Fluoride occurrence and assessment of exposure dose of fluoride in shallow aquifers of Makur, Unnao district Uttar Pradesh, India

Spatial variation in groundwater quality and health risk assessment for fluoride and nitrate in Chhotanagpur Plateau, India

The evaluation of groundwater quality is vital to assess the risk to human health. The present study assesses groundwater quality for drinking purposes and human health risks due to ingestion of fluoride and nitrate through drinking water in Chhotanagpur Plateau, India, using geoinformation techniques. For drinking water quality assessment, analyzed parameters were compared with World Health Organization (WHO) standards, and water quality index (WQI) was used. Results reveal that most of the samples come within the desired limit suggested by WHO. In a few samples, conductivity, hardness, chloride, sulfate, and calcium are higher than the desirable limit, whereas fluoride and nitrate are beyond the permissible limit in 70% and 27% of the samples, respectively. WQI highlights that poor to very poor water is present in 25% of the samples. Anthropogenic activities have played a critical role in deteriorating groundwater quality, resulting in harmful impacts on human health. To assess non-carcinogenic health risks, the hazard quotient (HQ) and total hazard index (THI) were computed. THI ranges from 0.01 to 7.46, 0.01 to 7.05, and 0.01 to 9.05 for males, females, and children, respectively. THI is greater than the allowable limit in 84%, 78%, and 89% of the samples for males, females, and children, respectively, indicating high risk to human health, particularly children. The study advocates proper water management strategies. Knowledge of spatial variation and anomalous concentration is vital for groundwater management as well as health risk assessment. The findings of this study will be helpful to government officials, policy planners, and local communities.

Fluoride risk assessment from agricultural soils in India: a study based on vertical, spatial and geochemical distribution

Fluoride (F) in agricultural soil is increasing continuously due to injudicious application of F-laden fertilizers, causing global concern about fluorosis disease. The objective of the study was to assess F risk in humans due to soil ingestion, dermal contact, and particulate inhalation during various agricultural activities. The study also emphasized chemical fractionation, distribution, and geochemical understanding of high F incidence. Agricultural surface soil was sampled randomly from 5 km × 5 km square grids besides soil profile samples for studying the vertical distribution of F. Various F fractions in soil (1:1 soil:water ratio, calcium chloride extractable F, hot water soluble F, exchangeable F, Fe-Mn oxide bound F, organic matter bound F, residual F, and total F) were estimated using the sequential fractionation method. Multivariate geochemical analysis and soil F risk were also assessed in humans. The water soluble F (F_1:1) and CaCl₂ extractable F (F_Ca) varied between 0.11 to 6.73 mg kg^-1 and 1.02 to 6.94 mg F kg^-1 soil, respectively. Total fluoride (TF) however, ranged between 115 to 456 mg F kg^-1. A higher average of F_Ca/TF moving down the soil profile indicated a propensity for F endemicity. Weathering, ion-exchange, alkalinity, and clay were found to control the soil geochemistry of the area. The F contamination index explained > 82% variance of F contamination, but the hazard quotient of F for an adult was found < 1, indicating no potential fluorosis risk in the area. This study is the first of its kind in India, where ecological risk due to F from agricultural soil was assessed in humans and will be a benchmark for future researchers.

Spatio-temporal variation of fluoride in groundwater and agricultural soil and crops of Unnao district, UP: Monitoring and assessment

