND

Exposure to lead (Pb), arsenic (As) and copper (Cu) may cause significant health issues including harmful neurological effects, cancer or organ damage. Determination of human exposure-relevant concentrations of these metal(loids) in drinking water, therefore, is critical.

OBJECTIVE

We sought to characterize exposure-relevant Pb, As, and Cu concentrations in drinking water collected from homes participating in the American Healthy Homes Survey II, a national survey that monitors the prevalence of Pb and related hazards in United States homes.

METHODS

Drinking water samples were collected from a national survey of 678 U.S. homes where children may live using an exposure-based composite sampling protocol. Relationships between metal(loid) concentration, water source and house age were evaluated.

RESULTS

18 of 678 (2.6%) of samples analyzed exceeded 5 µg Pb L-1 (Mean = 1.0 µg L-1). 1.5% of samples exceeded 10 µg As L-1 (Mean = 1.7 µg L-1) and 1,300 µg Cu L-1 (Mean = 125 µg L-1). Private well samples were more likely to exceed metal(loid) concentration thresholds than public water samples. Pb concentrations were correlated with Cu and Zn, indicative of brass as a common Pb source is samples analyzed.

SIGNIFICANCE

Results represent the largest national-scale effort to date to inform exposure risks to Pb, As, and Cu in drinking water in U.S. homes using an exposure-based composite sampling approach.

IMPACT STATEMENT

To date, there are no national-level estimates of Pb, As and Cu in US drinking water collected from household taps using an exposure-based sampling protocol. Therefore, assessing public health impacts from metal(loids) in drinking water remains challenging. Results presented in this study represent the largest effort to date to test for exposure-relevant concentrations of Pb, As and Cu in US household drinking water, providing a critical step toward improved understanding of metal(loid) exposure risk.

Oxidative stress in the ovaries of mice chronically exposed to a low lead concentration: A generational approach

Lead (Pb) is a heavy metal that alters the oxidation-reduction balance, affecting reproductive health and transfer during pregnancy and lactation. However, the multigenerational impact of exposure to low concentrations of Pb on mammalian ovaries has not been assessed. This study evaluated general parameters, histology, redox state (RS), protein carbonylation (PC), lipid peroxidation (LP), and hormone concentrations in the ovaries of mice (CD1® ICR) of three successive generations with both unigenerational (E1) and multigenerational (E2) exposure to 0.2 ppm lead acetate through the drinking water and a control group. Body weight, food consumption, the number of born pups, and their weight after weaning were not significantly affected by Pb exposure in E1 and E2. However, the ovaries of three successive generations of the E1 group, in which only the F0 was exposed, showed alterations in the ovarian histoarchitecture, increase in follicular atresia, decrease in the number of available follicles, and a significant RS and PC elevation that were surprisingly similar to those observed in the E2 group. LP increased in the second generation of E1 and E2, while hormone concentration was not altered. This is the first demonstration that exposure to low concentration of Pb induces multigenerational histological alterations and oxidative stress in mouse ovaries, that the termination of this exposure does not ensure the safety of later generations and that the lack of modifications in general parameters may facilitate the silent development of pathologies that affect ovarian health.

Glycine protects the male reproductive system against lead toxicity via alleviating oxidative stress, preventing sperm mitochondrial impairment, improving kinematics of sperm, and blunting the downregulation of enzymes involved in the steroidogenesis

Lead (Pb) is a highly toxic heavy metal widely dispersed in the environment because of human industrial activities. Many studies revealed that Pb could adversely affect several organs, including the male reproductive system. Pb-induced reproductive toxicity could lead to infertility. Thus, finding safe and clinically applicable protective agents against this complication is important. It has been found that oxidative stress plays a fundamental role in the pathogenesis of Pb-induced reprotoxicity. Glycine is the simplest amino acid with a wide range of pharmacological activities. It has been found that glycine could attenuate oxidative stress and mitochondrial impairment in various experimental models. The current study was designed to evaluate the role of glycine in Pb-induced reproductive toxicity in male mice. Male BALB/c mice received Pb (20 mg/kg/day; gavage; 35 consecutive days) and treated with glycine (250 and 500 mg/kg/day; gavage; 35 consecutive days). Then, reproductive system weight indices, biomarkers of oxidative stress in the testis and isolated sperm, sperm kinetic, sperm mitochondrial indices, and testis histopathological alterations were monitored. A significant change in testis, epididymis, and Vas deferens weight was evident in Pb-treated animals. Markers of oxidative stress were also significantly increased in the testis and isolated sperm of the Pb-treated group. A significant disruption in sperm kinetic was also evident when mice received Pb. Moreover, Pb exposure caused significant deterioration in sperm mitochondrial indices. Tubular injury, tubular desquamation, and decreased spermatogenic index were histopathological alterations detected in Pb-treated mice. It was found that glycine significantly blunted oxidative stress markers in testis and sperm, improved sperm mitochondrial parameters, causing considerable higher velocity-related indices (VSL, VCL, and VAP) and percentages of progressively motile sperm, and decreased testis histopathological changes in Pb-exposed animals. These data suggest glycine as a potential protective agent against Pb-induced reproductive toxicity. The effects of glycine on oxidative stress markers and mitochondrial function play a key role in its protective mechanism.

