MEC&F Expert Engineers : Millions of Americans exposed to PFOA chemicals that have contaminated the drinking water supplies

Thursday, August 11, 2016

Millions of Americans exposed to PFOA chemicals that have contaminated the drinking water supplies




Drinking water systems serving at least six million Americans have shown levels of C8 and other similar chemicals higher than a health advisory issued earlier this year by the U.S. Environmental Protection Agency, according to a new study published Tuesday by researchers from Harvard University and several other institutions and groups.

The study, though, cautions that another 44.5 million Americans rely on private wells that generally have not been sampled for these chemicals and another 52 million residents are served by small drinking water systems that are rarely sampled. And, the study further warns, studies continue to strongly suggest that exposure to these chemicals can make people sick, even at or below the concentration recommended as acceptable under the EPA health advisory.

“The EPA advisory limit ... is much too high to protect us against toxic effects on the immune system,” said study co-author Dr. Philippe Grandjean of the Harvard School of Public Health. “And the available water data only reveals the tip of the iceberg of contaminated drinking water.”

The study, published in the peer-review journal Environmental Science and Technology Letters, comes amid growing new attention for the potential threats from C8 and similar chemicals in the months following their discovery in water systems in New York and Vermont — a development that has driven political and media focus on the issue as residents near a DuPont Co. plant in Wood County, West Virginia, have waited for years for EPA to publish its new guidance.

The mid-Ohio Valley region around Parkersburg has for years been at the center of a simmering controversy over C8 pollution that has in recent months exploded into a larger national issue, with more intense media coverage, growing concerns in a variety of communities, and verdicts against DuPont in the first of thousands of pending personal injury cases to go to trial in a federal court in Ohio.

C8, which is also known as perfluorooctanoate acid, or PFOA, was made and used at DuPont’s Washington Works plant south of Parkersburg as a processing agent to make Teflon and other nonstick products, oil-resistant paper packaging and stain-resistant textiles.

DuPont and other companies have agreed on a voluntary phase-out of the chemical, but researchers noted in this week’s study that declines in production in the U.S. and Europe have been offset by increases in developing regions such as Asia. Scientists have also been increasingly concerned about chemical contamination of consumer products, and the new study provides important details about the potential threats from waste disposal practices and varying uses of the substances.

The study used computer mapping techniques to try to pinpoint the locations of contaminated drinking water supplies relative to potential sources of C8 contamination. Researchers said that they were hampered by the fact that regulators keep exact locations of drinking water intakes confidential, citing concerns about potential terrorist attacks. Instead of looking specifically at intake locations, the study focused on broader areas around those intakes, a move that may have missed impacts on groundwater, where contaminated plumes could be much smaller.

Researchers found that higher levels of chemicals were found in water supplies that were located closer to industrial sites, or to military bases or airports where firefighting foams containing some of the chemicals could have been used in emergeny drills. They also found higher levels in water supplies located near wastewater treatment facilities, which are generally not capable of removing the contamination as part of routine treatment.

Co-authors of the study included scientists from the University of California at Berkeley, the University of Rhode Island, the Colorado School of Mines, the Silent Spring Institute, the Green Science Policy Institute, the Environmental Working Group and EPA.

A second study that was also published Tuesday in the journal Environmental Health Perspectives added to previous evidence about immune system impacts of these chemicals, connecting early life exposure to reduced immune function.

Other recently published papers connected elevated exposure levels in women to shorter duration of breastfeeding, found higher levels of the chemicals in the blood of California women whose drinking water was contaminated, and found lower levels of growth and sex hormones in childen exposed to the chemicals


Study: At least 6 million at risk from PFOA chemical family


Ken Ward Jr. , Staff Writer
August 9, 2016
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Drinking water contamination with poly- and perfluoroalkyl substances (PFASs) poses risks to the developmental, immune, metabolic, and endocrine health of consumers. We present a spatial analysis of 2013–2015 national drinking water PFAS concentrations from the U.S. Environmental Protection Agency’s (US EPA) third Unregulated Contaminant Monitoring Rule (UCMR3) program. The number of industrial sites that manufacture or use these compounds, the number of military fire training areas, and the number of wastewater treatment plants are all significant predictors of PFAS detection frequencies and concentrations in public water supplies. Among samples with detectable PFAS levels, each additional military site within a watershed’s eight-digit hydrologic unit is associated with a 20% increase in PFHxS, a 10% increase in both PFHpA and PFOA, and a 35% increase in PFOS. The number of civilian airports with personnel trained in the use of aqueous film-forming foams is significantly associated with the detection of PFASs above the minimal reporting level. We find drinking water supplies for 6 million U.S. residents exceed US EPA’s lifetime health advisory (70 ng/L) for PFOS and PFOA. Lower analytical reporting limits and additional sampling of smaller utilities serving <10000 individuals and private wells would greatly assist in further identifying PFAS contamination sources.

