Showing posts with label health. Show all posts
Showing posts with label health. Show all posts

Tuesday, March 10, 2009

Wading into debate over arsenic risks — Many factors to consider in finding safe level of contaminant in area water supply

Editor’s note: This is a continuation of an examination of arsenic levels in drinking water. For last week’s story, on March 4.

By Jenny Neyman
Redoubt Reporter

When Susan Bulkow, the local Alaska Drinking Water Program coordinator with the state Department of Environmental Conservation, gets a phone call from a central Kenai Peninsula resident asking about arsenic in the water supply, the question is usually straightforward:

Should I be concerned?

Her answer isn’t straightforward. In most cases, there is no simple “Yes” or “No” to that question, because there are no simple answers to many questions regarding arsenic.

The best Bulkow can do is offer information, wade carefully into the debates that swirl around arsenic contamination, and let residents decide the answer for themselves.

Epidemic or not?
A few things are widely agreed upon when it comes to arsenic — it’s here, and it’s bad for you. It’s been linked to cancer, and can contribute to a slew of other health problems, including fatigue, skin damage and problems with the circulatory system. Some level of arsenic routinely shows up in water samples across the central peninsula, in city and private wells.

What does that mean for peninsula residents? Is arsenic an epidemic that warrants a run on bottled water and filtration systems, where every glass of tap water is a tumor waiting to happen?

Or is it less dramatic than that — more a cause for routine concern, like replacing smoke detector batteries and making sure the garage door is open when warming up the car?

It’s a difficult question to answer, because some of the information necessary to make the leap from “if this” to “then that” is missing.

The biggest hole is in records, as a result of regulation. The Environmental Protection Agency regulates and monitors arsenic levels in public water supplies — from cities and other municipalities — but there is no oversight of private wells. Banks require water quality tests on nitrates and coliform bacteria levels in private wells when homes are bought and sold, but no entity requires arsenic testing.

As a result, and since arsenic is undetectable by taste, sight and smell, many homeowners on private wells simply don’t know how much arsenic is in their water. And there are no comprehensive records of arsenic levels in private wells on the central Kenai Peninsula to accurately gauge how widespread contamination is.

There is anecdotal information available, but some points to arsenic being an epidemic problem, and some points the other direction.

Dr. Robert Thompson, with a practice in Soldotna, said he has recommended over 1,000 patients get hair mineral analysis done in the past five years, which in part measures the level of arsenic in their systems. He believes arsenic is a significant concern.

“It’s a huge problem on the peninsula. About 80 percent of the wells, based on the testing I’ve seen, have high arsenic levels,” Thompson said. “I’m more surprised when they’re not elevated than when I see them when they are elevated.”

Mike Polocz, who offers arsenic testing with Culligan Water, said he’s routinely found high levels of arsenic in private wells he’s tested —up to 70 parts per billion or more. He agrees with Thompson that high levels occur particularly in certain areas, including Sterling, along Kalifornsky Beach Road and near Sports, Longmere and Mackey lakes.

Mike Tauriainen, owner of Tauriainen Engineering and Testing, in Soldotna, which is certified to conduct water analysis and forwards water samples to Anchorage for arsenic testing, said arsenic isn’t a huge concern.

“It varies from nondetectible — below the detection limit, probably down under 1 part per billion, which is an incredibly small amount — to over 100 parts per billion. But that’s uncommon. We have seen a few samples come in at over a hundred,” he said.

Tauriainen estimated that 1 percent to 5 percent of the water samples he sees test high for arsenic.

“We are blessed with pretty good water on the peninsula, as far as health concerns go,” Tauriainen said. “My personal opinion is that it’s generally not a very significant factor, but some people are more sensitive to different minerals, including arsenic. At the allowable level of 10 parts per billion, I don’t think that there’s any significant cause for concern.”

He also said he hasn’t seen evidence of arsenic showing up in higher concentrations in some areas than others. Arsenic levels, and water quality in general, can vary by area, but well depth probably has more to do with arsenic than location, he said.

“We really haven’t done a study of it, but I haven’t really noticed that one particular area has more than others,” Tauriainen said.

“Typically, the deeper the well, the more likely it is to have arsenic, because water has been in residence longer with arsenic. But it’s not a hard and fast rule.”

