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Understanding the Health Risk of PFAS in Drinking Water Sarah Yang, Ph.D. Groundwater Toxicologist November 7, 2019
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Page 1: Understanding the Health Risk of PFAS in Drinking Water ... · 7.11.2019  · Understanding the Health Risk of PFAS in Drinking Water - November 7, 2019, Presentation Author: Yang,

Understanding the Health Risk of PFAS in Drinking Water

Sarah Yang, Ph.D.

Groundwater Toxicologist

November 7, 2019

Page 2: Understanding the Health Risk of PFAS in Drinking Water ... · 7.11.2019  · Understanding the Health Risk of PFAS in Drinking Water - November 7, 2019, Presentation Author: Yang,

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Per- and polyfluroalkyl substances (PFAS) are a family of man-made chemicals.

Page 3: Understanding the Health Risk of PFAS in Drinking Water ... · 7.11.2019  · Understanding the Health Risk of PFAS in Drinking Water - November 7, 2019, Presentation Author: Yang,

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Most people have some PFAS in their blood.

Page 4: Understanding the Health Risk of PFAS in Drinking Water ... · 7.11.2019  · Understanding the Health Risk of PFAS in Drinking Water - November 7, 2019, Presentation Author: Yang,

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PFAS have been used in many products since the 1940s.

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Page 6: Understanding the Health Risk of PFAS in Drinking Water ... · 7.11.2019  · Understanding the Health Risk of PFAS in Drinking Water - November 7, 2019, Presentation Author: Yang,

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We can be exposed to PFAS from:

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We can be exposed to PFAS from:

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We can be exposed to PFAS from:

Page 9: Understanding the Health Risk of PFAS in Drinking Water ... · 7.11.2019  · Understanding the Health Risk of PFAS in Drinking Water - November 7, 2019, Presentation Author: Yang,

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PFAS can cause health effects in people.

Page 10: Understanding the Health Risk of PFAS in Drinking Water ... · 7.11.2019  · Understanding the Health Risk of PFAS in Drinking Water - November 7, 2019, Presentation Author: Yang,

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Increase cholesterol

High levels of PFAS may

Page 11: Understanding the Health Risk of PFAS in Drinking Water ... · 7.11.2019  · Understanding the Health Risk of PFAS in Drinking Water - November 7, 2019, Presentation Author: Yang,

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Increase cholesterol

Reduce antibody response

High levels of PFAS may

Page 12: Understanding the Health Risk of PFAS in Drinking Water ... · 7.11.2019  · Understanding the Health Risk of PFAS in Drinking Water - November 7, 2019, Presentation Author: Yang,

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Increase cholesterol

Reduce antibody response

Decrease fertility in women

High levels of PFAS may

Page 13: Understanding the Health Risk of PFAS in Drinking Water ... · 7.11.2019  · Understanding the Health Risk of PFAS in Drinking Water - November 7, 2019, Presentation Author: Yang,

PFAS may also increase the risk of

Thyroid disease

Osteoarthritis

Ulcerative colitis

Testicular cancer

Kidney cancer

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Page 14: Understanding the Health Risk of PFAS in Drinking Water ... · 7.11.2019  · Understanding the Health Risk of PFAS in Drinking Water - November 7, 2019, Presentation Author: Yang,

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Groundwater can be a source of PFAS exposure.

https://pubs.acs.org/doi/10.1021/acs.estlett.6b00260

Page 15: Understanding the Health Risk of PFAS in Drinking Water ... · 7.11.2019  · Understanding the Health Risk of PFAS in Drinking Water - November 7, 2019, Presentation Author: Yang,

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Two-thirds of Wisconsin residents use groundwater.

Page 16: Understanding the Health Risk of PFAS in Drinking Water ... · 7.11.2019  · Understanding the Health Risk of PFAS in Drinking Water - November 7, 2019, Presentation Author: Yang,

Wisconsin develops groundwater standards to protect public health.

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Page 17: Understanding the Health Risk of PFAS in Drinking Water ... · 7.11.2019  · Understanding the Health Risk of PFAS in Drinking Water - November 7, 2019, Presentation Author: Yang,

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Enforcement Standard

Preventive Action Limit

Page 18: Understanding the Health Risk of PFAS in Drinking Water ... · 7.11.2019  · Understanding the Health Risk of PFAS in Drinking Water - November 7, 2019, Presentation Author: Yang,

Public health enforcement standards can be based on:

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EPA health-based value

Federal number

State drinking water standard

Technical information

Page 19: Understanding the Health Risk of PFAS in Drinking Water ... · 7.11.2019  · Understanding the Health Risk of PFAS in Drinking Water - November 7, 2019, Presentation Author: Yang,

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In March 2018, DNR requested that DHS develop groundwater standards for PFOA and PFOS.

Page 20: Understanding the Health Risk of PFAS in Drinking Water ... · 7.11.2019  · Understanding the Health Risk of PFAS in Drinking Water - November 7, 2019, Presentation Author: Yang,

PFOA and PFOS are the most commonly detected PFAS in blood.

