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Kumar A, Kumar K, Ali M, Raj V, Srivastava A, Kumar M, Niraj PK, Kumar M, Kumar R, Kumar D, Bishwapriya A, Kumar R, Kumar S, Anand G, Kumar S, Sakamoto M, Ghosh AK. Severe Disease Burden and the Mitigation Strategy in the Arsenic-Exposed Population of Kaliprasad Village in Bhagalpur District of Bihar, India. Biol Trace Elem Res 2024; 202:1948-1964. [PMID: 37632687 DOI: 10.1007/s12011-023-03822-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/11/2023] [Accepted: 08/16/2023] [Indexed: 08/28/2023]
Abstract
The present study was carried out in the village Kaliprasad of Bhagalpur district of Bihar to know the arsenic exposure effect in the exposed population. A total of n = 102 households were studied, and their water and biological samples such as urine and hair were collected and analyzed in a graphite furnace atomic absorption spectrophotometer (GF-AAS). The assessment of arsenic-exposed village population reveals that the villagers were suffering from serious health-related problems such as skin manifestations (hyperkeratosis and melanosis in their palm and soles), breathlessness, general body weakness, mental disorders, diabetes, hypertension (raised blood pressure), hormonal imbalance, neurological disorders, and few cancer cases. About 77% of household hand pump water had arsenic level more than the WHO recommended level of 10 µg/L, with highest level of 523 µg/L. Moreover, in 60% individual's urine samples, arsenic concentration was very high with maximum 374 µg/L while in hair 64% individuals had arsenic concentration above the permissible limit with maximum arsenic concentration of 11,398 µg/kg. The hazard quotient (HQ) was also calculated to know the arsenic risk percentage in children as 87.11%, in females as 83.15%, and in males as 82.27% by groundwater. This has surpassed the threshold value of 1 × 10 - 6 for carcinogenic risk (CR) in children, female, and male population group in the village. Hence, the exposed population of Kaliprasad village are at very high risk of the disease burden.
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Affiliation(s)
- Arun Kumar
- Mahavir Cancer Sansthan and Research Centre, Patna, Bihar, 801505, India.
| | - Kanhaiya Kumar
- Mahavir Cancer Sansthan and Research Centre, Patna, Bihar, 801505, India
| | - Mohammad Ali
- Mahavir Cancer Sansthan and Research Centre, Patna, Bihar, 801505, India
| | - Vivek Raj
- Patna Women's College, Patna, Bihar, India
| | - Abhinav Srivastava
- Mahavir Cancer Sansthan and Research Centre, Patna, Bihar, 801505, India
| | | | - Pintoo Kumar Niraj
- Mahavir Cancer Sansthan and Research Centre, Patna, Bihar, 801505, India
| | - Mukesh Kumar
- Mahavir Cancer Sansthan and Research Centre, Patna, Bihar, 801505, India
| | - Rishav Kumar
- Mahavir Cancer Sansthan and Research Centre, Patna, Bihar, 801505, India
| | - Dhruv Kumar
- UPES University, Dehradun, Uttarakhand, India
| | | | - Ranjit Kumar
- Central University of Himachal Pradesh, Kangra, Himachal Pradesh, India
| | - Suresh Kumar
- Sido Kanhu Murmu University, Dumka, Jharkhand, India
| | | | | | | | - Ashok Kumar Ghosh
- Mahavir Cancer Sansthan and Research Centre, Patna, Bihar, 801505, India
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Kumar A, Rahman MS, Ali M, Salaun P, Gourain A, Kumar S, Kumar R, Niraj PK, Kumar M, Kumar D, Bishwapriya A, Singh S, Murti K, Dhingra S, Sakamoto M, Ghosh AK. Assessment of disease burden in the arsenic exposed population of Chapar village of Samastipur district, Bihar, India, and related mitigation initiative. Environ Sci Pollut Res Int 2022; 29:27443-27459. [PMID: 34982385 DOI: 10.1007/s11356-021-18207-6] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/02/2021] [Accepted: 12/14/2021] [Indexed: 06/14/2023]
Abstract
Fast growing arsenic menace is causing serious health hazards in Bihar, India, with an estimated 10 million people at risk. The exposed population is often unaware of the problem, which only amplifies the burden of arsenic health effects. In the present study, we have assessed the current situation of arsenic exposure in Chapar village of Samastipur district, Bihar. The health of the inhabitants was assessed and correlated with (1) arsenic concentrations in the groundwater of individual wells and (2) arsenic concentration found in their hair and urine. Altogether, 113 inhabitants were assessed, and 113 hair, urine and groundwater samples were collected. The health study reveals that the exposure to arsenic