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Does Your City Use Chlorine or Chloramine to Treat Its Water?

Does Your City Use Chlorine or Chloramine to Treat Its Water?

WIRED16-05-2025

Different cities use different water treatments, and this can affect how filters work on your water.
All products featured on WIRED are independently selected by our editors. However, we may receive compensation from retailers and/or from purchases of products through these links.
There's chlorine in your drinking water, America. Or maybe there's a different chlorine compound called chloramine. This isn't meant to alarm you, though of course it's alarming to many. An entire industry of faucet and countertop and shower filters has sprung up specifically to remove chlorine compounds from the water you drink and bathe in, whether for reasons of health or flavor or beauty.
After all, chlorine tastes and smells bad; some people are sensitive to its aroma even in tiny amounts. It also potentially messes with your hair dye and dries out your skin. Plus, few people realllllly want to drink chlorine, if you ask them. Hence, water filters like WIRED's best-tested shower filter, the Canopy Filtered Showerhead, designed to remove chlorine before you wash with it.
But note that the chlorine is entirely supposed to be there. The US Centers for Disease Control has hailed water chlorination as one of the greatest public health advances of the 20th century, alongside such obscure triumphs as 'penicillin' and 'the polio vaccine.'
Extremely low concentrations of chlorine or chlorine compounds, generally around 1 part per million—well below the Environmental Protection Agency's acceptable limits for human consumption—are added to water pipes to kill potential germs like typhoid and cholera and E. coli that might otherwise grow in water and shorten your life or make it briefly awful. Home filters are designed to remove chlorine after it's already done its job in the pipes.
But if you do buy filters for your drinking water or shower water, there's a complicating factor. More than half of big US cities don't use chlorine, in part because free chlorine in water is highly reactive and has a short half-life and can interact with other substances to create harmful compounds thought to be carcinogenic. More than half of the country's largest cities instead use chloramine, a more stable and persistent chlorine compound.
If you're trying to filter out chlorine compounds, it matters which one your city is using. New York, Atlanta, and Chicago use chlorine in their water systems. But Los Angeles, Philadelphia, and Boston use chloramine in their water. Differences Between Chlorine and Chloramine
Chloramine has some potential advantages over chlorine. The aroma is generally perceived as less pronounced in drinking water. Chloramine's longer half-life and longer persistence in pipes also means health authorities can use lower quantities and still maintain levels needed to disinfect pipes.
But chloramine's relative stability can also make it harder to filter out of water than pure chlorine, especially using shower water filters that rely on chemical reactions to neutralize chlorine. While chloramine will oxidize relatively quickly in open air when exposed to light, brewers in cities that use chloramine often use chemical tablets to neutralize chloramine. Photograph: Matthew Korfhage
Knowing which substance your city uses will help you determine which filters will work best to get rid of it. The certification arm of the National Science Foundation, which has seen drastic and systematic cutbacks in recent months under DOGE, traditionally offers reliable testing standards for chlorine removal for water filters, certifying chlorine removal over thousands of gallons of water. And so if your city uses chlorine, the most reliable gauge of a water filter's effectiveness has generally been whether it's been tested and certified to NSF standards.
For shower filters, the standard for chlorine filtration is NSF/ANSI standard 177. Most makers of shower water filters in particular have not received certification and don't share independent data. But there's at least one exception in the United States: The Weddell Duo inline shower filter is certified to remove chlorine from water systems treated with free chlorine.
For chloramine systems, the NSF doesn't offer a specific standard, muddying the waters a bit. So I did my own testing using home lab kits designed for pools and aquariums. In general, I found that filters that used activated or catalyzed carbon and multistage filters appeared to fare better at removing chloramine levels.
Specifically, our testing indicated that only a few shower filters on the market removed chloramine down to undetectable levels, in cities with chloraminated systems. These included the Canopy Filtered Showerhead ($170), the Afina A-01 Filtered Showerhead ($129), the Hydroviv Filtered Showerhead ($200), and the Curo Filtered Showerhead ($109).
Which is to say: Knowing which chemical your city uses might help you determine which filter is best able to remove chlorine and chlorine compounds from your system. Here's the list for the top 50 most populous cities in the United States. (But note that some cities that use chlorine sometimes temporarily switch to chlorine to disinfect their systems, and vice versa.) Large US Cities That Treat Water With Chloramine Austin, Texas
Boston, Massachusetts
Dallas, Texas
Denver, Colorado
Fort Worth, Texas
Houston, Texas
Indianapolis, Indiana
Kansas City, Missouri
Long Beach, California
Los Angeles, California
Louisville, Kentucky
Miami, Florida
Milwaukee, Wisconsin
Minneapolis, Minnesota
Oakland, California
Oklahoma City, Oklahoma
Omaha, Nebraska
Philadelphia, Pennsylvania
Portland, Oregon
Raleigh, North Carolina
San Diego, California
San Francisco, California
San Jose, California
Tampa, Florida
Tulsa, Oklahoma
Virginia Beach, Virgina
Washington, DC Large US Cities That Treat Water With Chlorine Albuquerque, New Mexico
Arlington, Texas
Atlanta, Georgia.
Bakersfield, California
Charlotte, North Carolina
Chicago, Illinois
Colorado Springs, Colorado
Columbus, Ohio
Detroit, Michigan
El Paso, Texas
Fresno, California
Jacksonville, Florida
Las Vegas, Nevada
Memphis, Tennessee
Mesa, Arizona
Nashville, Tennessee
New York, New York
Phoenix, Arizona
Sacramento, California
San Antonio, Texas
Seattle, Washington
Tucson, Arizona
Baltimore, Maryland

