Geochemical sources, hydrogeochemical behavior, and health risk assessment of fluoride in an endemic fluorosis area, central Iran

Hydrogeochemical characteristics, stable isotopes, positive matrix factorization, source apportionment, and health risk of high fluoride groundwater in semiarid region

Chronic exposure to high fluoride (F-) levels in groundwater causes community fluorosis and non-carcinogenic health concerns in local people. This study described occurrence, dental fluorosis, and origin of high F-groundwater using δ2H and δ18O isotopes at semiarid Gilgit, Pakistan. Therefore, groundwater (n = 85) was collected and analyzed for F- concentrations using ion-chromatography. The lowest F- concentration was 0.4 mg/L and the highest 6.8 mg/L. F- enrichment is linked with higher pH, NaHCO3, NaCl, δ18O, Na+, HCO3-, and depleted Ca+2 aquifers. The depleted δ2H and δ18O values indicated precipitation and higher values represented the evaporation effect. Thermodynamic considerations of fluorite minerals showed undersaturation, revealing that other F-bearing minerals viz. biotite and muscovite were essential in F- enrichment in groundwater. Positive matrix factorization (PMF) and principal component analysis multilinear regression (PCAMLR) models were used to determine four-factor solutions for groundwater contamination. The PMF model results were accurate and reliable compared with those of the PCAMLR model, which compiled the overlapping results. Therefore, 28.3% exceeded the WHO permissible limit of 1.5 mg/L F-. Photomicrographs of granite rocks showed enriched F-bearing minerals that trigger F- in groundwater. The community fluorosis index values were recorded at > 0.6, revealing community fluorosis and unsuitability of groundwater for drinking.

A review on fluoride contamination in groundwater and human health implications and its remediation: A sustainable approaches

Contamination of drinking water due to fluoride (F-) is a major concern worldwide. Although fluoride is an essential trace element required for humans, it has severe human health implications if levels exceed 1.5 mg. L-1 in groundwater. Several treatment technologies have been adopted to remove fluoride and reduce the exposure risk. The present article highlights the source, geochemistry, spatial distribution, and health implications of high fluoride in groundwater. Also, it discusses the underlying mechanisms and controlling factors of fluoride contamination. The problem of fluoride-contaminated water is more severe in India's arid and semiarid regions than in other Asian countries. Treatment technologies like adsorption, ion exchange, precipitation, electrolysis, electrocoagulation, nanofiltration, coagulation-precipitation, and bioremediation have been summarized along with case studies to look for suitable technology for fluoride exposure reduction. Although present technologies are efficient enough to remove fluoride, they have specific limitations regarding cost, labour intensity, and regeneration requirements.

Analysis of the distribution across media, migration, and related driving factors of fluoride in cold and arid lakes during the freezing period

Fluoride pollution in water has become a global challenge. This challenge especially affects China as a country experiencing serious fluoride pollution. While the have been past studies on the spatial distribution of fluoride, there has been less attention on different forms of fluoride. This study collected 176 samples (60, 40, and 76 ice, water, and sediment samples, respectively) from Lake Ulansuhai during the freezing period. The occurrence and spatial distribution characteristics of fluoride in lake ice-water-sediment were explored using Kriging interpolation, Piper three-line diagram, and Gibbs diagram analysis methods. The migration and transformation of fluoride during the freezing period were revealed and the factors influencing fluoride concentration in the water body were discussed considering the hydrochemical characteristics of lake surface water. The results showed that the average fluoride concentrations in the upper ice, middle ice and lower ice were 0.18, 0.09, and 0.12 mg/L, respectively, decreasing from north to south in the lake. The average concentrations of fluoride in surface water and bottom water were 0.63 and 0.83 mg/L, respectively. The concentrations of fluoride in ice and water were within the World Health Organisation drinking water threshold of 1.50 mg/L and the Class III Chinese surface water standard (GB3838-2002). The average sediment total fluorine was 1344.38 ± 200 mg/kg, significantly exceeding the global average (321 mg/kg) and decreasing with depth. The contents of water soluble, exchangeable, Fe/Mn bound, organic bound, and residual fluorides were 40.22-47.18, 13.24-43.23, 49.52-160.48, and 71.59-173.03 mg/kg, respectively. There was a significant positive correlation between fluoride concentration in ice and that in water. The change in fluoride concentration in water was mainly due to specific climatic and geographical conditions, pH, hydrochemical characteristics and ice sealing. This study is of great significance for the management of high-fluorine lakes in arid and semi-arid areas.

Assessing water quality index and health risk using deterministic and probabilistic approaches in Darab County, Iran; A machine learning for fluoride prediction

The present study employed deterministic and probabilistic approaches to determine the Water Quality Index (WQI) and assess health risks associated with water consumption in Darab County, Iran. Additionally, pollution levels were predicted using a machine-learning algorithm. The study's findings indicate that certain physicochemical parameters of water in some locations exceeded permissible limits (WHO or EPA), with 79.00 % of total hardness (TH) and 21.74 % of Total dissolved solids (TDS) levels exceeding standard values. The WQI for drinking water was determined to be 94.56 % using the deterministic approach, and 98.4 % of samples included the excellent and good categories according to the WQI classification system using the probabilistic approach. Fluoride (F) exhibited the most substantial impact on WQI values. The Artificial Neural Network (ANN) analysis findings suggest that the pH, nitrate (NO3), and TDS are the most significant factors affecting the prediction of F concentration in water. Multivariate analysis demonstrated that anthropogenic, especially agriculture and geogenic factors, contributed to the water quality in this area. The health risk assessment (HRA) using deterministic methods revealed that water consumption posed a relatively high risk in certain areas. However, Monte Carlo simulation demonstrated that the 5th and 95th percentiles of Hazard Index (HI) for children, teenagers, and adults were within limits of (0.14-2.38), (0.09-1.29), and (0.10-1.00) respectively, with a certainty level of 70 %, 91 %, and 95 %. Interactive indices revealed that the intake of IR and NO3-IR in children, BW and F-BW in teenagers, and NO3 and NO3-IR in adults significantly impacted health risks. Based on these findings, augmenting water treatment processes, regulating fluoride concentrations, and advocating for sustainable agricultural practices complemented by continuous monitoring is imperative.

Evaluation of non-cancer risk owing to groundwater fluoride and iron in a semi-arid region near the Indo-Bangladesh international frontier

Groundwater quality in Hili, a semi-arid border region at Indo-Bangladesh border, was investigated in the post-monsoon season of 2021, succeeded by assessment of probabilistic health risk arising from fluoride (F-) and iron (Fe) intake, with the hypothesis that groundwater quality of the region was not satisfactory for human consumption and health, considering earlier reports on high groundwater F- and Fe in few of the neighboring districts. All water samples were found to be potable in terms of Ca2+, Mg2+, Cl-, SO42- and NO3-, , but F- and Fe exceeded prescribed safe limits for drinking water in about 48% and 7% samples. Almost all water samples were found to be good for irrigation in terms of sodium adsorption ratio (SAR), soluble sodium percentage (SSP), Kelly's index (KI), %Na and magnesium ratio (MR). The principal component analysis (PCA) identified three major factors influencing groundwater quality, explaining about 71.8% of total variance and indicated that groundwater quality was primarily influenced by geochemical factors. Carbonate and silicate weathering were mainly responsible for dissolution of minerals in groundwater. Non-carcinogenic risk due to cumulative impact of F-and Fe intake was in the order of THIChildren > THIInfant > THIAdult. As per Monte Carlo simulation run with 5000 trials to ascertain the order of probabilistic health risk, the most dominant governing factors behind non-carcinogenic risk caused by F-and Fe intake were their concentration (Ci) followed by ingestion rate (IR), and exposure duration (ED).

