Assessment of groundwater quality in a region of endemic fluorosis in the northeast of Brazil

The aim of this study was to estimate the risk for caries and fluorosis in a desertification area, applying the calcium/fluoride concentration ratio of underground water and the quality of water in a selected geographical region. This study was performed in the municipality of São João do Rio do Peixe, located in the tropical semiarid lands of Brazil. A total of 111 groundwater samples were collected. Fluoride concentration varied from 0.11 to 9.33 mg/L. Thirty percent of all samples analyzed showed values above 1.5 mg/L, while 64 % were above the ideal limit of 0.7 mg/L. Mean calcium concentration was 47.6 mg/L, and 14.4 % of all samples presented values above the WHO acceptable limits. The proportional value of calcium/fluoride in water showed that only 12 % of the samples were suitable for dental caries prevention with minimal risk for dental fluorosis. Mapping of the fluoride distribution indicated that approximately 2,465 people could be affected by dental fluorosis and 1,057 people might be affected by skeletal fluorosis. It can be concluded that, in addition to fluoride, many water parameters were not suitable for the drinking water. Mapping out calcium/fluoride ratio may indicate areas of water suitability for caries control, whereas the fluoride concentration solely can indicate the areas with the risk for fluorosis. This approach can be relevant for health authorities for identifying communities where dental caries or dental fluorosis is prevalent.     

Fluoride contamination in drinking water in rural habitations of Northern Rajasthan, India

This study was carried out to assess the fluoride concentration in groundwater in some villages of northern Rajasthan, India, where groundwater is the main source of drinking water. Water samples collected form deep aquifer based hand-pumps were analysed for fluoride content. Fluoride in presently studied sites was recorded in the ranges of 4.78 and 1.01 mg/l. The average fluoride concentration for this region was recorded 2.82 mg/l. As per the desirable and maximum permissible limit for fluoride in drinking water, determined by WHO or by Bureau of Indian Standards, the groundwater of about 95 of the studied sites is unfit for drinking purposes. Due to the higher fluoride level in drinking water several cases of dental and skeletal fluorosis have appeared at alarming rate in this region. The middle and eastern parts of the Hanumangarh, a northern most district of the state, can be classified as higher risk area for fluorosis; due to relatively high concentrations of fluoride (3-4 mg/l) in groundwater of this region. After evaluating the data of this study it is concluded that there is an instant need to take ameliorative steps in this region to prevent the population from fluorosis.     

Lead (Pb) and arsenic (As) bioaccessibility in various soils from south China

Serious problems are faced in several parts of the world due to the presence of high concentration of fluoride in drinking water which causes dental and skeletal fluorosis to humans. Nalgonda district in Andhra Pradesh, India is one such region where high concentration of fluoride is present in groundwater. Since there are no major studies in the recent past, the present study was carried out to understand the present status of groundwater quality in Nalgonda and also to assess the possible causes for high concentration of fluoride in groundwater. Samples from 45 wells were collected once every 2 months and analyzed for fluoride concentration using an ion chromatograph. The fluoride concentration in groundwater of this region ranged from 0.1 to 8.8 mg/l with a mean of 1.3 mg/l. About 52% of the samples collected were suitable for human consumption. However, 18% of the samples were having less than the required limit of 0.6 mg/l, and 30% of the samples possessed high concentration of fluoride, i.e., above 1.5 mg/l. Weathering of rocks and evaporation of groundwater are responsible for high fluoride concentration in groundwater of this area apart from anthropogenic activities including irrigation which accelerates weathering of rocks.     

Urinary fluoride as a monitoring tool for assessing successful intervention in the provision of safe drinking water supply in five fluoride-affected villages in Dhar district, Madhya Pradesh, India

Endemic fluorosis was detected in 31 villages in the Dhar district of Madhya Pradesh, Central India. Out of the 109 drinking water sources that were analyzed, about 67 % were found to contain high concentration of fluoride above the permissible level of 1.0 mg/l. Dental fluorosis among the primary school children in the age between 8 and 15 served as primary indicator for fluoride intoxication among the children. Urinary fluoride levels among the adults were found to be correlated with drinking water fluoride in 10 villages affected by fluoride. Intervention in the form of alternate safe water supply in five villages showed significant reduction in the urinary fluoride concentration when compared to the control village. Urinary fluoride serves as an excellent marker for assessing the effectiveness of intervention program in the fluoride-affected villages.     

