Nitrate levels in our water resources have increased in many areas of the world largely due to applications of inorganic fertilizer and animal manure in agricultural areas. The regulatory limit for nitrate in public drinking water supplies was set to protect against infant methemoglobinemia, but other health effects were not considered. Risk of specific cancers and birth defects may be increased when nitrate is ingested under conditions that increase formation of N-nitroso compounds. We previously reviewed epidemiologic studies before 2005 of nitrate intake from drinking water and cancer, adverse reproductive outcomes and other health effects. Since that review, more than 30 epidemiologic studies have evaluated drinking water nitrate and these outcomes. The most common endpoints studied were colorectal cancer, bladder, and breast cancer (three studies each), and thyroid disease (four studies). Considering all studies, the strongest evidence for a relationship between drinking water nitrate ingestion and adverse health outcomes (besides methemoglobinemia) is for colorectal cancer, thyroid disease, and neural tube defects. Many studies observed increased risk with ingestion of water nitrate levels that were below regulatory limits. Future studies of these and other health outcomes should include improved exposure assessment and accurate characterization of individual factors that affect endogenous nitrosation.

Human alteration of the nitrogen cycle has resulted in steadily accumulating nitrate in our water resources. The U.S. maximum contaminant level and World Health Organization guidelines for nitrate in drinking water were promulgated to protect infants from developing methemoglobinemia, an acute condition. Some scientists have recently suggested that the regulatory limit for nitrate is overly conservative; however, they have not thoroughly considered chronic health outcomes. In August 2004, a symposium on drinking-water nitrate and health was held at the International Society for Environmental Epidemiology meeting to evaluate nitrate exposures and associated health effects in relation to the current regulatory limit. The contribution of drinking-water nitrate toward endogenous formation of N-nitroso compounds was evaluated with a focus toward identifying subpopulations with increased rates of nitrosation. Adverse health effects may be the result of a complex interaction of the amount of nitrate ingested, the concomitant ingestion of nitrosation cofactors and precursors, and specific medical conditions that increase nitrosation. Workshop participants concluded that more experimental studies are needed and that a particularly fruitful approach may be to conduct epidemiologic studies among susceptible subgroups with increased endogenous nitrosation. The few epidemiologic studies that have evaluated intake of nitrosation precursors and/or nitrosation inhibitors have observed elevated risks for colon cancer and neural tube defects associated with drinking-water nitrate concentrations below the regulatory limit. The role of drinking-water nitrate exposure as a risk factor for specific cancers, reproductive outcomes, and other chronic health effects must be studied more thoroughly before changes to the regulatory level for nitrate in drinking water can be considered.

For more information on the USGS-the Federal source for science about the Earth, its natural and living resources, natural hazards, and the environment, visit http://www.usgs.gov or call 1-888-ASK-USGS For an overview of USGS information products, including maps, imagery, and publications, visit http://www.usgs.gov/pubprodTo order this and other USGS information products, visit http://store.usgs.gov Any use of trade, product, or firm names is for descriptive purposes only and does not imply endorsement by the U.S. Government.Although this report is in the public domain, permission must be secured from the individual copyright owners to reproduce any copyrighted materials contained within this report.Suggested reference: Dubrovsky, N.M., Burow, K.R., Clark, G.M., Gronberg, J.M., Hamilton P.A., Hitt, K.J., Mueller, D.K., Munn, M.D., Nolan, B.T., Puckett, L.J., Rupert, M.G., Short, T.M., Spahr, N.E., Sprague, L.A., and Wilber, W.G., 2010, The quality of our Nation's waters-Nutrients in the Nation's streams and groundwater, 1992-2004: U.S. Geological Survey Circular 1350, 174 p. Additional information about this study is available at http://water.usgs.gov/nawqa/nutrients/pubs/circ1350 Library of Congress Cataloging-in-Publication DataThe quality of our Nation's waters : nutrients in the Nation's streams and groundwater, 1992-2004 ForewordThe U.S. Geological Survey (USGS) is committed to providing the Nation with reliable scientific information that helps to enhance and protect the overall quality of life and that facilitates effective management of water, biological, energy, and mineral resources (http://www.usgs.gov/). Information on the Nation's water resources is critical to ensuring long-term availability of water that is safe for drinking and recreation and is suitable for industry, irrigation, and fish and wildlife. Population growth and increasing demands for water make the availability of that water, now measured in terms of quantity and quality, even more essential to the long-term sustainability of our communities and ecosystems.The USGS implemented the National Water-Quality Assessment (NAWQA) Program in 1991 to support national, regional, state, and local information needs and decisions related to water-quality management and policy (http://water.usgs.gov/nawqa). The NAWQA Program is designed to answer: What is the quality of our Nation's streams and groundwater? How are conditions changing over time? How do natural features and human activities affect the quality of streams and groundwater, and where are those effects most pronounced? By combining information on water chemistry, physical characteristics, stream habitat, and aquatic life, the NAWQA Program aims to provide science-based insights for current and emerging water issues and priorities. From 1991to 2001, the NAWQA Program completed interdisciplinary assessments and established a baseline understanding of waterquality conditions in 51 of the Nation's river basins and aquifers, referred to as Study Units (http://water.usgs.gov/nawqa/studyu.ht...