Introduction


Poly- and perfluoroalkyl substances (PFASs) make up a large group of persistent anthropogenic chemicals used in industrial processes and commercial products over the past 60 years.(1) Widespread use and extreme resistance to degradation have resulted in the ubiquitous presence of these compounds in the environment. The 2011–2012 U.S. National Health and Nutrition Examination Survey reported detectable serum PFAS concentrations in virtually all individuals (97%).(2, 3) Human PFAS exposure has been linked to cancer, elevated cholesterol, obesity, immune suppression, and endocrine disruption.(4-6) Health concerns in the early 2000s prompted manufacturers in Europe and North America to phase out production of some long-chain PFASs.(7-10) Declines in production of these compounds have been offset by increases in developing regions such as Asia.(8) Limited available data suggest widespread exposure to replacement (short-chain) PFASs may also adversely affect human health.(11, 12)
Human PFAS exposure includes dietary sources, household dust, air, and drinking water.(13, 14) Exposure from drinking water is a serious concern because of the high aqueous solubility of many PFASs.(15, 16) Relatively low PFAS concentrations can lead to elevated exposures in the general population.(17) Elevated PFAS concentrations in U.S. drinking water have been reported in numerous regions,(15, 16, 18, 19) especially near industrial sites that produce or use them.(6, 16, 20) For example, perfluorooctanoic acid (PFOA) concentrations 190-fold higher than the lifetime health advisory (70 ng/L) recommended by the U.S. Environmental Protection Agency (US EPA)(21) were measured in drinking water near a fluorochemical facility in Washington, WV, where PFOA was used in fluoropolymer production.(18)
Many civilian airports and military fire training areas have been contaminated by PFASs contained in aqueous film-forming foams (AFFFs) that are widely used during firefighting training activities. Groundwater and surface waters surrounding these sites containing PFAS concentrations that are 3–4 orders of magnitude higher than the US EPA health advisory level for drinking water have been reported.(22, 23) Wastewater treatment plants (WWTPs) are another important PFAS source because these compounds are not removed by standard treatment methods(24) and labile precursors biodegrade, increasing concentrations in effluent relative to influent.(25, 26) Land application of approximately half of the biosolids generated by WWTPs may contribute to human exposure through subsequent contamination of water, food, livestock, and wildlife.(27)
Understanding nationwide PFAS exposures from drinking water is important for identifying potentially vulnerable populations. However, previous studies have mainly focused on individual point sources of PFAS contamination and site-specific drinking water exposures.(15, 16) Here we develop a statistical framework for investigating whether increased PFAS concentrations in drinking water are associated with the number of point sources within a watershed (represented by an eight-digit hydrologic unit code, hereafter abbreviated HUC). We used publicly available drinking water concentration data for six PFASs from the US EPA’s third Unregulated Contaminant Monitoring Rule (UCMR3), including perfluorobutanesulfonic acid (PFBS), perfluorohexanesulfonic acid (PFHxS), perfluoroheptanoic acid (PFHpA), PFOA, perfluorooctanesulfonic acid (PFOS), and perfluorononanoic acid (PFNA) (Table S1).(28) We discuss the utility of the UCMR3 database for identifying sources of PFASs to U.S. drinking water supplies, locations of vulnerable populations, and priorities for future monitoring.

Methods


Drinking Water Data
Our analysis included analytical results for six PFASs in 36149 drinking water samples from the US EPA’s UCMR3 program collected between January 2, 2013, and December 9, 2015.(28) Samples cover all 4064 public water supplies serving >10000 individuals. Data are also available for 800 public water supplies serving <10000 individuals, but this represents only a small fraction (0.5%) of the 144165 in this category. Minimum reporting levels (MRLs) for the six PFASs analyzed are listed in Table S1.
One limitation of the UCMR3 database is that national data on system intakes for public water supplies are classified,(29) making it difficult to place them within a specific hydrological network. We therefore extracted the zip codes for areas served and aggregated data within eight-digit HUCs(30) to capture the most detailed hydrologic information that exceeds the spatial resolution of PFAS data (zip code areas). We used the highest reported PFAS concentrations when multiple systems were located within a single zip code and/or when multiple zip code areas were located within the same HUC.
PFAS Point Sources
Our spatial analysis (Figure S1) included point source information for (a) 16 industrial sites listed in the US EPA’s 2010/2015 PFOA Stewardship Program (Table S2),(31) (b) 8572 WWTPs,(32) (c) 290 military fire training areas that contain 664 military fire training sites,(33) and (d) 533 civilian airports that are compliant with Title 14 Code of Federal Regulations, Part 139 for personnel trained in the use of AFFF (hereafter termed “AFFF-certified airports”).(34) PFASs produced and/or used vary across industrial sites, and not all compounds were associated with all sites. For example, a fluorochemical manufacturing facility in Decatur, AL, produced both PFOS and PFOA,(35) while only PFOA was used in the manufacturing process of another fluorochemical production facility in Parkersburg, WV.(36) We conducted a sensitivity analysis to examine the potential production misclassification bias by limiting industrial sites to include the ones that only produced or used each specific compound (Table S3). We used the Google Maps application program interface (API) to geocode coordinates based on addresses. Potentially important PFAS sources such as landfills, biosolids, and small industrial PFAS users could not be included in this analysis because comprehensive geospatial data are not available.
Spatial and Statistical Analysis
We used ArcMap 10.3.1 (ESRI) to explore statistical differences between the number of point sources in eight-digit HUCs with PFAS levels above and below the level of detection. We developed a multivariate spatial regression model for watersheds with detectable PFASs that adjusts for correlations and co-location among point sources. A natural log transformation was used to normalize the distribution of individual PFASs. PFNA and PFBS were excluded from the spatial regression analysis due to a low detection frequency (15 and 14 of 1601 watersheds, respectively). We used Moran’s I statistic to test for spatial dependence in the model residuals from an ordinary least-squares (OLS) regression and correct for spatial dependence in the final spatial regression model. Akaike Information Criterion(37) was used to compare the OLS and spatial regression models, where a lower value implies a better model fit. A series of cross-validation tests were also completed to assess the predictive capacity and stability of the final set of models. The OLS and spatial regression models were constructed using GeoDa 1.6 software,(38) and cross-validation was implemented in R version 3.1.3.

