Twenty-year study shows cleaner water slashes cancer and heart disease deaths

Date:November 27, 2025

Source:Columbia University’s Mailman School of Public Health

Summary:A 20-year project in Bangladesh reveals that lowering arsenic levels in drinking water can slash death rates from major chronic diseases. Participants who switched to safer wells had the same risk levels as people who were never heavily exposed. The researchers tracked individual water exposure with detailed urine testing. Their results show how quickly health improves once contaminated water is replaced.Share:

    

FULL STORY


Safer Wells Save Lives in Bangladesh
Cleaner water dramatically reduces chronic disease deaths, even for those exposed to arsenic for years. Credit: Shutterstock

A large 20-year investigation following nearly 11,000 adults in Bangladesh found that reducing arsenic in drinking water was tied to as much as a 50 percent drop in deaths from heart disease, cancer and several other chronic illnesses. The research offers the strongest long-term evidence so far that lowering arsenic exposure can reduce mortality, even for people who lived with contaminated water for many years. These results appear in JAMA.

Scientists from Columbia University, the Columbia Mailman School of Public Health and New York University led the analysis, which addresses a widespread health concern. Naturally occurring arsenic in groundwater remains a significant challenge across the world. In the United States, more than 100 million people depend on groundwater that can contain arsenic, particularly those using private wells. Arsenic continues to be one of the most common chemical contaminants in drinking water.

“We show what happens when people who are chronically exposed to arsenic are no longer exposed,” said co-lead author Lex van Geen of the Lamont-Doherty Earth Observatory, part of the Columbia Climate School. “You’re not just preventing deaths from future exposure, but also from past exposure.”

Two Decades of Data Strengthen the Evidence

Co-lead author Fen Wu of NYU Grossman School of Medicine said the findings offer the clearest proof yet of the connection between lowering arsenic exposure and reduced mortality risk. Over the course of two decades, the researchers closely tracked participants’ health and repeatedly measured arsenic through urine samples, which strengthened the precision of their analysis.

“Seeing that our work helped sharply reduce deaths from cancer and heart disease, I realized the impact reaches far beyond our study to millions in Bangladesh and beyond now drinking water low in arsenic,” said Joseph Graziano, Professor Emeritus at Columbia Mailman School of Public Health and principal investigator of the NIH-funded program. “A 1998 New York Times story first brought us to Bangladesh. More than two decades later, this finding is deeply rewarding. Public health is often the ultimate delayed gratification.”

Clear Drop in Risk When Arsenic Exposure Falls

People whose urinary arsenic levels fell from high to low had mortality rates that matched those who had consistently low exposure for the entire study. The size of the drop in arsenic was closely tied to how much mortality risk declined. Those who continued drinking high-arsenic water did not show any reduction in chronic disease deaths.

Arsenic naturally accumulates in groundwater and has no taste or smell, meaning people can drink contaminated water for years without knowing it. In Bangladesh, an estimated 50 million people have consumed water exceeding the World Health Organization’s guideline of 10 micrograms per liter. The WHO has described this as the largest mass poisoning in history.

From 2000 to 2022, the Health Effects of Arsenic Longitudinal Study (HEALS) monitored thousands of adults in Araihazar, Bangladesh. The project tested more than 10,000 wells in a region where many families rely on shallow tube wells with arsenic levels ranging from extremely low to dangerously high.

Researchers periodically measured arsenic in participants’ urine, a direct marker of internal exposure, and recorded causes of death. These detailed data allowed the team to compare long-term health outcomes for people who reduced their exposure with those who remained highly exposed.

Community Efforts Created a Natural Comparison Group

Throughout the study period, national and local programs labeled wells as safe or unsafe based on arsenic levels. Many households switched to safer wells or installed new ones, while others continued using contaminated water. This created a natural contrast that helped researchers understand the effects of reducing exposure.

Arsenic exposure decreased substantially in Araihazar during the study. The concentration in commonly used wells fell by about 70 percent as many families sought cleaner water sources. Urine tests confirmed a corresponding decline in internal exposure, averaging a 50 percent reduction that persisted through 2022.

Reduced Exposure Brings Lasting Health Benefits

These trends held true even after researchers accounted for differences in age, smoking and socioeconomic factors. Participants who remained highly exposed, or whose exposure rose over time, continued to face significantly higher risks of death from chronic diseases.

The researchers compared the health benefits of lowering arsenic to quitting smoking. The risks do not disappear immediately but drop gradually as exposure decreases.

In Bangladesh, well testing, labeling unsafe sources, drilling private wells and installing deeper government wells have already improved water safety for many communities.

“Our findings can now help persuade policymakers in Bangladesh and other countries to take emergency action in arsenic ‘hot spots’,” said co-author Kazi Matin Ahmed of the University of Dhaka.

To reach more households, the research team is collaborating with the Bangladeshi government to make well data easier to access. They are piloting NOLKUP (“tubewell” in Bangla), a free mobile app created from more than six million well tests. Users can look up individual wells, review arsenic levels and depths, and locate nearby safer options. The tool also helps officials identify communities that need new or deeper wells.

Clean Water Investments Can Save Lives

The study shows that health risks can fall even for people who were exposed to arsenic for years. This highlights an important opportunity: investing in clean water solutions can save lives within a single generation.

“Sustainable funding to support the collection, storage and maintenance of precious samples and data over more than 20 years have made this critically important work possible,” said Ana Navas-Acien, MD, PhD, Professor and Chair of Environmental Health Sciences at Columbia Mailman School of Public Health. “Science is difficult and there were challenges and setbacks along the way, but we were able to maintain the integrity of the samples and the data even when funding was interrupted, which has allowed us to reveal that preventing arsenic exposure can prevent disease.”

