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Australian Drinking Water Guidelines
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  • Australian Drinking Water Guidelines
  • Copyright
  • Table of updates
  • Contents
  • Figures
  • Tables
  • Boxes
  • Introduction
    • Chapter 1: Introduction
      • 1.1 Guiding principles
      • 1.2 About the Guidelines
        • 1.2.1 Scope of the Guidelines
        • 1.2.2 Purpose of the Guidelines
        • 1.2.3 Structure of the Guidelines
      • 1.3 Water quality characteristics
        • 1.3.1 Introduction
        • 1.3.2 Health-based targets
        • 1.3.3 Microbial health-based targets
        • 1.3.4 Physical and chemical guideline values
        • 1.3.5 Radiological screening and reference values
      • 1.4 Community consultation
      • 1.5 Development of the Guidelines
        • 1.5.1 Acknowledgments
      • 1.6 Future revisions of the Guidelines
      • 1.7 References
  • Part 1: Management of Drinking Water Quality
    • Chapter 2: Framework for Management of Drinking Water Quality: overview
      • 2.1 A preventive strategy from catchment to consumer
      • 2.2 Structure of the Framework
      • 2.3 Benefits of the Framework
      • 2.4 The need for multi-agency involvement
      • 2.5 Applying the Framework
      • 2.6 Correlations of the Framework with other systems
    • Chapter 3: Framework for Management of Drinking Water Quality: the twelve elements
      • 3.1 Commitment to drinking water quality management (element 1)
        • 3.1.1 Drinking water quality policy
        • 3.1.2 Regulatory and formal requirements
        • 3.1.3 Engaging stakeholders
      • 3.2 Assessment of the drinking water supply system (element 2)
        • 3.2.1 Water supply system analysis
        • 3.2.2 Assessment of water quality data
        • 3.2.3 Hazard identification and risk assessment
      • 3.3 Preventive measures for drinking water quality management (element 3)
        • 3.3.1 Preventive measures and multiple barriers
        • 3.3.2 Critical control points
      • 3.4 Operational procedures and process control (element 4)
        • 3.4.1 Operational procedures
        • 3.4.2 Operational monitoring
        • 3.4.3 Corrective action
        • 3.4.4 Equipment capability and maintenance
        • 3.4.5 Materials and chemicals
      • 3.5 Verification of drinking water quality (element 5)
        • 3.5.1 Drinking water quality monitoring
        • 3.5.2 Consumer satisfaction
        • 3.5.3 Short-term evaluation of results
        • 3.5.4 Corrective action
      • 3.6 Management of incidents and emergencies (element 6)
        • 3.6.1 Communication
        • 3.6.2 Incident and emergency response protocols
      • 3.7 Employee awareness and training (element 7)
        • 3.7.1 Employee awareness and involvement
        • 3.7.2 Employee training
      • 3.8 Community involvement and awareness (element 8)
        • 3.8.1 Community consultation
        • 3.8.2 Communication
      • 3.9 Research and development (element 9)
        • 3.9.1 Investigative studies and research monitoring
        • 3.9.2 Validation of processes
        • 3.9.3 Design of equipment
      • 3.10 Documentation and reporting (element 10)
        • 3.10.1 Management of documentation and records
        • 3.10.2 Reporting
      • 3.11 Evaluation and audit (element 11)
        • 3.11.1 Long-term evaluation of results
        • 3.11.2 Audit of drinking water quality management
      • 3.12 Review and continual improvement (element 12)
        • 3.12.1 Review by senior executive
        • 3.12.2 Drinking water quality management improvement plan
      • 3.13 References
    • Chapter 4: Framework for the Management of Drinking Water Quality: application to small water supplies
      • 4.1 Introduction
      • 4.2 Applying the Framework
        • 4.2.1 Assessment of the drinking water supply
        • 4.2.2 Preventive measures for drinking water quality management
        • 4.2.3 Implementation of operational procedures and process control
        • 4.2.4 Verification of drinking water quality
