To understand public awareness about drinking water safety and water contamination accidents in rural areas of China, two rural counties of Hainan Province were selected as pilot sites for investigation. We explored the degree of public satisfaction with drinking water quality, public trust of drinking water safety, and public awareness about drinking water problems and solutions. The results showed that 80.3% of respondents were satisfied with the quality of their drinking water. About 78.8% of respondents paid special attention or comparatively high attention to drinking water quality and contamination accidents, especially regarding potential damage to the human body and health, the influence scope, and the causes of accidents. A total 52.4% of respondents solved drinking water problems by themselves; few respondents complained to the health department or called the local telephone hotline. Age and sex did not play significant roles in the degree of public satisfaction with water quality or in the public perception of water pollution accidents; however, residents in rural areas within a drinking water quality monitoring network were more satisfied with their drinking water quality and more aware of drinking water contamination accidents than in areas outside of such a network. Respondents with higher education levels had greater awareness than those with lower education levels with respect to water quality and water pollution accidents.

The occurrence of pharmaceuticals in the drinking water is a growing concern in China. In this study, we determined the concentration and distribution of 59 selected pharmaceuticals in raw, finished, and tap water samples from 79 drinking water treatment plants (DWTPs) in 15 cities, encompassing seven large river basins in China, using solid-phase extraction pretreatment and ultra-high-performance liquid chromatography–tandem mass spectrometry analysis. Forty-seven pharmaceuticals were detected in raw water samples, with detection rates of 1.27–96.20% and average concentrations of 0.09–128.87 ng/L. Forty-three pharmaceuticals were detected in finished water samples, with detection rates of 1.27–96.20% and average concentrations of 0.07–59.17 ng/L. Forty-two pharmaceuticals were detected in tap water samples, with detection rates of 1.27–94.94% and average concentrations of 0.07–58.43 ng/L. Purification methods implemented by DWTPs are capable of removing some pharmaceuticals from water treatment systems; however, low concentrations of pharmaceuticals were detected in drinking water, raising concerns about the possible human health implications of long-term exposure to low-dose pharmaceuticals. The detection and quantification of pharmaceuticals in municipal water samples presented in this study represent the most extensive analysis of commonly used pharmaceuticals and personal care products located in Chinese river basins.

What is already known about this topic? Antibiotic contaminations in the environment are understood to pose human health risks including disturbing the microbiome in the human body and producing antibiotic-resistant bacteria, which pose serious public health risks. Antibiotics have been detected in aquatic environments and drinking water worldwide. What is added by this report? Contamination levels of antibiotics in raw, finished, and tap water were investigated systematically, to the best of our knowledge, in major Chinese water basins. Multiple antibiotic contaminations in raw water and their incomplete removal during water-treatment processes results in human exposure to antibiotics via drinking water. Human exposure to such antibiotics and its health risks were evaluated in this study. What are the implications for public health practice? This study highlights the need to strengthen management of antibiotic exposure from drinking water. A multisectoral action plan at the national level is required to curb the effects of environmental antibiotic pollution.

In order to monitor the risk of pesticide pollutants in drinking water, an analytical method based on online-solid phase extraction coupled with ultra performance liquid chromatography-triple quadrupole mass spectrometry (online-SPE-UPLC-MS/MS) was established for the simultaneous rapid screening and determination of 107 pesticides and metabolites (organophosphorus, organic nitrogen, organic heterocycle, carbamate, amide, benzoyl urea, neonicotinoid, etc.) in raw water and drinking water. Different injection volumes (5, 10, and 15 mL) were compared. The detection response increased with an increase in the injection volume, but the matrix effect also became more pronounced. Under the premise of ensuring the sensitivity of the method and meeting the detection requirements, the injection volume was selected as 5 mL. Accordingly, the samples were filtered through a 0.22-μm hydrophilic polytetrafluoroethylene filter, and then, 5 mL samples were injected into the online-SPE system by the automatic sampler. After adsorption on an X Bridge C₁₈ online-SPE column, the samples were washed with pure water and eluted by gradient elution using acetonitrile and 0.1% formic acid aqueous solution as the mobile phases, with separation on an ACQUITY HSS T₃ column. The samples were detected by multiple reaction monitoring with electrospray ionization in positive and negative ion modes, and quantified by an external standard method. Using raw water and drinking water as the sample matrices, the accuracy and precision of the method were verified. The 107 pesticides and metabolites showed good linear relationships in different ranges with correlation coefficients (r²)>0.995. The limits of detection (LODs, S/N=3) of the method were 0.03-1.5 ng/L, and the limits of quantification (LOQs, S/N=10) were 0.1-5.0 ng/L. The target pesticides were spiked at concentration levels of 1, 20, and 50 ng/L. The spiked recoveries of the 107 targets in raw water and drinking water samples were 60.6%-119.8% and 61.2%-119.0%, respectively. The corresponding relative standard deviations (RSDs, n=6) were 0.3%-18.6% and 0.4%-17.1%. The pesticide residues in raw water and drinking water were determined by this method. Amide herbicides, triazine herbicides, triazole insecticides, carbamate insecticides, and neonicotinoid insecticides had high detection rates. The detected concentrations ranged from 0.1 to 97.1 ng/L in raw water and from 0.1 to 93.6 ng/L in drinking water. The sample consumption of online-SPE method was lower than that in the traditional off-line SPE methods, which greatly improved the convenience of sample collection, storage, and transportation. The samples only need to be filtered before injection and analysis. The method is simple to operate and shows good reproducibility. With this online-SPE method, only 23 min were required from online enrichment to detection completion. The developed method has the advantages of high analytical speed and high sensitivity. The method is suitable for the trace analysis and determination of 107 typical pesticides in raw water and drinking water, which effectively improves the detection efficiency of pesticides in water and has high potential for practical application. It can extend technical support for the pollution-level analysis of typical pesticides and metabolites in drinking water and provide an objective basis for human health risk assessment.