Fluoride in Ceylon tea and its implications to dental health

The purpose of this study was to assess the fluoride content of Ceylon Tea, which is a popular beverage throughout the world. The fluoride content of tea infusions prepared from different grades of tea leaves collected from different parts of the tea-growing regions (25 samples) of Sri Lanka was measured using a fluoride-selective electrode. Fluoride leaching was found to vary from 0.32 to 1.69 mg F/l, but there were no significant differences in terms of fluoride leaching between tea from different tea-growing regions or between tea of different grades. Dental fluorosis is widespread throughout the dry zone of Sri Lanka, and drinking water has traditionally been considered to be the main contributory factor to the development of fluorosis. However, diet, the consumption of tea in particular, may also contribute to the manifestation of dental diseases.     

Chronic kidney diseases of uncertain etiology (CKDue) in Sri Lanka: geographic distribution and environmental implications

The increase in the number of chronic kidney disease (CKD) patients from the north central region of Sri Lanka has become a environmental health issue of national concern. Unlike in other countries where long-standing diabetes and hypertension are the leading causes of renal diseases, the majority of CKD patients from this part of Sri Lanka do not show any identifiable cause. As the disease is restricted to a remarkably specific geographical terrain, particularly in the north central dry zone of the country, multidisciplinary in-depth research studies are required to identify possible etiologies and risk factors. During this study, population screening in the prevalent region and outside the region, analysis of geoenvironmental and biochemical samples were carried out. Population screening that was carried out using a multistage sampling technique indicated that the point prevalence of CKD with uncertain etiology is about 2–3% among those above 18 years of age. Drinking water collected from high-prevalent and non-endemic regions was analyzed for their trace and ultratrace element contents, including the nephrotoxic heavy metals Cd and U using ICP-MS. The results indicate that the affected regions contain moderate to high levels of fluoride. The Cd contents in drinking water, rice from affected regions and urine from symptomatic and non-symptomatic patients were much lower indicating that Cd is not a contributing factor for CKD with uncertain etiology in Sri Lanka. Although no single geochemical parameter could be clearly and directly related to the CKD etiology on the basis of the elements determined during this study, it is very likely that the unique hydrogeochemistry of the drinking water is closely associated with the incidence of the disease.     

Medical geology in tropical countries with special reference to Sri Lanka

Sri Lanka provides an ideal opportunity for the study of the effect of geology on human health. The vast majority of the people of Sri Lanka still live in rural areas within areas termed geochemical provinces. Very broadly, one could say that a geochemical province has characteristic chemical composition in soil, water stream sediments and rocks, enabling their delineation from others. The chemical composition is presumed to be have an impact on the health of the inhabitants of the particular geochemical province, particularly because of the fact that their food and water are obtained mostly from the terrain itself. This leads to the concept of “diseases of geochemical origin”. Among these are dental fluorosis, iodine deficiency disorders (IDDs) and selenium-based diseases. The Dry Zone of Sri Lanka has several areas rich in groundwater fluoride, the ingestion of which leads to dental fluorosis. Iodine deficiency diseases are more common in the Wet Zone, though their aetiologies are more complicated. Interestingly, it has also been observed that significant proportions of the female population of Sri Lanka are selenium-deficient, which could well be related to the geological environment. Chronic renal failure (CRF) has been observed in some areas of the Dry Zone of Sri Lanka, where there is a relationship of CRF with the mineral content of drinking water. This subject matter falls under the auspices of Medical Geology, a scientific discipline still in its infancy, and much more concerted studies are needed to attract the attention of medical research.     

Geochemistry of trace elements in paddy (rice) soils of Sri Lanka – implications for iodine deficiency disorders (IDD)

