Evidence map›Paper›PMID 42198487›Full record

ArticleToxics2026

Sodium Hypochlorite Pre-Oxidation as a Key Contributor to Trihalomethane Formation and Carcinogenic Risk: Evidence from Adjacent Water Treatment Plants.

Rongjie Shi, Ning Liu, Tao Lan, Xiaoli Ye, Zhimin Peng, Li Wang, Lintao Li, Xiaoshu Yu, Chuande Chen

Abstract read
In one paragraph

Article in Toxics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Rongjie ShiShenzhen Luohu District Center for Disease Control and Prevention, Shenzhen 518024, China.ORCID 0000-0002-0775-808X
Ning LiuShenzhen Center for Disease Control and Prevention, Shenzhen 518055, China.
Tao LanShenzhen Center for Disease Control and Prevention, Shenzhen 518055, China.
Xiaoli YeShenzhen Luohu District Center for Disease Control and Prevention, Shenzhen 518024, China.
Zhimin PengShenzhen Luohu District Center for Disease Control and Prevention, Shenzhen 518024, China.
Li WangShenzhen Luohu District Center for Disease Control and Prevention, Shenzhen 518024, China.
Lintao LiShenzhen Luohu District Center for Disease Control and Prevention, Shenzhen 518024, China.
Xiaoshu YuShenzhen Center for Disease Control and Prevention, Shenzhen 518055, China.
Chuande ChenShenzhen Luohu District Center for Disease Control and Prevention, Shenzhen 518024, China.

Funding

Luohu District Key Medical Laboratory (Physical and Chemical Laboratory and Microbiology Laboratory) Not availableProject of the Science and Technology Innovation Commission of Luohu District LX202501035Shenzhen Key Medical Discipline Construction Fund SZXK067
6 · The paper itself

Abstract

An on-site investigation was conducted to analyze the causes of excessive trihalomethane (THM) formation in Plant A and to mitigate the health risks associated with THM exposure in drinking water. Adjacent Plant B was used as a reference plant. Both water treatment plants used the same source water but employed different pre-oxidants. Systematic stage-specific sampling and analysis of historical monitoring data were conducted to identify the key contributing stage for THM formation. The investigation revealed that 85% of the trichloromethane in Plant A's finished water originated from the sodium hypochlorite pre-oxidation step, identifying this stage as the key contributing stage. THM concentrations were generally higher at Plant A than at Plant B. A multi-pathway health risk assessment of THM in drinking water indicates that non-carcinogenic risks are negligible, but lifetime carcinogenic risks warrant attention. The findings demonstrate that pre-oxidant selection is a significant governing factor of finished water disinfection by-product (DBP) levels. Following these findings, Plant A implemented measures, including enhanced chlorination management, reduced pre-chlorination, and upgraded sedimentation and V-shaped filters, which substantially reduced chlorinated DBPs in the finished water.

Indexed as

carcinogenic risk assessmentdisinfection by-productdrinking waternon-carcinogenic riskpre-oxidation

Identifiers

PMID42198487
PMCPMC13211151

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.