Risk factors and prevalence of dental fluorosis and dental caries in school children of North India

The aim of the study was to assess the prevalence of dental fluorosis, dental caries, and associated risk factors in the school children of district Fatehgarh Sahib, Punjab, India, using a cross-sectional study design. Oral health status of children aged between 8 and 15 years was assessed using World Health Organization (WHO) 2013 criteria. Dental fluorosis was assessed using Dean’s index, and dental caries were recorded using decayed, missing, filled/decayed, extracted, filled (DMF/def) indices. Four hundred school children were examined, of which 207 were in the 8–11-year-old group and 193 were in the 12–15-year-old group. The overall prevalence of dental fluorosis was 4.1%, which might be linked to a high concentration of fluoride in drinking water at certain locations of rural Punjab. The prevalence of dental caries was 36.5% with a mean DMF score of 0.3 and def score of 0.6. Risk factors for dental caries include oral hygiene behavior and sugar consumption patterns. The study highlights the need to increase awareness about the oral health and hygiene among the school children in India.     

Fluoride contamination in drinking water in rural habitations of Central Rajasthan, India

Fluoride concentration in groundwater sources used as major drinking water source in rural area of block Nawa (Nagaur District), Rajasthan was examined and the toxic effects by intake of excess fluoride on rural habitants were studied. In block 13, habitations (30%) were found to have fluoride concentration more than 1.5 mg/l (viz. maximum desirable limit of Indian drinking water standards IS 10500, 1999). In five habitations (11%), fluoride concentration in groundwater is at toxic level (viz. above 3.0 mg/l). The maximum fluoride concentration in the block is 5.91 mg/l from Sirsi village. As per the desirable and maximum permissible limit for fluoride in drinking water, determined by World Health Organization or by Bureau of Indian Standards, the groundwater of about 13 habitations of the studied sites is unfit for drinking purposes. Due to the higher fluoride level in drinking water, several cases of dental and skeletal fluorosis have appeared at alarming rate in this region. There is an instant need to take ameliorative steps in this region to prevent the population from fluorosis. Groundwater sources of block Nawa can be used for drinking after an effective treatment in absence of other safe source. The evaluation of various defluoridation methods on the basis of social and economical structure of India reveals that the clay pot chip, activated alumina adsorption, and Nalgonda techniques are the most promising.     

Bovine calves as ideal bio-indicators for fluoridated drinking water and endemic osteo-dental fluorosis

Relative susceptibility to fluoride (F) toxicosis in the form of osteo-dental fluorosis was observed in an observational survey of 2,747 mature and 887 immature domestic animals of diverse species living in areas with naturally fluoridated (>1.5 ppm F) drinking water. These animals included buffaloes (Bubalus bubalis), cattle (Bos taurus), camels (Camelus dromedarius), donkeys (Equus asinus), horses (Equus caballus), goats (Capra hircus), and sheep (Ovis aries). Of these mature and immature animals, 899 (32.7 %) and 322 (36.3 %) showed evidence of dental fluorosis with varying grades, respectively. Their incisor teeth were stained with light to deep brownish color. On clinical examination, 31.2 % mature and 10.7 % immature animals revealed periosteal exostoses, intermittent lameness, and stiffness of tendons in the legs as signs of skeletal fluorosis. The maximum susceptibility to fluoride toxicosis was found in bovines (buffaloes and cattle) followed by equines (donkeys and horses), flocks (goats and sheep), and camelids (camels). The bovine calves were found to be more sensitive and highly susceptible to F toxicosis and revealed the maximum prevalence (92.2 %) of dental fluorosis. This indicates that bovine calves are less tolerant and give early sign of F poisoning (dental fluorosis) and therefore, they can be considered as bio-indicators for fluoridated water as well as for endemicity of osteo-dental fluorosis. Causes for variation in susceptibility to F toxicosis (fluorosis) in various species of domestic animal are also discussed.     