A rising tide?
A misperception Bulkow has heard is the level of arsenic in the water supply is rising.

“I’m not aware of there being an increase associated with arsenic,” she said.
There has been a concern that earthquakes and seismic activity lead to an increase of arsenic in water, but that’s probably not the case, she said. Probably.

“It is possible that some earthquakes could loosen deposits, and you could temporarily see an increase. We don’t know. We haven’t actually done that kind of testing to substantiate those claims. We have had other people tell us that they believe there is a correlation,” Bulkow said.

Tauriainen said he doesn’t think the typical magnitude of earthquakes felt on the central peninsula cause long-term changes in water quality.

“We don’t have evidence of that. We have not done a study, but normally the levels will stay roughly the same,” he said.

Maybe if the central peninsula contained more bedrock, earthquakes might fracture the rock and introduce more arsenic-bearing sediments into underground aquifers. But central peninsula communities sit on 1,000 feet of unconsolidated sediments, Tauriainen said, which may shift around during earthquakes, but don’t crack or undergo a large amount of upheaval.

However, aquifers can and do change, and wells can go dry or produce more water, or bring up new sediments if pumped hard. All of which could potentially affect water quality.

“If you’ve never tested private wells for (water) quality, you should, and if you have tested it in the past, it doesn’t hurt to get tested again to make sure you’re comfortable with those test results,” Bulkow said.

She said the increased buzz about arsenic is more likely due to increased attention on arsenic than increasing arsenic levels. The increased attention has come because the Environmental Protection Agency lowered the limit of arsenic contamination allowed in public water sources.

The maximum contaminant level was lowered from 50 parts per billion to 10 parts per billion in 2006. The lower limit meant an increased number of water sources exceeded the allowed level of arsenic, but it doesn’t mean the amount of arsenic changed, Bulkow said. It’s just that 40 ppb was considered fine prior to 2006, and over the limit post 2006.

Reaching the limit
How much is too much is a basic question in determining a resident’s risk from arsenic, but debate swirls over what that level should be.

Prior to 2006, the EPA’s maximum contaminant level of 50 ppb was thought to be the difference between safe and not. And some people still think it is, even after the maximum contaminant level was lowered to 10 ppb.

“There’s a lot of conflicting data on arsenic. People believe the mcl is too high, and there are some that say the mcl is low,” Bulkow said.

“EPA is constantly looking at new research data that’s available to determine whether their current standards are consistent with what is being discovered in the lab and through reporting of discoveries and through the CDC (Centers for Disease Control and Prevention) and other agencies. If they look at the data and decided the mcls were set too high, they revisit them and lower them. That’s what they did with arsenic,” she said.

Opponents of the lower mcl level point out that many of the studies done on arsenic took place in Third World countries, where poverty, poor sanitation and other factors already contributed to compromised health, Bulkow said.

She also said the arsenic limit assumes a sole water source, which typically isn’t the case.

“The mcl is set on the idea people drink the same water source every day all your life — 2 liters a day out of the same source. Most people don’t drink all their water all their whole life from one source,” she said.

Arsenic exposure of 200 ppb is toxic to a human. But arsenic is bioaccumulative, meaning even low-level exposure over time can build up to the point where it impacts health. Having over 10 ppb arsenic in a person’s system can increase their cancer risk by 30 percent, Thompson said.

But people, just like their wells, are different. Some people are more susceptible to effects from arsenic than others, just as some may drink more water than others. Even among the heavy water drinkers, some get more from their home water source, while others drink it from work, bottled from the store or from other sources.

All those variables make it difficult to determine one standard limit that is theoretically safe for all, whether it’s 10 ppb, 50 ppb or somewhere in between.
“We have to set the level someplace, so EPA is saying 10 is the level you should be concerned about. We have to draw the line somewhere, and the lines move,” Bulkow said. “It’s always based on more evidence and study and EPA is trying to do the best we can to protect public health with data we have at the time.”

Rather than being concerned over where the limit is set, Bulkow recommends residents use the 10 ppb limit as a guideline for considering their own individual arsenic exposure risk and deciding what they should do about it.

“I think what they should be concerned about is whether they have arsenic in the water and whether it should be treated,” Bulkow said.