Identifying the hydrochemical features, driving factors, and associated human health risks of high-fluoride groundwater in a typical Yellow River floodplain, North China

Fluoride enrichment (> 1.5 mg/L) in groundwater has become a global threat, particularly given the hazards to human health. This study collected 58 unconfined groundwater samples from Fengpei Plain in June 2022 for hydrochemical and stable isotope analyses combined with multiple methods to explore sources, influencing factors, and potential health hazards of groundwater F-. The results showed that groundwater F- concentration ranged from 0.08 to 8.14 mg/L, with an average of 1.91 mg/L; over 41.4% of them exceeded the acceptable level of 1.5 mg/L prescribed by the World Health Organization (WHO). The dominant hydrochemical facies changed from Ca·Mg-HCO3 and Ca·Mg-SO4·Cl type in low-F- groundwater to Na-HCO3 and Na-SO4·Cl water types in high-F- groundwater. The Self-Organizing Map (SOM) and ionic correlation analysis indicated that F- is positively correlated to pH, EC, Na+, K+, SO42-, and TDS, but negatively to Ca2+ and δ18O. Groundwater F- accumulation was primarily driven by F--bearing minerals dissolution such as fluorite. Simultaneously, the carbonates precipitation, positive cation exchange processes, and salt effect were conducive to groundwater F- enrichment. However, competitive adsorption between OH-/HCO3- and F-, evaporation, and anthropogenic activities only had a weak effect on the F- enrichment in groundwater. The hazard quotient (HQ) assessment results show that 67.2% of groundwater samples pose a non-carcinogenic risk (HQ > 1) for infants, followed by 53.4% for children, 32.8% for females, and 25.9% for males. The Monte Carlo simulation results agreed with those of the deterministic model that minors are more susceptible than adults. These findings are vital to providing insights into the geochemical behavior, driving factors, and drinking water safety of high-F- groundwater worldwide.

Synthesis of Composites for the Removal of F- Anions

This work presents the synthesis of amine and ferrihydrite functionalized graphene oxide for the removal of fluoride from water. The synthesis of the graphene oxide and the modified with amine groups is developed by following the modified Hummer's method. Fourier transform infrared spectrometry, X-ray, Raman spectroscopy, thermogravimetric analysis, surface charge distribution, specific surface area and porosity, adsorption isotherms, and the van't Hoff equation are used for the characterization of the synthesized materials. Results show that the addition of amines with ferrihydrite generates wrinkles on the surface layers, suggesting a successful incorporation of nitrogen onto the graphene oxide; and as a consequence, the adsorption capacity per unit area of the materials is increased.

Groundwater pollutants characterization by geochemometric technique and geochemical modeling in tropical savanna watershed

Multiple interactions of geogenic and anthropogenic activities can trigger groundwater pollution in the tropical savanna watershed. These interactions and resultant contamination have been studied using applied geochemical modeling, conventional hydrochemical plots, and multivariate geochemometric methods, and the results are presented in this paper. The high alkalinity values recorded for the studied groundwater samples might emanate from the leaching of carbonate soil derived from limestone coupled with low rainfall and high temperature in the area. The principal component analysis (PCA) unveils three components with an eigenvalue > 1 and a total dataset variance of 67.37%; this implies that the temporary hardness of the groundwater and water-rock interaction with evaporite minerals (gypsum, halite, calcite, and trona) is the dominant factor affecting groundwater geochemistry. Likewise, the PCA revealed anthropogenic contamination by discharging [Formula: see text] [Formula: see text][Formula: see text] and [Formula: see text] from agricultural activities and probable sewage leakages. Hierarchical cluster analysis (HCA) also revealed three clusters; cluster I reflects the dissolution of gypsum and halite with a high elevated load of [Formula: see text] released by anthropogenic activities. However, cluster II exhibited high [Formula: see text] and [Formula: see text] loading in the groundwater from weathering of bicarbonate and sylvite minerals. Sulfate ([Formula: see text]) dominated cluster III mineralogy resulting from weathering of anhydrite. The three clusters in the Maiganga watershed indicated anhydrite, gypsum, and halite undersaturation. These results suggest that combined anthropogenic and natural processes in the study area are linked with saturation indexes that regulate the modification of groundwater quality.

Major ion compositions, sources and risk assessment of karst stream under the influence of anthropogenic activities, Guizhou Province, Southwest China

To explore the influence of different types of anthropogenic activity on the rivers, we investigate the major ion composition, sources and risk assessment of the karst stream (Youyu stream and Jinzhong stream), which are heavily influenced by mining activities and urban sewage, respectively. The chemical compositions of the Youyu stream water, which is heavily influenced by mining activities, are dominated by Ca²⁺ and SO₄^2-. However, the chemical compositions of the Jinzhong stream water, which is heavily influenced by urban sewage, are dominated by Ca²⁺ and HCO₃^-. The Ca²⁺, Mg²⁺ and HCO₃^- in Jinzhong stream are mainly derived from rock weathering, while the Youyu stream is affected by acid mine drainage, and sulfuric acid is involved in the weathering process. Ion sources analysis indicates that the Na⁺, K⁺, NO₃^-, and Cl^- in the Jinzhong stream mainly derive from urban sewage discharge; but NO₃^- and Cl^- of the Youyu stream mainly derive from agricultural activities, and Na⁺, K⁺ are mainly from natural sources. The element ratios analysis indicates the ratio of SO₄^2-/Mg²⁺ in Youyu stream (4.61) polluted by coal mine is much higher than that in Jinzhong stream (1.29), and the ratio of (Na⁺+K⁺+Cl^-)/Mg²⁺ in Jinzhong stream (1.81) polluted by urban sewage is higher than Youyu stream (0.64). Moreover, the ratios of NO₃^-/Na⁺, NO₃^-/K⁺, and NO₃^-/Cl^- in the agriculturally polluted Youyu stream were higher than those in the Jinzhong stream. We can identify the impact of human activities on streams by ion ratios (SO₄^2-/Mg²⁺, (Na⁺+K⁺+Cl^-)/Mg²⁺, NO₃^-/Na⁺, NO₃^-/K⁺, and NO₃^-/Cl^-). The health risk assessment shows the HQ_T and HQ_N for children and adults are higher in Jinzhong stream than in Youyu stream and the total HQ value (HQ_T) of children was higher than one at J1 in the Jinzhong stream, which shows that children in Jinzhong stream basin are threatened by non-carcinogenic pollutants. Each HQ value of F^- and NO₃^- for children was higher than 0.1 in the tributaries into Aha Lake, indicating that the children may also be potentially endangered.

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.

Geochemical evidence of fluoride behavior in loess and its influence on seepage characteristics: An experimental study

High background levels of fluorine in groundwater and soil in arid and semi-arid loess regions pose a severe threat to socio-economic development and human health, necessitating the evaluation of fluorine migration in loess. In this study, static leaching and dynamic seepage tests as well as scanning electron microscopy, mercury intrusion porosimetry, and X-ray fluorescence analyses were conducted using loess as the porous medium. Additionally, simulations using PHREEQC software were performed. The results indicated that the studied loess had a high background level of fluorine. Geochemical processes closely related to fluorine include dissolution of gypsum and dolomite, precipitation/dissolution of calcite and fluorite, and ion exchange between CaX and NaX. Under seepage of water with high fluorine levels, soil particles flocculated and formed aggregates; furthermore, the contact area between soil particles reduced, resulting in point-to-point contact between particles. Consequently, pores changed from small (intra- and inter-particle pores) to large (intra- and inter-granular pores) scale pores. Permeability initially decreased rapidly, then remained relatively stable, and subsequently rapidly increased with the passage of time. This was attributed to the dissolution of calcium minerals in loess, yielding Ca²⁺, which induced the precipitation of fluorite and promoted the dissolution of carbonates. Cation exchange and dissolution of other components were also important factors influencing permeability. The findings of this study can elucidate the coupling between loess microstructure, seepage behavior, and geochemical actions under the influence of high‑fluorine water, and are of great significance for in-situ regional research in loess areas.

Identifying the factors controlling surface water and groundwater chemical characteristics and irrigation suitability in the Yarkant River Basin, northwest China

This study investigated the geochemical processes and the suitability for irrigation purposes of surface water and groundwater in the Yarkant River Basin, northwest China. The results showed that the surface water was moderately alkaline and neutral to slightly alkaline in the groundwater. The mean values for most ions in the groundwater were higher than those in the surface water. Geochemical method and hydrogen and oxygen isotope revealed that hydrochemical were mainly affected by dissolved evaporite minerals, ion exchange processes, and anthropogenic activities. Still, the geochemical processes of in surface water and groundwater were different. Additionally, three and four factors were extracted by factor analyses of surface water and groundwater, respectively, which distinguished the hydrochemical from natural origins and anthropogenic activities in more detail. The surface water and some groundwater in the south of the study area were suitable for irrigation processes. However, many groundwaters in the north were unsuitable for irrigation, because of their high sodium levels and salinity. The study results provide a theoretical basis for the sustainable utilization of regional water resources.