      • 4.3 Individual household supplies
      • 4.4 Reference
  • Part 2: Description of Water Quality
    • Chapter 5: Microbial Quality of Drinking Water (Updated 2022)
      • 5.1 Introduction
      • 5.2 Microorganisms in drinking water
      • 5.3 Assessing microbial risk
      • 5.4 Enteric pathogens
        • 5.4.1 Enteric pathogens of concern in drinking water
        • 5.4.2 Contamination of source waters with enteric pathogens
        • 5.4.3 Management of risk from enteric pathogens
      • 5.5 Opportunistic pathogens
      • 5.6 Cyanobacteria
      • 5.7 Nuisance organisms
        • 5.7.1 Organisms causing taste and odour problems
        • 5.7.2 Organisms causing colour problems
        • 5.7.3 Deposits due to iron and manganese bacteria
        • 5.7.4 Corrosion problems due to iron and sulphur bacteria
        • 5.7.5 Problems caused by large numbers of microorganisms
      • 5.8 References
    • Chapter 6: Physical and Chemical Quality of Drinking Water
      • 6.1 Introduction
      • 6.2 Physical quality of drinking water
        • 6.2.1 An overview of physical characteristics
        • 6.2.2 Approach used in derivation of guidelines values for physical characteristics
      • 6.3 Chemical quality of drinking water
        • 6.3.1 Inorganic chemicals
        • 6.3.2 Organic compounds (Revised 2011)
        • 6.3.3 Approach used in derivation of guideline values for chemicals
      • 6.4 Differences between Australian and WHO guideline values
      • 6.5 National and international guideline values (2016)
      • 6.6 References
    • Chapter 7: Radiological Quality of Drinking Water (Updated 2022)
      • 7.1 Introduction
      • 7.2 Sources of radiation in the environment and in drinking water
      • 7.3 Health effects of radiation
      • 7.4 Exposure to radiation
      • 7.5 Units of radioactivity and radiation dose measurement
        • 7.5.1 Units of radioactivity and radiation dose
        • 7.5.2 Converting intake to radiation dose
        • 7.5.3 Average dose of radiation
      • 7.6 Approach for derivation of reference levels and screening values for radionuclides
        • 7.6.1 System for radiation protection
        • 7.6.2 Estimation of the dose from radionuclides in water
        • 7.6.3 Estimation of risk from low-level radiation
        • 7.6.4 Reference levels and screening values for drinking water
        • 7.6.5 Application of reference levels
        • 7.6.6 Remedial measures
      • 7.7 References
    • Chapter 8: Drinking Water Treatment Chemicals (Revised 2006)
      • 8.1 Introduction
      • 8.2 Scope and limit of application of this chapter
      • 8.3 Overview of chemical treatment processes
        • 8.3.1 Control of algae
        • 8.3.2 Coagulation and flocculation
        • 8.3.3 Adsorption
        • 8.3.4 Softening
        • 8.3.5 Oxidation
        • 8.3.6 Disinfection
        • 8.3.7 Adjustment of pH
        • 8.3.8 Addition of buffering capacity
        • 8.3.9 Corrosion inhibition
      • 8.4 Public health measures
        • 8.4.1 Fluoridation
      • 8.5 Assessment of Chemicals acceptable for use in drinking water treatment (revised 2016)
        • 8.5.1 Chemicals assessed prior to 2004
        • 8.5.2 New water treatment chemicals
      • 8.6 Quality assurance for drinking water treatment chemicals
        • 8.6.1 Risks associated with drinking water chemicals
        • 8.6.2 Managing risks
        • 8.6.3 Specifications for the supply of drinking water treatment chemicals
      • 8.7 Monitoring and analytical requirements
      • 8.8 Contaminants in drinking water treatment chemicals
      • 8.9 Useful contacts
      • 8.10 References
  • Part 3: Monitoring
    • Chapter 9: Overview of monitoring (Revised 2021)
      • 9.1 Introduction
      • 9.2 Monitoring overview
        • 9.2.1 Monitoring priorities
        • 9.2.2 Principles of monitoring frequency
        • 9.2.3 Catchment-to-consumer monitoring
      • 9.3 Developing a monitoring program
      • 9.4 Operational monitoring
        • 9.4.1 Operational characteristics
