Uncertainty in cancer risk at low doses of inorganic arsenic

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Abstract
It is unknown whether inorganic arsenic in drinking water concentrations at the current maximum contaminant level of 50 μg/1 poses a cancer risk in the United States. Data from two large epidemiological studies of cancer and arsenic in drinking water in Taiwan indicate a dose‐response relationship, but the magnitude of risk at low concentrations is highly uncertain. Four sources of uncertainty are described: model choice, data aggregation, intra‐village variability of arsenic in well water, arsenic intake from food. New data from an appropriately designed epidemiological study are needed to improve dose‐response assessment.