Exposure on Tap: Drinking Water as an Overlooked Source of Lead

Providence, Rhode Island, and Portland, Oregon, are two cities that by all accounts have well-run water utilities and health departments. Both have also had recurring problems with lead in tap water, yet both—according to some critics—have downplayed the potential importance of lead in tap water as a route of exposure. The experiences of these cities and others across the United States illustrate the difficulty not only of determining the causes behind specific cases of lead poisoning but also of ensuring that lead sources are eliminated.

Unlike most water contaminants, lead gets into water after it leaves a water treatment plant. Often this contamination is the result of water treatment changes meant to improve water quality that end up altering the water chemistry, destabilizing lead-bearing mineral scales that coat service lines and corroding lead solder, pipes, faucets, and fixtures. “Lead is a ‘close-to-home’ contaminant,” says Marc Edwards, an environmental engineer at Virginia Polytechnic Institute and State University. “That makes it very difficult to regulate and monitor.”

Under the U.S. Environmental Protection Agency’s (EPA) 1991 Lead and Copper Rule (LCR), municipal water utilities must sample a small number of homes at high risk for elevated lead levels, such as those known to have lead plumbing components. The size of the water system determines how many samples must be collected in each sampling period (the maximum required is 100), and the sampling interval can vary from 6 months to 3 years, depending on past compliance. The law requires that samples be “first-flush” water that has stood in pipes for a minimum of 6 hours. This scenario represents high but routine exposures to lead in tap water, because the longer corrosive water sits in contact with lead parts, the more lead leaches out. In many households, this worst-case normal-use scenario happens twice daily Monday through Friday: in the morning when the residents awake, and in the afternoon when they return home from work and school.

Under the LCR, utilities are required to notify customers and take remedial action if more than 10% of the households sampled have tap water with lead levels exceeding 15 ppb. Remedial action might include changing chemical treatment methods to make the water less corrosive or, if treatment fails, to replace lead pipes that lie beneath publicly owned spaces such as streets and sidewalks. These provisions would seem to suggest that if a water utility is in compliance with the rule, then none of the dwellings served by the utility need worry about their tap water being a significant source of lead. Yet LCR compliance is based upon the results of sampling only a tiny percentage of the homes served. So even when a utility is entirely within LCR compliance, some consumers may unknowingly receive and consume water that contains lead levels much higher than 15 ppb.

“EPA as the regulator of lead in tap water and CDC [Centers for Disease Control and Prevention] with its concern for preventing lead poisoning in children should be working together to get on top of this problem,” says Edwards. “But in my experience this is not occurring to the extent it should.”

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