MOD 5 - Milestone Four

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Southern New Hampshire University *

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250

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Medicine

Date

Jan 9, 2024

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docx

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3

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Discussion Section: Integration of Results: Integrating results from the three primary sources provides a comprehensive understanding of the safety levels of arsenic in public drinking water. The hypothesis (H1) posited that arsenic below a certain threshold does not seriously threaten public health. The findings from Bae and Lynch's study (2023) reveal significant disparities in enforcing Safe Drinking Water Act (SDWA) violations across ethnic and socio-economic groups. Adherence to safe levels varies among communities, potentially influencing public health outcomes. Nawaz et al. (2023) contribute valuable insights into urban areas' water quality index (WQI) and associated human health risks. Variations in WQI and identified health risks (Figure 2) underscore the importance of monitoring and maintaining safe levels of arsenic to safeguard public health. The results suggest that exceeding certain thresholds can lead to unsafe drinking water, emphasizing the need for stringent regulations. Shaw et al. (2005) research on well water treatment in arsenic-contaminated areas provides a nuanced perspective on mitigation strategies. While certain treatment systems effectively reduce arsenic levels (Figure 3), persistent health risks indicate the complexity of ensuring safe drinking water. This reinforces the importance of ongoing monitoring and research to enhance treatment methods and address emerging health concerns. Address Discrepancies: According to Bae and Lynch (2023), there are discrepancies, particularly in enforcing water quality regulations. The socio-economic disparities revealed in their study may contribute to variations in the effectiveness of regulations, impacting certain communities
disproportionately. This underscores the need for targeted policies to address these discrepancies. Exploring the potential reasons behind the uneven distribution of violations is essential to address these discrepancies. Infrastructure disparities, enforcement practices, and community awareness may contribute. Future research should investigate these aspects to formulate more precise recommendations for improving water quality enforcement. Suggestions for Future Research: Future research efforts should focus on understanding the root causes of the identified disparities in Safe Drinking Water Act violations. Investigating the impact of infrastructure development, community engagement, and policy effectiveness on water quality will provide a more comprehensive understanding. Additionally, exploring the long-term health effects of arsenic exposure in areas with persistent violations is crucial. This could involve longitudinal studies to track health outcomes in affected communities over time. Such research will contribute to developing targeted interventions to mitigate the health risks associated with arsenic contamination. Abstract: This combined research abstract synthesizes findings from three studies. Bae and Lynch (2023) investigate the county-level distribution of Safe Drinking Water Act (SDWA) violations from 2016 to 2018, revealing a "contaminated drinking water belt" in the Southwest and South regions with a significant association between SDWA violations and the percentage of Hispanics, as well as a co-occurrence with persistent poverty. Nawaz et al. (2023) evaluate drinking water quality in Lahore, Pakistan, finding elevated levels of arsenic, fluoride, total dissolved solids, and
residual chlorine, indicating significant health risks and unsuitability for drinking in most areas. Shaw et al. (2005) focus on the impact of the Safe Drinking Water Act on public and private water sources, emphasizing the heightened health risks associated with elevated arsenic levels in private wells in rural areas, particularly in Churchill County, Nevada. The studies underscore the critical need for proactive measures, regular monitoring, and understanding of risk perceptions to ensure safe drinking water in urban and rural contexts. References: Bae, J., & Lynch, M. J. (2023). Ethnicity, Poverty, Race, and the Unequal Distribution of US Safe Drinking Water Act Violations, 2016-2018. Sociological Quarterly, 64 (2), 274–295. https://doi.org/10.1080/00380253.2022.2096148 Nawaz, R., Nasim, I., Irfan, A., Islam, A., Naeem, A., Ghani, N., Irshad, M. A., Latif, M., Nisa, B. U., & Ullah, R. (2023). Water quality index and human health risk assessment of drinking water in selected urban areas of a Mega City. Toxics , 11 (7), 577. https://doi.org/10.3390/toxics11070577 Shaw, W. D., Walker, M., & Benson, M. (2005). Treating and drinking well water in the presence of health risks from arsenic contamination: Results from a U.S. hot spot. Risk Analysis , 25 (6), 1531–1543. https://doi.org/10.1111/j.1539-6924.2005.00698.x
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