The study team included researchers from Columbia University’s Mailman School of Public Health, the New York University Grossman School of Medicine, Lamont-Doherty Earth Observatory, Boston University School of Public Health, the Department of Geology at the University of Dhaka and the Institute for Population and Precision Health at the University of Chicago.

The HEALS project was launched by Columbia University through the National Institute of Environmental Health Sciences’ Superfund Research Program, with most U.S. collaborators based at Columbia when the study began.

CLICK HERE FOR MORE INFORMATION

https://www.sciencedaily.com/releases/2025/11/251127010327.htm?

Over 38,000 Gallons of Water Have Been Recalled Due to ‘Foreign Black Substance’ Contamination

The gallon jugs were shipped to store locations in six states nationwide

By Moná Thomas 

Published on January 15, 2026 11:55AM EST

Leave a Comment

water bottles on an automated conveyor belt, Bottled water production line
water bottles on an automated conveyor belt, Bottled water production line.Credit : cofotoisme/Getty

NEED TO KNOW

  • 38,043 gallons of Meijer Steam Distilled Water have been recalled
  • The enforcement reports cite “floating black foreign substance” contamination for the recall
  • The company has yet to issue a statement confirming the nature of the foreign substance

More than 38,000 gallons of bottled water have been recalled after an Enforcement Report from the U.S. Food and Drug Administration (FDA) revealed a “floating black foreign substance” appearing inside gallon-sized jugs.

According to a notice published by the FDA, the recall involves Meijer Steam Distilled Water, which is sold in one-gallon plastic containers with red caps. Meijer voluntarily initiated the recall in November 2025, and it remains ongoing as officials continue to review the issue. In total, 38,043 gallons of the product are affected.

Meijer Distilled Water, Recall
Meijer Distilled Water, Recall.Meijer 

The affected jugs can be identified by a best-by date of Oct. 4, 2026, along with lot code 39-222 #3 and a UPC code of 041250841197. Meijer item codes tied to the recall include Product ID 472859 and Item Code 477910.

The recalled water was distributed to Meijer stores across Illinois, Indiana, Kentucky, Michigan, Ohio and Wisconsin. Consumers who purchased distilled water in those states are urged to check their containers carefully.

Our new app is here! Free, fun and full of exclusives. Scan to download now!

According to the FDA notice, the issue stems from the presence of a black substance floating inside the water, though the exact source and composition of the material have not been publicly identified. The agency has not yet assigned a recall classification, which typically indicates how serious a potential health risk may be.

Meijer did not initially respond to PEOPLE’s request for comment.

Distilled water is often used for more than just drinking. Many consumers rely on it for medical devices, such as CPAP machines, according to Verywell Health, as well as for infant formula preparation and sinus rinses, where water purity is especially important. Because of that, officials say consumers should stop using the recalled water immediately, even if no health issues are apparent.

At this time, no illnesses or injuries have been reported in connection with the recalled product. Still, the FDA advises anyone who has the affected water to either dispose of it safely or return it to a Meijer store for a refund or replacement.

The FDA continues to monitor the recall and has not provided additional details about how the contamination occurred. Consumers are encouraged to review any distilled water they have on hand and follow recall guidance to avoid potential exposure.

CLICK HERE FOR MORE INFORMATION

https://people.com/over-38-000-gallons-of-water-have-been-recalled-due-to-foreign-black-substance-contamination-11885997?

Drinking water source and exposure to regulated water contaminants in the California Teachers Study cohort

Journal of Exposure Science & Environmental Epidemiology volume 35, pages454–465 (2025)Cite this article

  • 4058 Accesses
  • 6 Citations
  • Metrics

Abstract
Background
Pollutants including metals/metalloids, nitrate, disinfection byproducts, and volatile organic compounds contaminate federally regulated community water systems (CWS) and unregulated domestic wells across the United States. Exposures and associated health effects, particularly at levels below regulatory limits, are understudied.

Objective
We described drinking water sources and exposures for the California Teachers Study (CTS), a prospective cohort of female California teachers and administrators.

Methods
Participants’ geocoded addresses at enrollment (1995–1996) were linked to CWS service area boundaries and monitoring data (N = 115,206, 92%); we computed average (1990–2015) concentrations of arsenic, uranium, nitrate, gross alpha (GA), five haloacetic acids (HAA5), total trihalomethanes (TTHM), trichloroethylene (TCE), and tetrachloroethylene (PCE). We used generalized linear regression to estimate geometric mean ratios of CWS exposures across demographic subgroups and neighborhood characteristics. Self-reported drinking water source and consumption at follow-up (2017–2019) were also described.

Results
Medians (interquartile ranges) of average concentrations of all contaminants were below regulatory limits: arsenic: 1.03 (0.54,1.71) µg/L, uranium: 3.48 (1.01,6.18) µg/L, GA: 2.21 (1.32,3.67) pCi/L, nitrate: 0.54 (0.20,1.97) mg/L, HAA5: 8.67 (2.98,14.70) µg/L, and TTHM: 12.86 (4.58,21.95) µg/L. Among those who lived within a CWS boundary and self-reported drinking water information (2017–2019), approximately 74% self-reported their water source as municipal, 15% bottled, 2% private well, 4% other, and 5% did not know/missing. Spatially linked water source was largely consistent with self-reported source at follow-up (2017–2019). Relative to non-Hispanic white participants, average arsenic, uranium, GA, and nitrate concentrations were higher for Black, Hispanic and Native American participants. Relative to participants living in census block groups in the lowest socioeconomic status (SES) quartile, participants in higher SES quartiles had lower arsenic/uranium/GA/nitrate, and higher HAA5/TTHM. Non-metropolitan participants had higher arsenic/uranium/nitrate, and metropolitan participants had higher HAA5/TTHM.

