Improving Private Well Testing Programs: Experimental Evidence from Iowa.

Approximately 23 million U.S. households rely on private wells for drinking water. This study first summarizes drinking water behaviors and perceptions from a large-scale survey of households that rely on private wells in Iowa. Few households test as frequently as recommended by public health experts. Around 40% of households do not regularly test, treat, or avoid their drinking water, suggesting pollution exposure may be widespread among this population. Next, we utilize a randomized control trial to study how nitrate test strips and information about a free, comprehensive water quality testing program influence households' behaviors and perceptions. The intervention significantly increased testing, including high-quality follow-up testing, but had limited statistically detectable impacts on other behaviors and perceptions. Households' willingness to pay for nitrate test kits and testing information exceeds program costs, suggesting that the intervention was welfare-enhancing.

Estimating Lithium Concentrations in Groundwater Used as Drinking Water for the Conterminous United States.

Lithium (Li) concentrations in drinking-water supplies are not regulated in the United States; however, Li is included in the 2022 U.S. Environmental Protection Agency list of unregulated contaminants for monitoring by public water systems. Li is used pharmaceutically to treat bipolar disorder, and studies have linked its occurrence in drinking water to human-health outcomes. An extreme gradient boosting model was developed to estimate geogenic Li in drinking-water supply wells throughout the conterminous United States. The model was trained using Li measurements from ∼13,500 wells and predictor variables related to its natural occurrence in groundwater. The model predicts the probability of Li in four concentration classifications, ≤4 µg/L, >4 to ≤10 µg/L, >10 to ≤30 µg/L, and >30 µg/L. Model predictions were evaluated using wells held out from model training and with new data and have an accuracy of 47-65%. Important predictor variables include average annual precipitation, well depth, and soil geochemistry. Model predictions were mapped at a spatial resolution of 1 km2 and represent well depths associated with public- and private-supply wells. This model was developed by hydrologists and public-health researchers to estimate Li exposure from drinking water and compare to national-scale human-health data for a better understanding of dose-response to low (<30 µg/L) concentrations of Li.

Occurrence of sulfate-reducing bacteria in well water: identification of anaerobic sulfidogenic bacterial enrichment cultures.

Bacteriological studies of well water mainly focus on aerobic and facultative aerobic coliform bacteria. However, the presence of obligate anaerobic bacteria in well water, especially sulfate-reducing bacteria (SRB), possible causative agents of some diseases, is often ignored. In this study, the presence of SRB and coexisting anaerobic bacteria with SRB in sulfate-reducing enrichment cultures obtained from 10 well water samples in Istanbul was investigated. A nested polymerase chain reaction-denaturing gradient gel electrophoresis strategy was performed to characterize the bacterial community structure of the enrichments. The most probable number method was used to determine SRB number. Out of 10, SRB growth was observed in only one (10%) enrichment culture and the SRB number was low (<10 cells/mL). Community members were identified as Desulfolutivibrio sulfodismutans and Anaerosinus sp. The results show that SRB coexist with Anaerosinus sp., and this may indicate poor water quality, posing a risk to public health. Furthermore, Anaerosinus sp., found in the human intestinal tract, may be used as an alternative anaerobic fecal indicator. It is worth noting that the detection of bacteria using molecular analyzes following enrichment culture techniques can bring new perspectives to determine the possible origin and presence of alternative microbial indicators in aquatic environments.

Risk factors for Cryptosporidium contamination in Minnesota public supply wells.

In a recent monitoring study of Minnesota's public supply wells, Cryptosporidium was commonly detected with 40% of the wells having at least one detection. Risk factors for Cryptosporidium occurrence in drinking water supply wells, beyond surface water influence, remain poorly understood. To address this gap, physical and chemical factors were assessed as potential predictors of Cryptosporidium occurrence in 135 public supply wells in Minnesota. Univariable analysis, regression techniques, and classification trees were used to analyze the data. Many variables were identified as significant risk factors in univariable analysis and several remained significant throughout the succeeding analysis techniques. These factors fell into general categories of well use and construction, aquifer characteristics, and connectedness to the land surface, well capture zones, and land use therein, existence of potential contaminant sources within 200-feet of the well, and variability in the chemical and isotopic parameters measured during the study. These risk categories, and the specific variables and threshold values we have identified, can help guide future research on factors influencing Cryptosporidium contamination of wells and can be used by environmental health programs to develop risk-based sampling plans and design interventions that reduce associated health risks.

