Water is good for you and we should drink it on a regular basis. Beyond those basic truths, there's little consensus on what's best when it comes to drinking water. While many people claim that the tap water supply in the US is the safest in the world, others are not so sanguine. Most recently, the news media widely reported that trace amounts of a whole pharmacopeia of medications, antibiotics to antidepressants to oral contraceptives, were detected in the water supply of major cities. Other stories have revealed that some bottling factories get their water from municipal sources, and further that the bottles themselves leach chemicals into the water. And then there's the environmental impact of all those plastic bottles tossed in the trash. So what's a thirsty person to do?
The facts, like some watering holes, are muddy at best. As it happens, bottled water and tap water are regulated by entirely different federal agencies. Tap water is always regulated by the EPA, but bottled water is regulated by the FDA -- sometimes. More on that in a minute.
FROM THE TAP
It's no surprise. You can't really assume the water that comes from your kitchen faucet is 100% safe. The EPA sets standards for approximately 90 contaminants in drinking water, including protozoan pathogens Cryptosporidium and Giardia (both of which can produce gastrointestinal illness like diarrhea and vomiting) plus other contaminants like lead, asbestos and arsenic -- but the testing and reporting is done by the water systems themselves, on the honor system. Plus, I was told by Cynthia Sass, MPH, MA, a registered dietitian and certified specialist in sports dietetics, there are many contaminants "not even on the radar of regulation." Additionally, according to a report by the environmental action group National Resources Defense Council, out of 19 cities tested, about one-fourth rated poor for water quality and compliance. A 2005 report by another consumer advocacy group, the Environmental Working Group, found that tap water in 42 states contained many contaminants that were dangerous, if not technically illegal. According to the report, of the 141 contaminants identified, 52 are linked to cancer, 41 to reproductive toxicity, 36 to developmental toxicity and 16 to immune system damage.
To confuse matters even more, the EPA has two levels of standards. The National Primary Drinking Water Regulations are mandatory and set quality standards for the contaminants mentioned above. The National Secondary Drinking Water Regulations set limits for an additional 15 contaminants that may affect taste, aesthetics (color or odor) or have cosmetic effects (like on the color of your teeth) but are not believed to pose a health risk. These secondary standards are not enforced by the EPA, they are simply stated as guidelines. Water suppliers are free to comply or not -- about 50% do.
Most health professionals think tap water is safe enough for most people, but agree that those with compromised immune systems should be careful. "If you're undergoing chemotherapy or if you're pregnant, you might have different concerns," Sass told me. The EPA suggests that people with compromised immune systems seek advice from their health care providers, but offers some guidance on its Web site: http://www.epa.gov/safewater/crypto.html.
The EPA's mandatory standard applies to water from municipal water supplies. Private wells that supply fewer than 25 people are not under government jurisdiction, so well owners should test annually since the EPA doesn't check individual residences. Local health departments can help provide guidance about well water quality (www.epa.gov/safewater/privatewells/index2.html).
IS BOTTLE BEST?
To avoid the whole issue, many people drink bottled water, believing that it's safer simply because it's bottled. Bottled water has become an enormous market, with more than 150 million Americans drinking it sometimes and 100 million doing so regularly. And indeed there are certain kinds of bottled water -- artesian well water and purified water -- that are as contaminant-free as any product is likely to be.
It's important to know that the FDA standards apply only to bottled water that is distributed nationally -- not regionally. However, an estimated 60% to 70% of the bottled water we buy in the US is regional, and thus exempt from FDA control. It's theoretically regulated at the state level, but only 40 of the 50 states actually do so and even those have limited or no resources for actual enforcement. To learn more about your state requirements, check with your state's water commission (known by other names, too, like Bureau of Water Quality Assurance or Water Resources Control Board, to name a few).
The situation is even more dismal for carbonated water and seltzer, which the FDA treats entirely differently from bottled waters. The FDA has some vague sanitation rules about these products with no specific limits on contaminants, and less than 50% of states require water in these categories to meet regular interstate bottled water standards.
WHICH WATER IS BEST?
The bottom line is that finding truly pure and safe water may take some detective work. It's relatively easy to check the quality of your tap water, as the EPA recently began requiring water suppliers to publish consumer confidence reports, which are water quality reports detailing where your water comes from and what's in it. These can be accessed by state on the EPA Web site at http://www.epa.gov/safewater/dwinfo.
You can also call the EPA's Safe Drinking Water Hotline (800-426-4791). Sass also suggested checking with consumer advocacy organizations like the aforementioned Environmental Working Group (www.ewg.org) and the Natural Resources Defense Council (www.nrdc.org). If you're going to drink bottled water, stick with the national brands since they're required to meet FDA purity standards.
ANOTHER SOLUTION
For my home, I purchased a reverse osmosis filter, which is an effective purifier. When I'm on the go, I bring along a stainless steel carrier bottle, which I keep filled with filtered water from my tap. Another option is to purchase a water filtration pitcher, such as Brita or Pur, and keep it filled with "clean" drinking water in your fridge. These are ways to feel more comfortable that the water you and your family drink is safe... and to minimize the environmental impact as well.
Source(s):
Cynthia Sass, MPH, MA, a registered dietitian and certified specialist in sports dietetics, based in New York City.
ozens of US hospitals and major medical centers now offer complementary treatments in addition to conventional medical care* -- and some of these therapies are covered by health insurance.
Is it safe? If a complementary treatment is completely safe, then it may be worth trying, even if its effectiveness has not been proven definitively by scientific studies.