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Per- and polyfluoroalkyl substances (PFAS) in United States tapwater: Comparison of underserved private-well and public-supply exposures and associated health implications

Drinking-water quality is a rising concern in the United States (US), emphasizing the need to broadly assess exposures and potential health effects at the point-of-use. Drinking-water exposures to per- and poly-fluoroalkyl substances (PFAS) are a national concern, however, there is limited information on PFAS in residential tapwater at the point-of-use, especially from private-wells. We conducted a national reconnaissance to compare human PFAS exposures in unregulated private-well and regulated public-supply tapwater. Tapwater from 716 locations (269 private-wells; 447 public supply) across the US was collected during 2016–2021 including three locations where temporal sampling was conducted. Concentrations of PFAS were assessed by three laboratories and compared with land-use and potential-source metrics to explore drivers of contamination. The number of individual PFAS observed ranged from 1 to 9 (median: 2) with corresponding cumulative concentrations (sum of detected PFAS) ranging from 0.348 to 346 ng/L. Seventeen PFAS were observed at least once with PFBS, PFHxS and PFOA observed most frequently in approximately 15% of the samples. Across the US, PFAS profiles and estimated median cumulative concentrations were similar among private wells and public-supply tapwater. We estimate that at least one PFAS could be detected in about 45% of US drinking-water samples. These detection probabilities varied spatially with limited temporal variation in concentrations/numbers of PFAS detected. Benchmark screening approaches indicated potential human exposure risk was dominated by PFOA and PFOS, when detected. Potential source and land-use information was related to cumulative PFAS concentrations, and the number of PFAS detected; however, corresponding relations with specific PFAS were limited likely due to low detection frequencies and higher detection limits. Information generated supports the need for further assessments of cumulative health risks of PFAS as a class and in combination with other co-occurring contaminants, particularly in unmonitored private-wells where information is limited or not available.

U.S. Virgin Islands

Socio-environmental health analysis in Nogales, Sonora, Mexico

In Nogales, Sonora, Mexico, some neighborhoods, or colonias, have intermittent delivery of water through pipes from the city of Nogales’s municipal water-delivery system while other areas lack piped water and rely on water delivered by truck or pipas. This research examined how lifestyles, water quality, and potential disease response, such as diarrhea, differs seasonally from a colonia with access to piped water as opposed to one using alternative water-delivery systems. Water samples were collected from taps or spigots at homes in two Nogales colonias. One colonia reflected high socio-environmental conditions where residents are supplied with municipal piped water (Colonia Lomas de Fatima); the second colonia reflected low socio-environmental conditions, lacking access to piped water and served by pipas (Colonia Luis Donaldo Colosio). A survey was developed and implemented to characterize perceptions of water quality, health impacts, and quality of life. Water samples were analyzed for microbial and inorganic water-quality parameters known to impact human health including, Escherichia coli (E. coli), total coliform bacteria, arsenic, and lead. A total of 21 households agreed to participate in the study (14 in Colosio and 7 in Fatima). In both colonias metal concentrations from water samples were all well below the United States Environmental Protection Agency’s (US EPA’s) maximum contaminant levels. E. coli concentrations exceeded the US EPA’s drinking-water standard in Colosio but not Fatima. Total coliform bacteria were present in over 50 % of households in both colonias. Microbial contamination was significantly higher in the summer than in the winter in both colonias. Resulting analysis suggests that residents in colonias without piped water are at a greater risk of gastrointestinal illness from consumption of compromised drinking water. Our survey corroborated reports of gastrointestinal illness in the summer months but not in the winter. Chloride was found to be significantly greater in Colosio (median 29.2 mg/L) although still below the US EPA’s maximum contaminant levels of 250 mg/L. Ongoing binational collaboration can promote mechanisms to improve water quality in cities located in the US–Mexico border.

