Water Quality

Health Effects of Nitrates In Drinking Water

5 min read

Nitrates in drinking water can turn your baby blue.

It can also cause dangerous preterm births, and may even increase the risk of cancer.

At the same time, nitrates occur naturally in vegetables like carrots and are safe in the small, natural doses found in produce.

So, what's the deal with nitrates, and should you really be concerned about them in your tap water?

Keep reading to find out more…

ESSENTIAL TAKEAWAYS

Nitrates enter the water supply through fertilizers, manure, animal waste, and leaky septic systems.


10 mg/L is the legal limit for nitrates in drinking water set by the Environmental Protection Association (EPA).


Some studies show that nitrate consumption can increase the risk of preterm birth, certain types of cancer, and thyroid disorders, even at levels below the EPA’s limit.


Methemoglobinemia, or “blue baby syndrome” is a life-threatening condition where infants lose the ability to carry oxygen in their blood due to drinking formula mixed with nitrate-contaminated water.


The best way to protect you and your family from nitrates in drinking water is to install a reverse osmosis filtration system in your home.

What Are Nitrates?

Nitrates and nitrites, like potassium nitrate and sodium nitrite, are naturally occurring chemical compounds that contain nitrogen and oxygen. 

Nitrate occurs naturally in vegetables and plants, but today nitrate levels are way higher than normal.

They are a major ingredient in commercial fertilizers as a pesticide and growth accelerator, and food companies add them to sausages and deli meats to preserve freshness. 

How Nitrates Enter Drinking Water Supplies

Most of the nitrates in drinking water comes from inorganic fertilizer and animal manure in agricultural areas. 

Farm runoff from heavily fertilized soil, crop residue, decaying plants, and animal waste are the main causes of nitrates in groundwater.

Heavy rains carry the contaminated runoff through irrigation networks and into the water supply. 

At the same time, poorly designed septic tanks leak nitrate-containing sewage into local groundwater.

What Are the Regulations Around Nitrate In Drinking Water?

Nitrate occurs at safe levels in nature, usually less than 1-2 mg/L.

At these levels, nitrate is not harmful to human health. 

The U.S. Environmental Protection Agency (EPA) sets the maximum limit at 10 mg/L, and they consider anything above this unsafe. 

However, several studies link lower levels to dangerous health risks, but more on that in a sec…

Package of Raw Bacon
Nitrates and nitrites are both legal preservatives used to reduce bacteria in meat products like bacon, salami, ham and some cheeses.

Blue Baby Syndrome & Nitrates

The most widely known side effect of nitrate exposure is methemoglobinemia, or “blue baby syndrome.”

It occurs in babies who drink formula mixed with water containing high levels of nitrates. 

When nitrate enters the blood, it prevents red blood cells from carrying oxygen. 

As a result, the baby’s skin turns blue and is life-threatening. 

  • Decreased blood pressure
  • Increased heart rate
  • Headaches
  • Stomach cramps
  • Vomiting

Most adults and children, on the other hand, are able to process the nitrate more rapidly and prevent this from happening. 

Babies under six months are at the highest risk of methemoglobinemia. 

Adults with the following health conditions may also be at risk: 

  • Anemia
  • Cardiovascular disease
  • Lung disease
  • Sepsis
  • Metabolic problems

But as it turns out, methemoglobinemia isn’t the only way that nitrate can harm your baby…

Nitrates and Pregnancy 

A recent Stanford study linked higher levels of nitrates in drinking water to preterm birth. 

Researchers found that women exposed to nitrates were more likely to deliver early. 

And this study wasn’t small by any means – it analyzed roughly 1.4 million births in California. 

The study is the largest ever to connect nitrate consumption to premature birth. 

According to Allision Sherris, the lead author of the study:

“We found that higher concentrations of nitrate in drinking water during pregnancy were associated with an increased risk of spontaneous preterm birth, even at nitrate concentrations below the federal regulatory limit.”

This last part is important, because it shows that the EPA’s 10 mg/L limit isn’t strict enough to protect public health. 

The study found that the risk of early preterm birth, where the infant is born at least nine weeks early, was elevated by about half in women exposed to between 5-10 mg/L of nitrate in their water. 

Early preterm births are extremely dangerous, and can require long hospitalizations. 

The infants may also experience short and long-term complications with digestion, vision, hearing, and neurological development.

DID YOU KNOW?

Since the 1920s, humans have doubled the rate of nitrogen deposited onto the land through fertilizers, fossil fuels, and large-scale farming such as soybeans.

Other Health Effects of Nitrate In Drinking Water

Recent scientific evidence shows that nitrate can have negative health effects on healthy adults too…

A growing body of evidence connects nitrate exposure to side effects like: 

  • Increased heart rate
  • Nausea
  • Headaches
  • Abdominal cramps

Nitrates may also increase the risk of cancer.

The most widely studied types of cancer are colorectal, bladder, stomach, and breast cancer. 

Researchers have also conducted several studies on thyroid disease and nitrates. 

Out of these, they found the strongest evidence for an increased risk of thyroid disease and colorectal cancer.

Who Is Most At Risk for Nitrates In Drinking Water?

Rural residents beware!

If you live in the countryside, and especially if you live near farmland, you have high risk of nitrate exposure. 

That’s because fertilizers, manure and agricultural runoff are the biggest sources of nitrates.

In fact, studies show that nitrate levels in groundwater under farmland were about three times higher than the national average. 

If you live in these areas and get your water from a private well, you are at the mercy of your well construction. 

Shallow, poorly sealed wells that draw from shallow groundwater at the greatest risk. 

Recent flooding, new agricultural fields, and nearby waste disposal can also increase the risk of nitrates in well water.

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We recommend having your tap water professionally tested at least once a year. Enter your zip code in the box below to check the latest water quality results in your area.

How to Protect Your Private Well From Nitrates

If you have a private well, there are several things you can do to protect it, including:

  • Install your well uphill of your septic tank
  • Store fertilizers and other nitrate sources far away from your well
  • Inspect your well for damage regularly
  • Test for nitrate at least once a year

If you detect nitrate in your well, there’s a good chance that other contaminants are in there as well. 

Make sure you test for a full panel of pollutants through a licensed state laboratory. 

Chances are, you will have to hire a professional to perform a shock chlorine treatment to kill all bacteria and other pathogens.

Once the system is treated and flushed, it will be time to take more preventative measures…

How to Protect Your Tap Water No Matter What

Whether you’re on a private will in the countryside, or a public water system in the city, the best way to protect you and your family from nitrates and other harmful contaminants is to install a water filtration system in your home. 

There are very few systems out there that are capable of removing the full range of hard-to-remove contaminants, like nitrates, PCBs, PFAS, arsenic, and lead. 

Unfortunately, standard carbon filters that attach to your faucet are not enough. 

Other more robust systems, like ultrafiltration, work great in a laboratory setting but struggle to hold up under the regular wear-and-tear of residential use. 

When it comes down to it, reverse osmosis (RO) systems are the way to go. 

They hold up under the stress and remove up to 99.9% of all contaminants. 

Plus, you can find affordable options that conveniently fit right under the kitchen sink. 

Cloud Water Filters even use built-in software to monitor water quality 24/7 through an app on your phone.

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