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Table 3 Standards for chemical contaminants in drinking water according to World Health Organization (WHO) and United States Environmental Protection Agency (USEPA)

From: Severity of waterborne diseases in developing countries and the effectiveness of ceramic filters for improving water quality

Heavy metal and other metals

WHO/USEPA maximum acceptable concentration (mg/L)

The health implications of ingesting some of these chemicals (if they exceed the maximum acceptable limit)

Mercury (Hg)

USEPA/WHO 0.002

Headache, abdominal pain and diarrhea, paralysis, and gum inflammation

Kidney damage

Silver (Ag)

USEPA/WHO 0.1

Skin discoloration

Arsenic (As)

USEPA/WHO 0.01

Serious skin problems, endocrine disruptor

Causes cancer—skin, bladder, lung, kidney, liver, prostate

Harms cardiovascular and nervous systems

Cadmium (Cd)

USEPA 0.005 and WHO 0.003

Kidney Damage

Carcinogenic, causes lung fibrosis, dyspnea

Zinc (Zn)

USEPA/WHO 5

Stomach cramps,

skin irritations, vomiting and nausea,

Respiratory disorders, anemia and mental fever

Lead (Pb)

USEPA 0.015 and WHO 0.01

Infants and children may experience delays in physical or mental development, as well as minor attention span and learning deficiencies

Kidney disorders and high blood pressure in adults

Uranium (U)

USEPA/WHO 0.03

Kidney toxicity

Increased risk of cancer

Antimony (Sb)

USEPA/WHO 0.006

Increase in blood cholesterol

Decrease in blood sugar

Chromium (Cr)

USEPA 0.1 and WHO 0.05

Nausea, gastrointestinal distress, stomach ulcers, skin ulcers, allergic dermatitis

Kidney and liver damage

Reproductive problems

Lung and nasal cancer

Copper (Cu)

USEPA 0.1 and WHO 0.05

Acute copper poisoning can cause symptoms of nausea, vomiting, diarrhea, gastrointestinal illness, abdominal and muscle pain

Severe cases of copper poisoning have led to anemia, liver poisoning, and kidney failure

Cyanide (CN−)

USEPA/WHO 0.2

Nerve damage

Thyroid problems

Thallium (Tl)

USEPA/WHO 0.002

Hair loss

Changes in blood

Kidney, intestine, or liver problems

Fluoride (F−)

USEPA 4.0 and WHO 1.5

Skeletal fluorosis, from long-term consumption > 4 mg/L (a serious bone disorder resembling osteoporosis and characterized by extreme density and hardness and abnormal fragility of the bones)

Children may get mottled teeth (i.e., Mottling (discoloration) of teeth in children under 9 years of age (from long-term consumption at > 2 mg/L)

Nitrate (\({\text{NO}}_{3}^{ - 1}\)) and Nitrate (\({\text{NO}}_{2}^{ - 1}\))

\({\text{NO}}_{3}^{ - 1}\) USEPA 10.0 and WHO 11.3

Methemoglobinemia (blue baby syndrome)

Most potential health effects are seen in infants under the age of 6 months

\({\text{NO}}_{2}^{ - 1}\) USEPA 1.0 and WHO 1.0

Barium

USEPA 2.0 and WHO 0.7

Difficulties in breathing

Increased blood pressure and changes in heart rhythm

Stomach irritation, brain swelling, muscle weakness

Damage to the liver, kidney, heart, and spleen