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Environmental presence and persistence of pharmaceuticals: An overview

Emerging contaminants (ECs) in the environment – that is, chemicals with domestic, municipal, industrial, or agricultural sources that are not commonly monitored but may have the potential for adverse environmental effects – is a rapidly growing field of research. The use of “emerging” is not intended to infer that the presence of these compounds in the environment is new. These chemicals have been released into the environment as long as they have been in production or, in the case of hormones and other endogenous compounds, since the rise of animal life. What is emerging is the interest by the scientific and lay communities in the presence of these chemicals in the environment, the analytical capabilities required for detection, and the subtle effects that very small concentrations of these chemicals appear to have on aquatic biota. In December 2006, Environmental Science & Technology devoted an entire special issue (volume 40, number 23) to the topic of ECs, illustrating the increased interest in the subject. Within the EGs, one particular class that has seen a substantial increase in research over the past 10 years is pharmaceuticals and personal-care products (PPCPs). This increased research interest can be demonstrated by several means, including requests for proposals from funding agencies, but the clearest indication of a focused effort to understand the introduction, transformation, and potential health and environmental effects of PPCPs and ECs, in general, is the number of published reports. This increase can be shown by examining six environmental journals that regularly publish PPCP-related papers – Chemosphere , Environmental Science & Technology , Environmental Toxicology and Chemistry , Science of the Total Environment , Water Research , and Water Science and Technology . In 1998 there were 22 papers published on pharmaceuticals, antibiotics, or drugs in these 6 journals; by 2006, this number increased sixfold to 132 papers (Figure 1.1). This growth can be attributed to a number of factors. The presence of pharmaceuticals in surface-water samples from Europe and the United States was documented in several sentinel papers. These ground-breaking works encouraged other scientists to examine the rivers, streams, lakes, and reservoirs in their regions for such chemicals. In addition, the intense public attention paid to news reports on the environmental detections of these chemicals and possible effects of aquatic life has made this issue visible to the wastewater-treatment, drinking-water treatment, and regulatory communities. This has driven the funding bodies associated with these communities to fund studies or request proposals that address the presence, fate, and effects of PPCPs in aquatic systems. The release of the first comprehensive reconnaissance of pharmaceuticals and other wastewater contaminants in the United States provides an example of the intense media interest in this topic. Within 6 days on online publication of this study, 72 newspapers across the United States had published articles describing the results, either locally written or based on international media syndicate reports. There also was substantial concurrent coverage by local and national radio and television outlets, including the Cable News Network, ABC World News Tonight , and National Public Radio. A substantial fraction of these news stories may be attributable to press releases and media briefings prior to publication. However, the interest by television and print journalists in reporting the results of a peer-reviewed journal article to the general public was motivated by the recognition that describing the presence of PPCPs in water supplies would be of interest to the public. To better convey the results of the study published by Koplin et al. to the public, a separate general-interest fact sheet was published to summarize the important points of the study. Because PPCPs are commonly and widely used by individuals, there is likely a preexisting, personal identification with these compounds that does not occur for the wide range of other organic and inorganic contaminants whose presence in the environment has previously been described. This greater public “name recognition” makes itself known through the media to the regulatory and technical community and has prompted interest in sponsoring research that defines the composition and concentrations of PPCPs in potential sources and their fate and effects following relase into the environment. Independent of the drivers that potentially fuel the interest in studies of PPCPs, it is clear that PPCP research has grown beyond surface-water studies to examine issues such as: • Presence in other matrices, such as groundwater, landfill leachates, sediments, and biosolids. • Environmental transport and fate in surface water, groundwater, and soils amended with reclaimed water or biosolids. • PPCP source elucidation, such as wastewater treatment plant (WWTP) effluents, confined animal feeding operations (CAFOs), and aquaculture. • Removal during wastewater and drinking-water treatment. • Effects on aquatic ecosystems, terrestrial ecosystems, and human health. The chapters in this book provide an extensive examination of current environmental pharmaceutical research and are divided into three sections: “Occurrence and Analysis of Pharmaceuticals in the Environment,” “Environment Fate and Transformations of Veterinary Pharmaceuticals,” and “treatment of Pharmaceuticals in Drinking Water and Wastewater.” The purpose of this introductory overview chapter is to outline current (2004-2006) knowledge about the presence and concentration of PPCPs as described in the published literature. Previous reviews should be consulted for discussions on pre-2004 publications. Those reviews will provide the reader with a comprehensive introduction to the topic of PPCPs in the environment. This chapter describes the sources of PPCPs and other organic contaminants often associated with human wastewater into the environment, the range of concentrations present in various environmental compartments, and the potential routes of removal/sequestration. An overview of the sources and fate of veterinary pharmaceuticals will be discussed in Chapter 5, “Fate and Transport of Veterinary Medicines in the Soil Environment.”

