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Disinfection byproducts · in your tap water

Total trihalomethanes (TTHMs)

Cancer-linked disinfection byproducts

FamilyDisinfection byproducts
Where it comes fromSurface-water utilities (Potomac River, Occoquan, James, Lake Gaston) treat with chlorine, which generates TTHMs
Best fixWhole-home granular activated carbon (GAC) — carbon is the EWG-recommended fix; certify to NSF/ANSI 53

What it is

Trihalomethanes form when chlorine — used to disinfect drinking water — reacts with naturally-occurring organic matter in the source water (leaves, soil runoff, etc.). The four main TTHMs are chloroform, bromodichloromethane, dibromochloromethane, and bromoform. EPA limits them at 80 ppb; EWG sets its health guideline at 0.15 ppb — over 500× stricter.

If your water tastes like a swimming pool, you're already noticing the disinfection treatment. The TTHMs you can't taste are the byproducts of that treatment.

What you might notice & the health concern

Where it comes from

What actually removes it

Not sure which system you need? Our reverse-osmosis and whole-home pages compare the options, or book a free Home Water Checkup and we'll test your actual tap.

The research

Every source below was checked to make sure the link works and backs the claim it's next to. These are the primary regulators and peer-reviewed studies — not our opinion.

1
Stage 1 and Stage 2 Disinfectants and Disinfection Byproducts Rules U.S. EPA

The federal rules that set the TTHM (80 ppb) and HAA5 (60 ppb) drinking-water limits.

2
National Primary Drinking Water Regulations (complete table) U.S. EPA

Lists the TTHM MCL of 0.080 mg/L (80 ppb) and HAA5 MCL of 0.060 mg/L (60 ppb).

3
Total trihalomethanes (TTHMs) EWG Tap Water Database

EWG health guideline of 0.15 ppb; the four THMs and their cancer/fetal-harm endpoints.

4
Disinfection byproducts and bladder cancer: a pooled analysis Villanueva et al., Epidemiology (2004)

Pooled analysis: higher bladder-cancer risk with long-term THM exposure (OR ~1.44 in men).

5
Trihalomethanes in Drinking Water and Bladder Cancer Burden in the EU Evlampidou et al., Environ. Health Perspect. (2020)

Estimates ~6,500 EU bladder-cancer cases a year attributable to THMs in tap water.

6
Exposure to Drinking-Water Trihalomethanes and Risk of Cancer (dose-response meta-analysis) Environ. Health Perspect. (2025)

Recent meta-analysis: bladder-cancer risk rises with THM dose; weaker colorectal signal.

Related on your report

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This page is general water-quality education, not medical advice. Health classifications and limits are attributed to the EPA, EWG, IARC, ATSDR/CDC, WHO and the cited studies. Contaminant levels vary by water system and home — the only way to know what's in your water is to test it. Prepared by SwiftPro Heating, Cooling & Plumbing.