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    Arsenic in Drinking Water

    Huei-An Chu (Ann)

    ET450 Environmental Regulation

    11/09/2006

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    Sinister Uses for Arsenic King of poisons

    Victorian ladies of fashionused arsenic for cosmeticpurposes, as well as forkilling husbands.

    In the 15th and 16th

    century, the Borgias usedarsenic as their favoritepoison for politicalassassinations.

    In WWII, arsenic used as awar gas Contact with the skin

    produced huge blistersSource for this slide and the following some:

    www.epa.gov/safewater/arsenic/pdfs/arsenic_training_2002/train1-background.pdf

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    Arsenic poisoning isthought to beresponsible for thedeaths of some wellknown historicalfigures such as:

    Claudius Pope Pius III and

    Clemente XIV

    Charles FrancisHall

    Napoleon

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    Was Napoleon Poisoned?

    A toxicological study ofNapoleon's hair showedmajor exposure, and Istress 'major', to

    arsenic." Natural upper limit of

    arsenic concentration inhair is one nanogram

    per milligram of hair. In one of the samples

    tested, the concentrationwas 38 nanograms.June 1, 2001

    CNN.com/world

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    Arsenic (As)

    Semi-metallic element

    The metallic form (0 valence): no adversehealth effects

    Toxic level: inorganic (As3+ > As5+) > organicform

    Focus: inorganic arsenic

    Mobile in the environment

    The primary medium: water

    Pharmaceutical usage for acute promyelocyticleukemia (APL): arsenic trioxide (As

    2

    O3

    )

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    Acute Health Effects

    typically > 1,200 microgram per liter in water

    abdominal pain

    vomiting

    diarrhea

    muscular weakness and cramping

    pain to the extremities

    erythematous skin eruptions

    swelling of the eyelids, feet, and hands

    shock

    death

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    Chronic Health Effects (Arsenicosis)

    Non-Cancer

    Vascular effects, such as Blackfoot

    Disease

    Skin lesions, such as skin pigment,hyperkeratosis, and ulcreations

    Others: cardiovascular, pulmonary,

    immunological, and neurological and

    endocrine (i.e. diabetes) effects

    Cancer Skin cancer

    Internal Cancers (bladder, liver, lung, kidney, colon, uterus,prostate, stomach, nasal passages, )

    Mechanism: Arsenic may be a potent endocrine disruptor,

    altering hormone-mediated cell signaling at extremely lowconcentration.

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    Arsenic Occurrence

    Natural source: erosion, dissolution or weathering from rocks or

    soils volcanic eruption and forest fires

    the dissolved arsenic enters groundwater orsurface water

    primarily found in ground waters

    Anthropogenic sources: industrial processes, such as mining, smelting,

    wood preserving, pesticide spraying, agriculture,

    pulp and paper production, coal burning

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    Exposure Routes

    Ingestion through DrinkingWater

    higher in groundwater thanin surface water

    from wells drilled througharsenic-bearing sediments

    Primarily inorganic form

    Inhalation of Air

    mostly from occupational exposure

    Food Intake

    seafood, meat and poultry, grain and grain products,fruits and vegetables

    primarily organic form

    Primarily inorganic form

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    Global Arsenic Concentration in Ground Water

    Country Potential ExposedPopulation

    Concentration (ppb)

    Bangladesh 30,000,000 5,000

    Taiwan 100,000 to 200,000 10 to 1,820

    Inner Mongolia 100,000 to 600,000 1 to 9,900

    Chile 400,000 100 to 1,000

    USA and Canada - 100,000

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    Arsenic Mass Poisoning in

    Bangladesh and West Bengal Epidemics of cholera,

    dysentery, and other

    waterborne infectious diseasesb/c of bacteria.

    Too many children were dying.

    In the 1970s, the UnitedNations Childrens Fund(UNICEF), spearheaded aneffort to switch the regionspopulation from drinkingsurface waters to groundwater.

    10 Millions tubewells weredrilled into arsenic-rich

    sediments

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    Arsenic Mass Poisoning in

    Bangladesh and West Bengal (Cont.)

    As a result, in many of these

    wells arsenic levels reach5001,000 g/L and evenhigher.

    More than 500 million people

    (80% of Bangladeshis) at riskof chronic arsenic poisoning

    The World HealthOrganization (WHO) has

    labeled this the worst masspoisoning in history.

    The need for alternative watersource.

    Film trailer: http://www.ifilm.com/ifilmdetail/2745238

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    Table Sources: Allan H. Smith et al (2002), Arsenic Epidemiology andDrinking Water Standards, Science, Vol. 296, pp 2145-2146.

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    Arsenic Rulemaking

    The US EPA made the new arsenic rule in 2001.

    Lowers maximum contaminant level(MCL) from 50 to 10 g/L

    Establishes maximum contaminant level goal(MCLG) at 0

    Applies to Community water systems (CWSs)

    Non-transient non-community water systems (NTNCWSs)

    Not applied to Transient Non-Community Water System (TNCWS) Becomes enforceable on January 23, 2006

    Base on arsenic cancer risk assessment,

    considering technological feasibility (economicanalysis)

    1

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    USEP

    A2001

    USEP

    A2001

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    Regulating with Sound Science

    EPA promotes sound science research and itsappropriate integration into regulatory policymaking.

    Internal Science Advisory Board

    Science Policy Council

    peer review policy

    specially trained staff

    External oversight from committees in both congressional chambers

    scrutiny from a multitude of scientific and technical

    organizations Arsenic case: more scientific review

    new evidence and data

    expert panels review

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    Arsenic Cancer Risk Assessment

    Animal evidences and models are absent.

    Based on epidemiological data from Taiwan

    Skin cancer Internal cancers (bladder, lung, kidney, and lever)

    Incidence per 10,000 People

    Controversial because of uncertainty and variability

    issues

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    Uncertainty Issues in Arsenic

    Case Limitations of Data from Taiwan

    Study design Differences between Taiwan and U.S.

    populations, e.g. genetics, lifestyles,

    nutrition, diets

    Dose-response models

    Inconsistent epidemiological data

    Low-dose extrapolation incomplete knowledge of the uptake,

    bio-transformation, and distribution of

    arsenic in the body

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    Variability Issues

    The risks to sensitive and susceptible

    subpopulations may not be fully quantified

    people with poor nutritional status

    infants or children

    pregnant and lactating women

    Considering variability and uncertaintyissues in risk assessment, policy has to

    apply a Margin of Safety.

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    Arsenic Cost-Benefic Analysis

    Economic analysis does not support EPAs new arsenicrule.

    Table source: Burnett and Hahn (2001), A Costly Benefit, Regulation,

    Fall, pp.44-49.

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    What are the benefits of this rule?

    protect approximately 13 million Americans served byCWSs and NTNCWSs

    Prevent

    ~ 19-31 cases of bladder cancer ~ 5-8 deaths due to bladder cancer per year

    ~ 19-25 cases of lung cancer

    ~ 16-22 deaths due to lung cancer per year

    substantial non-quantified

    benefits of this rule, including

    reducing the incidences ofnon-cancerous effects.

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    How many people and how many systems

    will be affected by this rule?

    Table source: http://www.epa.gov/safewater/arsenic/regulations_techfactsheet.html

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    How much will this rule cost?

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    A Case for Decentralized Standard Setting?

    The dilemma in setting anational standard whenthere are striking variations

    in costs across waterdistricts.

    exemptions provisionunder the Safe Drinking

    Water Act Because the differences in

    costs and preferencesacross various

    communities, the best wayto accommodate suchvariation is to allow districtsto determine their ownstandards. Do you agree?