Book chapter

Riverine pesticide trends in the United States: Assessing a decade of national-scale monitoring

Pesticides in freshwater systems can compromise water availability by degrading water quality, with implications for human health and aquatic life. Despite recognition of the need for national-scale monitoring and analysis, few studies have documented long-term trends in surface water pesticide contamination across the US. This study addresses that need by analyzing temporal trends and acute and chronic benchmark exceedances for aquatic life and human health from 81 river sites sampled from 2013 to 2022 using an analytical method targeting 80 pesticides. The majority (79%) of single site and pesticide combinations had too few pesticide detections to estimate trends. When detections were more frequent, increasing trends in concentration were twice as common as decreasing trends. Increasing pesticide concentrations were common in primary drainages of the Mississippi River Basin. Aquatic life benchmarks were exceeded by 19 pesticides, and exceedances were geographically widespread, with both acute and chronic aquatic life benchmark exceedances at 62% of sites. The herbicides atrazine and metolachlor and the insecticide imidacloprid were identified as the greatest threats to surface water availability based on their trends and aquatic life benchmark exceedances. These findings demonstrate the need for continued monitoring and trend analysis, driver investigation, and management strategies to protect freshwater resources.

conterminous United States

Salinity trends in a groundwater system supplemented by 50 years of imported Colorado River water

The Indio subbasin of the Coachella Valley is a desert area of southern California where a growing population depends primarily on groundwater for drinking and agricultural uses. The aquifer system has been supplemented with Colorado River water through managed recharge and widespread irrigation since the mid-20th century. We use a combination of geochemical modeling and trend analysis to identify changes in total dissolved solids through time, elucidate the sources of dissolved solids, and quantify the extent of contributions from those sources throughout the Indio subbasin. We conclude that recharged Colorado River water is the primary source and driver of increasing salinity, particularly in areas immediately downgradient from the recharge locations and in the eastern part of the subbasin away from the recharge ponds due to irrigation using imported water. Other contributions of dissolved solids to groundwater resources include geothermal waters, wastewater effluent, and agricultural return flow, although their effects are more localized. This study presents a broadly applicable framework for identifying sources of dissolved solids in groundwater wells and salinity trends at a regional scale in a large data set.

California

Gross alpha-particle activity and high 226Ra concentrations do not correspond with high 210Po in the Atlantic and Gulf Coastal Plain aquifers of the United States

210 Po, which is of human-health concern based on lifetime ingestion cancer risk, is indirectly regulated in drinking water through the U.S. Environmental Protection Agency’s gross alpha-particle activity (GAPA) maximum contaminant level of 15 pCi/L (picocuries per liter). This regulation requires independent measurement of 226 Ra for samples exceeding the GAPA screening level of 5 pCi/L. There is no such requirement for 210 Po. Co-occurrence of 226 Ra and 210 Po, alpha-emitting 238 U-decay-series progeny, might be helpful in locating high- 210 Po waters but is unverified. Relations among 210 Po, 226 Ra, and GAPA evaluated for samples from 257 public-supply wells from Coastal Plain aquifers showed that concentrations of 226 Ra correlated with GAPA but neither correlated with 210 Po concentrations. The highest concentrations of 226 Ra and 210 Po were found under differing geochemical conditions. The highest 226 Ra occurred in low-pH oxidizing waters and in neutral-pH reducing waters, where geochemical conditions render Fe–Mn-hydroxide sorbents inefficient. 210 Po was highest (10.1 pCi/L) in reducing waters with high pH (>7.5, which results from progressive cation exchange), where 226 Ra was lowest─exchanged to clay minerals. Because 226 Ra and 210 Po did not co-occur, the GAPA screening might not be protective for 210 Po. Independent 210 Po analysis is prudent, especially where groundwater is reducing with high pH and low 226 Ra concentrations.