Fluoride, boron and nitrate toxicity in ground water of northwest Rajasthan, India

The study was carried out to access the fluoride, boron, and nitrate concentrations in ground water samples of different villages in Indira Gandhi, Bhakra, and Gang canal catchment area of northwest Rajasthan, India. Rural population, in the study site, is using groundwater for drinking and irrigation purposes, without any quality test of water. All water samples (including canal water) were contaminated with fluoride. Fluoride, boron, and nitrate were observed in the ranges of 0.50–8.50, 0.0–7.73, and 0.0–278.68 mg/l, respectively. Most of the water samples were in the categories of fluoride 1.50 mg/l, of boron 2.0–4.0 mg/l, and of nitrate <?45 mg/l. There was no industrial pollution in the study site; hence, availability of these compounds in groundwater was due to natural reasons and by the use of chemical fertilizers.     

Health risk assessment of fluoride in drinking water from Anhui Province in China

This study analyzes the concentrations and health risks of fluoride in 249 drinking water samples collected from different regions of Anhui Province in China. Results indicated that fluoride content in drinking water ranged from 0.12 to 1.94 mg L^?1 (mean?=?0.57 mg L^?1) in the following order: Huaibei plain region > Jianghuai hill region ≈ Dabieshan mountainous region > plain along the Yangtze River region > southern Anhui mountainous region. The fluoride contents were less than 0.50 mg L^?1 in 66.66 % of the drinking water samples, 0.51–1.0 mg L^?1 in 23.29 %, and higher than 1.0 mg L^?1 in 12.04 %. The fluoride levels in some samples were lower than the recommended values for controlling dental caries (0.50–1.0 mg L^?1). The total fluoride intake from drinking water was between 0.14 and 2.33 mg per day in different regions of the province, supposing an individual consumes 1.2 L of water per day. Therefore, measures should be taken to increase fluoride intake in the Jianghuai hill region, Dabieshan mountainous region, plain along the Yangtze River, and southern Anhui mountainous region to control dental caries. On the other hand, the fluoride levels must be reduced in the Huaibei plain region to decrease endemic fluorosis. The results serve as crucial guidelines for managing fluoride safety in drinking water and controlling endemic fluorosis in different regions of Anhui Province.     

Mapping of fluoride endemic area and assessment of F−1 accumulation in soil and vegetation

The prevalence of fluorosis is mainly due to the consumption of more fluoride (F^?1) through drinking water, vegetables, and crops. The objective of the study was mapping of F^?1 endemic area of Newai Tehsil, Tonk district, Rajasthan, India. For the present study, water, soil (0–45 cm), and vegetation samples were collected from 17 villages. Fluoride concentration in water samples ranged from 0.3 to 9.8 mg/l. Out of 17 villages studied, the amounts of F^?1 content of eight villages were found to exceed the permissible limits. Labile F^?1 content and total F^?1 content in soil samples ranges 11.00–70.05 mg/l and 50.3–179.63 μg g^?1, respectively. F^?1 content in tree species was found in this order Azadirachta indica 47.32–55.76 μg g^?1 > Prosopis juliflora 40.16–49.63 μg g^?1 > Acacia tortilis 34.39–43.60 μg g^?1. While in case of leafy vegetables, F^?1 content order was Chenopodium album 54.23–98.42 μg g^?1 > Spinacea oleracea 30.41–64.09 μg g^?1 > Mentha arvensis 35.48–51.97 μg g^?1. The order of F^?1 content in crops was found as 41.04 μg g^?1 Pennisetum glaucum > 13.61 μg g^?1 Brassica juncea > 7.98 μg g^?1 Triticum sativum in Krishi Vigyan Kendra (KVK) farms. Among vegetation, the leafy vegetables have more F^?1 content. From the results, it is suggested that the people of KVK farms should avoid the use of highly F^?1 containing water for irrigation and drinking purpose. It has been recommended to the government authority to take serious steps to supply drinking water with low F^?1 concentration for the fluorosis affected villages. Further, grow more F^?1 hyperaccumulator plants in F^?1 endemic areas to lower the F^?1 content of the soils.     

