Research has suggested that trihalomethane exposures during pregnancy might impair fetal growth. Most epidemiologic studies, however, relied on relatively crude exposure assessment methods and did not examine racial/ethnic subgroups. During 1999–2001, vital records data were obtained for a large, racially diverse population residing in 27 Massachusetts communities that received drinking water from a single public utility. The water system was monitored weekly for trihalomethanes and, system-wide, it maintained geographically stable total trihalomethane levels during the study period. The authors examined the effects of trimester-specific and pregnancy average exposures to total trihalomethane in drinking water on term low birth weight in all singleton births. A high average total trihalomethane exposure (70 µg/liter) during the second trimester increased the risk of term low birth weight (odds ratio = 1.50, 95% confidence interval (CI): 1.07, 2.10). The estimated risk increase for Caucasians during the second trimester was 37% (95% CI: 0.80, 2.36), while for all minority women combined (i.e., African Americans, Hispanics, and Asians) it was 60% (95% CI: 1.03, 2.47). The study data suggest that high levels (70 µg/liter) of trihalomethanes experienced during the second trimester and pregnancy overall may affect fetal growth.

Soluble aluminum (Al3+) may react with both ambient silica and antiscalant components to form colloidal foulants during reverse osmosis (RO) treatment. Whereas conventional treatment (coagulation/filtration/ sedimentation/dual-media filtration) was being used prior to RO, aluminum sulfate (alum) and polyaluminum chloride (PACl) coagulants were evaluated at ambient pH (pH 7.8-7.9) and suppressed pH (pH 6.7) in an effort to lower the total aluminum to below 50 mu g/L - a level previously observed to prevent RO membrane fouling. Additional tests were conducted with 5 mg/L citric acid added to the RO influent to chelate the soluble aluminum fraction. All tests were conducted with 1.5-2.5 mg/L chloramines present. Testing of a RO process fed with optimized alum- or PACl-coagulated water showed that PACl outperformed alum regardless of pH. Alum coagulation at ambient pH resulted in 184-273 mu g/L total aluminum passing through the filtration process. Only by lowering the mean influent water pH to 6.7 was the mean soluble aluminum residual (45 mu g/L) for alum coagulation reduced to below the 50 mu g/L aluminum goal. Regardless of pH, for alum-coagulated waters, the higher aluminum carryover resulted in severe RO membrane fouling within 500 h of operation. Only when a chelating agent (citric acid) was added to the RO feed was the loss in productivity and selectivity arrested. However, PACl consistently met the 50-mu g/L goal for both total and soluble aluminum for all pH levels tested, which resulted in more stable membrane performance over time. Further research on the compatibility of PACl and polyamide membranes in the presence of chloramines is needed as data from this project suggest PACl coagulation may facilitate membrane oxidation.