has caused serious health hazard amongst the exposed population with pronounced skin manifestations, loss of appetite, anaemia, constipation, diarrhoea, general body weakness, raised blood pressure, breathlessness, diabetes, mental disabilities, diabetes, lumps in the body and few cancer incidences. It was found that 52% of the total collected groundwater samples had arsenic levels higher than the WHO limit of 10 µg/l (with a maximum arsenic concentration of 1212 µg/l) and the reduced arsenite was the predominant form in samples tested for speciation (N = 19). In the case of hair samples, 29% of the samples had arsenic concentrations higher than the permissible limit of 0.2 mg/kg, with a maximum arsenic concentration of 46 µg/l, while in 20% exposed population, there was significant arsenic contamination in urine samples > 50 µg/l. In Chapar village, the probability of carcinogenic-related risk in the exposed population consuming arsenic contaminated water is 100% for children, 99.1% for females and 97.3% for male subjects. The assessment report shared to the government enabled the village population to receive two arsenic filter units. These units are currently operational and catering 250 households providing arsenic-free water through piped water scheme. This study therefore identified a significant solution for this arsenic-exposed population.
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Affiliation(s)
- Arun Kumar
- Mahavir Cancer Sansthan and Research Centre, Phulwarisharif, Patna, 801505, Bihar, India.
| | - Md Samiur Rahman
- Mahavir Cancer Sansthan and Research Centre, Phulwarisharif, Patna, 801505, Bihar, India
| | - Mohammad Ali
- Mahavir Cancer Sansthan and Research Centre, Phulwarisharif, Patna, 801505, Bihar, India
| | | | | | | | - Ranjit Kumar
- Central University of Himachal Pradesh, Kangra, HP, India
| | - Pintoo Kumar Niraj
- Mahavir Cancer Sansthan and Research Centre, Phulwarisharif, Patna, 801505, Bihar, India
| | - Mukesh Kumar
- Mahavir Cancer Sansthan and Research Centre, Phulwarisharif, Patna, 801505, Bihar, India
| | - Dhruv Kumar
- Amity Institute of Molecular Medicine & Stem Cell Research (AIMMSCR), Amity University Uttar Pradesh, Noida, India
| | | | | | - Krishna Murti
- National Institute of Pharmaceutical Education and Research (NIPER), Hajipur, Bihar, India
| | - Sameer Dhingra
- National Institute of Pharmaceutical Education and Research (NIPER), Hajipur, Bihar, India
| | | | - Ashok Kumar Ghosh
- Mahavir Cancer Sansthan and Research Centre, Phulwarisharif, Patna, 801505, Bihar, India
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Kumar A, Kumar R, Rahman MS, Ali M, Kumar R, Nupur N, Gaurav A, Raj V, Anand G, Niraj PK, Kumar N, Srivastava A, Biswapriya A, Chand GB, Kumar D, Rashmi T, Kumar S, Sakamoto M, Ghosh AK. Assessment of arsenic exposure in the population of Sabalpur village of Saran District of Bihar with mitigation approach. Environ Sci Pollut Res Int 2021; 28:43923-43934. [PMID: 33840036 DOI: 10.1007/s11356-021-13521-5] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/22/2021] [Accepted: 03/15/2021] [Indexed: 06/12/2023]
Abstract
Arsenic poisoning through groundwater is the world's greatest normal groundwater catastrophe which got an immense effect on worldwide general wellbeing. India is confronting the outcomes of arsenic poisoning in the zone of Ganga Brahmaputra alluvial plains. In Bihar, out of 38 districts, 18 districts are exceptionally influenced with groundwater arsenic defilement. In the present study, we have assessed the current situation of arsenic exposure in Sabalpur village of Saran district of Bihar after reporting of breast, renal, skin and thyroid cancer cases from this village along with typical symptoms of arsenicosis. Such cancer patients were identified at our institute and were taken for the study. The present investigation deals with the quantification of arsenic in groundwater, hair and nail samples of subjects as well as the survey of entire village to know the overall health status of the village people. A total of n=128 household handpump water samples as well as n=128 human hair and nail samples were collected from over n=520 households. Using the graphite furnace atomic absorption spectrophotometer (GF-AAS), all the samples were analysed. The investigation resulted that the 61% of the analysed samples particularly the groundwater had the arsenic levels more than the permissible limit of WHO (> 10 μg/L) with 244.20 μg/L as the highest arsenic contamination