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Contaminant guide

Common Drinking Water Contaminants

The EPA regulates over 90 contaminants in US drinking water, from bacteria and heavy metals to synthetic chemicals and radioactive elements. Here is what you need to know about the most common ones, their health effects, and what the legal limits actually mean.

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2024 EPA PFAS Rule

In April 2024, the EPA finalised the first-ever national drinking water standards for PFAS (forever chemicals). The new rule sets maximum contaminant levels at 4 parts per trillion (ppt) for PFOA and PFOS individually, and limits for three other PFAS compounds. Water systems have until 2029 to comply. This is the most significant drinking water regulation in decades.

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Microorganisms

Bacteria, viruses, and parasites that can enter water supplies through sewage overflows, animal waste, or treatment failures.

E. coli

Health-based

Health Effects

Gastrointestinal illness, diarrhoea, vomiting. Can be severe in children and the elderly.

EPA Limit

0 (zero tolerance)

Sources

Human and animal faecal waste, sewage overflows

Giardia

Health-based

Health Effects

Giardiasis, causing prolonged diarrhoea, cramps, nausea, and dehydration.

EPA Limit

99.9% removal required

Sources

Contaminated surface water, animal waste, infected individuals

Cryptosporidium

Health-based

Health Effects

Cryptosporidiosis, causing watery diarrhoea and stomach cramps. Particularly dangerous for immunocompromised individuals.

EPA Limit

99% removal required

Sources

Contaminated surface water, agricultural runoff. Resistant to chlorine disinfection.

Legionella

Health-based

Health Effects

Legionnaires' disease, a serious form of pneumonia. Can be fatal, especially in older adults and smokers.

EPA Limit

No MCL (treatment technique required)

Sources

Grows in warm water systems, cooling towers, plumbing biofilms

Total Coliforms

Secondary

Health Effects

Not necessarily harmful on their own, but their presence indicates that other pathogens may be in the water.

EPA Limit

No more than 5% positive samples/month

Sources

Naturally present in soil and vegetation; indicates potential contamination pathway

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Inorganic Chemicals

Metals and minerals that can enter water from natural deposits, industrial discharge, or corrosion of household plumbing.

Lead

Health-based

Health Effects

Developmental delays and learning difficulties in children. Kidney damage and high blood pressure in adults. No safe level of exposure.

EPA Limit

Action level: 15 ppb

Sources

Corrosion of old lead pipes, solder, and fixtures. Most common in homes built before 1986.

Arsenic

Health-based

Health Effects

Linked to skin, bladder, and lung cancer with long-term exposure. Also causes skin damage and circulatory problems.

EPA Limit

MCL: 10 ppb

Sources

Natural geological deposits, mining and smelting operations, industrial discharge

Copper

Health-based

Health Effects

Short-term: nausea, vomiting, diarrhoea. Long-term: liver and kidney damage. Wilson's disease patients are especially sensitive.

EPA Limit

Action level: 1.3 ppm

Sources

Corrosion of copper plumbing, natural deposits, industrial discharge

Nitrates

Health-based

Health Effects

Blue baby syndrome (methemoglobinemia) in infants under 6 months. Potentially linked to certain cancers in adults.

EPA Limit

MCL: 10 ppm

Sources

Agricultural fertilizer runoff, septic systems, animal feedlots, natural deposits

Fluoride

Secondary

Health Effects

At recommended levels (0.7 ppm), helps prevent tooth decay. Excess causes dental fluorosis in children and skeletal fluorosis in adults.

EPA Limit

MCL: 4 ppm

Sources

Added intentionally by many water systems; also found naturally in groundwater

Mercury

Health-based

Health Effects

Damages the nervous system, kidneys, and developing fetuses. Chronic exposure causes tremors, mood changes, and cognitive impairment.

EPA Limit

MCL: 2 ppb

Sources

Industrial discharge, coal-fired power plants, natural deposits, landfill runoff

Chromium-6

Health-based

Health Effects

Probable human carcinogen linked to stomach and intestinal cancers. Made famous by the Erin Brockovich case.

EPA Limit

No federal MCL (California set 10 ppb, later withdrawn)

Sources

Industrial discharge, natural erosion, coal ash, steel manufacturing

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Organic Chemicals (PFAS / Forever Chemicals)

Per- and polyfluoroalkyl substances are synthetic chemicals that persist in the environment and the human body. Found in the drinking water of an estimated 176 million Americans.

PFOA

Health-based

Health Effects

Linked to kidney and testicular cancer, thyroid disease, liver damage, immune system suppression, and developmental effects in fetuses.

EPA Limit

MCL: 4 ppt (2024 EPA rule)

Sources

Manufacturing of non-stick coatings (Teflon), stain-resistant fabrics, food packaging

PFOS

Health-based

Health Effects

Similar to PFOA. Linked to cancer, thyroid disease, immune system effects, and elevated cholesterol. Accumulates in the body over decades.

EPA Limit

MCL: 4 ppt (2024 EPA rule)

Sources

Firefighting foam (AFFF), industrial facilities, military bases, wastewater treatment plants

GenX (HFPO-DA)

Health-based

Health Effects

Liver damage, kidney effects, developmental toxicity, and potential cancer risk. Intended as a safer PFOA replacement but still raises serious concerns.

EPA Limit

MCL: 10 ppt (2024 EPA rule)

Sources

Industrial discharge, replacement chemical for PFOA in manufacturing

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Disinfection Byproducts

Formed when chlorine and other disinfectants react with naturally occurring organic matter in water. A trade-off between killing pathogens and creating new chemical risks.

Trihalomethanes (THMs)

Health-based

Health Effects

Long-term exposure linked to bladder cancer, liver and kidney problems, and adverse reproductive outcomes including miscarriage.

EPA Limit

MCL: 80 ppb (annual average)

Sources

Formed when chlorine reacts with organic matter (leaves, soil, algae) during water treatment

Haloacetic Acids (HAAs)

Health-based

Health Effects

Similar cancer risks to THMs. Also linked to liver toxicity and developmental effects in animal studies.

EPA Limit

MCL: 60 ppb (annual average)

Sources

Same formation process as THMs; higher in systems with more organic matter in source water

Chloramine

Secondary

Health Effects

Generally less irritating than chlorine, but can leach lead from pipes. Harmful to aquarium fish and dialysis patients.

EPA Limit

MCL: 4 ppm (as chlorine residual)

Sources

Added intentionally as an alternative disinfectant to chlorine; used by many large water systems

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Radionuclides

Radioactive elements that occur naturally in rock and soil. They dissolve into groundwater and are more common in certain geological regions.

Radium (226 & 228)

Health-based

Health Effects

Long-term exposure linked to bone cancer, lymphoma, and leukaemia. Accumulates in bones over time.

EPA Limit

MCL: 5 pCi/L (combined 226+228)

Sources

Natural radioactive decay of uranium and thorium in rock; more common in deep wells

Uranium

Health-based

Health Effects

Kidney damage and toxicity with chronic exposure. Also a radioactive cancer risk at elevated levels.

EPA Limit

MCL: 30 ppb

Sources

Natural geological deposits, mining operations, phosphate fertilizers

Radon

Health-based

Health Effects

Increases cancer risk when inhaled (released from water during showering). Second leading cause of lung cancer after smoking.

EPA Limit

No federal MCL (proposed: 300 pCi/L)

Sources

Dissolves into groundwater from natural radioactive decay in rock and soil

The right filter depends on what's in your water

Different contaminants require different filtration technologies. A carbon filter that removes chlorine taste will not remove lead or PFAS. Start by finding out what is in your water, then choose a filter that targets those specific contaminants.

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