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Drinking water quality statistics

Violations, boil notices, lead, PFAS and other contaminants in United States drinking water, and how safe water stands around the world.

Updated October 5, 2026 · Water Data Prize Newsroom

Key figures

6.2
percent
Community water systems with a health-based violation, FY 2021
9.2
million
Lead service lines in the US
4.0
parts per trillion
Limit for PFOA and PFOS
7.15
million
Waterborne illnesses in the US each year
Cholera cases reported worldwide, by year cases
0200k400k600k20222023202420254514995608230200k400k600k2022202320242025451499560823
YearCases
2022 472,697
2023 535,321
2024 560,823
2025 451,499

Violations and boil notices

  • In fiscal year 2021, 6.2 percent of community water systems had one or more health-based violations, affecting 23.9 million people.
  • Federal drinking water regulations cover more than 90 contaminants.
  • In 2015, 76.9 million people were served by community water systems with at least one reported violation of the Safe Drinking Water Act.
  • That year there were 80,834 reported violations, at 18,094 community water systems across the country.
  • After Hurricane Helene in September 2024, boil water advisories affected more than 1.8 million people for days to weeks.

Wells, nitrate and waterborne illness

  • About 23 percent of more than 2,000 private wells tested had at least one contaminant at a level of potential health concern.
  • Nitrate in groundwater used for drinking exceeded the 10 mg/L health benchmark in 9 percent of 4,674 samples.
  • 59.5 million people get drinking water from 757 large community water systems that detected nitrate at or above 3 mg/L at least once between 2017 and 2019.
  • 60 water systems serving almost 3.9 million people tested at or above the 10 mg/L nitrate limit at least once between 2017 and 2019.
  • An estimate based on 2014 data puts waterborne illnesses in the United States at about 7.15 million a year.
  • Waterborne diseases are responsible for an estimated 118,000 hospitalizations in the United States each year.
  • They are also responsible for an estimated 6,630 deaths a year.
People served by large systems that detected nitrate, 2017 to 2019 million people
At or above 3 mg/L59.5At or above 5 mg/L37.8At or above 10 mg/L3.9At or above 3 mg/L59.5At or above 5 mg/L37.8At or above 10 mg/L3.9
CategoryMillion people
At or above 3 mg/L 59.5
At or above 5 mg/L 37.8
At or above 10 mg/L 3.9

Lead

  • The United States is projected to have 9.2 million lead service lines.
  • Under the 2024 lead rule, water systems must replace the lead service lines they control in 10 years or less.
  • The lead action level moves from 0.015 mg/L to 0.010 mg/L on November 1, 2027.
  • A federal law invests $15 billion to identify and replace lead service lines.
  • About 500,000 children in the United States have blood lead levels at or above the reference value of 3.5 micrograms per deciliter.
  • An estimated 43 percent of school districts, serving 35 million students, tested for lead in school drinking water in 2016 or 2017, and 41 percent, serving 12 million students, had not.
  • Among the school districts that tested, an estimated 37 percent found elevated lead.
  • The Flint water crisis settlement totals $626.25 million.
  • Of the utilities serving the 100 largest U.S. cities, 15 have public lead service line maps.

PFAS

  • The federal limit for PFOA and PFOS in drinking water is 4.0 parts per trillion each.
  • PFHxS, PFNA and HFPO-DA (GenX) each have a limit of 10 parts per trillion.
  • At least 45 percent of the nation's tap water is estimated to have one or more types of PFAS.
  • 4,100 to 6,700 public water systems, serving 83 to 105 million people, will need to act to bring PFAS below the standards.
  • Once in force, the PFAS rule is expected to reduce exposure for approximately 100 million Americans served by public water systems.
  • Compliance with the PFAS rule is estimated to cost approximately $1.5 billion a year.
  • $9 billion is available to help communities with drinking water affected by PFAS and other emerging contaminants.
Federal drinking water limits for five PFAS parts per trillion
PFOA4.0PFOS4.0PFHxS10PFNA10HFPO-DA (GenX)10PFOA4.0PFOS4.0PFHxS10PFNA10HFPO-DA (GenX)10
CategoryParts per trillion
PFOA 4.0
PFOS 4.0
PFHxS 10
PFNA 10
HFPO-DA (GenX) 10