She said people should have their water tested by a certified lab, discuss those results with their physician and a water treatment professional and decide from there whether, and how extensively, they should filter their water.

“They can look at the overall exposure risks that they have and look at their treatment options. I don’t want people to overreact because they all of a sudden find out they have arsenic in their water. But nobody ever feels like they’re overreacting to public health risks. I just want people to take it into perspective,” Bulkow said.

In the absence of regulations extending to private water sources, individual choice comes to the fore.

“Between 10 and 50 parts per billion, according to the EPA, is a concern,” Tauriainen said. “I’m not sure that it is, but for some people it is a concern. If somebody isn’t sleeping well at night because they’re worried about their water, it’s worth putting some kind of treatment on it.”

Tuesday, March 3, 2009

Arsenic on tap — Contaminant levels in area wells create murky issues



Editor’s note: Next week’s Redoubt Reporter will continue an examination of arsenic levels in drinking water, focusing on the perspective that arsenic contamination is not a serious concern.

By Jenny Neyman
Redoubt Reporter

Think before you drink.

That phrase usually refers to booze, as in campaigns to prevent drinking and driving or admonishing mothers against fetal alcohol syndrome.

On the central Kenai Peninsula, there’s a much more common beverage that requires attention — plain, old, unassuming water.

Filling up a glass at the tap from houses on private wells and even municipal sources may get residents more than they bargained for, including an increased risk of cancer and a whole slew of side effects, from fatigue and skin discolorization to respiratory tract irritation and possibly even seizures.

That’s because most drinking water in the area contains arsenic, a toxin that comes from minerals dissolving into underground aquifers. There isn’t much argument over whether arsenic is in the water, even through it isn’t detectable by sight, smell or taste, or that some wells have arsenic levels high enough to pose health risks and warrant the instillation of costly water filtration systems.

Other issues regarding arsenic stir up debate.

How much is too much?

How widespread are high arsenic levels?

For that matter, what level of arsenic is considered high?

Answers vary. Some describe a situation that is near epidemic, posing serious health risks to the majority of the population.

“The level of the significance of it on the peninsula is so ridiculously high that I think every single person should have their well tested specifically for arsenic,” said Dr. Robert Thompson, who has tested and treated patients for high arsenic levels in his Soldotna practice for the past five years.

Not only are dangerously high arsenic levels common in water sources on the central Kenai Peninsula, but most people have no idea their water is contaminated because there are no regulations requiring arsenic testing or setting acceptable contaminant limits for private wells, Thompson said.

Others say it isn’t that big of an issue and that concern over arsenic may be a misperception stemming from the Environmental Protection Agency a few years ago changing the maximum amount of arsenic allowed in municipal water sources, which are governed under the Clean Water Act. The allowed limit was lowered, but that doesn’t mean the amount of arsenic has increased.

“Generally on the Kenai Peninsula we have good water. As far as health concerns, it’s generally good,” said Mike Tauriainen, owner of Tauriainen Engineering and Northern Test Lab in Soldotna, which does water analysis.

When arsenic is concerned, one thing is clear — it’s a murky subject.

Water woes
Janette MacDonald chocked up her weight gain and diminishing energy to getting older.

She’d always been fit and active, doing rodeo when she was younger. She still works out an hour a day, on top of the physical demands of taking care of her and her husband’s livestock and running the Sterling Moose River Dog Kennel they operate out of their home. The MacDonalds eat well, avoiding most processed food and even raising their own beef. And she drinks water “like a cow,” she said, downing several liters a day from her kitchen faucet.

Despite all that, she gained 60 to 70 pounds over about five years, and no amount of diet or exercise would take it off. Her energy level was shot to the point where she’d have to take naps during the day just to recharge enough keep the kennel up. Her hair was brittle and falling out, she developed skin spots and nail discoloration, and was having trouble with her memory. She was 50 at the time, in 2006, and figured it was all an inevitable part of age catching up with her.

“I was fighting the weight but I thought, ‘Well, I’m just not eating very good.’ We push all this off as we’re aging, we’re getting older, our bodies aren’t responding as well. We need to eat better and exercise more, but that just makes you tireder,” MacDonald said.

