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Search indexed USGS publications on groundwater, aquifers, geologic maps, mineral resources and earthquakes. Explore source records by subject and place.

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1,661 records · Page 83Linked to original sources
USGS1990

Large springs in the Valley and Ridge Province in Tennessee

Approximately 2,700 miscellaneous discharge measurements for 171 large springs in 28 counties of East Tennessee, predominantly within the Valley and Ridge physiographic province, were analyzed statistically and results tabulated to summarize data useful to the Appalachian Valleys-Piedmont Regional Aquifer System Analysis study. The number of measurements at each spring ranged from 1 to 65. Information from each spring includes station numbers, latitude, longitude, spring name and where data are sufficient, an estimate of the mean discharge and the discharge exceeded by 75%, 50%, and 25% of the miscellaneous measurements. Data are referenced to locations on a 1:1,000 ,000-scale map. The highest mean spring discharge was 32.2 cu ft/sec (14,5000 gallons/min).

Tennessee↗
USGS2025

U.S. Geological Survey global seabed mineral resources

The U.S. Geological Survey (USGS) provides science and data on seabed mineral resources and ecosystems, as well as on the potential hazards associated with extraction. The Nation relies on minerals for infrastructure, technology, manufacturing, and energy production. Critical minerals are essential to the economic and national security of the United States and have a supply chain vulnerable to disruption. For decades, USGS scientific innovation has contributed to the delineation of seabed mineral resources, the mechanisms of seabed mineral formation, and the environmental impacts of resource extraction. Since 1962, the USGS has also led scientific inquiries into the potential for deep sea mining. By providing impartial science on seabed minerals and their environmental setting in the deep oceans, the USGS enables decision-makers to evaluate the best practices for mineral resource development.

Fact Sheet↗
USGS2026

Regional models for postfire debris-flow likelihood and rainfall thresholds across the western United States

The U.S. Geological Survey (USGS) uses an empirical model developed with logistic regression (the ‘M1’ model) to rapidly assess debris-flow likelihood and to identify quantitative rainfall thresholds for debris flows after wildfire in the western United States. The M1 model was calibrated to a debris-flow inventory from southern California (United States) and has been applied throughout the western United States. Limited spatial coverage in the calibration dataset has motivated evaluation of M1 model accuracy outside the calibration region (e.g., the Sierra Nevada or the eastern Cascade Range, United States). Previous test cases showed that M1 overpredicts debris-flow likelihood and underpredicts rainfall thresholds for some locations (e.g., Arizona, northern California, Colorado, New Mexico, United States). We sought to improve the regional applicability of a debris-flow likelihood model by expanding the debris-flow inventory used for calibration, testing multiple potential models and generating an updated model framework. The updated inventory includes 3788 observations from 67 burned areas paired with short duration rainfall ratios. The updated model framework consists of a modified model structure and sets of coefficients calibrated separately to the entire updated inventory and to subsets of the inventory that intersect three Environmental Protection Agency (EPA) Level 2 ecoregions (Mediterranean California, Upper Gila Mountains and Western Cordillera). Comparisons of predictions from the updated models with observed rainfall and debris-flow activity show that the updated models outperform the M1 model by ~15%–60% and improve the uniformity of predictive performance across the western United States. The updated models also reduce false positive rates relative to M1 and generate rainfall thresholds that are better aligned with relative differences in regional climatology and debris-flow activity.

Arizona, California, Colorado, Idaho, Montana, Nev↗
USGS2025

Niobium-rich minerals from the Sheep Creek carbonatite-related deposits, Montana, USA

The Sheep Creek area in southwest Montana contains a number of small, tabular, carbonatite-related deposits that are rich in Nb- and REE-minerals. Two of the “vein-dikes” were mined at a small scale for Nb in the late 1950s. The most abundant Nb-bearing minerals are columbite-(Fe), nioboaeschynite-(Ce), baotite, and two varieties of Ti-Nb-Fe-oxide. An early oxide with Ti/Nb (atomic) near unity later broke down to a mixture of columbite + TiO2 with distinctly lower Nb content. Zircon intergrown with the Nb-REE minerals was dated by U-Pb methods to 116±2 Ma. This age is in agreement with previous dating (Th-Pb on monazite, Re-Os on molybdenite), and indicates that the Sheep Creek deposits are early Cretaceous in age.

