Fluoride and arsenic exposure through water and grain crops in Nagarparkar, Pakistan

Fluorine accumulation characteristics of 85 tea tree (Camellia sinensis) varieties and its potential risk assessment

Tea tree is a fluorine (F)-enriched plant, leading to much concern about the safety of drinking tea from tea tree (Camellia sinensis (L.) Kuntze). Tea tree is a perennial leaf-harvested crop, and tea production in China is generally categorized as spring tea, summer tea and autumn tea in its annual growth rounds. However, the seasonally dynamic changes of F content and accumulation in the leaves and its drinking safety are poorly understood. In this study, 85 tea varieties cultivated under the same conditions were investigated to analyze the seasonal variation of F content and it's relationships with F accumulation, aluminum (Al), calcium (Ca) and manganese (Mn) and hazard quotient (HQ) in young leaves (one bud and two leaves, YL) and mature leaves (canopy leaves, ML). The average F contents and accumulations were 350 mg kg-1 and 203 g ha-1 in YL, and they were 2451 mg kg-1 and 2578 g ha-1 in ML, respectively, with F mainly accumulated in ML. As the growing season progresses, the F content showed a gradual increase in YL, while a decrease in ML, inferring that F may be redistributed from mature leaves to young leaves. Additionally, the F content was quite different among tea varieties which are suitable for processing oolong tea, green tea, and black tea, with higher F accumulation in oolong tea varieties than in green and black tea varieties. Moreover, F content and accumulation could be obviously affected by the geographical origin of the tea tree varieties, with significantly higher F content in the varieties from F rich fluorite belts than other regions. Furthermore, F content and accumulation showed a significant positive correlation with the content of Al and Mn (p < 0.05). Based on a daily tea consumption of 8.7 g, the HQ was investigated to show that the proportion of tea leaves with HQ<1 made from spring, summer and autumn tender leaves of 85 varieties was 100 %, 90.6 % and 50.6 %, respectively, indicating that the tea with the best drinking safety comes from spring, followed by summer, and then autumn. This result suggests that it could be necessary to avoid planting tea trees in fluorite mining areas, choose low F tea tree varieties, and control the tenderness of fresh leaves in order to ensure the safety of tea drinking.

Advances and future perspectives of water defluoridation by adsorption technology: A review

Fluoride contamination in water sources poses a significant challenge to human health and the environment. In recent years, adsorption technology has emerged as a promising approach for water defluoridation due to its efficiency and cost-effectiveness. This review article comprehensively explores the advances in water defluoridation through adsorption processes. Various adsorbents, including natural and synthetic materials, have been investigated for their efficacy in removing fluoride ions from water. The mechanisms underlying adsorption interactions are elucidated, shedding light on the factors influencing defluoridation efficiency. Moreover, the review outlines the current state of technology, highlighting successful case studies and field applications. Future perspectives in the field of water defluoridation by adsorption are discussed, emphasizing the need for sustainable and scalable solutions. The integration of novel materials, process optimization, and the development of hybrid technologies are proposed as pathways to address existing challenges and enhance the overall efficacy of water defluoridation. This comprehensive assessment of the advances and future directions in adsorption-based water defluoridation provides valuable insights for researchers, policymakers, and practitioners working towards ensuring safe and accessible drinking water for all.

Hotspot mapping and risk prediction of fluoride in natural waters across the Tibetan Plateau

Intake of high fluoride concentrations through water affects up to 1 billion people worldwide, and the Tibetan Plateau (TP) is one of the most severely affected areas. Knowledge regarding the high fluoride risk areas, the driving factors, and at-risk populations on the TP remains fragmented. We collected 1581 natural water samples from the TP to model surface water and groundwater fluoride hazard maps using machine learning. The geomean concentrations of surface water and groundwater were 0.26 mg/L and 0.92 mg/L, respectively. Surface water fluoride hazard hotspots were concentrated in the north-central region; high fluoride risk areas of groundwater were mainly concentrated in the southern TP. Hazard maps showed a maximum estimate of 15% of the total population in the TP (approximately 1.47 million people) at risk, and 500,000 people considered the most reasonable estimate. Critical environment driving factors were identified, in which climate condition was taken for the vital one. Under the moderate climate change scenario (SSP2.45) for 2089-2099, the high fluoride risk change rate differed inside the TP (surface water -24%-55% and groundwater -56%-50%), and the overall risk increased in natural waters throughout the TP, particularly in the southeastern TP.

Evaluation of possible role of fluoride in pathogenesis of oral submucous fibrosis: A pilot study

BACKGROUND

Oral submucous fibrosis (OSMF) is a potentially malignant disorder. Although areca nut chewing is an established risk factor, its low prevalence among nut chewers indicates additional factors likely facilitates pathogenesis. We recently demonstrated high fluoride levels in smokeless tobacco products and hypothesized a potential pathological role of fluoride in OSMF. Further exploring this novel role, this study compared fluoride levels in tissue, serum, and saliva samples from OSMF patients and healthy controls.

METHODS

The ethically approved study included 25 clinically confirmed OSMF patients and 25 healthy matched controls. OSMF cases underwent buccal mucosal incisional biopsy, while controls had buccal mucosa tissue sampling during third molar removal. Fasting venous blood and unstimulated saliva were collected. Fluoride levels were analysed using ion chromatography and expressed as median (IQR).

RESULTS

OSMF cases showed significantly higher fluoride concentrations compared with controls in tissue biopsies (30.1 vs. 0 mg/kg, p < 0.0001), serum (0.4 vs. 0 mg/L, p = 0.005) and saliva (1.3 vs. 0 mg/L, p < 0.0001). Majority (68%) of controls had undetectable fluoride levels across all samples. Tissue fluoride weakly correlated with OSMF severity (r = -0.158, p = 0.334).

CONCLUSION

The preliminary findings demonstrated increased tissue fluoride levels in OSMF patients compared with healthy controls. Along with a previous study showing high fluoride content in smokeless tobacco products, these findings provided early evidence suggesting fluoride could play a contributory role in OSMF pathogenesis. Further large-scale investigation is warranted to definitively establish whether the association between fluoride exposure and OSMF is indicative of causation.

Effect of arsenic and copper in kidney of mice: Crosstalk between Nrf2/ Keap1 pathway in apoptosis and pyroptosis

Arsenic (As) and copper (Cu) are two common contaminants in the environment. When organisms are exposed to As or/ and Cu in large quantities or for sustained periods, oxidative stress is induced, adversely affecting kidney function. However, the molecular mechanisms involved in As or/ and Cu-induced nephrotoxicity remain elusive. In this experiment, wild-type C57BL/6 and Nrf2-knockout mice (n = 24 each) were exposed to arsenic trioxide and copper chloride alone or in combination. Our research findings indicate that exposure to As or/ and Cu can activate the Nrf2 antioxidant pathway by upregulating the levels of Nrf2, HO-1, CAT, and downregulating the level of Keap1, thereby reducing As or/ and Cu-induced oxidative stress. Meanwhile, exposure induced kidney cell pyroptosis and apoptosis by promoting the expression of NLRP3 inflammasomes and Caspase-3, which peaked in mice co-treated with As and Cu. Subsequently, we investigated its role in As or/ and Cu-induced kidney injury by knocking out Nrf2. Our results show that after knocking out Nrf2, the expression of antioxidant factors CAT and HO-1 significantly decreased. Based on the low antioxidant capacity after Nrf2 knockout, the levels of NLRP3 inflammasome, GSDMD, and Caspase1 were significantly upregulated after exposure to As and Cu, indicating more severe cellular pyroptosis. In addition, the level of Caspase3-mediated apoptosis was also more severe. Taken together, there is crosstalk between Nrf2-mediated antioxidant capacity and apoptosis/ pyroptosis induced by exposure to As or/ and Cu. Depletion of Nrf2 alters its antioxidant capacity, ultimately leading to more severe apoptosis, pyroptosis, and nephrotoxicity.