Results and Discussion


PFASs in U.S. Drinking Water
PFASs were detected at or above the MRLs in 194 of 4864 public water supplies, serving 16.5 million residents in 33 different states, three American territories (American Samoa, Northern Mariana Islands, and Guam), and the Salt River Pima-Maricopa Indian Community. Drinking water from 13 states accounted for 75% of detections, including, by order of frequency of detection, California, New Jersey, North Carolina, Alabama, Florida, Pennsylvania, Ohio, New York, Georgia, Minnesota, Arizona, Massachusetts, and Illinois (Figure 1). Detection frequencies for PFASs across the 4864 public water supplies were 2.2% for PFOA, 2.0% for PFOS, 1.7% for PFHpA, 1.1% for PFHxS, and <0.003% for others.
figure
Figure 1. Hydrologic unit codes (eight-digit HUCs) used as a proxy for watersheds with detectable PFOA and PFOS in drinking water measured in the US EPA’s UCMR3 program (2013–2015). Blank areas represent regions where no data are available.

Many detectable PFAS concentrations in the UCMR3 database are above chronic drinking water and water quality standards for other regions (i.e., surface water European Union, PFOS, <1 ng/L; drinking water Sweden, sum of seven PFASs, <90 ng/L; groundwater State of New Jersey, PFNA, <10 ng/L; drinking water State of Vermont, sum of PFOS and PFOA, <20 ng/L).(39-42) A recent analysis developed a benchmark dose for immunotoxicity in children and suggested a drinking water limit of approximately 1 ng/L for PFOS and PFOA.(26) Data from rodents that measured sensitive end points such as mammary gland development support a similar level.(26)
Six million people were served by 66 public water supplies that have at least one sample at or above the US EPA’s 2016 health advisory for PFOS and PFOA (70 ng/L individually or combined). Concentrations ranged as high as 349 ng/L for PFOA (Warminster, PA), 1800 ng/L for PFOS (Newark, DE), and 56 ng/L for PFNA (Woodbury, NJ).
The detection frequency in drinking water sourced from groundwater was more than twice that from surface water (Table S4). Long-chain PFASs(43) (PFHxS, PFOS, PFOA, and PFNA) were more frequently detected in groundwater, and short-chain compounds (PFHpA and PFBS) were detected more frequently in surface waters. This may be due to both the original mode of environmental release (as an aerosol, application to soil, and aqueous discharge) and the inverse relationship between PFAS mobility and chain length.(44) The MRLs (10–90 ng/L) in the UCMR3 database are up to 2 orders of magnitude higher than the limit of quantitation in most published studies,(45-49) and more than 10 times higher than the drinking water limit (1 ng/L) suggested by human and animal studies.(26, 50) Because PFASs are detectable in virtually all parts of the environment,(5, 7, 9, 13, 14, 20, 44, 51) we infer that the large fraction of samples below reporting limits (Table S4) is driven in part by high MRLs.
Sources Surrounding Locations with Detectable PFASs

Our analysis indicates point sources are significantly more abundant in HUCs with detectable PFASs [two-sided t test, p < 0.05 (Table 1 and Figure S2)]. This includes drinking water samples from 1601 of the 2158 total U.S. HUCs. For example, HUCs with detectable PFOA levels (8% of the total) have more industrial sites, military fire training areas, AFFF-certified airports, and WWTPs than those with concentrations below detection. These trends can be observed across all PFASs. Similarly, HUCs with point sources have higher detection frequencies for PFASs (Table S5). 
For example, the presence of a military fire training area within a HUC increases the frequency of detection of at least one PFAS from 10.4% to 28.2%. One caveat is that imprecise information about public water supply intakes can cause misclassification bias. Systems that draw water upstream from point sources, such as Minneapolis and St. Paul in Minnesota, may not actually be affected as indicated by the aggregated spatial analysis.
Table 1. Mean Abundance of Point Sources within Eight-Digit Hydrologic Unit Codes (HUCs) with Drinking Water PFAS Concentrations above and below the Method Reporting Limit in the UCMR3 Program
mean abundancea within eight-digit hydrologic unit codes
compoundmajor industrial sitesbmilitary fire training areasAFFF-certified airportsWWTPsc
PFBS
<90 ng/L (n = 1587)0.010.150.294.9
>90 ng/L (n = 14)0.210.710.5014.6
p-valued0.2060.1050.1480.069
PFHxS
<30 ng/L (n = 1507)0.010.130.274.8
>30 ng/L (n = 94)0.060.600.638.8
p-value0.056<0.001<0.001<0.001
PFHpA
<10 ng/L (n = 1509)0.010.130.264.7
>10 ng/L (n = 92)0.090.570.679.7
p-value0.016<0.001<0.001<0.001
PFOA
<20 ng/L (n = 1473)0.010.130.264.6
>20 ng/L (n = 128)0.050.520.569.5
p-value0.038<0.001<0.001<0.001
PFOS
<40 ng/L (n = 1487)0.010.130.264.7
>40 ng/L (n = 114)0.050.540.578.9
p-value0.064<0.001<0.001<0.001
PFNA
<20 ng/L (n = 1586)0.010.150.284.9
>20 ng/L (n = 15)0.131.131.1320.1
p-value0.3660.0140.0080.007
a
The mean abundance is calculated as the mean number of point sources within HUCs with PFASs above or below the level of detection.
b
Only the major industrial sites participating in the US EPA’s 2010/2015 PFOA Stewardship Program were included.
c
Wastewater treatment plant.
d
Two-sample t-test p-values.