Montana↗
USGS2026

Permafrost thaw controls iron flux from wetlands and sulfide-bearing rocks to Arctic rivers and streams

Recent warming has caused widespread iron mobilization into Arctic waterbodies that degrades ecosystems and threatens natural resources. Yet, understanding where and when iron flux occurs remains limited. Here, we investigate iron loading across regional to local scales in Arctic Alaska using climate, water chemistry, and borehole data together with mapped geology and permafrost presence. We show that both anoxic microbial iron reduction and acid rock drainage from iron-sulfide oxidation mobilize iron. Iron influx is strongly associated with lowland wetlands, sulfide-rich upland bedrock, and near-surface permafrost. Acid rock drainage chemistry correlates very strongly with the depth of seasonal thaw above permafrost from the previous year, indicating a one-year lag. These findings clarify the spatial and temporal dynamics of Arctic river rusting, provide a mechanistic understanding of the phenomenon, and may allow anticipation of its occurrence and assessment of its implications for aquatic ecosystem health and subsistence resources under ongoing climate change.

Alaska↗
USGS2024

The Europa Imaging System (EIS) investigation

The Europa Imaging System (EIS) consists of a Narrow-Angle Camera (NAC) and a Wide-Angle Camera (WAC) that are designed to work together to address high-priority science objectives regarding Europa’s geology, composition, and the nature of its ice shell. EIS accommodates variable geometry and illumination during rapid, low-altitude flybys with both framing and pushbroom imaging capability using rapid-readout, 8-megapixel (4k × 2k) detectors. Color observations are acquired using pushbroom imaging with up to six broadband filters. The data processing units (DPUs) perform digital time delay integration (TDI) to enhance signal-to-noise ratios and use readout strategies to measure and correct spacecraft jitter. The NAC has a 2.3° × 1.2° field of view (FOV) with a 10-μrad instantaneous FOV (IFOV), thus achieving 0.5-m pixel scale over a swath that is 2 km wide and several km long from a range of 50 km. The NAC is mounted on a 2-axis gimbal, ±30° cross- and along-track, that enables independent targeting and near-global (≥90%) mapping of Europa at ≤100-m pixel scale (to date, only ∼15% of Europa has been imaged at ≤900 m/pixel), as well as stereo imaging from as close as 50-km altitude to generate digital terrain models (DTMs) with ≤4-m ground sample distance (GSD) and ≤0.5-m vertical precision. The NAC will also perform observations at long range to search for potential erupting plumes, achieving 10-km pixel scale at a distance of one million kilometers. The WAC has a 48° × 24° FOV with a 218-μrad IFOV, achieving 11-m pixel scale at the center of a 44-km-wide swath from a range of 50 km, and generating DTMs with 32-m GSD and ≤4-m vertical precision. The WAC is designed to acquire three-line pushbroom stereo and color swaths along flyby ground-tracks.

Space Science Reviews↗
USGS2026

A ground-motion model derived using a generalized mean rupture distance for large slab interface earthquakes

Source–station distance is a central input to ground‐motion models (GMMs) for predicting seismic shaking. GMM development uses distance metrics including the Joyner–Boore distance, which is the shortest distance from an observation point to the surface projection of the earthquake rupture, and R rup the shortest distance to the rupture in three dimensions. Thompson and Baltay (2018) proposed the generalized mean rupture distance R p to address observed near‐fault ground‐motion saturation. R p accounts for the contribution to the shaking of all parts of the rupture and provides a simple method for incorporating spatially variable slip. They used R p to develop a GMM for shallow crustal earthquakes, assuming uniform slip. Here, we investigate the improvement offered by an R p ‐based GMM for large subduction interface earthquakes by recalibrating the path term for a published GMM ( Parker et al. , 2022 ) using R p derived from distributed slip models (DSMs). Inspection of within‐event and total residuals indicates that the recalibrated model fits the data at least as well as an alternative in which the path term was recalibrated using R rup and the same dataset. Incorporating slip information in its entirety or trimming the DSM geometry is preferable to assuming uniform moment release on a prescribed model fault that extends beyond the actual ruptured area. R p tuned to minimize model uncertainty is closer to the maximum distance to rupture for peak ground velocity (PGV) than acceleration, possibly reflecting the contribution to high‐frequency shaking of slip on local asperities. However, when the moment is concentrated far from stations, PGV is fit adequately with R p closer to R rup ⁠ . Our results suggest incorporating slip‐derived moment release through R p could improve GMMs for slab interface events, especially if the implementation of R p ‐based models is refined using a larger dataset of earthquakes with greater geographic diversity to account for regional ground‐motion variations.

