Hydrogeochemical evolution and risk assessment of human health in a riverbank filtration site,northeastern China

Intensive agriculture and industrial activities have resulted in contamination in rivers and groundwater quality, which threatens human health. In this study, we used comprehensive physiochemical indicators to assess the quality of groundwater used for drinking and irrigation in addition to the potential risks to local residents in a riverbank filtration site. Human health risks through drinking water intake and dermal contact were also estimated. Moreover, we analyzed the spatial distribution regularities of health risk values in a riverbank filtration site. The assessment results revealed that NH₄–N, NO₂–N, F^?, Mn, and As are main contaminants affecting groundwater quality and that 62% of the total samples is suitable for a variety of purposes. All groundwater in the study area is suitable for irrigation based on the sodium adsorption ratio (SAR), residual sodium carbonate (RSC), Na percentage (%Na), and U.S. Salinity Laboratory (USSL) and Wilcox diagrams. The health risk assessment suggests that residents in the study area are at high health risk, and women and children face higher risk than men in both non-carcinogenic and carcinogenic risks. The spatial distribution regularities of health risk values suggest that the human health risk value of each groundwater sample is different in the study area and has certain regularity. Therefore, effective measurements must be taken to address the groundwater contamination and to reduce the human health risks.     

Health risk assessment of nitrates in the groundwater of Beni Amir irrigated perimeter,Tadla plain,Morocco

Abstract

Shallow groundwater contaminated with nitrates may result in human health risks. Groundwater quality in the Beni Amir irrigation perimeter in Tadla plain, Morocco, is influenced by agriculture and farming-related activities. This study was carried out to assess the nitrate contamination of groundwater for drinking purposes by comparing it to Moroccan and WHO guidelines, and by estimating the potential human health effect of nitrates using the model recommended by the USEPA. The results showed that the nitrate content of groundwater fall between 0 and 82.08?mg L^?1 (mean 24.73?mg L^?1), with 38.10% of groundwater samples exceed the Moroccan and WHO limits for drinking. Groundwater nitrates mainly originated from intensive agricultural practices. The health effects of oral exposure to nitrate are higher than those of dermal exposure. For non-carcinogenic risks, 57.14% of samples showed hazard index (HI) values >1, indicating potential risks. The non-carcinogenic risk for infant and female are higher than that for females and males. The results of this study will offer a health risk reference for local residents and can help to propose suitable management ensuring safe drinking water.     

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.     

Health risk assessment due to exposure of arsenic contamination in drinking water of district Shiekhupura,Punjab, Pakistan

Abstract

The present study was conducted to assess the magnitude and health impacts of As in drinking water. Drinking water samples (n?=?60) were collected from twenty different sites of Shiekhupura District (Pakistan). Health risk assessment through average daily dose (ADD), hazard indices (HI), hazard quotient (HQ), carcinogenic risk (CR), and cancer indices (CI) for dermal and oral exposure were determined. Results revealed that As concentration ranged from 2 to 900?µg?L^?1 in water samples, which was significantly greater than the safe limit of As (10?µg?L^?1) in water. Health risk assessment of As showed that ADD (1.07E?02–9.85E?04), HQ (1.06E+01–9.85E+00), and CR (1.60E?02–9.85E?04) for oral exposure and ADD (1.03E?05–9.69E?06), HQ (1.19E?02–7.96E?03), and CR (1.11E?05–8.98E?05) for dermal exposure which were exceeded the toxic risk index value. Comparison of the two exposure pathways indicated that the oral exposure is much higher risk than the dermal contact. Both values of HI and CI were greater than WHO limit. It is concluded that residents of study area are at higher risk of As induced diseases and carcinogenicity.     