Potential Health Risks of Lead Exposure from Early Life through Later Life: Implications for Public Health Education

Lead (Pb) exposure has been a serious environmental and public health problem throughout the world over the years. The major sources of lead in the past were paint and gasoline before they were phased out due to its toxicity. Meanwhile, people continue to be exposed to lead from time to time through many other sources such as water, food, soil and air. Lead exposure from these sources could have detrimental effects on human health, especially in children. UNICEF reported that approximately 800 million children have blood lead levels (BLLs) at or above 5 micrograms per deciliter (µg/dL) globally. This paper reports on the potential risks of lead exposure from early life through later life. The articles used in this study were searched from databases such as Springer, Science Direct, Hindawi, MDPI, Google Scholar, PubMed and other academic databases. The levels of lead exposure in low income and middle-income countries (LMICs) and high-income countries (HICs) were reported, with the former being more affected. The intake of certain nutrients could play an essential role in reducing (e.g., calcium and iron) or increasing (e.g., high fat foods) lead absorption in children. Elevated blood lead levels may disturb the cells' biological metabolism by replacing beneficial ions in the body such as calcium, magnesium, iron and sodium. Once these ions are replaced by lead, they can lead to brain disorders, resulting in reduced IQ, learning difficulties, reduced attention span and some behavioral problems. Exposure to lead at an early age may lead to the development of more critical problems later in life. This is because exposure to this metal can be harmful even at low exposure levels and may have a lasting and irreversible effect on humans. Precautionary measures should be put in place to prevent future exposure. These will go a long way in safeguarding the health of everyone, most especially the young ones.

Metal leaching test of commercially available faucets in the Japanese market in 2016-2020

In this study, metal leaching was investigated in commercially available faucets in Japan to clarify their compliance to Japanese regulations. We purchased 37 faucets from the market and analyzed the leaching of cadmium, mercury, selenium, lead (Pb), arsenic, hexavalent chromium, boron, zinc (Zn), copper, manganese, and nickel. The leaching tests were performed with and without a conditioning treatment, that simulated approximately 1-month intermittent use of faucets on weekdays, and the results were compared to estimate the changes in metal leaching during the use of faucets. The results revealed that metal leaching from most of the faucets complied with Japanese regulations. However, the levels of Pb leaching from several faucets produced by certain manufacturers exceeded the Japanese standard. The conditioning treatment was generally effective in reducing metal leaching. However, the reductions in Pb and Zn leaching tended to be lower than those of the other metals. Nickel is not legally regulated in Japan; although the number of cases where nickel concentration in leachate exceeded the water quality management target value was greater, such cases were limited to faucets primarily made of copper alloys. We believe that these results will be helpful to improve the public health associated with metal leaching from faucets.

A critical opportunity: Detecting and Reducing Lead in Drinking Water at child care facilities

There is no safe level of lead exposure. As exposure from point sources like lead paint have decreased, non-point sources such as drinking water have become a greater proportional source of total lead exposure. Even at low levels, lead exposure is shown to harm children, contributing to impaired development as well as learning and behavioral issues. This paper summarizes the key results of an Environmental Defense Fund (EDF) pilot study conducted at 11 child care facilities in 4 US states to evaluate approaches to testing and remediating lead in water at child care facilities. Over 75% of first draw samples contained lead levels under the 1 μg/L level recommended by the American Academy of Pediatrics (AAP). However, 10 of 11 child care facilities produced at least one sample above 1 μg/L. Fixture flushing, aerator cleaning, and fixture replacement were evaluated as remediation strategies. Fixture replacement was effective when initial lead was above 5 μg/L. Aerator cleaning did not have a measurable effect on lead levels for most fixtures but unexpectedly significantly increased lead levels in approximately 30% of fixtures. The 2021 Lead and Copper Rule (LCR) revision was applied to study data to determine whether updates would flag cases of low-level lead in child care settings and was found insufficient to prompt mitigation unless high lead was present at most taps.

