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Drinking
Water
and
Health
Volume 2
SAFE DRINKING WATER COMMITTEE
Board on Toxicology and
Environmental Health Hazards
Assembly of Life Sciences
National Research Council
NATIONAL ACADEMY PRESS
Washington, D.C. 1980
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The National Research Council was established by the National Academy of Sciences in
1916 to associate the broad community of science and technology with the Academy's
purposes of furthering knowledge and of advising the federal government. The Council
operates in accordance with general policies determined by the Academy under the
authority of its Congressional charter of 1863, which establishes the Academy as a private,
non-profit, self-governing membership corporation. The Council has become the principal
operating agency of both the Academy of Sciences and the National Academy of
Engineering in the conduct of their services to the government, the public, and the scientific
and engineering communities. It is administered jointly by both Academies and the
Institute of Medicine. The Academy of Engineering and the Institute of Medicine were
established in 1964 and 1970, respectively, under the charter of the Academy of Sciences.
NOTICE: The project that is the subject of this report was approved by the Governing
Board of the National Research Council, whose members are drawn from the Councils of
the National Academy of Sciences, the National Academy of Engineenng, and the
Institute of Medicine. The members of the Committee responsible for the report were
chosen for their competences and with regard for appropriate balance.
This report has been reviewed by a group other than the authors according to
procedures approved by a Report Review Committee consisting of members of the
National Academy of Sciences, the National Academy of Engineering, and the Institute of
Medicine.
At the request of and funded by the
U.S. Environmental Protection Agency
Contract No. 68~1-3169
Library of Congress Catalog Card Number: 77-89284
International Standard Book Number 0-309-02931-7
Available from
NATIONAL ACADEMY PRESS
2101 Constitution Avenue, N.W.
Washington, D.C. 20418
Printed in the United States of America
First Printing, September 1980
Second Printing, July 1985
Third Printing, December 1986
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List of
Participants
SAFE DRINKING WATER COMMITTEE
JOHN DOULL, University of Kansas Medical Center, Kansas City,
Chairman
I. CAMELS MORRIS, Harvard University, Cambridge, Massachusetts, Vice
Chairman
JOSEPH F. BORZELLECA, Medical College of Virginia, Richmond
RICHARD S. ENGELBRECHT, University of Illinois, Urbana
DAVID G. HOEL, National Institute of Environmental Health Sciences,
Research Triangle Park, North Carolina
CORNELIUS W. KRUSE, Johns Hopkins University, Baltimore
EDWIN H. LENNETTE, California Department of Health, Berkeley
SHELDON D. MURPHY, University of Texas Medical School of Houston
PAUL M. NEWBERNE, Massachusetts Institute of Technology, Cambridge
MALCOLM C. PIKE, University of Southern California, Los Angeles
MARVIN A. SCHNElDER~N, National Cancer Institute, Bethesda, Mary-
land
RONALD C. SHANK, University of California, Irvine
IRWIN H. SUFFET, Drexel University, Philadelphia
SHELDON WOLFF, University of California, San Francisco
· -—
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iv List of Participants
NA`NRC Staff
RILEY D. HOUSEWRIGHT, Project Director
ROBERT I. GOLDEN, Assistant Project Director
ROY WIDDUS, Sta~O~cer
FRANCES M. PETER, Editor
Subcommittee on Adsorption
IRWIN H. SUFFET, Drexel University, Philadelphia, Chairman
MARTIN ALEXANDER, Cornell University, Ithaca, New York
JOHN T. COOKSON, JR., ITC Environmental Consultants, Inc., Bethesda,
Maryland
FRANCIS DIGlANO, University of Massachusetts, Amherst
ROBERT KUNIN, Yardley, Pennsylvania
JOSEPH SHANDS, University of Florida, Gainesville
VERNON L. SNOEYINK, University of Illinois, Urbana
Subcommittee on Chemistry of Disinfectants and Products
I. CARRELL MORRIS, Harvard University, Cambridge, Massachusetts,
Chairman
RUSSELL F. CHRISTMAN, University of North Carolina, Chapel Hill,
Fice Chairman
WILLIAM H. GLAZE, North Texas State University, Denton
GEORGE R. HEEZ, University of Maryland, College Park
ROBERT C. HOEHN, Virginia Polytechnic Institute and State University,
Blacksburg
ROBERT L. JOLLEY, Oak Ridge National Laboratory, Tennessee
Subcommittee on Efficacy of Disinfection
RICHARD S. ENGELBRECHT, University of Illinois, Urbana, Chairman
MARTIN FAVERO, Center for Disease Control, Phoenix, Arizona
ARNOLD GREENBERG, California Department of Health, Berkeley
J. DONALD JOHNSON, University of North Carolina, Chapel Hill
CORNELIUS W. KRUSE, Johns Hopkins University, Baltimore
EDWIN H. LENNETTE, California Department of Health, Berkeley
WALTER L. NEWTON, Fairfax, Virginia
VINCENT P. OLIVIERI, Johns Hopkins University, Baltimore
PASQUA~E V. SCARPINO, University of Cincinnati
OTIS I. SPROUL, Ohio State University, Columbus
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List of Participants v
Consultant
MICHAEL J. MCGUIRE, Metropolitan Water District of Southern California,
Los Angeles
EPA Project Officer
JOSEPH COTRWO, Office of Water Supply, U.S. Environmental Protection
Agency, Washington, D.C.