Arsenic Levels and Seasonal Variation in Pasture Soil, Forage and Horse Blood Plasma in Central Punjab, Pakistan

The present study aimed to determine the accumulation levels of arsenic in pasture soil, forage and animals. An atomic absorption spectrophotometer was used to determine the concentration of metals in the samples of soil, forage and blood plasma of horses. The level of arsenic ranged between 4.26 mg/kg (summer) and 4.66 mg/kg (winter) in soil samples and 2.67 mg/kg (summer) and 2.94 mg/kg (winter) in forage samples. In blood plasma samples, the mean arsenic (As) values varied between 1.38 and 1.52 mg/L. In the blood plasma samples, the mean As values varied between 1.38 and 1.52 mg/L. No statistically significant changes were observed for arsenic concentrations in plasma samples of horses for sampling seasons (p > 0.05). A positive correlation was observed for forage and blood plasma to a certain degree for arsenic but for other media, arsenic correlations were negative and insignificant. It is therefore suggested that regular monitoring of heavy metals in soils/plants/animals is essential to prevent excessive build-up of arsenic.

Spatial evolution analysis of groundwater chemistry, quality, and fluoride health risk in southern Hebei Plain, China

The present study investigated ion and fluoride concentrations in groundwater and their associated health risks to local populations in the southern Hebei Plain during 2018-2020. A total of 336 groundwater samples were collected from monitoring wells at 112 different locations. Statistical analysis, Gibbs diagram, principal ion ratio, and saturation index were carried out to clarify the chemical characteristics and control mechanism of groundwater. The results indicated that the groundwater types in the study area were mainly HCO₃-Ca, Cl-Na, and SO₄-Ca. The concentrations of cations and anions were Na⁺ > Ca²⁺ > Mg²⁺ > K⁺ and HCO₃^- > SO₄^2- > Cl^- > NO₃^- > F^-, respectively. Based on the water chemical parameters, the pollution index of groundwater (PIG) was used to comprehensively evaluate the water quality. The results showed that during the study period, 60.41% of groundwater samples were suitable for drinking purposes, and 39.59% needed purification treatment to meet the requirements of drinking water standards. The groundwater quality in the western pre-hill plain areas was good, while the water quality in the northeastern and southeastern areas was poor and contaminated to varying degrees. Groundwater quality was mainly affected by the combined effect of total dissolved solids (TDS), Na⁺, Mg²⁺, Cl^-, SO₄^2- and HCO₃^- concentrations. Fluoride concentrations in the groundwater samples ranged from 0.07 to 8.51 mg/L, with 44% of the samples containing fluoride below the recommended limit of 0.5 mg/L, which would put the population at risk of dental caries. Also, 8% of the samples exceeded the permissible limit for fluoride in drinking water (1.5 mg/L), which would expose the local population to the risk of fluorosis. The human health risk evaluation of fluoride showed significant differences in non-carcinogenic effects between two different groups of children and adults. HI_in values ranged from 0.08 to 10.19 for children and 0.03 to 4.65 for adults, with hazard indices greater than 1 at 29.16% and 10.11%, respectively. This indicates that children have a greater exposure risk than adults, and the entropy of higher risk is mainly distributed in the northeast of the study area. Based on the above analysis of the spatial evolution of groundwater chemistry, water quality, and fluoride health risks in the southern Hebei Plain region, corresponding protection and management measures were proposed, which also provided reference significance for the effective use of drinking water and health risk prevention in the region.

A review on arsenic in the environment: contamination, mobility, sources, and exposure

Arsenic is one of the regulated hazard materials in the environment and a persistent pollutant creating environmental, agricultural and health issues and posing a serious risk to humans. In the present review, sources and mobility of As in various compartments of the environment (air, water, soil and sediment) around the World are comprehensively investigated, along with measures of health hazards. Multiple atomic spectrometric approaches have been applied for total and speciation analysis of As chemical species. The LoD values are basically under 1 μg L-1, which is sufficient for the analysis of As or its chemical species in environmental samples. Both natural and anthropogenic sources contributed to As in air, while fine particulate matter tends to have higher concentrations of arsenic and results in high concentrations of As up to a maximum of 1660 ng m-3 in urban areas. Sources for As in natural waters (as dissolved or in particulate form) can be attributed to natural deposits, agricultural and industrial effluents, for which the maximum concentration of 2000 μg L-1 was found in groundwater. Sources for As in soil can be the initial contents, fossil fuel burning products, industrial effluents, pesticides, and so on, with a maximum reported concentration up to 4600 mg kg-1. Sources for As in sediments can be attributed to their reservoirs, with a maximum reported concentration up to 2500 mg kg-1. It is notable that some reported concentrations of As in the environment are several times higher than permissible limits. However, many aspects of arsenic environmental chemistry including contamination of the environment, quantification, mobility, removal and health hazards are still unclear.

The Safety of Fluoride Compounds and Their Effect on the Human Body-A Narrative Review

Fluoride is one of the elements commonly present in the human environment. Due to its characteristics, it is very widely used in medicine, dentistry, industry or agriculture. On the other hand, its universality possesses a real threat to the human body in the form of acute and chronic poisoning. The aim of this paper is to characterize the properties of fluoride and its effects on the human body, as well as the sources of its occurrence. Particular emphasis is placed on the safety of its use and optimal dosage intake, which prevents accumulation and reduces its potential side effects. The positive effect of proper fluoride supply is widely described. In order to avoid overdose, it is best to consult a specialist to properly select the dosage.

Soil exposure is the major fluoride exposure pathways for residents from the high-fluoride karst region in Southwest China

In the karst areas of southwest China, soil fluoride levels are higher than in China (478 mg kg^-1) and world (200 mg kg^-1). High levels of F in the environment might pose a health risk to humans. The comprehensive exposure risk must be studied in this area. Herein, samples of crops and soil were collected from Bijie City, a typical karst area in southwest China, to investigate the pollution level and evaluate the comprehensive F exposure risk. The single-factor index (P_Fw) and the geological accumulation index (I_geo) were used. The hazard index (HI) was applied to assess exposure risk from multiple exposure routes. The results revealed that there is considerable F contamination in soil and crops in the study area. Average soil total fluorine (Ft) was 1139.13 mg kg^-1, and soil water soluble F (Fw) was 3.792 mg kg^-1. In corn, rice, wheat, and potatoes, F contents were 1.167-9.585, 1.222-6.698, 1.587-9.976, and 1.797-9.143 mg kg^-1, respectively. The mean values of HI were 4.45 and 2.42 for children and adults, respectively, > 1, showing potential health risk exists. Youngsters are at a greater exposure risk than adults. From the results of contribution ratios of different exposure routes for health risk, the major exposure risk was determined to be from soil exposure. Based on this, we suggest that risk managers mainly strive to control the soil fluoride level and implement the risk education and communication.

Arsenic and fluoride co-exposure through drinking water and their impacts on intelligence and oxidative stress among rural school-aged children of Lahore and Kasur districts, Pakistan

Arsenic (As), and fluoride (F^-) are potent contaminants with established carcinogenic and non-carcinogenic impacts on the exposed populations globally. Despite elevated groundwater As and F^- levels being reported from various regions of Pakistan no biomonitoring study has been reported yet to address the co-exposure impact of As and F^- among school children. We aimed to investigate the effects of these two contaminants on dental fluorosis and intelligence quotient (IQ) along with the induction of oxidative stress in rural children under co-exposed conditions. A total of 148 children (5 to 16 years old) from the exposed and control group were recruited in the current study from endemic rural areas of Lahore and Kasur districts, Pakistan having elevated As and F^- levels in drinking water than permissible limits. We monitored malondialdehyde and its probable association with antioxidants activity (SOD, CAT, and GR) as a biomarker of oxidative stress. GSTM1/T1 polymorphisms were measured to find the impact of As on health parameters. Mean urinary concentrations of As (2.70 vs. 0.016 µg/L, P < 0.000) and F^- (3.27 vs. 0.24 mg/L, P < 0.000) as well as the frequency of dental fluorosis were found elevated among the exposed group. The cases of children with lower IQ were observed high in the exposed group. Additionally, lower concentrations of antioxidants (SOD, CAT, and GR) were found suggesting high susceptibility to F^- toxicity. The findings suggest that F^- accounted for high variations in health parameters of children under the co-exposure conditions with As.