Water Quality, Exposure, and Health

Months-long spike in aqueous Arsenic following domestic well installation and disinfection: Short- and long-term drinking water quality implications

Exposure to high concentration geogenic arsenic via groundwater is a worldwide health concern. Well installation introduces oxic drilling fluids and hypochlorite (a strong oxidant) for disinfection, thus inducing geochemical disequilibrium. Well installation causes changes in geochemistry lasting 12 + months, as illustrated in a recent study of 250 new domestic wells in Minnesota, north-central United States. One study well had extremely high initial arsenic (1550 µg/L) that substantially decreased after 15 months (5.2 µg/L). The drilling and development of the study well were typical and ordinary; nothing observable indicated the very high initial arsenic concentration. We hypothesized that oxidation of arsenic-containing sulfides (which lowers pH) combined with low pH dissolution of arsenic-bearing Fe (oxyhydr)oxides caused the very high arsenic concentration. Geochemical equilibrium considerations and modeling supported our hypothesis. Groundwater equilibrium redox conditions are poised at the Fe(III) (s) /Fe(II) (aq) stability boundary, indicating arsenic-bearing Fe (oxyhydr)oxide mineral sensitivity to pH and redox changes. Changing groundwater geochemistry can have negative implications for home water treatment (e.g., reduced arsenic removal efficiency, iron fouling), which can lead to ongoing but unrecognized hazard of arsenic exposure from domestic well water. Our results may inform arsenic mobilization processes and geochemical sensitivity in similarly complex aquifers in Southeast Asia and elsewhere.

Minnesota

Temporal analysis of water chemistry and smallmouth bass (Micropterus dolomieu) health at two sites with divergent land use in the Susquehanna River watershed, Pennsylvania, USA

Monitoring wild fish health and exposure effects in impacted rivers and streams with differing land use has become a valuable research tool. Smallmouth bass ( Micropterus dolomieu ) are a sensitive, indicator species that exhibit signs of immunosuppression and endocrine disruption in response to water quality changes and contaminant exposure. To determine the impact of agriculture and development on smallmouth bass health, two sites (a developed/agriculture site and a forested site) in the Susquehanna River watershed, Pennsylvania were selected where bass and water chemistry were sampled from 2015 to 2019. Smallmouth bass were sampled for histopathology to assess parasite and macrophage aggregate density in the liver and spleen, condition factor (Ktl), hepatic gene transcript abundance, hepatosomatic index (HSI), and a health assessment index (HAI). Land use at the developed/agriculture site included greater pesticide application rates and phytoestrogen crop cover and more detections and higher concentrations of pesticides, wastewater-associated contaminants, hormones, phytoestrogens, and mycotoxins than at the forested site. Additionally, at the developed/agriculture site, indicators of molecular changes, including oxidative stress, immune/inflammation, and lipid metabolism-related hepatic gene transcripts, were associated with more contaminants and land use variables. At both sites, there were multiple associations of contaminants with liver and/or spleen macrophage aggregate density, indicating that changes at the molecular level seemed to be a better indicator of exposures unique to each site. The findings illustrate the importance of timing for land management practices, the complex mixtures aquatic animals are exposed to, and the temporal changes in contaminant concentration. Agricultural practices that affect hepatic gene transcripts associated with immune function and disease resistance were demonstrated which could negatively affect smallmouth bass populations.

Pennsylvania

Exposures and potential health implications of contaminant mixtures in linked source water, finished drinking water, and tapwater from public-supply drinking water systems in Minneapolis/St. Paul area, USA

Continued improvements in drinking-water quality characterization and treatment/distribution infrastructure are required to address the expanding number of documented environmental contaminants. To better understand the variability in contaminant exposures from the drinking water resource (surface and groundwater), through the distribution process, to the point-of-use (tapwater), in 2019 a synoptic assessment of broad chemical exposures was conducted in system-specific source waters, finished drinking water and service-area tapwater from 10 drinking water treatment facilities in the greater Minneapolis/St. Paul area of Minnesota, United States. Source water, finished water (collected pre-distribution in the treatment facility), and tapwater samples were analyzed for 465 unique organic compounds, 34 inorganic constituents, and 3 field parameters as well as in vitro estrogen, androgen, and glucocorticoid bioactivities. Mixtures of organic and inorganic contaminants were prevalent in source water, finished water, and tapwater samples, indicating the continued need for broad assessments of mixed contaminant exposures to characterize potential drinking-water human health outcomes. Contaminant concentrations were similar among drinking water sources and no exceedances of Environmental Protection Agency maximum contaminant level(s) (MCL) were observed in any treated sample (finished water or tapwater) in this study. No treated sample contained estrogenic, androgenic, or glucocorticoid activity at concentrations that may cause adverse human health effects. However, there were multiple exceedances of non-enforceable MCL goal(s) (MCLG), and other health advisories combined with frequent exceedances of benchmark-based hazard indices in both finished water and tapwater samples. These results indicate that exposure to contaminant mixtures is a potential public health concern underscoring our continued efforts to assess contaminant mixture exposures at the drinking-water point of consumption using a broad analytical scope.