Fluoride (F^-) contamination in groundwater of Unnao district, Uttar Pradesh was reported for the first time in 1994, however comprehensive monitoring of F^- in different environmental matrices remains to be undertaken. The presented study reports spatio-temporal monitoring of F^- content in groundwater, crops and soil from F^- affected district Unnao, in pre-monsoon (PRM), monsoon (MO) and post-monsoon (PMO), to establish F^- groundwater-soil-plant continuum. More than 80% of groundwater samples were contaminated with F^-> 1.0 mg L^-1 with highest level (mg L^-1), at Patiyara (3.6 ± 0.64), during PRM > Pathakpur (2.73 ± 0.57) during PMO > Sarukheda (2.40 ± 0.43) during PRM. High Cr in groundwater was observed in Jajmau (7.08 ± 1.42). The level of F^- (mg Kg^-1) in agricultural soils followed 3.4 ± 0.71 at Patiyara (MO) > 2.9 ± 0.14 at Badlikheda (PRM) 1.89 ± 0.28 at Jagatkhera (PRM). Among the different edible parts of crops in selected sites, highest F^- content (mg Kg^-1), F^- level in grains of Oryza sativa ranged between 0.23 ± 0.02 to 2.01 ± 0.24. Whereas in the edible fruit of Trichosanthes diocia contained 1.47 ± 0.32 and Momordica charantia 1.47 ± 0.02. Leaf of spinach (1.03 ± 0.22) and seed of Brassica juncea (0.73 ± 0.08). Overall, comparing across all the three seasons, level of F^- was highest in all the plants during MO, as compared to PRM and PMO. The regression analysis of physiochemical properties of groundwater show negative relationship between Na⁺ and F^- whereas soil alkalinity exhibited strong influence in soil F^-. The high F^- content in soil and groundwater at Patiyara and Shekhpur also coincided with presence of several brick kilns, possibly contributing to the high F^-.

Impact of geology and anthropogenic activities over the water quality with emphasis on fluoride in water scarce Lalitpur district of Bundelkhand region, India

The Bundelkhand region of India is suffering from acute water scarcity, raising concern over the potability in the region. Therefore, to develop a baseline data set of groundwater quality, sampling was carried out from the 110 existing shallow hand pumps and tube wells covering the Lalitpur district. Groundwater samples were investigated for hydro-geochemical and isotopic signatures (δ¹⁸O and δ²H) to understand the driving factors leading to water quality and its contamination in the region. The results of Hierarchical cluster analysis revealed four different clusters according to their water quality. Cluster 1 and 2 water samples have a good quality of water and these samples fall in the vicinity of major or minor drainage networks of the area. Whereas, clusters 3 and 4 are of deteriorated water quality and located far-off from the drainage networks in the study area. The findings from chemical analysis and chemometric method suggest that the groundwater composition is mainly influenced by rock weathering and anthropogenic activities. Fluoride exposure dosage for the infant and children is twice that of adults in the study area, indicating a stronger impact of fluoride concentration in infants and children. The stable isotopic analysis shows that origin of groundwater is local precipitation, with evaporative enrichment in groundwater. The groundwater of cluster 3 and 4 shows evaporative nature along with high EC and Cl concentration. The variation of concentration of ions in the study area prevails along the groundwater flow direction and surface drainage reveals the control of hydrogeological attributes in the groundwater.

Fluoride contamination in and around selected geothermal sites in Odisha, Eastern India: assessment of ionic relations, fluoride exposure and remediation

Fluoride contamination in groundwater is a major problem throughout the world as well as in India. High-fluoride content was reported in the hot springs of Atri and Tarbalo sites in Odisha, India, and residents of nearby villages showed the manifestations of fluorosis. Around 39% of the groundwater samples showed fluoride concentration > 1 mg/l, higher than the desirable limit specified by the WHO. The dominant chemical facies of groundwaters were ions of Ca-Mg-HCO₃ and Ca-Na-Cl, which infers the lithological control over the hydrochemistry of this area. A strong correlation between fluoride and other major ions could not be found, suggesting that multiple processes are responsible for the enriched fluoride concentration observed in the study area. The major geochemical processes include dissolution of fluoride-bearing minerals from the rocks, evapotranspiration, agricultural input and mixing of cold groundwater with hot spring water containing high fluoride. The maximum fluoride exposure doses through drinking water from fluoride-contaminated tube wells were estimated to be 0.07 mg/kg/d for infants, 0.125 mg/kg/d for children and 0.06 mg/kg/d for adults, which are higher than the minimum risk level (0.05 mg/kg/d). Exposure doses of fluoride indicate that exposure risk is doubled for children in comparison to infants and adults, which might cause severe dental fluorosis and other ailments. Considering the environmental and hydrological set up of the study area, membrane defluoridation process can be suggested as the best remediation method. Nalgonda technique, dilution of fluoride-rich groundwater and better nutrition containing calcium and vitamin C are other possible options that can be included for early mitigation of fluoride contamination.