in one of the handpump water sample. The exposure effect of hair sample was worst as 88% of all the collected samples were having high arsenic levels more than the permissible limit (> 0.2 mg/Kg). In case of nail samples, 92% of the samples were having high arsenic concentration more than the permissible limit (> 0.5 mg/Kg). The health survey study revealed high magnitude of disease burden in the exposed population with symptoms such as asthma, anaemia, hepatomegaly, diabetes, cardiac problem, skin fungal infections, breathlessness and mental disability. Few cancer cases of renal, skin, breast and cervix were also found among the exposed population of this village. The percentage of cancer cases in this village was 0.94% that was low, but it would be an aggravated situation in the near future if people will continue drinking arsenic-contaminated water. Therefore, a mitigation intervention was carried out in March 2020 by installing an arsenic filter plant. The health situation in the village in the present scenario is hope to improve in the coming years. However, motivation and awareness among the village population are still required.
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Affiliation(s)
- Arun Kumar
- Mahavir Cancer Sansthan and Research Centre, Phulwarisharif, Patna, Bihar, 801505, India.
| | - Rishav Kumar
- Mahavir Cancer Sansthan and Research Centre, Phulwarisharif, Patna, Bihar, 801505, India
| | - Md Samiur Rahman
- Department of Biotechnology, Anugrah Narayan College, Patna, Bihar, India
| | - Mohammad Ali
- Mahavir Cancer Sansthan and Research Centre, Phulwarisharif, Patna, Bihar, 801505, India
| | - Ranjit Kumar
- Department of Animal Sciences, Central University of Himachal Pradesh, Pradesh, India
| | - Neha Nupur
- Mahavir Cancer Sansthan and Research Centre, Phulwarisharif, Patna, Bihar, 801505, India
| | - Aman Gaurav
- Mahavir Cancer Sansthan and Research Centre, Phulwarisharif, Patna, Bihar, 801505, India
| | - Vikram Raj
- Mahavir Cancer Sansthan and Research Centre, Phulwarisharif, Patna, Bihar, 801505, India
| | - Gautam Anand
- Mahavir Cancer Sansthan and Research Centre, Phulwarisharif, Patna, Bihar, 801505, India
| | - Pintoo Kumar Niraj
- Mahavir Cancer Sansthan and Research Centre, Phulwarisharif, Patna, Bihar, 801505, India
| | - Nirmal Kumar
- Mahavir Cancer Sansthan and Research Centre, Phulwarisharif, Patna, Bihar, 801505, India
| | - Abhinav Srivastava
- Mahavir Cancer Sansthan and Research Centre, Phulwarisharif, Patna, Bihar, 801505, India
| | | | | | - Dhruv Kumar
- Department of Biotechnology, Amity University, Noida, Uttar Pradesh, India
| | - Tuhin Rashmi
- Department of Biotechnology, Amity University, Noida, Uttar Pradesh, India
| | - Santosh Kumar
- Department of Applied Geoscience and Engineering, Delft University of Technology|, Delft, The Netherlands
| | - Maiko Sakamoto
- Department of International Studies, Graduate School of Frontier Sciences, The University of Tokyo, 5-1-5 Kashiwanoha, Kashiwa, Chiba, 2778563, Japan
| | - Ashok Kumar Ghosh
- Mahavir Cancer Sansthan and Research Centre, Phulwarisharif, Patna, Bihar, 801505, India
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Kumar A, Ali M, Kumar R, Kumar M, Sagar P, Pandey RK, Akhouri V, Kumar V, Anand G, Niraj PK, Rani R, Kumar S, Kumar D, Bishwapriya A, Ghosh AK. Arsenic exposure in Indo Gangetic plains of Bihar causing increased cancer risk. Sci Rep 2021; 11:2376. [PMID: 33504854 PMCID: PMC7841152 DOI: 10.1038/s41598-021-81579-9] [Citation(s) in RCA: 23] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2020] [Accepted: 12/21/2020] [Indexed: 01/30/2023] Open
Abstract
Reportedly, 300 million people worldwide are affected by the consumption of arsenic contaminated groundwater. India prominently figures amongst them and the state of Bihar has shown an upsurge in cases affected by arsenic poisoning. Escalated arsenic content in blood, leaves 1 in every 100 human being highly vulnerable to being affected by the disease. Uncontrolled intake may lead to skin, kidney, liver, bladder, or lung related cancer but even indirect forms of cancer are showing up on a regular basis with abnormal arsenic levels as the probable cause. But despite the apparent relation, the etiology has not been understood clearly. Blood samples of 2000 confirmed cancer patients were collected from pathology department of our institute. For cross-sectional design, 200 blood samples of subjects free from cancer from arsenic free pockets of Patna urban agglomeration, were