Concentration of arsenic in groundwater,vegetables, human hair and nails in mining site in the Northern Thai Nguyen province,Vietnam: human exposure and risks assessment

This study was aimed to examine the risk of chronic arsenic (As) exposure for the residents living in Nui Phao, Thai Nguyen in the northern Vietnam. Groundwater, vegetables, human hair, and nail samples were collected from volunteers living in Nui Phao. The results revealed that 75% of the groundwater samples had As exceeding the World Health Organization (WHO) drinking water guideline of 10 µg L^?1. The result of As concentration for most of the vegetable samples was greater than the WHO/FAO safe (0.1?mg kg^?1). The result of hair and nail samples in this study showed that 3.5 and 20% of the samples had As concentration exceeding the level of As toxicity in hair and nails, respectively. The result of health risks indicated that the potential health risk of As contamination is greater for groundwater than vegetables. The total hazard quotient (HQ) value through vegetables ingestion and drinking water exceeded 1.0 suggesting potential health risk for local residents. The calculation of potential carcinogenic risk through both consumption of vegetables and drinking water was low cancer risk in adults. Other food sources and the exposure pathways are needed to exactly assess health risks in this area.     

Evaluation of three different types of nitrogen,heavy metals,and endocrine disruptors in water and sediments of Wenyu River

Concentrations of NO₃^?(nitrate), NO₂^?(nitrite), NH₄⁺(ammonia nitrogen), Mn, Fe, Ba, As, Se, Cd, Pb, Cr⁶⁺, estrone (E1), estradiol (E2), ethinylestradiol (EE2), estriol (E3), bisphenol A (BPA), nonylphenol (NP) and 4-tert-octylphenol (OP) had been estimated in water and sediments of Wenyu River. Using single factor, ecological risk assessment, geoaccumulation index, human health risk assessment and multivariate statistical analysis, we described the current situation of river contamination, human health risks of different age groups and possible sources of pollutants as well as their transformation characteristics. The results showed that main contaminants were NH₄⁺, NO₃^?, NO₂^?, EE2 and E3, E1 in water, while sediments have been slightly polluted by heavy metals, whose order of polluting degree is Zn>Cr⁶⁺>Cd>Cu. Residents in the study area are exposed to the risk, and EE2 made the greatest contribution to it. E1, As, and NO_3^- also affect negatively on the health of the residents, and NO_2^- only do harm to juveniles. Human activities and industrial production are main sources of contaminants, also they can transform into each other between water and sediments. Heavy metal ions can be easily precipitated by Ferric oxide or hydroxide, E2 and EE2 are also transformed into E3 in natural environment.     

Nitrate associated health risks from groundwater of Kadava River Basin Nashik,Maharashtra, India

Abstract

The present study was carried out to evaluate the nitrate contamination in groundwater and ascertain the associated health risks to rural populations in the agricultural area of the Kadava River basin. A total of (80) eighty representative samples from rural habitat located in agricultural fields were collected during pre- and postmonsoon seasons of 2011, which are mainly used for drinking and irrigation. The chemical results confirm that, 52.5 and 65% groundwater samples from pre- and postmonsoon season are unfit for drinking because of high nitrate contents exceeding the limit of nitrate (>45?mg L^?1) recommended by the BIS. The oral and dermal exposure pathways were calculated for different age group based on US EPA and ICMR standards. HQ₁ is much higher than the critical limit of 1 which increases the risk from 92.5 to 95% groundwater samples, while value of HQ₂ is far below to the critical value of 1; hence, all age groups free from risk. THQ values depicts that, children were at greater risk followed by infants and adults. Therefore, it is immensely important to regulate the use of nitrogen complex fertilizer and groundwater management practices should be implemented to prevent the associated risks to human health.     

Assessment of shallow groundwater quality and its suitability for drinking purpose near the Béni-Mellal wastewater treatment lagoon (Morocco)

Abstract

The present study aimed to evaluate the suitability for drinking purpose of shallow groundwater near the Béni-Mellal wastewater treatment lagoon based on various physicochemical, heavy metals, and bacteriological parameter analyses. The physicochemical results revealed that some of the samples do not comply with the Moroccan and/or WHO standards for drinking water. Parameters including turbidity, TH, Na⁺, Li⁺, Ba²⁺, Ca²⁺ (～47.1% of samples), Cd (～52.9% of samples), Fe (～82.4% of samples), Pb (～58.8% of samples), T. coliforms, and E. coli exceeded the drinking limits. The statistical analyses revealed that the shallow groundwater chemistry is mainly controlled by geogenic and anthropogenic sources. For quality assessment, using the Moroccan groundwater assessment grid, the values of EC and Cl^–, NO₃^–, NH₄⁺, oxidability, and E. coli, fixed as pollution indicators, showed that most of the wells showed medium-to-poor quality, 14% of them have a very poor water quality, and 20% of them belong to the bad water quality. According to geometric and arithmetic DWQI values, the groundwater quality was frequently fair to good, needing treatment or at least disinfection before public consumption. A sensitivity analysis results indicated that Fe, Cd, Cr, Pb, and E. coli have an important impact on the DWQI computing.     

