Does Well Water Cause Cancer?

Well water, drawn from private wells, is a crucial source of drinking water for millions. Unlike public water systems, private wells are not subject to federal regulation, making water safety the sole responsibility of the homeowner. The water itself does not cause cancer; the risk comes from specific, unseen contaminants that infiltrate the groundwater. These contaminants often have no taste, odor, or color, but they can build up over years of exposure and are associated with an increased risk for various types of cancer. Understanding these agents and their pathways is essential to ensure the water is safe for long-term consumption.

Primary Carcinogens Found in Well Water

The most significant cancer risk in well water comes from three primary agents: arsenic, radon, and nitrates.

Arsenic

Arsenic is a naturally occurring element classified as a human carcinogen, strongly linked to cancers of the bladder, lungs, liver, and skin, even at low concentrations. It is often found in its toxic inorganic form, which is colorless and odorless, requiring regular testing for detection. The EPA has set a Maximum Contaminant Level (MCL) of 10 parts per billion (ppb) for public water, which serves as a guideline for private well owners.

Radon

Radon is a radioactive gas formed from the natural decay of uranium in soil and rock. While most radon-related cancer risk comes from inhaling the gas that escapes from the water during household use, ingestion of dissolved radon has been linked to an increased risk of stomach cancer. Radon exposure in the home is considered the second leading cause of lung cancer after smoking.

Nitrates

Nitrates, compounds formed from nitrogen, are a growing concern due to their potential link to adult cancers, including colorectal and thyroid cancer. When ingested, nitrates convert into nitrites, which then form N-nitroso compounds, known carcinogens. Although the primary health concern for infants is “blue baby syndrome,” cancer risk may be elevated even when levels are below the EPA MCL of 10 milligrams per liter. The burden of identifying and treating these carcinogens rests entirely on the private well owner.

Environmental Factors Influencing Contamination Risk

The presence of these carcinogens is influenced by local geology and surrounding land use.

Geological Contamination

Arsenic and radon contamination typically result from wells drilling into specific rock formations, such as granite or shale. These crystalline bedrocks contain naturally occurring uranium and arsenic-bearing minerals. The weathering of these minerals releases the contaminants directly into the groundwater aquifer, increasing the risk of natural contamination in these regions.

Surface Contamination

Nitrate contamination, along with chemical contaminants like pesticides, is predominantly a consequence of agricultural practices and septic systems. Excessive use of nitrogen-rich fertilizers and improper management of animal manure allow these compounds to leach through the soil into the groundwater. Shallow wells, or those located near farm fields or concentrated animal feeding operations, are particularly vulnerable to this agricultural runoff.

Well Integrity

The construction and integrity of the well itself also play a substantial role in contamination risk. Older wells, or those with inadequate casing, improper sealing, or a missing sanitary cap, provide a direct pathway for surface water and contaminants to enter the water supply. A septic system’s drain field placed too close to a well is a common source of nitrates and bacteria. State guidelines often recommend a minimum separation distance, typically 50 to 100 feet, to mitigate this infiltration risk.

Essential Steps for Well Water Testing

Regular water testing is the only way a well owner can accurately determine their personal health risk. The first step is to establish an annual testing schedule for basic indicators. These baseline tests include total coliform bacteria, nitrates, pH, and total dissolved solids, and they indicate susceptibility to surface contamination or elevated nutrient levels.

Beyond the annual test, specialized testing for carcinogens like arsenic and radon should be based on local geography and nearby activities.

Specialized Testing

If the well is located in a region known for granite bedrock, testing for radon and arsenic is recommended. Wells near agricultural areas should periodically be tested for pesticides and herbicides. Those near industrial sites may need testing for volatile organic compounds (VOCs).

It is crucial to use a state-certified laboratory for all testing to ensure accurate results. Homeowners should compare contaminant concentrations to the EPA’s Maximum Contaminant Levels (MCLs), which serve as the health benchmark for public water. If a contaminant exceeds the MCL, immediate action to treat the water or find an alternative source is necessary.

Treatment Methods for Specific Carcinogens

Selecting the correct water treatment method depends entirely on the specific contaminant identified.

Arsenic Removal

The most common and effective methods for arsenic removal are adsorptive media and reverse osmosis (RO). Adsorptive media systems contain a specialized material, often iron-based, that chemically binds to the arsenic as water flows through the filter. Reverse osmosis forces water through a fine semi-permeable membrane and is highly effective at removing arsenic, especially for drinking and cooking water.

Radon Treatment

Radon treatment is primarily accomplished through aeration or granular activated carbon (GAC) systems. Aeration is considered the most effective method for high concentrations, as it strips the gaseous radon from the water by mixing it with air and venting the gas outside. GAC filters trap radon on activated carbon media, but for very high levels, this media can become radioactive and require special handling upon disposal.

Nitrate Removal

Nitrates can be successfully removed using ion exchange or reverse osmosis. Ion exchange systems use a specialized resin that swaps nitrate ions for non-harmful chloride ions. Reverse osmosis is also effective for nitrate reduction, and installing a point-of-use (POU) unit at the kitchen sink is a common strategy for protecting water used for consumption. Traditional water softeners or simple pitcher filters are often not adequate for reliably removing these contaminants.