Iodine Deficiency Disorders (IDD) are a common health problem prevalent in the wet zone of Sri Lanka with a prevalence of >25 of the population. In comparison, in the dry zone of Sri Lanka IDD occurs in <10 of the population. Seventy soil samples from 14 villages selected on the basis of the incidence of goitre, were collected and analysed for 13 trace elements using ICP-MS. In order to identify any prevailing differences in antecedent chemical environments, soil samples from each pre-selected village were classified into three groups in terms of their geographical location. Among the elements investigated, the total soil concentrations of Rb, Sr, Ba, Mn and Co are lower in the wet zone of Kalutara. In contrast, total soil Rb, Sr, Ba and Mn contents are higher in the dry zone of Anuradhapura. Further soil total Mo and Nb levels are relatively similar in all pre-selected study locations. The high endemic goitre regions (IDD >25 of the population) show low levels of Rb, Sr, Ba, and Mn and higher levels of V, Cr, Co, Ni, Cu, Zn and Pb as compared with moderate and non-goitre areas. Factor analysis was used to exploit the correlation structure present in data and yielded three groups in all cases. This indicated that most transition group elements and iodine are associated with the Mn phase in the low IDD areas whereas iodine shows a high affinity for the organic phase in high IDD regions. The variable distribution of trace elements, therefore, must be due to differences in mobility and capacity for incorporation into the structure of secondary minerals or organic phases.     

Fluoride content and distribution pattern in groundwater of eastern Yunnan and western Guizhou, China

For study, the fluoride (F) content and distribution pattern in groundwater of eastern Yunnan and western Guizhou fluorosis area in southwestern China, the F content of 93 water samples [groundwater (fissure water, cool spring, and hot springs), rivers water] and 60 rock samples were measured. The result shows the F content of the fissure water and cold spring water is 0.027–0.47 mg/L, and river water is 0.048–0.224 mg/L. The F content of hot spring water is 1.02–6.907 mg/L. The drinking water supplied for local resident is mainly from fissure water, cool spring, and river water. And the F content in all of them is much lower than the Chinese National Standard (1.0 mg/L), which is the safe intake of F in drinking water. The infected people in eastern Yunnan and western Guizhou fluorosis area have very little F intake from the drinking water. The hot spring water in fluorosis area of eastern Yunnan and western Guizhou, southwest China has high F content, which is not suitable for drinking.     

Distribution,enrichment mechanism and risk assessment for fluoride in groundwater: a case study of Mihe-Weihe River Basin,China

● High fluorine is mainly HCO₃·Cl-Na and HCO₃-Na type. ● F⁻ decreases with the increase of depth to water table. ● High fluoride is mainly affected by fluorine-containing minerals and weak alkaline. ● Fluorine pollution is mainly in the north near Laizhou Bay (wet season > dry season). ● Groundwater samples have a high F⁻ health risk (children > adults). Due to the unclear distribution characteristics and causes of fluoride in groundwater of Mihe-Weihe River Basin (China), there is a higher risk for the future development and utilization of groundwater. Therefore, based on the systematic sampling and analysis, the distribution features and enrichment mechanism for fluoride in groundwater were studied by the graphic method, hydrogeochemical modeling, the proportionality factor between conventional ions and factor analysis. The results show that the fluorine content in groundwater is generally on the high side, with a large area of medium-fluorine water (0.5–1.0 mg/L), and high-fluorine water is chiefly in the interfluvial lowlands and alluvial-marine plain, which mainly contains HCO₃·Cl-Na- and HCO₃-Na-type water. The vertical zonation characteristics of the fluorine content decrease with increasing depth to the water table. The high flouride groundwater during the wet season is chiefly controlled by the weathering and dissolution of fluorine-containing minerals, as well as the influence of rock weathering, evaporation and concentration. The weak alkaline environment that is rich in sodium and poor in calcium during the dry season is the main reason for the enrichment of fluorine. Finally, an integrated assessment model is established using rough set theory and an improved matter element extension model, and the level of groundwater pollution caused by fluoride in the Mihe-Weihe River Basin during the wet and dry seasons in the Shandong Peninsula is defined to show the necessity for local management measures to reduce the potential risks caused by groundwater quality.     

Assessment of age-dependent radiation dose and toxicity risk due to intake of uranium through the ingestion of groundwater from Northern Rajasthan,India

Uranium traces were measured by laser fluorimeter in groundwater samples collected from four districts of Rajasthan state in India. The average values of uranium concentration in groundwater in Sri Ganganagar, Hanumangarh, Churu, and Sikar districts were determined to be: 57, 50, 40, and 21 µg L^?1, respectively. These recorded values were compared with the maximum contamination levels recommended for drinking water by various health and environmental protection agencies. The associated age-dependent radiation dose is estimated by taking the prescribed water intake values of different age groups. The average cancer mortality and morbidity risks are calculated to be 5.6 × 10^?5 and 8.8 × 10^?5 respectively, indicate that the probability of carcinogenic risks is negligible. About half (49%) of the analyzed samples showed hazard quotient > 1.0, indicating significant risk due to chemical toxicity of uranium.     

