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Thursday, November 20, 2025

Arsenic Exposure Linked to Higher Cancer Rates: Arsenic-Rich Groundwater is the Main Source: New Study Shows that Lowering Exposure Can Lead to Much Better Health Outcomes


     Arsenic is not uncommon in groundwater. The U.S. has a legal limit for arsenic in public water systems at 10 parts per billion. It is estimated that 100-280 million Americans drink water with arsenic, typically at low levels around 1 part per billion, but sometimes at levels exceeding the legal limit by as much as 1000 times. Groundwater and private water systems may contain high levels of arsenic in various parts of the country, but it is more common in the West, particularly the Southwest. It is also a concern with glacial aquifers in the Upper Midwest and Northern Plains. In the U.S., about seven percent of wells exceeded the federal safety standard for arsenic. High levels of arsenic occur in 25 states, and it is estimated that 2.1 million Americans are exposed to dangerous levels of arsenic from groundwater. People who own water wells, or private water systems as they are often called, may not know their water contains high levels of arsenic unless it is tested specifically for it.

     The USGS gives more background information about occurrences of arsenic in groundwater:

Arsenic occurs naturally as a trace component in many rocks and sediments. Whether the arsenic is released from these geologic sources into groundwater depends on the chemical form of the arsenic, the geochemical conditions in the aquifer, and the biogeochemical processes that occur. Arsenic also can be released into groundwater as a result of human activities, such as mining, and from its various uses in industry, in animal feed, as a wood preservative, and as a pesticide. In drinking-water supplies, arsenic poses a problem because it is toxic at low levels and is a known carcinogen. In 2001, the USEPA lowered the MCL for arsenic in public-water supplies to 10 micrograms per liter (µg/L) from 50 µg/L.”

     Below are some maps that show exposure to arsenic, the geographical distribution of high levels of arsenic in groundwater, and the area of the Upper Midwest and Plains where glacial aquifers are high in arsenic. The highest levels are generally found in the Southwest basin-fill aquifers. Other areas with arsenic-rich groundwater include the Glacial aquifer system (northern U.S.), the crystalline rock aquifers of the Piedmont, Blue Ridge, and Valley and Ridge Aquifers (northern U.S.), and the Mississippi Embayment–Texas Coastal Uplands Aquifer System and Mississippi River Valley Alluvial Aquifer (southeastern U.S.). The last figure shows some of the predictor variables for arsenic-rich groundwater in the Upper Midwest/Plains glacial aquifers. Arsenic-rich soil C-horizons, low recharge, glacial sediment thickness, and pH are some of the predictor variables.   












Toxicity, Health Effects, and Past Events

     One of the major events for arsenic poisoning from groundwater is the collective poisoning of about 100 million people in Bangladesh with arsenic-tainted groundwater.

     The CDC has some information about arsenic, the different compounds it forms, the difference between inorganic and organic arsenic, and the forms of it found in groundwater.

Arsenic is a naturally occurring element that is widely distributed in the Earth’s crust. Arsenic is classified chemically as a metalloid, having both properties of a metal and a nonmetal; however, it is frequently referred to as a metal. Elemental arsenic (sometimes referred to as metallic arsenic) is a steel grey solid material. However, arsenic is usually found in the environment combined with other elements such as oxygen, chlorine, and sulfur. Arsenic combined with these elements is called inorganic arsenic. Arsenic combined with carbon and hydrogen is referred to as organic arsenic.”

Most inorganic and organic arsenic compounds are white or colorless powders that do not evaporate. They have no smell, and most have no special taste. Thus, you usually cannot tell if arsenic is present in your food, water, or air.”

     Mineral ores and smelting emissions may contain high levels of arsenic. Currently, 90% of all arsenic produced is used as a wood preservative. The preservative is copper chromated arsenate (CCA), and wood treated with it is known as “pressure-treated.” It is also used as a pesticide and was previously used as a rodenticide.

 

New Study Shows Removing the Arsenic Source Results in Improved Health Outcomes

     A new study published in the Journal of the American Medical Association compared levels of arsenic in the body with health outcomes. The results were dramatic health outcome improvements with less arsenic in the body. Less arsenic is associated with less overall chronic disease, less cardiovascular disease, and less cancer.

To ensure an accurate measurement of arsenic exposure and its concentration in the body, scientists report it as micrograms of arsenic per gram of creatinine (μg/g creatinine).”

This method corrects for urine dilution by using creatinine, a natural waste product with a stable baseline, as a reference point, thereby providing a reliable result regardless of the amount of water a person has consumed.”

Urine samples showed that, as mitigation measures were implemented, arsenic concentrations fell from an average of 283 μg/g to 132 μg/g creatinine.”

For each major decrease in urinary arsenic, specifically, a reduction of 197 micrograms per gram of creatinine, the risk of death fell by 22 percent from chronic diseases, 23 percent from cardiovascular disease, and 20 percent from cancer.”

“The study also concluded that if everyone with high arsenic exposure had reduced their levels, it would have prevented approximately 5.1 chronic disease deaths per 1,000 people annually.

     The researchers collected water samples from nearly 6,000 water wells within a 25km radius in Bangladesh. They also studied people who had been living in this area for over five years and took urine samples. They also conducted interviews and physical exams from 2000 to 2018. The main method for mitigating arsenic poisoning in groundwater was to drill wells to a deeper aquifer to water with lower arsenic concentrations. This made for a nice experiment to show conclusively that lowering exposure to arsenic leads to better health outcomes, and this was found to be true regardless of how long one had been exposed. That was a pleasant surprise and shows that we should address this problem better where it might occur. The following graphs show pretty conclusively that less arsenic = better health outcomes in the form of less mortality from chronic disease, cardiovascular disease (CVD), and cancer.









     Perhaps it should be noted that shallow groundwater is usually, but not always, more likely to be polluted than deeper groundwater. One reason is that it is better connected to surface water that can be easily polluted by human activities as well as natural activities. However, the main reason some groundwater aquifers are high in arsenic is the arsenic in the rocks and soils with which the water comes into contact.  

 

    

 

References

 

Reducing exposure to arsenic in household essential slashes cancer and heart disease death by 50%. Cassidy Morrison. Daily Mail. November 17, 2025. Reducing exposure to arsenic in household essential slashes cancer and heart disease death by 50%

Drinking Water Arsenic Rule History. U.S. Environmental Protection Agency. Drinking Water Arsenic Rule History | US EPA

Public Health Statement for Arsenic. Agency for Toxic Substances and Disease Registry. Center for Disease Control. Arsenic | Public Health Statement | ATSDR

Arsenic and Drinking Water. U.S. Geological Survey. March 1, 2019. Arsenic and Drinking Water | U.S. Geological Survey

Machine-Learning Predictions of High Arsenic and High Manganese at Drinking Water Depths of the Glacial Aquifer System, Northern Continental United States. Melinda L. Erickson, Sarah M. Elliott, Craig J. Brown, Paul E. Stackelberg, Katherine M. Ransom, James E. Reddy, and Charles A. Cravotta III. American Chemical Society Publications. Environmental Science & Technology. Vol 55/Issue 9. April 6, 2021. Machine-Learning Predictions of High Arsenic and High Manganese at Drinking Water Depths of the Glacial Aquifer System, Northern Continental United States | Environmental Science & Technology

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