        • 9.4.2 Target criteria
        • 9.4.3 Critical limits at critical control points
        • 9.4.4 Corrective action
        • 9.4.5 Operational monitoring frequency
        • 9.4.6 Chlorination as a critical control point: an example
      • 9.5 Verification of drinking water quality
        • 9.5.1 Monitoring consumer satisfaction
        • 9.5.2 Drinking water quality monitoring
      • 9.6 Water quality issues beyond the point of supply
      • 9.7 Investigative studies and research monitoring
      • 9.8 Validation of barrier performance
      • 9.9 Incident and emergency response monitoring
      • 9.10 Reliability of monitoring data
        • 9.10.1 Sample integrity
        • 9.10.2 Methods
        • 9.10.3 Detection limits
        • 9.10.4 Measurement uncertainty
        • 9.10.5 Field testing
      • 9.11 Monitoring advice for small, remote or community-managed water supplies
      • 9.12 Assessing the significance of short-term exceedances of health-based guideline values
      • 9.13 References
    • Chapter 10: Monitoring for specific characteristics in drinking water (Updated 2022)
      • 10.1 Introduction
      • 10.2 Assessing safety: short-term evaluation of monitoring
        • 10.2.1 Short-term evaluation of operational monitoring
        • 10.2.2 Short-term evaluation of drinking water quality monitoring
      • 10.3 Assessing performance: long-term evaluation of monitoring
        • 10.3.1 Long-term evaluation of microbial performance
        • 10.3.2 Long-term evaluation of health-based chemical performance
        • 10.3.3 Long-term evaluation of aesthetic performance
        • 10.3.4 Long-term evaluation of consumer satisfaction
        • 10.3.5 Improvement plan
        • 10.3.6 Performance reporting
        • 10.3.7 Summary of guideline values for microbial, chemical and physical characteristics
        • 10.3.8 Summary of reference levels and screening values for radiological characteristics
      • 10.4 Reference
  • Part 4: Information sheets
    • 1. Disinfection
      • 1.1: Introduction to water treatment
      • 1.2: Overview of disinfection
      • 1.3: Disinfection with chlorine
      • 1.4: Chloramines
      • 1.5: Disinfection with chlorine dioxide
      • 1.6: Disinfection with ozone
      • 1.7: Disinfection with ultraviolet light
      • 1.8: Other disinfectants
    • 2. Sampling
      • 2.1: Sampling Information – handling requirements and preservation
      • 2.2: Radiological monitoring and assessment of performance (updated 2022)
    • 3. Statistics
      • 3.1: Statistics – Visualising data
      • 3.2: Statistics – Assessing data
      • 3.3: Statistics – Statistical principles
      • 3.4: Statistics – Control charts and trends
      • 3.5: Number of samples required
      • 3.6: Guidance for issuing and lifting boil water advisories
      • Attachments
  • Part 5: Fact sheets
    • Microorganisms
      • Microbial indicators
        • Bacteroides
        • Coliphages
        • Clostridium perfringens
        • Escherichia coli
        • Heterotrophic plate counts
        • Intestinal enterococci
        • Thermotolerant coliforms
        • Total coliforms
      • Bacteria
        • Aeromonas
        • Burkholderia pseudomallei
        • Campylobacter
        • Escherichia coli (E. coli) (pathogenic)
        • Helicobacter pylori
        • Klebsiella
        • Legionella
        • Mycobacterium
        • Pseudomonas aeruginosa
        • Salmonella
        • Shigella
        • Vibrio
        • Yersinia
      • Protozoa
        • Acanthamoeba
        • Blastocystis
        • Cryptosporidium
        • Cyclospora
        • Giardia
        • Naegleria fowleri
      • Cyanobacteria and their toxins
        • Cyanobacteria and their toxins
        • Cylindrospermopsin
        • Microcystins
        • Nodularin
        • Saxitoxins
      • Viruses
        • Adenovirus
        • Enterovirus
        • Hepatitis viruses
        • Norovirus
        • Rotavirus
    • Physical and chemical characteristics
      • Acephate
      • Acrylamide