Occurrence and concentrations of traditional and emerging contaminants in onsite wastewater systems and water supply wells in eastern North Carolina, USA.

Onsite wastewater treatment systems (OWTSs) and private wells are commonly used in Eastern North Carolina, USA. Water from private wells is not required to be tested after the initial startup, and thus persons using these wells may experience negative health outcomes if their water is contaminated with waste-related pollutants including bacteria, nitrate or synthetic chemicals such as hexafluoropropylne oxide dimer acid and its ammonium salt (GenX). Water samples from 18 sites with OWTSs and groundwater wells were collected for nitrate, Escherichia coli (E. coli), total coliform, and GenX concentration analyses. Results showed that none of the 18 water supplies were positive for E. coli, nitrate concentrations were all below the maximum contaminant level of 10 mg L-1, and one well had 1 MPN 100 mL-1 of total coliform. However, GenX was detected in wastewater collected from all 18 septic tanks and 22% of the water supplies tested had concentrations that exceeded the health advisory levels for GenX. Water supplies with low concentrations of traditionally tested for pollutants (nitrate, E. coli) may still pose health risks due to elevated concentrations of emerging contaminants like GenX and thus more comprehensive and routine water testing is suggested for this and similar persistent compounds.

Evaluation of phosphate insecticides and common herbicides: monitoring and risk assessment in water treatment plant, distribution networks, and underground water wells.

Despite the negative effects that the use of pesticides (such as herbicides and insecticides) have on human health and water resources, a significant portion of the world's agricultural production depends on them. The purpose of this study was to determine selected residual concentrations of pesticides (diazinon, ethion, malathion, alachlor, methyl-parathion, trifluralin, atrazine, chlorpyrifos, and azinphos-methyl) in samples from Shiraz potable water sources. For this purpose, water treatment plant, groundwater wells, treated surface water, and a mixture of groundwater and treated surface water were taken. In addition, statistical and risk analyses (carcinogenic and non-carcinogenic) were used. According to the results, chlorpyrifos with 84.4% had the highest removal efficiency and methyl-parathion with 10% had the lowest removal rate in the Shiraz water treatment plant process. The highest mean concentration was related to azinphos-methyl (1.5 µg/L) and chlorpyrifos (0.59 µg/L) in the groundwater samples. All measured compounds in water source samples were below standard levels, except for chlorpyrifos and azinphos-methyl, which were reported in groundwater above the limit recommended by the Environmental Protection Agency (EPA). The results showed that while the selected pesticides measured had a low non-carcinogenic risk for both adults and children, malathion and trifluralin posed a high carcinogenic risk for adults.

Pollution risk evaluation of groundwater wells based on stochastic and deterministic simulation of aquifer lithology.

Groundwater pollution risk evaluation is an important basis for developing groundwater protection measures and management strategies, and its accuracy directly affects the effectiveness of protection measures. The heterogeneity of the aquifer significantly affects the transport process of pollutants, increasing the uncertainty of pollutant risk assessment. However, in the actual site, borehole data that reveal aquifer heterogeneity are costly, and only a limited number of borehole data are available, which cannot accurately describe the heterogeneity of the aquifer, thus limiting the accuracy of groundwater pollution risk assessment. In order to overcome the above problems, this paper proposes a groundwater pollution risk assessment framework based on the stochastic and deterministic simulation of aquifer lithology. Based on the statistical characteristics of the change of lithology type in the actual borehole, the framework uses Markov chain to generate some sets of random lithology field and transforms them into heterogeneity parameter field, so as to realize the stochastic assessment of the pollution risk of groundwater resource wells. Furthermore, combined with the pumping test data, the parameter field that is most suitable for the actual situation is selected to evaluate the pollution risk deterministically. Finally, the stochastic and deterministic results are combined to comprehensively evaluate the pollution risk of groundwater resource wells. Through a case study in a river valley plain, the feasibility of the above framework is verified, and good application effects are achieved. This study provides a feasible method for accurately assessing groundwater pollution risk, which is helpful to reduce the impact of uncertain factors on pollution risk assessment, and thus provides a more reliable basis for groundwater management and decision-making.

Concurrent arsenic, fluoride, and hydrated silica removal from deep well water by electrocoagulation: Comparison of sacrificial anodes (Al, Fe, and Al-Fe).

