Health risk assessment of fluoride in water distribution network of Mashhad,Iran

High and low levels of fluoride in drinking waters have been considered as a major public health issue in recent years. This cross-sectional study was conducted over five consecutive years (from 2012 to 2016) in the water distribution network of Mashhad city, Iran with the objectives of determining levels of fluoride and to perform health risk assessment among residents in the study area. Water samples were taken from 30 stations and were analyzed using UV-visible spectrophotometer. The mean annual concentrations of fluoride in all stations during five years of consecutive study were lower than the respective maximum permissible limits (1.5 mg/L) in water as regulated by the WHO. The human health risk assessment was performed by calculating the chronic daily intake and hazard quotient (HQ) of fluoride through human oral intake for adults (men and women) and children for each year during a five-year study. Health risk analysis in this study presented that the non-carcinogenic risk associated with fluoride exposure through drinking water in Mashhad was mostly acceptable because the mean HQ values of fluoride were lower than 1.     

Arsenic in groundwater and its health risk assessment in drinking water of Mailsi,Punjab, Pakistan

The present study was aimed at assessing drinking water quality regarding arsenic (As) and its impact on health from Mailsi (Punjab), Pakistan. Forty-four groundwater samples were collected from two sites, Sargana and Mailsi. Arsenic and other cations were determined by atomic absorption spectrophotometer, whereas the anions were determined either through titration or spectrophotometer. The results revealed that dominant anions were HCO₃^? and Cl^?, Ca⁺² was the dominant cation, and overall water chemistry of the area was CaMgHCO₃^? type. Arsenic concentrations were high, ranging from 11 to 828 µg/L that crossed the World Health Organization permissible limits. Likewise, higher SO₄^?2 concentrations ranging from 247 to 1053 mg/L were observed. The health risk index was higher in the Sargana site, which employed the differences in terms of higher Average Daily Dose, Hazard Quotient, and Carcinogenic Risk of arsenic, which is unsuitable for drinking purposes. The area seems to be at high risk due to arsenic pollution and wells have never been tested for arsenic concentrations earlier; therefore, necessary measures should be taken to test the wells with respect to arsenic.     

饮用水氟污染控制原理与技术

天然地球化学过程导致全球范围内广泛存在地下水氟污染,饮用水氟超标人口达5亿.控制以高氟地下水为饮用水源的氟污染及其健康风险,成为饮用水质安全保障的核心问题之一.全世界在饮用水除氟方面做了大量努力,但成效十分有限.在此背景下,深刻认识氟污染形成机制与地球化学特征,结合地理信息、遥感等手段预测区域风险水平,优先考虑“更换水源”,仍是饮用水氟污染控制的重要策略.此外,在研究层面上,应以净水药剂、环境功能材料创新为基础,以混凝沉淀、吸附、膜分离为重要技术方向,开发适用于发展中国家或欠发达地区的高效、经济、方便、稳定的除氟关键技术和成套设备;在工程应用层面上,应加强饮用水除氟设施设计、建设、运行与监管,确保设施长期稳定运行,实现工程效益.     

Risk assessment of adenoviruses detected in treated drinking water and recreational water

AIMS: Human adenoviruses (HAds) have previously been detected in sewage and polluted river and dam water, as well as treated drinking water. The 51 serotypes of HAds cause a wide range of infections with clinical manifestations associated with the gastrointestinal, respiratory and urinary tracts, and the eyes. Water may play a meaningful role in the transmission of many of these HAd serotypes, specifically the enteric HAds which are transmitted via the faecal-oral route. The presence of these viruses in water used for drinking and recreational purposes is considered to constitute a potential health risk. In this study, the risk of infection by the group of HAds previously detected over a period of 1 year in selected drinking water supplies, as well as river and dam water used for recreational purposes, was assessed. METHODS AND RESULTS: Adenoviruses were previously detected in nine of 204 (4.41%) samples of two drinking water supplies (A and B) treated and disinfected according to international specifications, in four of 51 (7.8%) samples of river water and nine of 51 (17.7%) samples of dam water. Application of these previously published results in an exponential risk assessment model indicated an annual risk of infection of 1.01 x 10(-1) and 1.7 x 10(-1) for drinking water supplies A and B, respectively, assuming a daily consumption of 2 l day(-1). The daily risk of infection constituted by HAds in the river water was calculated as 1.71 x 10(-4), and in the dam water as 3.12 x 10(-5), assuming a consumption of 30 ml of water per day. CONCLUSIONS: The risk of infection exceeded the tolerable risk of one infection per 10 000 consumers per year proposed for drinking water. However, the results for river and dam water used for recreational purposes were within the tolerable risk of one infection per 1000 bathers per day proposed for environmental waters used for recreational purposes. SIGNIFICANCE AND IMPACT OF THE STUDY: The study showed that the risk of HAd infection calculated for the drinking water supplies and the recreational water may overestimate the actual risk of infection, as conservative values were assumed for some of the variables. For a more accurate assessment of the potential risk of infection research should at least include a thorough investigation of the water consumption of individuals in South Africa, and the efficiency of recovery of the glass wool adsorption-elution method.     

