State Report

North Dakota

Total Water Systems

317

Total Contaminants

49

North Dakota

's Water

North Dakota relies on water sources such as the Missouri River, Devils Lake, and extensive groundwater aquifers. While much of the state's water is used for agriculture, concerns include nitrate contamination from farming practices and naturally occurring high salinity in some areas. These factors can complicate access to consistently safe drinking water.

North Dakota

Total Water Systems

317

Total Contaminants

49

North Dakota relies on water sources such as the Missouri River, Devils Lake, and extensive groundwater aquifers. While much of the state's water is used for agriculture, concerns include nitrate contamination from farming practices and naturally occurring high salinity in some areas. These factors can complicate access to consistently safe drinking water.

Largest Contaminants

Total trihalomethanes

Water Systems Affected

289

People Impacted

687,937

Risk Level

75

/100

Learn more

Chloroform

Water Systems Affected

284

People Impacted

684,965

Risk Level

78

/100

Learn more

Bromodichloromethane

Water Systems Affected

273

People Impacted

678,268

Risk Level

70

/100

Learn more

Haloacetic acids

Water Systems Affected

282

People Impacted

673,347

Risk Level

45

/100

Learn more

Dichloroacetic acid

Water Systems Affected

263

People Impacted

661,302

Risk Level

75

/100

Learn more

Nitrate and nitrite

Water Systems Affected

205

People Impacted

631,069

Risk Level

45

/100

Learn more
North Dakota Water Quality Analysis

Water Health Analysis for North Dakota

Overall Health Analysis

North Dakota’s water quality is influenced by a significant presence of contaminants, posing potential risks to public health. With a total of 49 different contaminants found in the state’s water supply, spanning 317 water systems, the impact is widespread and concerning. Most notably, the top six contaminants—Total Trihalomethanes, Chloroform, Haloacetic Acids, Bromodichloromethane, Dichloroacetic Acid, and Nitrate and Nitrite—are affecting hundreds of thousands of residents across the state. Combined, these contaminants impact over 680,000 people, either directly linked to drinking water or other water-related exposure. The risks range from increased cancer rates to developmental and organ damage, making it vital to understand and address these pressing issues.

Top Six Contaminants

Total Trihalomethanes (TTHMs)

Number of Water Systems Affected: 289
Number of People Impacted: 687,937
Total Trihalomethanes, a byproduct of disinfecting drinking water, form when chlorine or other disinfectants react with organic materials in the water. While intended as a safety measure, prolonged exposure to TTHMs is linked to increased cancer risk, particularly bladder cancer. Studies have also associated high levels of TTHMs with adverse pregnancy outcomes such as low birth weight or premature birth.

Chloroform

Number of Water Systems Affected: 284
Number of People Impacted: 684,965
Chloroform, a subset of TTHMs, is a chlorinated disinfectant byproduct that can be found in tap water systems. The contaminant originates from the interaction between water treatment chemicals and natural organic matter. Long-term exposure to chloroform has been linked to liver and kidney damage and increased cancer risks, particularly among vulnerable populations.

Haloacetic Acids (HAAs)

Number of Water Systems Affected: 273
Number of People Impacted: 678,268
Haloacetic acids are another byproduct of water disinfection that forms during the treatment process. Exposure to HAAs over time can increase the risk of cancer, alongside potential kidney or liver damage. With nearly 680,000 individuals affected, HAAs present a significant challenge in balancing water safety from pathogens versus chemical contaminants.

Bromodichloromethane

Number of Water Systems Affected: 282
Number of People Impacted: 673,347
Bromodichloromethane, another chlorination byproduct, enters drinking water systems during sanitation. Long-term exposure to this contaminant is a known carcinogen, closely tied to elevated risks of bladder and rectal cancers. Research has also shown a link to reproductive and developmental toxicity, adding to the urgency of proper water testing and control.

Dichloroacetic Acid

Number of Water Systems Affected: 263
Number of People Impacted: 661,302
Dichloroacetic acid is a chemical compound formed in treated drinking water due to the interaction of chlorine with organic matter. The contaminant is associated with severe health impacts, including liver toxicity and cancer risks. Studies have also highlighted potential developmental disruptions in children exposed over time.

Nitrate and Nitrite

Number of Water Systems Affected: 205
Number of People Impacted: 631,069
Nitrate and nitrite contamination primarily originates from agricultural runoff, including fertilizers and animal waste. High exposure levels are particularly alarming for infants, leading to a potentially fatal condition called methemoglobinemia or "blue baby syndrome." Adults exposed to elevated nitrates are also at risk for certain cancers and adverse cardiovascular effects.

Most Significant Health Impacts

The contaminants found in North Dakota’s water systems present serious health challenges. Cancer is a significant concern, with multiple contaminants such as Total Trihalomethanes, Bromodichloromethane, and Dichloroacetic Acid being recognized carcinogens. Reproductive and developmental issues have also been highlighted, particularly for vulnerable populations such as pregnant women and children. Infants are at heightened risk from nitrate exposure, leading to potentially life-threatening conditions. Kidney and liver damage are additional risks of prolonged exposure to chlorination byproducts like chloroform and Haloacetic acids. The widespread prevalence and health impacts underscore the need for proactive measures to ensure safe and clean drinking water across the state.

Conclusion

The state of water quality in North Dakota highlights significant concerns. The combination of agricultural practices, industrial processes, and water treatment byproducts has led to widespread contamination affecting hundreds of thousands of residents. Addressing these issues will require a multi-faceted approach, including improving filtration technology, stricter enforcement of water standards, and educating the public about the risks and mitigation strategies. The health, well-being, and safety of North Dakota’s residents depend on the collective effort to tackle this pressing issue.

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