      • Aldicarb
      • Aldrin and Dieldrin
      • Aluminium
      • Ametryn
      • Amitraz
      • Amitrole
      • Ammonia
      • Antimony
      • Arsenic
      • Asbestos
      • Asulam
      • Atrazine
      • Azinphos-methyl
      • Barium
      • Benomyl
      • Bentazone
      • Benzene
      • Beryllium
      • Bioresmethrin
      • Boron
      • Bromacil
      • Bromate
      • Bromoxynil
      • Cadmium
      • Captan
      • Carbaryl
      • Carbendazim/Thiophanate-methyl
      • Carbofuran
      • Carbon tetrachloride
      • Carboxin
      • Carfentrazone-ethyl
      • Chloral hydrate (Trichloroacetaldehyde)
      • Chlorantraniliprole
      • Chlordane
      • Chlorfenvinphos
      • Chloride
      • Chlorinated furanones
      • Chlorine
      • Chlorine dioxide, Chlorite, Chlorate
      • Chloroacetic acids: chloroacetic acid, dichloroacetic acid (DCA), trichloroacetic acid (TCA)
      • Chlorobenzene
      • Chloroketones
      • Chlorophenols
      • Chloropicrin
      • Chlorothalonil
      • Chlorpyrifos
      • Chlorsulfuron
      • Chromium
      • Clopyralid
      • Colour (True)
      • Copper
      • Cyanide
      • Cyanogen chloride
      • Cyfluthrin, Beta-cyfluthrin
      • Cypermethrin isomers
      • Cyprodinil
      • 2,4-D [(2,4-Dichlorophenoxy) acetic acid]
      • DDT (1,1,1-trichloro-di-(4-chlorophenyl) ethane)
      • Deltamethrin
      • Diazinon
      • Dicamba
      • Dichlorobenzenes
      • Dichloroethanes: 1,1-dichloroethane, 1,2-dichloroethane
      • Dichloroethenes: 1,1-dichloroethene (1,1-DCE), 1,2-dichloroethene (1,2-DCE)
      • Dichloromethane (methylene chloride)
      • 1,3-Dichloropropene
      • Dichlorprop/Dichlorprop-P
      • Dichlorvos
      • Diclofop-methyl
      • Dicofol
      • Diflubenzuron
      • Dimethoate
      • Diquat (ion), Diquat dibromide
      • Dissolved oxygen
      • Disulfoton
      • Diuron
      • 2,2-DPA
      • Endosulfan
      • Endothal
      • Epichlorohydrin
      • EPTC
      • Esfenvalerate
      • Ethion
      • Ethoprophos
      • Ethylbenzene
      • Ethylenediamine tetraacetic acid (EDTA)
      • Etridiazole
      • Fenamiphos
      • Fenarimol
      • Fenchlorphos
      • Fenitrothion
      • Fenthion
      • Fenvalerate
      • Fipronil
      • Flamprop-methyl
      • Fluometuron
      • Fluoride
      • Flupropanate
      • Formaldehyde
      • Glyphosate
      • Haloacetonitriles
      • Haloxyfop
      • Hardness (as calcium carbonate)
      • Heptachlor and heptachlor epoxide
      • Hexachlorobutadiene
      • Hexazinone
      • Hydrogen sulfide, Sulfide
      • Imazapyr
      • Iodine, Iodide
      • Iprodione
      • Iron
      • Lanthanum
      • Lead
      • Lindane
      • Maldison (Malathion)
      • Mancozeb
      • Manganese
      • MCPA
      • Mercury
      • Metaldehyde
      • Metham
      • Methidathion
      • Methiocarb
      • Methomyl
      • Methyl bromide
      • Metiram
      • Metolachlor/s-Metolachlor
      • Metribuzin
      • Metsulfuron-methyl
      • Mevinphos
      • Molinate
      • Molybdenum
      • Monochloramine
      • Naphthalophos
      • Napropamide
      • Nicarbazin
      • Nickel
      • Nitrate and nitrite
      • Nitrilotriacetic acid (NTA)
      • N-Nitrosodimethylamine (NDMA)
      • Norflurazon
      • Omethoate
      • Organotins: dialkyltins, tributyltin oxide
      • Oryzalin
      • Oxamyl
      • Paraquat
      • Parathion
      • Parathion-methyl
      • Pebulate
      • Pendimethalin
      • Pentachlorophenol
      • Per-fluoroalkyl and poly-fluoroalkyl substances (PFAS)
      • Permethrin
      • pH
      • Picloram
      • Piperonyl butoxide
      • Pirimicarb
      • Pirimiphos methyl
      • Plasticisers
      • Polihexanide
      • Polycyclic aromatic hydrocarbons (PAHs)
      • Profenofos
      • Promecarb
      • Propachlor
      • Propanil
      • Propargite
      • Propazine
      • Propiconazole
      • Propyzamide
      • Pyrasulfotole
      • Pyrazophos
      • Pyroxsulam
      • Quintozene
      • Radionuclides, Specific Alpha and Beta Emitting
