Cincinnati Water Quality: Ohio River Challenges, PFAS, and a History of Treatment Innovation

Cincinnati skyline along the Ohio River, the source of the city's drinking water supply

Cincinnati has a drinking water challenge that most cities don’t face: its raw water source is one of the most heavily used rivers in America.

The Ohio River drains 204,000 square miles across 15 states. By the time it reaches Cincinnati, it’s collected agricultural runoff from Indiana and Ohio farmland, treated wastewater from upstream cities like Pittsburgh and Louisville, industrial discharges, stormwater, and everything else that ends up in a major river system serving 25 million people.

Greater Cincinnati Water Works (GCWW) — one of the oldest water utilities in the country, established in 1817 — takes this challenging source water and turns it into some of the best-treated tap water in the region. The utility serves about 1 million people across Hamilton County and parts of Butler, Warren, and Clermont counties.

Treatment Innovation: Making the Ohio Drinkable

GCWW has been a national leader in water treatment technology, largely because it has to be. When your source water is the Ohio River, you invest in treatment or you accept undrinkable water.

The utility operates two treatment plants — the Miller Plant (built in 1907, extensively upgraded) and the Bolton Plant (1992). Treatment includes:

GCWW’s multi-barrier approach reflects the reality that the Ohio River can throw almost anything at the treatment plant — and the plant needs to handle it.

PFAS in the Ohio River Basin

PFAS contamination in the Ohio River gained national attention through the story of DuPont’s Washington Works plant in Parkersburg, West Virginia — about 200 miles upstream from Cincinnati. The plant released PFOA (known as C8) into the Ohio River for decades, contaminating drinking water for communities along the river.

The story was documented in the book “Exposure” and the film “Dark Waters.” The resulting class-action lawsuit and health studies (the C8 Science Panel) established links between PFOA exposure and several diseases, including kidney and testicular cancer.

For Cincinnati, the PFAS picture includes:

Ohio River Spills and Emergency Events

Drawing from a major industrial river means Cincinnati’s water supply is periodically threatened by upstream chemical spills, industrial releases, and transportation accidents.

Notable incidents:

GCWW maintains an early warning system with upstream monitoring stations and participates in the Ohio River Valley Water Sanitation Commission (ORSANCO), which coordinates water quality monitoring across the river’s length.

Lead Service Lines

Cincinnati, like other Rust Belt cities, has a significant inventory of lead service lines. Estimates suggest approximately 30,000 to 40,000 lead service lines remain in the GCWW system.

The utility has been working on a lead service line inventory and has begun replacement in priority areas. Under EPA’s LCRI, all must be replaced within 10 years — a multi-hundred-million-dollar undertaking.

GCWW uses corrosion control treatment to minimize lead leaching, and the system has generally maintained compliance with EPA’s Lead and Copper Rule. But individual homes with lead service lines, lead solder, or brass fixtures can still have elevated lead levels at the tap.

Older neighborhoods in Cincinnati — Over-the-Rhine, Price Hill, Avondale, Walnut Hills, Northside — have the highest concentrations of pre-war housing and lead service lines.

What Cincinnati Residents Should Know

The Bottom Line

Cincinnati’s water story is a testament to what advanced treatment can accomplish with challenging source water. The Ohio River is not pristine — far from it — but GCWW has invested in technology that produces high-quality drinking water despite those challenges.

The ongoing concerns — PFAS from upstream sources, lead in the distribution system, and the ever-present risk of upstream spills — are real but manageable with continued investment and vigilance. Cincinnati is better positioned than many cities to handle PFAS regulations because its GAC treatment already provides partial removal.

If you’re concerned about your water quality, a certified water treatment professional can test your water and recommend whether additional home treatment makes sense for your situation.