Environmental Science & Technology Water

Quantitative microbial risk assessment with microbial source tracking for mixed fecal sources contaminating recreational river waters, Iowa, USA

Fecal contamination of surface water can cause acute gastrointestinal illness (AGI) among recreators. AGI risk varies among human, livestock, and wildlife fecal sources, but the prevalence of individual sources is unknown for most recreational sites. We estimated AGI risk for six sites near Des Moines, Iowa, using quantitative microbial risk assessment combined with microbial source-tracking (MST). Water samples ( n = 147) collected over two years were tested for 36 qPCR assays quantifying waterborne pathogens and MST markers specific to avian, bovine, human, and porcine fecal sources. Average swimming risk across all sites was 5 (95% CI: 0.0030–142) to 67 (16–215) AGI cases per 1,000 recreators. Individual fecal sources were rarely associated with swimming exposures where risk was >36 AGI cases per 1,000 recreators; most high-risk exposures were associated with simultaneous occurrence of multiple fecal sources. Iowa’s beach action value for Escherichia coli (235 MPN/100 mL) identified >90% of high-risk exposures at five of six sites, so was generally protective of public health in this setting. For sites influenced by mixed fecal sources, results illustrate that identifying a single dominant source of risk is less important than recognizing the number of unique fecal sources that impact AGI risk.

Iowa

Quality of groundwater used for public supply in the continental United States: A comprehensive assessment

The presence of contaminants in a source water can constrain its suitability for drinking. The quality of groundwater used for public supply was assessed in 25 principal aquifers (PAs) that account for 84% of groundwater pumped for public supply in the U.S. (89.6 million people on a proportional basis). Each PA was sampled across its lateral extent using an equal-area grid, typically with 60 wells per PA. Samples were analyzed for 502 constituents, of which 374 had either a regulatory or nonregulatory human health benchmark (HHB). Nationally, elevated concentrations (relative to HHBs) of geogenic constituents have a larger effect than anthropogenic constituents, as indicated by three metrics: detection frequency, 35% versus 8.1%; prevalence (based on area), 41% versus 6.4%; and population potentially affected, 31.2 million versus 7.1 million. Prevalence of any constituent at elevated concentrations was high─40 to 75%─in PAs comprising unconsolidated sediment (eight PAs) and sandstone or interbedded sandstones and carbonates (four PAs) in the West and Central Interior. Prevalence was lower─15 to 35%─in PAs comprising sediment and sedimentary rocks along the Gulf and Atlantic Coasts (four PAs), carbonates distributed across the continental U.S. (seven PAs), and hard rock (two PAs).

continental United States

Toward a scientifically rigorous basis for developing mapped ecological regions.

Despite the wide use of ecological regions in conservation and resource-management evaluations and assessments, a commonly accepted theoretical basis for ecological regionalization does not exist. This fact, along with the paucity of focus on ecological regionalization by professional associations, journals, and faculties, has inhibited the advancement of a broadly acceptable scientific basis for the development, use, and verification of ecological regions. The central contention of this article is that ecological regions should improve our understanding of geographic and ecological phenomena associated with biotic and abiotic processes occurring in individual regions and also of processes characteristic of interactions and dependencies among multiple regions. Research associated with any ecoregional framework should facilitate development of hypotheses about ecological phenomena and dominant landscape elements associated with these phenomena, how these phenomena are structured in space, and how they function in a hierarchy. Success in addressing the research recommendations outlined in this article cannot occur within an ad hoc, largely uncoordinated research environment. Successful implementation of this plan will require activities--coordination, funding, and education--that are both scientific and administrative in nature. Perhaps the most important element of an infrastructure to support the scientific work of ecoregionalization would be a national or international authority similar to the Water and Science Technology Board of the National Academy of Sciences.

Environmental Management

Water Resources Research Grant Program Project Descriptions: Fiscal Year 1988

This report contains information on the 38 new projects funded by the U.S. Geological Survey's Water Resources Research Grant Program in fiscal year 1988 and on 11 projects completed during the year. For the new projects, the report gives the grant number, project title, performing organization, principal investigator(s), project duration, and a project description that includes: (1) identification of water-related problems and problem-solution approach, (2) contribution to problem solution, (3) objectives, and (4) approach. The 38 projects include 14 in the area of ground-water quality problems, 10 in the science and technology of water-quality management, 4 in climate variability and the hydrologic cycle, 7 in institutional change in water-resources management, and 3 in miscellaneous water-resources management problems. For the 11 completed projects, the report gives the grant number, project title, performing organization, principal investigator(s), starting date, date of receipt of final report, and an abstract of the final report. Each project description provides the information needed to obtain a copy of the final report. The report also contains tables showing (1) proposals received according to area of research interest, (2) grant awards and funding according to area of research interest, (3) proposals received according to type of submitting organization, and (4) awards and funding according to type of organization.

