Co-occurrence, possible origin, and health-risk assessment of arsenic and fluoride in drinking water sources in Mexico: Geographical data visualization

Organochlorine pesticide residues and urinary arsenic and fluoride levels in mothers and their newborns who are residents of rural areas in Durango State, Mexico

Maternal and prenatal exposure to organochlorine pesticides (OCP), arsenic (As), and fluoride (F-) is a critical public health concern. The present study assessed serum OCP residues and urinary As and F- levels in mother and newborn pairs who are residents of rural areas of Durango State, Mexico, from August 2018 to February 2019. Levels of OCP, As, and F- were measured in serum and urine samples by Gas chromatography - Tandem mass spectrometry (GC - MS/MS), Hydride generation - Atomic fluorescent spectrometry (HG-AFS, and ion-selective electron analysis (ISE), respectively, in 60 binomial mothers - newborns. Dieldrin, endrin aldehyde, and endosulfan-II were significantly higher in newborns than in mothers (p ˂0.05). Meanwhile, no significant differences were observed for As and F- concentrations between mother - newborn pairs. Differences were observed in ∑Dienes and ∑DDTs comparing newborns with normal and low birth weights and a positive relationship in ƩDienes, ƩChlordanes, and ƩDDTs between mother and newborn pairs (p ˂ 0.05). These findings highlight the importance of extensive research regarding the influence of pollution.

Assessing nonpoint source pollution risk in watersheds using a water-functioning zone approach

A thorough understanding of the geographical and spatial attributes of nonpoint source pollution risk in watersheds is crucial for conducting nonpoint source pollutant studies and implementing effective scientific administration strategies. The inclusion of a water-related functioning zone was considered during the nonpoint source's pollution risks assessment procedure. Nevertheless, there has not been a thorough investigation into the potential risk of nonpoint sources of pollution to adequately safeguard the quality of water in watersheds having varying capacities to handle contaminants in the water. This research presents an innovative approach for assessing the risk of nonpoint sources contamination. This allows for a quantitative evaluation of the effect of discharges of pollution from a sub-catchment on the quality of water bodies nearby. The nonpoint source losses of nutrients process, as modeled by the Water and Soil Assessment Tool, had been used to assess the hazard of nonpoint source contamination in Le 'a River Watersheds. This assessment happened on both yearly and monthly scales. The findings indicated that the risk of nonpoint source contamination exhibits both seasonal and regional variations and is significantly impacted by the ability of the fluid ecosystem. Elevated nonpoint sources pollutants do not always equate to elevated pollutant dangers. On the other hand, a small amount of nutrients in the nonpoint sources does not indicate an insignificant degree of susceptibility to region risk. Furthermore, by utilizing a risk assessment method that considers the capacity of the water's environment, it is possible to identify variations in risk levels that may be overlooked when solely considering nonpoint sources contaminant losses, and fluid functioning zone. This approach allows for precise regulation of nonpoint sources of pollution administration.

Arsenic and fluoride in groundwater triggering a high risk: Probabilistic results using Monte Carlo simulation and species sensitivity distribution

The widespread presence of arsenic (As) and fluoride (F-) in groundwater poses substantial risks to human health on a global scale. These elements have been identified as the most prevalent geogenic contaminants in groundwater in northern Mexico. Consequently, this study aimed to evaluate the human health and ecological risks associated with the content of As and F- in the Meoqui-Delicias aquifer, which is in one of Mexico's most emblematic irrigation districts. Concentrations of As and F- were measured in 38 groundwater samples using ICP-MS and ion chromatography, respectively. Overall, these elements showed a similar trend across the aquifer, revealing a positive correlation between them and pH. The concentration of As and F- in the groundwater ranged from 5.3 μg/L to 303 μg/L and from 0.5 mg/L to 8.8 mg/L, respectively. Additionally, the levels of As and F- surpassed the established national standards for safe drinking water in 92% and 97% of samples, respectively. Given that groundwater is used for both agricultural purposes and human activities, this study also assessed the associated human health and ecological risks posed by these elements using Monte Carlo simulation and Species Sensitivity Distribution. The findings disclosed a significant noncarcinogenic health risk associated with exposure to As and F-, as well as an unacceptable carcinogenic health risk to As through water consumption for both adults and children. Furthermore, a high ecological risk to aquatic species was identified for F- and high to medium risks for As in the sampling sites. Therefore, the findings in this study provide valuable information for Mexican authorities and international organizations (e.g., WHO) about the adverse effects that any exposure without treatment to groundwater from this region represents for human health.

Association between fluoride intake from drinking water and severity of dental fluorosis in Northern and Western Mexico: systematic review and meta-analysis

BACKGROUND

Dental fluorosis (DF) is caused by excessive exposure to fluoride during odontogenesis and leads to various changes in the development of tooth enamel. Some regions in Mexico are considered endemic fluorosis zones due to the high fluoride content in drinking water. The objective of this study was to perform a systematic review and meta-analysis to identify the association between the concentration of fluoride in drinking water and the severity of dental fluorosis in northern and western Mexico.

METHODS

This protocol was registered in the PROSPERO database (ID: CRD42023401519). The search for information was carried out in the PubMed/Medline, Scopus, SpringerLink, and Google Scholar databases between January 2015 and October 2023. The overall relative risk was calculated using the inverse of variance approach with the random effects method. The RoB 2.0 tool was used to construct risk plots.

RESULTS

Eleven articles were analyzed qualitatively, and most of the included studies presented at least one level of DF severity; six articles were analyzed quantitatively, dividing them into two regions. In North region it was observed a higher prevalence of severe TF cases, corresponding to ≥ TF 5 category (4.78) [3.55, 6.42]. In the West region, most of the included studies presented a higher prevalence of less severe cases, corresponding to ≤ TF 4, in comparison with the North region (0.01) [0.00, 0.52], interpreted as a protective effect.

CONCLUSION

The concentrations of fluorides in drinking water are reportedly high in these regions and are directly related to the severity of dental fluorosis experienced by the inhabitants. In the Northern region exists a major concentration of fluoride in drinking water compared with the Western region as well as a prevalence of higher severity cases of dental fluorosis.

Progress in research on the role of fluoride in immune damage

Excessive fluoride intake from residential environments may affect multiple tissues and organs; however, the specific pathogenic mechanisms are unclear. Researchers have recently focused on the damaging effects of fluoride on the immune system. Damage to immune function seriously affects the quality of life of fluoride-exposed populations and increases the incidence of infections and malignant tumors. Probing the mechanism of damage to immune function caused by fluoride helps identify effective drugs and methods to prevent and treat fluorosis and improve people's living standards in fluorosis-affected areas. Here, the recent literature on the effects of fluoride on the immune system is reviewed, and research on fluoride damage to the immune system is summarized in terms of three perspectives: immune organs, immune cells, and immune-active substances. We reviewed that excessive fluoride can damage immune organs, lead to immune cells dysfunction and interfere with the expression of immune-active substances. This review aimed to provide a potential direction for future fluorosis research from the perspective of fluoride-induced immune function impairment. In order to seek the key regulatory indicators of fluoride on immune homeostasis in the future.

Enhanced arsenic removal by graphene oxide chitosan composites through FeOx decoration: Influences and mechanism

Iron decoration has been recognized as one of the most important paths to enhance contaminant adsorption by carbon-based composites. In this study, varying amounts of Fe (II) are used for the modification of graphene oxide chitosan (GOCS) materials to assess the impact of iron oxide (FeOx) morphology on the composites and their efficiency in arsenic (As) removal. Results show that incorporating 0.08 mol Fe(II) into GOCS yields better As removal performance, leading to a remarkable enhancement by 5 times for As(V) and 6 times for As(III). The iron minerals in the material consist of goethite (FeO(OH)) and magnetite (Fe3O4), with FeO(OH) playing a predominant role in As removal through the complexation and electrostatic attraction of -OH and Fe - O groups. The adsorption capacity for As (Qe) decreases with the increasing pH and the mass and volume ratio (m/v) but increases with the increasing initial concentration (C0). Besides, the presence of SO42- and HPO42- can significantly reduce As removal by the FeOx-modified GOCS. Under the conditions of pH = 3, m/v = 1.0 g/L, and C0 = 10 mg/L, a maximum Qe value reaches 61.94 mg/g. The adsorption is well-fitted to a pseudo-second-order kinetic model and is an endothermic, spontaneous, and monolayer adsorption process.