Distribution and Risk Assessment of Fluoride in Drinking Water in the West Plain Region of Jilin Province, China

The west plain region of Jilin province of northeast China is one of the typical endemic fluorosis areas caused by drinking water for many years. Investigations of hydrogeological and ecoenvironmental conditions as well as endemic fluorosis were conducted in 1998. Results show that the ground water, especially, the water in the unconfined aquifer is the main source of drinking water for local residents. The fluoride concentration in groundwater in the unconfined aquifers is higher than that in the confined aquifer in the west plain of Jilin province. The fluoride concentration in the unconfined aquifer can be used to classify the plain into fluoride deficient area, optimum area and excess area, which trend from west to east. High fluoride (>1.0 mg L(-1)) in drinking water resulted in dental and skeletal fluorosis in local residents (children and pregnant women). There exists a positive correlation between fluoride concentration in the drinking water and the morbidities of endemic fluorosis disease (r1 = 0.781, r2 = 0.872). Health risks associated with fluoride concentration in drinking water are assessed. It has been determined that fluoride concentration in excess of 1.0 mg L(-1) exposes residents to high health risks based on risk identification. The study area is classified into five health risk classes as shown in Figure 4. The risk indexes of this area more than 1.0 are accounted for 68% of the total west plain region.     

Arsenic and fluoride in the groundwater of Mexico

Concentrations of arsenic and fluoride above Mexican drinking water standards have been detected in aquifers of various areas of Mexico. This contamination has been found to be mainly caused by natural sources. However, the specific processes releasing these toxic elements into groundwater have been determined in a few zones only. Many studies, focused on arsenic-related health effects, have been performed at Comarca Lagunera in northern México. High concentrations of fluoride in water were also found in this area. The origin of the arsenic there is still controversial. Groundwater in active mining areas has been polluted by both natural and anthropogenic sources. Arsenic-rich minerals contaminate the fractured limestone aquifer at Zimapán, Central México. Tailings and deposits smelter-rich fumes polluted the shallow granular aquifer. Arsenic contamination has also been reported in the San Antonio-El Triunfo mining zone, southern Baja California, and Santa María de la Paz, in San Luis Potosí state. Even in the absence of mining activities, hydrogeochemistry and statistical techniques showed that arsenopyrite oxidation may also contaminate water, as in the case of the Independencia aquifer in the Mexican Altiplano. High concentrations of arsenic have also been detected in geothermal areas like Los Azufres, Los Humeros, and Acoculco. Prevalence of dental fluorosis was revealed by epidemiological studies in Aguascalientes and San Luis Potosí states. Presence of fluoride in water results from dissolution of acid-volcanic rocks. In Mexico, groundwater supplies most drinking water. Current knowledge and the geology of Mexico indicate the need to include arsenic and fluoride determinations in groundwater on a routine basis, and to develop interdisciplinary studies to assess the contaminant's sources in all enriched areas.     

Nitrate levels and the age of groundwater from the Upper Devonian sandstone aquifer in Fife,Scotland

The tritium concentrations in 13 groundwater samples from boreholes throughout the Upper Devonian sandstone aquifer of Fife have been measured. Due to atmospheric variations in tritium concentrations over the last century, this radioactive tracer can be used as a groundwater age indicator. In this study, the groundwater tritium concentrations have allowed for the area to be divided into three zones, and the variable chemistry of the groundwater samples, including the problem of recent elevated nitrate levels in the Fife Aquifer, has been interpreted in terms of their relative ages.     

