Per- and Polyfluoroalkyl Substances (PFAS)

THIS PAGE IS CURRENTLY UNDERGOING UPDATES.

What are PFAS and where do they come from?

Per- and polyfluoroalkyl substances (PFAS) are manmade chemicals used in many industries to make things waterproof, non-stick, and stain resistant. Some examples of materials that may contain PFAS include firefighting foam, carpet, furniture, waterproof clothing, and certain types of food packaging. These chemicals are often described as “forever chemicals” because they do not breakdown over time and can build up in the environment and our bodies.

There are thousands of PFAS, but only a small number have been evaluated for their risk to human health and the environment. In addition, little is known about the health and environmental risks of exposure to combinations of these chemicals. Early studies focused on two specific compounds: perfluoro octane sulfonate (PFOS-)ⁱ and perfluoro octanoate (PFOA-). These compounds were phased out of use by US manufacturers in the 1990s, however they remain a problem because they can still persist in the environment. Other PFAS of concern have been found to be widespread in the environment and require further study, including PFBS-, PFHxS-, PFPeA- PFHxA-, PFHpA-, PFNA- and PFDA-. Some of the newer replacement compounds, such as HFPO-DA (GenX) and ADONA, are also being evaluated for potential risks.

When the National Health and Nutrition Examination Survey (NHANES) tested the blood of volunteers in 2016, they concluded that 98% of Americans have detectable PFAS in their blood. PFAS have also been found in sea turtles, whales, dolphins, and Hawaiian monk seals around Hawaiʻi.

How do PFAS get into the environment?

PFAS can contaminate the environment in many different ways. When aqueous film-forming foam (AFFF) is used for fire-fighting training or to fight fires, it soaks into the ground and can reach ground water and drinking water and can end up in the ocean. PFAS accumulate in landfills from food packaging, personal and household products. PFAS can collect in wastewater from personal and household product use. They are not filtered out in wastewater treatment and can be discharged into the ocean with the treated wastewater. Some treated wastewater containing PFAS is re-used to irrigate golf courses, agricultural fields and road medians. Once the PFAS end up in the environment, they can get into fish and other animals.

Spills and dumping from PFAS manufacturing plants have been a major source of PFAS contamination on the U.S. mainland. Fortunately, in Hawaiʻi we do not have industrial plants that manufacture PFASs.

How might I be exposed to PFASs?

The main ways that people in Hawaiʻi may be exposed to PFAS are through food, personal products, contaminated drinking water and contaminated dust.

Food: PFAS can contaminate food in a number of ways that can lead to human exposure when eating the contaminated food. PFAS can get into food through:
- Contact with certain types of grease-resistant or water-resistant food packaging made with PFAS
- Contact with non-stick cookware made with PFAS
- Accumulation in fish from PFAS in their diet and the surrounding water
- Accumulation in fruits and vegetables grown in PFAS-contaminated soils or watered with PFAS-contaminated water

Personal Products: Many personal and household products contain PFAS and their use may create situations where they are unintentionally ingested or inhaled.
- Stain-resistant coatings used on carpets, upholstery, and other fabrics
- Water-resistant clothing
- Cleaning products
- Personal care products (shampoo, dental floss) and cosmetics (nail polish, eye makeup)
- Paints, varnishes, and sealants
Contaminated Drinking Water: PFAS can contaminate food in a number of ways that can lead to human exposure when eating the contaminated food. PFAS can get into food through:
- Drinking water contaminated with PFAS is a common source of PFAS exposure.
- Most cases of contaminated drinking water in the U.S. are the result of contamination from fire-fighting training sites, military installations, or manufacturing facilities.
Contaminated Dust: Dust can be contaminated with PFAS through the breakdown of products containing PFAS. This dust can then be unintentionally swallowed by people when it gets on their hands, silverware, or toys. This is especially concerning for young children who put objects or their hands in their mouth frequently.

Because PFAS can cross the placenta and be transferred to breastmilk, babies born to mothers exposed to PFAS can be exposed during pregnancy and while breastfeeding.

From: ATSDR PFAS and Your Health

What are the potential health effects of exposure to PFAS?

Information about the adverse health effects from PFAS is still being gathered through scientific studies and a lot is unknown. There is evidence that high exposure to PFOA and PFOS can cause reproductive, developmental, liver, kidney, and immunological problems in laboratory animals. Human studies have shown problems with cholesterol levels, the immune system and response to vaccines, thyroid gland function, and decreased weight at birth. Some human studies have also shown carcinogenic effects, meaning high, long-term exposures to some of these chemicals may lead to certain types of cancer. Little is known about the health impacts from exposure to combinations of these chemicals (aggregate exposure).

Are there screening levels of PFAS in water or soil that can be used to tell is contamination is a hazard to human health or the environment?