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Tulane scientist resigns citing university censorship of pollution and racial disparity research
Tulane scientist resigns citing university censorship of pollution and racial disparity research

Washington Post

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  • Washington Post

Tulane scientist resigns citing university censorship of pollution and racial disparity research

NEW ORLEANS — A Tulane University researcher resigned Wednesday, citing censorship from university leaders who had warned that her advocacy and research exposing the Louisiana petrochemical industry's health impacts and racial disparities in hiring had triggered blowback from donors and elected officials. In her resignation letter, Kimberly Terrell accused the university of sacrificing academic freedom to appease Louisiana's Republican Gov. Jeff Landry. Terrell, the director of community engagement at Tulane's Environmental Law Clinic claimed the clinic had been 'placed under a complete gag order' that barred her from making public statements about her research. According to emails obtained by The Associated Press, university leaders wrote that the work of the law clinic had become an 'impediment' to a Tulane redevelopment project reliant on support from state and private funders. The clinic represents communities fighting the petrochemical industry in court. Kate Kelly, a Landry spokesperson, denied that the governor threatened to withhold state funding. 'I cannot remain silent as this university sacrifices academic integrity for political appeasement and pet projects,' Terrell wrote. 'Our work is too important, and the stakes are too high, to sit back and watch special interests replace scholarship with censorship.' Terrell said she resigned 'to protect the work and interests' of the clinic. Tulane spokesperson Michael Strecker said in an emailed statement that the university 'is fully committed to academic freedom and the strong pedagogical value of law clinics.' He declined to comment on 'personnel matters.' Many of the clinic's clients are located along the heavily industrialized 85-mile (137-kilometer) stretch of the Mississippi River between New Orleans and Baton Rouge commonly referred to by environmental groups as 'Cancer Alley.' Marcilynn Burke, dean of Tulane's law school, wrote in a May 4 email to clinic staff that Tulane University President Michael Fitts worried the clinic's work threatened to tank support for the university's long-sought efforts to redevelop New Orleans' historic Charity Hospital as part of a downtown expansion. 'Elected officials and major donors have cited the clinic as an impediment to them lending their support to the university generally and this project specifically,' Burke wrote. Burke did not respond to an emailed request for comment Wednesday. In her resignation letter, Terrell wrote that she had been told the governor 'threatened to veto' any state funding for the expansion project unless Tulane's president 'did something' about the clinic. A 2022 study Terrell co-authored found higher cancer rates in Black or impoverished communities in Louisiana. Another study she published last year linked toxic air pollution in Louisiana with premature births and lower weight in newborns. In April, Terrell published research showing that Black people received significantly less jobs in the petrochemical industry than white people in Louisiana despite having similar levels of training and education. Media coverage of the April study coincided with a visit by Tulane leaders to Louisiana's capitol to lobby elected officials in support of university projects. Shortly after, Burke, the law school's dean, told clinic staff in an email that 'all external communications' such as social media posts and media interviews 'must be pre-approved by me.' Emails from May show that Burke denied requests from Terrell to make comments in response to various media requests, correspondence and speaking engagements, saying they were not 'essential functions of the job.' On May 12, Terrell filed a complaint with the Southern Association of Colleges and Schools Commission on Colleges, claiming that her academic freedom had been violated. The agency, which accredits Tulane, did not comment. In a May 21 audio recording obtained by the AP, Provost Robin Forman said that when Tulane leadership met with elected officials in April, they were pressed as to why ''Tulane has taken a stand on the chemical industry as harming communities',' and this 'left people feeling embarrassed and uncomfortable.' Burke said in an email that university leaders had misgivings about a press release in which a community activist represented by Terrell's clinic is quoted as saying that petrochemical companies 'prioritize profit over people.' Burke noted that Fitts was concerned about the clinic's science-based advocacy program, and Terrell's work in particular which he worried had veered 'into lobbying.' Burke said Fitts required an explanation of 'how the study about racial disparities relates directly to client representation.' The clinic cites the study in a legal filing opposing a proposed chemical plant beside a predominantly Black neighborhood , arguing the community would be burdened with a disproportionate amount of pollution and less than a fair share of the jobs. The clinic's annual report highlighted its representation of a group of residents in a historic Black community who halted a massive grain terminal that would have been built around 300 feet from their homes. The provost viewed the clinic's annual report 'as bragging that the clinic has shut down development,' Burke said in an email. In her resignation letter, Terrell warned colleagues that she felt Tulane's leaders 'have chosen to abandon the principles of knowledge, education, and the greater good in pursuit of their own narrow agenda.' ___ Brook is a corps member for The Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on undercovered issues.