Two nonlinear models were developed at the national scale to (1) predict contamination of shallow ground water (typically < 5 m deep) by nitrate from nonpoint sources and (2) to predict ambient nitrate concentration in deeper supplies used for drinking. The new models have several advantages over previous national-scale approaches. First, they predict nitrate concentration (rather than probability of occurrence), which can be directly compared with water-quality criteria. Second, the models share a mechanistic structure that segregates nitrogen (N) sources and physical factors that enhance or restrict nitrate transport and accumulation in ground water. Finally, data were spatially averaged to minimize small-scale variability so that the large-scale influences of N loading, climate, and aquifer characteristics could more readily be identified. Results indicate that areas with high N application, high water input, well-drained soils, fractured rocks or those with high effective porosity, and lack of attenuation processes have the highest predicted nitrate concentration. The shallow groundwater model (mean square error or MSE = 2.96) yielded a coefficient of determination (R(2)) of 0.801, indicating that much of the variation in nitrate concentration is explained by the model. Moderate to severe nitrate contamination is predicted to occur in the High Plains, northern Midwest, and selected other areas. The drinking-water model performed comparably (MSE = 2.00, R(2) = 0.767) and predicts that the number of users on private wells and residing in moderately contaminated areas (>5 to < or =10 mg/L nitrate) decreases by 12% when simulation depth increases from 10 to 50 m.

A new logistic regression (LR) model was used to predict the probability of nitrate contamination exceeding 4 mg/L in predominantly shallow, recently recharged groundwaters of the United States. The new model contains variables representing (1) N fertilizer loading (p < 0.001), (2) percent cropland-pasture (p < 0.001), (3) natural log of human population density (p < 0.001), (4) percent welldrained soils (p < 0.001), (5) depth to the seasonally high water table (p < 0.001), and (6) presence or absence of unconsolidated sand and gravel aquifers (p ) 0.002). Observed and average predicted probabilities associated with deciles of risk are well correlated (r 2 ) 0.875), indicating that the LR model fits the data well. The likelihood of nitrate contamination is greater in areas with high N loading and well-drained surficial soils over unconsolidated sand and gravels. The LR model correctly predicted the status of nitrate contamination in 75% of wells in a validation data set. Considering all wells used in both calibration and validation, observed median nitrate concentration increased from 0.24 to 8.30 mg/L as the mapped probability of nitrate exceeding 4 mg/L increased from e0.17 to >0.83.