Fluoride toxicity in cropping systems: Mitigation, adaptation strategies and related mechanisms. A review

Environmental fluoride (F^-) contamination, mainly due to natural geogenic processes, and in spot cases also of anthropogenic origin, is a widespread global issue, which has been recognized to affect all living organisms. From the contaminated soil and water, F^- is absorbed by plants which can manifest symptoms of abiotic stress including oxidative stress and interference with essential physiological and biochemical processes involved in seed germination and plant growth and development. Depending on the diet of the population living in the high F-polluted areas, F-contaminated crops can be key contributors to excessive F^- intake along food chains which can lead to human and animal health issues. Various strategies are being explored with the objective of reducing both F^- bioaccumulation and its damage on plants (e.g. by means of immobilization or phytoextraction processes) or aimed at limiting the F^- anthropogenic input in the soil (e.g. through the use of alternative phosphate fertilizers) but the literature is still fragmented. After a brief overview on the effects of F^- on the production and safety of food crops, its sources, mobility and bioavailability in agricultural soils, this paper reviews the available F^- mitigation and adaptation options and the involved mechanisms with the aim of providing stakeholders with knowledge to make informed decisions when selecting methods for coping with F^- impacts in agricultural systems. Research gaps and possible areas for future studies have also been suggested.

Deterministic and probabilistic human health risk assessment for fluorides in drinking groundwater from Lukavac, Bosnia and Herzegovina

Although fluorides are essential for dental health, there are growing health concerns regarding the risk-benefit ratio of fluoride exposure. The objectives of the study were to obtain data on the amount and human health risks of fluoride in drinking groundwater, as well as to compare and evaluate the differences in the outputs obtained by two different approaches in health risk assessment (deterministic vs probabilistic). From a densely populated industrial area of north-eastern Bosnia and Herzegovina, a total of 54 groundwater samples were collected. Fluoride concentrations varied from 1.69 to 3.52 mg/L. The WHO's threshold value for fluoride in drinking water was exceeded in all the samples analysed, indicating an increased daily intake of fluoride from groundwater. Deterministic and semi-probabilistic techniques were used for exposure assessment and health risk quantification. Generally, the deterministic approach resulted in acceptable health risks in most adult exposure scenarios. However, the Monte Carlo simulation revealed that 20.6, 20.8, and 99.8% of adult males, females, and children, respectively, were above the tolerable upper intake level, indicating that both adults and children face a significant health risk. Nevertheless, small children are more vulnerable to environmental hazards than youth and adults. Hence, a more in-depth risk-benefit analysis is required to reduce/or optimize fluoride content in drinking water to prevent tooth decay and fluorosis at all ages. Considering that optimal daily intake of fluorides is a crucial factor for preserving human health, decision-makers should take steps to emphasize the importance of continuous monitoring of fluoride concentrations in drinking water.

Stabilising fluoride in contaminated soils with monocalcium phosphate and municipal solid waste compost: microbial, biochemical and plant growth impact

This study evaluated the influence of a municipal solid waste compost (MSWC) and monocalcium phosphate (MCP), alone or combined, on the mobility, toxicity, bioavailability and health risk of fluoride (1000 mg F^-·kg^-1) in an artificially polluted soil (pH 7.85). The addition of MCP (0.2% w/w) and MSWC (1% w/w) (alone and combined) to the contaminated soil reduced water-soluble (e.g. by more than 50% in MCP and MCP + MSWC-treated soils) and exchangeable F^- fractions and increased the residual one. The addition of MSWC and MSWC + MCP to the contaminated soil significantly increased microbial biomass C (SMB-C; 1.3-3.6-fold) while all treatments increased the abundance of culturable heterotrophic bacteria (up to twofold in MSWC + MCP). Overall, dehydrogenase, β-glucosidase, urease and phosphomonoesterase activities were enhanced in treated soils and positively correlated with SMB-C, but not with labile F^-. All treatments increased carrot yield (up to 3.4-fold in MSWC + MCP), while bean growth was significantly enhanced only by MCP and MCP + MSWC (~ twofold). The opposite trend applied for F^- uptake which was especially reduced in the edible part of carrot after soil amendment. A limited influence of MCP and MSWC on hazard quotient (HQ), due to bean and carrot consumption, was also recorded (i.e. HQ generally > 1). Results suggest that MCP and MSWC can be used in the recovery of soil chemical, microbial and biochemical status of F-rich agricultural soils. They also indicate that the bean and carrot cultivars employed in this study are likely unsuitable in such soils due to high F^- uptake in edible parts.

Hydrogeochemical evidence for fluoride behavior in groundwater and the associated risk to human health for a large irrigation plain in the Yellow River Basin

A hydrochemical analysis of groundwater (GW) was conducted to investigate the factors controlling GW fluoride (F) in a large irrigation plain in the Yellow River Basin, Guanzhong Plain, China. Area-dependent variations in F were observed in the study region. The F concentrations of 93% of samples on the south bank of the Weihe River and the western part of the Qishui River were <1 mg L^-1, whereas those of 73% of GW samples for the eastern part of the Qishui River exceeded the national limit. A forward model based on mass budget equations identified carbonate weathering as the dominant factor regulating hydrochemistry in low-F GW, whereas the factors in the high-F zone were evaporate dissolution and evaporation. The high-F GW displayed a distinctive major ion chemistry, which could be attributed to a high pH, low Ca²⁺, and high HCO₃^- and Na⁺ concentrations. An analysis of the correlation between F/Cl and F concentrations and fluid-mineral equilibria indicated distinct forces driving the behavior of F in the subparts of the high-F GW zone, including irrigation-induced F dilution, F enrichment through Na-Ca exchange, and adsorption of F on clay minerals. The order of vulnerable segments of the population in terms of risk posed by F in GW was: infants > children > adults. These results can enhance the understanding of F behaviors in GW and provide insights into the effect of irrigation practices on GW F concentration.

WITHDRAWN: Co-exposure effects of arsenic and fluoride on intelligence and oxidative stress in school-aged children: A cohort study

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Variety-specific arsenic accumulation in 44 different rice cultivars (O. sativa L.) and human health risks due to co-exposure of arsenic-contaminated rice and drinking water

Arsenic (carcinogenic) is a global health concern due to its presence in groundwater and subsequent accumulation in cultivated-rice via irrigation. The present work focused on the evaluation of arsenic concentration in groundwater, different cultivated-rice varieties (studied together for the first-time) and related health-risks. Arsenic in groundwater (0.26-0.73 mg/L) exceeded the World Health Organization limit for drinking water (0.01 mg/L). Arsenic concentration in rice-grains was found in the range: < 0.0003-2.6 mg/kg dry-weights, where 42 rice varieties (out of total 44) exceeded the Codex Alimentarius Commission limit of polished-rice (0.2 mg/kg). The variety-specific differential-response of arsenic-accumulation was observed (first-time report), where high yielding rice varieties (HYV) were more prone to accumulate arsenic in comparison to local varieties (LV), however, 'Radhunipagol' (an aromatic LV) exhibited as a moderate arsenic-accumulator (BCF = 2.8). The cumulative estimated-daily-intakes (EDI_Cumulative) of arsenic in central-tendency-exposure were observed to be 0.029, 0.031 and 0.04 mg/kg-day among children, teenagers and adults, respectively. The EDI_Cumulative for possible reasonable-maximum-exposure among the above mentioned subpopulation was 0.038, 0.04 and 0.05 mg/kg-day, respectively. The evaluated Cumulative Hazard Index and Individual Excess Lifetime Cancer Risk values suggested that the studied population is under extremely severe cancerous and noncancerous risks to arsenic co-exposures via drinking water and rice.

Spatio-temporal groundwater arsenic distribution in Central Mexico: implications in accumulation of arsenic in barley (Hordeum vulgare L.) agrosystem

In the present work, a spatio-temporal study of arsenic (As) concentration in groundwater and its impact in barley uptake is presented. The impact of As on barley is studied through the determination of its bioaccumulation in the soil-plant system, As uptake, as well as a correlation between As concentration in water and its temperature in the groundwater. For the groundwater, spatial and temporal variability of As concentration in central Mexico was determined through a geostatistical analysis using ordinary kriging. The results show that the variability of As in the ground water is correlated with its temperature (R² > 0.83). The As accumulation in the structures of plant follows the order root > leaf > ear in concentration. The bioaccumulation factor BAF_T suggests that As is mobilized to the aerial parts of the barely for both As concentrations used in the irrigation water. However, for As concentration lower than 25 μg L^-1, the BAF_T is lower than 0.57, suggesting that the amount of As in root is the same as that contained in the aerial parts; whereas, for higher As concentrations (from 170 to 250 μg L^-1), the BAF_T is around 0.92, indicating that the As is mainly contained in root. The spatial distribution of As concentration trend in groundwaters along the time is the same, which means high As concentration areas remain in the same groundwaters and these areas are presenting the highest water temperature. These results shall contribute to understand the bioaccumulation of As in barley and the As spatial variability in central Mexico.

