How to Remove Arsenic from Drinking Water
Arsenic in Drinking Water: The Hidden Well Water Problem
Arsenic is a naturally occurring metalloid found in the earth's crust worldwide. If you haven't tested your well, the Tap Score Well Water Test covers arsenic and speciation. In the United States, elevated arsenic in drinking water is primarily a private well problem — municipal water systems are required to test and treat their source water to meet the 10 ppb MCL. An estimated 2.1 million Americans may be drinking well water with arsenic above 10 ppb, according to USGS mapping data. Many millions more consume water with arsenic between 1–10 ppb, where long-term health risks exist even below the legal limit.
The geographic pattern is striking. Arsenic is heavily concentrated in New England, the Upper Midwest, and the western states — particularly where granite bedrock, glacial deposits, and volcanic soils are common. In New Hampshire, for example, studies have found that 10–15% of private wells exceed 10 ppb arsenic. Parts of Maine, Wisconsin, and Michigan show similar rates. It's not pollution — it's geology.
Unlike acute poisoning (which requires extremely high doses), the health risk from drinking water arsenic is chronic and cumulative — it builds over decades of daily consumption. At levels routinely found in U.S. well water (5–50 ppb), the primary concern is cancer risk, particularly bladder and lung cancer.
Well Water: No Federal Testing Requirement
Health Effects: Cancer Risk at "Legal" Levels
The EPA's 10 ppb MCL for arsenic is a regulatory compromise, not a health-safe threshold. The agency acknowledged this when setting the standard in 2001, estimating that water at 10 ppb would result in approximately 4–23 additional bladder or lung cancer deaths per 10,000 people exposed over a lifetime — a risk ratio that would be unacceptable for any other environmental contaminant. The standard was set at 10 ppb (reduced from 50 ppb) because requiring municipalities to achieve lower levels would be prohibitively expensive.
Bladder cancer
The strongest and most consistent association. Multiple large-scale studies show dose-response relationship — higher arsenic exposure correlates with higher bladder cancer incidence. Risk is detectable at levels as low as 10 ppb in some studies.
Lung cancer
Second strongest association. Studies of populations with high arsenic exposure (Chile, Taiwan, Argentina) consistently show elevated lung cancer rates. The mechanism involves DNA damage and interference with DNA repair pathways.
Skin cancer and keratosis
High-dose arsenic exposure (above 100 ppb) causes characteristic skin lesions, hyperpigmentation, and skin cancer. These effects are well-documented in South Asia and South America where natural arsenic in water can be extremely high.
Cardiovascular effects
Emerging evidence links chronic low-level arsenic exposure (5–100 ppb) to hypertension, atherosclerosis, and type 2 diabetes. The mechanisms include oxidative stress and endothelial dysfunction.
Arsenic Chemistry: Why Filtration Is More Complex Than for Lead
Arsenic exists in two primary oxidation states in drinking water: arsenite (As(III), also written As3+) and arsenate (As(V), also written As5+). This matters because the two forms behave differently in filtration:
Arsenate (As(V))
The form in oxygenated (surface) water and chlorinated municipal water. Negatively charged in most pH ranges. Removed efficiently (85–95%) by reverse osmosis and adsorptive media (iron-based, activated alumina). Easier to treat.
Arsenite (As(III))
The form in anoxic (low-oxygen) groundwater — typical in well water. Uncharged at most pH ranges. Harder to remove: RO removes 50–80%, adsorptive media is less effective without pre-treatment. Pre-oxidation with chlorine converts As(III) to As(V) before filtration.
If your arsenic test specifies the form, this determines your filtration strategy. Most consumer tests report total arsenic. If you're on well water with high arsenic, getting speciation testing (As(III) vs. As(V) breakdown) helps optimize your treatment.
Best Filtration for Arsenic
For arsenic, filtration technology selection matters more than for most contaminants. Carbon filters don't work. Ion-exchange (like ZeroWater) has limited effectiveness. Here's what does work:
Reverse Osmosis — Best for Most Households
NSF/ANSI 58-certified RO systems remove 85–95% of arsenate (As(V)) and 50–80% of arsenite (As(III)). If your source water is chlorinated (oxidized), As(V) dominates and RO is highly effective. If you're on well water with anoxic conditions, consider adding a pre-oxidation stage or testing specifically for As(III) vs. As(V).
Adsorptive Media Filters — Well Water Specialist Option
Iron-based adsorptive media (like Metsorb, ArsenXnp, and similar granular products) specifically designed for arsenic can remove 90%+ of both As(III) and As(V) at the correct pH and contact time. These are commonly used in whole-house or inline filters for well water with high arsenic. They don't need electricity or pressurized flush water (unlike RO) but require periodic media replacement and monitoring of bed exhaustion.
For Well Water Above 25 ppb, Contact a Water Treatment Professional
Related Reading
Well Water Complete Guide
Full treatment protocol for well water including arsenic and co-contaminants
Best Reverse Osmosis Systems
NSF 58-certified RO systems with 85–95% arsenate removal for well users
Well Water Testing Guide
How to test for arsenic including As(III) vs As(V) speciation testing
iSpring RCC7 Review
Budget under-sink RO with verified 92% arsenic removal in independent testing
Waterdrop G3P800 Review
Tankless RO suited for high-arsenic well water due to higher throughput
Nitrates in Well Water
Another common well water contaminant that only RO and anion exchange remove
