Higher Institute of Health

Tap water is safe and does not cause stones: Iss findings

Iss confirms that tap water is safe and complies with legal parameters in almost 100 per cent of cases

by Marzio Bartoloni

5' min read

5' min read

It gives stones, it is unsafe, it must be purified before drinking it. There are many prejudices and fake news that weigh heavily on tap water. Which, on the other hand, is promoted with flying colours by the first report drawn up by the National Centre for Water Safety (Censia) of the Istituto Superiore di Sanità, which examined the results of over 2.5 million chemical, chemical-physical and microbiological analyses conducted in 18 regions and autonomous provinces, corresponding to over 90% of the Italian population, between 2020 and 2022. The checks carried out indicate that it complies with the parameters indicated by law in almost 100% of cases. Here is the data and advice from the Iss.

Water quality data

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The report, compiled on the basis of data produced by the Italian regions together with the National System for Environmental Protection and coordinated by the Ministry of Health and the Iss, examined the results of more than 2.5 million chemical, chemical-physical and microbiological analyses conducted in 18 regions and autonomous provinces, corresponding to more than 90% of the Italian population, between 2020 and 2022.

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"The data we have collected show that drinking water is safe and thoroughly controlled throughout the country, complying almost 100 per cent of the time with legal parameters and with safe management of non-compliance. It is important to reiterate this concept, given that according to Istat almost a third of Italians do not trust the water from their taps,' says Rocco Bellantone, president of the Iss. The national average percentage of compliance over the three years was between 99.1% for established microbiological and chemical health parameters and 98.4% for indicator parameters, which are not directly related to health but to abnormal variations in quality (which could, for example, affect taste, smell or colour).

Cock water and the difference with minerals

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Drinking tap water (at home or from kiosks or distribution points) is just as safe for health as drinking natural mineral water, because in all cases the absence of risk to consumers is guaranteed by the controls provided for in the regulations.

The difference between drinking water and natural mineral water lies in the fact that drinking water is a universal right of human beings and its chemical (hardness, pH, presence of mineral salts) and organoleptic (odour and taste) characteristics may also change over time depending on the sources of abstraction and possible treatments, while guaranteeing safety standards.

Natural mineral waters, on the other hand, are consumer goods freely placed on the market and chosen by the consumer, and meet quality standards that, in addition to guaranteeing their safety in terms of health, ensure that the quality and characteristics of the bottled water are the same as those of the water at source, taken from recognised groundwater sources.

How to know the characteristics of household water

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Data on water characteristics and the results of controls are provided on the website of one's drinking water manager. On the basis of the new regulations issued by the Ministry of Health, within two years citizens will be able to find much more information on the chemical-physical characteristics of the water distributed in their areas of interest, water safety plans, and controls by the water and drinking water managers and the local health authorities, in a national platform called Anagrafe territoriale dinamica delle acque potabili (Antea), which is currently being built.

The usefulness of treatment devices in the home

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The water distributed in Italy is of adequate qualitỳ for our consumption and does not need any other treatment to make it drinkable or to avoid health risks. The only purpose of water treatment equipment on the market, which complies with specific regulations, is to modify the organoleptic characteristics of water, i.e. to make tap water, or sparkling water, more pleasant in taste and smell. If, due to specific circumstances, an event occurs for which restrictions on water use are necessary, legislation requires that citizens be informed in a timely manner. In addition, the operator and the authorities̀ are obliged to promptly restore the qualitỳ of the water and in the meantime to provide affected consumers with adequate quantities of water suitable for human consumption through alternative supplies (e.g. tankers).

Drinking tap water even in restaurants

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In public establishments, natural mineral water, still or sparkling, must be served in its closed bottle and labelled in accordance with the specific regulations. If, on the other hand, treated drinking water in jugs is supplied, the words 'treated drinking water or treated and carbonated drinking water' must be clearly marked on the container if carbon dioxide has been added. But is it better to avoid asking for tap water in restaurants? The Iss warns that there is no reason not to, other than personal choice. On the contrary. Legislative Decree No. 18 of 23 February 2023 asks the Regions and Provinces to promote the use of tap water, also 'by encouraging or incentivising the provision of drinking water free of charge to customers of restaurants, canteens and catering services'.

False beliefs about chemicals and kidney stones

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But is it true that drinking water must be free of all chemicals to be good? The Iss warns that the opposite is true: water contains many chemicals that are beneficial to health and removing them is not a benefit, but a potential harm. Removing all the substances naturally present in water - for example boron, selenium, fluoride, chromium, copper or calcium, magnesium, iodine, potassium - would in fact lead to a reduction in the intake of elements essential for human health, changes in taste and damage to water networks. But does tap water cause stones?

This is a widespread belief, but false. And this also applies to waters rich in calcium and magnesium salts. The advice to use light or oligomineral waters instead of tap water to avoid kidney stones is not justified by scientific evidence. The formation of stones depends in many cases on an individual or family predisposition. Calcium is essential for our health and its intake should be reduced if a doctor prescribes it.

Tips for using water in water bottles

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To ensure the maintenance of adequate levels of safety, hygiene and quality of the water in our water bottles, a few precautions can be taken. The most important are: change the water often, at least every 4-5 hours, especially if temperatures are high. Avoid filling the water bottle for use after 24 hours; clean the water bottle with two or three washes before filling it; wash the water bottle regularly (once a day) using a plastic brush and normal dishwashing detergent and rinse it with fresh running water.

If there are no specific contraindications, it is preferable to wash the water bottle in a dishwasher; wash the caps and their seals periodically (never more than a week) thoroughly with normal dishwashing detergent and rinse them with fresh running water. If there are no specific contraindications, it is preferable to wash these accessories in the dishwasher. Caps and gaskets are the parts most in contact with the neck of the water bottle where we rest our lips during use. Finally, to remove odours that may form over time, simply pour hot water and a teaspoon of bicarbonate of soda into the flask; close it, shake it, and let it sit for a few hours (overnight is best); then empty it and rinse it with fresh running water.

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