In March 2006 she went with her daughter to an appointment with Dr. Robert Thompson in Soldotna. Being acquaintances through kenneling Dr. Thompson’s dog on occasion, he asked how MacDonald was doing. She didn’t hesitate in telling him she felt like hell.

Thompson is a proponent of measuring and addressing mineral deficiencies in patients to improve their health, rather than prescribing medication for a host of ills. It’s a philosophy he developed in writing his book, “The Calcium Lie,” and in developing a treatment strategy for hyperthyroidism (an underactive thyroid), which he said is a common problem for people who are overweight.

“I’m just trying to take better care of patients,” Thompson said. “The way we practice medicine today is not right, it’s messed up. We can’t presume to get people better with pills. Somewhere along the way in medical school we forgot about the biology of disease and figure if you have a medical problem you must have a drug deficiency.”

Thompson recommended MacDonald have a hair mineral analysis done. A hair sample was sent to a lab in Texas and analyzed to determine the levels of minerals and toxins in MacDonald’s system. The results came back showing McDonald’s arsenic level was off the charts at 204 parts per billion. The recommended limit is 10 ppb. The chart from the lab only went up to 70 ppb.
“I was like, ‘Oh, crap,” she said.

Her arsenic level was so high it was robbing her body of other, needed minerals, she said. Sodium, potassium, magnesium, zinc — “everything else was below the level it should be at,” she said. “Arsenic pulls all the good stuff out of you. Your body is so busy fighting it you don’t absorb any of the nutrients.”

Arsenic is bioaccumulative, meaning it builds up over time. At elevated levels it can contribute to a host of problems, including weight gain, fatigue, hair loss, skin rashes, pigmentation of nails, confusion, numbness in hands and feet, respiratory tract irritation, muscle aches, stomach problems and even seizures, and it can lead to an increase in free radical formation, which ages connective tissue in the body, Thompson said. It’s also linked to increased cancer risks, especially skin, lung and liver cancer.

“When is exceeds 10 parts per billion, it increases the cancer risk 30 times, and so it’s a real, significant problem from the long-term standpoint, as well as potentially a shorter-term standpoint,” he said.

Arsenic can come from a variety of sources, including eating some forms of seafood and some brands of store-bought chicken, and breathing smoke from burning treated lumber, Thompson said. But none of that would explain MacDonald’s high level. The most likely culprit was also the most mundane — her home drinking water.

The MacDonalds had their well water tested for arsenic, and sure enough, it came back at 70 ppb. The maximum level recommended by the Environmental Protection Agency is 10 ppb.

“It’s a huge problem on the peninsula, about 80 percent of the wells, based on the testing I’ve seen, have high arsenic levels,” Thompson said. “I’m more surprised when they’re not elevated than when I see them when they are elevated.”

MacDonald has lived in her house off Otter Drive in Sterling for about 20 years now and had no idea there was a problem with her water. After the diagnosis she and her husband, Charlie, had a water filtration system installed that removed arsenic from all the water used in the house, for drinking, cooking, bathing and cleaning.

“I never even heard of it. Nobody ever talked about it. I had no idea,” MacDonald said. “You look at the water and it looks good and it tastes good and that’s it. We had the best-tasting water in Sterling. It was clear and beautiful and it was sweet. People would come fill up water jugs at our house. Now it’s on a filter and it’s flat-tasting.”

MacDonald’s husband and daughter had their arsenic levels tested and they were found to be slightly elevated, but nowhere near the degree hers was. But she’s lived in the home longer and works there running the kennel, so tap water was what she drank all day, every day, for 20 years. Charlie works as a Homer Electric Association lineman and isn’t around the house as much. Plus, he isn’t a big water drinker. Neither is MacDonald’s daughter.

Thompson has been recommending tissue analyses in his practice since 2000 among his patients in Anchorage and on the Kenai Peninsula. Anchorage patients show elevated arsenic levels occasionally, but it’s much more common on the peninsula, he said. He estimates having about 1,000 hair analyses done for patients in the last nine years of practice — the last five in Soldotna — and from those results said that arsenic “is a huge problem.”

“The Sports Lake area — everybody’s got high arsenic. Mackey Lake, same thing. And Longmere Lake, same thing — high arsenic levels. Every single well in that area has it. And when you eat the fish out of those lakes, guess what you’re getting — arsenic. Kenai, Nikiski, Kasilof — same problem,” Thompson said.