Hawaii DOH Environmental Action Levels (EALs) for PFAS
HDOH’s Environmental Action Levels (EALs) are designed as a threshold level below which no adverse health effects are anticipated. The EALs incorporate uncertainty factors to ensure they are human and environmental health protective. There are different EALs calculated for soil, groundwater that is a source of drinking water, groundwater that is not a source of drinking water, and soil vapor. HDOH’s Hazard Evaluation and Emergency Response (HEER) Office initially published EALs for 18 PFAS chemicals in April 2021. The technical memorandum outlining the EAL process and calculations is periodically updated as new information becomes available. The most current edition of the guidance can be accessed on the HEER Office EHE-EAL webpage. This is the most comprehensive set of PFAS screening levels available.

EPA’s June 2022 Drinking Water Lifetime Health Advisory Levels
EPA’s lifetime health advisories identify levels to protect all people, including sensitive populations and life stages, from adverse health effects resulting from daily exposure to certain PFAS in drinking water across an entire lifetime. These levels also take into account other potential sources of exposure to these PFAS beyond drinking water (for example, food, air, consumer products, etc.).

In June 2022, the EPA published interim updated drinking water lifetime health advisory levels for two PFAS chemicals (PFOS and PFOA). These updated levels are MUCH lower than EPA’s prior health advisory levels for PFOS and PFOA and further evaluation of the science behind the new levels is ongoing.
At the same time, EPA released drinking water lifetime health advisory levels for two additional PFAS chemicals: PFBS and GEN-X (also called HFPO).

EPA’s new lifetime health advisory levels, measured in parts per trillion (ppt):

Interim updated health advisory for PFOA = 0.004 ppt
Interim updated health advisory for PFOS = 0.02 ppt
Final health advisory for GenX chemicals = 10 ppt
Final health advisory for PFBS = 2,000 ppt

It is important to remember that these levels are for only drinking water and for a lifetime of exposure. In addition, interpretation of lab results for PFOA and PFOS is difficult because these health advisory levels are far lower than the levels at which a laboratory can detect these chemicals.

For more information on the EPA’s PFAS Drinking Water Health Advisories for PFOA, PFOS, GEN X, and PFBS, please see: https://www.epa.gov/sdwa/questions-and-answers-drinking-water-health-advisories-pfoa-pfos-genx-chemicals-and-pfbs

See also: EPA’s Per- and Polyfluoroalkyl Substances (PFAS) Final PFAS National Primary Drinking Water Regulation April 10, 2024
https://www.epa.gov/sdwa/and-polyfluoroalkyl-substances-pfas

PFAS Detections in Drinking Water Reported to DOH as of March 8, 2024

PFAS chemicals are currently not regulated by the US EPA. As unregulated contaminants, it is up to water system operators to decide if they want to test for these chemicals. If they decide to test for PFAS and find them for the first time (first detection), the water system is required to report these first detections to the Department of Health Safe Drinking Water Branch (SDWB). Upon receiving notice of these first detections, DOH SDWB issues a press release to further notify the public. Please see below for detections of PFAS in drinking water that have been reported to the DOH SDWB.

Location of PFAS Detection	Water System Operator	Chemicals Detected	Date	Link to Notification and More Information
Maui Business Park System	Maui Business Park Phase II Association	PFOA, PFHpA, PFHxA, PFPeA, PFBA	April 3, 2024	DOH NEWS RELEASE – PFAS DETECTED IN MAUI BUSINESS PARK SYSTEM Apr 17, 2024
Waialua Sugar Pump 2 System	Dole Food Co., Inc.	PFOA, PFOS, PFBS, PFPeA, PFHxS, PFHxA, PFHxA	August 30, 2023, November 13, 2023, Feb. 26, 2024	DOH NEWS RELEASE – PFAS DETECTED IN WAIALUA SUGAR PUMP 2 SYSTEM Nov 29, 2023 DOH NEWS RELEASE – PFAS DETECTED IN WAIALUA SUGAR PUMP 2 SYSTEM Mar 8, 2024
Halawa Wells	Honolulu Board of Water Supply	PFOA, PFHxS (2020), PFOA, PFHxS, PFHxA, PFOS, PFPeA (2023)	September 2020 February 2023	Halawa Wells News Release 2020 Halawa Wells News Release 2023
Aiea Halawa Shaft	Navy Joint Base Pearl Harbor Hickam	PFOA, PFOS, PFBS, PFHxS, PFHxA	November 2020 and 2021	JBPHH Water System Consumer Confidence Report
Aina Koa Well I	Honolulu Board of Water Supply	PFPeA	November 3, 2021	Aina Koa News Release
Kipapa Acres	Kipapa Acres C.P.R.	PFOA	December 19, 2022	Kipapa Acres News Release
Waipahu Wells II	Honolulu Board of Water Supply	PFHxA	January 6, 2023	Waipahu Wells News Release
Del Monte Kunia 3 Well	Kunia Village	PFBA, PFPeA, PFHxA, PFHpA, PFOA, PFBS, PFHpS, PFPeS, PFHxS, PFOS, 6:2 FTS	January 20, 2023	Kunia Village News Release
Makakilo Well	Honolulu Board of Water Supply	PFPeA	February 10, 2023	Makakilo Wells News Release
Waipio Heights Wells	Honolulu Board of Water Supply	PFOS, PFPeA	March 22, 2023	Waipio Heights Well News Release
Moanalua Wells	Honolulu Board of Water Supply	PFBA	March 31, 2023	Moanalua Wells News Release
Kunia Well #4	Kunia Village	PFBA, PFBS, PFHpA, PFHxA, PFHxS, PFOA, PFOS, PFPeA, PFPeS	April 26, 2023	Kunia Well #4 News Release
Ka‘amilo Wells Pumping Station	Honolulu Board of Water Supply	PFBS, PFHxA, PFHxS, PFOA, PFOS, PFPeA	April 26, 2023	PFAS Detected in Kaʻamilo Wells Pumping Station

What is HDOH doing to evaluate PFAS contamination in Hawaiʻi?