Preparation of aluminium-hydroxide-modified diatomite and its fluoride adsorption mechanism

As the current excessive accumulation of fluoride (F^-) in the environment can be hazardous to human health, it is essential to remove fluoride from wastewater. In this study, diatomite (DA) was used as a raw material and modified using aluminum hydroxide (Al-DA) for use in the adsorption of F^- from water bodies. SEM, EDS, XRD, FTIR, and Zeta potential characterization analyses were carried out; adsorption tests and kinetic fitting were performed, and the effects of pH, dosing quantity, and presence of interfering ions on the adsorption of F^- by the materials were investigated. The results show that the Freundlich model effectively describes the adsorption process of F^- on DA, which therefore involves adsorption-complexation interactions; however, the Langmuir model effectively describes the adsorption process of F^- on Al-DA, corresponding to unimolecular layer adsorption mainly via ion-exchange interactions, that is, adsorption is dominated by chemisorption. Aluminum hydroxide was shown to be the main species involved in F^- adsorption. The efficiency of F^- removal by DA and Al-DA was over 91% and 97% for 2 h, and the adsorption kinetics were effectively fit by the quasi-secondary model, suggesting that chemical interactions between the absorbents and F^- control the adsorption process. The adsorption of F^- was highly dependent on the pH of the system, and the maximum adsorption performance was obtained at pH 6 and 4. The optimal dosage of DA and Al-DA was 4 g/L. Even in the presence of interfering ions, the removal of F^- on Al-DA reached 89%, showing good selectivity. XRD and FTIR studies showed that the mechanism of F^- adsorption on Al-DA involved ion exchange and the formation of F-Al bonds.

Prediction of elevated groundwater fluoride across India using multi-model approach: insights on the influence of geologic and environmental factors

Elevated fluoride in groundwater is a severe problem in India due to its extensive occurrence and detrimental health impacts on the large population that thrives on groundwater. Although fluoride is primarily a geogenic pollutant, existing model-based studies lack the amalgamation of the influence of geologic factors, specifically tectonics, for identifying groundwater fluoride distribution. This drawback encourages the present study to investigate the association of the tectonic framework with fluoride in a multi-model approach. We have applied three machine learning models (random forest, boosted regression tree, and logistic regression) to predict elevated groundwater fluoride based on fluoride measurements across India. The random forest model outperformed other models with an accuracy of 93%. Tectonics was found to be one of the most important predictors alongside "depth to water table." Two major areas of high risk identified were the northwest parts and the south-southeast cratonic peninsular region. The random forest model also performed significantly well over the validation dataset. We estimate that nearly 257 million people are exposed to elevated fluoride risk in India. We endeavor that the findings of our study would be an effective tool for identifying the areas at risk of elevated fluoride and also assist in undertaking effective groundwater management strategies.

Effects of elevated arsenic and nitrate concentrations on groundwater resources in deltaic region of Sundarban Ramsar site, Indo-Bangladesh region

An attempt has been adopted to predict the As and NO₃^- concentration in groundwater (GW) in fast-growing coastal Ramsar region in eastern India. This study is focused to evaluate the As and NO₃^- vulnerable areas of coastal belts of the Indo-Bangladesh Ramsar site a hydro-geostrategic region of the world by using advanced ensemble ML techniques including NB-RF, NB-SVM and NB-Bagging. A total of 199 samples were collected from the entire study area for utilizing the 12 GWQ conditioning factors. The predicted results are certified that NB-Bagging the most suitable and preferable model in this current research. The vulnerability of As and NO₃^- concentration shows that most of the areas are highly vulnerable to As and low to moderately vulnerable to NO₃. The reliable findings of this present study will help the management authorities and policymakers in taking preventive measures in reducing the vulnerability of water resources and corresponding health risks.

The deterioration of groundwater quality by seawater intrusion in the Chao Phraya River Basin, Thailand

The Chao Phraya River Deltaic Plain is the largest basin in Thailand and the second largest one in Southeast Asia after the Mekong River Delta. In recent decades, the groundwater quality in the Lower Chao Phraya River Basin in Thailand has deteriorated due to salinization caused by seawater intrusion. In the present study, hydrogeochemical and statistical methods were employed to determine the hydrochemical characteristics of the groundwater and to investigate the possible sources of salinity in the study region for the years 2008 and 2020. In addition, samples were taken from precipitation, sea water, and river water to analyze their hydrochemical properties. Then, they were used as input in the "Simmr" code in the R programming language to model the hydrochemical conditions of the study area and their evolution over time. The results indicated that in the non-coastal regions, water-rock interaction (mineral weathering and ion exchange), and brine/connate water infiltration affected the quality of the groundwater. However, the seawater intrusion was limited only to the coastal regions. Furthermore, the groundwater quality deteriorated from 2008 to 2020. Finally, using stepwise regression in the R language, the salinity of the groundwater was simulated and compared with the measured salinity data. The results obtained by the stepwise model were in close agreement with those obtained from the hydrochemical studies. This study confirmed seawater intrusion in the coastal aquifer as well as the deterioration of groundwater quality over time. To slow down this process and to achieve sustainable conditions, groundwater extraction should be reduced in the study region.

Iodine Status in Pregnant Women Having Urinary Fluoride in Contaminated Areas: A Case Study of Phayao Province

Fluoride naturally occurs in the Earth's crust and is widely dispersed in groundwater. The high consumption of fluoride can inhibit iodine metabolism in the human body, especially in the thyroid gland. This study assessed iodine knowledge, iodine consumption behavior, urinary iodine (UI), thyroid stimulating hormone (serum TSH), and free triiodothyronine3 (serum FT3) and examined the connection between fluoride exposure and UI and thyroid function as serum concentrations of TSH and FT3 in pregnant women dwelling in an area of endemic fluorosis. This was a cross-sectional study. The population included 152 pregnant women within the 1^st trimester of pregnancy, during which they were provided antenatal care (ANC) in seven public community hospitals in Phayao province, Thailand. The study consisted of two components. First, the study consisted of a questionnaire in which we evaluated the iodine knowledge and iodine consumptive behaviors in subjects. Second, biochemical data were investigated to evaluate thyroid function in the subjects. The gestational age of most subjects was 8-12 weeks. The study population has lived in fluoride-contaminated areas since birth (76.97%). The iodine and iodine consumption levels were moderate (50.00%). Their food iodine consumption was 3-4 days/week, and the top five consumption ranks were iodized salt, cooked pork, eggs, sticky rice, and iodine fish sauce. In terms of biochemical parameters, 63.16% of respondents had UI levels below 150.00 g/L, which is below the normal reference range of 150.00-249.00 g/L. 89.47% of the risk of hypothyroidism was associated with serum TSH levels below 2.50 g/L. In 38.16% of the samples, normal levels of serum FT3 (2.00-4.40 pg/L) were identified in the subjects. In addition, 61.84% of the samples had FT3 concentrations greater than 4.40 pg/L (high intake of iodine). The approved association between positive serum FT3 data and serum TSH was positive (r = 260 and p < 0.05). These studies imply that these elevated levels of TSH and FT3 place pregnant women in their first trimester at risk for hypothyroidism.

Occurrence, controlling factors and noncarcinogenic risk assessment based on Monte Carlo simulation of fluoride in mid-layer groundwater of Huaibei mining area, North China

Fluoride groundwater pollution is a major challenge to ensuring a safe groundwater supply for the global community. This study emphasized mid-layer groundwater (MG) as the main water supply source in the Huaibei mining area, North China. A total of 74 groundwater samples were taken to determine the hydrochemistry, source provenance, driving forces of high-fluoride groundwater, and associated probabilistic health risk using Monte Carlo simulation. The fluoride concentration in 55.56 % of the MG samples exceeded the Chinese drinking water permissible limit of 1 mg/L. In addition, MG is characterized by the hydrochemical faces of HCO₃^- type and Na⁺ type, lower Ca²⁺ and higher TDS concentration. Fluoride enrichment was predominantly controlled by the geogenic sources of fluorite dissolution, silicate weathering and lateral supply from the Carboniferous Taiyuan Formation limestone aquifer (CLA). In addition, the driving forces of high-fluoride groundwater were an alkaline environment, low Ca²⁺ concentration, high Na⁺ and HCO₃^- concentration, cation exchange between Ca²⁺ and Na⁺ on the surface of clay minerals, and competitive adsorption of HCO₃^-. The health risk assessment of F^- for noncarcinogenic risk showed that the HQ values of 28.16 % of groundwater samples exceeded the safety limit of 1 for infants, followed by 2.1 % for children and 0 % for both adult females and males. Infants and children are more prone to the impact of excessive F^-. The findings of this study will provide new insights into the geochemical behavior of F^- and the safety of drinking water.