Dental Fluorosis in Wild Deer: Its Use as a Biomarker of Increased Fluoride Exposure

The relationships between age (range: 3 to 14 yr), mandibular bone fluoride level (marker of accumulated internal dose, range: 597 to 4680 mg F^- kg^-1> dry wt) and intensity of dental fluorosis (reflecting fluoride exposure during enamel formation) were studied in a sample of 53 fluorosed red deer from a fluoride-polluted area in the Czech-German border region (Ore mountains and their southern foreland). Assessment of the severity of dental fluorosis was performed for the 3 permanent premolars and 3 molars of one hemimandible per animal by using an ordinal measurement scale. For statistical analysis, the maximum tooth score of fluorosis (MTS) and the dental lesion index of fluorosis (DLI, sum of the six tooth scores per individual) were used. In the sample, both MTS (r_s = 0.850) and DLI (r_s = 0.813) were highly significantly (p <0.00001) correlated with bone fluoride content. A weaker correlation existed between age and bone fluoride content (r_s = 0.322, p <0.05). The results demonstrate that in case of regional, long-term fluoride pollution, dental fluorosis (measured as MTS or DLI) can be used as a sensitive biomarker of fluoride exposure in deer and thus as an indicator of the level of environmental contamination by fluorides. In many countries, skulls and mandibles of wild deer are regularly and continuously collected by hunters. Assessment of the prevalence and severity of dental fluorosis in this material offers the opportunity for an efficient large-scale biomonitoring of environmental pollution by fluorides at very low cost.     

The occurrence and hydrochemistry of fluoride and boron in carbonate aquifer system, central and western Estonia

Silurian–Ordovician (S–O) aquifer system is an important drinking water source of central and western Estonia. The fluoride and boron contents of groundwater in aquifer system vary considerably. The fluoride concentration in 60 collected groundwater samples ranged from 0.1 to 6.1 mg/l with a mean of 1.95 mg/l in the study area. Boron content in groundwater varied from 0.05 mg/l to 2.1 mg/l with a mean value of 0.66 mg/l. Considering the requirements of EU Directive 98/83/EC and the Estonian requirements for drinking water quality, the limit value for fluoride (1.5 mg/l) and for boron (1.0 mg/l) is exceeded in 47 and 28 % of wells, respectively. Groundwater with high fluoride and boron concentrations is found mainly in western Estonia and deeper portion of aquifer system, where groundwater chemical type is HCO₃–Cl–Na–Mg–Ca, water is alkaline, and its Ca²⁺ content is low. Groundwater of the study area is undersaturated with respect to fluorite and near to equilibrium phase with respect to calcite. The comparison of TDS versus Na/(Na?+?Ca) and Cl/(Cl?+?HCO₃) points to the dominance of rock weathering as the main process, which promotes the availability of fluoride and boron in the groundwater. The geological sources of B in S–O aquifer system have not been studied so far, but the dissolution of fluorides from carbonate rocks (F?=?100–400 mg/kg) and K-bentonites (F?=?2,800–4,500 mg/kg) contributes to the formation of F-rich groundwater.     

Fluoride in groundwater in selected villages in Eritrea (North East Africa)

A study was undertaken to estimate fluoride content in thegroundwater in certain parts of rural Eritrea, North-East Africa,along the River Anseba. Standard procedure was adopted for fluoride detection. Results indicate elevated concentration offluoride in groundwater. The highest concentration was found tobe 3.73 mg L^-1, well above the safety level for consumption.Geological basis for the high concentration of high fluoride hasbeen established; it is presumed to be the pegmatite intrusion hosted by a granitic batholith. Extensive dental fluorosis has been observed in the population exposed to drinking water of highfluoride content.     

