H E ALTH
SERIES
   Bottled Water
     Basics
               SSN

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Table of Contents
                               Bottled water basics	  pg.2

                               Advice for people with severely compromised
                               immune systems (Sidebar)	  pg2

                               Know what you're buying	  pg.3

                               Taste considerations	  pg.4

                               Bottled water terms (Sidebar)	  pg.4

                               Begin by reading the label	  pg.5

                               Type of water and source	  pg.5

                               Contaminants and methods of treatment....  pg.6

                               Common bottled water
                               treatments (Sidebar)	  pg.6

                               Certification	 pg.7

                               Contact information	 pg.8

                               FDA bottled water
                               standards (Sidebar)	  pg.8

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Advice  for  people  with
severely    compromised
immune systems

Some people may wish to take
special precautions with the water
they drink  In particular, people
with immune systems that are
weakened by AIDS, chemothera-
py or transplant medications are
more vulnerable to microbial con-
taminants in drinking water such
as Cryptosporidiim.

Cryptosporidium is  a microscopic
parasite that lives in the intestine of
infected animals and humans. It
passes in the stool in its dormant
oocyst fbrm.The oocyst is protect-
ed by an outer shell that allows it
to survive outside  the body  for
long periods of time and makes it
very resistant to  chlorine-based
disinfectants. It occurs  mainly in
surface water sources, such  as
lakes, streams and rivers. In healthy
adults, Cryptosporidium can cause ill-
ness, but for people with weakened
immune  systems,  it can  cause
severe illness and even death.

Those who wish to take extra
measures to avoid waterborne
cryptosporidiosis can bring their
drinking water to a boil for a full
minute. Boiling water  is  the
most effective way of killing
Cryptasporidium.As an alterna-
tive to boiling water, people may
take the following measures:

Use a poinbof-use filter

Consider using point-of-use (per-
Bott/ed water basics
Bottled water is the fastest growing drink choice
in the United States, and Americans spend bil-
lions of dollars each year to buy it (Beverage
Marketing Corporation, 2004) Some people
drink bottled water as an alternative to other
beverages; others drink it because they prefer its
taste or think it is safer than their tap water.

Whether it travels through a pipe to your home or
comes packaged in a bottle, safe drinking water is
essential to good health. All our drinking water
comes from similar sources, either from sources we
can see, such as rivers and lakes, or from  sources
we can't see, such as underground aquifers.

In the same  way that tap water's taste  and quality
may vary from place to place, so too does bottled
water's taste and quality  vary among and even
within brands.The taste and quality of both bot-
tled  water and tap water depend on the source
and  quality of the water, including its natural
mineral content and how, or if, the water is treated.

Drinking water (both bottled and tap)  can rea-
sonably be expected to contain at least small
amounts of some contaminants.The presence of
contaminants does not necessarily indicate that
the water  poses a health risk. For example, min-
erals such as magnesium  and calcium give water
a distinctive  flavor,  and are essential to the body.
At high levels, however, these and other contami-
nants, such as pesticides or microbes from human
wastes, can cause adverse effects or illness.

To make sure that  all water is safe to  drink, the
U.S.  Environmental Protection Agency (EPA) and
the U.S. Food and Drug Administration (FDA) set
drinking water standards. EPA sets standards for tap

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sonal use, end-of-tap, under sink)
filters that remove particles one
micrometer or less  in diameter
Filters that use reverse osmosis,
those labeled as "absolute one
micron filters," or those labeled as
certified by an American National
Standards   Institute   (ANSI)  -
accredited    organization    to
ANSI/NSF Standard 53 for "Cyst
Removal"  provide the  greatest
assurance     of     removing
Cryptosporidium.As with all filters,
follow the manufacturer's instruc-
tions for filter use and  replace-
ment

Use battled water

Check the label or call the bottler
to find out how bottled water is
treated.  The  following  bottled
water treatments protect against
Ctyptosporidum: reverse osmosis,
distillation, ultraviolet light, or filtra-
tion with an absolute one micron
filter. Bottled waters derived from
protected well and spring water
sources are less  likely to be con-
taminated by Cryptosporidiim than
those containing untreated munic-
ipal drinking water from less pro-
tected sources such as rivers and
lakes.

