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A five month investigation by the Associated Press has discovered that small quantities of drugs, including, sex hormones, and anti-seizure compounds, have been found in public drinking water supplied to over 40 million Americans across the US. While the concentrations are so small they have to be measured in parts per billion or even parts per trillion, and water companies insist these levels are within safety limits, the AP said the long term effects on people's health of so many prescription drugs and over the counter medicines such as acetaminophen (paracetamol) and ibuprofen, even in tiny amounts, are starting to worry scientists. Drugs and their derivatives get into the drinking water supply because when people on medication go to the toilet they excrete whatever the body does not absorb and any matabolized byproducts.

Water companies treat the waste before discharging it into rivers, lakes and reservoirs, and then treat it again before it enters the drinking water system. However, the various treatments don't remove all traces of drugs. For five months, the AP National Investigative Team visited treatment plants, interviewed over 200 scientists, officials and academics, analyzed federal databases and reviewed hundreds of scientific reports. Among their enquiries the AP investigators came across research studies that have 'gone virtually unnoticed by the general public' where scientists were alarmed at the effect of the drinking water contaminants on human cells and wildlife. The investigators also found that water companies don't like to publish the results of drug screening tests because they think the public would not know how to interpret them and would become unduly alarmed.

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However, the US Environmental Protection Agency (EPA) assistant administrator for water, Benjamin H Grumbles told AP that: 'We recognize it is a growing concern and we're taking it very seriously.' The AP investigators discovered that drugs have been found in the drinking water of 24 major metropolitan areas across the country. Here are some of the key findings: • Southern California: a portion of drinking water that supplies 18.5 million people contained traces of anti-epileptic and anti-anxiety drugs.

• Philadelphia: treated drinking water contained 56 drugs or byproducts, including pharmaceuticals for pain, infection, control, heart conditions,. • San Francisco: a sex hormone was detected in the drinking water. • Washington DC: six drugs were found in the drinking water supply of the capital and surrounding area.