In a new study, my colleagues Anisha Patel, Francesca Weaks and I estimate that approximately 61.4 million people in the U.S. did not drink their tap water as of 2017-2018. Our research, which was released in preprint format on April 8, 2021, and has not yet been peer reviewed, found that this number has grown sharply in the past several years.
Other research has shown that about 2 million Americans don't have access to clean water. Taking that into account, our findings suggest that about 59 million people have tap water access from either their municipality or private wells or cisterns, but don't drink it. While some may have contaminated water, others may be avoiding water that's actually safe.
Water insecurity is an underrecognized but growing problem in the U.S. Tap water distrust is part of the problem. And it's critical to understand what drives it, because people who don't trust their tap water shift to more expensive and often less healthy options, like bottled water or sugary drinks.
I'm a human biologist and have studied water and health for the past decade in places as diverse as Lowland Bolivia and northern Kenya. Now I run the Water, Health, and Nutrition Laboratory at Pennsylvania State University. To understand water issues, I talk to people and use large datasets to see whether a problem is unique or widespread, and stable or growing.
An Epidemic of Distrust
According to our research, there's a growing epidemic of tap water distrust and disuse in the U.S. In a 2020 study, anthropologist Sera Young and I found that tap water avoidance was declining before the Flint water crisis that began in 2014. In 2015-2016, however, it started to increase again for children.
Our new study found that in 2017-2018, the number of Americans who didn't drink tap water increased at an alarmingly high rate, particularly for Black and Hispanic adults and children. Since 2013-2014 – just before the Flint water crisis began – the prevalence of adults who do not drink their tap water has increased by 40%. Among children, not consuming tap has risen by 63%.
To calculate this change, we used data from the National Health and Nutrition Examination Survey, a nationally representative survey that releases data in two-year cycles. Sampling weights that use demographic characteristics ensure that the people being sampled are representative of the broader U.S. population.
Racial Disparities in Tap Water Consumption
Communities of color have long experienced environmental injustice across the U.S. Black, Hispanic and Native American residents are more likely to live in environmentally disadvantaged neighborhoods, with exposure to water that violates quality standards.
Our findings reflect these experiences. We calculated that Black and Hispanic children and adults are two to three times more likely to report not drinking their tap water than members of white households. In 2017-2018, roughly 3 out of 10 Black adults and children and nearly 4 of 10 Hispanic adults and children didn't drink their tap water. Approximately 2 of 10 Asian Americans didn't drink from their tap, while only 1 of 10 white Americans didn't drink their tap water.
When children don't drink any water on a given day, research shows that they consume twice as many calories from sugary drinks as children who drink water. Higher sugary drink consumption increases risk of cavities, obesity and cardiometabolic diseases. Drinking tap water provides fluoride, which lowers the risk of cavities. Relying on water alternatives is also much more expensive than drinking tap water.
A4: Choosing to drink fluoridated tap water over sugar-sweetened beverages to quench thirst is vital to protecting… https://t.co/3tm8wuWjeZ— Oral Health Watch (@Oral Health Watch)1600795750.0
What Erodes Trust
News reports – particularly high-visibility events like advisories to boil water – lead people to distrust their tap water even after the problem is fixed. For example, a 2019 study showed that water quality violations across the U.S. between 2006 and 2015 led to increases in bottled water purchases in affected counties as a way to avoid tap water, and purchase rates remained elevated after the violation.
The Flint water crisis drew national attention to water insecurity, even though state and federal regulators were slow to respond to residents' complaints there. Soon afterward, lead contamination was found in the water supply of Newark, New Jersey; the city is currently replacing all lead service lines under a legal settlement. Elsewhere, media outlets and advocacy groups have reported finding tap water samples contaminated with industrial chemicals, lead, arsenic and other contaminants.
Many other factors can cause people to distrust their water supply, including smell, taste and appearance, as well as lower income levels. Location is also an issue: Older U.S. cities with aging infrastructure are more prone to water shutoffs and water quality problems.
It's important not to blame people for distrusting what comes out of their tap, because those fears are rooted in history. In my view, addressing water insecurity requires a two-part strategy: ensuring that everyone has access to clean water, and increasing trust so people who have safe water will use it.