EPA Liaison Representative
WILLIAM MARCUS, Office of Water Supply, U.S. Environmental Protec-
tion Agency, Washington, D.C.
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Contents
PREFACE
I EXECUTIVE SUMMARY
II THE DISINFECTION OF DRINKING WATER
III THE CHEMISTRY OF DISINFECTANTS IN WATER:
REACTIONS AND PRODUCTS
IV AN EVALUATION OF ACTIVATED CARBON FOR
DRINKING WATER TREATMENT
APPENDIX
1977 AMENDMENT TO SAFE DRONING WATER ACT
INDEX
..
V11
1X
1
5
139
251
381
383
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Preface
In 1975 the National Academy of Sciences-National Research Council
initiated a series of studies to meet the congressional mandate of the Safe
Drinking Water Act (PL 93-523~. Results of these studies were published
in Drinking Water and Health (National Academy of Sciences, 19771.
Amendments to the act in 1977 called for revisions of the studies
"reflecting new information which has become available since the most
recent previous report [and which] shall be reported to the Congress each
two years thereafter" (see Appendix).
Results of studies completed by the Safe Drinking Water Committee
since 1977 are contained in this book and a companion volume, Drinking
Water and Health, Volume 3. This book contains an assessment of
processes and chemicals for the disinfection of drinking water, iden-
tification of the by-products resulting from their use, and an evaluation
of granular activated carbon for removal of organic and other contami-
nants from drinking water. Volume 3 contains evaluations of several
epidemiological studies relating to drinking water and a chapter
elaborating on the previous study of risk estimation (National Academy
of Sciences, 1977~. Another part is a toxicological evaluation of drinking
water contaminants selected because they are by-products of disinfection
or because of their potential involvement in spills. The final chapter
examines the contribution of drinking water to mineral nutrition in
humans. Particular attention is paid to differences between the amounts
required for proper nutrition and the amount that results in toxic
symptoms.
ix
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x Preface
The general aproach to the study, and considerations that enter into
evaluation of health effects and the reasons for selection of subjects, are
discussed in the following paragraphs. The findings of the study are
summarized at the end of each chapter and briefly in the Executive
Summary.
Economic considerations are not a part of this study.
The goal of disinfecting water supplies is the elimination of the
pathogens that are responsible for waterborne diseases. Chlorination is
the most widely used method for disinfecting water supplies in the
United States. It has been so successful that freedom from epidemics of
waterborne diseases is now virtually taken for granted.
However, the discovery that chlorination can result in the formation of
trihalomethanes (THM's) and other halogenated hydrocarbons has
prompted a reexamination of available disinfection methodology to
determine alternate agents or procedures.
Methods of disinfection are examined individually and their major
characteristics and biocidal efficacy are compared by means of summary
tables and the c . t (concentration, mg/liter, times contact time, min)
values required for similar inactivations under identical conditions. The
conclusions of the study are made on the basis of this evidence.
A major objective of the review of disinfectant chemistry is the
identification of likely by-products that might be formed through the use
of specific disinfectants. The prediction of possible products is intended
to be a guide to those contaminants that might require removal or
toxicological evaluation. The benefits of removing chemicals such as
cyanides, phenols, and possibly other compounds by disinfectants and
the use of combinations of disinfectants sequentially were not examined.
The chapter on granular activated carbon (GAC) identifies the
compounds that may be removed or added to drinking water by the
adsorption process with its attendant chemical and microbial processes.
Some attention is given to an examination of potential health effects
related to the use of adsorbants, but detailed toxicological and
epidemiological implications resulting from the presence in drinking
water of organic compounds are considered in separate chapters of this
volume and Volume 3. The development of standards for GAC and the
economic aspects of its use were not a part of this study.
It is a pleasure to express, on behalf of the committee and the
subcommittees, a special note of thanks to the stab: Dr. Riley D.
Housewright, Dr. Robert Golden, Dr. Roy Widdus, and Ms. Frances M.
Peter whose informed and tireless efforts aided the committee in
planning, conducting, and editing the study. We are grateful to Mr.
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Preface xi
David Goff, Ms. Virginia White, and Ms; Edna Paulson who assisted in
an extensive search of the scientific literature.
We also acknowledge the assistance of members of the staff of the
Environmental Protection Agency, especially Dr. Joseph Cotruvo and
Dr. William Marcus.
Organization of the meetings and preparation of the manuscripts were
made easier by the dedicated secretarial services of Mrs. Delores Banks,
Ms. Helen Harvin, and Ms. Merle Morgan.
JOHN DOULL, Chairman
Safe Drinking Water Committee
REFERENCE
National Academy of Sciences. 1977. Drinking Water and Health. Safe Drinlcing Water
Committee, National Academy of Sciences, Washington, D.C. 939 pp.
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