Results of the Spatial Regression Model

Spatial regression modeling explains 38–62% of the variance in drinking water concentrations for the four PFASs considered (Table 2). Each additional industrial site within a HUC is associated with an 81% increase in PFOA (p < 0.001), which is the strongest statistical association across compounds and point sources. Increasing PFOS concentrations are positively associated with the number of industrial sites, but this relationship is not statistically significant (p = 0.124). The small number of sites that have manufactured or used PFOS likely accounts for the lack of a statistically significant relationship.
Table 2. Spatial Regression Models for Drinking Water PFAS Concentrations as a Function of the Abundance of Point Sources
compoundmajor industrial sitesaMFTAsbAFFF-certified airportsWWTPscλdR2
PFHxS
coefficiente24%20%–13%1%94%0.62
p-valuef0.2490.0020.0730.045<0.001
PFHpA
coefficient10%10%–2%0.5%72%0.40
p-value0.5690.1550.7610.436<0.001
PFOA
coefficient81%10%–6%2%52%0.38
p-value<0.0010.1110.3530.006<0.001
PFOS
coefficient46%35%–6%2%79%0.46
p-value0.124<0.0010.5120.007<0.001
a
Only the major industrial sites participating in US EPA’s 2010/2015 PFOA Stewardship Program were included.
b
MFTA = military fire training area.
c
WWTP = wastewater treatment plant.
d
Coefficient for the spatial error term characterizing spatial influence.
e
Results have been transformed to reflect expected changes in drinking water concentrations per increase in the abundance of different sources. Positive coefficients in the results indicate increasing concentrations with an increasing abundance of point sources within the same hydrologic unit.
f
p-values for the spatial error regression model. The spatial error term is used to incorporate spatial autocorrelation structures into a linear regression model.
The number of military fire training areas within each HUC is positively associated with increasing levels of all PFOS, PFOA, PFHxS, and PFHpA, and is statistically significant for PFHxS (p = 0.045) and PFOS (p = 0.007). Each additional military fire training area within the same HUC is associated with a 20% increase in PFHxS (p = 0.002), a 10% increase in PFHpA (p = 0.155), a 10% increase in PFOA (p = 0.111), and a 35% increase in PFOS (p < 0.001). AFFFs typically contain relatively high concentrations of PFOS and PFHxS and their polyfluorinated precursors compared to the concentrations of other perfluorinated carboxylates,(23, 52-54) which is consistent with these statistical results.
We find a small but significant increase in PFOS and PFOA (2%; p < 0.01) with each additional WWTP within the same HUC. This is consistent with the greater abundance but smaller quantities of PFASs released by WWTPs.(55) Similarly, results of Valsecchi et al.(51) show PFAS releases from WWTPs are important but less significant than those from fluorochemical manufacturing facilities in Italy. The number of WWTPs may also be a proxy for other population-driven PFAS sources.
The number of AFFF-certified airports is not significantly associated with PFAS concentrations in the current data set. This may reflect misclassification bias because the certification used to identify airports indicates eligibility but not actual use of AFFF. The UCMR3 database contains limited data for smaller drinking water systems where localized reports of contamination from airports have been most abundant.(22, 56)
Current Data Limitations and Future Monitoring Efforts

The UCMR3 database has several limitations that restrict its predictive power for identifying U.S. drinking water supplies likely to contain elevated levels of PFASs. Classification of geospatial data on intakes for public water supplies limits the spatial resolution of the current data set and associated statistical models to a radius of 50 km (median radius of watersheds).(57, 58) Many of the impacted drinking water systems are groundwater systems, and contaminated groundwater plumes are often much smaller than 50 km.(23, 53, 59)
Geospatial data are lacking for many potentially important PFAS point sources such as a wide range of industries, landfills, biosolids application, and other AFFF-impacted sites where relatively smaller volumes of AFFF were released.(27, 54, 60-67) Data on PFAS releases from smaller industrial facilities (e.g., plastics, textiles, paper, and lubricants) are usually withheld as confidential business information, and little information about airborne emissions is available for characterizing the importance of atmospheric releases and potential long-range transport. For example, biosolids application resulted in one of the largest PFAS drinking water contamination events in Europe(68) but could not be included in this analysis because U.S. use data are not available on a national scale.
Sources not included in our spatial analysis are represented by the highly significant lambda (λ) coefficients (Table 2). Areas with high model residuals (greater than 1.5 standard deviation) mean that current information about sources cannot fully explain the high observed PFAS concentrations. The map of model residuals (Figure S3) can thus be used to guide high-priority sampling regions in future work.
We found a statistically greater abundance of point sources in watersheds with detectable PFASs, including AFFF-certified airports. However, multivariate spatial regression models did not show a significant association between AFFF-certified airports and concentrations of PFASs in nearby drinking water. Other studies have reported elevated PFAS concentrations in groundwater wells adjacent to AFFF-certified airports.(22) Small drinking water systems and private wells may be disproportionately affected by PFASs originating from AFFF use at civilian airports, but representative data for these small drinking water systems are not included in the UCMR3 program.(69)
Approximately 44.5 million U.S. individuals rely on private drinking water wells,(70) and 52 million individuals rely on smaller public water supplies (<10000 served). The UCMR3 program includes 0.5% testing incidence for smaller public water supplies(71) and no testing of private wells, meaning that information about drinking water PFAS exposures is therefore lacking for almost one-third of the U.S. population.
Supporting Information
The Supporting Information is available free of charge on the ACS Publications website at DOI: 10.1021/acs.estlett.6b00260.
  • Additional tables and figures (PDF)
The authors declare no competing financial interest.

