Consumer Confidence Reports

EPA's Consumer Confidence Rule of 1998 requires most public water suppliers to provide consumer confidence reports (CCR), also known as annual water quality reports, to their customers. Each year by July 1 anyone connected to a public water system should receive in the mail an annual water quality report that tells where your water comes from and what's in it. Consumers can find out about these local reports on a map provided by EPA. According to the science writer Elizabeth Royte these consumer confidence reports, written by utilities, "can be flawed, and some are essentially propaganda. They report yearly averages over time and, with some contaminants, over multiple locations within a system, which can obscure spikes." In addition, they don't necessarily list contaminants that aren't regulated and say nothing about contamination that may occur within the plumbing system of a building.:223 A study of the 2001 water quality reports of 19 cities published by the Natural Resources Defense Council gave two of them--Newark and Phoenix--a failing grade for "burying, obscuring and omitting findings about health effects of contaminants in city water supplies and printing misleading statements." Even the cities to which the study assigned grades of "Good" and "Fair" included some false claims, errors and misleading data.

Weak enforcement of standards

Enforcement of drinking water standards in small water systems is weak. According to a New York Times analysis published in December 2009, more than 20 percent of water treatment systems in the U.S. providing water to 49 million people have violated key provisions of the Safe Drinking Water Act over the previous five years. Violations involved arsenic, radioactive substances like uranium, tetrachloroethylene, and coliform bacteria. Fewer than 6 percent of the water systems that broke the law were ever fined or punished by state or federal officials. According to David Uhlmann, a former Justice Department official, "there is significant reluctance within the EPA and Justice Department to bring actions against municipalities, because there’s a view that they are often cash-strapped, and fines would ultimately be paid by local taxpayers". A longtime EPA enforcement official who was quoted in the report said "The top people want big headlines and million-dollar settlements. That’s not drinking-water cases." State regulators rather provide technical assistance to help systems that violate the rules. But many systems remained out of compliance, even after aid was offered. For over a quarter of systems that violated the arsenic or radioactivity standards, there is even no record that they were ever contacted by a regulator.

Substances for which there are federal standards

Arsenic

Arsenic occurs naturally in water or enters it through pollution. If a person drinks two liters (more than half a gallon) of tap water that exceeds the former Maximum Contaminant Level of 50 parts per billion (ppb) every day over a lifetime, there is a risk of cancer. EPA reduced this level to 10 parts per billion (ppb) in 2002 and drinking water systems had to comply with the new regulation until 2006. The National Research Council estimates that men and women who daily consume water containing 20 ppb of arsenic have about a 0.7% increased risk of developing bladder or lung cancer during their lifetime. According to a recent film funded by the US Superfund, "In Small Doses"., millions of private wells have unknown arsenic levels, and in some areas of the US, over 20 percent of wells may contain levels that are not safe.

Cryptosporidium

Cryptosporidium is a parasite that has a thick outer shell and thus is highly resistant to disinfection with chlorine. It gets into rivers and lakes from the stools of infected animals. Municipal water treatment plants usually remove cryptosporidium oocysts through filtration. Nevertheless, at least five outbreaks of cryptosporidiosis in the U.S. have been associated with contaminated drinking water, including a well-publicized one in Milwaukee, Wisconsin in 1993.

The Long Term 2 Enhanced Surface Water Treatment Rule ("LT2 rule") of 2006 requires evaluation of treatment plants and specific treatments be provided in order to minimize the potential for cryptosporidium infections from public water at supplies using surface water.

Disinfection by-products

Disinfectants such as chlorine can react with natural material in the water to form disinfection by-products such as trihalomethanes. Animal studies indicate that none of the chlorination by-products studied to date is a potent carcinogen at concentrations normally found in drinking water. According to GreenFacts, there is insufficient epidemiological evidence to conclude that drinking chlorinated water causes cancers. The results of currently published studies do not provide convincing evidence that chlorinated water causes adverse pregnancy outcomes.

Fluoride

Most people associate fluoride with the practice of intentionally adding fluoride to public drinking-water supplies for the prevention of tooth decay. However, fluoride can also enter public water systems from natural sources, including runoff from weathering of fluoride-containing rocks and soils and leaching from soil into groundwater. Fluoride pollution from various industrial emissions can also contaminate water supplies. In a few areas of the United States, fluoride concentrations in water are much higher than normal, mostly from natural sources. In 1986, EPA established a maximum allowable concentration for fluoride in drinking water of 4 milligrams per liter (mg/L). After reviewing research on various health effects from exposure to fluoride, the Committee on Fluoride in Drinking Water of the National Research Council concluded in 2006 that EPA's drinking water standard for fluoride does not protect against adverse health effects. Just over 200,000 Americans live in communities where fluoride levels in drinking water are 4 mg/L or higher. Children in those communities are at risk of developing severe tooth enamel fluorosis, a condition that can cause tooth enamel loss and pitting. It can also increase the risk of bone fractures. The report concluded unanimously that the present maximum contaminant level goal of 4 mg/L for fluoride should be lowered.