Chart: The Conversation / CC BY-ND. Source: AWWA / Morning Consult. Get the data
Building Confidence
As part of his proposed infrastructure plan, President Joe Biden is asking Congress for $111 billion to improve water delivery systems, replace lead pipelines and tackle other contaminants. The plan also proposes improvements for small water systems and underserved communities.
These are critical steps to rebuild trust. Yet, in my view, the U.S. Environmental Protection Agency should also provide better public education about water quality testing and targeted interventions for vulnerable populations, such as children and underserved communities. Initiatives to simplify and improve water quality reports can help people understand what's in their water and what they can do if they think something is wrong with it.
Chart: The Conversation / CC BY-ND. Source: AWWA / Morning Consult. Get the data
Who delivers those messages is important. In areas like Flint, where former government officials have been indicted on charges including negligence and perjury in connection with the water crisis, the government's word alone won't rebuild trust. Instead, community members can fill this critical role.
Another priority is the 13%-15% of Americans who rely on private well water, which is not regulated under the Safe Drinking Water Act. These households are responsible for their own water quality testing. Public funding would help them test it regularly and address any problems.
Public distrust of tap water in the U.S. reflects decades of policies that have reduced access to reliable, safe drinking water in communities of color. Fixing water lines is important, but so is giving people confidence to turn on the tap.
Asher Rosinger is an assistant professor of biobehavioral health, anthropology, and demography and director of the Water, Health, and Nutrition Laboratory at Penn State University.
Disclosure statement: Asher Rosinger receives funding from the National Science Foundation on an unrelated project. This work was supported by the Ann Atherton Hertzler Early Career Professorship funds, and the Penn State Population Research Institute (NICHD P2CHD041025). The funders had no role in the research or interpretation of results.
Reposted with permission from The Conversation.
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Eye-Catching Designs Made from Recycled Plastic Bottles
The company sells a range of eco-friendly items like leggings, rash guards, and board shorts that are made using recycled post-consumer plastic bottles. There are currently 16 causes represented by distinct marine-life patterns, from whale shark research and invasive lionfish removal to sockeye salmon monitoring and abalone restoration.
One such organization is Get Inspired, a nonprofit that specializes in ocean restoration and environmental education. Get Inspired founder, marine biologist Nancy Caruso, says supporting on-the-ground efforts is one thing that sets Waterlust apart, like their apparel line that supports Get Inspired abalone restoration programs.
"All of us [conservation partners] are doing something," Caruso said. "We're not putting up exhibits and talking about it — although that is important — we're in the field."
Waterlust not only helps its conservation partners financially so they can continue their important work. It also helps them get the word out about what they're doing, whether that's through social media spotlights, photo and video projects, or the informative note card that comes with each piece of apparel.
"They're doing their part for sure, pushing the information out across all of their channels, and I think that's what makes them so interesting," Caruso said.
And then there are the clothes, which speak for themselves.
Advocate Apparel to Start Conversations About Conservation
Waterlust's concept of "advocate apparel" encourages people to see getting dressed every day as an opportunity to not only express their individuality and style, but also to advance the conversation around marine science. By infusing science into clothing, people can visually represent species and ecosystems in need of advocacy — something that, more often than not, leads to a teaching moment.
"When people wear Waterlust gear, it's just a matter of time before somebody asks them about the bright, funky designs," said Waterlust's CEO, Patrick Rynne. "That moment is incredibly special, because it creates an intimate opportunity for the wearer to share what they've learned with another."
The idea for the company came to Rynne when he was a Ph.D. student in marine science.
"I was surrounded by incredible people that were discovering fascinating things but noticed that often their work wasn't reaching the general public in creative and engaging ways," he said. "That seemed like a missed opportunity with big implications."
Waterlust initially focused on conventional media, like film and photography, to promote ocean science, but the team quickly realized engagement on social media didn't translate to action or even knowledge sharing offscreen.
Rynne also saw the "in one ear, out the other" issue in the classroom — if students didn't repeatedly engage with the topics they learned, they'd quickly forget them.