Comprehensive assessment of water quality and associated health risks in an arid region in south Iran

This study aims at investigating the quality of drinking water and evaluating the non-carcinogenic risk of fluoride and nitrate ions in drinking water, and fluoride in tea in Zarrin Dasht, Iran. We focus on tea since it is the most popular drink among Iranian people and in the study region. We collected and analyzed 23 drinking water samples and 23 tea samples from different locations in the study region. Based on the water quality index, the consumed drinking water does not have a good quality in most Zarrin Dasht areas. Accordingly, the water quality index (WQI) is poor and very poor in 70% and 13% of the water samples, respectively. The average fluoride concentration of the tea samples is 2.71 mg/L. The mean values of Fluoride Hazard Index (HI_fluoride) are 3.77, 2.77, and 2.33 for children, teenagers, and adults, respectively, which are higher than the safe limit of 1. The Nitrate Hazard Index (HI_nitrate) is higher than the safe limit of 1 in 8.7% of the samples. The results of the Monte Carlo simulation demonstrate that HI_fluoride and HI_nitrate are higher than 1 in all the groups, except for adults. According to the results of the sensitivity analysis, ingestion rate and body weight have a large effect on HI_fluoride and HI_nitrate, but body weight is inversely associated with sensitivity. According to the Piper diagram, saline water is the predominant type in Zarrin Dasht. Besides, the results of the principal component analysis (PCA) show a high correlation between fluoride and pH, which could be related to the effect of pH on fluoride dissolution and ion exchange. Therefore, appropriate measures are recommended to be taken in order to reduce the amount of fluoride in the drinking water resources of this region. Reduction of tea consumption can also be considered an important factor in decreasing the amount of fluoride intake.

Fluoride enrichment mechanisms and related health risks of groundwater in the transition zone of geomorphic units, northern China

Although groundwater is the primary drinking water source in northern of China, little is known about generation mechanisms and related health risks of high fluoride groundwater at the geomorphic transition zones. Thus, 419 groundwater samples were collected from Zhangjiakou region, where is a typically geomorphic transition zone of the North China Plain and the Inner Mongolia Plateau, to conduct the hydrochemical analysis, geochemical modeling, multivariate statistical analysis, and health risks assessment. From the results, F^- concentration in groundwater had a range of 0.05-9.71 mg L^-1. About 37.1% and 26.2% of groundwater samples from Bashang region (BSR) and Baxia region (BXR), respectively, were over the 1.50 mg L^-1, which were mainly distributed in the groundwater flow retardation area and/or evaporation discharge area. Thermodynamic simulations demonstrated that F-bearing minerals dissolution and Ca²⁺/Mg²⁺ removal via calcite/dolomite precipitation primarily governed high-F^- groundwater formation in the whole study area. Competitive adsorption, evaporation, evaporites dissolution and salt-effect also affected F^- enrichment in BSR. Desorption in alkaline environment, ion exchange and human activities played a vital role in F^- enrichment at BXR. The multivariate statistical analysis revealed that the origin of F^- contamination was geogenic in BSR; whereas, it was geogenic and anthropogenic in BXR. Besides, more than 71.8%, 51.0%, 36.1% and 25.5% of the study area exceeded the acceptable level (health index>1) for infants, children, adult males, and females, respectively. The health risks for different groups of people varied significantly and ranked: infants > children > males > females, suggesting that younger people were more susceptible to fluoride contamination. Meanwhile, females were more resistant to fluoride contamination than males. These findings are vital to providing insights on high-F^- groundwater formation, investigate the situation of health risks, and conduct the integrated management for high fluoride groundwater in geomorphic transition zones at northern China.

Knowledge Level and Consumption Behavior of Native Plants, Meats, and Drinking Waters with High Fluoride Concentrations about the Relation to the Potential Health Risk of Fluoride in Lamphun Province Thailand: A Case Study

Fluoride exposure from natural, agricultural, and industrial sources has harmed people living in fluoride-affected areas. Fluoride accumulates in the human body after being exposed to it through the food chain. The population consisted of 371 community health volunteers who were surveyed and chosen based on personal fluoride information. Only 39 residents were chosen to be interviewed and take part in the trial, which involved drinking fluoride-containing groundwater (>1.5 part per million: ppm) and urine testing that revealed urine fluoride level (>0.7 ppm). In addition, 47 biological samples and eight commercially bottled water specimens were examined. The information was gathered in four ways: (1) a questionnaire-based survey of fluoride knowledge, (2) food consumption behavior with locally grown vegetables, fruits, poultry, and meat, and commercially bottled water produced by groundwater in fluoride-affected areas, (3) a semi-food frequency questionnaire, and (4) fluoride content measurements using an ion-selective electrode. According to the analyses, the participants ranged in age from 51 to 60 years, with approximately 60.38% of them female and born and raised in polluted areas. The majority of subjects had a low level of fluoride knowledge (65.23%). The respondents’ primary source of drinking water (100.00%) was commercially bottled water; they chewed camellia sinensis 11.56% of the time (1 to 5 years) and they drank tea 9.16% of the time (during 1 to 5 years). Sus scrofa domesticus was responsible for the intake of vegetables and fruits, whereas Brassica chinensis, Jusl var para-chinensis (Bailey), and Tsen and Lee were responsible for the intake of poultry and animal flesh. They were all purchased at a local farm. The hazard quotient was greater than one, and the fluoride concentration (ppm) ranged between 75.00% (0.29–5.20), 57.14% (0.01–0.46), 88.89% (0.07–0.91), 100.00% (0.43–3.07), 100.00% (0.58–0.77), 42.86% (0.12–0.62 ppm.), 60.00% (0.11–1.44), and 33.33% (0.10–0.80) in drinking water, fruit, young and mature plants. Fluoride ingestion may pose a health concern. Under the 95th percentile condition, 74.47% consumed water with a high fluoride level, vegetables and fruits, and poultry and meats.

Increase in fluoride concentration in mine water in Shendong mining area, Northwest China: Insights from isotopic and geochemical signatures

Mine water poses severe threats to the quality of the water supply and ecological environment of the Shendong mining areas owing to its excessive fluoride (F^-) content. However, the geochemical behaviours and enrichment mechanisms responsible for F⁻ enrichment during mining activities are not fully understood. In total, 18 Yanan groundwater and 45 mine water samples were collected to analyse the spatial distribution, hydrogeochemical behaviours, and formation mechanisms related to elevated F^- levels by analysing the stable isotopes and water-rock interactions. In this study, F^- concentrations in mine water samples varied from 0.16 to 12.75 mg/L, with a mean value of 6.10 mg/L, and 77.78% of the mine water samples had a concentration that exceeded China's national standards (1.00 mg/L) for drinking water. The F^- concentration was markedly high in the mine water samples, with the mean F^- concentration being 1.58 times of that in the Yanan groundwater samples. The results of stable isotopes (¹⁸O_H2O, D, ³⁴S_SO4, and ¹⁸O_SO4) and water-rock interaction analyses suggested that cation exchange and competitive effects were the dominant factors responsible for elevated F^- concentration in mine water during mining activities. Thus, the weathering of F-bearing minerals, agriculture, and domestic activities do not play a significant role in the secondary enrichment of F^- concentration.

