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Disinfection byproducts in Canadian provinces: Associated cancer risks and medical expenses

Authors
Journal
Journal of Hazardous Materials
0304-3894
Publisher
Elsevier
Publication Date
Volume
187
Identifiers
DOI: 10.1016/j.jhazmat.2011.01.085
Keywords
  • Disinfection Byproducts
  • Human Health Risk
  • Cost Of Cancer Incidents
  • Exposure Routes
  • Trihalomethanes

Abstract

Abstract Chlorination for drinking water forms various disinfection byproducts (DBPs). Some DBPs are probably linked to human cancer (e.g., bladder, colorectal cancers) and other chronic and sub-chronic effects. This emphasizes the need to understand and characterize DBPs in drinking water and possible risks to human health. In this study, occurrences of DBPs throughout Canada were investigated. Trihalomethanes (THMs) were observed to be highest in Manitoba followed by Nova Scotia and Saskatchewan, while haloacetic acids were highest in Nova Scotia followed by Newfoundland and Labrador. Based on the characterization of DBPs, risk of cancer from exposure to THMs was predicted using ingestion, inhalation and dermal contact pathways of exposure. In Canada, approximately 700 cancer cases may be caused by exposure to THMs in drinking water. Medical expenses associated with these cancer incidents are estimated at some $140 million/year. Expense may be highest in Ontario (∼$47 million/year) followed by Quebec (∼$25 million/year) due to a greater population base. This paper suggests improvements in water treatment, source protection and disinfection processes, and caution in the use of alternative disinfectants to reduce DBPs. Finally, elements are provided to mitigate risks and reduce cost estimates in future studies.

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