Tapwater contaminant mixtures and cumulative risk screening on the Crow (Apsáalooke) Reservation

Introduction: Water insecurity is a challenge for the Apsáalooke (Crow) Tribal Nation in south-central Montana, United States. Both private-well and public-supply tapwater (TW) are vulnerable to a range of contaminants, posing potential risks to community health and well-being. Ongoing community concerns about unrecognized inorganic, organic, and microbial contaminants underscore the need for continued comprehensive monitoring and improved water management strategies. Materials and methods: TW samples were collected from 26 private-well and 12 public-supply participant locations, selected and recruited by the Crow Water Quality Project. A total of 35 inorganic, 450 organic, and three microbial analytes were assessed in these samples. Public-Supply Maximum Contaminant Levels and Health benchmark-based screening levels were used to evaluate contaminant concentrations. Results: Sixty-one organic and 34 inorganic contaminants were detected. Screening levels were frequently exceeded, particularly due to multiple inorganic contaminants in private TW and both chlorine-based disinfection byproducts (DBPs) and inorganics in public TW. These findings highlight gaps in current source-water protection and water treatment practices. Conclusions: After reporting results to participants, anonymized data were shared at community events to inform risk management decisions. The study underscores the importance of broad monitoring and analysis throughout the upper Missouri River basin and across the United States to address Tribal concerns over water insecurity and mitigate potential unrecognized TW contaminant risks, particularly to vulnerable subpopulations.