Arsenic and fluoride exposure in drinking water caused human health risk in coastal groundwater aquifers

Groundwater (GW) is a precious resource for human beings as we depend on it as a source of fresh drinking water, agricultural practices, industrial and domestic uses, etc. Extreme exposure of arsenic (As) and fluoride (F-) concentrations along the coastal GW aquifers of "South 24 Parganas and East Medinipur" diluted the quality of GW and created serious health issues. Various chronic health disorders such as - black foot disease, fluorosis skin cancer, cardiac problems, and other water borne diseases have been noticed in these two coastal districts. The comprehensive entropy-weighted water quality index (EWQI) and health risk assessment (HRA) were applied to evaluate the quality of GW and probable health risks in the coastal districts. Monte Carlo simulation and sensitivity analysis methods were simultaneously adopted to identify the non-carcinogenic health risk assessment due to regular ingestion of contaminated GW. As the study region is densely populated and part of the Sundarbans Ramsar site, it has greater importance at the international level along with regional importance to address the GWQ of this region. The major findings of the present study highlight that almost 55% of the study area is confronting serious GW quality issues and associated probable health risk (HR) due to the intense accumulation of As and F- in the GW aquifers of the study area. Children's health is more vulnerable due to the consumption of As containing GW, and adults are highly affected due to the intake of F- bearing GW in the coastal districts. The findings of the current study will draw the attention of hydrologists, groundwater management authorities, government bodies, and NGOs to regulate and monitor the GW aquifers routinely, enhance GW quality, minimizing the health hazards and sustainable water management in a more scientific and sustainable way which must be advantageous for coastal people.

Effect of Arsenic on Fluoride Tolerance in Microbacterium paraoxydans Strain IR-1

Fluoride (F) and arsenic (As) are two major contaminants of water and soil systems around the globe, causing potential toxicity to humans, plants, animals, and microbes. These contaminated soil systems can be restored by microorganisms that can tolerate toxic stress and provide rapid mineralization of soil, organic matter, and contaminants, using various tolerance mechanisms. Thus, the present study was undertaken with the arsenic hyper-tolerant bacterium Microbacterium paraoxydans strain IR-1 to determine its tolerance and toxicity to increasing doses of fluoride, either individually or in combination with arsenic, in terms of growth inhibition using a toxicity unit model. The minimum inhibitory concentration (MIC)and half maximal inhibitory concentration (IC50) values for fluoride increased, from 9 g/L to 11 g/L and from 5.91 ± 0.1 g/L to 6.32 ± 0.028 g/L, respectively, in the combination (F + As) group. The statistical comparison of observed and expected additive toxicities, with respect to toxicity unit (TU difference), using Student's t-test, was found to be highly significant (p < 0.001). This suggests the antagonistic effect of arsenic on fluoride toxicity to the strain IR-1. The unique stress tolerance of IR-1 ensures its survival as well as preponderance in fluoride and arsenic co-contaminated sites, thus paving the way for its possible application in the natural or artificial remediation of toxicant-exposed degraded soil systems.

Fixed-bed column adsorption modeling using Zr biocomposites for fluoride removal

This research involved conducting continuous adsorption experiments to assess fluoride elimination from drinking water achieved by utilizing biocomposites created from the peels of oranges and apples, which were impregnated with zirconium (Zr), to form BOP-Zr and BAP-Zr, respectively. The findings from the experimental data indicate that BOP-Zr and BAP-Zr are effective biosorbents with a solid ability to remove fluoride selectively. Additionally, these biosorbents were found to be stable, as they do not release Zr into the treated water. Notably, these environmentally friendly biosorbents are derived from renewable sources and enhance the value of waste materials. The study employed various empirical models, including Bohart-Adamas, Thomas, Yoon-Nelson, BDST, Clark, Yan, and Woolborska, to elucidate the mechanisms and crucial parameters involved in fluoride adsorption within packed bed columns. The Yan model demonstrated the highest correlation among these models, indicating a chemical adsorption process with kinetics following a pseudo-second-order pattern. BOP-Zr and BAP-Zr exhibited a maximum adsorption capacity of 59.3 and 47.5 mg/g, respectively, under a flow rate of 4 mL/min and an inlet fluoride concentration of 25 mg/L. The analysis of mass transfer coefficients revealed that the primary step governing the adsorption procedure was diffusion through pores. Consequently, the study conclusively establishes that BOP-Zr and BAP-Zr biocomposites, originating from lignocellulosic biomass remains, present a practical and competitive choice for eliminating fluoride from water. These materials surpass waste materials in performance and rival more expensive options in efficiency and performance.

Distribution, sources, and potential health risks of fluoride, total iodine, and nitrate in rural drinking water sources of North and East China

Small-scale water sources serving villages and towns are the main source of drinking water in rural areas. Compared to centralized water sources, rural water sources are less frequently monitored for water quality and have poor post-treatment facilities, making them vulnerable to drinking health risks. To reveal the hydrochemical characteristics, contaminant sources, and health risks in rural water sources, 189 water samples were collected from lakes and reservoirs, rivers, and groundwater in North and East China for major ions, nutrient salts, microelements, and stable isotope analysis. Statistical analysis and isotopic tracing were performed, as well as human health risk assessment. The exceeding threshold rates for fluoride (F-) and nitrate (NO3-) in surface water were 1.8 % and 9.1 %, respectively. For groundwater, the exceeding threshold rates were 20.9 % for F-, 15.7 % for total iodine (TI), and 4.5 % for NO3-. F- and TI were mainly derived from the leaching of fluoride- and iodine-containing minerals by cationic exchange, and NO3- is mainly derived from nitrogen in the soil (31.7-43.9 %), the use of ammonia fertilizers (24.3-36.1 %), and the discharge of manure and sewage (19.4-31.9 %). Nitrogen in the soil can be an important source of nitrate in the aquatic environment, and soils with higher clay content have a greater retention effect on the migration of nitrogen pollutants from the surface to the groundwater. F- in water sources contributes most to human health risks for drinking, followed by NO3- and TI, and a higher proportion of groundwater (37 %) present health risks for drinking than surface water (14 %) for children. Authorities should give high priority to optimizing the choice of water sources and technology for water treatment, and rational measures should be taken to protect water sources from the threats of anthropogenic pollution.

Isotope hydrology tools in the assessment of arsenic contamination in groundwater: An overview

Groundwater is important for the survival of humanity and the demand for the same is drastically increasing globally. The precious water resources are under constant threat, either as a result of natural processes or due to the influence of the anthropogenic activities. Arsenic contamination of groundwater is one of those threats that have affected approximately over 500 million people in 107 countries globally. Although, many studies (∼1000 Nos.) have been carried out on arsenic hydrogeobiochemistry, only a few have reported, on the use of different isotopes in understanding the arsenic hydrochemistry, and its release mechanism and mobilization. Determination of the isotopic composition of a groundwater sample and its dissolved compounds enable a better insight into the hydrological processes that control the distribution and migration of arsenic in the subsurface hydrological system. The environmental isotopes of water molecules (δ18O and δ2H) have been widely used to assess the groundwater origin, its recharge mechanisms, the rock-water interactions and quality. The stable isotopes of dissolved compounds of water (δ34S, δ15N, δ13C, δ56Fe etc.) give better information on the reaction processes within these elements and thus act as a tracer for contaminants, while the radioactive isotopes, such as 14C, 3H, 81Kr, 36Cl, 39Ar etc., can be used to assess the residence time of groundwater and its renewability. This article reviews the different uses of environmental isotopes as tools for providing critical information on various hydrological processes in the arsenic contaminated regions that can't be obtained through conventional tools for better management of the groundwater resources.

