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Disinfection

Chlorine, chloramine, and the ten minutes you spend breathing your water

Two different chemicals do the same job, and most people do not know which one they have. The shower claim you have seen is close to something real — and usually told wrong, because the compound you breathe is not the one on the label.

A rain shower head running in a tiled walk-in shower, steam filling the room and condensation on the window behind it.

Almost every American drinks disinfected water, and almost nobody knows which disinfectant. There are two common ones. They behave differently, they leave different things behind, and the reason your utility chose one over the other is a federal rule most people have never heard of.

This is an attempt to explain both, plainly, including the part that gets exaggerated most often — what happens in the shower.

Two chemicals, one job

Chlorine is the older one. It is a strong disinfectant and it works fast, which is exactly why it does not last. It gets used up reacting with whatever it meets on the way to your house.

Chloramine is chlorine with ammonia added. The EPA describes it this way: “Chloramines are most commonly formed when ammonia is added to chlorine to treat drinking water,” and they “provide longer-lasting disinfection as the water moves through pipes to consumers.” The agency calls that role secondary disinfection. It is a weaker disinfectant that survives the trip.

The form utilities use is monochloramine, and it is not new — the EPA noted in 2009 that it had already been in use for more than ninety years, and that more than one in five Americans were drinking water treated with it.

Why so many utilities switched

Because of what chlorine leaves behind.

When chlorine meets the ordinary organic matter in a lake or a river — leaves, soil, algae — it forms new compounds. The two families that matter are trihalomethanes and haloacetic acids, abbreviated TTHM and HAA5 on a water report. They are byproducts of making the water safe, not contaminants that arrived in it.

The EPA set limits on them in the Stage 1 Disinfectants and Disinfection Byproducts Rule, published in December 1998, and tightened how they are measured in the Stage 2 rule, published in January 2006. The limits are 80 parts per billion for TTHM and 60 for HAA5.

Chloramine is less reactive, so it forms less of both. That is the whole reason for the switch. As the Water Research Foundation put it, utilities adopted chloramine “primarily to comply with the U.S. Environmental Protection Agency's Stage 1 and Stage 2 Disinfectants and Disinfection Byproducts Rules.”

The trade you may not have been told about

Chloramine produces less of what is regulated. It also produces more of some things that are not.

The EPA is unusually direct about this, and the wording is worth reading twice:

“Regulated disinfection byproducts are produced in lower amounts when monochloramine is used... Compared to chlorine, water treated with monochloramine may contain higher concentrations of unregulated disinfection byproducts but the cancer risk is unknown. There are few studies on health effects of unregulated disinfection byproducts.”

The best-known of those unregulated byproducts is NDMA, a nitrogen compound associated with chloramination. It has no federal limit. The EPA monitors it and several relatives. California, which moves faster than the federal government on these things, sets a notification level of 10 nanograms per litre — a level at which the utility must tell the state, not a level at which anyone is in danger.

And the list is not closed. In November 2024 a team including an EPA researcher published a paper in Science identifying chloronitramide anion, a previously unrecognised decomposition product of inorganic chloramines, in treated drinking water. Its toxicity has not been established. It had simply never been looked for.

None of this means chloraminated water is dangerous. It means the honest position is that one set of byproducts has been traded for another, and the second set is less studied. Both of those sentences are true at once.

Two molecular models side by side. Chlorine, labelled Cl2, is two green chlorine atoms bonded together. Chloramine, labelled NH2Cl, is one green chlorine atom bonded to a blue nitrogen atom, which carries two white hydrogen atoms.
The whole difference, drawn. Chlorine is two chlorine atoms. Monochloramine swaps one of them for nitrogen and two hydrogens — which is ammonia, bonded on. That single change is why one is stronger and the other lasts longer.

The limits, and what they actually are

Federal law sets a maximum residual disinfectant level — an MRDL — of 4.0 milligrams per litre for both chlorine and chloramine, measured as an annual average. That is 4 parts per million. The same number is also the health goal, which is unusual: for most contaminants the goal is lower than the limit.

Compliance is an average, not a single reading, which is why a water report shows a running annual average and a range. Tulsa's most recent report, for instance, gives a chloramine annual average of 2.5 ppm against the 4.0 limit, with readings between 1.6 and 3.2. Its TTHM figure is 39 ppb against a limit of 80, and its haloacetic acids 24 against 60.

Now the shower

Here is the claim you have probably seen: you absorb more from a ten-minute shower than from drinking the water all day. It is close to something real, and it is usually told wrong.

The research is genuine and it is old. In 1990, Jo, Weisel and Lioy published two papers in Risk Analysis measuring chloroform in the exhaled breath of people who had just showered. Their finding, in their own words: “The internal dose from showering (inhalation plus dermal) was comparable to estimates of the dose from daily water ingestion.”

The word is comparable. Their own numbers put a single ten-minute shower at a risk estimate of 1.22 × 10-4, and daily drinking between 0.130 and 1.80 × 10-4 depending on how much you drink. The shower estimate sits inside the drinking range. It is not larger. Anyone who tells you a shower is worse than drinking has rounded in a convenient direction.

A second paper by the same group found the dermal route — absorption through skin — contributed roughly as much as breathing did. And a controlled human study by Backer and colleagues in 2000, summarised by California's OEHHA, found that of people who drank a litre, showered for ten minutes, or bathed for ten minutes, “the highest levels of THMs were found in the blood samples from people who took 10-minute showers, whereas the lowest levels were found in the blood samples from people who drank 1 L of water.” That study had ten or eleven people per group. It is a real result and a small one.

The EPA has looked at this directly. Its 2006 report Exposures and Internal Doses of Trihalomethanes In Humans concluded that “the inhalation exposure pathway represents a significant contribution to THM internal doses.” So the route is recognised. It is not fringe.