collected. Blood arsenic levels in carcinoma patients as compared to sarcomas, lymphomas and leukemia were found to be higher. The geospatial map correlates the blood arsenic with cancer types and the demographic area of Gangetic plains. Most of the cancer patients with high blood arsenic concentration were from the districts near the river Ganges. The raised blood arsenic concentration in the 2000 cancer patients strongly correlates the relationship of arsenic with cancer especially the carcinoma type which is more vulnerable. The average arsenic concentration in blood of the cancer patients in the Gangetic plains denotes the significant role of arsenic which is present in endemic proportions. Thus, the study significantly correlates and advocates a strong relation of the deleterious element with the disease. It also underlines the need to address the problem by deciphering the root cause of the elevated cancer incidences in the Gangetic basin of Bihar and its association with arsenic poisoning.
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Affiliation(s)
- Arun Kumar
- Mahavir Cancer Sansthan and Research Centre, Patna, Bihar, 801505, India.
| | - Mohammad Ali
- Mahavir Cancer Sansthan and Research Centre, Patna, Bihar, 801505, India
| | - Ranjit Kumar
- Department of Animal Sciences, Central University of Himachal Pradesh, Kangra, Himachal Pradesh, India
| | - Mukesh Kumar
- Mahavir Cancer Sansthan and Research Centre, Patna, Bihar, 801505, India
| | - Prity Sagar
- Mahavir Cancer Sansthan and Research Centre, Patna, Bihar, 801505, India
| | - Ritu Kumari Pandey
- Mahavir Cancer Sansthan and Research Centre, Patna, Bihar, 801505, India
| | - Vivek Akhouri
- Mahavir Cancer Sansthan and Research Centre, Patna, Bihar, 801505, India
| | - Vikas Kumar
- Mahavir Cancer Sansthan and Research Centre, Patna, Bihar, 801505, India
| | - Gautam Anand
- Mahavir Cancer Sansthan and Research Centre, Patna, Bihar, 801505, India
| | - Pintoo Kumar Niraj
- Mahavir Cancer Sansthan and Research Centre, Patna, Bihar, 801505, India
| | - Rita Rani
- Mahavir Cancer Sansthan and Research Centre, Patna, Bihar, 801505, India
| | - Santosh Kumar
- Department of Applied Geoscience and Engineering, Delft University of Technology, Delft, The Netherlands
| | - Dhruv Kumar
- Amity Institute of Molecular Medicine and Stem Cell Research, Amity University Uttar Pradesh, Noida, India
| | | | - Ashok Kumar Ghosh
- Mahavir Cancer Sansthan and Research Centre, Patna, Bihar, 801505, India
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Kumar A, Rahman MS, Iqubal MA, Ali M, Niraj PK, Anand G, Kumar P, Abhinav, Ghosh AK. Ground Water Arsenic Contamination: A Local Survey in India. Int J Prev Med 2016; 7:100. [PMID: 27625765 PMCID: PMC4995846 DOI: 10.4103/2008-7802.188085] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2014] [Accepted: 07/13/2016] [Indexed: 11/04/2022] Open
Abstract
BACKGROUND In the present times, arsenic poisoning contamination in the ground water has caused lots of health-related problems in the village population residing in middle Gangetic plain. In Bihar, about 16 districts have been reported to be affected with arsenic poisoning. For the ground water and health assessment, Simri village of Buxar district was undertaken which is a flood plain region of river Ganga. METHODS In this study, 322 water samples were collected for arsenic estimation, and their results were analyzed. Furthermore, the correlation between arsenic contamination in ground water with depth and its distance from river Ganga were analyzed. Results are presented as mean ± standard deviation and total variation present in a set of data was analyzed through one-way analysis of variance. The difference among mean values has been analyzed by applying Dunnett's test. The criterion for statistical significance was set at P < 0.05. RESULTS This study shows novel findings ever done in this area. Halwa Patti and Doodhi Patti strips were the most affected strips with high-arsenic concentration in hand pumps. Furthermore, a correlation between the arsenic concentration with the depth of the hand pumps and the distance from the river Ganga was also a significant study. CONCLUSIONS The present study concludes that in Simri village there is high contamination of arsenic in ground water in all the strips. Such a huge population is at very high risk leading the village on the verge of causing health hazards among them. Therefore, an immediate strategy is required to combat the present problem.