Fluoride-induced osteoporosis via interfering with the RANKL/RANK/OPG pathway in ovariectomized rats: Oophorectomy shifted skeletal fluorosis from osteosclerosis to osteoporosis

Osteosclerosis and osteoporosis are the two main clinical manifestations of skeletal fluorosis. However, the reasons for the different clinical manifestations are unclear. In this study, we established the fluoride (F) -exposed ovariectomized (OVX) and non-OVX rat models to assess the potential role of ovarian function loss in osteosclerosis and osteoporosis. Micro-CT scanning showed that excessive F significantly induced a high bone mass in non-OVX rats. In contrast, a low bone mass manifestation was presented in OVX F-exposed rats. Also, a prominent feature of increasing trabecular connectivity, collagen area, growth plate thickness, and reduced trabecular space was found by histopathological morphology in non-OVX F-exposed rats; an opposite result was observed in OVX F-exposed. These alterations indicated ovariectomy was a vital factor leading to osteosclerosis or osteoporosis in skeletal fluorosis. Furthermore, levels of bone alkaline phosphatase (BALP) and tartrate-resistant acid phosphatase (TRAP) increased, combined with the increasing osteoclasts number, showing a sign of high bone turnover in both OVX and non-OVX F-exposed rats. Mechanistically, oophorectomy considerably activated the RANKL/RANK/OPG signaling pathway. Meanwhile, it was discovered that upregulated NF-κB positively facilitated the accumulation of nuclear factor of activated T-cells 1 (NFATC1), significantly promoting osteoclast differentiation. To sum up, this study greatly enriched the causes of clinical skeletal fluorosis and provided a new perspective for studying the pathogenesis of skeletal fluorosis.

Evaluation of water from Lake Coatetelco in central-south Mexico and surrounding groundwater wells for drinking and irrigation, and the possible health risks

Due to an increasing reduction of hydrological resources across Mexico and their growing contamination from global warming and anthropogenic activities, this study evaluated water from the perennial Lake Coatetelco (Ca-Mg-HCO3) in tropical central-southern Mexico and groundwater (Ca-Mg-HCO3 and Na-HCO3-Cl) from the surrounding wells for drinking as well as irrigation qualities. Comparison with the WHO guidelines and the estimated water quality indices (DWQI and IWQI) grouped almost all the samples collected after the warm season rainfall in excellent and good categories (DWQI < 100) for drinking, even though fluoride remained > 1.5 mg/L in 50% samples. Except for one groundwater sample, all showed > 25% permeability (classes I and II) in Donnen classification indicating their suitability for irrigation. USSL and Wilcox classifications, however, catalogued some in the high-salinity hazard group and some as doubtful for irrigating regular plants. Samples from about 53% wells were also in high and severe restriction categories of IWQI for the irrigation. Total Hazard Quotient Index (THQI) for estimating the non-carcinogenic risk (HQfluoride > 1) showed that at least one lake water sample and 53% of groundwater might expose the adult and child population to dental and skeletal fluorosis. This water quality assessment data posterior to the rainfall season could be useful as a baseline for both the short- and long-term monitoring in attention to the United Nation's Sustainable Development Goal 6.

Transfer of Bisphenol A and Trace Metals from Plastic Packaging to Mineral Water in Ouagadougou, Burkina Faso

The consumption of packaged water is growing rapidly in both urban and rural centres in Burkina Faso. Bisphenol A (BPA) and trace metals are among the compounds used in the manufacture of plastic packaging, and their presence in water can pose a health risk to consumers due to their alleged toxicity. Therefore, this study explores the transfer of these compounds from plastic packaging to mineral water in Sudano-Sahelian climatic conditions. Ten samples of packaged sachet water commercialised in Ouagadougou were studied. An absence of BPA in the borehole water used to produce packaged water has been shown. The transfer of BPA into mineral water increases with storage temperature. The BPA that appears in packaged water degrades over time. BPA concentrations ranged from 0 to 0.38 mg/L after two weeks of storage, 0 to 0.8 mg/L after four weeks of storage and 0 to 0.35 mg/L after 8 weeks of storage. Analysis of the trace metals showed steadily increasing concentrations from the second to the sixth weeks, with concentrations ranging from 0 to 9.7 µg/L for cadmium and from 0 to 0.13 mg/L for iron in the sachet water samples.

Voltammetric determination of inorganic arsenic in mildly acidified (pH 4.7) groundwaters from Mexico and India

Routine monitoring of inorganic arsenic in groundwater using sensitive, reliable, easy-to-use and affordable analytical methods is integral to identifying sources, and delivering appropriate remediation solutions, to the widespread global issue of arsenic pollution. Voltammetry has many advantages over other analytical techniques, but the low electroactivity of arsenic(V) requires the use of either reducing agents or relatively strong acidic conditions, which both complicate the analytical procedures, and require more complex material handling by skilled operators. Here, we present the voltammetric determination of total inorganic arsenic in conditions of near-neutral pH using a new commercially available 25 μm diameter gold microwire (called the Gold Wirebond), which is described here for the first time. The method is based on the addition of low concentrations of permanganate (10 μM MnO4-) which fulfils two roles: (1) to ensure that all inorganic arsenic is present as arsenate by chemically oxidising arsenite to arsenate and, (2) to provide a source of manganese allowing the sensitive detection of arsenate by anodic stripping voltammetry at a gold electrode. Tests were carried out in synthetic solutions of various pH (ranging from 4.7 to 9) in presence/absence of chloride. The best response was obtained in 0.25 M chloride-containing acetate buffer resulting in analytical parameters (limit of detection of 0.28 μg L-1 for 10 s deposition time, linear range up to 20 μg L-1 and a sensitivity of 63.5 nA ppb-1. s-1) better than those obtained in acidic conditions. We used this new method to measure arsenic concentrations in contrasting groundwaters: the reducing, arsenite-rich groundwaters of India (West Bengal and Bihar regions) and the oxidising, arsenate-rich groundwaters of Mexico (Guanajuato region). Very good agreement was obtained in all groundwaters with arsenic concentrations measured by inductively coupled plasma-mass spectrometry (slope = +1.029, R2 = 0.99). The voltammetric method is sensitive, faster than other voltammetric techniques for detection of arsenic (typically 10 min per sample including triplicate measurements and 2 standard additions), easier to implement than previous methods (no acidic conditions, no chemical reduction required, reproducible sensor, can be used by non-voltammetric experts) and could enable cheaper groundwater surveying campaigns with in-the-field analysis for quick data reporting, even in remote communities.

Linking health to geology-a new assessment and zoning model based on the frame of medical geology

With the growing concerns about the Earth's environment and human health, there has been a surge in research focused on the intersection of health and geology. This study quantitatively assesses the relationship between human health and geological factors using a new framework. The framework considers four key geological environment indicators related to health: soil, water, geological landform, and atmosphere. Results indicate that the atmospheric and water resource indicators in the study area were generally favorable, while the scores of geological landforms varied based on topography. The study also found that the selenium content in the soil greatly exceeded the local background value. Our research underscores the importance of geological factors on human health, establishes a new health-geological assessment model, and provides a scientific foundation for local spatial planning, water resource development, and land resource management. However, due to varying geological conditions worldwide, the framework and indicators for health geology may need to be adjusted accordingly.

GIS based hotspot analysis and health risk assessment of groundwater arsenic from an unconfined deep aquifer of Lahore, Pakistan

Use of groundwater for drinking purpose poses serious hazards of arsenic contamination particularly in plains of western Himalayan region. Therefore, current study was designed to investigate the level of Arsenic (As) in the water obtained from tubewells in a metropolitan city of Lahore, Pakistan and assess the human health risk. So, a total of 73 tubewells were sampled randomly in the manner that the whole study region was covered without any clustering. The water samples were analyzed for As using atomic absorption spectrophotometer. These samples were also tested for total dissolved solids, chlorides, pH, alkalinity, turbidity, hardness and calcium. GIS based hotspots analysis technique was used to investigate the spatial distribution patterns. Our results revealed that only one sample out of total 73 had arsenic level below the WHO guideline of 10 μg/L. The spatial distribution map of arsenic revealed that the higher concentrations of arsenic are present in the north-western region of Lahore. The cluster and outlier analysis map using Anselin Local Moran's I statistic indicated the presence of an arsenic cluster in the west of River Ravi. Furthermore, the optimized hotspot analysis based on Getis-Ord Gi* statistics confirmed the statistical significance (P < 0.05) and (P < 0.01) of these samples from the vicinity of River Ravi. Regression analysis showed that variables such as turbidity, alkalinity, hardness, chlorides, calcium and total dissolved solids were significantly (all P < 0.05) associated with level of Arsenic in tubewells. Whereas, PH and electrical conductivity and other variables like town, year of installation, depth and diameter of the wells were not significantly associated with Arsenic concentrations in tubewells. Principal component analysis (PCA) exhibited that the random distribution of tubewell samples showed no distinct clustering with towns studied. Health risk assessment based on hazard and Cancer risk index revealed serious risk of developing carcinogenic and non-carcinogenic diseases particularly in children. The health risk due to prevalence of high As concentration in tubewells' water need to be mitigated immediately to avoid worst consequences in future.