Source and enrichment mechanism of fluoride in groundwater of the Hotan Oasis within the Tarim Basin, Northwestern China

In arid inland irrigated areas, the role of human activities on fluoride enrichment in groundwater is not fully understood. There is an extremely arid climate, high-intensity irrigation, and severe soil salinization in the Hotan Oasis within the Tarim Basin, Northwestern China. In this study, hydrogeochemistry and environmental isotope methods were combined to explore the distribution characteristics and controlling processes of fluoride enrichment in groundwater. The F^- concentration in groundwater had a range of 1.12-9.4 mg/L. F^- concentrations of all the groundwater samples were higher than 1.0 mg/L (Chinese Standards for Drinking Water Quality), and about 89% were higher than 1.5 mg/L (WHO Guidelines for Drinking Water Quality). High fluoride groundwater was mainly distributed downstream of the river and in the middle of the interfluvial zone. Vertically, the fluoride concentration was higher when the sampling depth was less than 15 m. There was a significant positive correlation between F^- concentration and salinity in groundwater. F^- in groundwater was mainly derived from river water fluoride, which could be imported to groundwater with infiltration of rivers and irrigation canals as well as irrigation return flow. Anthropogenic inputs may be partly responsible for fluoride enrichment in groundwater. Fluoride accumulated in the vadose zone by strong evapotranspiration and then leached into groundwater with irrigation return flow was the main mechanism of F^- enrichment in groundwater in the study area. This work is a clear example of how human activities together with natural processes can affect the chemical quality of groundwater, which is essential to safeguard the sustainable management of water and soil resources inland arid oasis areas.

Effects and behaviors of Microcystis aeruginosa in defluorination by two Al-based coagulants, AlCl3 and Al13

The complexity of natural water made it difficult to remove fluoride. Based on the environmental problems found in the investigation, the fluoride removal research in the water containing algal cells was carried out. In this study, AlCl₃ and [AlO₄Al₁₂(OH)₂₄(H₂O)₁₂]⁷⁺ (Al₁₃) were used to remove fluoride. Additionally, the role of aluminum speciation in fluoride removal and the effect of Microcystis aeruginosa on the fluoride removal by different aluminum species coagulants were elucidated. The results showed that AlCl₃ mainly removed fluoride by physical interactions, surface adsorption and enmeshment. When algal cells were added to the system, the fluoride removal rate increased from 22.75 % to 72.99 % at a dosage of 40.0 mg/L. This was because algal cells greatly increased the distribution of Al(OH)₃ in the flocs. In particular, the specific surface area of the flocs containing algal cells reached 160.77 m²/g, which allowed more fluoride to be adsorbed. However, excessive Al³⁺ led to serious damage to algal cells and release of intracellular organic matter (IOM), worsening the effect of defluoridation. F^- and Al³⁺ formed AlF²⁺ and AlF₂⁺ via complexation in water. These compounds were not conducive to defluoridation. Al₁₃ removed fluorine mainly through ion exchange, substitution and hydrogen bonding. Algal cells had an inhibitory effect on defluorination, which was observed in the process of coagulation by different Al dosages. Al₁₃ achieved agglomeration of algal cells and generated small and dense flocs through charge neutralization and electrostatic patch mechanism. Once Al₁₃ combined with algal cells and algae organic matter (AOM), the reaction between Al₁₃ and fluoride would be weakened. Al₁₃ not only maintained the defluoridation performance, but also did not damage the integrity of algal cells, even at high dosages.

Bioaccumulation of Fluoride in Plants and Its Microbially Assisted Remediation: A Review of Biological Processes and Technological Performance

Fluoride is widely found in soil–water systems due to anthropogenic and geogenic activities that affect millions worldwide. Fluoride ingestion results in chronic and acute toxicity, including skeletal and dental fluorosis, neurological damage, and bone softening in humans. Therefore, this review paper summarizes biological processes for fluoride remediation, i.e., bioaccumulation in plants and microbially assisted systems. Bioremediation approaches for fluoride removal have recently gained prominence in removing fluoride ions. Plants are vulnerable to fluoride accumulation in soil, and their growth and development can be negatively affected, even with low fluoride content in the soil. The microbial bioremediation processes involve bioaccumulation, biotransformation, and biosorption. Bacterial, fungal, and algal biomass are ecologically efficient bioremediators. Most bioremediation techniques are laboratory-scale based on contaminated solutions; however, treatment of fluoride-contaminated wastewater at an industrial scale is yet to be investigated. Therefore, this review recommends the practical applicability and sustainability of microbial bioremediation of fluoride in different environments.

Identifying fluoride endemic areas and exposure pathways for assessment of non-carcinogenic human health risk associated with groundwater fluoride for Gujarat state, India

Analytical data of fluoride concentration in groundwater collected from various geological formations in Gujarat, India, have been studied to assess their spatial distribution characteristics and related potential chronic health risks. Decadal analysis of groundwater was attempted for precise quantification and a realistic ground representation of fluoride concentration in the entire state. This exercise involved collection of 6407 samples over a period of 10 years (2009-2018), from 641 representative locations, distributed evenly throughout the state (6407 = 641 locations × 10 years). The analytical results indicate that 19% of the sample locations have fluoride concentration higher than the permissible limit and 42% of the locations have fluoride concentration much below the desirable limit, thereby exposing children to a higher risk of associated dental morbidities. Monte Carlo simulation integrated with sensitivity and uncertainty analysis was applied for an accurate and realistic assessment of the non-carcinogenic health risk. Model results indicated that groundwater fluoride exposure through consumption is way higher than the exposure due to dermal absorption pathway. It is inferred that 94 locations (15%) have total hazard index greater than the unity value for all population groups, thereby increasing the vulnerability of the local populace to dental and skeletal fluorosis. Total hazard index in 210 locations (36%) and 188 locations (29%) are beyond the permissible limit for the population comprising infants and children. Populaces living in these locations are susceptible to health hazards that stems from high fluoride concentration. Children and infants are at greater risk due to groundwater fluoride toxicity when compared to the adult populace. The order of the geographic stratification of vulnerability is Mainland regions > Saurashtra region > Kachchh region. Ingestion rate and fluoride concentration are the sensitive parameters with high impact and residents of these vulnerable locations should be advised to abstain from direct intake of groundwater and resort to defluoridised groundwater.

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.

Evaluation of Fluoride Adsorption Mechanism and Capacity of Different Types of Bone Char

The fluoride adsorption capacity of three types of bone char (BC), including cow BC (CBC), chicken BC (CKBC), and pig BC (PBC), was examined. At the optimum charring conditions (temperature and time), PBC had the highest hydroxyapatite (HAP) content (0.928 g-HAP/g-BC), while CBC had the highest specific surface area (103.11 m²/g-BC). CBC also had the maximum fluoride adsorption capacity (0.788 mg-F/g-HAP), suggesting that fluoride adsorption capacity depends more on the specific surface area of the BC than the HAP content. The adsorption data of CBC, CKBC, and PBC fit well with the pseudo-second-order model and the Langmuir isotherm. The maximum fluoride adsorption capacity of BC reached the maximum value when the solution had a pH of approximately 6.0. Lastly, the highest fluoride desorption occurred when the BCs were soaked in solutions with a pH higher than 11.0.

Hydrogeochemical characteristics and groundwater quality assessment in the plain area of Yarkant River Basin in Xinjiang, P.R. China

The deteriorating groundwater quality due to natural genesis and anthropogenic activities has prevented the sustainable use of groundwater. The characteristics and factors affecting groundwater quality for drinking in shallow aquifers (depth ≤ 100 m) in the plain area of Yarkant River Basin in Xinjiang were analyzed using water quality index (WQI), geostatistics, and geochemical methods. Results showed that the groundwater was weak-alkaline with neutral pH, with dominant water types being SO₄•HCO₃-Ca•Mg, SO₄•Cl•HCO₃-Na•Ca, SO₄•HCO₃•Cl-Ca•Na, Cl•SO₄-Na•Ca, and HCO₃•SO₄-Mg•Ca. WQI ranged between 31.79 and 549.37, and about 14.43%, 31.96%, 18.56%, 22.68%, and 12.37% of the all samples were excellent, good, medium, poor, and extremely poor quality, respectively. The proportion of excellent quality was the highest in single structure phreatic aquifer (SSPA, 50.00%) and good quality were the highest in multilayered structure phreatic aquifer (MSPA, 34.21%) and multilayered structure confined aquifer (MSCA, 28.89%). With the extension of the river, the groundwater quality gradually degenerated from south to north in phreatic aquifer (PA, including SSPA and MSPA). The further away from the Yarkant river, the worse the groundwater quality of PA. Furthermore, the WQI showed excellent, good, and an alternation of medium and poor quality (including extremely poor quality) from south to north in the MSCA. The groundwater quality deterioration might have been affected by the dissolution of evaporite minerals, such as halite, gypsum, and anhydrite and ion exchange process. In addition, local effects of anthropogenic activities and land usage patterns on the groundwater quality should be reckoned as well.