Impact
Though average water contaminant levels were mostly below regulatory limits in this large cohort of California women, we observed heterogeneity in exposures across sociodemographic subgroups and neighborhood characteristics. These data will be used to support future assessments of drinking water exposures and disease risk.

Similar content being viewed by others

Insights to estimate exposure to regulated and non-regulated disinfection by-products in drinking water
Article Open access
29 June 2022

US drinking water quality: exposure risk profiles for seven legacy and emerging contaminants
Article Open access
22 September 2023

Human health implications of metal pollution in the Betwa-Yamuna river system, India: evidence from Monte Carlo risk modelling
Article Open access
11 January 2026
Introduction
Drinking water represents an important source of exposure to inorganics (e.g., arsenic and nitrate), radionuclides (uranium, alpha particles), disinfection byproducts (DBPs), and volatile organic compounds (VOCs) for populations in the United States (U.S.) and worldwide [1]. Approximately 90% of the U.S. population is served by public water systems, and 10% by private wells [2]. In California, approximately 95% of the population is served by public water systems [3]. Public water systems include at least 15 service connections or serve at least 25 people; community water systems (CWS) are a type of public water system that serve the same population year-round [2]. Public water systems are regulated by the U.S. Environmental Protection Agency (EPA) under the Safe Drinking Water Act [4]. The contaminants we evaluated are regulated through federally enforceable maximum contaminant levels (MCLs), which were determined based on economic and technical feasibility, treatment technologies, cost-benefit analysis, and public health benefit for specific health endpoints [4]. States generally have primacy over enforcement of federal drinking water regulations. Notably, the MCL goal, a non-enforceable standard based solely on risk to health, is 0 µg/l for arsenic, uranium, alpha particles, trichloroethylene (TCE), tetrachloroethylene (PCE), bromodichloromethane, bromoform, and dichloroacetic acid, as there is no known safe level of exposure to these contaminants [4]. Private wells are not federally regulated or monitored.

Nitrate is a common contaminant of drinking water supplies in agricultural areas, due to use of nitrogen fertilizers and concentrated animal feeding operation waste [5, 6]. Atmospheric deposition, erosion of natural deposits, and septic tank or sewage leakage contribute to nitrate contamination in rural and urban areas [4]. Geogenic arsenic occurs in groundwater across the U.S., with regional differences due to climatic and geological factors; arid climates can cause evaporative concentration of arsenic in shallow groundwater supplies and lead to high levels, such as in the San Joaquin Valley of California [7,8,9,10]. Mining and historical arsenical pesticide use are anthropogenic sources of arsenic contamination in water supplies [8]. Uranium is present in different rock types and is leached from host mineral phases to surface and ground water supplies; uranium mining/milling and mobilization of uranium via nitrate fertilizer use are anthropogenic sources of uranium contamination [11,12,13,14,15]. Uranium and other radionuclides can decay and release alpha radiation, often quantified as total gross alpha for monitoring compliance purposes. DBPs are formed by the reaction of chlorine and bromine with natural organic compounds during the disinfection of water supplies to treat pathogens [16]. DBPs are commonly found in public water supplies across the U.S., with the highest concentrations observed in those reliant on surface water or shallow groundwater [16]. While over 700 DBPs have been identified, the most abundant classes are trihalomethanes (THMs, which include the chemicals chloroform, dibromochloromethane, bromodichloromethane, and bromoform, and regulated as the sum total, TTHM), and haloacetic acids (HAA5, regulated as the sum of dichloroacetic acid, trichloroacetic acid, monochloroacetic acid, bromoacetic acid, and dibromoacetic acid) [4, 17, 18]. The VOCs TCE and PCE are solvents used in dry cleaning, metal degreasing, textile, art, and industrial processes, and may be found in some consumer products [19]. Toxic waste disposal sites, sometimes recognized as Superfund sites under the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA), are anthropogenic sources of inorganic arsenic, uranium, TCE, and PCE in groundwater [12, 19,20,21,22,23,24].

Numerous studies implicate one or more of these drinking water contaminants in adverse health effects, including cancer, cardiovascular disease, reproductive and developmental toxicity, nephrotoxicity, and other adverse health conditions [1, 16, 20, 25,26,27,28,29,30,31,32,33,34,35,36,37,38,39]. Inorganic arsenic is classified by the International Agency for Research on Cancer (IARC) as a cause of cancers of the bladder, lung, and skin, and is associated with increased risk of cancers of the kidney, liver, and prostate [26]. Inorganic arsenic is also a potent toxicant associated with numerous adverse health outcomes, including cardiovascular disease, hypertension, and reproductive disorders [26, 31, 32]. Uranium exposure through drinking water is associated with renal damage and nephrotoxicity, and an increased risk of colorectal, breast, kidney, prostate, and total cancer [20, 27, 33]. Nitrate is classified by IARC as a probable human carcinogen when ingested under conditions that result in the endogenous formation of N-nitroso-compounds, most of which are animal carcinogens [28, 34]. Cancers of the stomach, colon, bladder, kidney, ovary, and thyroid, and thyroid disease are associated with elevated nitrate ingested from drinking water; however, the number of studies of most cancer sites is limited [29, 35]. Higher intake of DBPs through drinking water is associated with increased bladder cancer risk, and a limited number of studies suggest DBP exposures are potential risk factors for colon, rectum, and endometrial cancer [16, 36]. TCE is classified as carcinogenic to humans based on kidney cancer, and PCE (Group 2A) as probably carcinogenic to humans based on bladder cancer evidence [30]. Occupational studies also support adverse developmental, neurological, and hepatotoxic effects of TCE and PCE exposures [19]. Assessment of long-term drinking water contaminant exposures and associated health risks have traditionally been limited by the lack of water quality data that could be assigned to individuals in epidemiologic cohorts; understanding large-scale water quality data at the level of consumer intake is a critical research gap [40]. Additionally, there are relatively few cohort studies evaluating drinking water exposures at levels below the MCLs and World Health Organization guidelines that are commonly experienced by the general U.S. population [1]. Inequalities in CWS arsenic, uranium, and nitrate exposures by sociodemographic characteristics such as, race and ethnicity, income, education, region, and rurality/urbanicity have been documented [41, 42]. Few studies have evaluated sociodemographic inequalities in DBP and TCE/PCE exposures in the United States.