Heavy metal contamination and health risk assessment in drinking water of Sistan and Baluchistan,Southeastern Iran

Access to safe and clean drinking water is an essential element of healthy life also known as the primary human needs. The present study was conducted to investigate heavy metal (HM) concentrations of drinking water. Excess health risk of HM (Cr, Pb, and Cd) intake is related to the drinking water consumption in local population. HMs concentrations were analyzed by using graphite furnace atomic absorption spectrometer and were compared with permissible limits regulated by country and World Health Organization (WHO). The hazard quotient (HQ) and Excess Lifetime Cancer Risk (ELCR) were determined to show the carcinogenic and non-carcinogenic effects of HMs, respectively. HQs were found in the order of Pb > Cd > Cr and subsequently HI index was also estimated for all HM in two age groups (children and adults). The comparisons indicate no possibility of non-carcinogenic effects to the local population. The values for ELCR were found in the order of Cr > Cd > Pb. The ELCR index was found above acceptable risk levels for chromium and cadmium in both children and adults groups. Furthermore, intermetal correlation results revealed that heavy metals have common sources resulting from geogenic and anthropogenic activities and these are major sources of water contamination in Sistan and Baluchestan province.     

Non-carcinogenic risk assessment to human health due to intake of fluoride in the groundwater in rural areas of Gonabad and Bajestan,Iran: A case study

In this study, a field research regarding groundwater contamination with fluoride and its related health risks to human health was carried out in 39 rural areas of Gonabad and Bajestan, Iran, in 2017. The results indicated that fluoride levels in two rural areas exceeded the WHO guideline. A total of 55% and 4.7% of the studied rural areas in Gonabad and Bajestan, respectively, had fluoride levels below the minimum recommended value of WHO for fluoride (0.5 mg/L). In this article, chronic non-cancer risks to three different groups of people, adults, children, and infants, for exposure to the fluoride were assessed. Health risk index values for fluoride contamination for 44% and 90% of children and infants in rural areas of Gonabad and Bajestan, respectively, were more than unity (>1), which clearly reveals that these age groups at the studied areas are at the chronic health risk due to the intake of fluoride-containing water. The order of fluoride contribution to non-carcinogenic health risk among the studied age groups was infants > children > adults. Therefore, from a public health viewpoint, it would be prudent and important that risk reduction measures be implemented to diminish the total body burden of fluoride in residents.     

Human health risks arising from nitrate in potatoes consumed in Iran and calculation nitrate critical value using risk assessment study

Because of the low amount of nitrogen and organic matter in most soils of Iran, it is recommended to use nitrogen fertilizers in potato fields. Nitrate accumulates in plants naturally and if it enters into the human body it can threaten human health. There is not enough information about nitrate distribution in potatoes in Iran and a scientific value of critical level of nitrate in potatoes in Iran. The objective of this study, then, is to: determine the amount of nitrate in potatoes produced in different parts of Iran, assess the human health risks arising from potatoes nitrate, and calculate the critical concentration of nitrate in potato, using a risk assessment study and Iranian food basket. Two hundred and seventy-seven samples were collected from main provinces producing potatoes in Iran. Concentration of nitrate was measured in all samples. Results showed that Kerman province has more nitrate pollution and non cancer risk arising from nitrate. The most sensitive group to nitrate was boys 7–14 years old residing in Kerman province. Critical value of nitrate in potato for this receptor group, then for Iranian society in conservative conditions, was calculated using intake equations introduced by the USEPA and considering Iranian food basket as 246 mg kg^–1.     