Some studies have reported the removal of As (As) and fluoride (F-) using different sacrificial anodes; however, they have been tested with a synthetic solution in a batch system without hydrated silica (SiO2) interaction. Due to the above, concurrent removal of As, F-, and SiO2 from natural deep well water was evaluated (initial concentration: 35.5 µg L-1 As, 1.1 mg L-1F-, 147 mg L-1 SiO2, pH 8.6, and conductivity 1024 µS cm-1), by electrocoagulation (EC) process in continuous mode comparing three different configurations of sacrificial anodes (Al, Fe, and Al-Fe). EC was performed in a new reactor equipped with a small flow distributor and turbulence promoter at the entrance of the first channel to homogenize the flow. The best removal was found at j = 5 mA cm-2 and u = 1.3 cm s-1, obtaining arsenic residual concentrations (CAs) of 1.33, 0.45, and 0.77 µg L-1, fluoride residual concentration ( [Formula: see text] ) of 0.221, 0.495, and 0.622 mg L-1, and hydrated silica residual concentration ( [Formula: see text] ) of 21, 34, and 56 mg L-1, with costs of approximately 0.304, 0.198, and 0.228 USD m-3 for the Al, Fe and Al-Fe anodes, respectively. Al anode outperforms Fe and Al-Fe anodes in concurrently removing As, F- and SiO2. The residual concentrations of As and F- complied with the recommendations of the World Health Organization (WHO) (As < 10 µg L-1 and F- < 1 mg L-1). The spectroscopic analyses of the Al, Fe, and Al-Fe aggregates showed the formation of aluminosilicates, iron oxyhydroxides and oxides, and calcium and sodium silicates involved in removing As, F-, and SiO2. It is concluded that Al would serve as the most suitable sacrificial anode.

Assessment of water quality in wells and springs across various districts of Taza City, Morocco.

The aim of this study is to assess groundwater pollution in the city of Taza, Morocco. This was accomplished through hydrochemical and biological investigations, focusing on analyzing the physicochemical and bacteriological parameters of groundwater. Water samples were collected from wells and sources within Taza City on a monthly basis during the spring and summer of 2023. These samples were subjected to analysis to identify physicochemical and bacteriological characteristics. The findings revealed multiple contaminations, primarily stemming from two sources: significant microbial pollution observed in 100% of samples due to runoff percolation and discharge of domestic and industrial wastewater, and varying degrees of chemical pollution observed across all samples. The results underscored deviations from national standards, notably in parameters such as dissolved oxygen, nitrate, and nitrite concentrations. These parameters exhibited values either lower or higher than the established norm.

Groundwater quality evaluation of the weathering mantle in crystalline basement aquifer system, southern Brazil.

Groundwater is the main source of water for more than 2 billion people worldwide. In southern Brazil, the Crystalline Basement Aquifer System is composed of strategic groundwater reservoirs. Groundwater is mostly taken from shallow wells, and it is often used without any treatment, which poses a risk to public health. The present study aims to evaluate shallow groundwater quality and the geochemistry of shallow and deep groundwater located in the municipality of Canguçu, southern Brazil. The physicochemical and microbiological parameters of groundwater samples collected from shallow wells were monitored and analyzed using ANOVA variance analysis and water quality index (CCME WQI) approaches. Also, the results were compared with secondary data from deep wells. The monitored shallow wells had thermotolerant coliforms, Escherichia coli, pH, potassium, manganese, iron, and nitrate in disagreement with the guidelines of the World Health Organization. Moreover, variance analysis showed that the parameters temperature, dissolved oxygen, pH, chloride, and magnesium were the most influenced by seasonal variations. According to the CCME WQI, most samples had good quality (60%), 28% had fair quality, and 12% had poor quality. In addition, the field campaigns with higher precipitation rates also presented fair quality. Therefore, most of the shallow groundwater quality is affected by surface pollutants from the urban area, aggravated in rainy periods. Whereas deep groundwater is influenced by geochemistry mechanisms. The results revealed the risk of water consumption for public health and the urgent need for better maintenance of these wells and water treatment implementation.

Manganese exposure from spring and well waters in the Shenandoah Valley: interplay of aquifer lithology, soil composition, and redox conditions.