How Do You Treat Type 1 Diabetes?
How Do You Treat Type 1 Diabetes?

Health Line

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How Do You Treat Type 1 Diabetes?

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The Most Vicious Cycle of All: Cardiac PTSD
The Most Vicious Cycle of All: Cardiac PTSD

Medscape

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The Most Vicious Cycle of All: Cardiac PTSD

Just surviving a major cardiac event is an achievement, but of course getting through whatever initial resuscitation and procedures necessary are merely the first steps. As a patient embarks on their rehabilitation journey, one incredibly dangerous setback cardiologists must be on the lookout for is cardiac posttraumatic stress disorder (PTSD). This remarkably common complication — according to a 2004 study published in Critical Care Medicine , as many as 27% of those who survive cardiac events may develop PTSD — can not only cause noncompliance with medication and other ongoing treatment modalities but also put the patient at an increased risk for a second cardiac event. 'In the aftermath of cardiac arrest or a heart attack, one of the most overlooked aspects of recovery is the emotional toll it takes, said Srihari S. Naidu, MD, a professor of medicine at New York Medical College and director of the Cardiac Cath Labs at the Westchester Medical Center Health Network, both in Valhalla, New York. 'The experience can be deeply traumatic, not just for the patient, but for their loved ones as well. Despite this, mental health remains one of the least systematically addressed components of cardiac care.' One problem, Naidu said, is that we 'still, we lack standardized approaches to routinely screen, diagnose, and treat PTSD in this vulnerable population.' Indeed, the American Heart Association identified this as a problem in its 2020 scientific statement, Sudden Cardiac Arrest Survivorship. In this publication, the association said the coordination of multidisciplinary care, to include emotional care, must start as early as within the ICU, but that it needs to continue throughout the recovery period. Srihari S. Naidu, MD 'Without a coordinated plan during hospitalization to assess both short- and long-term recovery needs, we risk missing the broader picture,' said Naidu, who is also the president of the Society for Cardiovascular Angiography and Interventions. 'In my experience, the outpatient clinic visit is often the first, and sometimes the only, opportunity to uncover these issues, which may manifest as anxiety or persistent thoughts about the event, or a variety of unrelated symptoms.' James Jackson, MD, director of Behavioral Health and professor of medicine and psychiatry at Vanderbilt University in Nashville, Tennessee, said the symptoms are all united by one thing: The fact that the patient has the source of their trauma with them at all times. 'If you're carrying your heart around with you and the heart is the source of the trauma, you're constantly reminded, right? And if your cardiac event developed out of the blue, the concern is it could develop out of the blue again, right? So you're carrying this trauma around with you. It's a constant reminder,' he said. 'The trauma is not parked somewhere in the rear view. The trauma is sort of in the present and even in the future.' Symptom-wise, this trauma manifests itself in a variety of ways and can often go overlooked due to the focus on the physical recovery, Naidu said. 'During follow-up, subtle cues begin to emerge; patients who seem emotionally distant, who have trouble sleeping, or who avoid talking about what happened (can be red flags),' he said. 'PTSD doesn't always present dramatically.' Sometimes, Naidu said, it's the patient who suddenly bursts into tears when recalling the event. Other times, it's the one who avoids follow-ups, skips cardiac rehab, or steers clear of anything that reminds them of the hospital. Early symptoms may include hypervigilance, nightmares, intrusive memories, emotional numbness, and avoidance. The Cycle Folds Onto Itself When you break it down and look at triggering factors, it's not hard to understand how PTSD becomes a self-fulfilling prophecy. 'Often with patients in a cardiac context, they get quite anxious. Their heart starts beating fast, and then they really worry. And so their response to that is, I'm going to withdraw. I'm going to disengage,' Jackson said. While physical activity or exercise often helps reduce stress, patients are often short of breath and are reminded how it felt when they were having the attack. James Jackson, MD 'And so if they start to exercise, it's all well and good,' Jackson said. 