Groundwater Pollution and Human Health Risks in an Industrialized Region of Southern India: Impacts of the COVID-19 Lockdown and the Monsoon Seasonal Cycles

Samples of groundwater were collected during a post-monsoon period (January) and a pre-monsoon period (May) in 2020 from 30 locations in the rapidly developing industrial and residential area of the Coimbatore region in southern India. These sampling periods coincided with times before and during the lockdown in industrial activity and reduced agricultural activity that occurred in the region due to the COVID-19 pandemic. This provided a unique opportunity to evaluate the effects of reduced anthropogenic activity on groundwater quality. Approximately 17% of the wells affected by high fluoride concentrations in the post-monsoon period returned to levels suitable for human consumption in samples collected in the pre-monsoon period. This was probably due to ion exchange processes, infiltration of rainwater during the seasonal monsoon that diluted concentrations of ions including geogenic fluoride, as well as a reduction in anthropogenic inputs during the lockdown. The total hazard index for fluoride in the post-monsoon samples calculated for children, adult women, and adult men indicated that 73%, 60%, and 50% of the groundwater samples, respectively, had fluoride levels higher than the permissible limit. In this study, nitrate pollution declined by 33.4% by the pre-monsoon period relative to the post-monsoon period. The chemical facies of groundwater reverted from the Na-HCO3-Cl and Na-Cl to the Ca-HCO3 type in pre-monsoon samples. Various geogenic indicators like molar ratios, inter-ionic relations along with graphical tools demonstrated that plagioclase mineral weathering, carbonate dissolution, reverse ion exchange, and anthropogenic inputs are influencing the groundwater chemistry of this region. These findings were further supported by the saturation index assessed for the post- and pre-monsoon samples. COVID-19 lockdown considerably reduced groundwater pollution by Na+, K+, Cl-, NO3¯, and F- ions due to shutdown of industries and reduced agricultural activities. Further groundwater quality improvement during lockdown period there is evidence that the COVID-19 lockdown by increased HCO3¯ ion concentration. Overall results illustrate the positive benefits to groundwater quality that could occur as a result of measures to control anthropogenic inputs of pollutants.

A new technology for simultaneous calcium-nitrate and fluoride removal in the biofilm reactor

In this study, a biofilm reactor containing Acinetobacter sp.H12 was established to investigate the simultaneous denitrification, the removal of calcium and fluoride performance. The main precipitation components in the reactor were determined by SEM, XPS and XRD. The effects of HRT (6 h, 9 h and 12 h), pH (6.0, 7.0, 8.0), influent F^- concentration (3 mg/L, 5 mg/L, 10 mg/L) on synchronously removal of nitrate and F^- and Ca²⁺ during reactor operation were studied. Optimum operating conditions were achieved with a nitrate removal ratio of 100%, F^- removal ratio of 81.91% and Ca²⁺ removal ratio of 67.66%. Nitrogen was the main gaseous product analyzed by gas chromatography. Extracellular polymers (proteins) were also identified as sites for biological precipitation nucleation by fluorescence spectroscopy. Moreover, microbial distribution and community structure analysis showed that strain H12 was the dominat strain in the biofilm reactor. And combined with the performance prediction of the reactor, strain H12 played a major role in the process of simultaneous denitrification, F^- and Ca²⁺ removal.

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.

Hydrochemical composition and potentially toxic elements in the Kyrgyzstan portion of the transboundary Chu-Talas river basin, Central Asia

Water chemistry and the assessment of health risks of potentially toxic elements have important research significance for water resource utilization and human health. However, not enough attention has been paid to the study of surface water environments in many parts of Central Asia. Sixty water samples were collected from the transboundary river basin of Chu-Talas during periods of high and low river flow, and the hydrochemical composition, including major ions and potentially toxic elements (Zn, Pb, Cu, Cr, and As), was used to determine the status of irrigation suitability and risks to human health. The results suggest that major ions in river water throughout the entire basin are mainly affected by water-rock interactions, resulting in the dissolution and weathering of carbonate and silicate rocks. The concentrations of major ions change to some extent with different hydrological periods; however, the hydrochemical type of calcium carbonate remains unchanged. Based on the water-quality assessment, river water in the basin is classified as excellent/good for irrigation. The relationship between potentially toxic elements (Zn, Pb, Cu, Cr, and As) and major ions is basically the same between periods of high and low river flow. There are significant differences between the sources of potentially toxic elements (Zn, Pb, Cu, and As) and major ions; however, Cr may share the same rock source as major ions. The risk assessment revealed low non-carcinogenic and carcinogenic risks for human health; however, the maximum carcinogenic risk for As exceeded the allowable value, which requires further consideration. These results provide a scientific basis for the management of agricultural irrigation uses and also infill existing gaps regarding the hydrochemical composition in the Chu-Talas river basin, Central Asia.

Spatial variation and health risk assessment of fluoride in drinking water in the Chongqing urban areas, China

Fluoride is an essential trace element for humans, and its deficiency or excess in the environment could lead to disease. To investigate the spatial distribution and health risk assessment of fluoride (F^-) in drinking water, 302 tap water samples from Chongqing urban areas, China, were collected to analyze F^- using an ion chromatograph. The results showed that (1) F^- concentration in drinking water ranged from 0.100 to 0.503 mg/L, with an average of 0.238 ± 0.045 mg/L. (2) The spatial autocorrelation analysis showed that high-low clusters were mostly located in Dadukou District and Beibei District, while low-low clusters were mainly in southern Banan District. (3) The fluoride average daily doses of children, teens and adults were 0.030, 0.029 and 0.031 mg/(kg day). (4) Hazard quotients of excessive fluoride (HQ_e) of children, teens and adults were 0.51 ± 09, 0.49 ± 0.09 and 0.52 ± 0.10, respectively (inferior to 1.00), whereas hazard quotients of inadequate fluoride (HQ_i) of those groups were 1.21 ± 0.26, 1.23 ± 0.26 and 1.15 ± 0.25, respectively (superior to 1.00). Therefore, average daily fluoride intake of residents with drinking water was inadequate. This could pose dental caries and osteoporosis threats for residents from Chongqing urban areas.

Facile synthesis of chitosan-modified ZnO/ZnFe2O4 nanocomposites for effective remediation of groundwater fluoride

This study explores the possibility of developing an eco-friendly adsorbent for effective remediation of groundwater fluoride, a well-known health hazard affecting more than 25 nations on the various continents. A facile and milder approach has been adopted to synthesize chitosan-modified ZnO/ZnFe₂O₄ nanocomposites. The synthesized materials have been characterized by different spectroscopic, microscopic, and diffractometric techniques. X-ray photoelectron spectroscopy and X-ray diffraction studies have confirmed the formation of pure and highly crystalline ZnO/ZnFe₂O₄ nanocomposites. The presence of surface-adsorbed chitosan in the modified ZnO/ZnFe₂O₄ has been confirmed by FT-IR and thermogravimetric analysis. The results from microscopic and BET surface area analysis of ZnO/ZnFe₂O₄ nanocomposites indicated that chitosan plays a crucial role in modulating the surface morphology and surface properties of the nanocomposites. The nanocomposites exhibit excellent adsorption performance in the remediation of groundwater fluoride. Experimental conditions have been systematically designed to evaluate the optimum adsorption condition for fluoride, and the results have been analyzed with various non-linear models to describe the kinetics and isotherms of adsorption. The adsorption primarily follows Lagergren pseudo-first-order kinetics, and the Langmuir adsorption capacity is varied from 10.54 to 13.03 mg g^-1 over the temperature range 293-323 K. The thermodynamics study reveals that the adsorption process is endothermic and spontaneous. The mechanism of adsorption has been proposed based on the spectroscopic analysis of the fluoride-loaded adsorbent. The adsorption is non-specific in nature as co-existing anion can reduce its fluoride removal capacity. The effect of the co-existing anions on adsorption of fluoride follows the trend PO₄^3- > CO₃^2- > SO₄^2- > Cl^-. The adsorbent can be reused successfully for the 5th consecutive cycles of adsorption-desorption study. This study offers a very promising material for remediation of groundwater fluoride of affected areas.

