and managing risks by the public water suppliers through the rules and
guidelines of the US EPA. This section specifically covers assessing
and managing risks, radionuclides, and the value of health advisories
concerning drinking water.
20.1 Risk
Risk is the potential for realization of unwanted adverse consequences or
events. In general terms, human health risk is the probability of injury,
disease, or death under a given chemical or biological exposure or under
series of exposures. Risk may be expressed in quantitative term (zero to
one). In many cases, it can only be described as, high, low, or trivial.
We do not live in a risk-free world, but in a chemical world. There are
more than 65,000 chemicals produced, and they are increasing in
number every year. Through use and abuse, many of those chemical
products will end up in our environment—water, air, and land. These
chemicals include organics and inorganics that are used in industries
(including water treatment plants), pharmaceuticals, agricultures
(insecticides), home, personal cosmic purposes, etc. Even terrorism may
threaten our drinking water with chemical contamination.
Certain areas on the earth’s crest and rocks contain high levels of some
naturally occurring chemical elements, such as lead, mercury, fluoride,
and sulfur. In addition, radionuclides such as natural radium, Ra
226
,
Ra
228
; radon, Rn; uranium, U, etc.; and man-made radioactive sub-
stances occur throughout the world. Many contaminants may end up in
source waters. Trace amounts of these contaminants might be present
in the drinking water.
All human activities involve some degree of risk. Table 5.16 lists the
risks of some common activities. In addition, pathogen contamination in
food and drinking liquids poses risks. Waterborne disease outbreaks
(Giardia, Cryptosporidium, acute gastroenteritis, E. Coli, etc.) have
occurred in the past and can threaten at anytime (Hass, 2002; Lin, 2002).
Sand filtration, disinfection, and application of drinking water stan-
dards reduce waterborne diseases to protect public health. It was dis-
covered that DBPs result from the reaction of chlorine with natural
organic matter (NOM) in source water. The risk of carcinogenic DBPs
is a dilemma for water utilities. Alternative treatment measures and
microbial control have to be properly managed (see Section 19).
The term “safe,” in its common usage, means “without risk.” In tech-
nical terms, however, this common usage is misleading because science
cannot ascertain the conditions under which a given chemical exposure
is likely to be absolutely without a risk of any type.
Human health risk is the likelihood (or probability) that a given chem-
ical exposure or series of exposures may damage the health of exposed
individuals. Chemical risk assessment involves the complex analysis of
514 Chapter 5