Assessment of land use and monsoon impact on high nitrate groundwater and health risk in the hard rock aquifer, South India

Groundwater sustainability in hard rock aquifers is compromised largely due to nitrate contamination from anthropogenic sources resulting in diminishing potable resources and attendant health issues. A purpose-driven study through an integrated approach was undertaken in the area of interest (hard rock aquifer) to assess the variations in nitrate concentration and resultant health impacts in response to variations in monsoon and land use patterns. Groundwater samples (n = 284) were collected for a period of three years (2017-2019) and analysed. From the analytical data, it is inferred that 27% and 9% of groundwater samples in the study area have high NO3- values of > 45 mg/l and > 100 mg/l, respectively. NO3- contamination zones mapping illustrates that NO3-contaminated area (> 45 mg/l) varied seasonally 1164 km2 (2017), 1086 km2 (2018) and 1640 km2 (2019)) and high-risk area (NO3- > 100 mg/l) has reduced drastically during 2018 due to dilution by monsoon (277 km2 (2017), 41 km2 (2018), 634 km2 (2019)). The lowest NO3- and Cl-concentrations are recorded during 2018 which coincides with high rainfall (2061 mm). NO3- concentrations in response to land use pattern indicate that the hot spots (NO3- > 45 mg/l and > 100 mg/l) are observed in groundwater samples of residential areas which are vulnerable to contamination from domestic wastewater, septic tanks and other pollutants. Further, wastewater infiltration facilitated the dissolution of certain minerals in the unsaturated zone which enhanced the accumulation of NO3- and other ions in this aquifer. Mineral weathering, denitrification and evaporation processes also affected the groundwater chemistry. The health risk model (HQoral) indicates that groundwater in 1261 km2 (2017), 1232 km2 (2018) and 1669 km2 (2019) is unsuitable for drinking (HQ > 1) and causes adverse health risks to the local inhabitants. The study has identified areas from the central and southeastern regions significantly affected by nitrate pollution underpinning the necessity of using treated groundwater for drinking purposes.

Fisetin attenuates arsenic and fluoride subacute co-exposure induced neurotoxicity via regulating TNF-α mediated activation of NLRP3 inflammasome

Groundwater is considered safe, however, the occurrence of contaminants like arsenic and fluoride has raised a major healthcare concern. Clinical studies suggested that arsenic and fluoride co-exposure induced neurotoxicity, however efforts to explore safe and effective management of such neurotoxicity are limited. Therefore, we investigated the ameliorative effect of Fisetin against arsenic and fluoride subacute co-exposure-induced neurotoxicity, and associated biochemical and molecular changes. Male BALB/c mice Arsenic (NaAsO₂: 50mg/L) and fluoride (NaF: 50mg/L) were exposed to drinking water and fisetin (5, 10, and 20mg/kg/day) was administered orally for 28 days. The neurobehavioral changes were recorded in the open field, rotarod, grip strength, tail suspension, forced swim, and novel object recognition test. The co-exposure resulted in anxiety-like behaviour, loss of motor coordination, depression-like behaviour, and loss of novelty-based memory, along with enhanced prooxidant, inflammatory markers and loss of cortical and hippocampal neurons. The treatment with fisetin reversed the co-exposure-induced neurobehavioral deficit along with restoration of redox & inflammatory milieu, and cortical and hippocampal neuronal density. Apart from antioxidants, inhibition of TNF-α/ NLRP3 expression has been suggested as one of the plausible neuroprotective mechanisms of Fisetin in this study.

Health Risk Assessment in Mexican Children Exposed to Fluoride from Sweetened Beverages

The primary source of fluoride exposure is groundwater, but evidence suggests that beverages and food are additional fluoride sources. Intake of these products at an early age affects the optimal functioning of soft organs. An increase in sweetened beverage consumption by the pediatric population has been reported, suggesting an increase in fluoride exposure. The objectives of this study were to determine the fluoride concentrations in beverages and analyze the risk to human health from fluoride exposure to sweetened beverages consumed by children. Eighty-two sugar-sweetened beverages produced in different Mexican states were analyzed. The fluoride determination was carried out with an ion-selective electrode. The highest fluoride concentration was 1.92 mg/L; 73.2% of beverages showed fluoride values above permitted limits. Low-cost beverages had the highest fluoride values, suggesting that the water used for their production does not comply with fluorine regulations. According to the risk assessment in children from 3 to 6 years, the daily consumption of juices and sodas with concentrations that exceeded the normative of 0.7 mg/L could represent a risk to dental fluorosis development. It is crucial to control fluoride and regulate its concentrations in beverages for children to ensure food safety, especially in areas of endemic hydrofluorosis.

The mechanism underlying fluoride-induced low-renin hypertension is related to an imbalance in the circulatory and local renin-angiotensin systems

The renin-angiotensin system (RAS) is an important fluid regulation system in the body, and excessive activation of the circulatory or local RAS can increase blood pressure (BP). Excess fluoride can increase BP, although the underlying mechanism related to activation of the RAS remains unclear. Thus, the aim of this study was to elucidate the role of the RAS in fluoride-induced hypertension. Markers of the circulating and local RASs related to pathological changes to the kidneys, myocardium, and aorta were measured. Fluoride reduced serum levels of renin, angiotensin II (Ang II), and angiotensin (1-7) [Ang (1-7)], and dysregulated plasma levels of aldosterone and potassium levels. Excess fluoride can damage the kidneys, myocardium, and aorta, overactivate the renal angiotensin converting enzyme (ACE)-Ang II-angiotensin type 1 receptor axis, and inhibit activation of the ACE2-Ang (1-7)-Mas axis, leading to dysregulation of alpha epithelial sodium channels and significantly increased expression of Ang II in the myocardium and aorta. Hence, excess fluoride can cause low-renin hypertension via an imbalance between the circulatory and local RASs.

Heavy metal(loid)s contamination in water and sediments in a mining area in Ecuador: a comprehensive assessment for drinking water quality and human health risk

Elevated heavy metal(loid)s concentrations in water lower its quality posing a threat to consumers. This study aims to assess the human health risk caused by heavy metal(loid)s in tap water in Santa Rosa city, Ecuador, and the ecological risk of stream water and sediments in the Santa Rosa River. Concentrations of As, Cd, Cr, Cu, Ni, Pb, and Zn were evaluated in tap waters, stream waters, and sediment samples during the rainy and dry seasons. The Metal Index (MI), Geo-accumulation Index (I_geo), Potential Ecological Risk Index (PERI), and the levels of carcinogenic (CR) and non-carcinogenic risk (HQ) were determined. The results revealed severe pollution levels, mainly in Los Gringos and El Panteon streams, both tributaries of the Santa Rosa River, the primary water source for Santa Rosa inhabitants. More than 20% of the surface water samples showed severe contamination (MI > 6), and 90% of the tap water samples presented a MI value between 1 and 4, which indicates slight to moderate pollution. Drinking water displayed high levels of As, with 83% of the tap water samples collected from households in the dry season above the recommended concentration set by the World Health Organization and Ecuadorian legislation. The I_geo-Cd in the sediment samples was significantly high (I_geo > 3), and the PERI showed very high ecological risk (PERI > 600), with Cd as the main pollutant. HQ and CR were above the safe exposure threshold, suggesting that residents are at risk from tap water consumption, with As being the primary concern.