Open-File Report

Water withdrawal and consumption trends for thermoelectric-power plants in the conterminous United States, 2008-2020

Freshwater-using utility-scale thermoelectric (TE) plant water-use estimates were evaluated for annual trends from 2008 to 2020 across the conterminous United States (CONUS) and within hydrologic regions. Overall, TE water withdrawal and consumption trends declined across CONUS by 14,335 and 278 million liters/day, respectively. Decreasing water withdrawal and consumption trends for TE plants are driven largely by switching from coal-fired plants to other generation technologies. TE plant cooling system technology has also changed, with large declining trends for TE plants using once-through cooling systems and small increasing consumption trends for TE plants using recirculating tower cooling systems. Fifteen hydrologic regions have decreasing trends in withdrawals and consumption. The largest decreases are for coal-fired plants using once-through freshwater cooling systems in the Great Lakes and Ohio hydrologic regions. Natural gas combined cycle plants with recirculating tower cooling systems have increased water consumption trends across most of the CONUS hydrologic regions. Some TE plants with recirculating tower or once-through cooling systems withdraw water volumes that on average are close to or exceed average simulated streamflows. Most of these situations occur in the central and eastern U.S., potentially leading to water availability issues among competing water needs, ecosystem impacts from thermal pollution, and power generation constraints.

conterminous United States

Fort Collins Science Center: Aquatic Systems and Technology Applications

Land and water management agencies are responsible for restoring and conserving our nation's natural resources. However, they face increasing, often competing demands for those resources, which can result in alteration or loss of critical riverine, riparian, wetland, and terrestrial habitats. Land and resource managers may be in federal, state, or local government, but all have the same need for quantitative, objective, science-based information that helps them plan, manage, and conserve the natural resources within their purview. The Aquatic Systems and Technology Applications Branch (ASTA) of the Fort Collins Science Center (FORT) encompasses a wide variety of studies, investigations, and activities that are related to providing tools and capabilities for natural resource managers. ASTA's mission is to provide managers with credible science-based information on the interrelationships among the physical, chemical, aquatic, and biological natural resources in river basins for resource management decision-making. Branch goals are to: develop and apply specific models and analysis tools for resource management issues, identify habitat and biological linkages in river corridor environments, design and evaluate specific water quality improvement features, define economic measures for natural resource benefits, investigate altered flow regime effects on native fish populations, characterize sediment transport effects in river corridor environments, and utilize advanced technology to evaluate landscape-scale changes in river basins.

Fact Sheet

Relation between road-salt application and increasing radium concentrations in a low-pH aquifer, southern New Jersey

The Kirkwood–Cohansey aquifer in southern New Jersey is an important source of drinking-water supplies, but the availability of the resource is limited in some areas by high concentrations of radium, a potential carcinogen at elevated concentrations. Radium ( 226 Ra plus 228 Ra) concentrations from a network of 25 drinking-water wells showed a statistically significant increase over a decadal time scale ( p < 0.05), with a median increase of 0.35 picocuries per liter. Increases in Ra are correlated with road-salt application rates, and we hypothesize that the correlation is causal. Geochemical processes associated with road-salt applications that can mobilize Ra into solution include competition by excess sodium for sorption sites and formation of chloride complexes (RaCl + and RaCl 2 ). The largest increases in Ra were in groundwater with low pH (≤5), which is an indirect surrogate for low cation-sorption capacity. Correlations with other potential anthropogenic causes for the increase in Ra were not observed, further suggesting a road-salt effect. Given the significant increase in Ra concentrations in this drinking-water source, the known carcinogenic risks from Ra, the direct link to road-salt application, and the likelihood for continued increases, additional monitoring is necessary in areas with similar hydrogeologic and geochemical settings.