Fluoride pollution of atmospheric precipitation and its relationship with air circulation and weather patterns (Wielkopolski National Park, Poland)

A 2-year study (2010–2011) of fluorides in atmospheric precipitation in the open area and in throughfall in Wielkopolski National Park (west-central Poland) showed their high concentrations, reaching a maximum value of 2 mg/l under the tree crowns. These high values indicate substantial deposition of up to 52 mg/m²/year. In 2011, over 51 % of open area precipitation was characterized by fluoride concentration higher than 0.10 mg/l, and in throughfall such concentrations were found in more than 86 % of events. In 2010, a strong connection was evident between fluoride and acid-forming ions, and in 2011, a correlation between phosphate and nitrite ions was seen. Analysis of available data on F^? concentrations in the air did not show an unequivocal effect on F^? concentrations in precipitation. To find reasons for and source areas of high fluoride pollution, the cases of extreme fluoride concentration in rainwater were related to atmospheric circulation and weather patterns. Weather conditions on days of extreme pollution were determined by movement of weather fronts over western Poland, or by small cyclonic centers with meteorological fronts. Macroscale air advection over the sampling site originated in the western quadrant (NW, W, and SW), particularly in the middle layers of the troposphere (2,500–5,000 m a.s.l.). Such directions indicate western Poland and Germany as possible sources of the pollution. At the same time in the lower troposphere, air inflow was frequently from the north, showing short distance transport from local emitters, and from the agglomeration of Poznań.     

Fluorine contamination in groundwater: a major challenge

Fluoride in high concentration in groundwater has been reported from many parts of India. However, a systematic study is required to understand the behavior of fluoride in natural water in terms of local hydrogeological setting, climatic conditions, and agricultural practices. The present study is an attempt to assess hydrogeochemistry of groundwater in parts of Palar river basin pertaining to Kancheepuram district Tamil Nadu to understand the fluoride abundance in groundwater and to deduce the chemical parameters responsible for the dissolution activity of fluoride. The study area is geologically occupied by partly sedimentary and partly crystalline formations. A total of 50 dug cum borewell-water samples, representing an area of 2,628.92 km². The results of the chemical analyses in September 2009 show fluoride abundance in the range of 1 to 3.24 mg/l with 86% of the samples in excess of the permissible limit of 1.5 mg/l. Presence of fluoride-bearing minerals in the host rock, chemical properties like decomposition, dissociation, and dissolution, and their interaction with water are considered to be the main causes for fluoride in groundwater. Chemical weathering with relatively high alkalinity favors high concentration of fluoride in groundwater. Villagers who consume nonpotable high fluoride water may suffer from yellow, cracked teeth; joint pains; and crippled limbs and also age rapidly.     

Groundwater Quality Assessment of Tehsil Kheragarh, Agra (India) with Special Reference to Fluoride

Fluoride concentration and other parameters in groundwater from 261 villages in Tehsil Kheragarh of District Agra were assessed and attempts were made to observe the relationship between fluoride and other water quality parameters. Of 658 groundwater samples (collected from separate sources) analysed for fluoride, 27% were in the range of 0–1.0 mg/L, 25% in 1.0–1.5 mg/L, 32% in1.5–3.0 mg/L and 16% above 3.0 mg/L. The highest fluoride concentration recorded was 12.80 mg/L. Significant correlation of fluoride with pH, alkalinity, Na, SiO₂ and PO₄ were observed. Factor analysis was also attempted in order to identify the contributing sources.     

Efficacy of electrical resistivity and induced polarization methods for revealing fluoride contaminated groundwater in granite terrain

The accumulation of fluoride (F) in groundwater is a common phenomenon in India and worldwide. Its location can be identified through a direct hydrochemical analysis, which was carried out in Kurmapalli watershed (located 60 km SE of Hyderabad city), Nalgonda district, Andhra Pradesh, India affected by F contamination. The results of the hydrochemical analysis showed that F varied from 0.71 to 19.01 mg/l and its concentration exceeded the permissible limit (i.e., 1.5 mg/l) in 78% of the total 32 samples analyzed. The highest F value (19.01 mg/l) was found near Madnapur village, which is located in the central part of the watershed. Resistivity and induced polarization (IP) surveys were also carried out to reveal the zones where elevated F-contaminated groundwater exists. The objective of this paper was to highlight the utility of resistivity and IP surveys, using hydrochemical constituents as constraint, for the successful delineation of such contaminated/polluted groundwater zones in the granite area.     