      • Radium (radium-226 and radium-228)
      • Radon-222
      • Selenium
      • Silica
      • Silver
      • Simazine
      • Sodium
      • Spirotetramat
      • Styrene (vinylbenzene)
      • Sulfate
      • Sulprofos
      • Taste and Odour
      • Temephos
      • Temperature
      • Terbacil
      • Terbufos
      • Terbuthylazine
      • Terbutryn
      • Tetrachloroethene
      • Thiobencarb
      • Thiometon
      • Thiram
      • Tin
      • Toltrazuril
      • Toluene
      • Total dissolved solids
      • Triadimefon
      • Trichlorfon
      • Trichlorobenzenes
      • 1,1,1-Trichloroethane
      • Trichloroethylene (TCE)
      • Triclopyr
      • Trifluralin
      • Trihalomethanes (THMs)
      • Turbidity
      • Uranium
      • Vernolate
      • Vinyl chloride
      • Xylenes
      • Zinc
    • Drinking water treatment chemicals
      • Aluminium chlorohydrate
      • Aluminium sulfate (alum)
      • Ammonia
      • Ammonium sulfate
      • Calcium hydroxide
      • Calcium hypochlorite
      • Calcium oxide
      • Carbon, granulated activated
      • Carbon, powdered activated
      • Chlorine
      • Copper sulfate
      • Ferric chloride
      • Ferric sulfate
      • Hydrochloric acid
      • Hydrofluorosilicic acid
      • Hydrogen peroxide
      • Hydroxylated ferric sulfate
      • Ozone
      • Polyacrylamide
      • Polyaluminium chloride
      • Polyaluminium silica sulfates
      • Polydiallyldimethylammonium chloride
      • Potassium permanganate
      • Sodium aluminate
      • Sodium bicarbonate
      • Sodium carbonate
      • Sodium fluoride
      • Sodium fluorosilicate
      • Sodium hexametaphosphate
      • Sodium hydroxide
      • Sodium hypochlorite
      • Sodium silicate
      • Sodium tripolyphosphate
      • Sulfuric acid
      • Zinc orthophosphate
  • Appendices
    • Appendix 1: Additional guidance
      • A1.1 Introduction
      • A1.2 Water supply system analysis
      • A1.3 Assessment of water quality data
      • A1.4 Hazard identification
      • A1.5 Risk assessment
      • A1.6 Preventive measures and multiple barriers
      • A1.7 Critical control points
      • A1.8 Chlorination as an example of a critical control point
      • A1.9 References
    • Appendix 2: Further sources of information on drinking water quality management
      • A2.1 Drinking water quality management - general
      • A2.2 Catchment management and source water protection
      • A2.3 Groundwater protection
      • A2.4 Risk assessment and management
      • A2.5 System analysis and management process control and optimisation
      • A2.6 Monitoring and verification
      • A2.7 Materials and chemicals
      • A2.8 Incident and emergency management
      • A2.9 Employee training and awareness
      • A2.10 Research and development
      • A2.11 Documentation and reporting
      • A2.12 Community consultation and communication
      • A2.13 Hazard analysis and critical control point (HACCP)
      • A2.14 Quality management continuous improvement
      • A2.15 Reference web sites
    • Appendix 3: Derivation of microbial treatment targets for enteric pathogens
      • A3.1 Introduction to Quantitative Microbial Risk Assessment (QMRA)
      • A3.2 Adopting the QMRA approach in the Guidelines
      • A3.3 QMRA framework for the calculation of log₁₀ reduction values (LRVs)
      • A3.4 Defining the health outcome target
      • A3.5 Selection of reference pathogens
      • A3.6 Level of reference pathogen contamination in Australian source waters
      • A3.7 Consumption volume of unheated (unboiled) water per person per day
      • A3.8 Dose response relationships
      • A3.9 Disability Adjusted Life Years (DALY) burden per case
      • A3.10 Calculation of LRVs using the QMRA framework
      • A3.11 Interpretation of calculated LRVs for practical treatment guidance
      • A3.12 Understanding log₁₀ reductions
      • A3.13 References
  • Glossary
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Australian Drinking Water Guidelines 6 2011, v3.9