Fluoride uptake and translocation in food crops grown in fluoride-rich soils

BACKGROUND

The East African Rift Valley (EARV) area is characterized by an intense volcanic activity, which largely influences the nature of soils, ground and surface waters causing a transfer of fluoride from volcanic emissions to the environment. Field experiments were conducted in fluorine-contaminated areas of Ngarenanyuki (Arumeru district) in north Tanzania. In order to evaluate the potential fluoride exposure from diet and the related health risk for the local population, the content of fluoride in soil and plant tissues was assessed, focusing on the edible portions (leaves, fruits or seeds) of the main cultivated and consumed food crops in the area.

RESULTS

Average fluoride contents of 8.0, 11.4, 11.3 and 14.2 mg kg^-1 of dry matter were observed respectively for maize (Zea mays L.), tomato (Lycopersicon esculentum Mill.), bean (Phaseolus vulgaris L.) and kale (Brassica sp. pl.) edible parts. The cumulative estimated average daily dose (EADD) ranged from 0.026 to 0.165 mg F d^-1 kg^-1 among different rural population groups and considering two different hypotheses of absorption fraction (75% or 100%), i.e. the amount of fluoride that is absorbed during the digestion process. The associated hazard index (HI) values varied from 0.43 to 2.75.

CONCLUSIONS

Considering the dietary habits of the local population, the outcomes of the present study suggest that the investigated crops can substantially contribute to fluoride related diseases, especially in earlier ages. © 2020 Society of Chemical Industry.

Hydrogeochemistry and fluoride contamination in Jiaokou Irrigation District, Central China: Assessment based on multivariate statistical approach and human health risk

Too little and too much fluorine are potentially hazardous for human health. In the Jiaokou Irrigation District, ionic concentrations, hydrogeochemistry, and fluoride contaminations were analyzed using correlation matrices, principal component analysis (PCA), and health risk assessment. The patterns for the average cation and anion concentrations were Na⁺ > Mg²⁺ > Ca²⁺ > K⁺ and SO₄^2- > HCO₃^- > Cl^- > NO₃^- > CO₃^2-. The fluoride concentrations ranged between 0.29 and 8.92 mg/L (mean = 2.4 mg/L). 5% of the samples displayed lower than the recommended limit of 0.5 mg/L fluoride content, while 69% exceeded the allowable limits of 1.5 mg/L for drinking. The low F^- content is distributed in a small part of the southeast, while elevated F^- mainly in the central area of the study region. The PCA results indicated three principal components (PC), PC1 having the greatest variance (45.83%) and affected by positive loadings of TDS, Cl^-, SO₄^2-, Na⁺, and Mg²⁺, PC2 accounting for 17.03% and dominated by Ca²⁺, pH, HCO₃^-, and K⁺, and PC3 representing 12.17% and mainly comprising of CO₃^2-. High fluoride groundwater is of the SO₄-Cl-Na type, followed by HCO₃-Na type. Evaporation and ion exchange play important roles in producing high fluoride groundwater. Furthermore, saturation index and anthropogenic activities also promote the high fluoride concentrations. The values of the total hazard quotient of 93% groundwater samples were greater than 1 for infants, followed by 85% for children, 68% for teenagers, and 57% for adults. Non-carcinogenic health risks to infants may occur over the entire study area, while for adults, health risks are mainly found in Weinan and Pucheng. High fluorine may have a potential negative influence on neurodevelopment, especially for infants and children. Adults in this region have serious dental fluorosis and skeletal fluorosis because of long-term drinking of high fluoride groundwater. Therefore, measures, including using organic fertilizers, strengthening defluoridation process, and optimizing water supply strategies, are necessary in this area.

Probabilistic human health risk assessment of arsenic under uncertainty in drinking water sources in Jiangsu Province, China

Concentrations of arsenic (As) in 65 drinking water sources in Jiangsu Province of China were analyzed from January 2013 to December 2015. The drinking water sources are classified into five water systems of the Yangze River, the Taihu Lake, the Huai River, the Yishusi River, and other lakes or reservoirs, which are termed as WS-A, WS-B, WS-C, WS-D, and WS-E, respectively. Health risk assessments associated with As in terms of total carcinogenic risk and total hazard index were performed for children (0-5 years), teenagers (6-17 years), and adults (≥ 18 years), respectively. Probabilistic risk assessments were obtained by applying Monte Carlo approach with consideration of uncertainty. The results indicated that in drinking water sources of WS-A, WS-C, and WS-D, maximum concentrations of As were 28 μg/L, 40 μg/L, and 17 μg/L, respectively, which were higher than 10 μg/L recommended by the World Health Organization occurred. Based on the samples investigated in this study, the mean health risks are the highest in drinking water source WS-D and lowest in WS-E for both male and female children, teenagers, and adults. For drinking water source WS-A, the health risks of male children, male teenagers, and female adults are higher than female children and female teenagers, and male adults. However, for drinking water sources WS-B, WS-C, WS-D, and WS-E, the health risks of female children, male teenagers, and female adults are higher than male children, female teenagers, and male adults. The highest health risks occurred in female children consuming drinking water from WS-D. The sensitivity analysis indicated that the concentration of As is the primary factor for carcinogenic risk of all the five water systems. The results obtained can provide meaningful information for risk managers in Jiangsu Province.

The Activation of Heat-Shock Protein After Copper(II) and/or Arsenic(III)-Induced Imbalance of Homeostasis, Inflammatory Response in Chicken Rectum

Arsenic and copper, two toxic pollutants, are powerful inducers of oxidative stress. Exposure to copper and arsenic can cause intestinal injury in cockerel. This study was carried out to investigate the effects of these two pollutants on the gastrointestinal tract of cockerels. Experimental results showed that the activity of antioxidant enzymes (catalase and glutathione peroxidase) was inhibited and the ionic balance was destroyed after exposure to copper sulfate (300 mg/kg) and/or arsenic trioxide (30 mg/kg). However, the expression of pro-inflammatory cytokines (nuclear factor kappa-B, cyclooxygenase-2, tumor necrosis factor-α, and prostaglandin E2 synthases) increased markedly. Damages to the biofilm structure and inflammatory cell infiltration were simultaneously observed during histological examination. Heat-shock proteins were also expressed in large quantities after exposure to the poisons. Collectively, exposure to arsenite and/or Cu²⁺ can cause rectal damage in cockerels, inducing inflammation and an imbalance in immune system responses. Sometimes, exposure to both pollutants can produce even more toxic effects. Heat-shock proteins can protect the tissue from the exotoxins but the specific mechanisms require exploration. After oral ingestion of toxins, the rectum can still be damaged, necessitating attention to the safety of poultry breeding, human food safety, and environmental protection.

Deregulation of autophagy is involved in nephrotoxicity of arsenite and fluoride exposure during gestation to puberty in rat offspring

Exposure to fluoride (F) or arsenite (As) through contaminated drinking water has been associated with chronic nephrotoxicity in humans. Autophagy is a regulated mechanism ubiquitous for the body in a toxic environment with F and As, but the underlying mechanisms of autophagy in the single or combined nephrotoxicity of F and As are unclear. In the present study, we established a rat model of prenatal and postnatal exposure to F and As with the aim of investigating the mechanism underlying nephrotoxicity of these pollutants in offspring. Rats were randomly divided into four groups that received NaF (100 mg/L), NaAsO₂ (50 mg/L), or NaF (100 mg/L) with NaAsO₂ (50 mg/L) in drinking water or clean water during pregnancy and lactation; after weaning, pups were exposed to the same treatment as their mothers until puberty. The results revealed that F and As exposure (alone or combined) led to significant increases of arsenic and fluoride levels in blood and bone, respectively. In this context, F and/or As disrupted histopathology and ultrastructure in the kidney, and also altered creatinine (CRE), urea nitrogen (BUN) and uric acid (UA) levels. Intriguingly, F and/or As uptake induced the formation of autophagosomes in kidney tissue and resulted in the upregulation of genes encoding autophagy-related proteins. Collectively, these results suggest that nephrotoxicity of F and As for offspring exposed to the pollutants from in utero to puberty is associated with deregulation of autophagy and there is an antagonism between F and As in the toxicity autophagy process.