Minnesota

Mixed contaminant exposure in tapwater and the potential implications for human-health in disadvantaged communities in California

Water is an increasingly precious resource in California as years of drought, climate change, pollution, as well as an expanding population have all stressed the state's drinking water supplies. Currently, there are increasing concerns about whether regulated and unregulated contaminants in drinking water are linked to a variety of human-health outcomes particularly in socially disadvantaged communities with a history of health risks. To begin to address this data gap by broadly assessing contaminant mixture exposures, the current study was designed to collect tapwater samples from communities in Gold Country, the San Francisco Bay Area, two regions of the Central Valley (Merced/Fresno and Kern counties), and southeast Los Angeles for 251 organic chemicals and 32 inorganic constituents. Sampling prioritized low-income areas with suspected water quality challenges and elevated breast cancer rates. Results indicated that mixtures of regulated and unregulated contaminants were observed frequently in tapwater throughout the areas studied and the types and concentrations of detected contaminants varied by region, drinking-water source, and size of the public water system. Multiple exceedances of enforceable maximum contaminant level(s) (MCL), non-enforceable MCL goal(s) (MCLG), and other health advisories combined with frequent exceedances of benchmark-based hazard indices were also observed in samples collected in all five of the study regions. Given the current focus on improving water quality in socially disadvantaged communities, our study highlights the importance of assessing mixed-contaminant exposures in drinking water at the point of consumption to adequately address human-health concerns (e.g., breast cancer risk). Data from this pilot study provide a foundation for future studies across a greater number of communities in California to assess potential linkages between breast cancer rates and tapwater contaminants.

Callifornia

Monitoring wetland water quality related to livestock grazing in amphibian habitats

Land use alteration such as livestock grazing can affect water quality in habitats of at-risk wildlife species. Data from managed wetlands are needed to understand levels of exposure for aquatic life stages and monitor grazing-related changes afield. We quantified spatial and temporal variation in water quality in wetlands occupied by threatened Oregon spotted frog ( Rana pretiosa ) at Klamath Marsh National Wildlife Refuge in Oregon, United States (US). We used analyses for censored data to evaluate the importance of habitat type and grazing history in predicting concentrations of nutrients, turbidity, fecal indicator bacteria (FIB; total coliforms, Escherichia coli ( E. coli ), and enterococci), and estrogenicity, an indicator of estrogenic activity. Nutrients (orthophosphate and ammonia) and enterococci varied over time and space, while E. coli , total coliforms, turbidity, and estrogenicity were more strongly associated with local livestock grazing metrics. Turbidity was correlated with several grazing-related constituents and may be particularly useful for monitoring water quality in landscapes with livestock use. Concentrations of orthophosphate and estrogenicity were elevated at several sites relative to published health benchmarks, and their potential effects on Rana pretiosa warrant further investigation. Our data provided an initial assessment of potential exposure of amphibians to grazing-related constituents in western US wetlands. Increased monitoring of surface water quality and amphibian population status in combination with controlled laboratory toxicity studies could help inform future research and targeted management strategies for wetlands with both grazing and amphibians of conservation concern.

Oregon

Health and condition of endangered young-of-the-year Lost River and Shortnose suckers relative to water quality in Upper Klamath Lake, Oregon, 2014–2015