Our primary objective for this study was to describe exposure to regulated, frequently detected and measured contaminants in drinking water in the California Teachers Study (CTS), a large prospective cohort of women. We described the spatial linkage of participants’ residences to their drinking water source and corresponding estimates of contaminant concentrations. For a subset, we evaluated the agreement between address-assigned and self-reported drinking water source and described the daily intake of tap water and CWS contaminants. Additionally, we examined inequalities in CWS exposures across sociodemographic groups.

CLICK HERE FOR MORE INFORMATION

https://www.nature.com/articles/s41370-024-00703-9

Microplastic mediated bacterial contamination in water distribution systems as an emerging public health threat

You have full access to thisopen accessarticle

Download PDF

Discover SustainabilityAims and scopeSubmit manuscript

Microplastic mediated bacterial contamination in water distribution systems as an emerging public health threat

Download PDF

Abstract

The growing intrusion of microplastics (MPs) into water supply networks, exacerbated by their physicochemical features that facilitate their movement in water and enable microbial attachment, represents an under-recognized but rising threat to public health. The present work is a scooping review that synthesized recent studies to explore the roles of MPs as dynamic pollutants that not only contaminate water sources and distribution systems but also interact with bacterial contaminants in ways that intensify health threats. In accordance with SDG 6 (Clean Water and Sanitation), we examined the sources and fate of MPs in water distribution networks, their mechanisms of transportation, and their function as surfaces for bacterial attachment and biofilm development. We paid attention to how MPs can carry harmful bacteria and store genes that make bacteria resistant to antibiotics, which could help these bacteria survive and spread throughout the water distribution system, an issue related to SDG 3 (Good Health and Well-being). These microplastic-associated biofilms called plastisphere can compromise water quality assessments, escape conventional water treatment procedures, and aggravate the distribution of antimicrobial resistance. Furthermore, we highlight the limits of existing detection and monitoring methods for MPs and related bacterial threats in water. We ascertain serious knowledge gaps in understanding the long-term behaviour of MPs in real-world water distribution conditions, particularly under variable hydraulic and environmental stresses. Addressing these gaps require imminent research focus on in situ studies of MP-bacterial interactions, innovative molecular and sensing machineries, risk valuation models that integrate microbial and genetic information (SDG 9: Industry, Innovation, and Infrastructure). Interdisciplinary collaborations among environmental microbiologists, water engineers, and public health workers could also help to develop a standardized, high-resolution detection protocols.

CLICK HERE TO READ MORE

https://link.springer.com/article/10.1007/s43621-025-02137-1?

Press Release

Exposure to PFAS in drinking water linked to higher blood levels of these “forever” chemicals

First-of-its-kind study at ADLM 2025 lays the foundation for addressing public health threat

Share

  • Share On Facebook
  • Share On Instagram
  • Share On Twitter
  • Share On Linkedin
  • >Share With Email

CHICAGO — Breaking research presented today at ADLM 2025 (formerly the AACC Annual Scientific Meeting & Clinical Lab Expo) found that people who live in areas with higher levels of PFAS in their drinking water also have elevated blood levels of these manufactured chemicals. Highlighting why these so-called “forever chemicals” are a growing public-health concern, these findings provide support for policies encouraging more PFAS testing and treatment in public water systems.

“Drinking water is one of the most important routes for exposure to environmental contaminants, including PFAS,” said Dr. Wen Dui, a member of the research team from Quest Diagnostics that conducted the study. “This study was the first of its kind to apply the National Academies of Science, Engineering, and Medicine (NASEM) PFAS guidance to study correlation between PFAS in human bodies and drinking water in a large-scale clinical population.” 

First developed in the 1940s, PFAS, or per- and poly-fluoroalkyl substances, were designed to resist water, oil, grease, and heat, making them useful in numerous consumer products and across multiple industries. For example, PFAS can be found in non-stick cookware, waterproof clothing, and fast-food packaging, as well as in firefighting foams, aircraft components, medical devices, and construction materials. The substances can enter the public water supply when manufacturers release wastewater into nearby water sources, for example, or when PFAS in landfills leach into groundwater.

Scientists are concerned about possible health consequences of PFAS, which build up in people and the environment over time. For instance, NASEM found evidence of an association between PFAS and adult kidney cancer, decreased infant and fetal growth, abnormally high cholesterol, and a reduced antibody response. The NASEM guidance recommends that anyone with high blood levels of PFAS, defined as a summed total of more than 20 ng/mL of nine key PFAS, receive further testing and reduce their exposure.

“Several federal agencies, including the Centers for Disease Control and Prevention and NASEM, have worked together to summarize evidence, publish guidance, and encourage more clinical PFAS testing,” Dui said. “Quest developed and published a blood test for serum PFAS quantitation of the nine NASEM-recommended analytes to address the critical need for reliable PFAS measurement in clinical laboratories,” Dui said.

As one of its first steps, the team sought to establish the relationship between drinking water contaminated with PFAS and PFAS levels in people’s blood — which is what this new study accomplishes.

Since the U.S. Environmental Protection Agency monitors the amount of PFAS in public water systems, the researchers were able to pull information from previously collected blood samples to do a geographic comparison by exposure level. They evaluated blood samples taken from 771 individuals who lived in zip codes with high exposure to PFAS through their water and 788 people with low exposure to the substances, ensuring the two groups were otherwise comparable in their age and gender distribution.