Co-exposure to arsenic and fluoride to explore the interactive effect on oxidative stress and autophagy in myocardial tissue and cell

Co-contamination of arsenic and fluoride is widely distributed in groundwater. However, little is known about the interactively influence of arsenic and fluoride, especially the combined mechanism in cardiotoxicity. Cellular and animal models exposure to arsenic and fluoride were established to assess the oxidative stress and autophagy mechanism of cardiotoxic damage using the factorial design, a widely used statistical method for assessing two factor interventions. In vivo, combined exposure to high arsenic (50 mg/L) and high fluoride (100 mg/L) induced myocardial injury. The damage is accompanied by accumulation of myocardial enzyme, mitochondrial disorder, and excessive oxidative stress. Further experiment identified that arsenic and fluoride induced the accumulation of autophagosome and increased expression level of autophagy related genes during the cardiotoxicity process. These findings were further demonstrated through the in vitro model of arsenic and fluoride-treated the H9c2 cells. Additionally, combined of arsenic-fluoride exposure possesses the interactively influence on oxidative stress and autophagy, contributing to the myocardial cell toxicity. In conclusion, our data suggest that oxidative stress and autophagy are involved in the process of cardiotoxic injury, and that these indicators showed interaction effect in response to the combined exposure of arsenic and fluoride.

Insights into As accumulation in soil-groundwater-wheat-hair system of suburban farmland: Distribution, transfer and potential health risk

Health risks caused by arsenic (As) contamination in soils and its migration in environmental media have attracted much attention. In this study, suburban farmland of KF city in the ecotone of the Yellow River and Huaihe River Basin was taken as the research area. A series of samples including topsoils (246), profile soils (280), matched wheat grains (22 groups), groundwater (26) and human hair (355) were collected. As distribution and transfer in soil-groundwater-wheat-hair (SGWH) system in typical sites were explored, and comprehensive health risk of As in SGWH system was assessed based on US EPA model and local exposure parameters. The results showed that spatial distribution of total As presented a significant high value area, and higher As contents (in the range of 0.45-29.86 mg kg^-1) and bioavailability was mainly in topsoils, which indicated that anthropogenic sources have led to As enrichment in studied area. Also, it was found that the As contents in 95 % of wheat grain samples were higher than that in the control soils, and 9 % groundwater samples were above national Class I standards. Especially, average As content in hair in typical sites was obviously influenced by that in soil, wheat and groundwater. Moreover, As migration curve along soil → wheat (groundwater) → hair appeared an irregular 'V' shape, and transfer coefficients of T_{f water/soil} (10^-5), T_{f wheat/soil} (10^-3), T_{f hair/soil} (10^-2), T_{f hair/wheat} (10¹) and T_{f hair/water} (10⁴) presented an obvious increasing trend of magnitude, implying that human body has a higher As enrichment risk. Furthermore, comprehensive health risks for children and adults in typical sites were significant, while wheat is the main risk medium. In general, arsenic accumulation in human hair is good consistent with EPA health risk model, and their combination can better evaluate environmental exposure risk of As.

A Current Review of Water Pollutants in American Continent: Trends and Perspectives in Detection, Health Risks, and Treatment Technologies

Currently, water pollution represents a serious environmental threat, causing an impact not only to fauna and flora but also to human health. Among these pollutants, inorganic and organic pollutants are predominantly important representing high toxicity and persistence and being difficult to treat using current methodologies. For this reason, several research groups are searching for strategies to detect and remedy contaminated water bodies and effluents. Due to the above, a current review of the state of the situation has been carried out. The results obtained show that in the American continent a high diversity of contaminants is present in the water bodies affecting several aspects, in which in some cases, there exists alternatives to realize the remediation of contaminated water. It is concluded that the actual challenge is to establish sanitation measures at the local level based on the specific needs of the geographical area of interest. Therefore, water treatment plants must be designed according to the contaminants present in the water of the region and tailored to the needs of the population of interest.

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.

Arsenic and fluorine in groundwater in northern Mexico: spatial distribution and enrichment factors

North-central Mexico has groundwater contaminated with arsenic (As) and fluoride (F). Based on the dispersion patterns of these solutes, their sources are linked to felsic volcanic rock fragments and secondary minerals (clays, iron oxyhydroxides) within the alluvium fill of the aquifers. However, little is known about the effect of the enrichment factors for F and As in this area. Natural enrichment factors include evaporation, Ca/Na, and competitive adsorption and desorption from solid phases. This study used 1237 groundwater quality data measurements from 305 sampling sites collected between 2012 and 2019 in the state of Durango in north-central Mexico. To determine the contribution of enrichment factors to As and F content, the study area was divided into four sections, two being in the mountainous part of the state and two in the high plateaus. The data were compared among sections and analyzed using Spearman correlation and Piper and Block diagrams. The results indicate that the main solute enrichment mechanisms are evaporation and weathering of silicates and evaporites. Among the four sections, As, pH, and HCO₃ seemed not to vary, F varied slightly, and nitrate and total dissolved solids varied the most. The lack of variation in As among sections is associated to its strong adsorption to clay minerals and iron oxyhydroxides, whereas the diminished F content in the eastern sections is likely linked to the adsorption of F to precipitating calcite (since groundwater is saturated with respect to calcite (SI_calcite = 0.43) and undersaturated for fluorite (SI_fluorite =  - 1.16). These processes shed light on the distribution of F and As in this area, and are likely operating in other states in northern Mexico and in semi-arid areas elsewhere.

Characteristics of fluoride migration and enrichment in groundwater under the influence of natural background and anthropogenic activities

Excessive enrichment of fluoride threatens ecological stability and human health. The high-fluoride groundwater in the Chagan Lake area has existed for a long time. With the land consolidation and irrigation area construction, the distribution and migration process of fluoride have changed. It is urgent to explore the evolution of fluoride under the dual effects of nature and human. Based on 107 groundwater samples collected in different land use periods, hydrogeochemistry and isotope methods were combined to explore the evolution characteristics and hydrogeochemical processes of fluoride in typical high-fluoride background area and elucidate the impact of anthropogenic activities on fluoride migration. The results indicate that large areas of paddy fields are developed from saline-alkali land, and its area has increased by nearly 30%. The proportion of high-fluoride groundwater (>2 mg/L) has increased by nearly 10%, mainly distributed in the new irrigation area. Hydrogeochemical processes such as dissolution of fluorine-containing minerals, precipitation of carbonate minerals and exchange of Na⁺, Ca²⁺ on the water-soil interface control the enrichment of fluoride. The groundwater d-excess has no obvious change with the increase of TDS, and human activities are one of the reasons for the increase of fluoride. The concentration of fluoride is diluted due to years of diversion irrigation in old irrigation area, whereas the enrichment of δ²H, δ¹⁸O and Cl^- in new irrigation area indicates that the vertical infiltration of washing alkali and irrigation water brought fluoride and other salts to groundwater. Fertilizer and wastewater discharges also contribute to the accumulation of fluoride, manifesting as co-increasing nitrate and chloride salts. The results of this study provide a new insight into fluoride migration under anthropogenic disturbance in high-fluoride background areas.

Appraisal of groundwater quality and health risk in the Yalamlam basin, Saudi Arabia

Groundwater quality in Yalamlam basin, Saudi Arabia, was appraised for drinking, irrigation, livestock and poultry applications by international standards, drinking water quality index (DWQI), irrigation water quality (IWQ) parameters, and irrigation water quality index (IWQI) calculations. Potential non-carcinogenic health risks due to high NO₃^- and F^- water were assessed for various age groups using the United States Environmental Protection Agency (USEPA) models. Groundwater samples (n = 40) were analyzed for pH, electrical conductivity (EC), and major and minor constituents. The average total dissolved solids (TDS), EC, and total hardness (TH) in the groundwater are 3478 µS/cm, 1739 mg/l, and 1240 mg/l, respectively. High salinity, TH, NO₃^-, and F^- in this aquifer restrict the usage of groundwater for drinking. DWQI values suggest that only 47.5% of samples are potable. According to USEPA recommendation, 72.5%, 80%, and 100% of samples for NO₃^- and 22.5%, 32.5%, and 40% of samples for F^- surpassed the limit (HQ_oral > 1) for adults, children, and infants, respectively, which creates non-carcinogenic health hazards to the respective age groups. The total hazard index is greater than one in 75%, 87.5%, and 100% of samples computed for adults, children, and infants, respectively. Due to high salinity, 53% of samples are not pertinent for irrigation. USSL classification reveals that groundwater samples in the study site are recommended only for salt-tolerant crops and coarse-textured high permeability soil. In this study, IWQI is reclassified using salinity, which suggests that 68% of samples are moderately suitable for irrigation. Based on EC alone, 83% are desirable for livestock and poultry uses whereas integration of multiple parameters with EC indicates that only 53% are acceptable for all kinds of livestock and poultry uses in the study site. Spatial distribution of major and minor ions, DWQI, HQ_oral, and IWQI imply that groundwater quality is degraded from upstream to downstream. High salinity groundwater in the downstream wells is unsuitable for any application, which needs a proper treatment before use. Spatial maps created for various parameters are useful for identifying the good quality groundwater zone for groundwater development potential for various stakeholders.