Seismological Research Letters↗
USGS2024

Deep-ocean macrofaunal assemblages on ferromanganese and phosphorite-rich substrates in the Southern California Borderland

Mineral-rich hardgrounds, such as ferromanganese (FeMn) crusts and phosphorites, occur on seamounts and continental margins, gaining attention for their resource potential due to their enrichment in valuable metals in some regions. This study focuses on the Southern California Borderland (SCB), an area characterized by uneven and heterogeneous topography featuring FeMn crusts, phosphorites, basalt, and sedimentary rocks that occur at varying depths and are exposed to a range of oxygen concentrations. Due to its heterogeneity, this region serves as an optimal setting for investigating the relationship between mineral-rich hardgrounds and benthic fauna. This study characterizes the density, diversity, and community composition of macrofauna (>300 μm) on hardgrounds as a function of substrate type and environment (depth and oxygen ranges). Rocks and their macrofauna were sampled quantitatively using remotely operated vehicles (ROVs) during expeditions in 2020 and 2021 at depths above, within, and below the oxygen minimum zone (OMZ). A total of 3,555 macrofauna individuals were counted and 416 different morphospecies (excluding encrusting bryozoans and hydrozoans) were identified from 82 rocks at depths between 231 and 2,688 m. Average density for SCB macrofauna was 11.08 ± 0.87 ind. 200 cm −2 and mean Shannon-Wiener diversity per rock (H′ [loge] ) was 2.22 ± 0.07. A relationship was found between substrate type and macrofaunal communities. Phosphorite rocks had the highest H′ of the four substrates compared on a per-rock basis. However, when samples were pooled by substrate, FeMn crusts had the highest H′ and rarefaction diversity. Of all the environmental variables examined, water depth explained the largest variance in macrofaunal community composition. Macrofaunal density and diversity values were similar at sites within and outside the OMZ. This study is the first to analyze the macrofaunal communities of mineral-rich hardgrounds in the SCB, which support deep-ocean biodiversity by acting as specialized substrates for macrofaunal communities. Understanding the intricate relationships between macrofaunal assemblages and mineral-rich substrates may inform effects from environmental disruptions associated with deep-seabed mining or climate change. The findings contribute baseline information useful for effective conservation and management of the SCB and will support scientists in monitoring changes in these communities due to environmental disturbance or human impact in the future.

California↗
USGS2023

The 2023 US 50-State National Seismic Hazard Model: Overview and implications

The US National Seismic Hazard Model (NSHM) was updated in 2023 for all 50 states using new science on seismicity, fault ruptures, ground motions, and probabilistic techniques to produce a standard of practice for public policy and other engineering applications (defined for return periods greater than ∼475 or less than ∼10,000 years). Changes in 2023 time-independent seismic hazard (both increases and decreases compared to previous NSHMs) are substantial because the new model considers more data and updated earthquake rupture forecasts and ground-motion components. In developing the 2023 model, we tried to apply best available or applicable science based on advice of co-authors, more than 50 reviewers, and hundreds of hazard scientists and end-users, who attended public workshops and provided technical inputs. The hazard assessment incorporates new catalogs, declustering algorithms, gridded seismicity models, magnitude-scaling equations, fault-based structural and deformation models, multi-fault earthquake rupture forecast models, semi-empirical and simulation-based ground-motion models, and site amplification models conditioned on shear-wave velocities of the upper 30 m of soil and deeper sedimentary basin structures. Seismic hazard calculations yield hazard curves at hundreds of thousands of sites, ground-motion maps, uniform-hazard response spectra, and disaggregations developed for pseudo-spectral accelerations at 21 oscillator periods and two peak parameters, Modified Mercalli Intensity, and 8 site classes required by building codes and other public policy applications. Tests show the new model is consistent with past ShakeMap intensity observations. Sensitivity and uncertainty assessments ensure resulting ground motions are compatible with known hazard information and highlight the range and causes of variability in ground motions. We produce several impact products including building seismic design criteria, intensity maps, planning scenarios, and engineering risk assessments showing the potential physical and social impacts. These applications provide a basis for assessing, planning, and mitigating the effects of future earthquakes.

