Unfiltered Tap Water/Miscarriages

[Guest guest]

This news piece should get everyone's attention......

IN A GLASS OF WATER, A MOTHER'S WORST FEAR

Date: 020211

From: http://www.washingtonpost.com/

IN HAMPTON ROADS, STUDIES OF MISCARRIAGES CAUSE CONCERN,

SPARK LAWSUITS

By Anita Huslin, Washington Post Staff Writer, February 10, 2002

Annette Spaven already had three children when she found out

she was pregnant again four years ago.

She and her husband were surprised but pleased by the prospect

of welcoming another child into their Chesapeake, Va., home. So

when she suffered a miscarriage in the first trimester, they tried again.

Six months later, she lost another baby.

" I wondered if something was wrong with me, " said Spaven, 38.

About the same time, two women on her block had miscarriages.

Across town, a woman gave birth to a boy who died shortly after birth.

For more than a decade, they and others wondered why they'd suddenly

lost their pregnancies.

Today, many are also wondering something else: Might they have

lost their babies simply because they drank tap water while they were

pregnant? It's a question that has roiled this booming port

community ever since residents became aware of controversy surrounding

chemicals in the public drinking supply. Now, 25 women are suing the city,

and nearly 170 more have filed their intentions to do so.

Fueling their fears are a growing number of studies that link

birth defects and miscarriages to chemicals that are produced when

chlorine, used to purify drinking water, mixes with organic matter, such

as fertilizer in surface water.

Chemical and water industry officials maintain that the body of

scientific evidence linking so-called chlorination byproducts to

adverse birth effects is inconclusive.

" To have liability, in our opinion, you have to prove there's a

cause and an effect, " Chesapeake city attorney Hallman said. " I

haven't seen any study that has proven a causal connection. "

In a statement last month, the Environmental Protection Agency

called the issue of chlorination byproducts in drinking water " an

important health concern. " The federal agency will be proposing new water

quality reporting requirements for utilities this summer and

plans to fund further research.

Meanwhile, however, millions of Americans are unaware of what

their water utilities know: The levels of chlorination byproducts in

their drinking water often spike higher than the EPA's allowable

annual average.

This happens as well throughout the Washington area, utility

records show, though the EPA does not require the information to be

included in regular water quality reports from utilities.

Chesapeake residents learned about the problem only when the

city's public health director issued a bulletin about it. And then more

stories from women like Spaven started to come out. And so did

the lawyers.

Now, the Hampton Roads city has become a test case for the

nation. Water utility operators across the country, including the

Washington Suburban Sanitary Commission, are watching to see what becomes of

the lawsuits.

The women are alleging that the city did not adequately warn

them about potentially harmful levels of toxins in their water,

sometimes nearly 10 times higher than the danger level identified in the

largest public health study to date.

Chesapeake documents obtained by the women's attorneys show

that the city had seen significant spikes in chlorination byproducts

since the early 1980s.

No comprehensive study of the city's miscarriage or birth

defect rates has ever been done, so it is impossible to draw a

comparison between the period when the byproducts were spiking and when

they were not. Nationally, about one in six women suffer miscarriage,

according to federal statistics. The first 25 women suing all suffered

miscarriages in the mid- to late 1990s. The 168 other cases date

to the 1980s. Altogether, attorneys are seeking nearly $1 billion

in damages.

" I just hope that . . . people will pay attention to what's

going on in their cities, " Spaven said. " No one should have to go through

what we have. "

First Reports

Welch, the director of the Chesapeake Public Health

Department, hadn't even heard of chlorination byproducts or the term

" trihalomethanes " - also known as THMs - before the city's

public utilities director came to her office one day in early February

1998 with a problem.

The city was preparing to tear down two purifying towers at its

water processing plant to make way for a system that would help solve

chronic water quality problems.

Seated near the mouth of the Chesapeake Bay, the city for

yearsstruggled to manage the salt that rises with the tides.

Until it built the two towers, it had also quietly grappled with the

problem of THMs. Now, it was going to tear down the towers. Once that

happened, chlorine byproduct levels could rise precipitously, perhaps even

exceeding EPA limits, utility director Amar Dwarkanath said.

The city planned to ask for a waiver of EPA water quality

standards, at least during this phase of construction, but it would need a

letter from Welch supporting the request.

And there was one more thing.

Dwarkanath gave Welch a copy of a report that was about to be

published in the medical journal Epidemiology.

It was a study done in California, where Department of Health

Services researchers followed more than 5,000 pregnant women.

They found that those who drank five or more glasses of tap water a

day containing 75 or more parts per billion of chlorination

byproducts were 65 percent more likely to suffer a miscarriage. Pregnant

women are generally advised by their doctors to drink at least eight

eight-ounce glasses of a water to avoid dehydration. And now

Chesapeake was facing the very real possibility that its tap water would

become awash with consistently high THMs, possibly even for months.

Welch examined the research closely, then called some

colleagues for advice. Half said they would inform the public; half said

they wouldn't.

On March 24, 1998,Welch wrote a letter to Dwarkanath with her

conclusions, suggesting that the city ensure that pregnant women

who got their water from the Chesapeake plant use bottled water. On

March 31, 1998, she sent a public health bulletin to family

practitioners, OB-GYNs, internists and the media, urging pregnant women who

drink five or more glasses of water a day to drink primarily bottled

water and to boil their tap water for a minute or install a tap

filter.