"We decided that if we truly wanted to achieve our goal of bringing science into people's lives and have it stick, it would need to be through a process that is frequently repeated, fun, and functional," Rynne said. "That's when we thought about clothing."
Support Marine Research and Sustainability in Style
To date, Waterlust has sold tens of thousands of pieces of apparel in over 100 countries, and the interactions its products have sparked have had clear implications for furthering science communication.
For Caruso alone, it's led to opportunities to share her abalone restoration methods with communities far and wide.
"It moves my small little world of what I'm doing here in Orange County, California, across the entire globe," she said. "That's one of the beautiful things about our partnership."
Check out all of the different eco-conscious apparel options available from Waterlust to help promote ocean conservation.
Melissa Smith is an avid writer, scuba diver, backpacker, and all-around outdoor enthusiast. She graduated from the University of Florida with degrees in journalism and sustainable studies. Before joining EcoWatch, Melissa worked as the managing editor of Scuba Diving magazine and the communications manager of The Ocean Agency, a non-profit that's featured in the Emmy award-winning documentary Chasing Coral.
On Wednesday, SZA along with the nonprofit organization American Forests and the TAZO tea company announced their partnership to fight for climate justice, according to a press release. Together they are launching the TAZO Tree Corps, a paid workforce that will plant trees in disadvantaged neighborhoods and underprivileged communities of color, BAZAAR.com reported.
"I can't tell you how many children I've met in the urban community, from all different colors of Black and Brown, that really just are not comfortable being in nature," the 30-year-old told BAZAAR.com, "I think the biggest takeaway from this is that quality of life and racism are so directly connected."
The TAZO Tree Corps will hire 25 fellows who will be trained in climate justice, tree planting and maintenance. The fellows will be locally hired from communities in Richmond, Virginia; Minneapolis; the Bronx; San Francisco and Detroit, HuffPost reported, specifically "where historical discriminating zoning practices have left many low-income communities and communities of color with less green space," according to a statement.
But the tree planting initiative recognizes more than just the value green spaces add to urban communities. It also recognizes "that environmental racism and classic racism are directly connected, and it's probably one of the worst aspects of inequality," SZA told BAZAAR.com.
While trees in the U.S. absorb 17.4 million tons of air pollution, improving air and water quality, communities most impacted by pollution carry a disproportionate burden from the climate crisis because they are situated near chemical treatment plants, highways or heavy polluters, according to a statement.
"Trees do more than beautify a neighborhood – they're life-and-death infrastructure for health equity and climate justice," Jad Daley, president and CEO of American Forests said in a statement.
The climate problem is increasingly being recognized as a racial justice problem. For example, a study published in 2019 found that on average, Black and Hispanic communities were burdened by a disproportionate amount of air pollution than whites. Planting trees can alleviate some of the burdens. But SZA and her partners are not the first ones to introduce tree-planting initiatives in marginalized communities.
In 2014 a local environmental non-profit organization, The Greening of Detroit, partnered with the city to plant 1,000 to 5,000 new trees each year, working in neighborhoods in Detroit with painful memories of environmental racism. When the city and organization sought support from these neighborhoods, they "met stiff resistance: Roughly a quarter of the 7,500 residents they approached declined offers to have new trees planted in front of their homes," Bloomberg CityLab reported.
To better understand why some residents resisted the trees even if they knew the benefits they could have in their neighborhoods, researchers reached out to residents. Following the 1967 race rebellion, some residents remembered the city of Detriot cutting down elm trees in their neighborhoods and using helicopters to spray the toxic DDT from above to better "surveil their neighborhoods," Bloomberg CityLab reported. These memories left them wary of plans to plant the trees back.
"It's not that they didn't trust the trees; they didn't trust the city," Bloomberg CityLab reported. Some of this mistrust also came from the fact that these tree-planting groups were organized by outsiders of their neighborhoods, coming from other parts of Detroit, the University of Vermont wrote in a statement.
Lessons learned from the 2014 project, may be informing the TAZO Tree Corps, which plans to hire locals that are directly and disproportionately affected by environmental racism.
"There's something about them creating job opportunity in the disproportionately affected communities that makes me very attracted to the whole situation," SZA told BAZAAR.com. By locally employing people to plant trees "you're actually insourcing, rather than outsourcing, from the direct community, then creating value," she added.