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

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

Dietary contribution to total urinary arsenic in Mexican women

Exposure to inorganic arsenic (iAs) damages health in many ways. The main routes of human exposure are consumption of contaminated water and diet, but evidence regarding the dietary contribution of iAs is limited. The objective of this work was to determine the foods and beverages that contribute to urinary total arsenic levels (TAs). This is a secondary analysis of an original study of breast cancer cases and population controls carried out in northern Mexico during the period 2007-2011, from which 1,462 women without a history of diabetes were selected. We estimated the consumption of the food and beverage groups with a frequency questionnaire. We measured the concentrations of urinary iAs metabolites by high performance liquid chromatography inductively coupled plasma mass spectrometry (HPLC-ICP-MS). Total arsenic ranged from 0.5 to 2,360 µg/g creatinine. After adjusting for covariates, we observed a positive association between TAs (with arsenobetaine) with non-bottled drinking water intake, as well as the consumption of root vegetables, vegetables and fruits rich in water, eggs, fish and shellfish. Our findings highlight the relevance of water consumption and some foods for TAs exposure. Food quality monitoring deserves attention in high-risk regions of arsenic contamination.

Effects of fluoride exposure on mitochondrial function: Energy metabolism, dynamics, biogenesis and mitophagy

Fluoride is ubiquitous in the environment. Furthermore, drinking water represents the main source of exposure to fluoride for humans. Interestingly, low fluoride concentrations have beneficial effects on bone and teeth development; however, chronic fluoride exposure has harmful effects on human health. Besides, preclinical studies associate fluoride toxicity with oxidative stress, inflammation, and apoptosis. On the other hand, it is well-known that mitochondria play a key role in reactive oxygen species production. By contrast, fluoride's effect on processes such as mitochondrial dynamics, biogenesis and mitophagy are little known. These processes modulate the size, content, and distribution of mitochondria and their depuration help to counter the reactive oxygen species production and cytochrome c release, thereby allowing cell survival. However, a maladaptive response could enhance fluoride-induced toxicity. The present review gives a brief account of fluoride-induced mitochondrial alterations on soft and hard tissues, including liver, reproductive organs, heart, brain, lung, kidney, bone, and tooth.

Global analysis and prediction of fluoride in groundwater

The health of millions of people worldwide is negatively impacted by chronic exposure to elevated concentrations of geogenic fluoride in groundwater. Due to health effects including dental mottling and skeletal fluorosis, the World Health Organization maintains a maximum guideline of 1.5 mg/L in drinking water. As groundwater quality is not regularly tested in many areas, it is often unknown if the water in a given well or spring contains harmful levels of fluoride. Here we present a state-of-the-art global fluoride hazard map based on machine learning and over 400,000 fluoride measurements (10% of which >1.5 mg/L), which is then used to estimate the human population at risk. Hotspots indicated by the groundwater fluoride hazard map include parts of central Australia, western North America, eastern Brazil and many areas of Africa and Asia. Of the approximately 180 million people potentially affected worldwide, most reside in Asia (51-59% of total) and Africa (37-46% of total), with the latter representing 6.5% of the continent's population. Africa also contains 14 of the top 20 affected countries in terms of population at risk. We also illuminate and discuss the key globally relevant hydrochemical and environmental factors related to fluoride accumulation.

Maternal serum concentrations of one-carbon metabolism factors modify the association between biomarkers of arsenic methylation efficiency and birth weight

BACKGROUND

Inorganic arsenic (iAs) is a ubiquitous metalloid and drinking water contaminant. Prenatal exposure is associated with birth outcomes across multiple studies. During metabolism, iAs is sequentially methylated to mono- and di-methylated arsenical species (MMAs and DMAs) to facilitate whole body clearance. Inefficient methylation (e.g., higher urinary % MMAs) is associated with increased risk of certain iAs-associated diseases. One-carbon metabolism factors influence iAs methylation, modifying toxicity in adults, and warrant further study during the prenatal period. The objective of this study was to evaluate folate, vitamin B12, and homocysteine as modifiers of the relationship between biomarkers of iAs methylation efficiency and birth outcomes.

METHODS

Data from the Biomarkers of Exposure to ARsenic (BEAR) pregnancy cohort (2011-2012)  with maternal urine and cord serum arsenic biomarkers and maternal serum folate, vitamin B12, and homocysteine concentrations were utilized. One-carbon metabolism factors were dichotomized using clinical cutoffs and median splits. Multivariable linear regression models were fit to evaluate associations between each biomarker and birth outcome overall and within levels of one-carbon metabolism factors. Likelihood ratio tests of full and reduced models were used to test the significance of statistical interactions on the additive scale (α = 0.10).

RESULTS

Among urinary biomarkers, % U-MMAs was most strongly associated with birth weight (β = - 23.09, 95% CI: - 44.54, - 1.64). Larger, more negative mean differences in birth weight were observed among infants born to women who were B12 deficient (β = - 28.69, 95% CI: - 53.97, - 3.42) or experiencing hyperhomocysteinemia (β = - 63.29, 95% CI: - 154.77, 28.19). Generally, mean differences in birth weight were attenuated among infants born to mothers with higher serum concentrations of folate and vitamin B12 (or lower serum concentrations of homocysteine). Effect modification by vitamin B12 and homocysteine was significant on the additive scale for some associations. Results for gestational age were less compelling, with an approximate one-week mean difference associated with C-tAs (β = 0.87, 95% CI: 0, 1.74), but not meaningful otherwise.

CONCLUSIONS

Tissue distributions of iAs and its metabolites (e.g., % MMAs) may vary according to serum concentrations of folate, vitamin B12 and homocysteine during pregnancy. This represents a potential mechanism through which maternal diet may modify the harms of prenatal exposure to iAs.

A Systems Approach to Remediating Human Exposure to Arsenic and Fluoride From Overexploited Aquifers

In semiarid agricultural regions, aquifers have watered widespread economic development. Falling water tables, however, drive up energy costs and can make the water toxic for human consumption. The study area is located in central Mexico, where arsenic and fluoride are widely present at toxic concentrations in well water. We simulated the holistic outcomes from three pumping scenarios over 100 years (2020-2120); (S1) pumping rates increase at a similar rate to the past 40 years, (S2) remain constant, or (S3) decrease. Under scenario S1, by 2120, the depth to water table increased to 426 m and energy consumption for irrigation increased to 4 × 10⁹ kWh/yr. Arsenic and fluoride concentrations increased from 14 to 46 μg/L and 1.0 to 3.6 mg/L, respectively. The combined estimated IQ point decrements from drinking untreated well water lowered expected incomes in 2120 by 27% compared to what they would be with negligible exposure levels. We calculated the 100-year Net Present Value (NPV) of each scenario assuming the 2020 average crop value to water footprint ratio of 0.12 USD/m³. Without drinking water mitigation, S1 and S3 yielded relative NPVs of -5.96 × 10⁹ and 1.51 × 10⁹ USD, respectively, compared to the base case (S2). The relative NPV of providing blanket reverse osmosis treatment, while keeping pumping constant (S2), was 11.55 × 10⁹ USD and this gain increased when combined with decreased pumping (S3). If a high value, low water footprint crop was substituted (broccoli, 1.51 USD/m³), the net gains from increasing pumping were similar in size to those of implementing blanket drinking water treatment.