The Hawaiʻi Department of Health has a number of projects in progress to better understand the presence of PFAS contamination in Hawaiʻi and the associated risks. Details will be added as results from these projects become available.

PFAS in fish and sea water in the near-shore environment at 11 high-risk sites around Oʻahu. Partnership with Hawaiʻi Pacific University and United States Geological Survey (USGS). Sample collection and laboratory analyses complete. Data evaluation and publication in progress. More details and data coming soon. See fish results: PFASs in Manybar Goatfish around Oʻahu, 2021 (ND Sawickij)
PFAS in frequently-eaten fish purchased from markets. Species tested include pelagic (ocean-going) fish like ʻahi, ono, and marlin. Sample collection and laboratory analyses complete. Data evaluation and publication in progress. More details and data coming soon.
PFAS in wastewater, biosolids and landfill leachate. Evaluating PFAS concentrations statewide in wastewater and biosolids from wastewater treatment plants plus landfill leachate. Sample collection in progress. More details and data coming soon.
PFAS in Drinking Water
- The Third Unregulated Contaminant Monitoring Rule (UCMR 3) conducted by EPA in calendar years 2013-2015 looked for 6 PFAS chemicals in public drinking water systems serving 10,000 people or more. UCMR 3 did not identify any large drinking water systems in Hawaiʻi with PFAS contamination. For more information about UCMR-3 including the data, please visit EPA’s UCMR 3 website.
- PFAS in high-risk drinking water wells: Monitoring for PFAS in groundwater at 20 county and military drinking water wells on Oʻahu, Kauaʻi, Hawaiʻi, and Maui. Sample collection is complete with data analysis in progress. More details and data coming soon.
- The Fifth Unregulated Contaminant Monitoring Rule (UCMR 5) will evaluate public drinking water systems across the country for 29 PFAS chemicals. All public drinking water systems in Hawaii that serve over 3,300 people will be tested in calendar years 2023-2025. For more information on UCMR 5, visit EPA’s UCMR 5 website.
- Additional drinking water systems that are not tested in UCMR 5 will be tested for PFAS in a drinking water project funded by the Bipartisan Infrastructure Law.
PFAS Releases – Environmental Emergency Response. The HEER Office responds to environmental releases of chemicals containing PFAS such as the release of firefighting foam near Adit 6 at the Red Hill Bulk Fuel Storage Facility in November 2022. Oversight of the Navy’s sampling and remediation actions continue to ensure full characterization of the contamination and remediation of this risk.
PFAS in Red Hill Groundwater Monitoring Wells. 10 Groundwater monitoring wells around the Red Hill Bulk Fuel Storage Facility are currently being regularly monitored for the presence of PFAS.
PFAS in compost and food crops grown in compost. Evaluating PFAS concentrations and risks in compost made from compostable food containers and food crops grown in compost. Project expected to begin in 2023.
PFAS EAL Updates. Continued evaluation and updates to the PFAS EALs are anticipated when EPA releases its planned draft Maximum Contaminant Level (MCL) for PFOA and PFOS, expected in January 2023.
PFAS Contaminated Sites – Evaluation and Long-term clean-up oversight. The HEER Office oversees the evaluation and remediation of chemically contaminated sites. Identified sites in Hawaii that have potential PFAS contamination include firefighting training sites, airports, and military sites. Sites with potential PFAS contamination have been specially labeled in the HEER Office’s public database of sites called iHEER. To view these sites, visit https://health.hawaii.gov/heer/siteinfo/iheer-information/ and follow the links to the iHEER map-based viewer. Once in the iHEER viewer, type “Potential PFAS” into the keywords search box. Please note that some contaminated sites have restrictions on public viewing of documents in iHEER. These sites can be viewed on a map under “Instructions for Use-Map of Sites that are Marked “Not for Public” in iHEER” on the iHEER information website. More information about these sites can be obtained via a public records request submitted to the HEER Office.
Partnerships Working with partners in Hawaiʻi, Honolulu, Kauaʻi, and Maui Counties, the Department of Defense, the U.S. EPA, CDC’s Agency for Toxic Substances and Disease Registry (ATSDR), Hawaiʻi Pacific University, the U.S. National Institute of Standards and Technology, the U.S. Geological Survey, and other federal, state, and local stakeholders to combine resources and further investigate and understand PFAS in Hawaiʻi.