He speaks from personal experience, as well, after finding the drinking water at the house he brought on Sports Lake Road had an elevated arsenic level, he said.

“I think I lost about half the hair on my head within the first year I moved to the Sports Lake area until I realized what was going on,” he said.

Once a high arsenic level is diagnosed, the first step of treatment is preventing any more accumulation of the toxin. That means getting water from an uncontaminated source or, more feasibly for most people on private wells, installing a filtration system. Treatment options have changed over the years, and Thompson said he now prescribes a product called Metal-Free, a chelation agent that removes heavy metals by binding to the metal ions and flushing them out of the body. MacDonald said she also had treatment for an underactive thyroid, underwent feet detoxification treatments at a spa in Soldotna, and credits the support of her Taking Off Pounds Sensibly group, AK No. 164 in Soldotna, for helping her lose the weight she put on.

A year later, in April 2007, MacDonald had another hair analysis done. This one showed her mineral counts to be back to normal and her arsenic level down to 13 ppb. She lost about 60 pounds, her skin and nail discolorization was fading and she felt better than she had in years, she said.

“I’ve got energy all over the place now and I’m two years older,” she said.

Since the experience she’s made it her mission to inform people about the dangers of arsenic in drinking water. She’s told all her neighbors and friends to get their water tested, and her TOPS group had an information program about the subject.

“I would say a high percentage of the wells all have arsenic in them and a lot of them haven’t even tested their wells, and I’m on the bandwagon going, ‘Wait a second, guys, at least get your water tested. At least rule that out,’” MacDonald said. “Some say, ‘Oh, it’s not going to bother me.’ Well, it hasn’t yet, but arsenic builds up in your system. It doesn’t go away.”

Thirst for knowledge
If MacDonald and Thompson are on the bandwagon to warn people with private wells about arsenic, Mike Polocz from Culligan is taking the reins to raise public awareness. He said he’s alarmed not only about the level of arsenic he’s seen in private well water since he moved to the central Kenai Peninsula, but also the lack of knowledge about the situation.

“If this was happening down in Illinois when I was there, this would be all over the news. I mean all over. And I just don’t get it,” he said.

Culligan sells water filtration systems and for the last eight years has done arsenic testing, Polocz says. The test is a kit where Polocz adds a chemical to an unfiltered water sample, which turns a strip of paper a shade of orange or yellow, depending on the amount of arsenic in the water. The color is matched to a key to show the arsenic level. He said the test has an error rating of plus or minus 5, and shows arsenic levels in parts per billion.

He said his concern over the issue isn’t due to his company selling water filtration systems. He’s concerned about the health implications, he said. As such, he said Culligan is offering free arsenic water testing on all new wells, and for existing wells through the beginning of March. Otherwise the test costs $25.

“I didn’t think (arsenic) was that bad until I realized how high it’s gotten and how many are oblivious to its existence or effects,” Polocz said.

He said the frequency of finding high arsenic levels is increasing. He used to find a well with 70 ppb perhaps once a month, he said, but in February he tested two on Kalifornsky Beach Road that tested at 70 ppb at the same time. Well depths and differences in aquifers affect arsenic levels, and arsenic levels can differ at homes even right across the street. But by and large if a neighbor has a problem, the rest of the area probably does, too, he said. He also theorized that earthquake activity might increase arsenic levels in water, so that a previous test result years before may no longer be valid.

His own water, off Betty Lou in Sterling, had tested previously at 50 ppb. He tested it again recently and got a result of 80 ppb, he said.

“It’s a good thing I’m moving,” he said. “I’m probably a little paranoid. Now that I know about it, I get out of the shower and I’m looking at my arms and stuff.”

Polocz recommends a filtration system for drinking water that has 10 ppb of arsenic or higher. At 50 ppb, he recommends a whole-house filtration system, because arsenic can be absorbed through the skin at high levels.

“Treat all the water in your house so when you fill up the tub and put your kids in it you’re not putting them in 70 parts-per-billion arsenic,” he said.