Manganese (Mn) is of particular concern in groundwater, as low-level chronic exposure to aqueous Mn concentrations in drinking water can result in a variety of health and neurodevelopmental effects. Much of the global population relies on drinking water sourced from karst aquifers. Thus, we seek to assess the relative risk of Mn contamination in karst by investigating the Shenandoah Valley, VA region, as it is underlain by both karst and non-karst aquifers and much of the population relies on water wells and spring water. Water and soil samples were collected throughout the Shenandoah Valley, to supplement pre-existing well water and spring data from the National Water Information System and the Virginia Household Water Quality Program, totaling 1815 wells and 119 springs. Soils were analyzed using X-ray fluorescence and Mn K-Edge X-ray absorption near-edge structure spectroscopy. Factors such as soil type, soil geochemistry, and aquifer lithology were linked with each location to determine if correlations exist with aqueous Mn concentrations. Analyzing the distribution of Mn in drinking water sources suggests that water wells and springs within karst aquifers are preferable with respect to chronic Mn exposure, with < 4.9% of wells and springs in dolostone and limestone aquifers exceeding 100 ppb Mn, while sandstone and shale aquifers have a heightened risk, with > 20% of wells exceeding 100 ppb Mn. The geochemistry of associated soils and spatial relationships to various hydrologic and geologic features indicates that water interactions with aquifer lithology and soils contribute to aqueous Mn concentrations. Relationships between aqueous Mn in spring waters and Mn in soils indicate that increasing aqueous Mn is correlated with decreasing soil Mn(IV). These results point to redox conditions exerting a dominant control on Mn in this region.

Framework development for the physical vulnerability assessment index of hand-dug Wells in Are-Ekiti, Southwestern Nigeria.

The article presents a comprehensive framework for assessing the physical vulnerability of hand-dug wells within the Are Community, Southwestern Nigeria. The study spans from March to April 2023 and meticulously examines 90 wells, focusing on critical parameters such as well collar, well cover, and well lining information. The analysis reveals significant variations in well collar construction materials and dimensions, emphasizing the community's adaptive strategies. The Well Collar Height Index (WCi), Well Cover Index (WCOi), Well Lining Index (WLi), and the derived Vulnerability Index categorize wells into vulnerability classes, offering a nuanced understanding of susceptibility levels. Notably, the study identifies wells with Very High vulnerability that demand urgent attention, as well as wells with effective protective measures categorized as Very Low vulnerability. The article emphasizes the need for a nuanced understanding of local practices and materials, highlighting the variability in well collar construction. It discusses the implications of well cover conditions and the critical role of well linings in assessing groundwater vulnerability. The Vulnerability Index combines these parameters, guiding targeted interventions based on risk severity. The study lays the groundwork for future interventions to enhance the safety and sustainability of water sources within the Are Community. It recommends immediate comprehensive measures for highly vulnerable wells, ongoing monitoring, community engagement, and knowledge sharing. The future scope includes incorporating geochemical analysis, targeted interventions, regular maintenance, community training, and exploring alternative water sources for sustainable improvements.

Race, Racism, and Drinking Water Contamination Risk From Oil and Gas Wells in Los Angeles County, 2020.

Objectives. To evaluate the potential for drinking water contamination in Los Angeles (LA) County, California, based on the proximity of supply wells to oil and gas wells, and characterize risk with respect to race/ethnicity and measures of structural racism. Methods. We identified at-risk community water systems (CWSs) as those with supply wells within 1 kilometer of an oil or gas well. We characterized sociodemographics of the populations served by each CWS by using the 2013-2017 American Community Survey. We estimated the degree of redlining in each CWS service area by using 1930s Home Owners' Loan Corporation security maps, and characterized segregation by using the Index of Concentration at the Extremes. Multivariable regression models estimated associations between these variables and CWS contamination risk. Results. A quarter of LA County CWSs serving more than 7 million residents have supply wells within 1 kilometer of an oil or gas well. Higher percentages of Hispanic, Black, and Asian/Pacific Islander residents and a greater degree of redlining and residential segregation were associated with higher contamination risk. Conclusions. Redlining and segregation predict drinking water contamination risks from oil development in LA County, with people of color at greater risk. (Am J Public Health. 2023;113(11):1191-1200. https://doi.org/10.2105/AJPH.2023.307374).

Methane Emissions from Non-producing Oil and Gas Wells and the Potential Role of Seismic Activity: A Case Study in Northeast British Columbia, Canada.