Acknowledgment


We acknowledge financial support for research at Harvard from the Smith Family Foundation and a private donor. We thank Marcia Castro (Harvard) for her feedback on an earlier version of the manuscript and Jahred Liddie (Harvard) for his assistance with the sensitivity analysis. T.A.B. was supported by the U.S. National Institute for Environmental Health Sciences (NIEHS) Superfund Research Program (Grant P42 ES004705) and the Superfund Research Center at the University of California, Berkeley. The views expressed in this article are those of the authors and do not necessarily represent the views or policies of the U.S. Environmental Protection Agency.

References


This article references 71 other publications.
  1. 1.
    Kissa, E. Fluorinated surfactants and repellents, 2nd ed.; CRC Press: Boca Raton, FL, 2001.
  2. 2.
    Lewis, R. C.; Johns, L. E.; Meeker, J. D.Serum Biomarkers of Exposure to Perfluoroalkyl Substances in Relation to Serum Testosterone and Measures of Thyroid Function among Adults and Adolescents from NHANES 2011–2012 Int. J. Environ. Res. Public Health 2015, 12 ( 6) 60986114, DOI: 10.3390/ijerph120606098
  3. 3.
    Fourth National Report on Human Exposure to Environmental Chemicals; Centers for Disease Control and Prevention: Atlanta, 2015.
  4. 4.
    Grandjean, P.; Andersen, E.; Budtz-Jørgensen, E.; Nielsen, F.; Mølbak, K.; Weihe, P.; Heilmann, C.Serum vaccine antibody concentrations in children exposed to perfluorinated compounds JAMA 2012, 307 ( 4) 391397, DOI: 10.1001/jama.2011.2034
  5. 5.
    Braun, J. M.; Chen, A.; Romano, M. E.; Calafat, A. M.; Webster, G. M.; Yolton, K.; Lanphear, B. P.Prenatal perfluoroalkyl substance exposure and child adiposity at 8 years of age: The HOME study Obesity 2016, 24, 231237, DOI: 10.1002/oby.21258
  6. 6.
    Barry, V.; Winquist, A.; Steenland, K.Perfluorooctanoic acid (PFOA) exposures and incident cancers among adults living near a chemical plant Environ. Health Perspect 2013, 121 ( 11–12) 13131318, DOI: 10.1289/ehp.1306615
  7. 7.
    Land, M.; de Wit, C. A.; Cousins, I. T.; Herzke, D.; Johansson, J.; Martin, J. W.What is the effect of phasing out long-chain per- and polyfluoroalkyl substances on the concentrations of perfluoroalkyl acids and their precursors in the environment? A systematic review protocol Environmental Evidence 2015, 4 ( 1) 113, DOI: 10.1186/2047-2382-4-3
  8. 8.
    Working Towards a Global Emission Inventory of PFASs; Environment Directorate, Organization for Economic Cooperation and Development: Paris, 2015.
  9. 9.
    Wang, Z.; Cousins, I. T.; Scheringer, M.; Buck, R. C.; Hungerbühler, K.Global emission inventories for C 4–C 14 perfluoroalkyl carboxylic acid (PFCA) homologues from 1951 to 2030, Part I: production and emissions from quantifiable sources Environ. Int. 2014, 70, 6275, DOI: 10.1016/j.envint.2014.04.013
  10. 10.
    Butenhoff, J. L.; Chang, S.-C.; Ehresman, D. J.; York, R. G.Evaluation of potential reproductive and developmental toxicity of potassium perfluorohexanesulfonate in Sprague Dawley rats Reprod. Toxicol. 2009, 27 ( 3) 331341, DOI: 10.1016/j.reprotox.2009.01.004
  11. 11.
    Birnbaum, L. S.; Grandjean, P.Alternatives to PFASs: Perspectives on the Science Environ. Health Perspect. 2015, 123 ( 5) A104, DOI: 10.1289/ehp.1509944
  12. 12.
    Caverly Rae, J. M.; Craig, L.; Slone, T. W.; Frame, S. R.; Buxton, L. W.; Kennedy, G. L.Evaluation of chronic toxicity and carcinogenicity of ammonium 2,3,3,3-tetrafluoro-2-(heptafluoropropoxy)-propanoate in Sprague–Dawley rats Toxicology Reports 2015, 2, 939949, DOI: 10.1016/j.toxrep.2015.06.001
  13. 13.
    Vestergren, R.; Cousins, I. T.Tracking the Pathways of Human Exposure to Perfluorocarboxylates Environ. Sci. Technol. 2009, 43 ( 15) 55655575, DOI: 10.1021/es900228k
  14. 14.
    D’Hollander, W.; de Voogt, P.; De Coen, W.; Bervoets, L. Perfluorinated Substances in Human Food and Other Sources of Human Exposure. In Reviews of Environmental Contamination and Toxicology; De Voogt, P., Ed.; Springer: New York, 2010; Vol. 208, pp 179215.
  15. 15.
    Emmett, E. A.; Shofer, F. S.; Zhang, H.; Freeman, D.; Desai, C.; Shaw, L. M.Community exposure to perfluorooctanoate: relationships between serum concentrations and exposure sources J. Occup. Environ. Med. 2006, 48 ( 8) 759770, DOI: 10.1097/01.jom.0000232486.07658.74
  16. 16.
    Landsteiner, A.; Huset, C.; Williams, A.; Johnson, J.Biomonitoring for Perfluorochemicals in a Minnesota Community With Known Drinking Water Contamination Journal of Environmental Health 2014, 77 ( 5) 1419