Earthquake Spectra↗
USGS2026

Estimating aftershock risk for entry into earthquake-damaged buildings

We present a simple method to estimate the risk of experiencing strong shaking from aftershocks during entry into earthquake-damaged buildings. We compute wait times until the probability of strong ground shaking from aftershocks reaches a predefined risk threshold; for example, a 0.4 percent probability of experiencing Modified Mercalli Intensity 7 or greater shaking during the planned building entry. We also develop a relation between aftershock probability and the probability of strong shaking, so that users can reference the U.S. Geological Survey aftershock forecast during an ongoing aftershock sequence to determine if the risk threshold has been met. We apply our method to active continental regions (for example, the Western United States), stable continental regions (for example, the Central and Eastern United States), and subduction zones (for example, Cascadia or Alaska).

Open-File Report↗
USGS2025

Groundwater dominates snowmelt runoff and controls streamflow efficiency in the western United States

Climate change in seasonally snow-covered mountain catchments is reducing water supply and decreasing streamflow predictability. Here, we use tritium age dating to show that contrary to the common assumption that snowmelt quickly contributes to runoff, streamflow during snowmelt in western US catchments is dominated by older groundwater. The average age of streamwater during snowmelt runoff (5.7 ± 4.3 years) was intermediate to the average age of groundwater (10.4 ± 4.5 years) and recent precipitation, indicating that 58% (±34%) of snowmelt runoff was derived from groundwater. Water ages, streamflow, and groundwater storage were mediated by bedrock geology: low-permeability hard rock/shale catchments exhibited younger ages, less storage, and more efficient streamflow generation than high-permeability sandstone/clastic catchments. Our results demonstrate that snowmelt runoff is the result of multiple prior years of climate mediated by groundwater storage. Including these interactions will be crucial for predicting water resources as climate and landscape changes accelerate.

western united States↗
USGS2024

Parsimonious high-resolution landslide susceptibility modeling at continental scales

Landslide susceptibility maps are fundamental tools for risk reduction, but the coarse resolution of current continental-scale models is insufficient for local application. Complex relations between topographic and environmental attributes characterizing landslide susceptibility at local scales are not transferrable across areas without landslide data. Existing maps with multiple susceptibility classifications under-represent landslide potential in moderate and gently sloping terrain. We leverage an extensive landslide database ( N = 613,724), a high-resolution digital elevation model (10-m), and high-performance computing resources, to develop a new nationwide susceptibility map for the contiguous United States, Hawaii, Alaska, and Puerto Rico. We calculate four alternative linear and nonlinear thresholds of topographic slope and relief using an objective split-sample calibration. We down-sample our results to a 90-m grid to account for uncertainty in the digital elevation model and landslide position, and evaluate these thresholds' ability to differentiate areas of greater susceptibility. The less conservative nonlinear model optimally balances our priorities of capturing observed landslides (99%) while minimizing area covered by susceptible terrain (43%). Independent evaluation with four statewide landslide inventories ( N = 172,367) reinforces our model selection but highlights spatially variable performance. Therefore, we propose a novel approach to susceptibility classification using the concentration of landslide-prone terrain within each down-sampled grid. While landslides are possible within any cells containing susceptible terrain, those with the highest concentration capture the majority of observed landslides. Our new map characterizes landside susceptibility more consistently than prior models; our transparent classification approach also provides flexibility for accommodating different tolerances in risk reduction measures.