An assessment of nitrate concentrations in groundwater in the United States indicates that concentrations are highest in shallow, oxic groundwater beneath areas with high N inputs. During 1991-2003, 5101 wells were sampled in 51 study areas throughout the U.S. as part of the U.S. Geological Survey National Water-Quality Assessment (NAWQA) program. The well networks reflect the existing used resource represented by domestic wells in major aquifers (major aquifer studies), and recently recharged groundwater beneath dominant land-surface activities (land-use studies). Nitrate concentrations were highest in shallow groundwater beneath agricultural land use in areas with well-drained soils and oxic geochemical conditions. Nitrate concentrations were lowest in deep groundwater where groundwater is reduced, or where groundwater is older and hence concentrations reflect historically low N application rates. Classification and regression tree analysis was used to identify the relative importance of N inputs, biogeochemical processes, and physical aquifer properties in explaining nitrate concentrations in groundwater. Factors ranked by reduction in sum of squares indicate that dissolved iron concentrations explained most of the variation in groundwater nitrate concentration, followed by manganese, calcium, farm N fertilizer inputs, percent well-drained soils, and dissolved oxygen. Overall, nitrate concentrations in groundwater are most significantly affected by redox conditions, followed by nonpoint-source N inputs. Other water-quality indicators and physical variables had a secondary influence on nitrate concentrations.

Results of a national water quality assessment indicate that nitrate is detected in 71% of groundwater samples, more than 13 times as often as ammonia, nitrite, organic nitrogen, and orthophosphate, based on a common detection threshold of 0.2 mg/L. Shallow groundwater (typically 5 m deep or less) beneath agricultural land has the highest median nitrate concentration (3.4 mg/L), followed by shallow groundwater beneath urban land (1.6 mg/L) and deeper groundwater in major aquifers (0.48 mg/L). Nitrate exceeds the maximum contaminant level, 10 mg/L as nitrogen, in more than 15% of groundwater samples from 4 of 33 major aquifers commonly used as a source of drinking water. Nitrate concentration in groundwater is variable and depends on interactions among several factors, including nitrogen loading, soil type, aquifer permeability, recharge rate, and climate. For a given nitrogen loading, factors that generally increase nitrate concentration in groundwater include well-drained soils, fractured bedrock, and irrigation. Factors that mitigate nitrate contamination of groundwater include poorly drained soils, greater depth to groundwater, artificial drainage systems, intervening layers of unfractured bedrock, a low rate of groundwater recharge, and anaerobic conditions in aquifers.

For more information on the USGS-the Federal source for science about the Earth, its natural and living resources, natural hazards, and the environment, visit http://www.usgs.gov or call 1-888-ASK-USGS For an overview of USGS information products, including maps, imagery, and publications, visit http://www.usgs.gov/pubprodTo order this and other USGS information products, visit http://store.usgs.gov Any use of trade, product, or firm names is for descriptive purposes only and does not imply endorsement by the U.S. Government.Although this report is in the public domain, permission must be secured from the individual copyright owners to reproduce any copyrighted materials contained within this report. ForewordThe U.S. Geological Survey (USGS) is committed to providing the Nation with reliable scientific information that helps to enhance and protect the overall quality of life and that facilitates effective management of water, biological, energy, and mineral resources (http://www.usgs.gov). Information on the Nation's water resources is critical to ensuring long-term availability of water that is safe for drinking and recreation and is suitable for industry, irrigation, and fish and wildlife. Population growth and increasing demands for water make the availability of that water, now measured in terms of quantity and quality, even more essential to the long-term sustainability of our communities and ecosystems.The USGS implemented the National Water-Quality Assessment (NAWQA) Program in 1991 to support national, regional, state, and local information needs and decisions related to water-quality management and policy (http://water.usgs.gov/nawqa). The NAWQA Program is designed to answer: What is the quality of our Nation's streams and ground water? How are conditions changing over time? How do natural features and human activities affect the quality of streams and ground water, and where are those effects most pronounced? By combining information on water chemistry, physical characteristics, stream habitat, and aquatic life, the NAWQA Program aims to provide science-based insights for current and emerging water issues and priorities. From 1991 to 2001, the NAWQA Program completed interdisciplinary assessments and established a baseline understanding of water-quality conditions in 51 of the Nation's river basins and aquifers, referred to as Study Units (http://water.usgs.gov/nawqa/ studyu.html).National and regional assessments are ongoing in the second decade (2001-2012) of the NAWQA Program as 42 of the 51 Study Units are reassessed. These assessments extend the findings in the Study Units by determining status and trends at sites that have been consistently monitored for more than a decade, and filling critical gaps in characterizing the quality of surface water and ground water. For example, increased emphasis has been placed on assessing the quality of source water and finished water associated with many of the Nation's largest community water systems. During the second decade, NAWQA is addressing five nation...