Almost immediately, the phones started ringing. Worried

pregnant women called, and so did those who had lost babies, wondering

aloud if the water might have been the reason.

Welch could not answer all of their questions. But, she said,

she believed the California study raised enough questions to warrant

warning the public about THMs. But there are many reasons

miscarriages occur, she pointed out, and it's often difficult to pinpoint

one.

" When there's a limited amount of research, you go with what

you have, " she said. " I'll never apologize for informing the

public. "

But to determine whether THMs absolutely cause miscarriage or

birth defects, she said, " you've got to do more research . . . and

that takes time. "

After a few weeks, Welch's phones quieted down and things at

the Chesapeake public health department got back to normal.

But in the community, people were sharing stories. Stories like

those told by Marcy Shaffer, now 38, who lived in Chesapeake and gave

birth to just before Christmas in 1997.

He was born with just a bundle of nerve endings in his

half-formed skull. He lived for a couple of hours, long enough for her to

wrap him in a white blanket and for her family to say their goodbyes.

About the time of Spaven's miscarriages, two neighbors across

the street also lost their babies. After carrying her baby for 8 1/2

months, Rapada, now 22, gave birth to Haley in the

spring of 1998, then buried her in a tiny ivory- colored casket

at the foot of her grandmother's grave. Her best friend,

Rapada, now 21, suffered two miscarriages that fall.

In conversations during lunch breaks, after church or over

coffee with a neighbor, more accounts were circulating. It would not be

long before someone would try to piece it all together.

Legal Implications

The cases started coming to Louis Napoleon " Mike " Joynes in the

same way that most business arrives at his firm.

The Joynes & Gaides law office sits at a busy intersection near

the edge of Chesapeake, and the increasing traffic in what is the

fastest-growing city in Virginia provides at least one new customer a

week.

It was one of these clients, an auto accident victim, who

mentioned his wife's miscarriage to Joynes and asked: Could that have had

something to do with the city water?

Joynes, who had not paid close attention to the public health

bulletin, said he'd look into it.

So he called up a colleague at Willcox & Savage, an old

Virginia blue blood firm with several lawyers who focus on environmental

law. They were familiar with THMs and the issues associated with them, so

they began researching the city's water situation.

" What we discovered was that the levels of THMs in Chesapeake

were some of the highest we'd ever heard of - 700, 800 parts per

billion, " said , who specializes in environmental litigation.

He had spoken to some experts in environmental health who were

familiar with the research on the issue and their response was

the same: " They were pretty much shocked by this, " said. " All

of the scientific reports showing health impacts from THMs involved

levels much lower than what we were seeing here. "

But little of that information has reached the public anywhere.

In Montgomery County, officials recently started asking questions

about THMs at a special hearing called after utility data obtained by

Environmental Working Group, a chemical industry watchdog,

revealed THM spikes in water supplied by WSSC.

Officials at WSSC, which provides water and sewer services to

1.6 million residents in the Washington area, acknowledged that the

spikes were a concern but noted that the utility continues to meet EPA

water quality standards.

The Chlorine Chemistry Council, a national trade group,

maintains that the research to date " has been inadequate to definitively

demonstrate an association " between THMs and birth defects,

miscarriages and stillbirths.

In Chesapeake, lawyers wondered just how many women could have

been affected. In July 2000, Joynes & Gaides started running

television and radio ads seeking women who had suffered miscarriages or

delivered babies with birth defects.

And the phones started ringing again.

'All This Pain'

Annette Spaven was one of the hundreds of women who called. The

ads didn't say anything about Chesapeake water, but she wondered if

that was behind it all.

She had grown up in Chesapeake, then moved away after getting

married. In 1993, after moving back to Chesapeake, the couple

had their third and, they thought, last child. When Spaven

unexpectedly became pregnant in 1997, something wasn't right.

She started cramping and bleeding one morning, so she went to

the hospital, where doctors ordered an ultrasound. The results

showed simply a mass of tissue growing in her womb, with none of the

early signs of a baby that they would have expected.

Hours later, she suffered a miscarriage.

Later that year, she got pregnant again. This time, she said,

she worked very hard to make sure she did everything right,

including drinking more than the recommended eight glasses of water a day.

When she had cravings, she ate ice - lots of it - from the ice-maker in her

freezer.

In early 1998, she miscarried again.

" That was it for me, " she said. " I wasn't going to try again. "

Then, when the television ads came out, she started wondering

and turned to the Internet for answers. What she found infuriated

her.

" I couldn't believe it. I'd sit there every night and tell my

husband, 'Look at this stuff.' All these people, all this pain. "

The first lawsuit was filed last April, and a hearing date has

been scheduled for September. City attorneys are trying to block the

case by arguing that the plaintiff filed her lawsuit more than two

years after her miscarriage, too late for what the law requires.

A court date for Spaven's case has not yet been set. In some

ways, she said, she believes the outcome of her case is unimportant.

When you've lost two pregnancies, nothing will change that. But her

story and those of other women should be heard, she said, to warn the

public about these once-obscure chlorination byproducts.

" You just take for granted . . . that you never have to second-guess

what's in your water, " she said.

In January 1999, Spaven moved to Virginia Beach. Ten months

later, she delivered Kerrigan, a healthy baby girl.

* * *

© 2002 The Washington Post Company

All the best,

Byrnes, PhD, RNCP

http://www.PowerHealth.net

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