Most mortality of endangered Lost River ( Deltistes luxatus ) and shortnose ( Chasmistes brevirostris ) suckers in Upper Klamath Lake, Oregon, occurs within the first year of life. Juvenile suckers in Clear Lake Reservoir, California, survive longer and may even recruit to the spawning populations. In a previous (2013–2014) study, the health and condition of juvenile suckers and the dynamics of water quality between Upper Klamath Lake and Clear Lake Reservoir were compared. That study found that apparent signs of stress or exposure to irritants, such as peribiliary cuffing in liver tissue and mild inflammation and necrosis in gill tissues, were present in suckers from both lakes and were unlikely to be clues to the cause of differential mortality between lakes. Seasonal trends in energy storage as glycogen and triglycerides were also similar between lakes, indicating prey limitation was not a likely factor in differential mortality. To better understand the relationship between juvenile sucker health and water quality, we examined suckers collected in 2014–2015 from Upper Klamath Lake, where water quality can be dynamic and, at times, extreme. While there were notable differences in water quality and fish health between years, we were not able to identify any specific water-quality-related causes for differential fish condition. Water quality was generally better in 2014 than in 2015. When considered together afflictions and abnormalities generally indicated healthier suckers in 2014 than 2015. Low dissolved-oxygen events (< 4 milligrams per liter) were less frequent and occurred earlier; high pH events (≥ 9.5) were less frequent and shorter in duration; large diel fluctuations in pH (≥ 1.4) were less frequent; water temperatures were warmer, particularly in July and September; and concentrations of microcystin in both large and small fractions of samples were lower in 2014 than in 2015. Total and therefore also un-ionized ammonia were low in 2014–2015 relative to concentrations known to affect suckers. Petechial hemorrhages of the skin, attached Lernaea spp. and eosinophilic hyaline droplets in the kidney tubules were less prevalent in 2014 than in 2015; however, hyperplastic and hypertrophic gill tissue and trichodinids on the gills were observed more frequently in 2014. There were more suckers with normal liver color and texture in 2014 than in 2015. The prevalence of suckers with liver inflammation was greater in 2014 and only observed in suckers collected after August 5, whereas liver inflammation occurred intermittently in 2015. Liver glycogen among suckers decreased in late-August 2014 and increased from early August to mid-September 2015. Lost River suckers had greater whole-body triglyceride content but a larger proportion with an absence of visceral fat observed in 2014 than in 2015. In contrast, shortnose suckers were similar between years in regard to both whole-body triglyceride and visceral fat. Black-spot-forming parasites (trematode metacercariae) were observed in a higher prevalence on shortnose suckers but not Lost River suckers in 2014 than in 2015. Opercular deformities were less prevalent in both species in 2014 than in 2015. Neither gross nor histological examination revealed a high prevalence of abnormalities in suckers that clearly indicate a primary mechanism for juvenile mortality in Upper Klamath Lake. Histological abnormalities were almost always focal and minimal or mild except where associated with parasites. Mild to severe focal abnormalities associated with Lernaea sp. attachment sites and encysted digenean (trematode) metacercariae are unlikely to be associated with mortality. Severe and diffuse inflammation and hyperplasia of the gills associated with Ichthyobodo sp. on one Lost River sucker, may indicate a potential cause of mortality. High mortality may have primarily occurred outside our study period (for example, in spring or over winter), or was caused by a factor that could not be detected with our methods (for example, predation). Alternatively, abnormalities in a small percentage of passively captured suckers in Upper Klamath Lake may indicate health-related issues that were more prevalent in populations than in our samples. Temporary decreases in liver glycogen stores may also indicate periods of stress, which may eventually lead to mortality of young suckers.

Oregon

Reconnaissance-level assessment of water quality near Flandreau, South Dakota

This report presents water-quality data that have been compiled and collected for a reconnaissance-level assessment of water quality near Flandreau, South Dakota. The investigation was initiated as a cooperative effort between the U.S. Geological Survey and the Flandreau Santee Sioux Tribe. Members of the Flandreau Santee Sioux Tribe have expressed concern that Tribal members residing in the city of Flandreau experience more health problems than the general population in the surrounding area. Prior to December 2000, water for the city of Flandreau was supplied by wells completed in the Big Sioux aquifer within the city of Flandreau. After December 2000, water for the city of Flandreau was supplied by the Big Sioux Community Water System from wells completed in the Big Sioux aquifer along the Big Sioux River near Egan, about 8 river miles downstream of Flandreau. There is some concern that the public and private water supplies provided by wells completed in the Big Sioux aquifer near the Big Sioux River may contain chemicals that contribute to the health problems. Data compiled from other investigations provide information about the water quality of the Big Sioux River and the Big Sioux aquifer in the Flandreau area from 1978 through 2001. The median, minimum, and maximum values are presented for fecal bacteria, nitrate, arsenic, and atrazine. Nitrate concentrations of water from Flandreau public-supply wells occasionally exceeded the Maximum Contaminant Level of 10 milligrams per liter for public drinking water. For this study, untreated-water samples were collected from the Big Sioux River in Flandreau and from five wells completed in the Big Sioux aquifer in and near Flandreau. Treated-water samples from the Big Sioux Community Water System were collected at a site about midway between the treatment facility near Egan and the city of Flandreau. The first round of sampling occurred during July 9-12, 2001, and the second round of sampling occurred during August 20-27, 2001. Samples were analyzed for a broad range of compounds, including major ions, nutrients, trace elements, pesticides, antibiotics, and organic wastewater compounds, some of which might cause adverse health effects after long-term exposure. Samples collected on August 27, 2001, from the Big Sioux River also were analyzed for human pharmaceutical compounds. The quality of the water in the Big Sioux River and the Big Sioux aquifer in the Flandreau area cannot be thoroughly characterized with the limited number of samples collected within a 2-month period, and for many analytes, neither drinking-water standards nor associations with adverse health effects have been established. Concentrations of some selected analytes were less than U.S. Environmental Protection Agency drinking-water standards at the time of the sampling, and concentrations of most organic compounds were less than the respective method reporting levels for most of the samples.