Evaluation of groundwater contamination for fluoride and nitrate in semi-arid region of Nirmal Province,South India: A special emphasis on human health risk assessment (HHRA)

The main aim of this study was to assess the groundwater quality and human health risks of fluoride and nitrate contamination in Nirmal Province, South India, where groundwater is the primary source for drinking water. Hazard quotient (HQ) and total hazard index (THI) were calculated to estimate the non-carcinogenic risk to men, women, and children using the most substantial method recommended by United States Environmental Protection Agency (USEPA). The results of the study reveal that 26% and 20.59% of groundwater samples have significantly high nitrate and fluoride concentrations, exceeding the maximum permissible limits set by Bureau of Indian Standards (45 mg/L and 1.5 mg/L, respectively). Therefore, ingestion of high fluoride and nitrate water could be the chief reason for health risk in the study region. The total non-carcinogenic health risks for men, women, and children ranged from 2.95E?01 to 4.07E+00, 3.49E?01 to 4.80E+00, and 3.99E?01 to 5.50E+00, respectively. Moreover, 67.65%, 79.41%, and 82.35% of the total collected groundwater samples exceeded the permissible limit for acceptable total health index (THI = 1) for men, women, and children, respectively. Therefore, the health risk assessment suggests that children face higher health risk than men and women in the study region.     

An assessment of the presence and health risks of endocrine-disrupting chemicals in the drinking water treatment plant of Wu Chang,China

An assessment of the presence and health risks of endocrine-disrupting chemicals in the drinking water treatment plant (DWTP) of Wu Chang was performed. A recombinant yeast assay was used to assess the endocrine disrupting activity of the effluents of the DWTP. Agonistic activities of the estrogen receptor and androgen receptor were not detected in any of the effluent samples. However, anti-estrogenic and anti-androgenic activities were observed. In addition, the removal rates of the DWTP for the anti-androgenic activities were limited. A health risk assessment was performed on the basis of the results of the recombinant yeast assay, and the total daily production of hormones was used to evaluate the health risks of these types of endocrine-disrupting chemicals. The predicted effects of the anti-estrogenic and anti-androgenic disrupting activities were below 1.5%. This study suggested that the combined toxicity bioassays with health risk assessment could provide an available method to assess endocrine-disrupting chemicals and to evaluate the potential adverse effects on human health for aquatic environmental samples.     

Spatial distribution,exposure, and potential health risk assessment from nitrate in drinking water from semi-arid region of South India

Abstract

Elevated nitrate concentration in groundwater is a worldwide problem. Continuous exposure to high levels of nitrate in groundwater may cause adverse health effects among residents who use groundwater for consumption. Therefore, this study was conducted to identify the nitrate distribution and its potential health risk assessment from semi-arid region of Peddavagu in Central Telangana (PCT), South India. Groundwater samples were collected from thirty five locations and analyzed for nitrate and other water quality parameters. Nitrate (NO₃^-) in groundwater was observed to vary from 17 to 120?mg/L, with a mean of 58.74?mg/L. About 57% of samples exceeded the maximum acceptable limit of Indian drinking water standard. About, 40% of groundwater samples drinking water quality index (DWQI) is good, while 60% of groundwater falls in poor quality for drinking purposes. Health risk maps were created based on hazard quotient to quantify the potential health risk of the residents using US Environmental Protection Agency (US EPA) health risk assessment model. Health risk assessment revealed that mean total hazard index (HI_total) for men, women, and children were found as 1.42E?+?00, 1.67E?+?00, and 1.95E?+?00, respectively. Results exhibited that children are at high health risk than men and women in the PCT. Further, the human exposure to the NO₃^- contaminated water was above the critical limit of non-carcinogenic risk.     

