The US Safe Drinking Water Act and derivative legislation define a "public water system" as an entity that provides "water for human consumption through pipes or other constructed conveyances to at least 15 service connections or serves an average of at least 25 people for at least 60 days a year.
There are many sources of water contamination, including naturally occurring chemicals and minerals (for example, arsenic, radon, uranium), local land use practices (application of fertilizers and pesticides; concentrated animal feeding operations), manufacturing processes, and sewer overflows or wastewater releases.
The presence of contaminants in water can lead to adverse health effects, including gastrointestinal illness, reproductive problems, and neurological disorders.
Infants, young children, pregnant women, the elderly, and people whose immune systems are compromised because of AIDS, chemotherapy, or transplant medications may be especially susceptible to illness from some contaminants.
[5] The US Centers for Disease Control and Prevention publishes a list of the leading causes of waterborne outbreaks in public water systems.