Those who choose to take these
precautions  should  remember
that they  can be  exposed  to
waterbome  pathogens  through
water used for brushing  teeth,
making ice  cubes, and  washing
fruits and vegetables - not just
through water they drink
water provided by public water suppliers; FDA sets
standards for bottfed water based on EPA standards.
Bottfed water and tap water are both safe to drink if
they meet these standards, although people with
severely weakened immune systems or other specific
health conditions may wish to further treat tfte/'r water
at home or purchase high quality bottfed water.

FDA regulates  bottled water as a packaged food
under the Federal Food, Drug  and Cosmetic Act
and has established standards of identity and
quality for bottled water. FDA  has  also established
good manufacturing practice requirements for
processing and bottling drinking water.

EPA encourages all Americans  to learn more about
the quality of their drinking water, both tap water
and bottled water, before deciding  whether to
drink tap water, bottled water,  or both. If your
water comes from  a public water system,  the best
way to learn more about tap water is to read your
water supplier's annual water quality report. If
your water comes from a household well,  EPA  rec-
ommends testing the water regularly for bacteria,
nitrates, and other contaminants.The best way to
learn more about bottled water is to read its label,
or contact the  producer directly.

Know what you're  buying	

Bottled water is much more expensive, per gallon,
than tap water. Because of this, consider whether
you are buying it as a healthy alternative to bottled
beverages, for its taste, or for other reasons.

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Bottled Water Terms

The following terms are fre-
quently   used  on   bottled
water labels to describe the
water's      characteristics,
sources,  and   methods  of
treatment.

Artesian   water,   ground
water,  spring  water,  well
water - water from an under-
ground  aquifer which may or
may  not  be  treated.  Well
water and artesian water are
tapped through a well. Spring
water is collected as it flows
to the surface  or via a bore-
hole. Ground  water can  be
either.

Distilled water - steam from
boiling water is recondensed
and  bottled. Distilling  water
kills  microbes  and  removes
water's  natural  minerals, giv-
ing it a flat taste.

Drinking  water  -  water
intended for human consump-
tion and sealed in bottles or
other containers   with  no
ingredients except that  it may
optionally  contain   safe  and
suitable disinfectants. Fluoride
may be  added within limita-
tions set in the bottled water
quality standards.

Mineral water  -   Ground
water that naturally contains
250 or more parts per million
of total dissolved solids.
Taste  considerations
Many people prefer
bottled  water
because of its taste.
The taste of all water
has to do with the way
it is treated and the
quality of its source,
including its natural
mineral content Most
boated water  comes
from a ground water
source, where water
quality varies less from
day to day, or is treat-
ed and immediately bottled. Bottled water from a ded-
icated source  or plant may have a more consistent
taste than tap water, which mostly comes from sur-
face sources and  must travel through pipes to reach
homes.

One of the key taste differences between tap water
and boated water is due to how the water is disinfec-
ted.Tap water may be disinfected wtth chlorine, chlo-
ramine, ozone, or  ultraviolet light to kill disease
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Prcran og
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Purified water - water that
originates  from  any source
but has been treated to meet
the        U.S.
Pharmacopeia
definition    of
purified  water.
Purified water is
essentially free
of all chemicals
(it   must   not
contain   more
than  10  parts
per  million  of
total  dissolved
solids), and may
also be free of
microbes     if
treated by  dis-
tillation or reverse  osmosis.
Purified water may alternately
be labeled according to how
it is treated.

Sterile  water - water that
originates from any source,
but has been treated to meet
the U.S. Pharmacopeia stan-
dards    for    sterilization.
Sterilized  water is free from
all microbes.