Groundwater fluoride contamination, probable release, and containment mechanisms: a review on Indian context

Fluoride contamination in the groundwater has got great attention in last few decades due to their toxicity, persistent capacity and accumulation in human bodies. There are several sources of fluoride in the environment and different pathways to enter in the drinking water resources, which is responsible for potential effect on human health. Presence of high concentration of fluoride ion in groundwater is a major issue and it makes the water unsuitable for drinking purpose. Availability of fluoride in groundwater indicates various geochemical processes and subsurface contamination of a particular area. Fluoride-bearing aquifers, geological factors, rate of weathering, ion-exchange reaction, residence time and leaching of subsurface contaminants are major responsible factors for availability of fluoride in groundwater. In India, several studies have reported that the groundwater of several states are contaminated with high fluoride. The undesirable level of fluoride in groundwater is one of the most natural groundwater quality problem, which affects large portion of arid and semiarid regions of India. Rajasthan, Andhra Pradesh, Telangana, Tamil Nadu, Gujarat, and West Bengal are the relatively high-fluoride-contaminated states in India. Chronic ingestion of high doses of fluoride-rich water leads to fluorosis on human and animal. Over 66 million Indian populations are at risk due to excess fluoride-contaminated water. Therefore, groundwater contamination subject to undesirable level of fluoride needs urgent attention to understand the role of geochemistry, hydrogeology and climatic factors along with anthropogenic inputs in fluoride pollution.

A study to investigate fluoride contamination and fluoride exposure dose assessment in lateritic zones of West Bengal, India

To assess the status of severity of fluoride contamination in lateritic Bankura and Purulia districts of West Bengal, concentrations of fluoride in different water sources and agricultural field soils were investigated. The fluoride content (mg/l) was observed to differ with aquifer depths: 0.19-0.47 in dug wells, 0.01-0.17 in shallow tube wells, and 0.07-1.6 in deep tube wells. Fluoride within the World Health Organization (WHO) prescribed range (1.0-1.5 mg/l) was estimated only in ~17% of the total collected water samples while ~67% showed <0.7 mg/l fluoride and thus may impede in the production and maintenance of healthy teeth and bones of the residents, especially children. Fluoride in water was found to be significantly correlated (r = 0.63) with pH. The exposure dose of fluoride (mg/kg/day) from drinking water in infants, children, and adults was estimated in the ranges 0.02-0.53, 0.01-0.24, and 0.01-0.14, respectively against the standard value of 0.05. A clear risk of dental fluorosis is apparent in infants and children of the study area. The fluoride in soil (55-399 mg/kg) was detected to be significantly correlated with the fluoride content in deep tube wells and soil pH (r = 0.56 and 0.71, respectively). The relationships of soil fluoride with total hardness and that with phosphate were not significant. There is a high possibility of bioaccumulation of fluoride from contaminated soil and water of the study area to cultivated crops. This will enhance the quantity of fluoride intake into human food chain in addition to drinking water pathway.

