SpeedBump and Gary,
I reviewed the global published medical literature on trihalomethane exposure (chloroform, bromodicholormethane, dibromochlormethane, and bromoform), following Gary's post in my previous thread on
cycle stop valves. At first glance, the literature certainly seems concerning about cancer risk and chronic exposure to chlorine. Also concerning is the suggestion that disinfection byproducts may increase the risk of cardiac birth defects such as ventriculoseptal defects.
The data on THMs is still very debatable, owing to the difficulty of gathering and interpreting health effects relative to exposure. Many of the studies do not achieve statistical significance. Methodologic weaknesses were present in all the published articles, and obvious confounding factors were often not eliminated. For example, several of the studies were conducted in Taiwan, China and India, where water quality suffers from a multiplicity of pollutants; yet no effort was made to determine whether THMs were at fault versus other pollutants, nor whether air pollution or cigarette smoke may have contributed to the cancers. Subjects' age, ethnicity, or lifestyle factors weren't controlled or measured. How can you know that the reported cancers occurred because of THMs instead of other carcinogens, or because one group of people (subjects) were 20 years older than the other (controls)? I see no discussion in most articles about possible confounders... which is to say the quality of the research is generally low.
On the other hand, one Harvard University School of Public Health study found a reassuring conclusion regarding THMs and bladder cancer... "Total fluid and water consumption and the joint effect of exposure to disinfection by-products on risk of bladder cancer," by Michaud DS, Kogevinas M, Cantor KP, Villanueva CM, Garcia-Closas M, Rothman N, Malats N, Real FX, Serra C, Garcia-Closas R, Tardon A, Carrato A, Dosemeci M, Silverman DT. Department of Epidemiology, Harvard School of Public Health, Boston, Massachusetts:
BACKGROUND: Findings on water and total fluid intake and bladder cancer are inconsistent; this may, in part, be due to different levels of carcinogens in drinking water. High levels of arsenic and chlorinated by-products in drinking water have been associated with elevated bladder cancer risk in most studies. A pooled analysis based on six case-control studies observed a positive association between tap water and bladder cancer but none for nontap fluid intake, suggesting that contaminants in tap water may be responsible for the excess risk. OBJECTIVES: We examined the association between total fluid and water consumption and bladder cancer risk, as well as the interaction between water intake and trihalomethane (THM) exposure, in a large case-control study in Spain. METHODS: A total of 397 bladder cancer cases and 664 matched controls were available for this analysis. Odds ratios (OR) were estimated using unconditional logistic regression, controlling for potential confounders. RESULTS: Total fluid intake was associated with a decrease in bladder cancer risk [OR = 0.62; 95% confidence interval (CI), 0.40-0.95 for highest vs. lowest quintile comparison]. A significant inverse association was observed for water intake (for > 1,399 vs. < 400 mL/day, OR = 0.47; 95% CI, 0.33-0.66; p for trend < 0.0001), but not for other individual beverages. The inverse association between water intake and bladder cancer persisted within each level of THM exposure; we found no statistical interaction (p for interaction = 0.13). CONCLUSION: Findings from this study suggest that water intake is inversely associated with bladder cancer risk, regardless of THM exposure level." [Environ Health Perspect. 2007 Nov;115(11):1569-72.]
None of the studies I reviewed examined health risks of well chlorination nor other short term chlorine exposure. It's easy to imagine that repeated exposure over decades may have a set of risks that shorter duration exposure does not.
So, let's not make too many assertions about the health risk of annual well shocking. It hasn't been studied sufficiently to make such claims. I won't dispute assertions about pipe clogging or other problems after shocking, though I personally haven't experienced such issues. I did have numerous pinhole leaks open up in my cold water pipes one time when I shocked our well and went away on vacation. That was due to extremely low quality copper pipes which I have since replaced.