Human health risk assessment of arsenic in groundwater aquifers of Lahore,Pakistan

The present study was conducted to estimate As concentration in groundwater and resulting human health risk in terms of chronic daily intake, hazard quotient (HQ), hazard index (HI), and carcinogenic risk (CR) both for oral and dermal exposure to As. Groundwater samples (n = 100) were collected from ten different towns of Lahore District (Pakistan). Arsenic concentration ranged from 2 to 111 µg L^?1 in groundwater samples of the study area, which was significantly greater than the safe limit of As (10 µg L^?1) in drinking water set by the World Health Organization. Health risk assessment of As showed that HQ (0.1–11) for oral exposure and HI (0.1–11) values also exceeded the typical toxic risk index value of 1. 9.75 × E-05–4.59 × E-03 and 5.89 × E-07–2.77 × E-05 for oral and dermal As exposure, respectively. Both CR and cancer index (CIs) values were higher than United States Environmental Protection Agency limit (10^?6), suggesting that people are at high risk of As-induced carcinogenicity from oral and dermal exposure to As in drinking water. It was concluded that As contamination of groundwater causes carcinogenic and noncarcinogenic health effects to the people; therefore, urgent management and remedial actions are required to protect people from As poisoning.     

Risk assessment and source identification of coastal groundwater nitrate in northern China using dual nitrate isotopes combined with Bayesian mixing model

Due to the intensive and complicated human activities, the identification of nitrate pollution source of coastal aquifer is usually a challenge. This study firstly adopted stable isotope technique and stable isotope analysis in R (SIAR) model to identify the nitrate sources and contribution proportions of different sources in typical coastal groundwater of northern China. The results showed that about 91.5% of the groundwater samples illustrated significantly high nitrate concentrations exceeding the maximum WHO drinking water standard (50 mg/l), reflecting the high risk of groundwater nitrate pollution in the coastal area. A total of 57 sampling sites were classified into three groups according to hierarchical cluster analysis (HCA). The δ¹⁵N-NO₃^? and δ¹⁸O-NO₃^? values of groundwater samples from Group C (including nine samples) were much higher than those from Group A (including 40 samples) and Group B (including 8 samples). SIAR results showed that NH₄⁺ fertilizer was the dominant nitrate source for groundwater samples of Groups A and B while manure and sewage (M&;S) served as dominant source for Group C. This study provided essential information on the high risk and pollution sources of coastal groundwater nitrate of northern China.     

Assessing groundwater quality and health risks of fluoride pollution in the Shasler Vagu (SV) watershed of Nalgonda,India

Abstract

The principal objectives of this study were to evaluate groundwater quality and human health risks of fluoride contamination in Shasler Vagu (SV) watershed of Nalgonda district, India. For this purpose, 107 groundwater samples were collected and analyzed various physcio-chemical parameters including fluoride, and Gibbs diagrams, Hill–Piper trilinear diagram, and groundwater quality index (GWQI) were applied to understand the groundwater chemistry and its suitability for drinking purpose. In addition to this, non-carcinogenic health risks of high fluoride intake were also evaluated using the US Environmental Protection Agency model for adults and children in the study region. Groundwater chemistry is mainly controlled by HCO₃^?-Ca²⁺-Mg²⁺ and Na⁺-HCO₃^? type, and rock weathering. Assessment of GWQI indicates that 76% of groundwater sources in the study region have poor quality for drinking uses. Results reveal that fluoride concentration ranged from 1.4 to 5.9?mg/L in the groundwater samples, which was significantly higher than the recommended limit of 1.5?mg/L for drinking uses. Results of hazard quotient (HQ) estimates are in the ranges of 0.90–3.78 and 1.21–5.11 in adults and children populations of the study region, respectively. About 98% of adults and 100% of children population of SV watershed are at very high risks of chronic toxicity by excess fluoride intake.     