Safe water worldwide

  • In 2024, 2.1 billion people still lacked safely managed drinking water, including 106 million who drank directly from untreated surface sources.
  • At least 1.7 billion people used a drinking water source contaminated with feces in 2022.
  • An estimated 140 million people in at least 70 countries have been drinking water with arsenic above the provisional guideline value of 10 micrograms per liter.
  • Unsafe drinking water, sanitation and hygiene could have prevented at least 1.4 million deaths in 2019.
  • In 2025, 47 countries reported 451,499 cholera cases and 7,870 deaths.
  • In Europe, monitoring found compliance above 99.5 percent for a range of chemical parameters in drinking water.
  • 56 percent of the water bodies assessed in 120 countries had good water quality in 2023.

Sources

  1. 1 in 4 people globally still lack access to safe drinking water - WHO, UNICEF
  2. About Childhood Lead Poisoning Prevention | Childhood Lead Poisoning Prevention | CDC
  3. Arsenic (WHO fact sheet)
  4. Attorney General: Historic Flint Water Settlement Officially Approved
  5. Benefits and Costs of Reducing PFAS in Drinking Water (EPA fact sheet, April 2024)
  6. Biden-Harris Administration Announces $3 Billion for Lead Pipe Replacement to Advance Safe Drinking Water as Part of Investing in America Ag
  7. Biden-Harris Administration Finalizes First-Ever National Drinking Water Standard to Protect 100M People from PFAS Pollution | US EPA
  8. Cholera Annual Report 2024 (WHO Weekly Epidemiological Record, 5 September 2025)
  9. Cholera Annual Report 2025 (WHO Weekly Epidemiological Record)
  10. Cholera, 2023 (WHO Weekly Epidemiological Record, 6 September 2024)
  11. Compliance Evaluation of Community Water Systems in the United States using Data from the Safe Drinking Water Information System: Report to Congress (EPA)
  12. Contamination in U.S. Private Wells | U.S. Geological Survey
  13. Drinking Water Infrastructure Needs Survey and Assessment: 7th Report to Congress (EPA)
  14. Drinking-water (WHO fact sheet)
  15. Estimate of Burden and Direct Healthcare Cost of Infectious Waterborne Disease in the United States (Emerging Infectious Diseases, January 2021)
  16. EWG Tap Water Database | Nitrate contaminates drinking water for almost 60 million people in cities across the country
  17. Final Lead and Copper Rule Improvements: FAQ for states and public water systems (EPA, October 2024)
  18. Final PFAS National Primary Drinking Water Regulation (EPA presentation, April 2024)
  19. How EPA Regulates Drinking Water Contaminants | US EPA
  20. Improving access to water, sanitation and hygiene can save 1.4 million lives per year, says new WHO report
  21. K-12 Education: Lead Testing of School Drinking Water Would Benefit from Improved Federal Guidance | U.S. GAO
  22. Mapping Lead: Powerful tool helps communities find underground hazards - EDF Health
  23. PFAS National Primary Drinking Water Regulation (EPA fact sheet, April 2024)
  24. PFAS National Primary Drinking Water Regulation: FAQs for drinking water primacy agencies (EPA, April 2024)
  25. PFAS National Primary Drinking Water Regulation: pre-publication Federal Register notice (April 2024)
  26. SDG 6 Extended Report 2024 (United Nations)
  27. Tap water study detects PFAS ‘forever chemicals’ across the US | U.S. Geological Survey
  28. Threats on Tap: Widespread Violations Highlight Need for Investment in Water Infrastructure and Protections (NRDC, May 2017)
  29. USGS Circular 1350: Frequently Asked Questions
  30. Variance among Public Health Agencies' Boil Water Guidance (Emerging Infectious Diseases, August 2025)
  31. Water pollution and health | Health | European Environment Agency (EEA)