Characterization of fluoride-tolerant halophilic Bacillus flexus NM25 (HQ875778) isolated from fluoride-affected soil in Birbhum District, West Bengal, India

A new Gram-positive, nonpigmented, rod-shaped fluoride-tolerant bacterial strain, NM25, was isolated from waterlogged muddy field soil collected from the fluoride endemic area of Rampurhat II block (average fluoride in water, 4.7 mg/l, and in soil, 1.5 mg/kg) in Birbhum District, West Bengal, India. The study was undertaken to characterize the fluoride-tolerant bacterial isolate, to determine its role in bioaccumulation of fluoride, and to analyze the water and soil quality of the bacterial environment. The isolate was positive for catalase, lipase, urease, protease, oxidase, and H₂S production, but negative for indole production, nitrate reduction, and Vogues–Proskauer test. The organisms were sensitive to recommended doses of ofloxacin, kanamycin, rifampicin, levofloxacin, vancomycin, gatifloxacin, gentamicin, doxycycline, streptomycin, and nalidixic acid but resistant to ampicillin. Based on the phenotypic characteristics, 16S rRNA gene sequence, and phylogenetic analysis, the bacterial isolate NM25 was identified as Bacillus flexus. The G+C content of the 16S rDNA was 53.14 mol%. This strain tolerated up to 20 % (w/v) NaCl in nutrient agar medium and was grown at the pH range 4–12. It reduced fluoride concentration up to 67.45 % and tolerated more than 1,500 ppm of fluoride in brain–heart infusion agar medium.     

The relationship between chemical elements in soil and whole blood,and fluorosis induced by coal-fired pollution

To study the relationship between chemical elements in soil and whole blood, and fluorosis induced by coal-fired pollution, ecological and case–control studies were carried out. We determined the concentrations of 11 chemical elements and pH values in soil in two fluorosis-affected counties in Chongqing, China, and analyzed the correlation between these values and prevalence of dental fluorosis. Ni, I, F, Hg, and pH values positively correlated with fluorosis prevalence (P?<?0.05); these soil parameters may be related to coal-fired pollution fluorosis. Cu, Zn, Ca, Mg, and Fe concentrations in whole blood, and fluoride levels in urine of residents in epidemic and non-epidemic areas were determined. Cu, Zn, Mg, and Fe levels of the children in the case group were lower than those of the children in the external control group; urine fluoride level in the children in the case group was higher than that of the children in the internal and external control groups (P?<?0.05). The levels of Mg, Fe, and urine fluoride were higher in the case adult group than in the internal adult control group (P?<?0.05). Anti-fluoride elements were deficient in endemic areas.     

Monitoring of soil and groundwater contamination following a pipeline explosion and petroleum product spillage in Ijegun, Lagos Nigeria

In May 2008, an accidental damage of a Nigerian National Petroleum Corporation (NNPC) pipeline occurred in Ijegun area of Lagos, Nigeria, resulting in oil spillage and consequent contamination of the environment. The residual concentration of the total hydrocarbon (THC) and benzene, toluene, ethylbenzene, and xylene (BTEX) in the groundwater and soil was therefore investigated between March 2009 and July 2010. Results showed elevated THC mean levels in groundwater which were above the World Health Organization maximum admissible value of 0.1 mg/l. THC values as high as 757.97 mg/l in groundwater and 402.52 mg/l in soil were observed in March 2009. Pronounced seasonal variation in the concentration of THC in groundwater and soil samples show that there was significant (P?<?0.05) difference in the measured concentration of THC between each season (dry and wet), with the highest being in the dry season and between the years 2009 and 2010. Significant hydrocarbon contamination, 500 m beyond the explosion site and 25 months after the incident, was observed revealing the extent of the spillage of petroleum products. The highest concentrations of 16.65 μg/l (benzene), 2.08 μg/l (toluene), and 4864.79 μg/l (xylene) were found in stations within the 100 m buffer zone. Most of the samples of groundwater taken were above the target value of 0.2 μg/l set for BTEX compounds by the Environmental Guidelines and Standards for Petroleum Industry in Nigeria. The level of hydrocarbon in the impacted area calls for concern and remediation of the area is urgently needed to reduce further negative impact on the ecosystem.