Note: Carbonated water,
soda water, seltzer water,
sparkling water,  and  tonic
water are  considered  soft
drinks and are not regulated
as bottled water.
                 Begin  by reading the label
      To learn about the quality of bottled water,
      begin by reading the label. In addition  to the
      volume of water, any pertinent nutritional claims,
      and any contact information for the bottler, the
      label may include the type of bottled water, its
      source, and the way in which it is treated. For
      more specific information, you may need to
      contact the bottler directly.

      Type of water and source:
      Bottlers use standard identifiers, prescribed by
      FDA regulations, to describe their water (Bottled
      water terms, pgs 4 and 5), but the meanings
may be different than you expect These terms refer to
both the geological sources  of the water and the
treatment methods applied to the water. Trie
terms don't necessarily describe the geographic
location of the source or determine its quality.

For instance,"spring water"can be collected at the
point where water flows naturally to the earth's surface
or from a borehole that taps into the underground
source. Other terms used on the label about the
source, such as "glacier water" or "mountain water"
are not regulated standards of identity and may not
indicate that the water is necessarily from a pristine
area. Likewise, the term, "purified," refers to processes
that remove chemicals and pathogens. "Purified
water" is not necessarily free of microbes - though it
may be.

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Common  Bottled Water
Treatments

Distillation - water is boiled,
and the  steam is condensed
to remove salts,  metals, min-
erals, asbestos, particles, and
some   organic    materials.
Microbes are killed, including
Cryptosporidium.

Micron  Filtration - water is
filtered through screens with
microscopic  holes. The small-
er the filter  holes, the more
contaminants the  filter  can
remove.  Good  filters  can
remove  most chemical con-
taminants   and    microbes.
Filter holes are measured  in
microns. (The period at the
end  of this  sentence is  500
microns.) When  considering
BoHfed water must be tested and meet regulatory stan-
dards before it can be sold in the US. (See page 8 for
details.) Bottfed water, like tap water, can come from a
ground water source, such as a well or spring or a sur-
face water source, such as a river or stream. Most bot-
tled water comes from a ground water source. Ground
water is typically less vulnerable to contamination than
water from surface sources. However, ground water can
still contain naturally high amounts of certain contami-
nants, including radioactive e/ements, arsenic, and
nitrates, or be vulnerable to contamination from human
activities, such as industrial waste, faulty septic systems,
and underground gas or chemical tanks.

Some boflfed water comes from  surface water
sources. This water typically comes from a public
water system and receives additional treatment, such
as filtration and disinfection, before it is  bottled.

BoHfers must list on the label the type of bottfed water
(such as spring water, mineral water, or drinking water). If
the water comes from a public water system and has not
been treated to meet FDA's definition of "purified" or
"sterile" water, the label must state that the source is from
a community water system.

Contaminants and methods of
treatment:	

/f you are concerned about a particular  contaminant in
your drinking water, consider the following questions: Is
the source water likely to contain the contaminant? Has
the water been treated to remove the contaminant?

Water that originates from a protected ground water
source is less likely to contain certain contaminants
(such as disease
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filter  size,   look  for   an
absolute (the largest  hole),
not  nominal  (the average
hole) rating. An absolute one
micron   filter  is  needed  to
remove Cryptosporidium.

Ozonation - water is  disin-
fected  using ozone,  which
kills  most microbes, depend-
ing on dosage applied.

Reverse Osmosis  - water is
forced  under pressure  to
pass  through  a  membrane,
leaving  contaminants behind.
This  process removes  all
microbes, minerals, color, tur-
bidity, organic and inorganic
chemicals.

Ultraviolet   (UV)  light  -
water is passed through UV
light,   which   kills   most
microbes,    depending    on
dosage applied.
The best way to know if the water you are drink-
ing is free from the contaminant(s) you are con-
cerned about is to contact the bottler and ask for
the latest testing results and whether the water
has been treated to remove the contaminant.

