This study compared detection of perfluoroalkyl acids (PFAAs) in public drinking water with PFAA serum concentrations for 1566 California women. PFAA occurrence in drinking water from U.S. EPA's third Unregulated Contaminant Monitoring Rule (UCMR3) database was linked by residential zip code to study participants. Detectable water concentrations of perfluorooctanoic acid (PFOA) ranged from 0.020 to 0.053 μg/L and of perfluorooctanesulfonic acid (PFOS) from 0.041 to 0.156 μg/L. Forty percent of detectable concentrations exceeded the 2016 Health Advisory Level of 0.07 μg/L for combined PFOA and PFOS concentrations. Serum concentrations of PFOS and PFOA significantly differed between participants with and without detectable measures of these compounds in water (Wilcoxon P ≤ 0.0007). Median serum concentrations of PFOS and PFOA were 29% and 38% higher, respectively, among those with detectable levels in water compared to those without detectable levels. Validation of this approach and replication of these results in other study populations are warranted.
■ INTRODUCTIONPerfluoroalkyl acids (PFAAs) are a subset of the poly-and perfluoroalkylsubstances (PFASs), a class of compounds that have been widely used for over 60 years to impart nonstick, waterproof and stain-resistant coatings to a variety of consumer products, including cookware, food packaging, clothing, carpeting, and textiles. 1−3 PFASs are also active ingredients in aqueous film forming foams (AFFF) used to extinguish hydrocarbon-based fuel fires at airports, oil refineries, military bases, and firefighter training facilities. 4 PFAAs are highly resistant to biodegradation and are among the most persistent of environmental pollutants. 1,3,5 A growing body of scientific evidence for the two most studied members of PFASs, perfluorooctanesulfonic acid (PFOS) and perfluorooctanoic acid (PFOA), suggests potentially toxic effects including tumor induction, hepatoxicity, developmental toxicity, immunotoxicity, endocrine disruption, and neurotoxicity. 2,3,6−13 Consequently, PFASs, especially PFOS and PFOA, have become the focus of considerable public health concern.Although U.S. route of exposure among populations whose water has known "significant environmental contamination", 21−27 but it is unclear whether drinking water may serve as an important route of exposure among the general population. The use of AFFF at airports and military bases and the land application of biosolids have both been observed to contaminate surrounding groundwater and surface water with PFASs 28−31 and may contribute to PFAS levels in drinking water sources far from PFASs manufacturers.The U.S. Environmental Protection Agency (U.S. EPA), under its third Revisions to the Unregulated Contaminant Monitoring Rule (UCMR3) for Public Water Systems began testing public water supplies in 2013 for six PFAAs. 32 These data are collected to provide scientifically valid information on the occurrence of unregulated chemicals that are of potential public health concern and are used by the...