ArticleEnvironmental health : a global access science source2019
Applying a cumulative risk framework to drinking water assessment: a commentary.
Article in Environmental health : a global access science source, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Prioritization and Risk Ranking of Regulated and Unregulated Chemicals in US Drinking Water.Environmental science & technology · 2024Article
- Sous Vide-Inspired Impregnation of Amorphous Titanium (Hydr)Oxide into Carbon Block Point-of-Use Filters for Arsenic Removal from Water.Environmental science & technology · 2023Article
- 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.Environmental science : water research & technology · 2023Article
- Community-Level Analysis of Drinking Water Data Highlights the Importance of Drinking Water Metrics for the State, Federal Environmental Health Justice Priorities in the United States.International journal of environmental research and public health · 2021Article
- Pilot-scale expanded assessment of inorganic and organic tapwater exposures and predicted effects in Puerto Rico, USA.The Science of the total environment · 2021Article
- Co-Occurrence of Metal Contaminants in United States Public Water Systems in 2013-2015.International journal of environmental research and public health · 2021Article
- Public and private tapwater: Comparative analysis of contaminant exposure and potential risk, Cape Cod, Massachusetts, USA.Environment international · 2021Article
- Analysis of Cumulative Cancer Risk Associated with Disinfection Byproducts in United States Drinking Water.International journal of environmental research and public health · 2020Article
- Cumulative risk analysis of carcinogenic contaminants in United States drinking water.Heliyon · 2019Article
- Population susceptibility: A vital consideration in chemical risk evaluation under the Lautenberg Toxic Substances Control Act.PLoS biology · 2019Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The health risks of drinking water contaminants and the economic benefits of drinking water standards are typically assessed one chemical at a time, an approach that misses the health impacts of co-occurring contaminants in drinking water. In contrast, a cumulative risk framework has become common in air quality evaluations such as the U.S. Environmental Protection Agency's National Air Toxics Assessment. We posit that the drinking water field would benefit from making the transition to a unified assessment framework for multiple contaminants that can overcome the long-standing challenge of treating cancer and non-cancer contaminants separately. Here we present a cumulative risk methodology that combines a risk-based cancer metric with a weighted health indicator index for non-cancer contaminants and incorporates disability weights from the Global Burden of Disease study. Our methodology generates a numeric toxicity score reflecting the potential health impacts for the sum of contaminants present in each sample of drinking water. Further research is needed to refine the risk and toxicity parameters for specific contaminants and to address the mode of interaction between co-occurring chemicals. As this cumulative risk model goes through future refinements, we anticipate that it would provide information that can help communities and policy makers evaluate different options for drinking water treatment.
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