Influence of point-of-use filters and stagnation on water quality at a preschool and under laboratory conditions

A local preschool installed NSF/ANSI 42 and 53 certified point-of-use (POU) filters in its classroom sinks and drinking fountains to protect children from the possibility of elevated lead (Pb) levels in drinking water. We examined the effects of these filters during flowing water and immediately following stagnation periods on Pb, chlorine, and bacterial concentrations in the field and the laboratory. Before and after typical school stagnation periods, we collected samples from filtered classroom sinks, a filtered drinking fountain and nearby unfiltered sinks for a year. No unfiltered samples exceeded Illinois State limits of 5 µg/L for Pb in pre-K through 5th grade schools. However, following stagnation periods as short as overnight (14.5 h), over half of post-stagnation filtered samples from classroom sinks exceeded 5 µg/L while post-stagnation unfiltered samples remained below 5 µg/L. Laboratory testing showed no significant increases in Pb with stagnation, suggesting that the preschool classrooms may have had Pb-bearing plumbing downstream of the filters which released Pb into the filtered drinking water. The filters effectively removed free chlorine (99% decrease) in both the preschool and laboratory. Installing the filters had the unintended consequence of significantly increasing the bacterial concentrations (as measured by qPCR) in the preschool's drinking water and in laboratory filter effluent. Legionella pneumophila, Pseudomonas aeruginosa, and Mycobacterium spp. were not detected in pre-stagnation unfiltered and post-stagnation filtered samples. These results suggest that the installation of POU filters be considered as one component of an overall strategy to decrease Pb concentrations in school drinking water that holistically considers the premise plumbing system. A 5-minute flush significantly decreased concentrations of Pb and bacteria in filtered sinks. Replacing Pb-bearing plumbing components downstream of a POU filter may also be needed to combat Pb levels in drinking water.

Widespread nickel contamination in drinking water supplies of elementary schools in Taichung, Taiwan

Owing to the limited information regarding potential sources of nickel (Ni) in drinking water, incidences of Ni contamination have not been well elucidated in the literature. However, in recent decades, Ni-containing plumbing materials such as stainless steel pipes, brass fittings, and chrome faucets have gained popularity in drinking water distribution systems. As a result of increased use of such materials, Ni levels in drinking water are expected to rise over time, posing long-term exposure risks to consumers. For the first time, this study employed an intensive sequential sampling, from October 2019 to July 2020, to assess Ni levels in drinking water samples collected from dispensers of elementary schools in Taichung, Taiwan. Of the total 580 sequential samples collected from 58 elementary schools, 45 samples from 17 schools exceeded the Taiwan Environmental Protection Administration (EPA) standard value of 20 μg/L for Ni. Total Ni concentration in 1 L sample, an average of the total Ni concentrations in 10 sequential samples, exceeded in 4 schools. This finding suggests minor Ni contamination in drinking water supplies across the city. The highest Ni concentration was measured in the 1st sequential sample reaching 154 μg/L. Weekend and summer samples exhibited a higher tendency to exceed the standard. Older schools with age above 50 years and schools with a higher student population (≥ 500) were more likely to have Ni contamination. This study showed that drinking water is a potential source of Ni. However, the identification of Ni source, whether within the dispenser or in the distribution system, warrants further research.

Identifying schools at high-risk for elevated lead in drinking water using only publicly available data

Estimating the risk of lead contamination of schools' drinking water at the State level is a complex, important, and unexplored challenge. Variable water quality among water systems and changes in water chemistry during distribution affect lead dissolution rates from pipes and fittings. In addition, the locations of lead-bearing plumbing materials are uncertain. We tested the capability of six machine learning models to predict the likelihood of lead contamination of drinking water at the schools' taps using only publicly available datasets. The predictive features used in the models correspond to those with a proven correlation to the dominant, but commonly unavailable, factors that govern lead leaching: the presence of lead-bearing plumbing materials and water quality conducive to lead corrosion. By combining water chemistry data from public reports, socioeconomic information from the US census, and spatial features using Geographic Information Systems, we trained and tested models to estimate the likelihood of lead contaminated tap water in over 8,000 schools across California and Massachusetts. Our best-performing model was a Random Forest, with a 10-fold cross validation score of 0.88 for Massachusetts and 0.78 for California using the average Area Under the Receiver Operating Characteristic Curve (ROC AUC) metric. The model was then used to assign a lead leaching risk category to half of the schools across California (the other half was used for training). There was good agreement between the modeled risk categories and the actual lead leaching outcomes for every school; however, the model overestimated the lead leaching risk in up to 17% of the schools. This model is the first of its kind to offer a tool to predict the risk of lead leaching in schools at the State level. Further use of this model can help deploy limited resources more effectively to prevent childhood lead exposure from school drinking water.