Apply to be a part of the TAZO Tree Corps here.
Billboard caught up with SZA to discuss her role with TAZO Tree Corps, maintaining her creative balance, positive affirmations, and the making of "Good Days."
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More than 3,000 miles (4,800 kilometers) away, the people of Scituate, Massachusetts, received a letter that same month cautioning about the same group of contaminants in their drinking water.
At issue wasn't any of the well-known and widely feared water infiltrators such as E. coli or per- and polyfluoroalkyl substances (PFAS). The culprit chemicals tainting taps from Cocoa, Florida, to the Finger Lakes of New York to a correctional facility in Only, Tennessee, are, in fact, less recognized yet more ubiquitous: disinfection by-products.
"Take a glass of water. You may or may not have pesticides, pharmaceuticals, PFAS and lead in it. Usually not," says Susan Richardson, a professor of biochemistry at the University of South Carolina in Columbia. "But there's always something that is in your drinking water, and that's disinfection by-products."
Aptly named, the chemicals form in water when disinfectants that are widely used to kill pathogens in municipal drinking water facilities react with organic compounds. These compounds may be present in the water as a result of natural processes such as the decay of leaves and animal matter, as well as human activities that may release solvents, pharmaceuticals, pesticides and industrial chemicals. Exposure to disinfection by-products through drinking, bathing or swimming has been linked to potential increased risks of low birthweight babies, birth defects, miscarriages and cancer.
"Disinfection is hugely important. We've got to kill those pathogens," says Richardson. "We had millions of people dying from waterborne illnesses before we started disinfecting water in the 1800s."
Cholera and typhoid fever were once deadly and pervasive threats. Still today, when concentrations of disinfectants fall too low, drinking water can become a breeding ground for dangerous pathogens such as Legionella, E. coli, even cholera.
"It's a trade-off between inactivating pathogens that are going to make people sick today versus the long-term, low-level risk of chemicals in the water," says Christy Remucal, an associate professor of civil and environmental engineering at the University of Wisconsin–Madison.
Striking a balance may be even more challenging today as waters become increasingly compromised due to population growth, wastewater intrusion, energy exploration, climate change — and now the Covid-19 pandemic, according to Richardson.
During the pandemic, many places have increased use of chlorine for disinfection in indoor and outdoor settings and during wastewater treatment, resulting in the potential for higher levels of disinfection by-products. Authors of a study published in October warn that this "upsurge and overuse of chlorine-based disinfectants" may pose a threat to human health "by impacting water quality."
Concentrations of harmful chemicals have also likely increased in buildings left vacant during Covid-19 shutdowns. The longer that water sits in pipes, explains Richardson, the longer it has to react with disinfectants and form more by-products.
Still, Gregory Korshin, a professor of civil and environmental engineering at the University of Washington in Seattle, encourages perspective on the issue of disinfection by-products. The answer, he and others say, is not to stop disinfecting water, nor is it for everyone to buy bottled water.
"There is a dark side of disinfection," adds Korshin. "But this doesn't compromise the notion that drinking water in the U.S. is safe."
Unintended Consequences
Chemists first discovered disinfection by-products in treated drinking water in the 1970s. The trihalomethanes they found, they determined, had resulted from the reaction of chlorine with natural organic matter. Since then, scientists have identified more than 700 additional disinfection by-products. "And those only represent a portion. We still don't know half of them," says Richardson, whose lab has identified hundreds of disinfection by-products.
Identification of disinfection by-products is incredibly difficult, she explains, because these chemicals are not simply flowing down a river from an industrial site or running off a farm. "They didn't exist before," she adds. "It's a complete unknown — there's no preconceived idea of what these chemicals look like."
Another research team recently discovered more previously unidentified disinfection by-products. As they described in a January 2020 study, potentially carcinogenic chemicals are formed through the interaction of chlorine and not only organic matter in the environment but also manmade materials that include phenols such as bisphenol A (BPA) and other plasticizers, as well as sunscreen agents and antimicrobials.