  17. 17.
    Hurley, S.; Houtz, E.; Goldberg, D.; Wang, M.; Park, J.-S.; Nelson, D. O.; Reynolds, P.; Bernstein, L.; Anton-Culver, H.; Horn-Ross, P.; Petreas, M.Preliminary Associations between the Detection of Perfluoroalkyl Acids (PFAAs) in Drinking Water and Serum Concentrations in a Sample of California Women Environ. Sci. Technol. Lett. 2016, 3, 264269, DOI: 10.1021/acs.estlett.6b00154
  18. 18.
    Hoffman, K.; Webster, T. F.; Bartell, S. M.; Weisskopf, M. G.; Fletcher, T.; Vieira, V. M.Private Drinking Water Wells as a Source of Exposure to Perfluorooctanoic Acid (PFOA) in Communities Surrounding a Fluoropolymer Production Facility Environ. Health Perspect. 2011, 119, 9297, DOI: 10.1289/ehp.1002503
  19. 19.
    Shin, H.-M.; Vieira, V. M.; Ryan, P. B.; Detwiler, R.; Sanders, B.; Steenland, K.; Bartell, S. M.Environmental Fate and Transport Modeling for Perfluorooctanoic Acid Emitted from the Washington Works Facility in West Virginia Environ. Sci. Technol. 2011, 45 ( 4) 14351442, DOI: 10.1021/es102769t
  20. 20.
    Perfluorochemical Serum Sampling in the vicinity of Decatur, Alabama, Morgan, Lawrence, and Limestone Counties; Centers for Disease Control and Prevention: Atlanta, 2013.
  21. 21.
    Lifetime Health Advisories and Health Effects Support Documents for Perfluorooctanoic Acid and Perfluorooctane Sulfonate; Environmental Protection Agency: Washington, DC, 2016.
  22. 22.
    Ahrens, L.; Norstrom, K.; Viktor, T.; Cousins, A. P.; Josefsson, S.Stockholm Arlanda Airport as a source of per- and polyfluoroalkyl substances to water, sediment and fish Chemosphere 2015, 129, 338, DOI: 10.1016/j.chemosphere.2014.03.136
  23. 23.
    Moody, C. A.; Hebert, G. N.; Strauss, S. H.; Field, J. A.Occurrence and persistence of perfluorooctanesulfonate and other perfluorinated surfactants in groundwater at a fire-training area at Wurtsmith Air Force Base, Michigan, USA J. Environ. Monit. 2003, 5 ( 2) 3415, DOI: 10.1039/b212497a
  24. 24.
    Schultz, M. M.; Higgins, C. P.; Huset, C. A.; Luthy, R. G.; Barofsky, D. F.; Field, J. A.Fluorochemical mass flows in a municipal wastewater treatment facility Environ. Sci. Technol. 2006, 40 ( 23) 73507357, DOI: 10.1021/es061025m
  25. 25.
    Loganathan, B. G.; Sajwan, K. S.; Sinclair, E.; Senthil Kumar, K.; Kannan, K.Perfluoroalkyl sulfonates and perfluorocarboxylates in two wastewater treatment facilities in Kentucky and Georgia Water Res. 2007, 41 ( 20) 461120, DOI: 10.1016/j.watres.2007.06.045
  26. 26.
    Post, G. B.; Cohn, P. D.; Cooper, K. R.Perfluorooctanoic acid (PFOA), an emerging drinking water contaminant: a critical review of recent literature Environ. Res. 2012, 116, 93117, DOI: 10.1016/j.envres.2012.03.007
  27. 27.
    Lindstrom, A. B.; Strynar, M. J.; Delinsky, A. D.; Nakayama, S. F.; McMillan, L.; Libelo, E. L.; Neill, M.; Thomas, L.Application of WWTP biosolids and resulting perfluorinated compound contamination of surface and well water in Decatur, Alabama, USA Environ. Sci. Technol. 2011, 45 ( 19) 80158021, DOI: 10.1021/es1039425
  28. 28.
    Third Unregulated Contaminant Monitoring Rule; Environmental Protection Agency: Washington, DC (https://http://www.epa.gov/dwucmr/occurrence-data-unregulated-contaminant-monitoring-rule-3) (accessed May, 23, 2016) .
  29. 29.
    Why is only certain information made available to the public (PWS ID), but not facility location information (longitude and latitude)? Environmental Protection Agency: Washington, DC (https://safewater.zendesk.com/hc/en-us/articles/212078697-Why-is-only-certain-information-made-available-to-the-public-PWS-ID-but-not-facility-location-information-longitude-and-latitude-).
  30. 30.
    U.S. Geological Survey. 1:250,000-scaleHydrologic Unitsof the United States (http://water.usgs.gov/GIS/metadata/usgswrd/XML/huc250k.xml).
  31. 31.
    Per- and Polyfluoroalkyl Substances (PFASs) under TSCA; Environmental Protection Agency: Washington, DC (https://http://www.epa.gov/assessing-and-managing-chemicals-under-tsca/and-polyfluoroalkyl-substances-pfass-under-tsca).
  32. 32.
    Database associated with the Clean Watersheds Needs Survey (CWNS) 2008 Report to Congress; Environmental Protection Agency: Washington, DC, 2008, (https://http://www.epa.gov/cwns/clean-watersheds-needs-survey-cwns-2008-report-and-data) (accessed March 2014).
  33. 33.
    DoD Inventory of Fire/Crash Training Area Sites (as of the end of FY 2014) ; U.S. Department of Defense: Washington, DC [https://assets.documentcloud.org/documents/2647381/List-of-Fire-amp-Crash-Training-Areas-EOY14.pdf(12-23)].
