Reviewing performance of NSF/ANSI 53 certified water filters for lead removal.

Properly certified NSF/ANSI 53 water filters are distributed as a temporary measure to protect residents from risk of exposure to elevated lead (Pb) levels resulting from water system changes and various activities. Water consumers and other stakeholders have raised questions on the performance of these filters in field settings, particularly in cases where water Pb levels exceeded the NSF/ANSI 53 challenge water level of 150 µg/L and when Pb phosphate nanoparticles (≤ 200 nm) were present in drinking water. This literature review summarizes findings from 23 studies that evaluated the ability of NSF/ANSI 53 post-2007 certified filters to reduce soluble and/or particulate Pb from water. The studies in total examined 1,486 faucet-mounted, 25 under-the-sink, and 167 pitcher filters, with 1,528 filters used in field studies and 150 filters in laboratory studies. This review found that filter performance varied with different filter type, test water source, and initial unfiltered total Pb concentration. 99% (1,512/1,528) of the filters used in field studies removed Pb to at or below the certification benchmark of pre-2019, 10 µg/L or post-2019, 5 µg/L. In contrast, 61% (91/150) of the filters used in laboratory studies reduced Pb to the benchmark. Laboratory filters were often tested under conditions beyond what they were certified to handle. Pb concentration, particle form and size, improper operation and maintenance of certified water filters were attributed to reported filter failures. This information is intended to help water utilities, regulators, and others make decisions regarding the deployment of water filters to the public when drinking water Pb exposure concerns have been raised.