Arsenic contamination, subsequent water toxicity, and associated public health risks in the lower Indus plain, Sindh province, Pakistan

Arsenic (As) contamination in drinking water is a global public health risk. The present study highlighted the geological and anthropogenic causes of As contamination in groundwater (GW) and surface water (SW) and assessment of their potential health risks in Sindh province of Pakistan. Upon analyzing 720 GW and SW samples from 18 different sites, the estimates of As in groundwater and surface water was observed in the range of 0 to 125 and 0 to 35 μg/L with mean values of 46.8 and 15.43 μg/L respectively. Majority of the samples exceeded WHO permissible limit of As (10 μg/L) with higher concentration detected in groundwater samples compared to surface water. Moreover, both of these sample sources were found not potable based on physicochemical characteristics. The results of statistical analysis (correlation analysis, principal component analysis (PCA), and hierarchy cluster analysis (HCA)) indicate that natural mobilization of As in groundwater is believed to be enhanced by the pH-based reductive dissolution of iron hydroxide (FeOH) and competitive sorption of bicarbonate minerals in the presence of microorganisms along with evaporative enrichment while water logging, coal mining, and excessive use of pesticides are believed to be the anthropogenic causes of As enrichment. Furthermore, enormous health risk was associated with As in terms of chronic daily intake (CRI), hazard quotient (HQ), and cancer risk probability (CR) in GW and SW. Mean HQ values in GW were 4.47 mg/kg/day in adults and 3.89 mg/kg/day in children (standard HQ ≤ 1) and was 1.43 and 1.28 mg/kg/day in SW. Mean CR value in both GW and SW was found higher than the safe limit (10^-6) having a mean of 2 × 10^-3 in GW and 7 × 10^-4 (mg/kg/day) in SW. These findings suggest that majority of the sampling sites carry serious public health risk due to high As values and hence demands exigent remedial and management measures.

Groundwater fluoride contamination and probabilistic health risk assessment in fluoride endemic areas of the Upper East Region, Ghana

Groundwater fluoride contamination has long been recognized as a water-related health issue in some parts of Ghana. However, the extent of fluoride contamination and the related human health risk to the communities in the fluoride endemic areas are not adequately studied. In this paper, fluoride concentrations in existing and newly drilled wells were assessed. Probabilistic non carcinogenic human health risk assessment, uncertainty and sensitivity analysis for three age groups (Group A: 0-10 years; Group B: 11-20 years; Group C: 21-72 years) was also carried out using Monte Carlo simulation technique. The results showed that, 27.27% and 15.38% of the existing wells in the Bongo and Kassena Nankana West districts have fluoride values above the guideline value 1.5 mg L^-1 respectively. The non-carcinogenic risk of fluoride associated with oral ingestion recorded a mean Hazard Quotient (HQ) > 1 for younger age group (0-10 years) in all the study areas signifying potential health risk to this age group. Additionally, when the upper 95th percentile is used for the HQ, the oral ingestion for all the age categories recorded an HQ > 1. Sensitivity analyses indicated that fluoride concentration in the drinking water and ingestion rate were the most relevant variables in the model to reduce the potential health effect. The study established the basis for a strong advocacy and public awareness on the effect of water quality on human health and proposed some management strategies to guide future groundwater resources management to reduce the potential health risk to the population.

A meta-analysis of the distribution, sources and health risks of arsenic-contaminated groundwater in Pakistan

Globally, millions of people who rely on groundwater for potable purposes and agriculture have been inadvertently exposed to toxic arsenic (As) because of its natural occurrence in groundwater in several countries of Asia, Europe and America. While the presence of As in groundwater and its impacts on human health have been documented in many countries, there is little information on As contamination in Pakistan. This review highlights, for the first time, the extent and severity of As-induced problems in Pakistan based on relevant published papers; discusses possible sources of As contamination of aquifers; and estimates As-induced potential health hazards in the country in relation to global data. Data from 43 studies (>9882 groundwater samples) were used to describe As variability in groundwater of Pakistan and for comparison with global data. The mean groundwater As content reported in these studies was 120 μg/L (range: 0.1-2090 μg/L; SD: ±307). About 73% of the values for mean As contents in the 43 studies were higher than the World Health Organization (WHO) permissible limit (10 μg/L) for drinking water, while 41% were higher than the permissible limit of As in Pakistan (50 μg/L). It was observed that groundwater samples in some areas of Punjab and Sindh provinces contained high As concentrations which were almost equal to concentrations reported in the most contaminated areas of the world. We predicted that the mean values of ADD, HQ and CR were 4.4 μg kg^-1day^-1 (range: 0-77 μg kg^-1day^-1), 14.7 (range: 0-256) and 0.0029 (range: 0-0.0512), respectively, based on mean As concentrations reported in Pakistan. In addition, this article proposes some integrated sustainable solutions and future perspectives keeping in view the regional and global context, as well as the on-ground reality of the population drinking As-contaminated water, planning issues, awareness among civil society and role of the government bodies. Based on available data, it is predicted that almost 47 million people in Pakistan are residing in areas where more than 50% of groundwater wells contain As concentrations above the WHO recommended limit of As in drinking water.

A new efficient indigenous material for simultaneous removal of fluoride and inorganic arsenic species from groundwater

The contaminated groundwater is one of emerging environmental issue in Pakistan and biosorbent considered to be the best alternative to improve the quality of groundwater. Thus, an indigenous biosorbent, Cucumis pubescens (peel of fruit) has been carried out efficiently for simultaneous removal of arsenic species and fluoride from groundwater. The characterization of bio-sorbent for removal of As species (As^III, As^V) and F^- was studied by FTIR spectroscopy and SEM. Batch experiments were carried out for the optimization of adsorption capacity at different parameters such as pH (3-11), concentration of biosorbates (100-500 μg/L) for As species and F^- ion), biosorbent dose (2-6 g/L), contact time (10-60 min) and temperature (303-323 K). The influence of common ions was also investigated. The different biosorption isotherms were applied to determine the most appropriate equilibrium curves for the removal/biosorption of As species and F^- by a biosorbents. The mean sorption energy calculated from Dubinin-Radushkevich model, indicated chemisorptions phenomena. Thermodynamic parameters indicated the biosorption phenomena of As^III, As^V and F- ions were spontaneous and exothermic. The removal study of study analytes indicated that the sorption kinetics based on pseudo-second-order equation.

A review of global outlook on fluoride contamination in groundwater with prominence on the Pakistan current situation

Several million people are exposed to fluoride (F^-) via drinking water in the world. Current review emphasized the elevated level of fluoride concentrations in the groundwater and associated potential health risk globally with a special focus on Pakistan. Millions of people are deeply dependent on groundwater from different countries of the world encompassing with an elevated level of fluoride. The latest estimates suggest that around 200 million people, from among 25 nations the world over, are under the dreadful fate of fluorosis. India and China, the two most populous countries of the world, are the worst affected. In Pakistan, fluoride data of 29 major cities are reviewed and 34% of the cities show fluoride levels with a mean value greater than 1.5 mg/L where Lahore, Quetta and Tehsil Mailsi are having the maximum values of 23.60, 24.48, > 5.5 mg/L, respectively. In recent years, however, other countries have minimized, even eliminated its use due to health issues. High concentration of fluoride for extended time period causes adverse effects of health such as skin lesions, discoloration, cardiovascular disorders, dental fluorosis and crippling skeletal fluorosis. This review deliberates comprehensive strategy of drinking water quality in the global scenario of fluoride contamination, especially in Pakistan with prominence on major pollutants, mitigation technologies, sources of pollution and ensuing health problems. Considering these verities, health authorities urgently need to establish alternative means of water decontamination in order to prevent associated health problems.

Geochemical processes controlling the groundwater chemistry and fluoride contamination in the Yuncheng Basin, China-An area with complex hydrogeochemical conditions

Hydrogeochemical and stable isotope analyses and geochemical modeling were carried out to identify the major geochemical processes controlling the groundwater chemistry and fluoride contamination in the aquifers of the Yuncheng Basin, China, an area with complex hydrogeochemical conditions and severe fluoride contamination of the groundwater. The major findings of this case study include the following: 1) Cation exchange and salt effects are vital controls on the enrichment of fluoride in groundwater in the area by reducing the activity of Ca²⁺/F^- in groundwater via ion complexation. Cation exchange increased the fluoride concentration by 2.7 mg/L when the Na/Ca molar ratio increased from 0.24 to 9.0, while the salt effect led to a ca. 5–10% increase in complex F^- in groundwater due to the further dissolution of fluoride-bearing minerals in the aquifers, as suggested by a model calculation. 2) Anthropogenic contamination from pesticide and fertilizer use and industrial waste discharge is also a main source of fluoride in the groundwater. 3) Evaporation and ion effects favor the enrichment of fluoride in groundwater by encouraging the removal of Ca via precipitation. 4) The desorption of fluoride from mineral/organic matter surfaces is enhanced under alkaline conditions and a high HCO₃ content in groundwater.