  • Go back to NHMRC website
On this page
  • Guideline
  • General description
  • Typical values in Australian drinking water
  • Treatment of drinking water
  • Measurement
  • Health considerations
  • Derivation of guideline
  • References
  1. Part 5: Fact sheets
  2. Physical and chemical characteristics

Tin

(endorsed 2011)

Guideline

No guideline value is considered necessary for tin in drinking water, as concentrations are likely to be considerably lower than the level that can cause health effects.

General description

Tin is mainly used for plating. Tin coatings are used in the manufacture of food containers and in food processing equipment. Tin is also used in alloys such as solders, bronzes and pewters. Inorganic tin compounds are used as pigments in the ceramic and textile industries. Organic tin compounds are used as biocides (see Fact Sheet on organotins).

The concentration of tin in rivers, estuaries and oceans is generally less than 0.000005 mg/L (5 ng/L), but in some instances has been measured up to 0.002 mg/L. The use of organotin biocides can produce significantly higher concentrations in environmental waters. Levels of <0.042–0.3 mg/L were found in 37 different bottled mineral waters. A mean range of 0.001–0.002 mg/L (maximum 0.030 mg/L) was found in a survey of water supplies in the United States; values greater than 0.002 mg/L are exceptional (WHO 2004, IPCS 2005).

Food, and particularly canned food, is the major source of human exposure to tin. Intake from this source can vary widely and estimates range from 0.1 mg per day up to 100 mg per day, with a median of 0.2 mg per day.

Typical values in Australian drinking water

Australian drinking water supplies have not been routinely monitored for tin. Based on measurements made overseas, it is likely that concentrations would be extremely low.

Treatment of drinking water

Treatment of drinking water to reduce the concentration of inorganic tin is unlikely to be required.

Measurement

The concentration of tin in drinking water can be determined using graphite furnace atomic absorption spectroscopy (APHA Method 3500-Sn part B 1992). The limit of determination is 0.01 mg/L.

Health considerations

Tin is thought to be an essential element in animals. It is not known whether it is essential for humans.

Tin, or tin salts, are poorly absorbed from the gastrointestinal tract. Most studies indicate that less than 5% is absorbed. Highest concentrations of tin occur in the bone, kidney and liver. Biological half-lives range from 1 to 4 months, and tin is excreted primarily via the kidneys and bile.

Extensive reviews and summaries of the human and animal toxicity data for tin are available (JECFA 2000, WHO 2004, IPCS 2005, ATSDR 2005).

There is no evidence of adverse effects in humans associated with long-term exposure to tin. The main effects, due to consumption of canned food with high tin concentrations (over 150 mg/kg), are gastric irritation resulting in vomiting, diarrhoea, fatigue and headache.

In animals, long-term ingestion studies over 2 years using rats and mice reported no significant adverse effects.

Inorganic tin in the form of stannous chloride was found not to be mutagenic in tests with bacteria; however, in mammalian cells in vitro, inorganic tin has induced DNA and chromosomal aberrations.

Derivation of guideline

The low toxicity of tin and inorganic tin compounds is due largely to low absorption, low tissue accumulation and rapid excretion. A guideline value of approximately 0.7 mg/L could be derived from a 2-year feeding study with rats (WHO 1982), but this value is approximately three orders of magnitude higher than tin concentrations in drinking water. Therefore, the presence of tin in drinking water does not represent a hazard to human health and the establishment of a guideline value is not deemed necessary.

References

APHA Method 3500-Sn Part B (1992). Tin: Atomic Absorption Spectrometric method. Standard Methods for the Examination of Water and Wastewater, 18th edition. American Public Health Association, Washington.

ATSDR (Agency for Toxic Substances and Disease Registry) (2005). Toxicological Profile for Tin and Tin Compounds. ATSDR, US Department Of Health and Human Services Public Health Service. PB2006-100006

IPCS (International Programme on Chemical Safety) (2005). Concise International Chemical Assessment Document 65. Tin and Inorganic Tin Compounds. IPCS, World Health Organization Geneva, Switzerland.

JECFA (Joint Expert Committee on Food Additives) (2000). Who Food Additives Series 46:Tin (Addendum). JECFA, World Health Organization.

WHO (World Health Organization) (2004). Inorganic Tin in Drinking-water: Background document for development of WHO Guidelines for Drinking-water Quality. WHO, Geneva, Switzerland. WHO/SDE/WSH/03.04/115.

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