Based on the health effects of the individual HAAs, a single guideline for total HAAs has been established. The single guideline takes into consideration treatment technology and the ability for treatment plants to achieve the guideline. The guideline value is primarily designed to be protective of the health effects of DCA, the HAA that poses the most significant health concerns, and is found at the highest levels in drinking water. However, the guideline provides protection from the health effects of all the HAAs based on ratios expected to be found in drinking water.
There is concern that long-term exposures to elevated levels of HAAs through drinking water may pose a risk to health. However, continued research to further understand the potential association between HAAs and adverse health effects is occurring.