Investigations of water-extractability of As in excavated urban soils using sequential leaching tests: Effect of testing parameters

Excavated soils with low-level As contamination obtained from construction projects during city development have been of great concern in Japan. Water-extractable As represents the most easily mobilized and ecotoxicologically relevant fraction in the soil environment. In the present study, the water-extractability of As in excavated alkaline urban soils was assessed using sequential leaching tests (SLTs) with a focus on the effects of test parameters. In addition, the potentially water-leachable As over an extremely long period was assessed using the pollution potential leaching index (PPLI), from which one can estimate the number of extractions required to reduce the As in the cumulative leachates to below the Japanese environmental standard (10 μg L^-1). Total As concentrations varied from 6.75 to 79.4 mg kg^-1, and As was continuously detectable among replicate SLT experiments. The water-extractable As obtained in the first step of the SLT accounted for 0.41%-7.60% of total As (average: 2.36%), while the cumulative released As in the SLTs corresponded to 1.30%-21.6% of the total (average: 10.6%). The variability of the water-soluble fractions was sensitive to the test conditions. The shaking time at each SLT step had the largest effect on the As water-extractability; followed by sample storage, shaking speed and shaking interruption. A longer shaking time in the standard leaching test of excavated soils is suggested for regulatory purposes in Japan. The use of the PPLI concept for quick estimation of the potential As leachability from excavated soils was supported by the good reproducibility of PPLI results obtained from SLTs under different test parameters.

Distribution of Arsenic and Risk Assessment of Activities on Soccer Pitches Irrigated with Arsenic-Contaminated Water

The aim of this research was to estimate the risk of human exposure to arsenic due to sporting activities in a private soccer club in Mexico, where arsenic-contaminated water was regularly used for irrigation. For this purpose, the total concentration in the topsoil was considered for risk assessment. This was accomplished through three main objectives: (1) measuring arsenic concentrations in irrigation water and irrigated soils, (2) determining arsenic spatial distribution in shallow soils with Geographical Information Systems (GIS) using geostatistical analysis, and (3) collecting field and survey data to develop a risk assessment calculation for soccer activities in the soccer club. The results showed that the average arsenic concentrations in shallow soils (138.1 mg/kg) were 6.2 times higher than the Mexican threshold for domestic soils (22 mg/kg). Furthermore, dermal contact between exposed users and contaminated soils accounted for a maximum carcinogenic risk value of 1.8 × 10⁻⁵, which is one order of magnitude higher than the recommended risk value, while arsenic concentrations in the irrigation water were higher (6 mg/L) than the WHO’s permissible threshold in drinking water, explaining the contamination of soils after irrigation. To the best of our knowledge, this is the first risk study regarding dermal contact with arsenic following regular grass irrigation with contaminated water in soccer pitches.

Effects of high fluoride content in livestock drinking water on milk samples of different cattle in endemic area of Pakistan: risk assessment for children

Fluoride in trace quantity is beneficial for human beings, serving to strengthen the apatite matrix of skeletal tissues and teeth, whereas high intake causes adverse impacts. In the present study, the effect of fluoride-contaminated drinking water of livestock on the milk samples of different cattle, belonging to a fluoride-endemic area (Tharparkar, Pakistan), was studied. In milk samples of different cattle (cows, camels, sheep, and goats), free and bound fluoride forms and its total (free (F^-) + bound (F^-)) contents were measured by ion-selective electrode. The concentration of fluoride in drinking water of livestock was also analyzed, as found in the range of 11.8-33.5 mg/L. The concentration of total fluoride in the milk samples of sheep, goats, cows, and camels were observed in the range of 1.72-2.43, 1.40-2.03, 0.835-1.41, and 0.425-0.897 mg/L, respectively. The resulted data indicated that the concentration of fluoride was higher in the milk samples of smaller cattle (sheep and goat), as compared to cow and camel. The fluoride in milk samples of all cattle appeared dominantly in free form. The percentage values of bound fluoride in the milk samples of sheep, goats, and cows were found to be 6.76, 11.6, and 19.7% in total, respectively, while in camel milk, the percentage was below the detection limit. The estimated daily intake of fluoride contents on consuming different types of milk by children age ranged 1.0 to 3.0 years was evaluated. Graphical abstract ᅟ.

Health risk assessment to fluoride in drinking water of rural residents living in the Poldasht city, Northwest of Iran

This study analyzes the concentrations and health risks of fluoride in 112 drinking water samples collected from 28 villages of the Poldasht city, West Azerbaijan province in Iran. Results indicated that fluoride content in drinking water ranged from0.27 to 10.3mgL-1 (average 1.70mgL-1). The 57% of samples analyzed exceeded the limit set for fluoride in drinking water. Based on findings from health risk assessment this study, the highest fluoride exposure for different regions of Poldasht city was observed in young consumers, children and teenager's groups. Also, most of the rural residents suffered from fluoride contaminated drinking water. The calculated HQ value was > 1 for all groups of residents in Agh otlogh and Sari soo areas. Therefore, it is imperative to take measures to reduce fluoride concentration in drinking water and control of fluorosis. Action should be implemented to enhance monitoring of fluoride levels to avoid the potential risk to the population.

The effect of elemental content on the risk of dental fluorosis and the exposure of the environment and population to fluoride produced by coal-burning

Endemic fluorosis is a geochemical disease that affects thousands of people. Growing evidence from domestic and foreign studies indicate that fluorosis is associated with an abnormal level of the elements (such as F, Ca, Fe, Mg, Cu, Zn, P) in the environment and a population exposed to fluoride. To study the effect of the elemental content on the risk of dental fluorosis, the content of 25 elements in the environment produced by coal-burning and a population exposed to fluoride was determined. The results show that an abnormal level of various elements (including F, Al, Se, Zn, Cu, Fe, Mo, Mn, B, V, Ca, Mg, and P) in the population exposed to fluoride, which is related to the increasing or decreasing of the corresponding elements in the environment. Subsequent univariate and multivariate regression analyses show that high levels of F, Al, As, Pb and Cr were a risk factor for dental fluorosis, but not Se, Zn, Cu, B, Ca and P which were a protective factor for dental fluorosis. This study can provide a scientific basis for a further understanding of the causes of health damage caused by fluoride and the improvement of targeted prevention strategies.

Arsenate and fluoride enhanced each other's uptake in As-sensitive plant Pteris ensiformis

We investigated the effects of arsenate (AsV) and fluoride (F) on each other's uptake in an As-sensitive plant Pteris ensiformis. Plants were exposed to 1) 0.1 × Hoagland solution control, 2) 3.75 mg L^-1 As and 1.9, 3.8, or 7.6 mg L^-1 F, or 3) 1 mg L^-1 F and 3.75 mg L^-1 or 7.5 mg L^-1 As for 7 d in hydroponics. P. ensiformis accumulated 14.7-32.6 mg kg^-1 As at 3.75 mg L^-1 AsV, and 99-145 mg kg^-1 F at 1 mg L^-1 F. Our study revealed that AsV and F increased each other's uptake when co-present. At 1.9 mg L^-1, F increased frond As uptake from 14.7 to 40.3 mg kg^-1, while 7.5 mg L^-1 As increased frond F uptake from 99 to 371 mg kg^-1. Although, AsV was the predominant As species in all tissues, F enhanced AsIII levels in the rhizomes and fronds, while the reverse was observed in the roots. Increasing As concentrations also enhanced TBARS and H₂O₂ in tissues, indicating oxidative stress. However, F alleviated As stress by lowering their levels in the fronds. Frond and root membrane leakage were also evident due to As or F exposure. The results may facilitate better understanding of the mechanisms underlying the co-uptake of As and F in plants. However, the mechanisms of how they enhance each other's uptake in P. ensiformis need further investigation.