Groundwater fluoride contamination,probable release,and containment mechanisms: a review on Indian context

Fluoride contamination in the groundwater has got great attention in last few decades due to their toxicity, persistent capacity and accumulation in human bodies. There are several sources of fluoride in the environment and different pathways to enter in the drinking water resources, which is responsible for potential effect on human health. Presence of high concentration of fluoride ion in groundwater is a major issue and it makes the water unsuitable for drinking purpose. Availability of fluoride in groundwater indicates various geochemical processes and subsurface contamination of a particular area. Fluoride-bearing aquifers, geological factors, rate of weathering, ion-exchange reaction, residence time and leaching of subsurface contaminants are major responsible factors for availability of fluoride in groundwater. In India, several studies have reported that the groundwater of several states are contaminated with high fluoride. The undesirable level of fluoride in groundwater is one of the most natural groundwater quality problem, which affects large portion of arid and semiarid regions of India. Rajasthan, Andhra Pradesh, Telangana, Tamil Nadu, Gujarat, and West Bengal are the relatively high-fluoride-contaminated states in India. Chronic ingestion of high doses of fluoride-rich water leads to fluorosis on human and animal. Over 66 million Indian populations are at risk due to excess fluoride-contaminated water. Therefore, groundwater contamination subject to undesirable level of fluoride needs urgent attention to understand the role of geochemistry, hydrogeology and climatic factors along with anthropogenic inputs in fluoride pollution.     

Geochemical occurrences of arsenic and fluoride in bedrock groundwater: a case study in Geumsan County, Korea

Bedrock groundwaters in Geumsan County, Korea, were surveyed to investigate the distribution and geochemical behaviors of arsenic and fluoride, mobilized through geogenic processes. The concentrations were enriched up to 113 μg/L for arsenic and 7.54 mg/L for fluoride, and 16% of 150 samples exceeded World Health Organization drinking water guidelines for each element. Simple Ca-HCO(3) groundwater types and positive correlations with pH, Ca, SO(4), and HCO(3) were characteristics of high (>10 μg/L) As groundwaters. The oxidation reaction of sulfide minerals in metasedimentary rocks and locally mineralized zones seems to be ultimately responsible for the existence of arsenic in groundwater. Desorption process under high pH conditions may also control the arsenic mobility in the study area. High (>1.5 mg/L) F groundwaters were found in the Na-HCO(3) type and with greater depth. Fluoride seemed to be enriched by deep groundwater interaction with granitic rocks, and continuous supply to shallow Ca-HCO(3)-type groundwater kept the concentration high. In the study area, drinking water management should include periodic As and F monitoring in groundwater.     

Observations on metal concentrations in commercial landings of two species of tilapia (Oreochromis mossambicus and Oreochromis niloticus) from reservoirs in six river basins in Sri Lanka

Samples of the muscle of two species of tilapia (Oreochromis mossambicus and O. niloticus; 17–20 cm length) were obtained from at least one reservoir in each of the six river basins (Aruvi Aru, Kala Oya, Kirindi Oya, Ma Oya, Mahaweli, and Walawe Ganga catchments) in Sri Lanka. The metals Ca, Cu, Fe, K, Mg, Mn, Na, and Zn were consistently detected in the muscle tissue. Overall, there were few differences in the concentration of metals between the two species of fish, although there were also some statistically significant differences (p < 0.05) in the concentrations of some metals in fish obtained from some of the reservoirs. Aruvi Aru stands out as a river basin in which the two fish species have significantly lower concentration of metals when compared to other river basins. The concentration of the metals studied were below WHO and FSANZ guideline values for fish, suggesting that the consumption of the metals found in tilapia from these reservoirs poses little risk to human health.     

Geochemical occurrences of arsenic and fluoride in bedrock groundwater: a case study in Geumsan County,Korea

Bedrock groundwaters in Geumsan County, Korea, were surveyed to investigate the distribution and geochemical behaviors of arsenic and fluoride, mobilized through geogenic processes. The concentrations were enriched up to 113 μg/L for arsenic and 7.54 mg/L for fluoride, and 16% of 150 samples exceeded World Health Organization drinking water guidelines for each element. Simple Ca-HCO₃ groundwater types and positive correlations with pH, Ca, SO₄, and HCO₃ were characteristics of high (>10 μg/L) As groundwaters. The oxidation reaction of sulfide minerals in metasedimentary rocks and locally mineralized zones seems to be ultimately responsible for the existence of arsenic in groundwater. Desorption process under high pH conditions may also control the arsenic mobility in the study area. High (>1.5 mg/L) F groundwaters were found in the Na-HCO₃ type and with greater depth. Fluoride seemed to be enriched by deep groundwater interaction with granitic rocks, and continuous supply to shallow Ca-HCO₃-type groundwater kept the concentration high. In the study area, drinking water management should include periodic As and F monitoring in groundwater.

