Health implications of arsenic in drinking water

Abstract

Definitive answers regarding arsenic health risks at low exposures will be elusive without additional research. The adequacy of the current maximum contaminant level (MCL) for arsenic is being evaluated by the US Environmental Protection Agency. If recent theoretical estimates of chronic effects and cancer risks prove accurate, the current MCL may not effectively protect health. Knowledge of arsenic pharmacokinetics and mechanisms in humans, however, is not complete enough to provide a definitive answer, and current epidemiologic evidence is too inconsistent and too fraught with uncertainty regarding arsenic exposure to be helpful in assessing low‐level risks.