Increasing seismic activity due to fluid injections for oil and gas production may be contributing to leakage along non-producing oil and gas wells and emitting methane, a potent greenhouse gas. However, the extent to which nearby seismicity may drive or exacerbate methane emissions and cause well integrity issues is unknown. Therefore, we analyze field evaluations at 448 non-producing oil and gas wells in Northeast British Columbia (NEBC) and geospatially analyze oil and gas well and fluid injection data alongside locations of 3515 earthquakes from 2001 to 2021 and 130 faults. Through analysis of ground and helicopter-based field evaluations of non-producing wells in NEBC, we show that methane emission rates of non-producing wells average at 8301 mg/h/well but vary by 10 orders of magnitude. We find that higher methane emission rates (milligrams of methane/h/well) are observed at wells with larger flowing pressures at the wellhead during completion (kPa) and with shorter distances (m) to earthquakes, particularly at plugged wells. These results imply that seismicity may increase the likelihood of non-producing well integrity issues and methane leakage, thereby also exacerbating groundwater contamination and environmental degradation risks.

Disparities in Drinking Water Manganese Concentrations in Domestic Wells and Community Water Systems in the Central Valley, CA, USA.

Over 1.3 million Californians rely on unmonitored domestic wells. Existing probability estimates of groundwater Mn concentrations, population estimates, and sociodemographic data were integrated with spatial data delineating domestic well communities (DWCs) to predict the probability of high Mn concentrations in extracted groundwater within DWCs in California's Central Valley. Additional Mn concentration data of water delivered by community water systems (CWSs) were used to estimate Mn in public water supply. We estimate that 0.4% of the DWC population (2342 users) rely on groundwater with predicted Mn > 300 µg L-1. In CWSs, 2.4% of the population (904 users) served by small CWSs and 0.4% of the population (3072 users) served by medium CWS relied on drinking water with mean point-of-entry Mn concentration >300 µg L-1. Small CWSs were less likely to report Mn concentrations relative to large CWSs, yet a higher percentage of small CWSs exceed regulatory standards relative to larger systems. Modeled calculations do not reveal differences in estimated Mn concentration between groundwater from current regional domestic well depth and 33 m deeper. These analyses demonstrate the need for additional well-monitoring programs that evaluate Mn and increased access to point-of-use treatment for domestic well users disproportionately burdened by associated costs of water treatment.

Predicting Groundwater PFOA Exposure Risks with Bayesian Networks: Empirical Impact of Data Preprocessing on Model Performance.

The plethora of data on PFASs in environmental samples collected in response to growing concern about these chemicals could enable the training of machine-learning models for predicting exposure risks. However, differences in sampling and analysis methods across data sets must be reconciled through data preprocessing, and little information is available about how such manipulations affect the resulting models. This study evaluates how data preprocessing influences machine-learned Bayesian network models of PFOA in groundwater. We link 19 years of PFOA measurements from Minnesota, USA, to publicly available information about potential PFOA sources and factors that may influence their environmental fate. Nine different preprocessing methods were tested, and the resulting data sets were used to train models to predict the probability of PFOA ≥ 35 ppt, the 2017 Minnesota health advisory level. Different preprocessing approaches produced varying model structures with significantly different accuracies. Nonetheless, models showed similar relationships between predictor variables and PFOA exposure risks, and all models were relatively accurate, distinguishing wells at high risk from those at low risk for 82.0% to 89.0% of test data samples. There was a trade-off between data quality and model performance since a stricter data screening strategy decreased the sample size for model training.

Flaring volumes in the intermountain west region: A geospatial analysis of satellite and operator-reported data with viable mitigation strategies.

Burning associated gas has been a prevailing problem across the world for decades. This practice consumes billions of (US) dollars' worth of valuable natural gas, contributes billions of metric tons of carbon dioxide (CO2) to the atmosphere, and releases volatile chemicals to nearby communities. To assess the prevalence of wellbore flaring within the Intermountain West (I-West) region, we analyzed data from the Nightfire project and contrasted it with wellbore surface hole locations. Consequently, we will permit the analysis of the flare data on a geospatial scale and compare it with operator self-reported flaring volumes. Through this analysis, we found that New Mexico is by far the largest flaring state in the I-West region, with most of its flare gas coming from the Permian Basin. Additionally, we found that satellite data estimated volumes that were 165% larger than those self-reported by the operators. Although some of this could be an overestimation from the Nightfire project, the size of the discrepancy indicates that there may be an underestimation of flared volumes that operators report to the state. A better understanding of the discrepancy source can be identified by linking the satellite flare volume to individual wells and operators, and potential solutions may be implemented to assist New Mexico's recent waste laws in reducing Permian flared volumes. We also proposed economic solutions that could substantially reduce the flared volume through flare gas utilization through on-site processing, the construction of small spur lines, and the development of a local sink for methane.

Pump-and-treat (P&T) vs groundwater circulation wells (GCW): Which approach delivers more sustainable and effective groundwater remediation?

