According to the ADWG, no health guideline has been adopted for Aluminium, but that the issue is still open to review. Aluminium can come from natural geological sources or from the use of aluminium salts as coagulants in water treatment plants. According to the ADWG “A well-operated water filtration plant (even using aluminium as a flocculant) can achieve aluminium concentrations in the finished water of less than 0.1 mg/L.

The most common form of aluminium in water treatment plants is Aluminium Sulfate (Alum). Alum can be supplied as a bulk liquid or in granular form. It is used at water treatment plants as a coagulant to remove turbidity, microorganisms, organic matter and inorganic chemicals. If water is particularly dirty an Alum dose of as high as 500mg/L could occur. There is also concern that other metals may also exist in refined alum.

While the ADWG mentions that there is considerable evidence that Aluminium is neurotoxic and can pass the gut barrier to accumulate in the blood, leading to a condition called encephalopathy (dialysis dementia) and that Aluminium has been associated with Parkinsonism dementia and amyotrophic lateral sclerosis, the NHMRC, whilst also acknowledging studies which have linked Aluminium with Alzheimer disease, has not granted Aluminium a NOEL (No Observable Effect Level) due to insufficient and contradictory data. Without a NOEL, a health guideline cannot be established. The NHMRC has also stated that if new information comes to hand, a health guideline may be established in the future.

In communication with Aluminium expert Dr Chris Exley (Professor in Bioinorganic Chemistry
The Birchall Centre, Lennard-Jones Laboratories, Keele University, Staffordshire UK) in March 2013 regarding high levels of Aluminium detected in the South Western Victorian town of Hamilton
“It is my opinion that any value above 0.5 mg/L is totally unacceptable and a potential health risk. Where such values are maintained over days, weeks or even months, as indeed is indicated by the data you sent to me, these represent a significant health risk to all consumers. While consumers may not experience any short term health effects the result of longer term exposure to elevated levels of aluminium in potable waters may be a significant increase in the body burden of aluminium in these individuals. This artificially increased body burden will not return to ‘normal’ levels when the Al content of the potable water returns to normal but will act as a new platform level from which the Al body burden will continue to increase with age.