Extensive arsenic contamination in high-pH unconfined aquifers in the Indus Valley

Arsenic-contaminated aquifers are currently estimated to affect ~150 million people around the world. However, the full extent of the problem remains elusive. This is also the case in Pakistan, where previous studies focused on isolated areas. Using a new data set of nearly 1200 groundwater quality samples throughout Pakistan, we have created state-of-the-art hazard and risk maps of arsenic-contaminated groundwater for thresholds of 10 and 50 μg/liter. Logistic regression analysis was used with 1000 iterations, where surface slope, geology, and soil parameters were major predictor variables. The hazard model indicates that much of the Indus Plain is likely to have elevated arsenic concentrations, although the rest of the country is mostly safe. Unlike other arsenic-contaminated areas of Asia, the arsenic release process in the arid Indus Plain appears to be dominated by elevated-pH dissolution, resulting from alkaline topsoil and extensive irrigation of unconfined aquifers, although pockets of reductive dissolution are also present. We estimate that approximately 50 million to 60 million people use groundwater within the area at risk, with hot spots around Lahore and Hyderabad. This number is alarmingly high and demonstrates the urgent need for verification and testing of all drinking water wells in the Indus Plain, followed by appropriate mitigation measures.

Assessment of arsenic and fluorine in surface soil to determine environmental and health risk factors in the Comarca Lagunera, Mexico

Total, bioaccessible and mobile concentrations of arsenic and fluorine are determined in polluted surface soil within the Comarca Lagunera region using standardized protocols to obtain a full description of the environmental behavior for these elements. The composition of mineral phases associated with them is evaluated with microscopic and spectroscopic techniques. Mineralogical characterizations indicate that ultra-fine particles (<1-5 μm) including mimetite-vanadite (Pb₅(AsO₄)₃Cl, Pb₅(AsO₄, VO₄)₃Cl)-like, lead arseniate (Pb₃(AsO₄)₂)-like and complex arsenic-bearing compounds are main arsenic-bearing phases, while fluorite (CaF₂) is the only fluorine-bearing phase. Total fluorine and arsenic concentrations in surface soil range from 89.75 to 926.63 and 2.7-78.6 mg kg^-1, respectively, exceeding in many points a typical baseline value for fluorine (321 mg kg^-1), and trigger level criterion for arsenic soil remediation (20 mg kg^-1); whereas fluoride and arsenic concentrations in groundwater vary from 0.24 to 1.8 mg L^-1 and 0.12-0.650 mg L^-1, respectively. The main bioaccessible percentages of soil in the gastric phase (SBRC-G) are estimated for arsenic from 1 to 63%, and this parameter in the intestinal phase (SBRC-I) fluorine from 2 to 46%, suggesting human health risks for this region. While a negligible/low mobility is found in soil for arsenic (0.1-11%), an important mobility is determined for fluorine (2-39%), indicating environmental risk related to potential fluorine release. The environmental and health risks connected to arsenic and fluorine are discussed based on experimental data.

The effects of arsenic contaminated drinking water of livestock on its total levels in milk samples of different cattle: Risk assessment in children

This work was carried out to evaluate the arsenic (As) levels in milk samples of different milch animals, sheep, goats, cows, buffaloes and camels in Tharparkar, Pakistan. The concentration of As in the milk samples of cows, buffalos, sheep, goats and camels were observed in the range of 15.1-18.4, 2.6-7.7, 25.7-33.2, 10.5-37.3 and 6.6-13.7 μg/L, respectively. The levels of As in livestock drinking water of each farms/flocks was found in the range of 238-2000 μg L^-1. A positive correlation with Pearson correlation coefficients, ranged as, 0.926-0.974 (p = 0.001-0.011) was observed between the As concentration in milk samples of cattle and in corresponding drinking water of farms/flocks. The high bio-transfer factor of As was occurred in the milk samples of sheep. The content of As in scalp hair of children was observed to be elevated, who consumed milk of lower cattle (sheep and goat) than cow and camel. The As content in scalp hair directly proportional to the age of children. The hazardous quotient value of As due to consumption of milk was observed in decreasing order as, sheep > goats > camels > cows. The total hazardous quotient or noncarcinogenic risk values for children consuming the milk of sheep, goat, cow and camels were found >1 of reference dose for As, creates adverse effects on health in childhood stage. The children of all three age group have higher carcinogenic risk factor who are consuming milk of goat and sheep than larger cattle.

Arsenic Exposure in Children through Drinking Water in Different Districts of Sindh, Pakistan

A cross sectional study has been conducted during 2007-2010 for the assessment of arsenic (As) contamination in drinking water, and its impact on the health of local public belongs to five districts of Sindh, Pakistan. The toxic risk assessment of As in different areas of Sindh province based upon its concentration in drinking water and scalp hair of boys and girls of age group 5-10 and 11-15 years. The total and inorganic As species in drinking water samples of four districts Hyderabad, Sukkur, Naushehro Firoze, Nawab shah, and Dadu were determined by advance pre-concentration methodologies. The resulting data indicated that the dominant inorganic As species in municipal treated (Hyaderabad) and hand pumps (Sukkur, Naushehro Firoze, Nawab shah and Dadu) water samples were arsenate (As(V)) and arsenite (As(III)), respectively. The total As concentrations in hand pumps water samples of Dadu district were 6.0- to 35-fold higher than the World Health Organization permissible limit of (10 μg/L) for drinking water. Whereas, total As in hand pump water samples of Sukkur, Naushehro Firoze, and Nawab shah were found in the range of 26.0-98.2, 18.0-50.6, and 52.3-85.2 μg/L, respectively. However, municipal treated water samples of Hyderabad were within recommended level (As <10 μg/L). The content of total As in children of both genders and age group belonging to Sukkur, Naushehro Firoze, Nawab shah, and Dadu was found to be significantly high as compared to those children residing in Hyderabad district. The Pearson coefficient of correlation r values between As levels in hand pump water and scalp hair samples of children belonging to Sukkur, Naushehro Firoze, Nawab shah, and Dadu were observed in the range of 0.65-0.75, 0.75-0.82, 0.80-0.90, and 0.95-0.98, respectively. The results of As toxicity risk assessment based on hazard quotient indicated that Dadu district has high carcinogenic exposure risk for children. Moreover, it is concluded that the children consuming groundwater of Sukkur, Naushehro Firoze, Nawab shah, and Dadu districts of Sindh, Pakistan were at risk of chronic As toxicity in future.

Simultaneously removal of inorganic arsenic species from stored rainwater in arsenic endemic area by leaves of Tecomella undulata: a multivariate study

In the present study, an indigenous biosorbent (leaves of Tecomella undulata) was used for the simultaneous removal of inorganic arsenic species (As(III) and As(V)) from the stored rainwater in Tharparkar, Pakistan. The Plackett-Burman experimental design was used as a multivariate strategy for the evaluation of the effects of six factors/variables on the biosorption of inorganic arsenic species, simultaneously. Central composite design (CCD) was used to found the optimum values of significant factors for the removal of As(III) and As(V). Initial concentrations of both inorganic As species, pH, biosorbent dose, and contact time were selected as independent factors in CCD, while the adsorption capacity (q e) was considered as a response function. The separation of inorganic As species in water samples before and after biosorption was carried out by cloud point and solid-phase extraction methods. Theoretical values of pH, concentration of analytes, biosorbent dose, and contact time were calculated by quadratic equation for 100 % biosorption of both inorganic As species in aqueous media. Experimental data were modeled by Langmuir and Freundlich isotherms. Thermodynamic and kinetic study indicated that the biosorption of As(III) and As(V) was followed by pseudo second order. It was concluded that the indigenous biosorbent material efficiently and simultaneously removed both As species in the range of 70.8 to 98.5 % of total contents in studied ground water samples. Graphical abstract Optimizing the significant varable by central 2(3) + star orthogonal composite design.

Toxic Risk Assessment of Arsenic in Males Through Drinking Water in Tharparkar Region of Sindh, Pakistan

Humans are exposed to arsenic (As) through air, drinking water, and food. The arsenic (As) hazardous quotient was calculated on the basis of its concentration in drinking water of different origin and scalp hair of male subjects (n = 313), residents of different exposed and non-exposed areas of Sindh, Pakistan. The total As was determined in water and scalp hair samples, while As species were determined in water samples by advance extraction methodologies. The total As concentrations in drinking water of less-exposed (LE) and high-exposed (HE) areas was found to be 2.63 to 4.46 and 52 to 235, fold higher than the permissible limit, respectively, than recommended by World Health Organization (2004) for drinking water. While the levels of As in drinking water of non-exposed (NE) areas was within the permissible limit. The resulted data indicated that the dominant species was As(+5) in groundwater samples. The levels of As in scalp hair samples of male subjects of two age groups (18-30 and 31-50 years), belonging to NE, LE, and HE areas, ranged from 0.26 to 0.69, 0.58 to 1.34, and 15.6 to 60.9 μg/g, respectively. A significant correlation between As levels in drinking water and scalp hair was observed in HE area (r = 0.86-0.90, p < 0.001) as compared to those subjects belonging to LE area. A toxicity risk assessment was calculated as hazard quotient (HQ), which indicates that the study subjects of HE area have significantly higher values of HQ than LE. The population of As exposed areas is at high risk of non-carcinogenic and carcinogenesis effects.