Pump-and-treat (P&T) is commonly used to remediate contaminated groundwater sites. The scientific community is currently engaged in a debate regarding the long-term effectiveness and sustainability of P&T for groundwater remediation. This work aims to provide a quantitative comparative analysis of the performance of an alternative system to traditional P&T, to support the development of sustainable groundwater remediation plans. Two industrial sites with unique geological frameworks and contamination with dense non-aqueous phase liquid (DNAPL) and arsenic (As) respectively, were selected for the study. At both locations, attempts were made for decades to clean up groundwater contamination by pump-and-treat. In response to persistently high levels of pollutants, groundwater circulation wells (GCWs) were installed to explore the possibility of accelerating the remediation process in unconsolidated and rock deposits. This comparative evaluation focuses on the different mobilization patterns observed, resulting variations in contaminant concentration, mass discharge, and volume of extracted groundwater. To facilitate the fusion of multi-source data, including geological, hydrological, hydraulic, and chemical information, and enable the continuous extraction of time-sensitive information, a geodatabase-supported conceptual site model (CSM) is utilized as a dynamic and interactive interface. This approach is used to assess the performance of GCW and P&T at the investigated sites. At Site 1, the GCW stimulated microbiological reductive dichlorination and mobilized significantly higher 1,2-DCE concentrations than P&T, despite recirculating a smaller volume of groundwater. At Site 2, As removal rate by GCW resulted generally higher than pumping wells. One conventional well mobilized higher masses of As in the early stages of P&T. This reflected the P&T's impact on accessible contaminant pools in early operational periods. P&T withdrew a significantly larger volume of groundwater than the GCW. The outcomes unveil the diverse contaminant removal behavior characterizing two distinct remediation strategies in different geological environments, revealing the dynamics and decontamination mechanisms that feature GCWs and P&T and emphasizing the limitations of traditional groundwater extraction systems in targeting aged pollution sources. GCWs have been shown to reduce remediation time, increase mass removal, and minimize the significant water consumption associated with P&T. These benefits pave the way for more sustainable groundwater remediation approaches in various hydrogeochemical scenarios.

Microbial Water Quality Assessment of Private Wells Using 16S rRNA Gene Amplicon Sequencing with a Nanopore Sequencer.

Private wells are used daily worldwide as convenient household water sources. In Japan, where water supply coverage is high, well water is occasionally used for non-potable purposes, such as irrigation and watering. Currently, the main microbiological test of well water is designed to detect Escherichia coli, which is an indicator of fecal contamination, using culture methods. Water use such as watering generates bioaerosols, which may cause airborne infection. However, many causative bacteria of aerosol-derived infections, such as Legionella spp., are difficult to detect using culture methods. Thus, more comprehensive modern assessment is desirable for securing the microbiological quality of well water. Here, the bacterial community structure of five private wells located in different environments was examined using the rapid and portable MinION sequencer, which enabled us to identify bacteria to the species level based on full-length 16S ribosomal RNA (rRNA) gene sequences. The results revealed the differences in the bacterial community structures of water samples from the five wells and detected Legionella pneumophila and Aeromonas hydrophila as new candidate microbial indicators. The comprehensive analysis method used in this study successfully detected bacteria causing opportunistic infections, which are difficult to detect by conventional methods. This approach is expected to be routinely applied in the future as a highly accurate method for assessing the microbiological quality of private well water.

E. coli contamination of drinking water sources in rural and urban settings: an analysis of 38 nationally representative household surveys (2014-2021).

The world is not on track to achieve universal access to safely managed water by 2030, and access is substantially lower in rural areas. This Sustainable Development Goal target and many other global indicators rely on the classification of improved water sources for monitoring access. We aimed to investigate contamination in drinking water sources, comparing improved and unimproved sources in urban and rural settings. We used data from Multiple Indicator Cluster Surveys, which tested samples from the household water source and a glass of water for Escherichia coli contamination across 38 countries. Contamination was widespread and alarmingly high in almost all countries, settings, and water sources, with substantial inequalities between and within countries. Water contamination was found in 51.7% of households at the source and 70.8% in the glass of water. Some improved sources (e.g., protected wells and rainwater) were as likely to be contaminated as unimproved sources. Some sources, like piped water, were considerably more likely to be contaminated in rural than urban areas, while no difference was observed for others. Monitoring water contamination along with further investigation in water collection, storage, and source classification is essential and must be expanded to achieve universal access to safely managed water.