Spatiotemporal distribution of fluoride in drinking water and associated probabilistic human health risk appraisal in the coastal region, Bangladesh

Spatiotemporal distribution of fluoride in drinking water has been posing serious health concerns worldwide. However, in Bangladesh, to date, there is a very limited study reported the probabilistic health risks from fluoride content in drinking water. Therefore, we investigate the spatiotemporal distribution of fluoride concentration in drinking water and associated health risks in the coastal districts of Bangladesh based on randomly collected 840 groundwater samples (Dry-season = 302 and Wet-season = 538). Probabilistic health risk appraisal from fluoride was performed using the Monte-Carlo simulation and sensitivity analysis. Fluoride concentration in 11.89% (Wet-season) and 24.50% (Dry-season) of the samples exceeded the acceptable level of 1.0 mg/L, while 3.90% (Wet-season) and 7.28% (Dry-season) samples surpassed the maximum permissible limit (fluoride: 1.5 mg/L. The deficiency of fluoride content in groundwater (<0.50 mg/L) in Wet-season (60.41%) and in Dry-season (55.63%) was identified from the study area. The seasonality to the spatial change of fluoride concentration in drinking water has been explored. The mean non-carcinogenic risks e.g., hazard quotient (HQ) from the consumption of high fluoride-containing water for infants and children were mostly exceeded the threshold value 1 (HQ > 1) in both seasons. However, the risk of children and infants at the 95th percentile crossed the safe level (SL: 1) in the wet season and the risk of infants, children, teens and adults at the 95th percentile surpassed 1 in the dry season, indicating the potential adverse health effects. Apart from the high exposure, fluoride deficiency might be a severe problem in this region due to the very low concentration of fluoride (<0.50 mg/L) in drinking water. Sensitivity analyses indicate high fluoride-containing drinking water was the most contributing variables affecting the model outcome. Finally, the case-control study should be performed to examine further the health effects from the ingestion of high/low fluoride-bearing groundwater in the study area.

Two distinct mechanisms of fluoride enrichment and associated health risk in springs' water near an inactive volcano, southeast Iran

Groundwater fluoride contamination is a major issue of water pollution in the world with health hazards such as dental and skeletal fluorosis. This research focused on exposure to the high concentration of fluoride in the springs water in the Bazman volcanic area, southeast Iran. The combination of chemical/isotopic analysis, geochemical modeling, health risk assessment and multivariate statistical methods were applied to investigate the contamination and sources of fluoride in the samples. Groundwater samples were collected from cold and thermal springs. Major ions, fluoride, trace elements and stable isotopes δ¹⁸O and δD were measured in the samples using standard methods, ICP-MS and OA-ICOS, respectively. Fluoride content in springs varied from 0.5 to 3.75 mg/L with an average value of 1.66 mg/L. The highest fluoride concentrations were observed in the eastern cold springs while thermal springs showed the minimum fluoride contents. The majority of samples showed F contents higher than the calculated optimal concentration of fluoride (0.75 mg/L). Reaction of fluorite mineral with HCO₃ and replacement of F in clay minerals and metal oxy-hydroxides with OH^- in water were likely cause fluoride enrichment in the eastern springs. Whereas, in the western springs and thermal springs, origin of fluoride was related to weathering of muscovite, cryolite, apatite and fluoroapatite minerals. The δ¹⁸O and δ²H of the water samples displayed the impact on evaporation on fluoride enrichment in all spring water samples. The average value of contamination index (C_d) in the water samples was 1.94 categorizing medium risk level while springs S7, S8, S9 and S4 were above the threshold value of C_d index. The fluoride hazard quotient (HQ) showed that 25%, 44%, 56% and 0% of springs' water resources had high risk level for age group of adults, teenager, children and infants, respectively. Therefore, health risk of fluoride in drinking water resources were in the following order: children > teenager > adults > infants.

Heavy Metals and Related Human Health Risk Assessment for River Waters in the Issyk-Kul Basin, Kyrgyzstan, Central Asia

The water resources of Central Asia play an important role in maintaining the fragile balance of ecosystems and the sustainable development of human society. However, the lack of research on the heavy metals in river waters has a far−reaching influence on public health and the sustainable development in Central Asia. In order to reveal the possible sources of the heavy metals and to assess the associated human health risks, thirty−eight water samples were collected from the rivers of the Issyk−Kul Basin during the period with low river flow (May) and the period with high river flow (July and August), and the hydrochemical compositions and major ions of heavy metals were analyzed. No changes in hydrochemical facies were observed between the two periods and the river water type was calcium bicarbonate. Carbonate dissolution and silicate weathering controlled the variation of cations and anions in river waters from the Issyk−Kul Basin. There were some differences in the sources of heavy metals in water bodies between the two periods. During the period with low river flow, heavy metals (Cr) were closely clustered with major ions, indicating that they were mainly affected by water–rock interactions. During the period with high river flow, all heavy metals studied in this paper had different sources of major ions, and the heavy metals maybe influenced by human activities. From the human health risk assessment, the hazard quotients for all samples were less than 1, reflecting that there was no noncarcinogenic risk in the river waters of the Issyk−Kul Basin during the two sampling periods. However, the water samples with carcinogenic risk of arsenic exceeding the threshold (10⁻⁴) accounted for 21.1% of the total, indicating that there were some certain carcinogenic hazards for human health via water drinking with direct oral ingestion. The results are of certain significance for the utilization and protection of water resources in the basin as well as the protection of public health.

Hydrogeochemical characterisation and health hazards of fluoride enriched groundwater in diverse aquifer types

High concentration of fluoride (up to 20.9 mg/L) in groundwater with significant variation (p = 5.9E-128) among samples was reported from Birbhum district, an acknowledged fluoride endemic region in India. The groundwater samples (N = 368) were grouped based on their hydrochemical properties and aquifer geology for hydro-geochemical characterization. Friedman's test showed p < 0.0001 confidence level which indicates that fluoride concentration among geological groups and water groups are independent. Bland-Altman plot was used to study the inter-relationships among the groups through bias value (∂) and limit of agreement (LoA). Among the geological groups, laterites and granite-gneiss groups exhibited statistically significantly difference in fluoride geochemistry; whereas the younger and older alluvium groups displayed similar characteristics. The fluoride concentration was found to be in the order Lateritic > Granite-gneiss > Older alluvium ≥ Younger alluvium. Dissolution of minerals (such as fluorite, biotite) in laterite sheeted basalt, and granite-gneiss is the main source of groundwater fluoride in the region. Fluoride concentration is also influenced by depth of water table. Hydrochemical study indicated that fluoride concentration was higher in Na-HCO₃ than in Ca-SO₄ and Ca-HCO₃ type of groundwater. The fluoride concentration were positively correlated with Na⁺ and pH and negatively correlated with the Ca²⁺ and Mg²⁺ signifying linkage with halite dissolution and calcite, dolomite precipitation. Geostatistical mapping of WQI through empirical bayesian kriging (EBK) with respect to regional optimal guideline value (0.73 mg/L) classified that groundwater in some parts of the district are unfit for drinking purpose. Health survey (N = 1767) based on Dean's criteria for dental fluorosis indicated presence of slight to moderate dental hazard. Besides, providing baseline data for management of groundwater quality in the study area, the study demonstrated the applicability of Bland-Altman analysis and empirical bayesian kriging (EBK) in delineation and interpolation of fluoride contaminated region.

The effects of geochemical processes on groundwater chemistry and the health risks associated with fluoride intake in a semi-arid region of South India

This study attempts to establish the effects of subsurface geochemical processes based on the hydrogeochemical attributes of 61 well samples collected in a semi-arid region of South India. The study also provides the health risks associated with the consumption of fluoride-enriched groundwater by the rural people since groundwater is the major source of water supply in the Shanmuganadhi River basin. In this work, water–rock interaction diagrams, an entropy-weighted water quality index (EWQI), and health risk models as per the United States Environmental Protection Agency (USEPA) were prepared to understand the geochemical mechanism behind the groundwater chemistry and its role in impacting health. About 72% of these samples are of mixed Ca²⁺–Mg²⁺–Cl⁻ water type, representing a transition from freshwater to brackish water, and 36% of them have fluoride above the permissible limit (>1.5 mg l⁻¹). An evaluation of the hydrogeochemical attributes suggests that silicate weathering, carbonate dissolution and reverse ion exchange mostly control the hydrochemistry of the groundwater. The EWQI characterizes about 30% of these samples as unsuitable for drinking and another 49% as of moderate quality. Human health risks were evaluated by dividing the population into seven different age groups and estimating the hazard quotient (HQ) and total hazard index (THI) from intake and dermal contact with fluoride-rich groundwater. The groundwater of this region poses a higher risk for the younger population compared to the adults. About 79% of these groundwater samples pose a health risk to 5–12 month-old infants and only 36% of the samples could be potentially hazardous for adults >23 years old. Our results suggest that the ADD_dermal pathway indicates less risk compared to the ADD_intake estimations.