Several states have more stringent regulations.

Lead

Another issue of concern is lead in drinking water. Typically, lead gets into drinking water after the water leaves the treatment plant. The source of lead is most likely pipe or solder in older service connections or older plumbing inside homes, from which lead "leaks" into the water through corrosion. EPA's lead and copper rule set an "action level" of 15 parts per billion (ppb), which is different from a maximum contaminant level.

If tests show that the level of lead drinking water is in the area of 15 ppb or higher, it is advisable - especially if there are young children in the home - to replace old pipes, to filter water or to use bottled water. EPA estimates that more than 40 million U.S. residents use water "that can contain lead in excess of 15 ppb". In Washington, DC these concerns have led to a $408 million program carried out since 2004 to replace lead service connections to about 35,000 homes. The effectiveness of the program has, however, been put in question in 2008 by WASA, the city's utility.

Substances for which there are no federal standards

EPA maintains a list of substances which are proposed for regulation in drinking water. In an effort to assess the importance of certain substances as contaminants, the National Primary Drinking Water Regulations have required some public water systems to monitor for some of those substances.

MTBE

Methyl tert-butyl ether is regulated by some states, including California and New York.

Perchlorates

Perchlorates have been detected in public drinking water supplies of over 11 million people in 22 states at concentrations of at least 4 parts per billion (ppb). Above a certain concentration perchlorates alter the production of thyroid hormones by the body, chemicals that are essential for proper development of the fetus and for normal metabolic functioning of the body. According to patient advocate and writer Mary Shomon, people with thyroid conditions, as well as pregnant women and their fetuses are particularly at risk. However, according to the Perchlorate Information Bureau, an industry-supported group, sound scientific and medical research shows that the low levels of perchlorate being detected in drinking water are not dangerous to human health. Still according to the same source, these studies on adults, newborns and children provide reason to believe that low levels of perchlorate (even at levels many times higher than the minute amounts being found in some drinking water supplies) also have no measurable effect on pregnant women or fetuses.

One source of perchlorate in drinking water is the past production of solid rocket propellants using perchlorate, combined with poor disposal practices. Industrial accidents and agricultural fertilizers are also suspected as sources of contamination of drinking water by perchlorate. Perchlorate is also found in breast milk at significant levels, possibly attributable to perchlorate in drinking water and foods.

The challenge of defining an acceptable level of perchlorates in drinking water sets two opposing groups with significantly different views against each other. In a draft risk assessment made in 2002 EPA suggested that levels higher than 1 part per billion (ppb) pose a health risk. In contrast, the Defense Department contended that perchlorate at 200 ppb has no lasting effect on humans. Perchlorate is one of only four of the 70 chemicals for which EPA has set public health goals that have a safety factor of 10, rather than the usual safety factors of 100 or 1000. In October 2008 EPA refused to set a drinking water safety standard for perchlorate, saying that "in more than 99 percent of public drinking water systems, perchlorate was not at levels of public health concern" using a benchmark of 15 ppb. EPA encouraged states to set their own standards in accordance to local conditions. In 2004 eight states had non-binding advisories for perchlorate in drinking water, ranging from 1 to 18 ppb. Only two states--Massachusetts and California--set legally binding maximum contaminant levels on the allowable amount of perchlorate in drinking water, at 2 ppb and 6 ppb respectively. Environmental organizations have criticized EPA's decision not to set a federal drinking water safety standard for perchlorates. The environmental law firm Earthjustice announced that it would file suit against the Agency.

Pharmaceutical substances

Many pharmaceutical substances are not regulated under the Safe Drinking Water Act. They have been found in tiny concentrations in the drinking water of several US cities affecting at least 41 million Americans, according to a five-month inquiry by the Associated Press published in March 2008. According to the AP report, researchers do not yet understand the exact risks from decades of persistent exposure to random combinations of low levels of pharmaceuticals.

Pharmaceuticals are included in a broader group of substances currently being studied by EPA, "Pharmaceuticals and Personal Care Products (PPCPs)." This group includes classes of common consumer products such as cosmetics, fragrances, vitamins and sunscreen products.

Radon

USEPA proposed regulations for radon in 1991 and 1999.