Assessment and evaluation of geochemical process in the groundwater of the coastal aquifers

The quality of the groundwater in the study area was evaluated through various water quality indexes for drinking and irrigation purposes. To evaluate the water quality index, 186 groundwater samples were sampled during 2 different seasons, likely pre-monsoon (PRM) and post-monsoon (POM). The collected samples were measured for physical-chemical parameters like pH, EC, TDS, Na, K, Ca, Mg, Cl, HCO₃, PO₄, SO₄, NO₃ and H₄SiO₄. The research findings indicated that groundwater of the study area is approaching an alarming stage of its suitability for drinking purpose because a major percentage (i. e. 56%: PRM, 46%: POM) of samples are within poor category. Thus, the proper management strategy for water resources must be developed and a preventive management practice to address this issue must be implemented. Various water quality parameters such as electrical conductivity (EC), pH, salinity hazard, sodium hazard and permeability indexes (PI) were considered for irrigation water quality evaluation and it is inferred that the groundwater of the study area is suitable for irrigation. The PRM and POM samples with higher Na + and Cl concentrations were identified. The primary source of groundwater contamination is anthropogenic factors like domestic, agriculture effluents and mining activities. However, the groundwater of these regions is also greatly influenced by geogenic factors like weathering, rock-water interaction and precipitation which results in groundwater water level fluctuation. The research findings suggest the groundwater quality of this region is approaching an alarming stage for drinking purposes. Thus, developing a management strategy for drinking water sources and implementing preventive management practices to address this issue becomes imperative.     

Hazardous metals levels in groundwater from Gokana,Rivers State,Nigeria: Non-cancer and cancer health risk assessment

This study investigated heavy metals concentration in groundwater in six coastal communities in Gokana, Rivers State, namely, Gbe, K-Dere, B-Dere, Mogho, Kpor and Bodo City and the human health risk posed to the local populace via ingestion and dermal contact using non-carcinogenic and carcinogenic health risk assessment. The mean values of the heavy metals ranged between 0.02–0.86, 0.16–0.19, 0.03–0.10, 0.02–0.03 and 0.01–0.17 for Mn, Ni, Pb, Cd and Cr, respectively. The heavy metals were above the drinking water quality recommended limits in all the study sites. Estimations of average daily dose (ADD) and dermal absorbed dose (DAD) health risk indicates that Mn, Ni and Pb posed human health risk via ingestion contact pathway. However, hazard index (HI) values of Cd and Cr for ingestion pathway were >1.0 and the estimated Lifetime of Carcinogenic Risks (LTCR) for Ni, Cd and Cr exceeded the predicted lifetime risk for carcinogens of 10^?6 from ingestion pathway. Furthermore, there were more appreciable risk from Ni and Cr in the study sites as LTCR value in most sites were >10^?4_. This study indicates possible non-carcinogenic and carcinogenic human health hazard from groundwater consumption in Gokana via oral ingestion.     

The effects of land use change and irrigation water resource on nitrate contamination in shallow groundwater at county scale

The objective of this study was to assess the impacts of land use changes and irrigation water resource on the nitrate contamination in shallow groundwater. 394 water samples were sampled from the same irrigation wells during a period of five years (from 2002 to 2007) in Huantai County in the North China Plain. NO₃-N concentration in irrigation wells was measured. Geostatistical method combined with GIS technique was used to analyze the spatio-temporal distribution of groundwater NO₃-N concentrations in Huantai County. Land use type and irrigation water resource were combined with the variation of NO₃-N concentrations by statistical approach to investigate the relationship between them. The distribution map showed that the percentages of area increased by 13.06%, 14.37%, 12.23% and 3.85% for that had nitrate concentrations of 10–15, 15–20, 20–30 mg L^?1 and greater than 30 mg L^?1 for shallow groundwater, respectively, while decreased by 28.87% and 14.63% for 0–5 and 5–10 mg L^?1. In the well-irrigated field, the NO₃-N concentrations in shallow groundwater had increased for vegetables, wheat–vegetables and wheat–maize rotations. In contrast, fast-growing tree system could act as a buffer to retain shallow groundwater nitrate content which resulted in reduced NO₃-N concentrations. Under the same land use condition, irrigation with sewage, or well and sewage by turns would both enormously add nitrate to groundwater.     