AGU Advances↗
USGS2024

ECCOE Landsat quarterly Calibration and Validation report—Quarter 1, 2024

Executive Summary The U.S. Geological Survey Earth Resources Observation and Science Calibration and Validation (Cal/Val) Center of Excellence (ECCOE) focuses on improving the accuracy, precision, calibration, and product quality of remote-sensing data, leveraging years of multiscale optical system geometric and radiometric calibration and characterization experience. The ECCOE Landsat Cal/Val Team continually monitors the geometric and radiometric performance of active Landsat missions and makes calibration adjustments, as needed, to maintain data quality at the highest level. This report provides observed geometric and radiometric analysis results for Landsats 8 and 9 for quarter 1 (January–March), 2024. All data used to compile the Cal/Val analysis results presented in this report are freely available from the U.S. Geological Survey EarthExplorer website: https://earthexplorer.usgs.gov . This quarterly report is the third to include analysis results for Landsat 9, which was launched in September 2021. The inclusion of Landsat 9 analysis results was dependent on two factors: a complete reprocessing of the Landsat 9 data archive and enough time elapsing to begin formulating lifetime trends. In April 2023, all Landsat 9 image data acquired since the satellite’s launch were reprocessed to take advantage of calibration updates identified by the ECCOE Landsat Cal/Val Team. Additional information about the Landsat 9 reprocessing effort is available at https://www.usgs.gov/landsat-missions/news/upcoming-reprocessing-all-landsat-9-data . Additional information about Landsat 9 prelaunch, commissioning, and early on-orbit imaging performance is available at https://www.mdpi.com/journal/remotesensing/special_issues/15B4V2K92K . This quarterly report is the first to not include analysis results for Landsat 7 because Enhanced Thematic Mapper Plus imaging was suspended on January 19, 2024, after the satellite transitioned into full sunlight. The satellite has been drifting since early 2022 after being lowered from the nominal orbit altitude, and the transition into full sunlight is a result of the satellite operating in its extended science mission. Additional information about the imaging suspension is available at https://www.usgs.gov/landsat-missions/news/landsat-7-imaging-suspended . Additional information about the Landsat 7 extended science mission is available at https://www.usgs.gov/landsat-missions/landsat-7-extended-science-mission .

Open-File Report↗
USGS2026

Regional variations in sea ice and primary productivity in the Bering Sea during Marine Isotope Stage 11

Marine Isotope Stage (MIS) 11 (424-374 ka) has long been an analog for Holocene climate, because it is the most recent interglacial period with similar orbital conditions. However, there is significant global and regional variability in the climate response to MIS 11 warmth. Here, we review sediment core records from across the Bering Sea to investigate changes in paleoceanographic conditions during Marine Isotope Stages 12-10. Sea ice was present over much of the Bering Sea during MIS 11, but today, none of the sites investigated are ever ice-covered. This suggests that sea ice regimes in the Bering Sea during MIS 11 were different to those of the Holocene. There are also regional differences in the response of sea ice to MIS 11 warming. At the Umnak Plateau, Southeastern Bering Sea, sea ice concentrations decline during deglaciation, but they remain high at the slope sites until Peak MIS 11. Sea ice re-advances over the Umnak Plateau during peak interglacial warmth, at the same time that it declines over the slope sites. Late MIS 11 is characterized by high concentrations of seasonal sea ice at the Umnak Plateau, whilst sea ice at the slope sites fluctuates between consolidated and unconsolidated ice cover. This east-west dichotomy may be explained by changes in the behavior of the Aleutian Low. Productivity increases dramatically during deglaciation due to increased upwelling and sea level rise bringing fresh nutrients into the oceans. This is characterized by increased diatom productivity, increased terrestrial carbon deposition, and laminations at all sites.

Alaska↗
USGS2026

Monitoring changes in Landsat thermal features in urban and non-urban interfaces from 1986 to 2023 in two international urban centers: Implications for climate and global issues

Rapid urbanization is reshaping thermal environments worldwide, with the strongest impacts occurring at the interface between urban and non-urban areas. Impervious surfaces, as key indicators of urban expansion, are critical for monitoring urban growth and assessing surface urban heat island (SUHI) effects. Land use and land cover change (LULCC) provides an essential link between urban dynamics and their environmental and societal consequences. Here, we integrated the U.S. Geological Survey (USGS) Climate Global Issues (CGI) Land Cover Product with Landsat thermal time-series to investigate SUHI evolution in two contrasting metropolitan regions: Wuhan, China, and Brasília, Brazil. Using data spanning 1986–2023, we analyzed the relationships between land cover, Landsat-based land surface temperature (LST), and SUHI intensity, and identified persistent thermal hotspots. Results demonstrate that the land cover data utilized increases the accuracy of impervious surface mapping along urban–rural gradients. Average SUHI intensities were 3.4 °C in Wuhan and 3.3 °C in Brasília, with statistically significant warming trends of 0.04 °C/year and 0.01 °C/year, respectively. Maximum temperature proved to be a robust indicator of SUHI intensification, capturing long-term upward trends. Our findings highlight the important role of urban land cover dynamics in shaping temporal SUHI variability and hotspot emergence. This prototype framework demonstrates the scientific and policy value of combining long-term land cover monitoring information with satellite thermal monitoring to quantify and track SUHI at city scale, supporting sustainable urban planning and climate adaptation strategies.

