The effect of changes in nitrate concentration in drinking water on methemoglobin levels in infants

For a five‐day period infants consuming powdered milk formula made up with tap water were exposed to water of controlled nitrate content. There was a significant rise in MetHb levels above normal in most children after the first day of exposure to high nitrate water (108 mg/1 NO3). This was followed by some indication of a drop in MetHb levels despite the continued exposure and finally a return to normal levels when the exposure to nitrates stopped. No clinical signs of methemoglobinemia developed. The possible existence of an adaption mechanism is suggested but requires further elucidation.