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A working group of 23 experts from 13 countries met in Lyon to evaluate the evidence for carcinogenicity of arsenic (mostly naturally occurring) as a contaminant of drinking-water, and of the water-disinfectant chloramine. The working group also evaluated or re-evaluated four chlorination by-products found in drinking-water, namely chloral hydrate, di- and trichloroacetic acids, and 3-chloro-4-(dichloromethyl)-5-hydroxy-2(5H)-furanone (also known as MX). High-level exposure to arsenic in drinking-water occurs in some regions such as China, Latin America, Bangladesh and West Bengal. The Working Group reviewed epidemiological studies of human cancer (mainly ecological studies in Taiwan and Chile, and several case-control and cohort studies) in relation to arsenic in drinking-water. Arsenic in drinking-water (primarily inorganic, as arsenate and to a lesser extent arsenite) was evaluated as carcinogenic to humans (Group 1) on the basis of sufficient evidence for an increased risk for cancer of the urinary bladder, lung and skin. Studies on inorganic arsenic in experimental animals provided limited evidence for its carcinogenicity, but sufficient evidence was found in experimental animals for the carcinogenicity of dimethylarsinic acid (an organic form of arsenic), which produced urinary bladder tumours in rats and lung tumours in mice after oral administration.
This work provides those involved in water purification research and administration with a comprehensive resource of methods for analyzing water to assure its safety from contaminants, both natural and human caused. The book first provides an overview of major water-related issues in developing and developed countries, followed by a review of issues of sampling for water analysis, regulatory considerations and forensics in water quality and purity investigations. The subsequent chapters cover microbial as well chemical contaminations from inorganic compounds, radionuclides, volatile and semi-volatile compounds, disinfectants, herbicides, and pharmaceuticals, including endocrine disruptors, as well as potential terrorist-related contamination. The last chapter describes the Grainger prize-winning filter that can remove arsenic from water sources and sufficiently protect the health of a large number of people. Covers the scope of water contamination problems on a worldwide scale Provides a rich source of methods for analyzing water to assure its safety from natural and deliberate contaminants Describes the filter that won the $1 million Grainger prize and thereby highlighting an important approach to remediation
Key drinking water issues include problems caused by specific contaminants, such as the gasoline additive methyl tertiary butyl ether (MTBE), perchlorate, and lead, as well as the related issue of the appropriate federal role in providing financial assistance for water infrastructure projects. Congress last reauthorised the Safe Drinking Water Act (SDWA) in 1996, and although funding authority for most SDWA programs expired in FY2003, broad reauthorization efforts are not expected as EPA, states, and water utilities remain busy implementing the requirements of the 1996 amendments. Concerns about perchlorate in drinking water also have returned to the congressional agenda, after the past Congress enacted several provisions on this issue. H.R. 213 has been introduced to require EPA to set a drinking water standard for perchlorate in 2007, and a January 2005 National Academy of Sciences report on the health effects of perchlorate has increased oversight interest in perchlorate regulatory activities at EPA. Concerns over the security of the nation's drinking water supplies were addressed by the 107th Congress through the Bioterrorism Preparedness Act (P.L. 107-188), which amended SDWA to require community water systems to conduct vulnerability assessments and prepare emergency response plans. Subsequent congressional action has involved oversight and funding of water security assessment and planning efforts and research. An ongoing SDWA issue involves the growing cost and complexity of drinking water standards and the ability of water systems, especially small, rural systems, to comply with standards. The issue of the cost of drinking water standards, particularly the new arsenic standard, has merged with the larger debate over the federal role in assisting communities with financing drinking water infrastructure - an issue that has become more challenging in a time of tightened budgets. Congress authorized a drinking water state revolving fund (DWSRF) program in 1996 to help communities finance projects needed to meet standards. For FY2005, Congress provided $843 million for the DWSRF program, and the President has requested $850 million for FY2006. Notwithstanding this program, studies show that a large funding gap exists and will grow as SDWA requirements increase and infrastructure ages.
This ninetieth volume of the IARC Monographs on the Evaluation of Carcinogenic Risks to Humansconsiders human papillomaviruses (HPVs) which were evaluated by a previous Working Group (IARC, 1995). The monograph in the present volume incorporates new data that have become available during the past decade. HPVs represent the most common infectious agents that are transmitted sexually throughout the world; the major risk factors are behaviors associated with sexual activity. Although most infections are asymptomatic and are cleared within a period of 2 years, genital HPV infection can lead to clinical disease, including anogenital warts, cervical neoplasia, cervical cancer and other anogenital cancers. The risk for persistence of infection and progression of the more than 40 genital HPV types to grade 3 cervical intraepithelial neoplasia (CIN3) and cancer differs widely. Persistent infection with carcinogenic HPVs occurs in virtually all cases of cervical cancer. Previous evaluations of HPVs have classified types 16 and 18 as carcinogenic to humans (group 1), types 31 and 33 as probably carcinogenic to humans (Group 2A) and some types other than 16, 18, 31 and 33 as possibly carcinogenic to humans (Group 2B). At that time, the evaluation of types 16 and 18 was based on the strong association between infection with these HPVs and cervical cancer. For types 31 and 33, the association was less strong. The new epidemiological data reviewed in the present volume strongly support and further confirm the previous evaluation of types 16 and 18, and provide new evidence for other HPVs. This information, which includes strong evidence of carcinogenicity at sites other than the cervix, supports new evaluations for several other HPV types in addition to those mentioned above. Since the Working Group was convened in 2005, important innovations in HPV prophylaxis have occurred and these needed to be included in this volume. To date two prophylactic vaccines have been developed and used in large multicentric trials. This prophylactic vaccination is expected to reduce the incidence of HPV-related genital diseases. However, the benefits of prophylactic vaccines in a broad public health perspective will be achieved only if such vaccines can be provided to those groups of women for whom access to cervical cancer screening services is most problematic. Therefore, the development of second-generation vaccines that are expected to be cheaper, easier to deliver and to provide T-cell response against pre-existing HPV infections is highly desirable.
Chlorination in various forms has been the predominant method of drinking water disinfection in the United States for more than 70 years. The seventh volume of the Drinking Water and Health series addresses current methods of drinking water disinfection and compares standard chlorination techniques with alternative methods. Currently used techniques are discussed in terms of their chemical activity, and their efficacy against waterborne pathogens, including bacteria, cysts, and viruses, is compared. Charts, tables, graphs, and case studies are used to analyze the effectiveness of chlorination, chloramination, and ozonation as disinfectant processes and to compare these methods for their production of toxic by-products. Epidemiological case studies on the toxicological effects of chemical by-products in drinking water are also presented.
This volume describes the methods used in the surveillance of drinking water quality in the light of the special problems of small-community supplies, particularly in developing countries, and outlines the strategies necessary to ensure that surveillance is effective.