Metal/Metalloid Presence and Health Risks in Drinking Water Plants—Insights from Nanjing, China

Metal contamination in drinking water is well known; however, detailed insights into the metals/metalloids in finished water and their health effects are lacking. Water samples collected over four seasons from August 2022 to April 2023 from three locations in the Yangtze River basin in Nanjing were analyzed using inductively coupled plasma mass spectrometry to detect 33 metal/metalloid types. This study assessed seasonal and spatial variations and evaluated the removal efficiencies of advanced treatment processes. Health risks from metal/metalloid ingestion were calculated using a risk assessment model from the United States Environmental Protection Agency (USEPA). No significant regional differences in total metal/metalloid concentrations were found between the source and finished waters. Metals such as Cr, Ga, Hg, Pb, and Rb varied seasonally, peaking in winter. The advanced treatment process outperformed the conventional process for As removal. However, the removal efficiencies were lower for Mn, Cd, Hg, Se, and Zn than those of the conventional process. Positive correlations were observed among several metals, suggesting that metals may have similar sources of contamination. The main carcinogenic risk exceeded the acceptable levels in children according to the USEPA. Non-carcinogenic risks were below the threshold values, but As, Tl, and V were highlighted as key risk elements. Seasonal changes markedly influenced metal/metalloid concentrations and distributions in water, necessitating risk management focused on arsenic.