They found that 7.1% of the people from zip codes with high-exposure to PFAS had elevated blood levels of PFAS (>20 ng/mL), versus only 2.8% of the people in the low-exposure group — a significant difference. Moreover, the estimated average of combined PFAS in the blood samples was significantly higher in the high-exposure group (9.2 ng/mL) versus the low-exposure group (6.1 ng/mL), as were mean blood levels of each individual PFAS studied.

“Our study found that a higher PFAS level in U.S. public drinking water supply corresponds to higher PFAS serum concentrations in exposed communities,” Dui said, adding that, as a next step, the company hopes to contribute to research on the correlation between PFAS exposure and health outcomes.


Session information

ADLM 2025 registration is free for members of the media. Reporters can register online here: https://xpressreg.net/register/adlm0725/media/landing.asp

Abstract B-281Correlation between PFAS forever chemical concentrations in remnant serum and public drinking water will be presented during:

Scientific poster session
Wednesday, July 30
9:30 a.m. – 5 p.m. (presenting authors in attendance from 1:30 – 2:30 p.m.)

The session will take place in the Poster Hall on the Expo show floor of McCormick Place, Chicago.

About ADLM 2025

ADLM 2025 (formerly the AACC Annual Scientific Meeting & Clinical Lab Expo) offers 5 days packed with opportunities to learn about exciting science from July 27-31 in Chicago. Plenary sessions will explore urgent problems related to clinical artificial intelligence (AI) integration, fake medical news, and the pervasiveness of plastics, as well as tapping into the promise of genomics and microbiome medicine for personalized healthcare.

At the ADLM 2025 Clinical Lab Expo, more than 800 exhibitors will fill the show floor of the McCormick Place Convention Center in Chicago, with displays of the latest diagnostic technology, including but not limited to AI, point-of-care, and automation.

About the Association for Diagnostics & Laboratory Medicine (ADLM)

Dedicated to achieving better health for all through laboratory medicine, ADLM (formerly AACC) unites more than 70,000 clinical laboratory professionals, physicians, research scientists, and business leaders from 110 countries around the world. Our community is at the forefront of laboratory medicine’s diverse subdisciplines, including clinical chemistry, molecular diagnostics, mass spectrometry, clinical microbiology, and data science, and is comprised of individuals holding the spectrum of lab-related professional degrees, certifications, and credentials. Since 1948, ADLM has championed the advancement of laboratory medicine by fostering scientific collaboration, knowledge sharing, and the development of innovative solutions that enhance health outcomes. For more information, visit www.myadlm.org.

CLICK HERE FOR MORE INFORMATION

https://myadlm.org/media/press-release-archive/2025/07-july/exposure-to-pfas-in-drinking-water-linked-to-higher-blood-levels-of-these-forever-chemicals?

Risk of cardiovascular disease linked to long-term exposure to arsenic in community water supplies

Understanding risk below the current US EPA regulatory standard

Source:Columbia University's Mailman School of Public Health

Summary:Long-term exposure to arsenic in water may increase cardiovascular risk and especially heart disease risk even at exposure levels below the federal regulatory limit, according to new research. A study describes exposure-response relationships at concentrations below the current regulatory limit and substantiates that prolonged exposure to arsenic in water contributes to the development of ischemic heart disease.Share:

    

FULL STORY


Long-term exposure to arsenic in water may increase cardiovascular disease and especially heart disease risk even at exposure levels below the federal regulatory limit (10µg/L) according to a new study at Columbia University Mailman School of Public Health. This is the first study to describe exposure-response relationships at concentrations below the current regulatory limit and substantiates that prolonged exposure to arsenic in water contributes to the development of ischemic heart disease.

The researchers compared various time windows of exposure, finding that the previous decade of water arsenic exposure up to the time of a cardiovascular disease event contributed the greatest risk. The findings are published in the journal Environmental Health Perspectives.

“Our findings shed light on critical time windows of arsenic exposure that contribute to heart disease and inform the ongoing arsenic risk assessment by the EPA. It further reinforces the importance of considering non-cancer outcomes, and specifically cardiovascular disease, which is the number one cause of death in the U.S. and globally,” said Danielle Medgyesi, a doctoral Fellow in the Department of Environmental Health Sciences at Columbia Mailman School. “This study offers resounding proof of the need for regulatory standards in protecting health and provides evidence in support of reducing the current limit to further eliminate significant risk.”

According to the American Heart Association and other leading health agencies, there is substantial evidence that arsenic exposure increases the risk of cardiovascular disease. This includes evidence of risk at high arsenic levels (>100µg/L) in drinking water. The U.S. Environmental Protection Agency reduced the maximum contaminant level (MCL) for arsenic in community water supplies (CWS) from 50µg/L to 10µg/L beginning in 2006. Even so, drinking water remains an important source of arsenic exposure among CWS users. The natural occurrence of arsenic in groundwater is commonly observed in regions of New England, the upper Midwest, and the West, including California.

To evaluate the relationship between long-term arsenic exposure from CWS and cardiovascular disease, the researchers used statewide healthcare administrative and mortality records collected for the California Teachers Study cohort from enrollment through follow-up (1995-2018), identifying fatal and nonfatal cases of ischemic heart disease and cardiovascular disease. Working closely with collaborators at the California Office of Environmental Health Hazard Assessment (OEHHA), the team gathered water arsenic data from CWS for three decades (1990-2020).