Nitrate retention in a sand plains stream and the importance of groundwater discharge

We measured net nitrate retention by mass balance in a 700-m upwelling reach of a third-order sand plains stream, Emmons Creek, from January 2007 to November 2008. Surface water and groundwater fluxes of nitrate were determined from continuous records of discharge and from nitrate concentrations based on weekly and biweekly sampling at three surface water stations and in 23 in-stream piezometers, respectively. Surface water nitrate concentration in Emmons Creek was relatively high (mean of 2.25 mg NO₃?CN l^?1) and exhibited strong seasonal variation. Net nitrate retention averaged 429 mg NO₃?CN m^?2 d^?1 and about 2% of nitrate inputs to the reach. Net nitrate retention was highest during the spring and autumn when groundwater discharge was elevated. Groundwater discharge explained 57?C65% of the variation in areal net nitrate retention. Specific discharge and groundwater nitrate concentration varied spatially. Weighting groundwater solute concentrations by specific discharge improved the water balance and resulted in higher estimates of nitrate retention. Our results suggest that groundwater inputs of nitrate can drive nitrate retention in streams with high groundwater discharge.     

Assessment of risk to human health due to intake of chromium in the groundwater of the Aosta Valley region,Italy

The aim of this study is to assess the risk to human health presented by total chromium (Cr_T) and hexavalent chromium (Cr(VI)) due to the intake of the groundwater (shallow aquifer) in the Aosta Valley region. One hundred and fifty-three groundwater samples were collected from seventeen locations in the Aosta Valley region during the years 2007–2015 to determine the Cr_T and Cr(VI) concentrations. The cancer risk (CR) and non-cancer risk, reflected by the hazard quotient (HQ) were estimated using the United States Environmental Protection Agency methods. The concentrations of Cr_T exceeded the limit for drinking water established by Italian legislative decree at the sampling location Ao23 in all the years studied. Moreover, Cr(VI) concentrations exceeded the limit for drinking water at many sampling locations in the study area. The estimated HQ values for non-cancer risk suggested that all the sampling locations were well within the safe zone during all the years except for location Ao23 in many years considered. The CR levels were very low to high risk in the groundwater of the study area. The results of this analysis suggest that a suitable treatment of the groundwater is required before its utilization for drinking purposes. This study could be of great value for the prevention of risk to human health and for groundwater resource management.     

Denitrification in the vadose zone and in surficial groundwater of a sandy entisol with citrus production

A portion of nitrate (NO ₃ ⁻ ), a final breakdown product of nitrogen (N) fertilizers, applied to soils and/or that produced upon decomposition of organic residues in soils may leach into groundwater. Nitrate levels in water excess of 10 mg L⁻¹ (NO₃–N) are undesirable as per drinking water quality standards. Nitrate concentrations in surficial groundwater can vary substantially within an area of citrus grove which receives uniform N rate and irrigation management practice. Therefore, differences in localized conditions which can contribute to variations in gaseous loss of NO ₃ ⁻ in the vadose zone and in the surficial aquifer can affect differential concentrations of NO₃–N in the groundwater at different points of sampling. The denitrification capacity and potential in a shallow vadose zone soil and in surficial groundwater were studied in two large blocks of a citrus grove of ‘Valencia’ orange trees (Citrus sinensis (L.) Obs.) on Rough lemon rootstock ( Citrus jambhiri (L.)) under a uniform N rate and irrigation program. The NO₃–N concentration in the surficial groundwater sampled from four monitoring wells (MW) within each block varied from 5.5- to 6.6-fold. Soil samples were collected from 0 to 30, 30 to 90, or 90 to 150 cm depths, and from the soil/groundwater interface (SGWI). Groundwater samples from the monitoring wells (MW) were collected prior to purging (stagnant water) and after purging five well volumes. Without the addition of either C or N, the denitrification capacity ranged from 0.5 to 1.53, and from 0.0 to 2.25 mg N₂O–N kg⁻¹ soil at the surface soil and at the soil/groundwater interface, respectively. The denitrification potential increased by 100-fold with the addition of 200 mg kg⁻¹ each of N and C. The denitrification potential in the groundwater also followed a pattern similar to that for the soil samples. Denitrification potential in the soil or in the groundwater was greatest near the monitor well with shallow depth of vadose zone (MW3). Cumulative N₂O–N emission (denitrification capacity) from the SGWI soil samples and from stagnant water samples strongly correlated to microbial most probable number (MPN) counts (r² = 0.84 – 0.89), and dissolved organic C (DOC) (r² = 0.96 – 0.97). Denitrification capacity of the SGWI samples moderately correlated to water-filled pore space (WFPS) (r² = 0.52). However, extractable NO₃-N content of the SGWI soil samples poorly (negative) correlated to denitrification capacity (r² = 0.35). However, addition C, N or both to the soil or water samples resulted in significant increase in cumulative N₂O emission. This study demonstrated that variation in denitrification capacity, as a result of differences in denitrifier population, and the amount of readily available carbon source significantly (at 95% probability level) influenced the variation in NO₃–N concentrations in the surficial groundwater samples collected from different monitoring wells within an area with uniform N management. This revised version was published online in June 2006 with corrections to the Cover Date.     