New Jersey

Seasonal stratification drives bioaccumulation of pelagic mercury sources in eutrophic lakes

Increased lake eutrophication, influenced by changing climate and land use, alters aquatic cycling and bioaccumulation of mercury (Hg). Additionally, seasonally dynamic lake circulation and plankton community composition can confound our ability to predict changes in biological Hg concentrations and sources. To assess temporal variation, we examined seasonal total Hg (THg) and methylmercury (MeHg) concentrations and stable isotope values in seston, waters, sediments, and fish from two adjacent urban eutrophic lakes in Madison, Wisconsin. In Lake Monona, surface sediment THg concentrations were elevated due to comparably higher urbanization and historical industrial inputs, whereas Lake Mendota sediments had lower concentrations corresponding with largely agricultural and suburban surrounding watershed. Surface water THg and MeHg were similar between lakes and seasonally dynamic, but water profiles exhibited elevated concentrations in the meta- and hypolimnion, highlighting water column MeHg production. Seston MeHg concentrations were often highest at shoulder seasons, possibly owing to metalimnetic MeHg delivery, but also differences in biomass and water clarity. The ∆199Hg and δ202Hg values in seston were similar between lakes, despite differing sediment THg concentrations and values, suggesting a shared bioaccumulated source of MeHg. Measurement of MeHg stable isotopes further elucidated that seston and fish predominantly bioaccumulated pelagic-sourced MeHg.

Wisconsin

Decadal trends and occurrence of geogenic constituents and mixtures in groundwater across the continental United States

Worldwide, about 50% of the population is served by groundwater-sourced drinking water. Numerous groundwater quality assessments have found that geogenic constituents are among the most common contaminants in drinking-water aquifers. Documenting changing groundwater quality is a crucial aspect of water availability assessments. We assess trends and occurrence of geogenic constituent concentrations in groundwater across the continental United States using 3 decades of data from the U.S. Geological Survey’s National Water Quality Network. Thousands of groundwater wells were grouped into agricultural, urban, or domestic supply network types. Although most networks and constituents had no statistically significant change in concentration, many had increasing concentration trends, elevated concentrations, or both. Lithium, sodium, radium, sulfate, and uranium had increasing trends in more than 10% of the study networks. Urban and domestic well networks had increasing lithium and sodium trends more often than agricultural networks. Manganese most commonly increased in domestic well networks; uranium more commonly increased in agricultural and urban networks. Elevated concentration mixtures were widespread, and mixture complexities appeared to increase over time. Our results indicate that more than 2.3 million domestic-well users may be affected by elevated concentrations of one or more geogenic constituents.

continental United States

Tapwater exposures, effects potential, and residential risk management in Northern Plains Nations

In the United States (US), private-supply tapwater (TW) is rarely monitored. This data gap undermines individual/community risk-management decision-making, leading to an increased probability of unrecognized contaminant exposures in rural and remote locations that rely on private wells. We assessed point-of-use (POU) TW in three northern plains Tribal Nations, where ongoing TW arsenic (As) interventions include expansion of small community water systems and POU adsorptive-media treatment for Strong Heart Water Study participants. Samples from 34 private-well and 22 public-supply sites were analyzed for 476 organics, 34 inorganics, and 3 in vitro bioactivities. 63 organics and 30 inorganics were detected. Arsenic, uranium (U), and lead (Pb) were detected in 54%, 43%, and 20% of samples, respectively. Concentrations equivalent to public-supply maximum contaminant level(s) (MCL) were exceeded only in untreated private-well samples (As 47%, U 3%). Precautionary health-based screening levels were exceeded frequently, due to inorganics in private supplies and chlorine-based disinfection byproducts in public supplies. The results indicate that simultaneous exposures to co-occurring TW contaminants are common, warranting consideration of expanded source, point-of-entry, or POU treatment(s). This study illustrates the importance of increased monitoring of private-well TW, employing a broad, environmentally informative analytical scope, to reduce the risks of unrecognized contaminant exposures.