Recognition of the prioritized types and individual of pharmaceuticals and personal care products (PPCPs) in the drinking water of Shanghai and a health risk assessment

Pharmaceuticals and personal care products (PPCPs) exist and are often grouped into categories according to their functional mechanism and effect on human health. In this study, six types of PPCPs were detected and characterized in the drinking water of Shanghai, covering 35 water treatment plants. The PPCPs concentrations were ranged from 2.57 ng/L to 19.4 ng/L and over 10 ng/L in nearly half of the samples. Hormones, blockers, and veterinary drugs were considered to contribute negligibly to the overall pollution from PPCPs for their low concentrations. However, dicyclohexylamine and psycholeptics were detected in all samples, with a maximum concentration of 11.8 ng/L, 7.82 ng/L, and 9.07 ng/L for dicyclohexylamine, sertraline, and sulpiride, respectively. In addition, high toxicity antitumor drug cyclophosphamide was detected in one-third of the samples and the highest concentration was 3.72 ng/L.

In all, the four PPCPs evaluated accounted for over 80% of the detected PPCPs levels. Therefore, it was determined that the major PPCPs are contributing to water pollution in the region. While these compounds do not pose a potential human health risk at their present levels, close attention should be paid to the use of these PPCPs and their discharge into drinking water source.     

Health risk assessment of a reservoir-type water source in the northeastern region of China

Urban water sources are the major source of water resources for urban life, and its water quality affects the daily life and health of the local people. However, there were some reports on the poor water quality status of water sources in the past. In the present study, by applying fuzzy synthetic evaluation, the water quality was studied from a total of 24 water samples from a reservoir-type water source in the northeastern region of China. Health risks of eight trace elements in source water were assessed using health risk assessment model and Monte Carlo simulation, and source apportionment of eight trace elements in source water were also analyzed. The results indicated that the water quality of the source water was acceptable for category I surface water, while the concentrations of total phosphorus (TP) and manganese (Mn) were higher than the permissible level. The noncarcinogenic risks due to eight trace elements exposure were As > Mn > Pb > Cd ≈ Cr > Se > Zn > Cu and carcinogenic risk of Arsenic (As) was 3E?05 with a maximum probability. Furthermore, statistical analyses, such as correlation analysis, principal component analysis (PCA) and cluster analysis (CA) showed that the trace metals in the water source have a certain degree of anthropogenic contributions, especially Mn. Overall, both the contents of TP and Mn and the health risk of As require some attention of the relevant department, and further protected measures should be taken in the source water.     

Drinking water quality and arsenic health risk assessment in Sistan and Baluchestan,Southeastern Province,Iran

Access to drinking water is one of the most important indicators determined by the World Health Organization (WHO). This investigation surveyed the concentration of various pollutants in drinking water and its health risk attribute to Arsenic in Sistan and Baluchistan province, Iran. Water samples were collected from ground water and analyzed for physical parameters, anions, and heavy metals using the standard procedures. The concentrations of sulfate (269 ± 127 mg/l) in five sites exceeded the permissible limit (250 mg/l), while chlorine concentrations (223 ± 100 mg/l) in four sites exceeded the permissible limit (250 mg/l) set by WHO. Similarly, the concentrations of Mg (30 ± 11 mg/l) in four sites exceeded the permissible limit (30 mg/l), while Na concentrations (222 ± 99 mg/l) in five sites exceeded the permissible limit (200 mg/l) set by Institute of Standards and Industrial Research of Iran (ISIRI). In addition, arsenic was in acceptable levels recommended by WHO and local regulations. Based on the calculated indices of hazard qutient (HR) and excess lifetime cancer risk (ELCR), the in-use drinking water has no adverse effects on the consumer's health. Excessive use of fertilizers and pesticides, unsuitable sewerage systems, and inappropriate sludge and solid waste disposal in this province can lead to drinking water pollution. Also, excessive pumping of ground water should be managed as an effective method for supply of safe drinking water.     