The analysis included 98,250 participants, 6,119 ischemic heart disease cases and 9,936 CVD cases. Excluded were those 85 years of age or older and those with a history of cardiovascular disease at enrollment. Similar to the proportion of California’s population that relies on CWS (over 90 percent), most participants resided in areas served by a CWS (92 percent). Leveraging the extensive years of arsenic data available, the team compared time windows of relatively short-term (3-years) to long-term (10-years to cumulative) average arsenic exposure. The study found decade-long arsenic exposure up to the time of a cardiovascular disease event was associated with the greatest risk, consistent with a study in Chile finding peak mortality of acute myocardial infarction around a decade after a period of very high arsenic exposure. This provides new insights into relevant exposure windows that are critical to the development of ischemic heart disease.

Nearly half (48 percent) of participants were exposed to an average arsenic concentration below California’s non-cancer public health goal <1 µg/L. In comparison to this low-exposure group, those exposed to 1 to <5 µg/L had modestly higher risk of ischemic heart disease, with increases of 5 to 6 percent. Risk jumped to 20 percent among those in the exposure ranges of 5 to <10 µg/L (or one-half to below the current regulatory limit), and more than doubled to 42 percent for those exposed to levels at and above the current EPA limit ≥10µg/L. The relationship was consistently stronger for ischemic heart disease compared to cardiovascular disease, and no evidence of risk for stroke was found, largely consistent with previous research and the conclusions of the current EPA risk assessment.

These results highlight the serious health consequences not only when community water systems do not meet the current EPA standard but also at levels below the current standard. The study found a substantial 20 percent risk at arsenic exposures ranging from 5 to <10 µg/L which affected about 3.2 percent of participants, suggesting that stronger regulations would provide significant benefits to the population. In line with prior research, the study also found higher arsenic concentrations, including concentrations above the current standard, disproportionally affect Hispanic and Latina populations and residents of lower socioeconomic status neighborhoods.

“Our results are novel and encourage a renewed discussion of current policy and regulatory standards,” said Columbia Mailman’s Tiffany Sanchez, senior author. “However, this also implies that much more research is needed to understand the risks associated with arsenic levels that CWS users currently experience. We believe that the data and methods developed in this study can be used to bolster and inform future studies and can be extended to evaluate other drinking water exposures and health outcomes.”

Co-authors are Komal Bangia, Office of Environmental Health Hazard Assessment, Oakland, California; James V. Lacey Jr and Emma S. Spielfogel,California Teacher Study, Beckman Research Institute, City of Hope, Duarte, California; and Jared A FisherJessica M. Madrigal, Rena R. Jones, and Mary H. WardDivision of Cancer Epidemiology and Genetics, National Cancer Institute.

The study was supported by the National Cancer Institute, grants U01-CA199277, P30-CA033572, P30-CA023100, UM1-CA164917, and R01-CA077398; and also funded by the Superfund Hazardous Substance Research and Training Program P42ES033719; NIH National Institute of Environmental Health Sciences P30 Center for Environmental Health and Justice P30ES9089, NIH Kirschstein National Research Service Award Institutional Research Training grant T32ES007322, NIH Predoctoral Individual Fellowship F31ES035306, and the Intramural Research Program of the NCI Z-CP010125-28.

CLICK HERE FOR MORE INFORMATION

https://www.sciencedaily.com/releases/2024/10/241023131603.htm

The Ultimate Guide to Water Health: Cellular Hydration, Energy Metabolism, Detoxification & More

Optimal water intake is without a doubt one of the most vital factors in good health. In essence, we need the proper amount of water in our bodies for every cellular function. Even mild dehydration leads to fatigue, brain fog, headaches and dizziness. However, the subject of water and hydration also happens to be one of the most confusing topics – how much water we should drink? What’s the best type of water to drink; distilled, alkaline, spring, sparkling, still, or some other type? In this article, we will seek to answer these questions and then some. As we evolve this topic, there is something key to keep in mind; it’s not just about how much water you consume. More importantly in the world of hydration is that your cells actually utilize that water efficiently.

Cellular Hydration: Beyond Water Deficiency

While not drinking enough water is the easiest way to become dehydrated, it’s not the only way. The truth is, just like food, water needs to be metabolized. Many people eat enough, but still end up nutritionally deficient due to poor digestion and a sluggish metabolism. Similarly, many people drink more than enough water, yet their bodies are starved for water. How can this be? First, understand that the amount of water a person needs is extremely variable; it depends on various things such as metabolic rate, physical activity, and even the temperature and humidity of the air. For example, working out hard in hot, dry weather, it’s possible to drink more than two quarts and not produce any urine because that water is lost by evaporation or “burned up” by the increased metabolic rate of that active person. On the other hand, a person with a sluggish metabolism, even in hot, humid conditions can be endangered by too much water. These are only two examples, but in reality, anything that affects the physiology of a person can potentially create a stress and therefore affect cellular hydration and the way the body uses water.

Stress & Hydration

Any stress on the body, and stress being defined as anything that may interfere with energy production, can potentially disturb the interactions between water and the cell. Stress causes “excitation” and this causes a cell to take up extra water. In fact, it is well known that the tissues of people with hypothyroid (a stress condition) tend to hold more water; this is referred to as edema, a common symptom of hypothyroid. 1 There are other ways that stress can cause dehydration. Under a stress response, the body secretes an excess of the stress hormone cortisol. Cortisol has a feedback loop with estrogen, so as cortisol increases, estrogen also increases. It is well known that estrogen causes sodium loss, and has a high affinity to water. In other words, when the cell is stressed, under the influence of estrogen, it tends to uptake more water and swell (edema), causing both a loss of sodium and water. Additionally, stress causes the increase of hormones like aldosterone, which cause the kidneys to secrete excess sodium in the urine and sweat and the cells to hold water. This loss of sodium causes a vicious cycle to occur because when there isn’t enough sodium, more aldosterone is synthesized, which leads to the increased loss of electrolytes like potassium, magnesium, and calcium. The loss of potassium leads to something called vasoconstriction, which means vascular motility is decreased, contributing to heart and kidney failure and high blood pressure. In these ways, stress of any sort can cause the increase of stress hormones that alter the cells’ ability to interact with water. This can lead to the loss of sodium and the excess uptake of water into the cells causing not only dehydration but edema. To conclude, “stress” is the true cause of dehydration because it interferes with the proper cellular interaction with water. However, because stress can occur in endless ways, here are some other probable causes of dehydration to keep in mind:

