Intensified sanitation practices amid the recent severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) outbreak might result in the increased release of chloramine disinfectants into surface water, significantly promoting the formation of nitrosamine disinfection by-products (DBPs) in drinking water. Unfortunately, these nitrosamine DBPs exhibit significant genotoxic, carcinogenic, and mutagenic properties, whereas chlorinating disinfectants remain in global practice. The current review provides valuable insights into the occurrence, identification, contamination status, exposure limits, and toxicity of the new unregulated disinfection by-products (nitrosamine DBPs) in drinking water. As a result, concentrations of nitrosamine DBPs far exceed allowable limits in drinking water, and prolonged exposure has the potential to cause metabolic disorders, a critical step in tumor initiation and progression. Importantly, based on recent research, we have concluded the role of nitrosamines DBPs in different metabolic pathways. Remarkably, nitrosamine DBPs can induce chronic inflammation and initiate tumors by activating sphingolipid and polyunsaturated fatty acid metabolism. Regarding amino acid and nucleotide metabolism, nitrosamine DBPs can inhibit tryptophan metabolism and de novo nucleotide synthesis. Moreover, inhibition of de novo nucleotide synthesis fails to repair DNA damage induced by nitrosamines. Additionally, the accumulation of lactate induced by nitrosamine DBPs may act as a pivotal signaling molecule in communication within the tumor microenvironment. However, with the advancement of tumor metabolomics, understanding the role of nitrosamine DBPs in causing cancer by inducing metabolic abnormalities significantly lags behind, and specific mechanisms of toxic effects are not clearly defined. Urgently, further studies exploring this promising area are needed.

Disinfection is used to deactivate pathogens in drinking water. However, disinfectants react with natural organic matter present in water to form disinfection by-products (DBPs). While a few of these DBPs have been studied extensively and are regulated in many countries, new unregulated DBPs (UR-DBPs) have also recently been identified in drinking water. The UR-DBPs are considered to be more toxic than regulated DBPs (R-DBPs). To understand the occurrence of UR-DBPs in a water distribution network (WDN), this research presents an approach to predicting the behaviour of emerging UR-DBPs such as dichloroacetonitrile (DCAN), trichloropropanone (TCP), and trichloronitromethane (TCNM) in WDNs. Water quality data, generated by sampling and laboratory analysis of 12 small communities, was used to develop predictive models. A framework was also proposed alongside the predictive models to estimate the concentration of emerging UR-DBPs under limited water quality sampling information. Moreover, the relationship between emerging UR-DBP concentrations and their identified predictors was further observed and evaluated by developing contour profiles. DCAN and TCP predictive models have coefficient of determination (R2) > 85%, whereas for TCNM model, the R2 was > 65%. Water quality parameters including water temperature, turbidity, conductivity, and dissolved organic carbon concentrations were identified as key predictors. Similarly, trichloroacetic acid and bromodichloromethane were identified as key predictors among DBP families, to predict the occurrence of emerging UR-DBPs. Developed models and relationships between the UR-DBPs and predictors can help water utilities and regulators to manage the occurrence of UR-DBPs in small WDNs.

Water disinfection involves the use of different types of disinfectants, which are oxidizing agents that react with natural organic matter (NOM) to form disinfection by-products (DBPs). The United States Environmental Protection Agency (USEPA) has established threshold limits on some DBPs, which are known as regulated DBPs (R-DBPs). The human health risks associated with R-DBPs in drinking water distribution systems (DWDSs) and application of stricter regulations have led water utilities to switch from conventional disinfectant (i.e., chlorination) to alternative disinfectants. However, the use of alternative disinfectants causes formation of a new suit of DBPs known as unregulated DBPs (UR-DBPs), which in many cases can be more toxic. There is a growing concern of UR-DBPs formation in drinking water. This review prioritizes some commonly occurring UR-DBP groups and species in DWDSs based on their concentration level, reported frequency, and toxicity using an indexing method. There are nine UR-DBPs group and 36 species that have been identified based on recent published peer-reviewed articles. Haloacetonitriles (HANs) and haloacetaldehydes (HALs) are identified as important UR-DBP groups. Dichloroacetonitrile (DCAN) and trichloroacetaldehye (TCAL) are identified as critical UR-DBPs species. The outcomes of this review can help water regulators to identify the most critical UR-DBPs species in the context of drinking water safety and provide them with useful information to develop guidelines or threshold limits for UR-DBPs. The outcomes can also help water utilities in selecting water treatment processes for the mitigation of human health risk posed by UR-DBPs through drinking water.