  34. 34.
    Programs for Training of Aircraft Rescue and Firefighting Personnel; U.S. Department of Transportation Federal Aviation Administration, AC No. 150/5210-17C, 2015.
  35. 35.
    3M. Map, 3M-Decatur Manufacturing Facility. In U.S. EPA Docket AR226-1484; Environmental Protection Agency: Washington, DC, 2003.
  36. 36.
    DuPont. DuPont Telomer Manufacturing Sites: Environmental Assessment of PFOA Levels in Air and Water. In U.S. EPA Docket AR226-1534; Environmental Protection Agency: Washington, DC, 2003.
  37. 37.
    Akaike, H.A new look at the statistical model identification IEEE Trans. Autom. Control 1974, 19 ( 6) 716723, DOI: 10.1109/TAC.1974.1100705
  38. 38.
    Anselin, L.; Syabri, I.; Kho, Y.GeoDa: an introduction to spatial data analysis Geographical analysis 2006, 38 ( 1) 522, DOI: 10.1111/j.0016-7363.2005.00671.x
  39. 39.
    Livsmedelsverket, Riskhantering - PFAS i dricksvatten och fisk; National Food Agency: Uppsala, Sweden, 2016, (http://www.livsmedelsverket.se/livsmedel-och-innehall/oonskade-amnen/miljogifter/pfas-poly-och-perfluorerade-alkylsubstanser/riskhantering-pfaa-i-dricksvatten/).
  40. 40.
    New Jersey DEP Ground Water Quality Standards-Class IIA by Constituent (http://www.nj.gov/dep/standards/groundwater.pdf) (accessed February 18, 2016).
  41. 41.
    EU. Directive 2013/39/EUof the European Parliament andof the Council of 12 August 2013 amending Directives 2000/60/EC and2008/105/EC as regards priority substances in the field of water policy.In EU Environmental Quality Standards; 2013.
  42. 42.
    Vermont Perfluorooctanoic acid (PFOA) and Perfluorooctanesulfonic acid (PFOS) Vermont Drinking Water Health Advisory (https://anrweb.vt.gov/PubDocs/DEC/PFOA/PFOA%20-%20PFOS%20Health%20Advisories/Vermont/PFOA_PFOS_HealthAdvisory_June_22_2016.pdf).
  43. 43.
    Buck, R. C.; Franklin, J.; Berger, U.; Conder, J. M.; Cousins, I. T.; de Voogt, P.; Jensen, A. A.; Kannan, K.; Mabury, S. A.; van Leeuwen, S. P. J.Perfluoroalkyl and Polyfluoroalkyl Substances in the Environment: Terminology, Classification, and Origins Integr. Environ. Assess. Manage. 2011, 7 ( 4) 513541, DOI: 10.1002/ieam.258
  44. 44.
    Bergström, S. Transport of per-and polyfluoroalkyl substances in soil and groundwater in Uppsala, Sweden. 2014.
  45. 45.
    Thompson, J.; Eaglesham, G.; Mueller, J.Concentrations of PFOS, PFOA and other perfluorinated alkyl acids in Australian drinking water Chemosphere 2011, 83 ( 10) 13201325, DOI: 10.1016/j.chemosphere.2011.04.017
  46. 46.
    Taniyasu, S.; Kannan, K.; Wu, Q.; Kwok, K. Y.; Yeung, L. W. Y.; Lam, P. K. S.; Chittim, B.; Kida, T.; Takasuga, T.; Tsuchiya, Y.; Yamashita, N.Inter-laboratory trials for analysis of perfluorooctanesulfonate and perfluorooctanoate in water samples: Performance and recommendations Anal. Chim. Acta 2013, 770, 111120, DOI: 10.1016/j.aca.2013.01.056
  47. 47.
    Eriksson, U.; Kärrman, A.; Rotander, A.; Mikkelsen, B.; Dam, M.Perfluoroalkyl substances (PFASs) in food and water from Faroe Islands Environ. Sci. Pollut. Res. 2013, 20 ( 11) 79407948, DOI: 10.1007/s11356-013-1700-3
  48. 48.
    Happonen, M.; Koivusalo, H.; Malve, O.; Perkola, N.; Juntunen, J.; Huttula, T.Contamination risk of raw drinking water caused by PFOA sources along a river reach in south-western Finland Sci. Total Environ. 2016, 541, 7482, DOI: 10.1016/j.scitotenv.2015.09.008
  49. 49.
    Munoz, G.; Vo Duy, S.; Budzinski, H.; Labadie, P.; Liu, J.; Sauvé, S.Quantitative analysis of poly- and perfluoroalkyl compounds in water matrices using high resolution mass spectrometry: Optimization for a laser diode thermal desorption method Anal. Chim. Acta 2015, 881, 98106, DOI: 10.1016/j.aca.2015.04.015
  50. 50.
    Grandjean, P.; Budtz-Jorgensen, E.Immunotoxicity of perfluorinated alkylates: calculation of benchmark doses based on serum concentrations in children Environ. Health 2013, 12 ( 1) 35, DOI: 10.1186/1476-069X-12-35
  51. 51.
    Valsecchi, S.; Rusconi, M.; Mazzoni, M.; Viviano, G.; Pagnotta, R.; Zaghi, C.; Serrini, G.; Polesello, S.Occurrence and sources of perfluoroalkyl acids in Italian river basins Chemosphere 2015, 129, 126134, DOI: 10.1016/j.chemosphere.2014.07.044
  52. 52.
    Hebert, G. N.; Odom, M. A.; Craig, P. S.; Dick, D. L.; Strauss, S. H.Method for the determination of sub-ppm concentrations of perfluoroalkylsulfonate anions in water J. Environ. Monit. 2002, 4 ( 1) 9095, DOI: 10.1039/b108463c
  53. 53.