Remote Sensing↗
USGS2024

Advancing sustainable groundwater management with a hydro-economic system model: Investigations in the Harney Basin, Oregon

Groundwater resources frequently trend toward unsustainable levels because, absent effective institutions, individual water users generally act independently without considering the impacts on other users. Hydro-economic models (HEMs) of human-natural systems can play a positive role toward successful groundwater management by yielding valuable knowledge and insight. The current study explores how an HEM that captures essential physical and economic characteristics of a system can shed light on the system's processes and dynamics to benefit stakeholders, managers, and also researchers. These propositions are illustrated using the Harney Basin, Oregon, which has seen large groundwater declines in the past 20 years. The HEM shows that: (a) although current groundwater pumping rates will gradually raise costs and reduce well yields, irrigators gain the highest aggregate economic return by continuing current pumping; (b) lowland areas of the basin are hydrologically connected, which limits the efficacy of remedies focused on regulations only in some portions of the basin; (c) community expectations regarding the efficacy of several proposed solutions are overly optimistic; and (d) the study's scenarios identify interventions that would stabilize the groundwater system and prevent additional adverse impacts on residential and livestock wells and groundwater-dependent ecosystems. These interventions would require limiting groundwater pumping by nearly half and reducing annual profits by $7.5–$9.0M. The HEM also demonstrated its value to researchers: its insights shifted attention toward questions about Oregon's existing groundwater institutions and their inability to adaptively manage the transition from abundant groundwater to scarce groundwater in a timely manner.

Oregon↗
USGS2025

Cancer risk and estimated lithium exposure in drinking groundwater in the US

Importance Lithium is a naturally occurring element in drinking water and is commonly used as a mood-stabilizing medication. Although clinical studies have reported associations between receiving lithium treatment and reduced cancer risk among patients with bipolar disorder, to our knowledge, the association between environmental lithium exposure and cancer risk has never been studied in the general population. Objectives To evaluate the association between exposure to lithium in drinking groundwater and cancer risk in the general population. Design, Setting, and Participants This cohort study included participants with electronic health record and residential address information but without cancer history at baseline from the All of Us Research Program between May 31, 2017, and June 30, 2022. Participants were followed up until February 15, 2023. Statistical analysis was performed from September 2023 through October 2024. Exposure Lithium concentration in groundwater, based on kriging interpolation of publicly available US Geological Survey data on lithium concentration for 4700 wells across the contiguous US between May 12, 1999, and November 6, 2018. Main Outcome and Measures The main outcome was cancer diagnosis or condition, obtained from electronic health records. Stratified Cox proportional hazards regression models were used to estimate the hazard ratios (HRs) and 95% CIs for risk of cancer overall and individual cancer types for increasing quintiles of the estimated lithium exposure in drinking groundwater, adjusting for socioeconomic, behavioral, and neighborhood-level variables. The analysis was further conducted in the western and eastern halves of the US and restricted to long-term residents living at their current address for at least 3 years. Results A total of 252 178 participants were included (median age, 52 years [IQR, 36-64 years]; 60.1% female). The median follow-up time was 3.6 years (IQR, 3.0-4.3 years), and 7573 incident cancer cases were identified. Higher estimated lithium exposure was consistently associated with reduced cancer risk. Compared with the first (lowest) quintile of lithium exposure, the HR for all cancers was 0.49 (95% CI, 0.31-0.78) for the fourth quintile and 0.29 (95% CI, 0.15-0.55) for the fifth quintile. These associations were found for all cancer types investigated in both females and males, among long-term residents, and in both western and eastern states. For example, for the fifth vs first quintile of lithium exposure for all cancers, the HR was 0.17 (95% CI, 0.07-0.42) in females and 0.13 (95% CI, 0.04-0.38) in males; for long-term residents, the HR was 0.32 (95% CI, 0.15-0.66) in females and 0.24 (95% CI, 0.11-0.52) in males; and the HR was 0.01 (95% CI, 0.00-0.09) in western states and 0.34 (95% CI, 0.21-0.57) in eastern states. Conclusions and Relevance In this cohort study of 252 178 participants, estimated lithium exposure in drinking groundwater was associated with reduced cancer risk. Given the sparse evidence and unknown mechanisms of this association, follow-up investigation is warranted.

contiguous United States↗