     

Occurrence and health risk assessment of trace heavy metals via groundwater in Shizhuyuan Polymetallic Mine in Chenzhou City,China

The Shizhuyuan Polymetallic Mine in Chen-zhou City is an important multi-metal deposit in China. After a dam accident in 1985, there are still a number of mining plants, smelters and tailing ponds in this area. These had the potential to pollute the surrounding groundwater. In this study, groundwater samples were collected from 20 residents’ wells in this area during both dry and wet seasons. In particular, this study focused on the exposure and the health risk assessment of trace heavy metal in groundwater. Multiple statistical analysis and fuzzy comprehensive method were employed to reveal the distribution characteristics of heavy metal and to assess the groundwater quality. Results indicated that Cr, Fe, Ni, Cu, Zn, As, Cd, Ba, Hg and Pb were widespread with low exposure levels. There were 19 wells with low level exposure and one well with a moderate level exposure in the dry season. All of the wells were in low level exposure during the wet season. As and Mn exhibited potential non-carcinogenic concern, because their maximum hazard quotient (HQ) was higher than 1.0. This may cause adverse health effect on adults in dry season or on children in both seasons. Only As, showed that the maximum carcinogenic risk was more than 10⁻⁴, suggesting a high cancer risk for children in both dry and wet seasons. Therefore, analysis and reduction the concentrations of As and Mn in groundwater are needed in order to protect the health of residents and especially children in the area.     

Chronic kidney disease of unknown etiology and the effect of multiple-ion interactions

High incidence of chronic kidney disease of unknown etiology (CKDU) prevalent in many countries (e.g., Sri Lanka, equatorial America) is reviewed in the context of recent experimental work and using our understanding of the hydration of ions and proteins. Qualitative considerations based on Hofmeister-type action of these ions, as well as quantitative electrochemical models for the Gibbs free energy change for ionpair formation, are used to explain why (1) fluoride and water hardness due to magnesium ions (but not due to calcium ions) and similarly (2) cadmium ions in the presence of suitable pairing ions can be expected to be more nephrotoxic, while arsenite in the presence of fluoride and hardness may be expected to be less nephrotoxic. No synergy of arsenic with calcium hardness is found. The analysis is applied to a variety of ionic species that may be found in typical water sources to predict their likely combined electrochemical action. These results clarify the origins of chronic kidney disease that has reached epidemic proportions in the North Central Province of Sri Lanka as being most likely due to the joint presence of fluoride and magnesium ions in drinking water. The conclusion is further strengthened by a study of the dietary load of Cd and other toxins in the affected regions and in the healthy regions where the dietary toxin loads and lifestyles are similar, and found to be safe especially when the mitigating effects of micronutrient ionic forms of Zn, Se, as well as corrections for bioavailability are taken into account. The resulting etiological picture is consistent with the views of most workers in the field who have suspected that fluoride and other ions found in the hard water stagnant in shallow household wells were the major causative factors of the disease. Similar incidence of CKDu found in other hot tropical climates is likely to have similar origins.     

Assessment of natural arsenic in groundwater in Cordoba Province,Argentina

Groundwater in the central part of Argentina contains arsenic concentrations that, in most cases, exceed the value suggested by international regulations. In this region, Quaternary loessical sediments with a very high volcanic glass fraction lixiviate arsenic and fluoride after weathering. The objectives of this study are to analyze the spatial distribution of arsenic in different hydrogeological regions, to define the naturally expected concentration in an aquifer by means of hydrogeochemistry studies, and to identify emergent health evidences related to cancer mortality in the study area. The correlation between arsenic and fluoride concentrations in groundwater is analyzed at each county in the Cordoba Province. Two dimensionless geoindicators are proposed to identify risk zones and to rapidly visualize the groundwater quality related to the presence of arsenic and fluoride. A surface-mapping system is used to identify the spatial variability of concentrations and for suggesting geoindicators. The results show that the Chaco-Pampean plain hydrogeologic region is the most affected area, with arsenic and fluoride concentrations in groundwater being generally higher than the values suggested by the World Health Organization (WHO) for drinking water. Mortality related to kidney, lung, liver, and skin cancer in this area could be associated to the ingestion of arsenic-contaminated water. Generated maps provide a base for the assessment of the risk associated to the natural occurrence of arsenic and fluoride in the region.     