Indirect N2O emissions from shallow groundwater in an agricultural catchment (Seine Basin, France)

Production and accumulation of nitrous oxide (N₂O), a major greenhouse gas, in shallow groundwater might contribute to indirect N₂O emissions to the atmosphere (e.g., when groundwater flows into a stream or a river). The Intergovernmental Panel on Climate Change (IPCC) has attributed an emission factor (EF_5g) for N₂O, associated with nitrate leaching in groundwater and drainage ditches—0.0025 (corresponding to 0.25% of N leached which is emitted as N₂O)—although this is the subject of considerable uncertainty. We investigated and quantified the transport and fate of nitrate (NO₃ ^?) and dissolved nitrous oxide from crop fields to groundwater and surface water over a 2-year period (monitoring from April 2008 to April 2010) in a transect from a plateau to the river with three piezometers. In groundwater, nitrate concentrations ranged from 1.0 to 22.7 mg NO₃ ^?–N l^?1 (from 2.8 to 37.5 mg NO₃ ^?–N l^?1 in the river) and dissolved N₂O from 0.2 to 101.0 μg N₂O–N l^?1 (and from 0.2 to 2.9 μg N₂O–N l^?1 in the river). From these measurements, we estimated an emission factor of EF_5g = 0.0026 (similar to the value currently used by the IPCC) and an annual indirect N₂O flux from groundwater of 0.035 kg N₂O–N ha^?1 year^?1, i.e., 1.8% of the previously measured direct N₂O flux from agricultural soils.     

Geochemical assessment of fluoride enriched groundwater and health implications from a part of Yavtmal District,India

Abstract

A comprehensive study was conducted from a semi-arid part of Yavtmal District, Maharashtra, India through combination approaches of geochemical modeling and its health consequences. The groundwater quality assessment shows that 55% of groundwater samples have the concentration of fluoride above the desirable limit. The high Na⁺/Ca⁺ ratio (>1.0) suggest the occurrence of cation exchange, which is further supported by Scholler’ chloro-alkaline indices. The geochemical modeling reveals that the existence of CaCO₃ precipitation and CaF₂ in groundwater. Simulation analysis indicates the dissolution of calcite, gypsum, and albite and precipitation of dolomite, fluorite, halite, and K-feldspar along with cation exchange as the main water–rock interactions influencing the groundwater chemistry. This is further significantly supported by pollution index of groundwater (PIG). PIG indicates about 18% of total samples fall in very high pollution zone, 3% in high pollution zone, 8% in moderate pollution zone, 24% in low pollution zone, and remaining (47%) express insignificant pollution. The 28% of subject studied have skeletal fluorosis varying from mild to severe type. In different pollution zones, the affected persons by dental fluorosis are varying from 15% to 41%. A proper monitoring and treatment are required for high fluoride water before its use for drinking and cooking.