The average concentrations of naturally occurring radionuclides in drinking water are estimated from recent measurements and are used to estimate the annual effective dose equivalent associated with drinking water due to the different radionuclides. The annual effective dose equivalents are determined from the annual intake of these radionuclides using dosimetric information based on ICRP Publication 30 dosimetric models and cohort analysis considering risk coefficients developed by the U.S. Environmental Protection Agency using data from the report of the Biological Effects of Ionizing Radiation Committee (BEIR III) of the National Academy of Sciences. The resulting contribution from drinking water sources to the annual effective dose equivalent is in the range of 0.002 to 0.05 mSv/y (0.2-5 mrem/yr) for those using community drinking water supplies (approximately 216 million people in the United States). The contribution to the annual effective dose equivalent from 222Rn dissolved in water is in the range of 0.8-30 mu Sv/y (0.08-3 mrem/yr) based on the inhalation pathway following the release of 222Rn from drinking water.
By combining information about the occurrence, transport, exposure, and health effects of radon in drinking water, it has been estimated that over a period of 70 years (the average lifetime in the United States), between 2000 and 40 000 lung cancer fatalities are caused by inhalation of natural radon released from US public water supplies. The average concentration of radon in these water supplies generates a lifetime risk of about 1 in 10 000, the highest level of risk allowed for any contaminant currently regulated under the Safe Drinking Water Act. Reducing the levels of radon in drinking water, which would significantly lessen the risks to health, has been found to be feasible by either aeration or treatment with granular activated carbon.
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