But it is not the chloramine you are breathing

This is the part almost every article on the subject gets wrong, and it matters.

Monochloramine does not evaporate readily. The EPA states plainly that it is unlikely to cause inhalation problems because it “does not enter the air easily.” The compound steaming up your bathroom is not chloramine. It is chloroform and its relatives — the trihalomethanes — which are volatile and do leave the water.

Which leads somewhere slightly awkward for the people who sell this story hardest. Trihalomethanes are primarily a chlorination byproduct. Chloramine produces fewer of them. So if your utility uses chloramine, the shower-exposure research — which was conducted on chlorinated water — describes a smaller effect in your house, not a larger one.

The shower story is a chlorine story. It gets attached to chloramine because the two words sound alike.

What is not established, and who says so

People report skin irritation and breathing trouble after a utility switches to chloramine. The CDC investigated. According to the EPA's summary, that investigation “was unable to draw any conclusions about monochloramine use and health effects.” The EPA's own position on both questions is that water meeting the standard has “no known or anticipated adverse health effects, including breathing problems” — and the same sentence again for skin.

There is a specific confusion behind a lot of this. Swimming pools genuinely do produce an irritating chloramine. The CDC says so: chloramines in a pool “irritate skin, eyes, and the respiratory tract… when they turn into gas into the air above the water.” But that compound is trichloramine, formed when pool chlorine reacts with the sweat and urine swimmers bring in. It is a different molecule from the monochloramine dosed into a water main, formed by a different reaction, in a different place. The CDC's pool guidance does not mention drinking water at all.

If your eyes stung at the pool, that was real. It was not the same chemical.

Three things about chloramine that are genuinely documented

Dialysis. Chlorine and chloramine must be removed from water used in a dialysis machine, because that water contacts blood directly. The EPA is equally clear that dialysis patients can drink the same water without concern. Clinics handle this; patients do not need to.

Fish. Chloramine is toxic to fish, shellfish, reptiles and amphibians, which take it up through their gills straight into the bloodstream. Human digestion neutralises it first. Aquarium shops sell conditioners for exactly this reason, and unlike chlorine, chloramine will not simply gas off if you let a bucket stand overnight.

Old pipes. This is the serious one. Washington DC switched from chlorine to chloramine in November 2000, and lead levels in tap water rose sharply. The CDC's explanation is the clearest account available:

“In the mid-1990s in the District of Columbia, high levels of free chlorine were used to decrease coliform bacteria in water, a process that inadvertently changed the type of lead mineral coating in the water lines to one with very low solubility… When the free chlorine was replaced with chloramines, the transformed highly insoluble lead scale minerals were no longer stable and dissolved.”

Read carefully, that is not a story about chloramine being poisonous. It is a story about a protective crust inside old lead pipes that had formed under one water chemistry and dissolved under another. The CDC's own conclusion is the general lesson: “Changes in water treatment and disinfection practices can substantially undermine lead corrosion control.” The agency later acknowledged that its own 2004 report on the episode had been misleading about the effect on children's blood lead levels.

Chloramine did not create the lead. The lead pipes did. Changing the water chemistry without adjusting corrosion control is what let it loose.

How to find out which one you have

Every community water system in the country must send customers an annual report — a Consumer Confidence Report — and the EPA's rule is that it must arrive by July 1 each year. It is free, it is yours, and most people bin it.

In it, look for a row labelled Chlorine or Chloramine, measured in ppm against an MRDL of 4. Below it you will find Total Trihalomethanes in ppb against 80, and Haloacetic Acids against 60. That is the whole picture in three lines.

If you cannot find your copy, the EPA maintains a lookup at sdwis.epa.gov/fylccr. Enter your state, and optionally your county, and it will list the systems.

Whatever it says, it is better to know the name of the thing in your water than to guess at it.

This article is general information about municipal water treatment and public health guidance. It is not medical advice, and it does not describe, evaluate or recommend any treatment equipment. Water disinfection exists because the diseases it prevents killed people in large numbers, and every source quoted here treats disinfected water as safe to drink.

Sources

  1. US EPA — Basic Information about Chloramines and Drinking Water Disinfection
  2. US EPA — Common Health Questions Related to Monochloramine
  3. US EPA — Do chloramines cause breathing problems?
  4. US EPA — Does monochloramine cause skin problems?
  5. eCFR — 40 CFR § 141.65, Maximum residual disinfectant levels
  6. eCFR — 40 CFR § 141.64, MCLs for disinfection byproducts
  7. US EPA — Stage 1 and Stage 2 Disinfectants and Disinfection Byproducts Rules
  8. US EPA — Exposures and Internal Doses of Trihalomethanes In Humans (EPA/600/R-06/087)
  9. Jo, Weisel & Lioy — Chloroform Exposure and the Health Risk Associated with Multiple Uses of Chlorinated Tap Water, Risk Analysis 10(4), 1990
  10. California OEHHA — Public Health Goals for Trihalomethanes (summarising Backer et al., 2000)
  11. CDC — Lead in Drinking Water and Human Blood Lead Levels in the United States, MMWR Supplement 61(4), 2012
  12. CDC — Blood Lead Levels in Residents of Homes with Elevated Lead in Tap Water, District of Columbia, MMWR 53(12), 2004
  13. CDC — Chloramines and Pool Operation
  14. Water Research Foundation — The Role and Behavior of Chloramines in Drinking Water
  15. Science — Chloronitramide anion is a decomposition product of inorganic chloramines (2024)
  16. US EPA — Consumer Confidence Report information, and the Find Your Local CCR tool
  17. City of Tulsa — 2026 Annual Water Quality Report

Every figure in this article comes from the published sources listed above. This is general information, not advice about the water at any particular address.

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