  • A sodium-deficient diet: salt has been demonized in this society; however, it is necessary for proper kidney function, mineral/fluid balance and therefore the cellular regulation of water.
  • Drinking only still water: Most of our water today is either contaminated with fluoride, heavy metals and other toxins, or it is so filtered that it is lacking in necessary minerals like sodium, potassium, and magnesium. So if you suspect you suffer from dehydration yet drink enough water, it might not be enough to drink “filtered water”, you might need to enhance it with minerals, mineral-rich salt or purchase mineralized waters like Gerolsteiner.
  • Vigorous exercise: During times of increased physical activity or exercise, the body undergoes an acute stress response, resulting in the loss electrolytes. The best ways to offset this process is to avoid over-exercising, keep cool (avoid exercising in too intense of heat), increase your intake of sodium and consume more water than usual. Be sure to drink 16 ounces of mineralized (add TraceMinerals or Real Salt) to your water before a workout, one during and one immediately after.
  • Chronic Alcohol Consumption: Alcohol is a stress on the liver for a few reasons but most trace back to its estrogenic effects. Estrogen interferes with metabolic function (including water metabolism), and estrogen causes the loss of sodium in the cell. In one study, the ingestion of alcohol is known to negatively affect the hypothalamo-neurohypophysial system resulting in increased diuresis, dehydration and hyperosmolality. 2

Symptoms of Dehydration

Feeling incredibly thirsty is only one symptom of dehydration. As mentioned, water is essential for all physiological functions, therefore, the signs of dehydration can also include:

  • Tension, spasms
  • Constipation
  • In severe cases, kidney and heart problems.
  • Cognitive concerns; difficulties concentrating, recall, attention, psychomotor skills and memory 3
  • Low energy, fatigue
  • Chronic muscle pains
  • Skin problems; dry skin especially
  • Headaches
  • Weight gain
  • Weak immunity
  • Poor detoxification

Considering the roles water plays in digestion, metabolism, immunity and detoxification, and the consequences of destination, it is vital to know how to stay hydrated properly.

Secrets to Healthy Hydration

By now, it is clear to see that hydration is not merely a game of “drinking enough” but also entails stress management (of all sorts), and keeping a proper balance of minerals and water in the body. If you’re wondering how to achieve these goals, here are some tips that you may not have considered before…

  1. Lower Stress Hormones: As we learned, it is estrogen and aldosterone which ultimately lead to cellular dehydration. These hormones cause the loss of sodium, interfering with the proper interactions between our cells and water. Therefore, as strange as it seems, keeping stress to a minimum is an essential part in proper hydration. Here are some ways to lower these stress hormones;
  2. Consume Healthy Salt: When it comes to proper hydration, one of the most important things to consider is the balance between minerals and water. Sodium, potassium and magnesium play an equally important role in hydration as water. However, in our culture, the extra water consumption, combined with a low salt diet is perhaps the worst hydration advice one could get – especially for an already stressed person, let’s say with hypothyroidism. The truth is, salt has an anti-stress effect, capable of mitigating the secretion of stress hormones like cortisol and aldosterone. Also, it’s well known that when the body is stressed, it loses sodium. With that being said, a smarter piece of advice would be to cautiously avoid the overconsumption of still (mineral-deficient) water and underconsumption of salt. Instead, consume healthy amounts of salt (we like Redmond’s Real Salt and Himalayan), and be sure to choose quality water.
  3. Avoid Over Drinking Water: Despite what most of us have learned in America, when our bodies are healthy, we don’t need as much water as we are told. As we have discussed, too much water accompanied by the lack of sodium and stress can lead to edema, swelling and tension. So, if you are the type of person to “chug” copious amounts of water (especially still, plain water) you may want to make a few adjustments. In regards to water intake, this is a matter of quality over quantity. If you’re generally healthy, not overly stressed and you eat a whole-foods diet, it’s likely you do not need as much water as you think. Whole foods contain a generous supply of water, especially fruits, vegetables, broths, etc.
  4. Tap Water Toxicity: For some, tap water toxicity seems like a conspiracy, but the fact of the matter is there is a known presence of toxins in our water supply. In fact, one study by the Environmental Working Group has discovered 316 chemicals in tap water throughout the country, including dangerous chemicals, compounds and metals. 45