North Dakota, South Dakota

Juxtaposition of intensive agriculture, vulnerable aquifers, and mixed chemical/microbial exposures in private-well tapwater in northeast Iowa

In the United States and globally, contaminant exposure in unregulated private-well point-of-use tapwater (TW) is a recognized public-health data gap and an obstacle to both risk-management and homeowner decision making. To help address the lack of data on broad contaminant exposures in private-well TW from hydrologically-vulnerable (alluvial, karst) aquifers in agriculturally-intensive landscapes, samples were collected in 2018–2019 from 47 northeast Iowa farms and analyzed for 35 inorganics, 437 unique organics, 5 in vitro bioassays, and 11 microbial assays. Twenty-six inorganics and 51 organics, dominated by pesticides and related transformation products (35 herbicide-, 5 insecticide-, and 2 fungicide-related), were observed in TW. Heterotrophic bacteria detections were near ubiquitous (94 % of the samples), with detection of total coliform bacteria in 28 % of the samples and growth on at least one putative-pathogen selective media across all TW samples. Health-based hazard index screening levels were exceeded frequently in private-well TW and attributed primarily to inorganics (nitrate, uranium). Results support incorporation of residential treatment systems to protect against contaminant exposure and the need for increased monitoring of rural private-well homes. Continued assessment of unmonitored and unregulated private-supply TW is needed to model contaminant exposures and human-health risks.

Iowa

Modeling spatial distribution of the Unionid mussels and the core-satellite hypothesis

This paper discusses the spatial distribution patterns of the various species of the Unionid mussels as functions of their respective life-cycle characteristics. Computer simulations identify two life-cycle characteristics as major factors governing the abundance of a species, namely the movement range of their fish hosts and the success rate of the parasitic larval glochidia in finding fish hosts. Core mussels species have fish hosts with large movement range to disperse the parasitic larval glochidia to achieve high levels of abundance. Species associated with fish host of limited movement range require high success rate of finding fish host to achieve at least an intermediate level of abundance. Species with low success rate of finding fish hosts coupled with fish hosts having limited movement range exhibit satellite species characteristics, namely rare in numbers and sparse in distributions.

Water Science and Technology

Understanding the hydrologic impacts of wastewater treatment plant discharge to shallow groundwater: Before and after plant shutdown

Effluent-impacted surface water has the potential to transport not only water, but wastewater-derived contaminants to shallow groundwater systems. To better understand the effects of effluent discharge on in-stream and near-stream hydrologic conditions in wastewater-impacted systems, water-level changes were monitored in hyporheic-zone and shallow-groundwater piezometers in a reach of Fourmile Creek adjacent to and downstream of the Ankeny (Iowa, USA) wastewater treatment plant (WWTP). Water-level changes were monitored from approximately 1.5 months before to 0.5 months after WWTP closure. Diurnal patterns in WWTP discharge were closely mirrored in stream and shallow-groundwater levels immediately upstream and up to 3 km downstream of the outfall, indicating that such discharge was the primary control on water levels before shutdown. The hydrologic response to WWTP shutdown was immediately observed throughout the study reach, verifying the far-reaching hydraulic connectivity and associated contaminant transport risk. The movement of WWTP effluent into alluvial aquifers has implications for potential WWTP-derived contamination of shallow groundwater far removed from the WWTP outfall.

Iowa

De facto reuse and disinfection by-products in drinking water systems in the Shenandoah River watershed

De facto reuse is increasingly being studied among the variety of stressors that are relevant to drinking water systems that obtain their source water from surface waters. De facto reuse may influence the levels and types of precursors relevant to formation of disinfection by-products (DBPs) in surface water systems. DBPs such as trihalomethanes (THMs) and haloacetic acids (HAAs) have been associated with bladder cancer and other health concerns in people who use drinking water provided by public water systems (PWSs). In this study, we used compliance monitoring data from conventional surface water PWSs in the Shenandoah River watershed to evaluate the relationship between de facto reuse in the watershed with DBP formation in those systems. The Shenandoah River watershed was selected for this study because it has a relatively small group of PWSs that draw their source water from surface waters in the watershed, the majority of whom treat their water using chlorine, and are less likely to have confounding factors (such as complex distribution systems or lengthy residence times) than other watersheds. We found that concentrations of THM4 and HAA5 increase in drinking water systems as de facto reuse increases in their source waters and that the relation is observed at both annual average and low streamflow conditions (annual average and low streamflow increases were statistically significant for THM4 with p values of 0.027 and 0,021, respectively). In addition, using a t -test, we found that a 1% level of de facto reuse was associated with significantly higher levels of THM4 and HAA5 ( p < 0.05) under annual average streamflow conditions. While the concentrations of HAA5 were also higher under annual average and low streamflow conditions, we did not find that they achieved a level of a significant difference. Results from this research will be helpful to operators of PWSs and other researchers and stakeholders with an interest in water reuse and DBPs.

Virginia