South Dakota

Environmental drivers and spatial patterns of antibiotic-resistant, enteric coliforms across a forest–urban riverscape

Antibiotic resistant bacteria are prevalent environmental contaminants in freshwaters, and antibiotic resistance genes circulate throughout the urban water cycle. The increase of antibiotic resistant pathogens threatens public health through direct and indirect exposure, and natural resource managers need information on the spatial patterns of antibiotic resistant bacteria and environmental factors associated with their distribution to improve water quality monitoring and to better assess human, animal, and environmental health risks. We collected water and epilithic biofilm samples and measured physicochemical environmental variables at 29 sites distributed longitudinally in the Green-Duwamish River basin, Washington, USA. We characterized catchment-wide patterns of gram-negative fecal indicator bacteria and hypothesized that the presence of antibiotic resistance would be associated with environmental heterogeneity, bacterial primary ecology, stream compartment, and stream type. Antibiotic resistance was determined by microbial growth on selective media supplemented with 3 different antibiotics (ampicillin, chloramphenicol, or tetracycline). Phenotypic antibiotic resistance was positively associated with disturbance, but resistance to at least 1 antibiotic was also detected in undeveloped river segments, with an 83% overall detection rate (i.e., 24 out of 29 sites, 17 in the mainstem and 7 in tributaries). The most probable number of Escherichia coli was associated with higher levels of antibiotic resistance of non- E. coli coliforms across the basin (ρ = 0.38, p < 0.01) but was not associated with antibiotic resistance of E. coli . Phenotypic resistance was highest among non- E. coli coliforms in the water column of tributaries draining moderately to extensively developed subcatchments. Generalized linear mixed-effects model results showed that 18% of the variance in presence of antibiotic resistance was explained by the fixed effects (summed CV across environmental variables, stream type, primary ecology, and stream compartment), and when a spatial random effect was included, the model explained 27% of the variance. Our study provides new evidence that environmental factors and bacterial primary ecology are important underlying factors associated with spatial patterns of antibiotic resistant enteric coliforms. We used macroecological concepts and a riverscape approach to characterize the distribution of antibiotic resistance with methods applicable to municipalities.

Freshwater Science

Water quality and amphibian health in the Big Bend region of the Rio Grande Basin

Male and female Rio Grande leopard frogs (Rana berlandieri) were collected in May 2005 from the main stem and tributaries of the Rio Grande in the Big Bend region of Texas. Frogs were examined for (1) incidence of testicular ovarian follicles in males; (2) thyroid epithelial cell height, a potential index of exposure to thyroid-disrupting contaminants; and (3) incidence of liver melanomacrophage aggregates, a general index of exposure to contaminants. Standard parameters of surface water quality and concentrations of selected elements, including heavy metals, were determined at each frog collection site. Heavy metals also were measured in whole-frog composite extracts. Water cadmium concentrations in most sites and chloride concentrations in the main stem exceeded federal criteria for freshwater aquatic life. Mercury was detected in frogs from the two collection sites in Terlingua Creek. There was a seventeen percent incidence of testicular ovarian follicles in male frogs. Mean thyroid epithelial cell height was greater in frogs from one of the Terlingua Creek sites (Terlingua Abajo). No differences were observed in the incidence of hepatic macrophage aggregates among sites. In conclusion, although potential cause-effect relationships between indices of habitat quality and amphibian health could not be established, the results of this study raise concerns about the general quality of the aquatic habitat and the potential long-term consequences to the aquatic biota of the Big Bend region. The presence of ovarian follicles in male frogs is noteworthy but further study is necessary to determine whether this phenomenon is natural or anthropogenically induced.