Many public water systems add fluoride to their
water; most bottlers do not tf bottled water is fluoridat-
ed, it must indicate so on the label, though bottfed
water and tap water can contain naturally occurring
fluoride. Check wtth your public water system or bottler
to find out if the water you drink contains  fluoride.

Certification	

Neither EPA nor FDA certify bottfed water. However,
consumers may notice a logo or seal from two  other
organizations on  the label.

The International Bofl/ed Water Association (IBWA) is a trade
organization for water battlers. IBWA members must meet trie
organization's "model code" and are subject to annual inspec-
tions by an independent ihird party. Bottlers belonging to
IBWA frequently indicate membership on iheir labels.

NSF International - Bottfed water certified by NSF under-
goes additional testing by unannounced annual plant
inspections. NSF certifications mean that the bottler
complies with all applicable FDA requirements, includ-
ing good manufacturing practices.

Underwriters Laboratories, Inc. (UL) is an independent
accredited testing and certification organization that
tests boflfed water to FDA state, and IBWA model code
requirements.
                      If you use a water cooler, remember to
                      dean and sanitize it regularly according
                      to the manufacture's instructions.

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FDA Bottled Water
Standards

Any bottled water sold in
interstate  commerce  in  the
United States including prod-
ucts that  originate overseas
must meet the following mini-
mum federal standards (check
with your health  department
to  see  what  bottled  water
standards  exist  for  brands
produced, bottled,  and sold
entirely in  one state):

Bottled water must meet FDA
standards  for physical, chemi-
cal, microbial, and radiological
contaminants.When EPA sets a
new standard for a contami-
nant in tap water, FDA must
establish a new standard for
the same contaminant in bot-
tled water or find that EPA's
new standard is not applicable
to bottled  water.

Bottlers   must  include  the
name of the product and type
of water; the name and address
of the manufacturer, packer, or
distributor; and the net con-
tent on their labels.

New  bottled  water sources
must be approved by a state or
local jurisdiction. Bottlers must
also test their sources and fin-
ished  bottled water products
For more information on bottled water:

Contact #7e bottler directly, ask for its latest testing
results, and compare these results wtth EPA's tap water
standards (www.epa.gov/safewater/mcl.html) or FDA's
bottled water standards to  determine its quality.

Food and Drug Administration
Center for Food Safety and Applied Nutrition
Outreach and Information Center
5100 Paint Branch Parkway
HFS-555
College Park,MD 20740-3835
www.cfsan.fda.gov
(888) SAFEFOOD; (888) 723-3366

International Battled Water Association
1700 Diagonal Road, Suite 650
Alexandria,VA223l4
www.bottledwater. org
ibwainfo@bottledwater.org
(800) 928-3711

NSF International
P.O.Box 130140
Ann Arbor, Ml 48113-0140
www.nsf.org
info@nsf.org
877-8-NSF-HELP; (877) 867-3435

Underwriters Laboratories, Inc.
110 South Hill Street
South Bend, IN  46617
www.ULcomlwater
water@us.ul.com
(800) 332-4345

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at least once a week for micro-
biological contaminants and at
least once a year for physical,
chemical, and radiological con-
taminants.

If bottled water is found to
be adulterated  or  hazardous
to health, it is subject to FDA
enforcement  action, such as
seizure of domestic products
and   refusal   of  entry  of
imports.

Bottlers  must operate  their
plants in accordance  with
FDA's good manufacturing
practices to ensure that their
bottled  water  products are
safe and produced  under safe
and sanitary conditions.

Contact EPA for  standards
for the tap water provided
by public water systems, or
see www.epo.gov/sofewoter/
me/, html.
For more information about tap water:

To learn about the quality of your tap water, contact
your water supplier and ask for the annual consumer
confidence reportThis report will list what contami-
nants have been detected in the water, and how those
levels compare with EPA's standards.

EPA's Safe DrinkingWater Hotline
I (800) 426-4791
www.epa.gov/sofewater- includes drinking water
standards, state certification officers for water testing
and information for household well owners.

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  www.Epa.gov
September 2005

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