Arsenic Exposure via Contaminated Water and Food Sources

Arsenic poisoning constitutes a major threat to humans, causing various health problems. Almost everywhere across the world certain “hotspots” have been detected, putting in danger the local populations, due to the potential consumption of water or food contaminated with elevated concentrations of arsenic. According to the relevant studies, Asia shows the highest percentage of significantly contaminated sites, followed by North America, Europe, Africa, South America and Oceania. The presence of arsenic in ecosystems can originate from several natural or anthropogenic activities. Arsenic can be then gradually accumulated in different food sources, such as vegetables, rice and other crops, but also in seafood, etc., and in water sources (mainly in groundwater, but also to a lesser extent in surface water), potentially used as drinking-water supplies, provoking their contamination and therefore potential health problems to the consumers. This review reports the major areas worldwide that present elevated arsenic concentrations in food and water sources. Furthermore, it also discusses the sources of arsenic contamination at these sites, as well as selected treatment technologies, aiming to remove this pollutant mainly from the contaminated waters and thus the reduction and prevention of population towards arsenic exposure.

As and [Formula: see text] cooccurrence in drinking water: critical review of the international scenario, physicochemical behavior, removal technologies, health effects, and future trends

Drinking water contaminated with As and [Formula: see text] is increasingly prevalent worldwide. Their coexistence can have negative effects due to antagonistic or synergistic mechanisms, ranging from cosmetic problems, such as skin lesions and teeth staining, to more severe abnormalities, such as cancer and neurotoxicity. Available technologies for concurrent removal include electrocoagulation ~ adsorption > membranes > chemical coagulation > , and among others, all of which have limitations despite their advantages. Nevertheless, the existence of competing ions such as silicon > phosphate > calcium ~ magnesium > sulfate > and nitrate affects the elimination efficiency. Mexico is one of the countries that is affected by As and [Formula: see text] contamination. Because only 10 of the 32 states have adequate removal technologies, more than 65% of the country is impacted by co-presence problems. Numerous reviews have been published concerning the elimination of As or [Formula: see text]. However, only a few studies have focused on the simultaneous removal. This critical review analyzes the new sources of contamination, simultaneous physicochemical behaviors, available technologies for the elimination of both species, and future trends. This highlights the need to implement technologies that work with actual contaminated water instead of aqueous solutions (55% of the works reviewed correspond to aqueous solutions). Similarly, it is necessary to migrate to the creation of pilot, pre-pilot, or prototype scale projects, because 77% of the existing studies correspond to lab-scale research.

Silicon nanoparticles decrease arsenic translocation and mitigate phytotoxicity in tomato plants

In this study, we simulate the irrigation of tomato plants with arsenic (As)-contaminated water (from 0 to 3.2 mg L^-1) and investigate the effect of the application of silicon nanoparticle (Si NPs) in the form of silicon dioxide (0, 250, and 1000 mg L^-1) on As uptake and stress. Arsenic concentrations were determined in substrate and plant tissue at three different stratums. Phytotoxicity, As accumulation and translocation, photosynthetic pigments, and antioxidant activity of enzymatic and non-enzymatic compounds were also determined. Our results show that irrigation of tomato plants with As-contaminated water caused As substrate enrichment and As bioaccumulation (roots > leaves > steam), showing that the higher the concentration in irrigation water, the farther As translocated through the different tomato stratums. Additionally, phytotoxicity was observed at low concentrations of As, while tomato yield increased at high concentrations of As. We found that application of Si NPs decreased As translocation, tomato yield, and root biomass. Increased production of photosynthetic pigments and improved enzymatic activity (CAT and APX) suggested tomato plant adaptation at high As concentrations in the presence of Si NPs. Our results reveal likely impacts of As and nanoparticles on tomato production in places where As in groundwater is common and might represent a risk.

Zr-Based Biocomposite Materials as an Alternative for Fluoride Removal, Preparation and Characteristics

The development of biocomposite materials used as adsorbents to remove ions in aqueous media has become an attractive option. The biomasses (base materials) are chemically treated and impregnated with metal cations, becoming competitive for fluoride-capture capacity. In this research, Valence orange (Citrus sinensis) and Red Delicious apple (Malus Domestica) peels were modified by alkaline treatment, carboxylation, and impregnation with zirconium (Zr). These materials were characterized morphologically and structurally to understand the modifications in the treated biomasses and the mechanism of fluoride adsorption. The results show changes in surface area and composition, most notably, an increment in roughness and Zr impregnation of the bioadsorbents. After batch experimentation, the maximum capacity of the materials was determined to be 4.854 and 5.627 mg/g for the orange and apple peel bioadsorbent, respectively, at pH 3.5. The experimental data fitted the Langmuir model, suggesting that chemisorption occurs in monolayers. Finally, the characterization of the bioadsorbents in contact with fluoride allowed the replacement of OH species by fluoride or the formation of hydrogen bonds between them as an adsorption mechanism. Therefore, these bioadsorbents are considered viable and can be studied in a continuous system.

Rice Industry By-Products as Adsorbent Materials for Removing Fluoride and Arsenic from Drinking Water—A Review

In drinking water, high concentrations of fluoride and arsenic can have adverse effects on human health. Waste deriving from the rice industry (rice husk, rice straw, rice bran) can be promising adsorbent materials, because they are (i) produced in large quantities in many parts of the world, (ii) recoverable in a circular economy perspective, (iii) at low cost if compared to expensive conventional activated carbon, and (iv) easily manageable even in developing countries. For the removal of fluoride, rice husk and rice straw allowed to obtain adsorption capacities in the range of 7.9–15.2 mg/g. Using rice husk for arsenic adsorption, excellent results were achieved with adsorption capacities above 19 mg/g. The best results both for fluorides and arsenic (>50 mg/g) were found with metal- or chemical-modified rice straw and rice husk. Identifying the next steps of future research to ensure the upscaling of biochar from recovered by-products, it is fundamental to perform: (i) tests on real waters for multicomponent adsorption; (ii) experiments with pilot plants in continuous operation; (iii) cost analysis/real applicability of modification treatments such as metal coupling or chemical synthesis; (iv) more studies on the biochar stability and on its regeneration or recovery after use.

Enhanced arsenic removal using lateritic bauxite modified by heating and blending

The use of bauxite to remove arsenic from wastewater has been confirmed to be effective, but its removal efficiency in literature is not up to 90%, hence the need to devise a more effective method to remove arsenic from wastewater. In this study, a novel material was prepared by thermally modifying and blending yellow and red lateritic bauxite to form thermally modified and blended yellow and red lateritic bauxite (TYB + TRB). The adsorption isotherm, morphology and chemical composition of the novel material were determined by the Langmuir and Freundlich models, Scanning Electron Microscopy (SEM) and X-ray Fluorescence (XRF), respectively. Application of the novel material in arsenic removal resulted in >97% removal efficiency within 60 min. The arsenic adsorption by TYB + TRB conformed to the Freundlich model. The SEM image depicted a compacted earth material after use of the TYB + TRB to remove arsenic from the wastewater. The XRF results also showed a drastic reduction in the chemical composition of the novel bauxite except Ti, thus suggesting the occurrence of multiple mechanisms during the arsenic removal. This study demonstrated the potential of TYB + TRB to be developed and used as the most suitable material for wastewater treatment.

Heavy Metals in Harvested Rainwater Used for Domestic Purposes in Rural Areas: Yatta Area, Palestine as a Case Study

Rainwater harvesting is considered one of the most important water resources in the Palestinian countryside. In this research, the study area chosen for the study was Yatta town in Hebron city. 75 water samples were collected from 74 cisterns in a number of neighborhoods in Yatta, and a structured household survey was conducted with the same households where the water samples were collected. Statistical analysis was made using the SPSS software. An analysis for the samples was made using ICP-MS to test the existence of a number of heavy metals, namely Pb, Cr, Mn, Co, Ni, Cu, Zn and Cd. The results were compared with the WHO and Palestinian limits for drinking water quality. Considering the metals Mn, Co, Cu and Cd, neither of the samples exceeded any of the two limits. For the metals, Pb, Cr, and Ni, two samples exceeded both limits. For the metal, Zn, one sample exceeded the WHO limit only. Sources of pollution by heavy metals of the harvested rainwater were identified by means of a questionnaire distributed to the households. The results showed that except for nickel and the water collection surface of the cistern factor, there is no direct relationship between the factors and activities that may contribute to contaminate harvested rainwater with heavy metals and the existence of heavy metals beyond local and international limits. Based on the questionnaire and literature: Possible sources of lead and zinc are the roof, storage tanks, distribution systems and plumbing; possible sources of chromium are road dust, asbestos brakes and anthropogenic activities occurring around the house; possible source of nickel is leaching from metals in contact with harvested rainwater such as pipes and fittings which are used to collect the harvested rainwater. In addition, an assessment of the potential health risks due to contamination of the harvested rainwater by heavy metals was made for all the samples that exceeded either WHO limit or the Palestinian limit or both. The Chronic Daily Intake (CDI) and the Health Risk Index (HRI) were calculated. The assessment was made for both adults and children. The results showed that all the samples are considered safe (HRI < 1), which means that there are no potential health risks for consumers.