"These phenol compounds are incredibly widespread because of their properties," says Carsten Prasse, a coauthor on the study and an assistant professor of environmental health and environmental engineering at Johns Hopkins University. He highlights their use in both plastic pipes and plastic bottles, which frequently carry drinking water.
What’s Regulated and What’s Not?
The U.S. Environmental Protection Agency (EPA) currently regulates 11 disinfection by-products — including a handful of trihalomethanes (THM) and haloacetic acids (HAA). While these represent only a small fraction of all disinfection by-products, EPA aims to use their presence to indicate the presence of other disinfection by-products. "The general idea is if you control THMs and HAAs, you implicitly or by default control everything else as well," says Korshin.
EPA also requires drinking water facilities to use techniques to reduce the concentration of organic materials before applying disinfectants, and regulates the quantity of disinfectants that systems use. These rules ultimately can help control levels of disinfection by-products in drinking water.
Click the image for an interactive version of this chart on the Environmental Working Group website.
Still, some scientists and advocates argue that current regulations do not go far enough to protect the public. Many question whether the government is regulating the right disinfection by-products, and if water systems are doing enough to reduce disinfection by-products. EPA is now seeking public input as it considers potential revisions to regulations, including the possibility of regulating additional by-products. The agency held a two-day public meeting in October 2020 and plans to hold additional public meetings throughout 2021.
When EPA set regulations on disinfection by-products between the 1970s and early 2000s, the agency, as well as the scientific community, was primarily focused on by-products of reactions between organics and chlorine — historically the most common drinking water disinfectant. But the science has become increasingly clear that these chlorinated chemicals represent a fraction of the by-product problem.
For example, bromide or iodide can get caught up in the reaction, too. This is common where seawater penetrates a drinking water source. By itself, bromide is innocuous, says Korshin. "But it is extremely [reactive] with organics," he says. "As bromide levels increase with normal treatment, then concentrations of brominated disinfection by-products will increase quite rapidly."
Emerging data indicate that brominated and iodinated by-products are potentially more harmful than the regulated by-products.
Almost half of the U.S. population lives within 50 miles of either the Atlantic or Pacific coasts, where saltwater intrusion can be a problem for drinking water supplies. "In the U.S., the rule of thumb is the closer to the sea, the more bromide you have," says Korshin, noting there are also places where bromide naturally leaches out from the soil. Still, some coastal areas tend to be spared. For example, the city of Seattle's water comes from the mountains, never making contact with seawater and tending to pick up minimal organic matter.
Hazardous disinfection by-products can also be an issue with desalination for drinking water. "As desalination practices become more economical, then the issue of controlling bromide becomes quite important," adds Korshin.
Other Hot Spots
Coastal areas represent just one type of hot spot for disinfection by-products. Agricultural regions tend to send organic matter — such as fertilizer and animal waste — into waterways. Areas with warmer climates generally have higher levels of natural organic matter. And nearly any urban area can be prone to stormwater runoff or combined sewer overflows, which can contain rainwater as well as untreated human waste, industrial wastewater, hazardous materials and organic debris. These events are especially common along the East Coast, notes Sydney Evans, a science analyst with the nonprofit Environmental Working Group (EWG, a collaborator on this reporting project).
The only drinking water sources that might be altogether free of disinfection by-products, suggests Richardson, are private wells that are not treated with disinfectants. She used to drink water from her own well. "It was always cold, coming from great depth through clay and granite," she says. "It was fabulous."
Today, Richardson gets her water from a city system that uses chloramine.
Toxic Treadmill
Most community water systems in the U.S. use chlorine for disinfection in their treatment plant. Because disinfectants are needed to prevent bacteria growth as the water travels to the homes at the ends of the distribution lines, sometimes a second round of disinfection is also added in the pipes.
Here, systems usually opt for either chlorine or chloramine. "Chloramination is more long-lasting and does not form as many disinfection by-products through the system," says Steve Via, director of federal relations at the American Water Works Association. "Some studies show that chloramination may be more protective against organisms that inhabit biofilms such as Legionella."
If a drinking water facility fails to meet EPA regulations for disinfection by-products, one relatively easy and cheap modification is to add ammonia to the existing treatment, turning chlorine to chloramine. Many large community water systems in the U.S. now use chloramine. By doing so, according to Richardson, they have dropped levels of regulated disinfection by-products by up to as much as 90%.