    Houtz, E. F.; Higgins, C. P.; Field, J. A.; Sedlak, D. L.Persistence of perfluoroalkyl acid precursors in AFFF-impacted groundwater and soil Environ. Sci. Technol. 2013, 47 ( 15) 81878195, DOI: 10.1021/es4018877
  54. 54.
    Anderson, R. H.; Long, G. C.; Porter, R. C.; Anderson, J. K.Occurrence of select perfluoroalkyl substances at U.S. Air Force aqueous film-forming foam release sites other than fire-training areas: Field-validation of critical fate and transport properties Chemosphere 2016, 150, 67885, DOI: 10.1016/j.chemosphere.2016.01.014
  55. 55.
    Sinclair, E.; Kannan, K.Mass Loading and Fate of Perfluoroalkyl Surfactants in Wastewater Treatment Plants Environ. Sci. Technol. 2006, 40 ( 5) 14081414, DOI: 10.1021/es051798v
  56. 56.
    Schaider, L. A.; Rudel, R. A.; Ackerman, J. M.; Dunagan, S. C.; Brody, J. G.Pharmaceuticals, perfluorosurfactants, and other organic wastewater compounds in public drinking water wells in a shallow sand and gravel aquifer Sci. Total Environ. 2014, 468–469, 384393, DOI: 10.1016/j.scitotenv.2013.08.067
  57. 57.
    Pascual, P.; Stiber, N.; Sunderland, E. Draft guidance on the development, evaluation, and application of regulatory environmental models; The Council for Regulatory Environmental Modeling, Office of Science Policy, Office of Research and Development, Environmental Protection Agency: Washington, DC, 2003.
  58. 58.
    NRC. Models in Environmental Regulatory Decision Making; National Research Council, Committee on Models in the Regulatory Decision Process, National Academies Press: Washington, DC, 2007.
  59. 59.
    Houtz, E. F.; Sutton, R.; Park, J.-S.; Sedlak, M.Poly- and perfluoroalkyl substances in wastewater: Significance of unknown precursors, manufacturing shifts, and likely AFFF impacts Water Res. 2016, 95, 142149, DOI: 10.1016/j.watres.2016.02.055
  60. 60.
    Konwick, B. J.; Tomy, G. T.; Ismail, N.; Peterson, J. T.; Fauver, R. J.; Higginbotham, D.; Fisk, A. T.Concentrations and patterns of perfluoroalkyl acids in Georgia, USA surface waters near and distant to a major use source Environ. Toxicol. Chem. 2008, 27 ( 10) 20112018, DOI: 10.1897/07-659.1
  61. 61.
    Clara, M.; Scheffknecht, C.; Scharf, S.; Weiss, S.; Gans, O.Emissions of perfluorinated alkylated substances (PFAS) from point sources--identification of relevant branches Water Sci. Technol. 2008, 58 ( 1) 59, DOI: 10.2166/wst.2008.641
  62. 62.
    Zhang, C.; Peng, Y.; Niu, X.; Ning, K.Determination of perfluoroalkyl substances in municipal landfill leachates from Beijing, China Asian J. Chem. 2014, 26 ( 13) 3833
  63. 63.
    Busch, J.; Ahrens, L.; Sturm, R.; Ebinghaus, R.Polyfluoroalkyl compounds in landfill leachates Environ. Pollut. 2010, 158 ( 5) 14671471, DOI: 10.1016/j.envpol.2009.12.031
  64. 64.
    Huset, C. A.; Barlaz, M. A.; Barofsky, D. F.; Field, J. A.Quantitative determination of fluorochemicals in municipal landfill leachates Chemosphere 2011, 82 ( 10) 13801386, DOI: 10.1016/j.chemosphere.2010.11.072
  65. 65.
    Blaine, A. C.; Rich, C. D.; Hundal, L. S.; Lau, C.; Mills, M. A.; Harris, K. M.; Higgins, C. P.Uptake of perfluoroalkyl acids into edible crops via land applied biosolids: Field and greenhouse studies Environ. Sci. Technol. 2013, 47 ( 24) 1406214069, DOI: 10.1021/es403094q
  66. 66.
    Sepulvado, J. G.; Blaine, A. C.; Hundal, L. S.; Higgins, C. P.Occurrence and fate of perfluorochemicals in soil following the land application of municipal biosolids Environ. Sci. Technol. 2011, 45 ( 19) 81068112, DOI: 10.1021/es103903d
  67. 67.
    Rich, C. D.; Blaine, A. C.; Hundal, L.; Higgins, C. P.Bioaccumulation of perfluoroalkyl acids by earthworms (Eisenia fetida) exposed to contaminated soils Environ. Sci. Technol. 2015, 49 ( 2) 8818, DOI: 10.1021/es504152d
  68. 68.
    Hölzer, J.; Midasch, O.; Rauchfuss, K.; Kraft, M.; Reupert, R.; Angerer, J.; Kleeschulte, P.; Marschall, N.; Wilhelm, M.Biomonitoring of Perfluorinated Compounds in Children and Adults Exposed to Perfluorooctanoate-Contaminated Drinking Water Environ. Health Perspect. 2008, 116 ( 5) 651657, DOI: 10.1289/ehp.11064
  69. 69.
    Report of Investigation Activities at Select Firefighting Foam Training Areas and Foam Discharge Sites in Minnesota; Minnesota Pollution Control Agency: St. Paul, MN, 2010.
  70. 70.
    Maupin, M. A.; Kenny, J. F.; Hutson, S. S.; Lovelace, J. K.; Barber, N. L.; Linsey, K. S. Estimated use of water in the United States in 2010. Report 2330-5703; U.S. Geological Survey, 2014.
  71. 71.
    Factoids: Drinking Water and Ground Water Statistics for 2009; Environmental Protection Agency Office of Water: Washington, DC, 2009.