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Affiliation(s)
- Arun Kumar
- Mahavir Cancer Institute and Research Centre, Phulwarisharif, Patna, Bihar, India
| | - Md Samiur Rahman
- Mahavir Cancer Institute and Research Centre, Phulwarisharif, Patna, Bihar, India
| | - Md Asif Iqubal
- Mahavir Cancer Institute and Research Centre, Phulwarisharif, Patna, Bihar, India
| | - Mohammad Ali
- Mahavir Cancer Institute and Research Centre, Phulwarisharif, Patna, Bihar, India
| | - Pintoo Kumar Niraj
- Mahavir Cancer Institute and Research Centre, Phulwarisharif, Patna, Bihar, India
| | - Gautam Anand
- Mahavir Cancer Institute and Research Centre, Phulwarisharif, Patna, Bihar, India
| | - Prabhat Kumar
- Mahavir Cancer Institute and Research Centre, Phulwarisharif, Patna, Bihar, India
| | - Abhinav
- Mahavir Cancer Institute and Research Centre, Phulwarisharif, Patna, Bihar, India
| | - Ashok Kumar Ghosh
- Mahavir Cancer Institute and Research Centre, Phulwarisharif, Patna, Bihar, India
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Kumar A, Kumar R, Rahman MS, Iqubal MA, Anand G, Niraj PK, Ali M. Phytoremedial effect of Withania somnifera against arsenic-induced testicular toxicity in Charles Foster rats. Avicenna J Phytomed 2015; 5:355-64. [PMID: 26445714 PMCID: PMC4587609] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
OBJECTIVE The main objective of the current study was to observe the ameliorative effect of Withania somnifera on arsenic-induced testicular toxicity by exploring the crucial parameters such as sperm counts, sperm motility, hormonal assay and lipid peroxidation including histopathology. MATERIALS AND METHODS In the present study, arsenic in the form of sodium arsenite was administered orally to male Charles Foster rats for 45 days. Thereafter, ethanolic root extract of Withania somnifera was administered for 30 days to observe its ameliorative effect on male reproductive system. RESULTS The study revealed that after administration of sodium arsenite, there was a decrease in the sperm counts and sperm motility accompanied by an increased incidence of sperm abnormalities and hormonal imbalance leading to infertility. However, after administration of Withania somnifera, there was significant reversal in the parameters denoting that it not only possesses antioxidant and rejuvenating property but also maintains the cellular integrity of testicular cells leading to normal functioning of it. CONCLUSION The study concludes that Withania somnifera possesses phytoremedial effect. It is one of the best antidotes against arsenic-induced reproductive toxicity.
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Affiliation(s)
- Arun Kumar
- Mahavir Cancer Institute & Research Centre, Patna, Bihar, India,Corresponding Author: Tel: +91-9334740800, Fax: +91-612-2253957,
| | - Ranjit Kumar
- Mahavir Cancer Institute & Research Centre, Patna, Bihar, India
| | | | | | - Gautam Anand
- Mahavir Cancer Institute & Research Centre, Patna, Bihar, India
| | | | - Mohammad Ali
- Mahavir Cancer Institute & Research Centre, Patna, Bihar, India
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