Biosorptive removal of inorganic arsenic species and fluoride from aqueous medium by the stem of Tecomella undulate

Simultaneous removal of fluoride (F(-)), inorganic arsenic species, As(III) and As(V), from aqueous samples has been performed using an economic indigenous biosorbent (Stem of Tecomella undulata). The inorganic As species in water samples before and after biosorption were determined by cloud point and solid phase extraction methods, while F(-) was determined by ion chromatography. Batch experiments were carried out to evaluate the equilibrium adsorption isotherm studies for As(III), As(V) and F(-) in aqueous solutions. Several parameters of biosorption were optimized such as pH, biomass dosage, analytes concentration, time and temperature. The surface of biosorbent was characterized by SEM and FTIR. The FTIR study indicated the presence of carbonyl and amine functional groups which may have important role in the sorption/removal of these ions. Thermodynamic and kinetic study indicated that the biosorption of As(III), As(V) and F(-) were spontaneous, exothermic and followed by pseudo-second-order. Meanwhile, the interference study revealed that there was no significant effect of co-existing ions for the removal of inorganic As species and F(-) from aqueous samples (p > 0.05). It was observed that the indigenous biosorbent material simultaneously adsorbed As(III) (108 μg g(-1)), As(V) (159 μg g(-1)) and F(-) (6.16 mg g(-1)) from water at optimized conditions. The proposed biosorbent was effectively regenerated and efficiently used for several experiments, to remove the As(III), As(V) and F(-) from real water sample collected from endemic area of Pakistan.

Human Arsenic exposure via dust across the different ecological zones of Pakistan

The present study aims to assess the arsenic (As) levels into dust samples and its implications for human health, of four ecological zones of Pakistan, which included northern frozen mountains (FMZ), lower Himalyian wet mountains (WMZ), alluvial riverine plains (ARZ), and low lying agricultural areas (LLZ). Human nail samples (N=180) of general population were also collected from the similar areas and all the samples were analysed by using ICP-MS. In general the higher levels (p<0.05) in paired dust and human nail samples were observed from ARZ and LLZ than those of other mountainous areas (i.e., WMZ and FMZ), respectively. Current results suggested that elevated As concentrations were associated to both natural, (e.g. geogenic influences) and anthropogenic sources. Linear regression model values indicated that As levels into dust samples were associated with altitude (r(2)=0.23), soil carbonate carbon density (SCC; r(2)=0.33), and population density (PD; r(2)=0.25). The relationship of paired dust and nail samples was also investigated and associations were found for As-nail and soil organic carbon density (SOC; r(2)=0.49) and SCC (r(2)=0.19) in each studied zone, evidencing the dust exposure as an important source of arsenic contamination in Pakistan. Risk estimation reflected higher hazard index (HI) values of non-carcinogenic risk (HI>1) for children populations in all areas (except FMZ), and for adults in LLZ (0.74) and ARZ (0.55), suggesting that caution should be paid about the dust exposure. Similarly, carcinogenic risk assessment also highlighted potential threats to the residents of LLZ and ARZ, as in few cases (5-10%) the values exceeded the range of US-EPA threshold limits (10(-6)-10(-4)).

Exposure of children to arsenic in drinking water in the Tharparkar region of Sindh, Pakistan

Humans can be exposed to arsenic (As) through air, drinking water, and food. The aim of this study was to calculate the hazard quotient (HQ) of As, based on its concentration in drinking water and the scalp hair of children (males) belonging to two age groups (5-10 and 11-14 years) who consumed water contaminated with different concentrations of As. The water samples were collected from As-exposed and nonexposed areas, which were classified as low-exposed (LE), high-exposed (HE), and nonexposed (NE) areas. The total concentration of inorganic As (iAs) and its species (As(III) and As(V)) in water samples of all selected areas was determined by advanced extraction methods. For purposes of comparison, the total As level was also determined in all water samples. The resulting data indicated that the predominant inorganic As species in groundwater samples was arsenate (As(V)). The As concentrations in drinking water of LE and HE areas were found to be 2.6-230-fold higher than the permissible limit for drinking water established by the World Health Organization (2004). However, the As levels in drinking water of the NE area was within the permissible limit (<10 μg/L). The As levels in the scalp hair samples from boys of NE, LE, and HE areas ranged from 0.16 to 0.36, 0.36 to 0.83, and 11.5 to 31.9 mg/kg, respectively. A significant, positive correlation was observed between the As levels in drinking water and scalp hair samples of children from the HE area, compared with the other two groups (p>0.01). The As toxicity risk assessment based on HQ for the NE, LE, and HE areas corresponded to <10, ≥ 10, and >10, respectively. These HQ values indicated the noncarcinogenic, less carcinogenic, and highly carcinogenic exposure risks faced by children from the NE, LE, and HE areas, respectively. It can be concluded that children consuming the groundwater of the LE (Khairpur Mir's) and HE (Tharparkar) areas of Pakistan are at a potential risk of chronic As toxicity.

Co-occurrence of arsenic and fluoride in the groundwater of Punjab, Pakistan: source discrimination and health risk assessment

The present study discusses elevated groundwater arsenic (As) and fluoride (F(-)) concentrations in Mailsi, Punjab, Pakistan, and links these elevated concentrations to health risks for the local residents. The results indicate that groundwater samples of two areas of Mailsi, Punjab were severely contaminated with As (5.9-507 ppb) and F(-) (5.5-29.6 ppm), as these values exceeded the permissible limits of World Health Organization (10 ppb for As and 1.5 ppm for F(-)). The groundwater samples were categorized by redox state. The major process controlling the As levels in groundwater was the adsorption of As onto PO4 (3-) at high pH. High alkalinity and low Ca(2+) and Mg(2+) concentrations promoted the higher F(-) and As concentrations in the groundwater. A positive correlation was observed between F(-) and As concentrations (r = 0.37; n = 52) and other major ions found in the groundwater of the studied area. The mineral saturation indices calculated by PHREEQC 2.1 suggested that a majority of samples were oversaturated with calcite and fluorite, leading to the dissolution of fluoride minerals at alkaline pH. Local inhabitants exhibited arsenicosis and fluorosis after exposure to environmental concentration doses of As and F(-). Estimated daily intake (EDI) and target hazard quotient (THQ) highlighted the risk factors borne by local residents. Multivariate statistical analysis further revealed that both geologic origins and anthropogenic activities contributed to As and F(-) contamination in the groundwater. We propose that pollutants originate, in part, from coal combusted at brick factories, and agricultural activities. Once generated, these pollutants were mobilized by the alkaline nature of the groundwater.

Unraveling Health Risk and Speciation of Arsenic from Groundwater in Rural Areas of Punjab, Pakistan

This study determined the total and speciated arsenic (As) concentrations and other health-related water quality parameters for unraveling the health risk of As from drinking water to humans. Groundwater samples (n = 62) were collected from three previously unexplored rural areas (Chichawatni, Vehari, Rahim Yar Khan) of Punjab in Pakistan. The mean and median As concentrations in groundwater were 37.9 and 12.7 µg·L⁻¹ (range = 1.5–201 µg·L⁻¹). Fifty three percent groundwater samples showed higher As value than WHO safe limit of 10 µg·L⁻¹. Speciation of As in groundwater samples (n = 13) showed the presence of inorganic As only; arsenite (As(III)) constituted 13%–67% of total As and arsenate (As(V)) ranged from 33% to 100%. For As health risk assessment, the hazard quotient and cancer risk values were 11–18 and 46–600 times higher than the recommended values of US-EPA (i.e., 1.00 and 10⁻⁶, respectively). In addition to As, various water quality parameters (e.g., electrical conductivity, Na, Ca, Cl⁻, NO₃⁻, SO₄²⁻, Fe, Mn, Pb) also enhanced the health risk. The results show that consumption of As-contaminated groundwater poses an emerging health threat to the communities in the study area, and hence needs urgent remedial and management measures.