Polocz has started putting colored dots on a map of the central peninsula hanging on a wall in the Culligan office to represent well sites that have tested high for arsenic, with large orange dots for 70 ppb and smaller ones for lesser levels. It creates a striking visual, with ominous clusters of color particularly in Sterling, the Sports Lake area and along Kalifornsky Beach Road.

Polocz said most people aren’t even aware there might be a problem, since arsenic testing isn’t required on private wells.

“I’m learning more and more about it every day,” he said. “Well drillers are happy when they’re under three parts-per-billion iron and it’s not coming out like tomato sauce. Hear no evil, see no evil. Once they hit good water under three parts-per-billion of iron, it is what it is.”

Tuesday, November 11, 2008

A chuckle a day keeps the doctor away

By Ann Marina
For the Redoubt Reporter

When Pat Porter conducts meetings at the Kenai Senior Citizens Center, everyone in the room starts laughing. Porter leads the center’s Laugh Club, which meets twice a week to practice stretching, breathing and laughter, the “best medicine,” as the old saying goes.

Not to be confused with Mayor Pat Porter, this Kenai resident with the same name is now retired from her job as Webmaster at the Peninsula Clarion.

Last year, Porter saw a news story on TV about the rising number of laughter clubs in the U.S.

“Something struck a note in me so I decided to start this club, to get adults laughing again,” she said.

Young kids usually laugh a few hundred times a day, while adults get maybe 15 hearty ha has, according to Barb Fisher, a laughter yoga instructor at the University of Michigan Health System.

“Laughter is a gift that has been given to us, to make us feel better,” Fisher said. “Children know this instinctively.”

Laughing produces the brain’s feel-good chemicals, which reduce pain and induce a pleasant feeling, Porter explained. It also improves circulation and strengthens the immune system.

“It’s a great health enhancer,” said Dorothy Howell, in between guffaws at a recent meeting. “Laughing exercises your lungs, and some people say it helps them ward off depression.”

Howell, 83, is a Kenai resident and senior center volunteer. She attends the Laugh Club meetings once a week.

“It gives a positive start to my day,” she said.

Laughter clubs started gaining momentum around 1995 in India, where people would gather in outdoor parks early in the morning. The practice is an offshoot of yoga, which also has roots in India, beginning centuries ago.

Laughter exercise soon appeared in other countries, gaining ground in fitness clubs, senior centers and health care facilities.

At Central Peninsula Hospital in Soldotna, 30-minute Laughter Yoga sessions are held once a week, said Camille Sorensen, marketing specialist, who is one of the group’s leaders. The certified “laughter leaders” underwent extensive training in order to lead the sessions, Sorensen said.

“As we age, our breathing may become more shallow,” Porter said. “So I wanted to have a group for seniors, to help us increase our lung capacity.”

Laugh Club members enjoy playful exercises, such as:

“Ho, ho! Ha, ha, ha! Ho, ho! Ha, ha, ha,” the group calls out together, clapping to a steady beat. “Very good, very good — Ya-a-ay!”

Raising arms up high, they cheer themselves on.

Participants bend down to pick an imaginary flower, and then stand up again to take a deep breath and “smell the flower.”

“We do little skits, such as laughing with a friend on the phone, laughing at ourselves for making a mistake, or being elated over winning the lottery,” Porter said.

“I like the social aspect of it,” Howell said. “We make eye contact with everyone during the exercises.”

“This is ‘laughing for no reason’,” Porter said. “It works through the right brain, whereas laughing at a joke engages the left, or analytical side, of the brain.”

“At first, our ha-has are artificial, but within a minute or so, everyone is really laughing,” Porter said. “Eye contact helps to make it happen.”

“The good news is, the body can’t tell the difference between ’fake’ and ‘real’ laughter,” Sorensen said.

The Laugh Club meets Tuesday and Thursday mornings at 10:30, at the Kenai senior center.

“People of all ages are welcome,” Porter said. “You don’t have to be a senior.”

For more information, call LuAnn Barrett at the Kenai senior center, 283-4156, or Camille Sorensen at Central Peninsula Hospital, 714-4600, or e-mail csorensen@cpgh.org.


A wealth of information on laughter as exercise is available on the Internet. One popular Web site is: www.laughteryoga.org.

Ann Marina is a freelance writer and former central peninsula resident. She can be contacted at writerannak@yahoo.com.