Choosing the Best Water

Not all water is created equally; some water contains harmful toxins, others simply lack the precious minerals or electrolytes needed for the proper cellular utilization of water. With this in mind, the water you choose to drink can play a large role in how well your body is hydrated. Here are some of our top picks for water:Sparkling Mineral Water: Sparkling water may be an acquired taste. However, if you have been dehydrated for some time and haven’t known it, once you start, it will be difficult to go back. Not only is sparkling mineral water rich in the exact minerals we need for the cellular utilization of water, but it also contains CO2(carbon dioxide), which has many helpful benefits. For thousands of years, the therapeutic value of carbonated mineral springs has been acknowledged. In fact, the theory that ‘living water’s’ gas content had therapeutic benefits led researcher Joseph Priestley to investigate ways to make carbonated water, and in the process he discovered oxygen. Carbonated water had its medical vogue in the 19th century, but the modern medical establishment has mostly chosen to ignore these effects. However, if we consider that CO2 is the basic metabolic byproduct of healthy cellular respiration, it would make sense that the ingestion of even small amounts of CO2 is beneficial on overall metabolism. Not to mention, sparkling water has a better mouth feel and is also typically rich in important minerals like sodium. Our favorite picks for sparkling are Pellegrino and Gerolsteiner. Both waters are premium, mineral-rich, carbonated waters. However, Pellegrino appears to be much richer in sulfates. Sulfates (sulfur) are a necessary part of a healthy diet. Sulfur is the 8th most common element in the human body and while it is not FDA recommended, the fact is, sulfur is necessary for many important physiological functions including collagen formation, detoxification (especially of cysteine and methionine, two harmful amino acids when in excess), the production of master antioxidant glutathione, and the regulation of inflammation prostaglandins, amongst others. So in our understanding and research, the consumption of these sparkling mineral waters is highly therapeutic! 6Distilled: Distillation is a simple water purification process where water is brought to a boil and converted to steam. The steam flows through cooling tubes and condenses back into water for drinking. The major benefit of this process is that it removes all potentially harmful contaminants, additives, organisms and other toxins. The downside to distilled water is that it lacks any beneficial minerals; however, these can be easily added with a mineral supplement or a pinch of high-mineral salt. One last thing to keep in mind with distilled water is the possibility of serious contamination. If the pre-distilled water contained any volatile organic compounds like chlorine, as the water is vaporized it can actually become concentrated in the finished distilled water. This would create a final product that contains even more dangerous contaminants than it was prior to distilling. Spring Water:True spring water might make for a good choice for water consumption. First, spring water usually contains an ideal pH. Where distilled water is likely too acidic and alkaline water is too alkaline for drinking, mountain spring water is usually in an ideal neutral range. Some also consider wild spring water to be the healthiest water simply because it is in its most natural state, the way nature intended. Like raw food, living spring water contains “biophotons”, small units of light stored which activate the mitochondria. Also, let’s not forget that spring water is free! There’s a very helpful website you can utilize called FindaSpring.com where you can find local, safe springs.

Conclusion

Staying properly hydrated is not just beneficial for plumper, moisturized skin, it goes way beyond that to affect every single cellular process in your body. So tell us… What are your secrets to staying hydrated? Have you experienced any benefits when addressing your water and electrolyte intake? Leave us a comment below!

CLICK HERE FOR MORE INFORMATION

Ways Water Can Encourage Natural Healing

By Jeff Hayward 

Water makes up about 60-percent of your body, so why is it when we need to fix an ailment we automatically reach for an artificial cream or some other commercial remedy?

Water is essential to life, as it is to maintain life and help us repair ourselves. It doesn’t have to be consumed to reap the benefits, either. Here are six ways water can encourage natural healing…

Soothing Pain from Arthritis

If you have a backyard pool or are close to a recreational facility that allows public swimming, then you have a great tool in warding off pain from arthritis and even soreness from exercising.

The Arthritis Foundation notes that gentle movement in water is easy on the joints, even though it provides 12-times the resistance of air. For the latter reason, you can still build muscle in the process. Heated pools (82-Fahrenheit to 88-Fahrenheit) can take healing to the next level, helping to soothe pain, adds the source.

Faster Wound Healing

AdvancedTissue.com says staying properly hydrated can step up the pace of the wound healing stages. It adds that a lack of moisture reaching the surface of the wound “will halt cellular migration, decrease oxygenation of the blood and vastly delay the wound treatment process.”

Because of the high content of water in your body, maintaining a “positive level of hydration” that can add in repairing wounds requires 64-ounces or more of water per day (around 8-glasses). Drinking more than this can further help cells to travel to the wound site to supply more oxygen and nutrients, adds the source.

Promoting Mental Health

While we often only think of the physical benefits of drinking water, Healthy Holistic Living says on its website that water is important in improving mental health. “Water also works to improve your mental health, making it easier to keep you going throughout the day,” notes the source.

It explains that water has an “interesting effect” on mood levels, and claims you can actually get “high” just by consuming water (not recommended to try, says the site). However, water helps keep you energized, which helps you generate more “feel good” hormones that impact mood, it adds.

Healing Debilitating Conditions?

Perhaps take this one with a grain of salt; but a website called Watercure.com explains how a man that had crippling spinal arthritis (ankylosing spondylitis) was reportedly cured with a water/salt treatment, after other treatments failed for three decades.

However, the site explains its about “more to it than simply drinking water.” Rehydration must be done gradually when it’s severe, it adds. “You must learn what can happen to your own body when it becomes dehydrated. Not everybody registers drought in the same way,” explains the source.

Enhancing Weakening Eyesight

At some point, everyone will experience some loss of their young hawk-eye vision—whether it’s due to near-sightedness or far-sightedness or both—but there are natural ways to help reverse this process, according to NaturalSociety.com.

“Pure water” is one of 4-steps to sharper sight, explains the source. “Drinking an adequate amount of pure filtered water will prevent total-body dehydration, and subsequently dry eyes,” it offers. Water intake should be complemented with antioxidants (beta-carotene), as well as fatty acids like fish oil.

Reducing Skin Blemishes

The jury is still out on whether drinking more water can make your skin look more youthful, as your body only uses so much of it before eliminating the excess (use a good moisturizer if you want anti-aging properties, suggest experts).

However, Greatist.com notes that inflammation in the skin that causes acne can be treated to some degree with some quality H2O. Water can help flush out the toxins that lead to the inflammation to begin with, adds the source. If water doesn’t work, see your doctor for any possible allergies causing skin blemishes.

CLICK HERE FOR MORE INFORMATION https://activebeat.com/diet-nutrition/immerse-yourself-in-6-healing-properties-of-water/6/?placement=kwd-10012841&device=c&gad_source=5&gad_campaignid=12874794209&gclid=EAIaIQobChMItoSEqbiIjgMVY0H_AR0fGhNLEAAYAyAAEgJ7q_D_BwE