'But as soon as they get slightly short of breath, even if they're fine physiologically, as soon as they get short of breath, they're going to shut that down. And this is just one example, but it becomes a very isolating sort of process.' Patients left in this sustained crisis state experience a significantly diminished overall quality of life, and a study led by Antonia Seligowski and published in the March 2024 issue of Brain, Behavior, and Immunity found that PTSD after cardiac arrest significantly increases the risks for both major adverse cardiovascular events and all-cause mortality within just 1 year of discharge. This is supported by the findings of Donald Edmondson, MD, associate professor of behavioral medicine in medicine and psychiatry at Columbia University Irving Medical Center, New York City, both in his 2013 study published in the American Heart Journal and in research he has done since. 'Over the years now, we've studied cardiac patients, both acute coronary syndrome, so myocardial infarction, as well as cardiac arrest and stroke,' Edmondson said. 'What we see is that between 15 and 30% of patients will screen positive for PTSD due to that cardiac event 1 month later. Those who screen positive for PTSD are at least at doubled risk, if not greater, for having another cardiac event or dying within the year after that first cardiac event.' These outcomes highlight how critical it is to address PTSD early and effectively, Naidu said. 'As cardiologists, we often focus on optimizing medications, procedures, and physical rehabilitation, but without integrating behavioral support, we're missing a major part of the healing process,' he said. PTSD and cardiovascular disease have a well-documented relationship: PTSD can worsen cardiovascular risk, and in turn, living with heart disease can amplify psychological stress. Jackson said that there are behavioral health approaches at work in other areas that may be useful for cardiac events that are not sudden onset. 'There's a general sort of a movement afoot called prehab,' Jackson said. 'The general idea about prehab would be, 'Hey, you're going to have this surgery. We think that it's going to knock your brain down. So we're going to try to do some brain training with you before the surgery, and we think that in doing that, we're going to build your reserve up.' Is There a Type? Although a 2022 study led by Sophia Armand and published in the Journal of Cardiovascular Nursing showed that younger age, female sex, and high levels of acute stress at the time of the event to be significant risk factors for developing PTSD after cardiac arrest. There's no one overarching 'profile' in terms of who's likely to develop PTSD after any cardiac event. Naidu has his hunches, though. Donald Edmondson, MD 'I would say that I suspect cardiac arrest is more frequently associated with PTSD than other types of cardiac events. Compared to conditions like myocardial infarction or unstable angina, the psychological impact of cardiac arrest, particularly when complicated by anoxic brain injury, tends to be more profound,' Naidu said, cautioning that individual risk factors should be weighed in every case. 'Anoxic injury significantly increases the risk of depression, anxiety, and PTSD, often for an uncertain duration.' At Columbia, Edmondson said there are two indicators that together predict a high risk for a cardiac patient developing PTSD. 'They tend to pay close attention to their cardiac sensations and catastrophize them,' Edmondson said of the patients who go on to develop PTSD. 'Initially, in the ER [emergency room], they're extremely distressed. Then, post event, they'll say over the past 4 weeks, when I feel my heart beating fast, I worry that I'm having another heart attack. Or if I feel short of breath, I worry that I'm going to die.' 'Having those two predictors together, so initial high distress in the emergency department and this sort of high, what we call interoceptive bias, those two things together place people at high risk for developing PTSD at that 1-month period (after their cardiac event).' Regardless, more research must be done on this extremely risky and highly debilitating mental health issue that's so deeply entwined with its cardiac trigger. 'More focused studies are needed to better understand the timing, risk factors, and mechanisms behind these symptoms, and to develop standardized strategies for early screening, intervention, and long-term psychological support,' said Naidu. 'An urgent need exists to screen for and treat PTSD, not just for mental health but to help prevent repeat hospitalizations and improve long-term cardiovascular outcomes.'

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