Texas Journal of Science

How or when samples are collected affects measured arsenic concentration in new drinking water wells

Naturally occurring arsenic can adversely affect water quality in geologically diverse aquifers throughout the world. Chronic exposure to arsenic via drinking water is a human health concern due to risks for certain cancers, skin abnormalities, peripheral neuropathy, and other negative health effects. Statewide in Minnesota, USA, 11% of samples from new drinking water wells have arsenic concentrations exceeding 10 μg/L; in certain counties more than 35% of tested samples exceed 10 μg/L arsenic. Since 2008, Minnesota well code has required testing water from new wells for arsenic. Sample collection protocols are not specified in the well code, so among 180 well drillers there is variability in sampling methods, including sample collection point and sample collection timing. This study examines the effect of arsenic sample collection protocols on the variability of measured arsenic concentrations in water from new domestic water supply wells. Study wells were drilled between 2014 and 2016 in three regions of Minnesota that commonly have elevated arsenic concentrations in groundwater. Variability in measured arsenic concentration at a well was reduced when samples were (1) filtered, (2) collected from household plumbing instead of from the drill rig pump, or (3) collected several months after well construction (instead of within 4 weeks of well installation). Particulates and fine aquifer sediments entrained in groundwater samples, or other artifacts of drilling disturbance, can cause undesirable variability in measurements. Establishing regulatory protocols requiring sample filtration and/or collection from household plumbing could improve the reliability of information provided to well owners and to secondary data users.

Groundwater

Health effects of energy resources

Energy resources (coal, oil, and natural gas) are among the cornerstones of modern industrial society. The exploitation of these resources, however, is not without costs. Energy materials may contain harmful chemical substances that, if mobilized into air, water, or soil, can adversely impact human health and environmental quality. In order to address the issue of human exposure to toxic substances derived from energy resources, the U.S. Geological Survey (USGS) Energy Resources Program developed a project entitled 'Impacts of Energy Resources on Human Health and Environmental Quality.' The project is intended to provide policymakers and the public with the scientific information needed to weigh the human health and environmental consequences of meeting our energy needs. This fact sheet discusses several areas where the USGS Energy Resources Program is making scientific advances in this endeavor.

Fact Sheet

Creek and quarry water quality at Pipestone National Monument and pilot study of pathogen detection methods in waterfall mist at Winnewissa Falls, Pipestone, Minnesota, 2018–19

Pipestone National Monument is a 301-acre site sacred to many Native American Tribes, providing cultural exhibits and walking trails to Pipestone Creek, Winnewissa Falls, and historical pipestone quarries for numerous visitors each year. However, the Minnesota Pollution Control Agency has determined turbidity and fecal coliform bacteria occur in Pipestone Creek in high enough numbers to be a potential health hazard. Concerns also were raised about exposure risk from waterfall mist to visitors and staff. The U.S. Geological Survey and the National Park Service collaborated on a study to collect 21 water-quality samples from 8 creek sites and 3 quarries in 2018 and analyzed them for over 250 water-quality parameters and contaminants. Additional samples were collected in August 2019 to assess the waterfall mists from Winnewissa Falls. Nutrient concentrations in the creek and quarries were elevated in 2018, indicating they are affected by agricultural inputs. All sample concentrations for nitrate and total nitrogen in Pipestone Creek exceeded Minnesota standards and U.S. Environmental Protection Agency nutrient criteria. Minnesota standards and U.S. Environmental Protection Agency nutrient criteria for total phosphorus also were exceeded in some of the quarry samples. Twenty of 210 micropollutants had measurable concentrations: 13 pesticides, 5 pharmaceuticals, and 2 other types of micropollutants. Atrazine, deethylatrazine, and metolachlor ethanesulfonic acid were detected in all 21 samples collected during the study. The five pharmaceuticals detected were acetaminophen, gabapentin, gemfibrozil, metformin, and oxycodone. Gabapentin (10 of 21 samples) and metformin (8 of 21 samples) were the most commonly detected pharmaceuticals. None of the detected micropollutant concentrations exceeded any Minnesota standards or U.S. Environmental Protection Agency aquatic life benchmarks, except the acute toxicity benchmark for nonvascular plants for atrazine. Two cyanotoxins, anatoxin-a and microcystin, were detected, but concentrations were below U.S. Environmental Protection Agency guidelines for swimming or recreation. Notably, total coliform, fecal coliform, and Escherichia coli were detected in all creek samples, and concentrations generally decreased downstream, suggesting contamination potentially occurred upstream from the monument. Mycobacterium avium ssp. paratuberculosis was not detected in any creek sediment samples but was detected in three water samples from the creek. Three organisms were detected in the 2019 water and mist sampling from Winnewissa Falls. Two of these organisms can cause illness in humans ( Cryptosporidium and Legionella ), and a third (ruminant Bacteroides ) is an indicator of manure contamination. Despite few samples, pathogen-positive water samples and air sampling demonstrated the feasibility and utility of the mist sampling approach outlined in this report.