This study attempts to establish the effects of subsurface geochemical processes based on the hydrogeochemical attributes of 61 well samples collected in a semi-arid region of South India.

Hydrogeochemical and mixing processes controlling groundwater chemistry in a wastewater irrigated agricultural system of India

In many parts of the world, wastewater irrigation has become a common practice because of freshwater scarcity and to increase resource reuse efficiency. Wastewater irrigation has positive impacts on livelihoods and at the same time, it has adverse impacts related to environmental pollution. Hydrochemical processes and groundwater behaviour need to be analyzed for a thorough understanding of the geochemical evolution in the wastewater irrigated systems. The current study focuses on a micro-watershed in the peri-urban Hyderabad of India, where farmers practice intensive wastewater irrigation. To evaluate the major factors that control groundwater geochemical processes, we analyzed the chemical composition of the wastewater used for irrigation and groundwater samples on a monthly basis for one hydrological year. The groundwater samples were collected in three settings of the watershed: wastewater irrigated area, groundwater irrigated area and upstream peri-urban area. The collected groundwater and wastewater samples were analyzed for major anions, cations and nutrients. We systematically investigated the anthropogenic influences and hydrogeochemical processes such as cation exchange, precipitation and dissolution of minerals using saturated indices, and freshwater-wastewater mixtures at the aquifer interface. Saturation indices of halite, gypsum and fluorite are exhibiting mineral dissolution and calcite and dolomite display mineral precipitation. Overall, the results suggest that the groundwater geochemistry of the watershed is largely controlled by long-term wastewater irrigation, local rainfall patterns and water-rock interactions. The study results can provide the basis for local decision-makers to develop sustainable groundwater management strategies and to control the aquifer pollution influenced by wastewater irrigation.

Earth fissure hazard prediction using machine learning models

Earth fissures are the cracks on the surface of the earth mainly formed in the arid and the semi-arid basins. The excessive withdrawal of groundwater, as well as the other underground natural resources, has been introduced as the significant causing of land subsidence and potentially, the earth fissuring. Fissuring is rapidly turning into the nations' major disasters which are responsible for significant economic, social, and environmental damages with devastating consequences. Modeling the earth fissure hazard is particularly important for identifying the vulnerable groundwater areas for the informed water management, and effectively enforce the groundwater recharge policies toward the sustainable conservation plans to preserve existing groundwater resources. Modeling the formation of earth fissures and ultimately prediction of the hazardous areas has been greatly challenged due to the complexity, and the multidisciplinary involved to predict the earth fissures. This paper aims at proposing novel machine learning models for prediction of earth fissuring hazards. The Simulated annealing feature selection (SAFS) method was applied to identify key features, and the generalized linear model (GLM), multivariate adaptive regression splines (MARS), classification and regression tree (CART), random forest (RF), and support vector machine (SVM) have been used for the first time to build the prediction models. Results indicated that all the models had good accuracy (>86%) and precision (>81%) in the prediction of the earth fissure hazard. The GLM model (as a linear model) had the lowest performance, while the RF model was the best model in the modeling process. Sensitivity analysis indicated that the hazardous class in the study area was mainly related to low elevations with characteristics of high groundwater withdrawal, drop in groundwater level, high well density, high road density, low precipitation, and Quaternary sediments distribution.

Fluoride contamination in groundwater and associated health risks in Karbi Anglong District, Assam, Northeast India

Health hazards due to excess intake of fluoride via groundwater contamination are a major concern worldwide. This study provides a comprehensive report on the human health risks associated with the consumption of groundwater contaminated by fluoride. Several groundwater samples were collected across 8 blocks of Karbi Anglong district of Assam, India. The concentration of fluoride was observed in the range of 0.15-17.13 mg/L. In 4 out of 8 studied blocks, the mean fluoride level exceeded the permissible limit (1.5 mg/L) as prescribed by the World Health Organization. Elevated fluoride levels in some parts of the district may be attributed mainly to dissolution from fluoride-containing minerals in the granitic rocks and regional geological settings. The health risk of fluoride was assessed in terms of hazard quotient (HQ). The HQ was observed in the ranges of 0.06-10.7 (adult) and 0.2-35 (children). Mean HQ values exceeded the safe level (HQ > 1) for children in all blocks, except B-6 and B-8. For adult population, the HQ value was above the safe limits in 13-40% of the sampled locations in different blocks and HQ values were within safe limits in B-6 and B-8. These findings suggest that some sites in the district need serious attention in order to ensure the health safety of local residents.

Evaluation of high fluoride contaminated fractured rock aquifer in South Africa - Geochemical and chemometric approaches

The first systematic study on high fluoride contaminated fractured rock aquifer in South Africa using geochemical and chemometric approach is presented. Groundwater samples were collected from 49 boreholes and analysed for EC, pH, major and minor ions. The groundwater with high fluoride is associated with NaCl water types. The groundwater chemistry is governed by mineral weathering, evaporation and wastewater infiltration. PHREEQC modelling indicates that carbonate mineral saturation is decreasing with increasing salinity due to evaporation whereas fluorite saturation increases with increasing F being one of the prime controlling factors. Silicate minerals namely chalcedony, quartz and talc express saturation and over-saturation while chrysotile and sepiolite are undersaturated in most of the samples. PCA provided four factors and justified the role of mineral weathering, evaporation, ion exchange, longer residence time and anthropogenic impacts on water chemistry. R-mode and Q-mode cluster analysis resulted in four clusters. In cluster 1, (29%) of groundwater is less mineralized due to recent recharge. In cluster 2 (45%), groundwater chemistry is governed by weathering of silicates and fluorite minerals. Cluster 3 (20%) reveals the impact of anthropogenic activities and induced mineral weathering. Cluster 4 shows high EC, TDS, major ions, F and low HCO₃ implying that groundwater is affected by evaporation and longer residence time promoting mineral-water interaction and precipitation of carbonate minerals. More than 50% of the study area is degraded due to fluoride contamination which requires proper remedial actions and further investigations on human health risk due to impact of fluoride contamination in groundwater is recommended.

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.

Assessment of fluoride intake from groundwater and intake reduction from delivering bottled water in Chiang Mai Province, Thailand

Fluoride intake from tap water supplied by fluoride-containing groundwater has been the primary cause of fluorosis among the residents of Buak Khang Subdistrict, Chiang Mai Province, Thailand. To reduce fluoride intake, bottled water treated using reverse-osmosis membranes has been made available by community-owned water treatment plants. This study aimed to assess the resultant reduction in fluoride intake from using bottled water for drinking and cooking. Water consumption surveys were conducted by providing bottled water to 183 individuals from 35 randomly selected households and recording the amount of water consumed for drinking and cooking. The mean drinking water consumption was 1.62-1.88 L/capita/day and the cooking water consumption on weekends (5.06 ± 3.04 L/household/day) was higher than that on weekdays (3.80 ± 1.90 L/household/day). The per capita drinking water consumption exhibited a positive correlation with body weight; however, the low-weight subjects consumed more drinking water per kilogram of body weight than the heavy subjects. Although sex and day of the week did not significantly affect drinking water consumption per capita, girls consumed less water in school possibly due to their group mentality. Drinking water consumption per kilogram of body weight was significantly higher among women, children, and the elderly because these groups generally have low body weights. The fluoride intake from using tap water for drinking and cooking was estimated to be 0.18 ± 0.10 mg/kg-body weight/day and 5.55 ± 3.52 mg/capita/day, respectively, whereas using bottled water for drinking and cooking reduced the fluoride intake to 0.002 ± 0.002 mg/kg-body weight/day and 0.07 ± 0.05 mg/capita/day, respectively. Despite the increased cost, 98% and 90% of the subjects selected bottled water over tap water for drinking and cooking, respectively; thus, bottled water delivery services could be used to mitigate fluoride intake in developing countries.