Drinking water safety: the overlooked endocrine-disrupting effects of disinfection byproducts
1 Department of Occupational and Environmental Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
2 Key Laboratory of Environment and Health, Ministry of Education & Ministry of Environmental Protection, and State Key Laboratory of Environmental Health (incubating), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
  • Volume
  • Citation
    Liu Z, Zeng Q. Drinking water safety: the overlooked endocrine-disrupting effects of disinfection byproducts. Int. J. Environ. Epidemiol. 2026(3):0013, https://doi.org/10.55092/ijee20260013. 
  • DOI
    10.55092/ijee20260013
  • Copyright
    Copyright2026 by the authors. Published by ELSP.
Abstract

Disinfection byproducts (DBPs), as ubiquitous chemical contaminants in drinking water, pose a significant threat to public health owing to their documented genotoxicity, carcinogenicity, and reproductive and developmental toxicity. However, the endocrine-disrupting effects of DBPs have long remained overlooked. Recently, accumulating evidence from both experimental and human studies has suggested that certain DBPs can exert estrogenic, androgenic, antiestrogenic, and antiandrogenic activities, implicating that DBPs elicit potential endocrine-disrupting effects. Given that endocrine-disrupting properties represent key biological mechanisms contributing to a broad spectrum of adverse health outcomes, this perspective contends that exposure to drinking water DBPs may underpin overlooked health risks including chronic diseases, highlighting an urgent paradigm shift in how we evaluate drinking water safety. Knowledge gaps and future directions on the endocrine-disrupting effects of DBPs are also proposed.

Keywords

disinfection byproducts; drinking water safety; endocrine-disrupting effects; health risks

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