Chloramine + Lead Pipes + Fluoride = Contaminated tap water

By Lisa Frack
July 13, 2009

By Olga Naidenko, EWG Senior Scientist

The lead pollution crisis of the Washington, D.C. water supply - and 
the culprit that caused it, the water disinfection chemical 
chloramine - is a powerful example of how things can go terribly 
wrong when water quality problems are considered and tackled in isolation.

1128210_water_drops_2.jpg


Earlier this year, Virginia Polytechnic Institute and State 
University (Virginia Tech) scientists reported the 
<http://www.enviroblog.org/2009/01/study-links-tap-water-to-high-lead-levels-in-washington-children.html>shockingly
 
high lead levels in the blood of young Washington, D.C. children 
tested between 2001 and 2004, when the District of Columbia's 
drinking water was being contaminated with lead from aging pipes.

Unfortunately, this situation is not unique: 
<http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pubmed&pubmedid=17384768>similar
 
results have been reported in Greenville, North Carolina, according 
to studies by the Duke University researchers.

Chloramines and lead pipes: Not so good together
American water utilities are increasingly switching to chloramines, a 
mixture of chlorine and ammonia, for final disinfection of drinking 
water. Chloramine was supposed to be a "safer" water disinfectant 
than chlorine because it reduces formation of toxic chlorination 
byproducts. A 2005 survey by the American Water Works Association 
found that approximately a third of all utilities now use chloramines.

Water disinfection byproducts are associated with increased risk of 
cancer and possibly adverse effects on the development of the fetus, 
so minimizing their levels in drinking water is a good thing. Yet, 
chloramines drastically increase the leaching of lead from pipes. And 
here is a real challenge: there are tens of thousands of lead service 
lines in the water system administered by the DC Water and Sewer 
Authority. Add to these lines the lead based solder used to join 
copper pipe, brass and chrome plated faucets, and water fixtures, and 
the opportunities for lead to leach into the drinking water multiply.

What's key, of course, is that chloramine is not unacceptable in and 
of itself - after all, water disinfection is a public health 
necessity. But we need to thoroughly consider the full impact of any 
chemical added to drinking water given the current water distribution 
infrastructure in place, not in some theoretical vacuum.

And now add some fluoride to the mix
In addition to disinfection chemicals, other additives are commonly 
mixed with the finished drinking water before it leaves the water 
treatment plant. Of them, fluoride is possibly the most known. Two 
thirds of the U.S. municipal water supply is artificially fluoridated 
in an effort to prevent tooth decay. But fluoridation additives in 
tap water are not the same form of fluoride as found in toothpaste. 
Typically, water is fluoridated with fluorosilicic acid (FSA) or its 
salt, sodium fluosilicate, collectively referred to as fluorosilicates.

Here comes a second unpleasant "surprise" for those in lead-piped 
locations: fluorosilicates have a unique affinity for lead. In fact, 
lead fluorosilicate is one of the most water-soluble forms of lead. 
In fact, fluorosilicic acid has been used as a solvent for lead and 
other heavy metals in metallurgy. In industrial applications, 
chemical engineers rely on this acid to remove surface lead from 
leaded-brass machine parts.

Research shows what happens when we mix it all up
What happens when fluorosilicates in water pass through 
lead-containing pipes and metal fixtures? Not surprisingly, the 
fluorosilicates extract high levels of soluble lead from leaded-brass 
metal parts (researchers from the Environmental Quality Institute of 
the University of North Carolina-Asheville performed this actual experiment).

In research published in the scientific journal Neurotoxicology, 
researchers found that the mixture of the two chemicals: disinfectant 
(whether chlorine or chloramine) with fluorosilicic acid has a 
<http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6W81-4P37JBV-1&_user=10&_rdoc=1&_fmt=&_orig=search&_sort=d&_docanchor=&view=c&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=c501c55ee0a9b9bf215c551d6435cd35>drastically
 
increased potency, leaching amazingly high quantities of lead.

Where does this lead go? Into our drinking water and right on into 
our bodies, where they wreak havoc by poisoning poison our heart, 
kidneys and blood, causing irreversible neurological damage and 
impairing reproductive function.

North Carolina researchers concluded that the supposedly innocuous - 
and purportedly beneficial - quantities of fluoride added to drinking 
water may, in fact, precipitate a cascade of serious health problems, 
especially when chloramines and lead pipes are added into the mix.

Do we even need fluoride in tap water?
The mixture of chloramine and fluorosilicates in drinking water 
causes extensive leaching of lead. We cannot dispense with water 
disinfection - everybody acknowledges this. Thus, chlorine and 
chloramine are probably here to stay for some time. On the other 
hand, fluoride, or, specifically, water fluoridation with 
fluorosilicates, is quite dispensable.

But wait - isn't fluoride the miracle chemical that improves dental health?

Well, yes and no. Much of what is publicized today in caries 
prevention programs worldwide is derived from the theories generated 
in the 1950s and '60s, when water fluoridation was actively promoted. 
As we now know, the main benefits of fluoride for dental health are 
derived from surface application on the teeth, not from ingestion.

In fact, ingestion of fluoride causes dental fluorosis, a range of 
adverse health effects that includes mottling, pitting, and weakening 
of the teeth. These risks are especially significant for infants and 
young children. In the U.S. and worldwide, about 30 percent of 
children who drink fluoridated water experience dental fluorosis. In 
2006, the American Dental Association (ADA) issued an "Interim 
Guidance on Fluoride Intake for Infants and Young Children." ADA 
recommended that in areas where fluoride is added to tap water, 
parents should consider using fluoride-free bottled water to 
reconstitute concentrated or powdered infant formula to avoid excess fluoride.

According to the latest research, the anti-caries activity of 
fluoride is due to topical effects, which supports the value of 
fluoride-containing toothpaste to dental health. There is clear 
evidence that fluoride dental products significantly reduce the 
incidence of cavities. In contrast, a substantial and growing body of 
peer-reviewed science suggests that ingesting fluoride in tap water 
does not provide any additional dental benefits other than those 
offered by fluoride toothpaste and may present serious health risks.

To learn more about 
<http://www.ewg.org/pethealth/report/fluoride-in-dog-food/healtheffects>fluoride
 
health effects, read the recent report by EWG.

The message: Don't assess chemicals in isolation
The lesson here is straightforward: it is completely unscientific to 
simply toss any chemical into the drinking water on the premises that 
this chemical might provide some benefits. The real question is: what 
would be the effect of this chemical given what else is going on with 
the water system? In case of fluoridation and chloramines, what 
emerges comes at the end of the pipe (your faucets!) is a potentially 
highly hazardous mixture of fluorosilicates, lead, and residual 
levels of disinfectants.

To protect the health of my family today, I can buy a water filter to 
remove heavy metals and disinfection byproducts from my drinking 
water both with a simple pitcher filter. But to protect the health of 
the entire nation, we really need to consider if our current methods 
of water treatment can withstand scientific scrutiny, or whether they 
should be re-assessed so as to provide safe, healthy tap water to all 
Americans.

<http://www.enviroblog.org/2009/07/recipe-for-a-toxic-brew-lead-pipes-fluoride-and-disinfectants.html>http://www.enviroblog.org/2009/07/recipe-for-a-toxic-brew-lead-pipes-fluoride-and-disinfectants.html
 


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