Effectiveness of Prevailing Flush Guidelines to Prevent Exposure to Lead in Tap Water

Katner, Adrienne; Pieper, Kelsey; Brown, Komal; Lin, Hui-Yi; Parks, Jeffrey; Wang, Xinnan; Hu, Chih-Yang; Masters, Sheldon; Mielke, Howard; Edwards, Marc

doi:10.3390/ijerph15071537

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Effectiveness of Prevailing Flush Guidelines to Prevent Exposure to Lead in Tap Water

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Marc Edwards

School of Public Health, Louisiana State University Health Sciences Center, New Orleans, LA 70112, USA

Department of Civil and Environmental Engineering, Virginia Tech, Blacksburg, VA 24061, USA

Corona Environmental Consulting, Philadelphia, PA 19146, USA

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Department of Pharmacology, School of Medicine, Tulane University, New Orleans, LA 70112, USA

Author to whom correspondence should be addressed.

Int. J. Environ. Res. Public Health 2018, 15(7), 1537; https://doi.org/10.3390/ijerph15071537

Received: 31 May 2018 / Revised: 28 June 2018 / Accepted: 17 July 2018 / Published: 20 July 2018

(This article belongs to the Special Issue Preventing Lead Exposure and Its Consequences in Vulnerable Populations: The Unfinished Agenda)

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Abstract

Flushing tap water is promoted as a low cost approach to reducing water lead exposures. This study evaluated lead reduction when prevailing flush guidelines (30 s–2 min) are implemented in a city compliant with lead-associated water regulations (New Orleans, LA, USA). Water samples (n = 1497) collected from a convenience sample of 376 residential sites (2015–2017) were analyzed for lead. Samples were collected at (1) first draw (n = 375) and after incremental flushes of (2) 30–45 s (n = 375); (3) 2.5–3 min (n = 373), and (4) 5.5–6 min (n = 218). There was a small but significant increase in water lead after the 30 s flush (vs. first draw lead). There was no significant lead reduction until the 6 min flush (p < 0.05); but of these samples, 52% still had detectable lead (≥1 ppb). Older homes (pre-1950) and low occupancy sites had significantly higher water lead (p < 0.05). Each sample type had health-based standard exceedances in over 50% of sites sampled (max: 58 ppb). While flushing may be an effective short-term approach to remediate high lead, prevailing flush recommendations are an inconsistently effective exposure prevention measure that may inadvertently increase exposures. Public health messages should be modified to ensure appropriate application of flushing, while acknowledging its short-comings and practical limitations. View Full-Text

Keywords: drinking water; lead; Pb; flush; exposure prevention; intervention; lead service line

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Katner, A.; Pieper, K.; Brown, K.; Lin, H.-Y.; Parks, J.; Wang, X.; Hu, C.-Y.; Masters, S.; Mielke, H.; Edwards, M. Effectiveness of Prevailing Flush Guidelines to Prevent Exposure to Lead in Tap Water. Int. J. Environ. Res. Public Health 2018, 15, 1537. https://doi.org/10.3390/ijerph15071537

AMA Style

Katner A, Pieper K, Brown K, Lin H-Y, Parks J, Wang X, Hu C-Y, Masters S, Mielke H, Edwards M. Effectiveness of Prevailing Flush Guidelines to Prevent Exposure to Lead in Tap Water. International Journal of Environmental Research and Public Health. 2018; 15(7):1537. https://doi.org/10.3390/ijerph15071537

Chicago/Turabian Style

Katner, Adrienne, Kelsey Pieper, Komal Brown, Hui-Yi Lin, Jeffrey Parks, Xinnan Wang, Chih-Yang Hu, Sheldon Masters, Howard Mielke, and Marc Edwards. 2018. "Effectiveness of Prevailing Flush Guidelines to Prevent Exposure to Lead in Tap Water" International Journal of Environmental Research and Public Health 15, no. 7: 1537. https://doi.org/10.3390/ijerph15071537

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