Special Precautions

SPECIAL PRECAUTIONS FOR MEDICAL PROFESSIONALS AND DIALYSIS PATIENTS PREPARING OF CHLORAMINES

In the fall of 2015 the City of Eden will embark on a modification of their current water treatment process. The new process will involve switching the disinfectant from free chlorine to chloramines to comply with new federal regulatory standards. Chloraminated water is safe for drinking, bathing, cooking and all other uses we have for water every day. However, there are three groups that need to take special precautions when using chloraminated water: kidney dialysis patients, fish pond and aquarium owners, and specialized businesses using highly treated water.

What are chloramines?

Chloramines are a disinfectant used to treat drinking water. They are formed by mixing chlorine with ammonia at carefully controlled levels. Similar to chlorine, chloramines are effective at killing harmful bacteria and other germs. Chloramines have been used safely in the United States for many years.

What do dialysis patients and providers need to know?

Similar to chlorine, chloramines can harm kidney dialysis patients during the dialysis process if they are not removed before entering the bloodstream. 

How can chloramines be removed?

Chloramines can be removed by one of two methods; a carbon filter that contains a high quality granular activated carbon, or water treatment products that neutralize chloramines.

Is it safe for kidney dialysis patients to drink water containing chloramines?

Yes, it is safe for kidney dialysis patients to drink chloraminated water. During the digestive process, chloramines are metabolized before reaching the bloodstream. Everyone including pregnant women, young children, and the elderly can drink, cook and bathe in chloraminated water. 

What should people with home dialysis machines do to remove chloramines?

If using chloraminated water, remember to contact a physician first for proper water treatment recommendations. Often, home dialysis service companies can be helpful in making necessary modifications to equipment.

Is it safe to wash open wounds with chloraminated water?

Yes. Chloraminated water is completely safe to use on cuts and wounds because no water enters the bloodstream.

Will boiling remove chloramines?

No, chloramines cannot be removed by boiling, adding salt, or letting water stand in an open container to dissipate.

How can chloramines be removed?

Chloramines can be removed by one of two methods; a carbon filter that contains a high quality granular activated carbon, or water treatment products that neutralize chloramines.