Fluoride in groundwater: toxicological exposure and remedies

Fluoride is a chemical element that is found most frequently in groundwater and has become one of the most important toxicological environmental hazards globally. The occurrence of fluoride in groundwater is due to weathering and leaching of fluoride-bearing minerals from rocks and sediments. Fluoride when ingested in small quantities (<0.5 mg/L) is beneficial in promoting dental health by reducing dental caries, whereas higher concentrations (>1.5 mg/L) may cause fluorosis. It is estimated that about 200 million people, from among 25 nations the world over, may suffer from fluorosis and the causes have been ascribed to fluoride contamination in groundwater including India. High fluoride occurrence in groundwaters is expected from sodium bicarbonate-type water, which is calcium deficient. The alkalinity of water also helps in mobilizing fluoride from fluorite (CaF2). Fluoride exposure in humans is related to (1) fluoride concentration in drinking water, (2) duration of consumption, and (3) climate of the area. In hotter climates where water consumption is greater, exposure doses of fluoride need to be modified based on mean fluoride intake. Various cost-effective and simple procedures for water defluoridation techniques are already known, but the benefits of such techniques have not reached the rural affected population due to limitations. Therefore, there is a need to develop workable strategies to provide fluoride-safe drinking water to rural communities. The study investigated the geochemistry and occurrence of fluoride and its contamination in groundwater, human exposure, various adverse health effects, and possible remedial measures from fluoride toxicity effects.

Site specific toxicological risk from fluoride exposure through ingestion of vegetables and cereal crops in Unnao district, Uttar Pradesh, India

A study was carried out to assess toxicological risk from the fluoride (F) exposure due to ingestion of vegetables and cereal crops such as rice and wheat grown in potentially fluoridated area (brick kiln and sodic areas), of different age groups in Unnao district, Uttar Pradesh, India. Fluoride contents in vegetables and cereal were found to be in the order brick kiln sites>sodic sites>normal sites. Among vegetables maximum F concentration was found in spinach and mint, whereas in cereal crops, wheat accumulated more F than rice. The exposure dose of F was determined using estimated daily intake (EDI) and bio-concentration factor (BCF) of F. The children of age group 3-14 years in the potentially fluoridated area were found to be at the risk of fluorosis. The mean BCF value of F was the highest in mint (36.6 mg/kg(dwt) plant/mg/kg(dwt) soil), followed by spinach (33.99 mg/kg(dwt) plant.mg/kg(dwt) soil).

Fluoride in the environment and its metabolism in humans

The presence of environmental fluoride and its impact on human health is well documented. When consumed in adequate quantity, fluoride prevents dental caries, assists in the formation of dental enamels, and prevents deficiencies in bone mineralization. At excessive exposure levels, ingestion of fluoride causes dental fluorosis skeletal fluorosis, and manifestations such as gastrointestinal, neurological, and urinary problems. The distribution of fluoride in the environment is uneven and largely is believed to derive from geogenic causes. The natural sources of fluoride are fluorite, fluorapatite, and cryolite, whereas anthropogenic sources include coal burning, oil refining, steel production, brick-making industries, and phosphatic fertilizer plants, among others. Among the various sources of fluoride in the environment, those of anthropogenic origin have occasionally been considered to be major ones. The gourndwater is more susceptible to fluoride accumulation and contamination than are other environmental media, primarily because of its contact with geological substrates underneath. The high fluoride concentration in water usually reflects the solubility of fluoride (CaF₂). High concentrations are also often associated with soft, alkaline, and calcium-deficient waters. The fluoride compounds that occur naturally in drinking water are almost totally bioavailable (90%) and are completely absorbed from the gastrointestinal tract. As a result, drinking water is considered to be the potential source of fluoride that causes fluorosis. Because the bioavailability of fluoride is generally reduced in humans when consumed with milk or a calcium-rich diet, it is highly recommended that the inhabitants of fluoride-contaminated areas should incorporate calcium-rich foods in their routine diet. Guidelines for limiting the fluoride intake from drinking water have been postulated by various authorities. Such limits are designed to protect public health and should reflect all fluoride intake sources, including dietary fluoride. The toxicological risks posed by fluoride could be better understood if epidemiological surveillance for dental and skeletal fluorosis would be systematically conducted in fluoride-affected areas. Such input would greatly improve understanding of the human dose-response relationship. Such surveillance of potentially high fluoride areas is also important because it would help to delineate, much earlier, the remedial measures that are appropriate for those areas.