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Perfluorooctanoic acid (PFOA)

Perfluorooctane sulfonate (PFOS)

Page 21: Understanding the Health Risk of PFAS in Drinking Water ... · 7.11.2019  · Understanding the Health Risk of PFAS in Drinking Water - November 7, 2019, Presentation Author: Yang,

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We do not know how much PFAS has to be in our blood to cause health effects.

Page 22: Understanding the Health Risk of PFAS in Drinking Water ... · 7.11.2019  · Understanding the Health Risk of PFAS in Drinking Water - November 7, 2019, Presentation Author: Yang,

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Many studies have evaluated the health effects of PFOA and PFOS in research animals.

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Babies are most sensitive to the effects of PFOA and PFOS.

Page 24: Understanding the Health Risk of PFAS in Drinking Water ... · 7.11.2019  · Understanding the Health Risk of PFAS in Drinking Water - November 7, 2019, Presentation Author: Yang,

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In 2016, EPA established a combined health advisory of 70 ng/L for PFOA and PFOS.

Page 25: Understanding the Health Risk of PFAS in Drinking Water ... · 7.11.2019  · Understanding the Health Risk of PFAS in Drinking Water - November 7, 2019, Presentation Author: Yang,

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21 days

840 days

PFOS and PFOA stays in people longer than animals.

4 days

Page 26: Understanding the Health Risk of PFAS in Drinking Water ... · 7.11.2019  · Understanding the Health Risk of PFAS in Drinking Water - November 7, 2019, Presentation Author: Yang,

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PFOA EPA used a model that estimates exposure to pregnant women.

Page 27: Understanding the Health Risk of PFAS in Drinking Water ... · 7.11.2019  · Understanding the Health Risk of PFAS in Drinking Water - November 7, 2019, Presentation Author: Yang,

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We continue to learn about the health effects of PFAS.

Page 28: Understanding the Health Risk of PFAS in Drinking Water ... · 7.11.2019  · Understanding the Health Risk of PFAS in Drinking Water - November 7, 2019, Presentation Author: Yang,

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PFOA and PFOS can cross the placenta during pregnancy.

Page 29: Understanding the Health Risk of PFAS in Drinking Water ... · 7.11.2019  · Understanding the Health Risk of PFAS in Drinking Water - November 7, 2019, Presentation Author: Yang,

PFOA and PFOS

can pass through breastmilk.

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PFOS may increase the risk for asthma, food allergies, and certain infectious diseases.

Page 31: Understanding the Health Risk of PFAS in Drinking Water ... · 7.11.2019  · Understanding the Health Risk of PFAS in Drinking Water - November 7, 2019, Presentation Author: Yang,

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In June 2019, DHS recommended a groundwater standard of 20 ng/L for PFOA and PFOS.

Page 32: Understanding the Health Risk of PFAS in Drinking Water ... · 7.11.2019  · Understanding the Health Risk of PFAS in Drinking Water - November 7, 2019, Presentation Author: Yang,

DHS’ recommended standard for PFOA and PFOS are based on:

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EPA health-based value

Federal number

State drinking water standard

Technical information

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Page 34: Understanding the Health Risk of PFAS in Drinking Water ... · 7.11.2019  · Understanding the Health Risk of PFAS in Drinking Water - November 7, 2019, Presentation Author: Yang,

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PFOA We recommend using a model that estimates exposure in infants.

Page 35: Understanding the Health Risk of PFAS in Drinking Water ... · 7.11.2019  · Understanding the Health Risk of PFAS in Drinking Water - November 7, 2019, Presentation Author: Yang,

We recommend a combined standard for PFOA and PFOS. Both chemicals cause the same critical effect.

Both have a long half-life in people.

Both affect activate the same biological pathways.

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Page 36: Understanding the Health Risk of PFAS in Drinking Water ... · 7.11.2019  · Understanding the Health Risk of PFAS in Drinking Water - November 7, 2019, Presentation Author: Yang,

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We are working on standards for up to 20 more PFAS.

Page 37: Understanding the Health Risk of PFAS in Drinking Water ... · 7.11.2019  · Understanding the Health Risk of PFAS in Drinking Water - November 7, 2019, Presentation Author: Yang,

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Most people have some PFAS in their blood.

PFAS can cause health effects in people.

DHS recommends a standard of 20 ng/L for PFOA and PFOS.

DHS is working on standards for more PFAS.

Page 38: Understanding the Health Risk of PFAS in Drinking Water ... · 7.11.2019  · Understanding the Health Risk of PFAS in Drinking Water - November 7, 2019, Presentation Author: Yang,

Thanks!

Sarah Yang, Ph.D. Groundwater Toxicologist

Bureau of Environmental and Occupational Health Division of Public Health

Wisconsin Department of Health Services

[email protected] 608-266-9337

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