NDLI: What's in your water? A well-known risk for arsenic toxicity.

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What's in your water? A well-known risk for arsenic toxicity.

Content Provider	Europe PMC
Author	Jegen, Dominika A. Jannetto, Paul J.
Copyright Year	2023
Abstract	Arsenic cannot be tasted, seen or smelled and can vary in concentration between waterwells even in condensed areas. American domestic well water is not regulated to meet thesame drinking water standards as other types of water supplies and often contains arsenic.If arsenic is not detected in a well water sample, it is unlikely to be found later.Conversely, if it is detected in a new well, it is recommended to retest six months lateras levels may fluctuate in the first months following well construction. It is up to thewell owner to test their water and remove arsenic through commercially available waterfilters. If it is not detected and removed via filtration, a variety of serious, yetcommon, medical conditions may arise from chronic arsenic exposure, some of which arelife-threatening. These include diabetes mellitus, hypertension, skin cancer, renal,bladder and lung cancers, polyneuropathy and cardiac QTc prolongation. Testing is bestdone through urine speciation if an initial total urine arsenic concentration is elevated.Consider a complete blood count, renal and liver function tests, an electrocardiogram aswell as a urinalysis assessing for evidence of hematuria when examining patients withhistories concerning for chronic arsenic exposure.
Related Links	https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC10079467&blobtype=pdf
ISSN	1880487X
Journal	Journal of Rural Medicine : JRM [J Rural Med]
Volume Number	18
DOI	10.2185/jrm.2022-034
PubMed Central reference number	PMC10079467
Issue Number	2
PubMed reference number	37032984
e-ISSN	18804888
Language	English
Publisher	The Japanese Association of Rural Medicine
Publisher Date	2023-04-05
Access Restriction	Open
Rights License	This is an open-access article distributed under the terms of the CreativeCommons Attribution Non-Commercial No Derivatives (by-nc-nd) License. (CC-BY-NC-ND 4.0:https://creativecommons.org/licenses/by-nc-nd/4.0/) ©2023 The Japanese Association of Rural Medicine
Subject Keyword	family medicine rural health community health arsenic well water
Content Type	Text
Resource Type	Article
Subject	Medicine

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