Minnesota

The Penobscot River and environmental contaminants: Assessment of tribal exposure through sustenance lifeways

EPA in collaboration with the Penobscot Indian Nation, U.S. Geological Survey (USGS), Agency for Toxic Substances and Disease Registry (ATSDR), and the U.S. Fish and Wildlife Service (USF&WS) collectively embarked on a four year research study to evaluate the environmental health of the riverine system by targeting specific cultural practices and using traditional science to conduct a preliminary contaminant screening of the flora and fauna of the Penobscot River ecosystem. This study was designed as a preliminary screening to determine if contaminant concentrations in fish, eel, snapping turtle, wood ducks, and plants in Regions of the Penobscot River relevant to where PIN tribal members hunt, fish and gather plants were high enough to be a health concern. This study was not designed to be a statistically validated assessment of contaminant differences among study sites or among species. The traditional methodology for health risk assessment used by the U. S. Environmental Protection Agency (EPA) is based on the use of exposure assumptions (e.g. exposure duration, food ingestion rate, body weight, etc.) that represent the entire American population, either as a central tendency exposure (e.g. average, median) or as a reasonable maximum exposure (e.g. 95% upper confidence limit). Unfortunately, EPA lacked exposure information for assessing health risks for New England regional tribes sustaining a tribal subsistence way of life. As a riverine tribe, the Penobscot culture and traditions are inextricably tied to the Penobscot River watershed. It is through hunting, fishing, trapping, gathering and making baskets, pottery, moccasins, birch-bark canoes and other traditional practices that the Penobscot culture and people are sustained. The Penobscot River receives a variety of pollutant discharges leaving the Penobscot Indian Nation (PIN) questioning the ecological health and water quality of the river and how this may affect the practices that sustain their way of life. The objectives of this Regional Applied Research Effort (RARE) study were to: Develop culturally sensitive methodologies for assessing the potential level of exposure tocontaminants that Penobscot Indian Nation tribal members may have from maintainingtribal sustenance practices. Conduct field surveys and laboratory analysis on targeted flora and fauna for chemicalexposure to dioxins/furans, polychlorinated biphenyls (PCBs), total mercury and methyl-mercury. Assist the Agency for Toxic Substances and Disease Registry (ATSDR) by providing thenecessary data to conduct a Public Health Assessment for the Penobscot Indian Nation. Establish protocols for assessing the level of exposure to PCBs, dioxins/furans and mercuryto PIN tribal members as a consequence of gathering tribal plants for medicinal andnutritional purposes; as well as consuming fish, wood duck, and snapping turtle as a primarysource of nutrition. Survey surface water, drinking water, and sediment from the Penobscot River and IndianIsland to assess the exposure of PIN tribal members to environmental genotoxicants thatcontinue cultural sustenance practices. This research initiative collected and analyzed sediment and biota to determine the level of contaminant exposure to Penobscot tribal members. Natural resource utilization patterns and exposure pathways were identified based on discussions with the Tribal elders. Identification of Tribal exposure factors (exposure pathways and contaminant concentrations) was essential for accurately assessing potential long-term Penobscot Indian Nation tribal members’ exposure. Based on this study, ATSDR’s Public Health Assessment (PHA) concluded that the Penobscot Indian Nation (PIN) tribal members who eat fish and snapping turtle at the ingestion levels suggested in the Wabanaki Traditional Cultural Lifeways Exposure Scenario Report (Wabanaki Exposure Scenario) may be exposed to harmful levels of mercury, dioxins/furans, dioxin-like PCBs, and ot

