Water hardness and mortality in the Netherlands. 1981

R L Zielhuis, and B J Haring

In 1975 central water softening was discouraged by the Public Health Council because of the statistical negative association found in 23 communities between the hardness of drinking water and death rate from Ischemic Heart Disease (I.H.D.) over the period 1958-1970. Further studies were carried out during the last decade by a specially assigned interdisciplinary Working Group of the Health Aspects of Central Water Softening. Recent studies showed that the release of metals (Pb and Cu) from household water distribution pipes was positively correlated with water calcium. Furthermore a significant negative correlation was found between hardness and pH for these types of water. The hypothesis that the Ca and Mg deficiency in areas with soft drinking water increases the risk of I.H.D. death rate was supported by the finding that food looses more Ca and Mg when it is cooked in soft water as compared to cooking in hard water. In contrast with earlier statistical investigations no significant relations were found over the period 1970-1977 between I.H.D. mortality and hardness of drinking water in 30 municipalities. The disappearance of the statistical relation could not be attributed to changes in water hardness. However, investigation of a group of 17 municipalities of which mortality and water quality data are known for three periods, 1958-1962, 1965-1970 and 1971-1977, showed that the inverse statistical relation between I.H.D. mortality and water hardness still existed but with decreasing significance of correlation coefficients. The provisional conclusion of the Working Group is that other factors than water hardness overrule to a large extent the potential effect on I.H.D. mortality. Central water softening down to 2-3 meq/l Ca probably will have no observable effect on mortality. Other studies are still continuing. In 1981 a final report will be presented to the Minister of Health and Environmental Protection.

UI MeSH Term Description Entries
D008297 Male Males
D008670 Metals Electropositive chemical elements characterized by ductility, malleability, luster, and conductance of heat and electricity. They can replace the hydrogen of an acid and form bases with hydroxyl radicals. (Grant & Hackh's Chemical Dictionary, 5th ed) Metal
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009426 Netherlands Country located in EUROPE. It is bordered by the NORTH SEA, BELGIUM, and GERMANY. Constituent areas are Aruba, Curacao, and Sint Maarten, formerly included in the NETHERLANDS ANTILLES. Holland,Kingdom of the Netherlands
D002561 Cerebrovascular Disorders A spectrum of pathological conditions of impaired blood flow in the brain. They can involve vessels (ARTERIES or VEINS) in the CEREBRUM, the CEREBELLUM, and the BRAIN STEM. Major categories include INTRACRANIAL ARTERIOVENOUS MALFORMATIONS; BRAIN ISCHEMIA; CEREBRAL HEMORRHAGE; and others. Brain Vascular Disorders,Intracranial Vascular Disorders,Vascular Diseases, Intracranial,Cerebrovascular Diseases,Cerebrovascular Insufficiency,Cerebrovascular Occlusion,Brain Vascular Disorder,Cerebrovascular Disease,Cerebrovascular Disorder,Cerebrovascular Insufficiencies,Cerebrovascular Occlusions,Disease, Cerebrovascular,Diseases, Cerebrovascular,Insufficiencies, Cerebrovascular,Insufficiency, Cerebrovascular,Intracranial Vascular Disease,Intracranial Vascular Diseases,Intracranial Vascular Disorder,Occlusion, Cerebrovascular,Occlusions, Cerebrovascular,Vascular Disease, Intracranial,Vascular Disorder, Brain,Vascular Disorder, Intracranial,Vascular Disorders, Brain,Vascular Disorders, Intracranial
D003327 Coronary Disease An imbalance between myocardial functional requirements and the capacity of the CORONARY VESSELS to supply sufficient blood flow. It is a form of MYOCARDIAL ISCHEMIA (insufficient blood supply to the heart muscle) caused by a decreased capacity of the coronary vessels. Coronary Heart Disease,Coronary Diseases,Coronary Heart Diseases,Disease, Coronary,Disease, Coronary Heart,Diseases, Coronary,Diseases, Coronary Heart,Heart Disease, Coronary,Heart Diseases, Coronary
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly

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