深圳铁岗水库水体中抗生素污染特征分析及生态风险评价

近年来水体中不断被检出的抗生素逐渐成为研究者关注的焦点。许多国家的河流、湖泊、地下水中均检出了抗生素残留。目前国内外关于抗生素污染特征的研究主要集中在河流、河口湾和污水处理厂等水环境中,对于抗生素在饮用水源地水体中的污染状况研究极少。利用高效液相色谱-串联质谱技术（HPLC-MS/MS）检测分析了5类典型抗生素在深圳铁岗饮用水源地型水库中的污染特征。结果表明,9种目标抗生素中,有8种在铁岗水库水体中被检出,浓度范围为1.1～203 ng·L^-1,其中,林肯霉素检出浓度最高,红霉素次之,阿莫西林未检出;入库支流抗生素污染程度普遍高于铁岗水库,其中大官陂河中抗生素质量浓度最高（277.0 ng·L^-1）,九围河次之（196.4 ng·L^-1）;枯水期抗生素浓度高于丰水期。采用风险商值法初步评价的结果表明,枯水期时料坑水中红霉素、大官陂河中磺胺甲噁唑和林肯霉素,以及丰水期时九围河中林肯霉素的生态风险商（RQ）均大于1,对生态环境具有高风险;风险简单叠加模型计算结果显示,枯水期时料坑水、塘头河、大官陂河以及丰水期时九围河中抗生素的联合毒性风险商（RQsum）均大于1,对生态环境可能会产生较高的风险。     

A review of global outlook on fluoride contamination in groundwater with prominence on the Pakistan current situation

Several million people are exposed to fluoride (F^?) via drinking water in the world. Current review emphasized the elevated level of fluoride concentrations in the groundwater and associated potential health risk globally with a special focus on Pakistan. Millions of people are deeply dependent on groundwater from different countries of the world encompassing with an elevated level of fluoride. The latest estimates suggest that around 200 million people, from among 25 nations the world over, are under the dreadful fate of fluorosis. India and China, the two most populous countries of the world, are the worst affected. In Pakistan, fluoride data of 29 major cities are reviewed and 34% of the cities show fluoride levels with a mean value greater than 1.5 mg/L where Lahore, Quetta and Tehsil Mailsi are having the maximum values of 23.60, 24.48, > 5.5 mg/L, respectively. In recent years, however, other countries have minimized, even eliminated its use due to health issues. High concentration of fluoride for extended time period causes adverse effects of health such as skin lesions, discoloration, cardiovascular disorders, dental fluorosis and crippling skeletal fluorosis. This review deliberates comprehensive strategy of drinking water quality in the global scenario of fluoride contamination, especially in Pakistan with prominence on major pollutants, mitigation technologies, sources of pollution and ensuing health problems. Considering these verities, health authorities urgently need to establish alternative means of water decontamination in order to prevent associated health problems.     

Study of fluoride content in groundwater of Nawa Tehsil in Nagaur, Rajasthan

There is a severe fluoride problem in Nawa tehsil of Nagaur district. Villagers are suffering from dental fluorosis and skeletal fluorosis. So an extensive geochemical study of 27 villages of eastern, south-eastern and southern zone of Nawa tehsil was done. Total 46 ground water samples were collected and analyzed for various physicochemical parameters as well as fluoride content. The ground water samples collected in clean polyethylene plastic containers were analyzed for pH, electrical conductivity, total dissolved salts, calcium, magnesium, total hardness, chloride and alkalinity. The fluoride concentration in the three different zones ranged from 0.64 to 14.62 mg l(-1) where 13.04% samples were found within permissible limit while 86.96% had fluoride beyond permissible limit (> 1.5 mg l(-1)). It was found that among the three different zones south-eastern zone was under serious fluoride contamination where fluoride concentration ranged between 1.10 to 14.62 mg l(-1). In the eastern zone fluoride concentration was recorded from 1.52 to 5.13 mg l(-1) whereas in the southern zone it was found between 0.64 to 3.63 mg l(-1).