Maine

Nontuberculous mycobacterial disease and molybdenum in Colorado watersheds

Nontuberculous mycobacteria (NTM) are environmental bacteria that may cause chronic lung disease. Environmental factors that favor NTM growth likely increase the risk of NTM exposure within specific environments. We aimed to identify water-quality constituents (Al, As, Cd, Ca, Cu, Fe, Pb, Mg, Mn, Mo, Ni, K, Se, Na, Zn, and pH) associated with NTM disease across Colorado watersheds. We conducted a geospatial, ecological study, associating data from patients with NTM disease treated at National Jewish Health and water-quality data from the Water Quality Portal. Water-quality constituents associated with disease risk were identified using generalized linear models with Poisson-distributed discrete responses. We observed a highly robust association between molybdenum (Mo) in the source water and disease risk. For every 1- unit increase in the log concentration of molybdenum in the source water, disease risk increased by 17.0%. We also observed a statistically significant association between calcium (Ca) in the source water and disease risk. The risk of NTM varied by watershed and was associated with watershed-specific water-quality constituents. These findings may inform mitigation strategies to decrease the overall risk of exposure.

Colorado

Water, water everywhere, but every drop unique: Emerging challenges in the science to understand the role of contaminants in management of drinking water supplies

The protection and management of water resources continues to be challenged by multiple and ongoing factors such as shifts in demographic, social, economic, and public health requirements. Physical limitations placed on access to potable supplies include natural and human-caused factors such as aquifer depletion, aging infrastructure, saltwater intrusion, floods, and drought. These factors, although varying in magnitude, spatial extent, and timing, can exacerbate the potential for contaminants of concern (CECs) to be present in sources of drinking water, infrastructure, premise plumbing and associated tap water. This monograph examines how current and emerging scientific efforts and technologies increase our understanding of the range of CECs and drinking water issues facing current and future populations. It is not intended to be read in one sitting, but is instead a starting point for scientists wanting to learn more about the issues surrounding CECs. This text discusses the topical evolution CECs over time (Section 1), improvements in measuring chemical and microbial CECs, through both analysis of concentration and toxicity (Section 2) and modeling CEC exposure and fate (Section 3), forms of treatment effective at removing chemical and microbial CECs (Section 4), and potential for human health impacts from exposure to CECs (Section 5). The paper concludes with how changes to water quantity, both scarcity and surpluses, could affect water quality (Section 6). Taken together, these sections document the past 25 years of CEC research and the regulatory response to these contaminants, the current work to identify and monitor CECs and mitigate exposure, and the challenges facing the future.

GeoHealth

Biological conditions in streams of Johnson County, Kansas, and nearby Missouri, 2003 and 2004

Johnson County is one of the fastest growing and most populated counties in Kansas. Urban development affects streams by altering stream hydrology, geomorphology, water chemistry, and habitat, which then can lead to adverse effects on fish and macroinvertebrate communities. In addition, increasing sources of contaminants in urbanizing streams results in public-health concerns associated with exposure to and consumption of contaminated water. Biological assessments, or surveys of organisms living in aquatic environments, are crucial components of water-quality programs because they provide an indication of how well water bodies support aquatic life. This fact sheet describes current biological conditions of Johnson County streams and characterizes stream biology relative to urban development. Biological conditions were evaluated by collecting macroinvertebrate samples from 15 stream sites in Johnson County, Kansas, in 2003 and 2004 (fig. 1). Data from seven additional sites, collected as part of a separate study with similar objectives in Kansas and Missouri (Wilkison and others, 2005), were evaluated to provide a more comprehensive assessment of watersheds that cross State boundaries. Land-use and water- and streambed-sediment-quality data also were used to evaluate factors that may affect macroinvertebrate communities. Metrics are indices used to measure, or evaluate, macroinvertebrate response to various factors such as human disturbance. Multimetric scores, which integrated 10 different metrics that measure various aspects of macroinvertebrate communities, including organism diversity, composition, tolerance, and feeding characteristics, were used to evaluate and compare biological health of Johnson County streams. This information is useful to city and county officials for defining current biological conditions, evaluating conditions relative to State biological criteria, evaluating effects of urbanization, developing effective water-quality management plans, and documenting changes in biological conditions and water quality.

Kansas, Missouri