Human health risk assessment and sources analysis of nitrate in shallow groundwater of the Liujiang basin,China

High levels of nitrates in groundwater pose a risk to human health. Hence, groundwater-human health risk assessment and sources analysis are essential. The article aims to assess risk level and identify sources of nitrate in shallow groundwater of the Liujiang basin by using a human health risk assessment (HHRA) model, Factor analysis (FA) and GIS spatial analysis. The results indicated that the most serious pollution was distributed in southern region of the basin; about 60% of the samples exceeded the recommended limit of nitrate as per the World Health Organization limit. Moreover, ingants' health risk were greater than those of adults and children, and about 56% of the groundwater samples will put the infants at risk of health. FA was used to identify various underlying natural and anthropogenic processes that created these distinct risk levels. The FA results can be categorized by two major factors: (1) Organic fertilizers and sewage discharge contamination in central region. (2) Blocking effect of granite and redox conditions in southern parts. This study demonstrates that the great variation of nitrate risk levels in the basin should be attributed to both natural and anthropogenic processes.     

Spatial distribution of toxic metals in drinking water sources and their associated health risk in district buner,Northern Pakistan

Vigorous knowledge on the occurrence and distribution of toxic metals (TMs) in theenvironment is needed to assess their toxicological impacts on human health especially in developing countries like Pakistan. For the first time, the concentrations of TMs like Ni, Zn, Pb, Cr, and Cd in both ground and surface water and their potential health risk in the district Buner (Pakistan) were determined using Inductive Coupled Plasma Mass Spectrometry (ICP-MS, Agilent Technologies, 7500 CX, USA) and their results were compared with their safe limits defined by Pakistan Environmental Protection Agency (Pak-EPA) and World Health Organization WHO (2008 WHO (World Health Organization). 2008. Guidelines for drinking water quality, First Addendum to third ed. Recommendations, vol 1. Geneva, Switzerland [Google Scholar]). The concentrations of TMs, like Pb (43% and 86%), Ni (63% and 32%), Cr (41%), and Cd (1% and 20%) in drinking water samples exceeded their respective permissible limits set by Pak-EPA and WHO (2008), respectively. The mean concentrations of TMs were found in decreasing order Ni > Pb > Cr > Cd > Zn. The HRI values of TMs in drinking water samples for both adults and children were observed <1 indicating no health risk to the local population. Excessive marble industries are present in the study area; therefore, it is necessary to reduce metal contamination via proper disposal and treatment of marble wastewater, for which the government should take serious action in the study area.     

Presence of Giardia cysts and Cryptosporidium oocysts in drinking water supplies in northern Spain

AIMS: To evaluate the prevalence of Cryptosporidium and Giardia in surface water supplies from the province of Alava, northern Spain, and to investigate possible associations among the presence of these pathogenic protozoa with microbiological, physicochemical and atmospheric parameters. METHODS AND RESULTS: A total of 284 samples of drinking and recreational water supplies were analysed. Cryptosporidium oocysts were found in 63.5% of river samples, 33.3% of reservoirs samples, 15.4% and 22.6% of raw water samples from conventional and small water treatment facilities (respectively), 30.8% of treated water from small treatment facilities, and 26.8% of tap water from municipalities with chlorination treatment only. Giardia cysts were found in 92.3% of river samples, 55.5% of reservoirs samples, 26.9% and 45.2% of raw water samples from conventional and small water treatment facilities (respectively), 19.2% of treated water from small treatment facilities, and 26.8% of tap water from municipalities with chlorination treatment only. The presence of Cryptosporidium and Giardia had significant Pearson's correlation coefficients (P < 0.01) with the turbidity levels of the samples, and a number of significant associations were also found with the count levels for total coliforms and Escherichia coli. The samples were positive for Cryptosporidium significantly (P < 0.05) more frequently during the autumn season than during the spring and winter seasons. No significant differences were found in the seasonal pattern of Giardia. A moderate association (r = 0.52) was found between rainfall and the presence of Cryptosporidium oocysts. CONCLUSIONS: Cryptosporidium and Giardia are consistently found at elevated concentrations in surface waters for human consumption from the province of Alava, northern Spain. SIGNIFICANCE AND IMPACT OF THE STUDY: Water treatments based on rapid filtration process and/or chlorination only are often unsatisfactory to provide safe drinking water, a situation that represents an important public health problem for the affected population because of the risk of waterborne outbreaks.     