However, there is one major drawback to this shift: the creation of potentially more harmful by-products. "It might push down on regulated disinfection by-products, but then other things pop up that are even more toxic," says Richardson, whose research team discovered previously unknown disinfection by-products in chloraminated drinking water. One of those finds, iodoacetic acid, is the most DNA-damaging disinfection by-product known to date.
Prasse underscored the concern: "From a regulatory perspective, we could say we're fine. But it's a false sense of security."
Rather than continuing on the toxic treadmill of replacing one potentially toxic chemical for another, a more effective solution may be to focus upstream in the treatment process — such as keeping organics out of the system in the first place. "That requires engineers, chemists, toxicologists and regulators to come together and figure something out," says Prasse.
Alternative Approaches
When he moved to the U.S. from Germany, Prasse says he immediately noticed the bad taste of the water. "You can taste the chlorine here. That's not the case in Germany," he says.
In his home country, water systems use chlorine — if at all — at lower concentrations and at the very end of treatment. In the Netherlands, chlorine isn't used at all as the risks are considered to outweigh the benefits, says Prasse. He notes the challenge in making a convincing connection between exposure to low concentrations of disinfection by-products and health effects, such as cancer, that can occur decades later. In contrast, exposure to a pathogen can make someone sick very quickly.
But many countries in Europe have not waited for proof and have taken a precautionary approach to reduce potential risk. The emphasis there is on alternative approaches for primary disinfection such as ozone or ultraviolet light. Reverse osmosis is among the "high-end" options, used to remove organic and inorganics from the water. While expensive, says Prasse, the method of forcing water through a semipermeable membrane is growing in popularity for systems that want to reuse wastewater for drinking water purposes.
Remucal notes that some treatment technologies may be good at removing a particular type of contaminant while being ineffective at removing another. "We need to think about the whole soup when we think about treatment," she says. What's more, Remucal explains, the mixture of contaminants may impact the body differently than any one chemical on its own.
Richardson's preferred treatment method is filtering the water with granulated activated carbon, followed by a low dose of chlorine.
Granulated activated carbon is essentially the same stuff that's in a household filter. (EWG recommends that consumers use a countertop carbon filter to reduce levels of disinfection by-products.) While such a filter "would remove disinfection by-products after they're formed, in the plant they remove precursors before they form by-products," explains Richardson. She coauthored a 2019 paper that concluded the treatment method is effective in reducing a wide range of regulated and unregulated disinfection by-products.
Greater Cincinnati Water Works installed a granulated activated carbon system in 1992, and is still one of relatively few full-scale plants that uses the technology. Courtesy of Greater Cincinnati Water Works.
Despite the technology and its benefits being known for decades, relatively few full-scale plants use granulated active carbon. They often cite its high cost, Richardson says. "They say that, but the city of Cincinnati [Ohio] has not gone bankrupt using it," she says. "So, I'm not buying that argument anymore."
Greater Cincinnati Water Works installed a granulated activated carbon system in 1992. On a video call in December, Jeff Swertfeger, the superintendent of Greater Cincinnati Water Works, poured grains of what looks like black sand out of a glass tube and into his hand. It was actually crushed coal that has been baked in a furnace. Under a microscope, each grain looks like a sponge, said Swertfeger. When water passes over the carbon grains, he explained, open tunnels and pores provide extensive surface area to absorb contaminants.
While the granulated activated carbon initially was installed to address chemical spills and other industrial contamination concerns in the Ohio River, Cincinnati's main drinking water source, Swertfeger notes that the substance has turned out to "remove a lot of other stuff, too," including PFAS and disinfection by-product precursors.
"We use about one-third the amount of chlorine as we did before. It smells and tastes a lot better," he says. "The use of granulated activated carbon has resulted in lower disinfection by-products across the board."
Richardson is optimistic about being able to reduce risks from disinfection by-products in the future. "If we're smart, we can still kill those pathogens and lower our chemical disinfection by-product exposure at the same time," she says.
Reposted with permission from Ensia.