How does arsenic speciation (arsenite and arsenate) in groundwater affect the performance of an aerated electrocoagulation reactor and human health risk?

Arsenic (As) occurrence in water resources has become one of the most critical environmental problems worldwide. The detrimental health impacts on humans have been reported due to the consumption of As-contaminated groundwater resources. Consumption of As-containing water over the long term can cause arsenicosis and chronic effects on human health due to its toxicity. Several treatment processes are available for As removals such as coagulation, ion exchange, adsorption, and membrane technologies but they have various major drawbacks. In the present work, therefore, an aerated electrocoagulation (EC) system with aluminum anodes was operated for simultaneous arsenate (As(V)) and arsenite (As(III)) removal to overcome the disadvantages of other processes such as, sludge formation, difficulties in operation, high operating costs, high energy consumption, and the requirement of pre-treatment process and to enhance the conventional EC process. The combined effects of the applied current (0.075-0.3 A), aeration rate (0-6 L/min), pH (6.5-8.5), and As speciation (As(V)-As(III)) were studied on As removal efficiency. The findings revealed that As removal mostly depended on the airflow rate and the applied current in the EC system. The highest As removal efficiency (99.1%) was obtained at an airflow rate of 6 L/min, a pH of 6.5, an initial As (V) concentration of 200 μg/L, and a current of 0.3 A, with an energy consumption of 2.85 kWh/m³ and an operating cost of 0.66 $/m³. The human health risk assessment of treated water was also examined to understand the performance of the EC system. At most of the experimental runs, the chronic toxic risk (CTR) and carcinogenic risk (CR) of As were within the permissible limits except for an airflow rate of 0-2 L/min, an initial pH of 8.5, and a current of 0.075-0.15 A for high initial As (III) concentrations. Overall, the As removal performance and groundwater risk assessment show that the EC process is a promising option for industrial applications.

Low-cost electrochemical detection of arsenic in the groundwater of Guanajuato state, central Mexico using an open-source potentiostat

Arsenic is a carcinogenic groundwater contaminant that is toxic even at the parts-per-billion (ppb) level and its on-site determination remains challenging. Colorimetric test strips, though cheap and widely used, often fail to give reliable quantitative data. On the other hand, electrochemical detection is sensitive and accurate but considerably more expensive at the onset. Here, we present a study on arsenic detection in groundwater using a low-cost, open-source potentiostat based on Arduino technology. We tested different types of gold electrodes (screen-printed and microwire) with anodic stripping voltammetry (ASV), achieving low detection limits (0.7 μg L^-1). In a study of arsenic contaminated groundwaters in Mexico, the microwire technique provides greater accuracy than test strips (reducing the median error from -50% to +2.9%) and greater precision (reducing uncertainties from ±25% to ±4.9%). Most importantly, the rate of false negatives versus the World Health Organisation’s 10 μg L^-1 limit was reduced from 50% to 0% (N = 13 samples). Arsenic determination using open-source potentiostats may offer a low-cost option for research groups and NGOs wishing to perform arsenic analysis in-house, yielding superior quantitative data than the more widely used colorimetric test strips.

Aqueous Arsenic Speciation with Hydrogeochemical Modeling and Correlation with Fluorine in Groundwater in a Semiarid Region of Mexico

In arid and semiarid regions, groundwater becomes the main source to meet the drinking water needs of large cities, food production, and industrial activities. For this reason, necessary studies must be carried out to estimate its quantity and quality, always seeking sustainable management, thus avoiding social conflicts or a decrease in the productive activities of humanity. This research explains the behavior of groundwater quality concerning arsenic speciation and its relationship with fluoride. The average total arsenic concentration of 19.95 µg/L and 20.29 µg/L is reported for the study period from 2015 to 2020, respectively, according to the Mexican standard. If the population drinks water directly, it is exposed to possible damage to health. The predominant arsenic species is As (V), with 95% and As (III) with 5%, this finding will allow us to define in greater detail the type of remediation that is required to reduce the content of this element in the water. Regarding the relationship between arsenic and fluorine, very small Pearson correlation coefficients of the order of 0.3241 and 0.3186 were found. The estimation of the space–time variation made it possible to identify the areas with the highest concentration of arsenic and fluorine, allowing the definition of the operating policies of these wells, thereby protecting the health of the inhabitants who consume this water.

Exploring a variance decomposition approach integrated with the Monte Carlo method to evaluate groundwater fluoride exposure on the residents of a typical fluorosis endemic semi-arid tract of India

This study appraised the groundwater fluoride (F^-) endemicity and the exposure levels under the Central Tendency Exposure (CTE) condition and the Reasonable Maximum Exposure (RME) condition on the residents of the semi-arid parts of the Birbhum district of Peninsular India using a Variance Decomposition (Sobol Sensitivity Indices) approach combined with Monte Carlo Simulations. The study finds the national scale drinking water standard limit for F^- (1.5 mg L^-1) is inappropriate for the present survey area where F^- concentration in groundwater varied between 0.26 and 11.82 mg L^-1 and ~54.5% of the samples (N = 400) exceeded this limit. Therefore, estimated the optimum F^- concentration of 0.733 mg L^-1 for the region using the method recommended by the World Health Organization (WHO) to calculate the optimum F^- limit at a regional scale. The average value of F^- concentrations for this region (1.71 mg L^-1) is considerably higher than the estimated optimum concentration or even the maximum permissible limits recommended for the subtropical regions (0.5-0.7 mg L^-1). The exposure analysis revealed the infants and children as potentially vulnerable populations compared to adolescents and adults of the study area for CTE and RME scenarios. The multi-exposure pathways indicated oral intake as the main exposure pathway whereas exposure through dermal contact was insignificant for the residents of all age groups of this region. Based on the first, second and total order Sobol Sensitivity Indices, F^- concentration (C) in groundwater, the groundwater ingestion rate and their combined interaction are the greatest significant parameters for the oral exposure model whereas C and its interaction effects with the proportion of the skin surface area in contact with groundwater as the utmost sensitive variables for the dermal health risks assessment model. The present study insists the inhabitants to intake defluoridated groundwater.

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

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

Health risk assessment in children living in an urban area with hydrofluorosis: San Luis Potosí Mexico case study

BACKGROUND

Fluoride is an inorganic element, which can be found in high concentrations in groundwater. Its consumption and exposure have consequences on human health. The objective of this study was to evaluate fluoride exposure and develop a health risk assessment in children from an urban area with hydrofluorosis in Mexico.

METHODS

Water fluoride levels in active wells were provided by the Water State Agency and divided into three zones: agriculture zone (Zone A), metallurgical zone (Zone B), and industrial zone (Zone C). Urinary fluoride levels were determined by potentiometric method using an ion-selective electrode. Health risk assessment was performed through Monte Carlo model analysis and hazard quotient was calculated.

RESULTS

According to fluoride well concentration, all zones have high concentration especially Zone B (2.55 ± 0.98 mg/L). Urinary fluoride concentrations were highest in children in Zone B (1.42 ± 0.8 mg/L). The estimated median daily intake dose of fluoride was 0.084 mg/Kg-day for the children living in zone B. The highest mean HQ value was to Zone B (1.400 ± 0.980), followed by Zone C (0.626 ± 0.443).

CONCLUSION

The levels of fluoride exposure registered are a potential risk to generate adverse health effects in children in the San Luis Potosi metropolitan area.