Spatial distribution and seasonal variation in fluoride enrichment in groundwater and its associated human health risk assessment in Telangana State,South India

Groundwater is a vital source of drinking water in Siddipet rural and urban regions of Central Telangana, South India and it is a major cause of fluoride toxicity in humans. The intake of elevated fluoride has a significant impact on human health, especially immediate problems that are seen in children's teeth. The primary aim of the study was to identify the seasonal variation in fluoride concentration and associated health risks in the residents of the study region. To assess the fluoride contamination in groundwater, a total of 158 samples were analyzed in two seasons. The mean concentrations of fluoride 1.26 mg/L and 2.21 mg/L were 1.46 and 2.8 times higher than the acceptable limit of 1.5 mg/L, before and after monsoon respectively. To estimate the human health risks due to the ingestion of elevated fluoride through drinking water, hazard quotient fluoride (HQ_Fluoride) was calculated using the United States Environmental Protection Agency method. HQ_Fluoride values were 0.44–2.44 and 0.89–4.67 for children, 0.36–2.00 and 0.73–3.82 for females, and 0.41–2.26 and 0.82–4.31 for males in pre- and post-monsoon seasons respectively, suggesting emphatically greater risk than the acceptable limits (HQ_Fluoride > 1), which generates health risks.     

GIS based evaluation of fluoride contamination and assessment of fluoride exposure dose in groundwater of a district in Uttar Pradesh,India

Groundwater is the main source of drinking water in both rural and urban areas of the Pratapgarh district in the eastern Uttar Pradesh. Fifty-five groundwater samples were collected from 17 blocks of the Pratapgarh district and analyzed for fluoride (F^?) and other water quality parameters (pH, EC, TDS, turbidity, Cl^?, HCO₃^?, SO₄^2?, NO₃^?, Ca²⁺, Mg²⁺, Na⁺, K⁺, silica and total hardness) to assess its suitability for drinking uses. The fluoride concentration in the analyzed groundwater of the Pratapgarh district varied between 0.41 and 3.99 mg/L. Fluoride concentration in about 78% of the groundwater samples exceeded the acceptable level of 1.0 mg/L, while in 70% samples it exceeded the maximum permissible limit of 1.5 mg/L. A geographic information system (GIS) tool was used to study the spatial variation of fluoride concentrations in the groundwater of the Pratapgarh district. Fluoride is positively correlated with pH (0.36) and HCO₃^? (0.22) and negatively with Ca²⁺ (?0.23) and Mg²⁺ (?0.08), suggesting dissolution of fluoride-bearing minerals with the precipitation of Ca/Mg carbonate in the alkaline environment. The maximum exposure dose to fluoride for adults in the study area was found to be 6.8 times higher than the minimum risk level (MRL) of 0.05 mg kg^?1 day^?1 estimated by the Agency for Toxic Substances and Disease Registry (ATSDR).     

Monitoring of arsenic in drinking water of high schools and assessment of carcinogenic health risk in Multan,Pakistan

Abstract

This study was performed to measure arsenic (As) contents in groundwater/drinking water of high schools and its effects on human health. Chronic daily intake, hazardous quotient (HQ), carcinogenic risk (CR), hazardous index (HI), and carcinogenic indices (CI) for oral and dermal exposure to arsenic were calculated. Samples were taken from high schools in four tehsils of Multan. As contents ranged from 3.25 to 184?µg/l and 99% samples exceeded World Health Organization safe limit (10?µg/l). HQ for Multan city (1.70) and for Multan Saddar (1.38) exceeded USEPA permissible toxic risk value (1.0). CR in four tehsils for oral (0.0001–0.0003) and dermal exposure (0.0000049–0.000011) exceeded USEPA limit (10^?6). HI for tehsil Multan city (1.75) and Multan Saddar (1.42) exceeded the limit (1.0). CI for four tehsils ranged from 0.00022 to 0.0008 exceeding USEPA limit (10^?6) indicating high chronic and carcinogenic health risk to exposed population. Results indicated that groundwater of district Multan is not fit for human consumption due to excessive arsenic contamination. It invites attention of water supplying agency and educational authorities to take steps for provision of arsenic free safe drinking water to students and local area peoples.