Water Filtration/Parasite and Protozoa Prevention Guide:
Dr. Ami Kapadia, MD, ABFM, ABIHM
Kwan-Yin Healing Arts Center 3115 NE Sandy Blvd., #231, Portland, Oregon, 97232
Phone: (503) 701-8766
Drinking water filtration: Must be NSF 53 or NSF 58 certified for cyst removal/cyst reduction (so not just NSF 53 or NSF 58 certified; has to be NSF certified for cyst removal/reduction).
Here are some options for drinking water (Please confirm each option still meets NSF 53 or 58 for cyst removal/reduction as they are constantly changing):
1. Reverse Osmosis filters meet this requirement such as this one: https://www.amazon.com/iSpring-RCC7-Reverse-Osmosis-Filter/dp/B003XELTTG
2. Multipur filters can also meet this requirement
3. Lifestraw (has pitcher model)
4. NOTE: PUR has recently changed its labeling and it is no longer clear if they meet the NSF 53 standard for cyst removal. We are in the process of trying to clarify this.“PUR” brand pitcher filters and faucet filters with “Maxion” technology: https://www.pur.com/why-pur/filter-comparison
5. Culligan FM-15A Faucet-Mount Advanced Water Filter
6. Aquasana: Clean Water Machine with Dispenser Or Aquasana Faucet Modelel
The below may be other options, but we have not confirmed they meet the NSF 53 standard, please research:
1. Dr. Mark Hyman recommends this filter https://www.aquatruwater.com/
2. Personal water bottle filtration option (transportable): https://grayl.com/
3. Another option is to get a whole house filtration system with UV technology: https://www.aquasana.com/whole-house-water-filters
4. https://www.pureeffectfilters.com
5. https://www.epicwaterfilters.com/products/epic-smart-shield-under-sink-water-filter-system
There are likely many other options, look for “NSF 53 certified for cyst removal”
Another option is to boil water (on stove, microwave, or electric tea kettle such as this: https://www.amazon.com/Elementi-Premier-Electric-Gooseneck-Stainless/dp/B0115V6TLG)
Whichever water filter you choose: Please confirm most up to date information with company to confirm it meets NSF 53 or 58 standard for cyst removal/reduction
Bathing water filtration:
• For bathing: consider charcoal type filter to remove chlorine/chloramines (charcoal may also remove protozoa/parasite cysts/eggs): http://www.aquasana.com/product_detail.php?product_id=2
• if you live in a city with chloramines (rather than just chlorine) in your water, make sure the shower filter you purchase will filter chloramines and not just chlorine (with aquasana, simple ask for the "chloramines upgrade")
• Another option is to get a whole house filtration system with UV technology: https://www.aquasana.com/whole-house-water-filters Additional Information:
• See following for information from the CDC regarding water filtration See the below information from the CDC Guide to Water Filters:
https://www.cdc.gov/parasites/crypto/gen_info/filters.html
A Guide to Water Filters:
Filtering Tap Water Many but not all available home water filters remove Cryptosporidium. Some filter designs are more suitable for removal of Cryptosporidium than others. Filters that have the words "reverse osmosis" on the label protect against Cryptosporidium. Some other types of filters that function by microstraining also work. Look for a filter that has a pore size of 1 micron or less.
This will remove microbes 1 micron or greater in diameter (Cryptosporidium, Giardia). There are two types of these filters — "absolute 1 micron" filters and "nominal 1 micron" filters but not all filters that are supposed to remove objects 1 micron or larger from water are the same. The absolute 1 micron filter will more consistently remove Cryptosporidium than a nominal filter. Some nominal 1 micron filters will allow 20% to 30% of 1 micron particles (like Cryptosporidium) to pass through. Filter manufacturers may pay to have their filters tested to see if they remove Cryptosporidium or Giardia.
Filters that have been tested and certified should have wording on their labels indicating they have been listed and labeled to NSF/ANSI Standard 53 or Standard 58 for cyst removal or cyst reduction by an ANSI-accredited certification organization. To find out if a particular filter is certified to remove Cryptosporidium, you can look for "NSF 53" or "NSF 58" plus the words "cyst reduction" or "cyst removal" on the product label information.
If you chose to use a non-certified product, select those technologies more likely to reduce Cryptosporidium, including filters with reverse osmosis and those that have an absolute pore size of 1 micron or smaller. Because filter testing is expensive and voluntary, some filters that may work against Cryptosporidium may not have been tested.
If you chose to use a product not labeled "NSF 53" or "NSF 58", select those technologies more likely to reduce Cryptosporidium, including filters with reverse osmosis and those that have an absolute pore size of 1 micron or smaller.
Filters designed to remove Crypto (any of the four messages below on a package label indicate that the filter should be able to remove Crypto):
• Reverse osmosis (with or without NSF 53 or NSF 58 labeling)
• Absolute pore size of 1 micron or smaller (with or without NSF 53 or NSF 58 labeling)
• Tested and certified to NSF/ANSI Standard 53 or NSF/ANSI Standard 58 for cyst removal
• Tested and certified to NSF/ANSI Standard 53 or NSF/ANSI Standard 58 for cyst reduction
Filters labeled only with these words may NOT be designed to remove Crypto:
• Nominal pore size of 1 micron or smaller
• One micron filter
• Effective against Giardia
• Effective against parasites
• Carbon filter
• Water purifier
• EPA approved (Caution: EPA does not approve or test filters)
• EPA registered (Caution: EPA does not register filters based on their ability to remove Cryptosporidium)
• Activated carbon
• Removes chlorine
• Ultraviolet light
• Pentiodide resins
• Water softener
• Chlorinated
Note: Filters collect germs from water, so someone who is not immunocompromised should change the filter cartridges. Anyone changing the cartridges should wear gloves and wash hands afterwards. Filters may not remove Cryptosporidium as well as boiling does because even good brands of filters may sometimes have manufacturing flaws that allow small numbers of Cryptosporidium to get in past the filter. Selection of certified filters provides additional assurance against such flaws. Also, poor filter maintenance or failure to replace the filter cartridges as recommended by the manufacturer can cause a filter to fail.