Rapid and simple lead service line detection screening protocol using water sampling

Many water systems are challenged with uncertainty regarding service line material type. This work investigated using a simple drinking water flushed sampling approach and a more complicated and invasive sequential profile sampling approach to predict whether homes had an existing lead service line (LSL). Homes that never had an LSL (control groups) and homes with LSLs (study groups) in two communities having different degrees of corrosion control were sampled. Using control groups' results, community-specific "threshold" lead levels were determined and compared to results from study groups. The flushed sampling maximum lead concentration (FMC) of lead accurately predicted 100% and 60% of LSL sites for the community with poor and good corrosion control, respectively. The weighted average sequential profile lead concentration (WASLC) increased the 40% not identified as LSL sites by fully flushed samples to 100%. The WASLC closely followed by the maximum sequential profile lead concentration were most reliable in identifying LSLs.

Theoretical equilibrium lead(II) solubility revisited: Open source code and practical relationships

A theoretical equilibrium lead(II) (Pb(II)) solubility model coded in Fortran (LEADSOL) was updated and implemented in open source R code, verified against LEADSOL output, and used to simulate theoretical equilibrium total soluble Pb(II) (TOTSOLPb) concentrations under a variety of practical scenarios. The developed R code file (app.R) is publicly available for download at GitHub (https://github.com/USEPA/TELSS) along with instructions to run the R code locally, allowing the user to explore Pb(II) solubility by selecting desired simulation conditions (e.g., water quality, equilibrium constants, and Pb(II) solids to consider). In addition, the R code serves as a reproducible baseline for alternative model development and future model improvements, allowing users to update, modify, and share the R code to meet their needs. Using the R code, several solubility diagrams were generated to highlight practical relationships related to TOTSOLPb concentrations, including the impact of pH and dissolved inorganic carbon, orthophosphate, sulfate, and chloride concentrations.

What Can Utilities Expect from New Lead Fifth-Liter Sampling Based on Historic First-Draw Data?

The United States Environmental Protection Agency recently released their most sweeping overhaul to the Lead and Copper Rule in three decades. One of the most significant changes is requiring a fifth-liter (L5) sample at homes with lead service lines (LSLs) rather than the original first-liter (L1) sample for a demonstration of compliance with water lead level (WLL) limits. We analyzed sequential sampling data from three large water systems and compliance data from Michigan utilities-which base compliance on the 90th percentile of the greater of L1 and L5 samples-to evaluate whether L5 WLLs better represent water in contact with LSLs and to explore regulatory impacts of including L5 samples in compliance monitoring. The sequential sampling data demonstrated that it is impossible to use a single sample volume within a sequential profile to universally capture the volume of water in an LSL. While L5 is not always a reliable indicator of water in contact with an LSL, Michigan compliance data showed that the L5 sample is more likely to be from an LSL and can identify utilities that benefit from an improved corrosion control treatment. Michigan compliance data indicate that it is likely that L5 sampling will result in more systems having a higher 90th percentile WLL and that a high proportion of the systems likely to exceed regulatory action levels based on L5 samples can be identified through a retrospective analysis of historic L1 data. The impact of the switch to L5 sampling on the effectiveness of corrosion control treatment over time has yet to be determined.

Lead service line identification: A review of strategies and approaches

Lead service lines (LSLs) represent the greatest source of lead in drinking water. Identifying the locations of LSLs can be challenging, and recent service line (SL) material surveys in Michigan, Illinois, Wisconsin, and Indiana found that on average the materials making up 16% of SLs in these states are unknown and may be lead. Given the large number of possible LSLs in the United States, new and pending regulatory requirements, LSL replacement costs, associated lead exposure risks, and the public's desire to reduce lead exposure, there is a need to rapidly and cost-effectively identify where LSLs are located, on public and private property. This review summarizes current industry LSL identification methods, including records screening, basic visual examination of indoor plumbing, water sampling, excavation, and predictive data analyses. A qualitative comparison of method cost, accuracy, disturbance, and other impacts is provided as a starting point for utilities that are developing a feasible approach for their specific needs/constraints. Lastly, an example stepwise approach to identify unknown SL materials is proposed.