Specific ecological features of the brown bear (<Emphasis Type="Italic">Ursus arctos</Emphasis> L. 1758) in Yakutia

In Yakutia, the brown bear inhabits the forest and forest-tundra zones. Compared to bears from other regions of Russia, Yakutian bears have slightly smaller body and skull sizes and are mainly herbivorous, with their wood spectrum being relatively narrow. Their fecundity averages 1.68 cubs per parous female. The bears make their dens at a depth reaching 2.5–3 m. The denning period begins early and is 195–210 days long. An electroencephalographic analysis of the effect of a 1–10 kDa peptide fraction from the bear brain on Wistar rats has shown that wintering bears are in the state of sleep, or “superficial hibernation.”     

Relationship between fluorine in drinking water and dental health of residents in some large cities in China

In this project, the relationship between fluorine content in drinking water and dental health of residents in some large cities in China was evaluated. The concentration of fluorine in tap water and in urine of local subjects of 28 cities and 4 high fluorine villages in China shows a strong positive correlation (r(2)=0.96, S.E.=0.9881). Our studies indicate that drinking water is the most important source of fluorine intake for Chinese people, and in more than 90% of urban cities, fluorine concentrations in drinking water are below levels recommended by the WHO (approximately 0.5-1.0 mg/l). A 1995 investigation by The National Committee on Oral Health of China (NCOH) shows the relationship between average number of decayed, missing and filled teeth (DMFT) of urban residents and fluorine concentration in drinking water to be negatively correlated but not forming a good linear relationship. Our results, together with the previous study, suggest that: (1) dental caries of the study population can be reduced by drinking water fluoridation and that (2) other factors such as economic level, weather, lifestyle, food habits, living condition, etc., of a city can also affect the incidence of dental caries that cannot be predicted by fluoridation alone. Research on the relation between index of fluorosis (IF) and the fluorine concentration in drinking water for the four high fluorine villages showed that the recommended concentration of fluorine in drinking water can protect from dental fluorosis.     

Portraying the Perils to Polar Bears: The Role of Empathic and Objective Perspective-taking Toward Animals in Climate Change Communication

Images of animals, particularly polar bears, harmed by climate change are often used in environmental campaigns, despite warnings of potential reactance and resultant perceived distance from the issue. As an alternative to these emotional appeals, environmental campaigns could encourage an objective (i.e., emotionally detached) perspective on climate change impacts. The present research tests the effects of a message that encourage empathic vs. objective perspectives toward polar bears harmed by climate change on emotions and subsequent support for climate change activism among 241 American adults through an online survey. Contrary to popular warnings, the present research found no reactance toward portraying harm to polar bears from climate change and no benefits of taking an objective perspective toward the polar bears. Instead, portrayals of polar bears harmed by climate change motivated both environmentalists and non-environmentalists to donate money to environmental activist groups when they took an empathic perspective toward the animals. Empathy and hope explain effects for environmentalists and empathy, hope, worry, personal guilt, and boredom explain effects for non-environmentalists.     

Daily activity patterns of brown bear (Ursus arctos) of the Sikhote-Alin mountain range (Primorskiy Krai, Russia)

Daily activity patterns of brown bears were monitored using radiotelemetry from 1993 to 2006, in the Sikhote-Alin Biosphere Reserve and adjacent areas. Outside of the denning period, bears were active for approximately 52% of the 24-hour period. Males were more active (64% of total time) than females (51%). Brown bears in the Sikhote-Alin are diurnal and crepuscular, but switch to a nocturnal pattern in areas of high anthropogenic influence. During the summer months, daily activity patterns were influenced by precipitation, cloud cover, and air temperature.     

Bearing Witness? Polar Bears as Icons for Climate Change Communication in National Geographic

This article investigates how polar bears were established as icons of climate change in the popular science magazine National Geographic. In a multistep process, anthropomorphized depictions first established polar bears as subjects of identification. Then, polar bears were visually connected to the endangered Arctic. Finally, they emerged as ambassadors of a threatened ecosystem and icons of climate change. I highlight the wider political contexts of this process of iconization and the semiotic and cultural resources on which it draws, showing what kind of climate change communication the polar bear icon enables or inhibits. The icon lends itself to being deployed in visual communication strategies creating personal concern and public awareness for climate change. At the same time, the icon fosters an individualized, emotionalized, and localized account of climate change but does not make its wider causes visible.     

Exposure to mixtures of organohalogen contaminants and associative interactions with thyroid hormones in East Greenland polar bears (Ursus maritimus)

We investigated the multivariate relationships between adipose tissue residue levels of 48 individual organohalogen contaminants (OHCs) and circulating thyroid hormone (TH) levels in polar bears (Ursus maritimus) from East Greenland (1999-2001, n=62), using projection to latent structure (PLS) regression for four groupings of polar bears; subadults (SubA), adult females with cubs (AdF_N), adult females without cubs (AdF_S) and adult males (AdM). In the resulting significant PLS models for SubA, AdF_N and AdF_S, some OHCs were especially important in explaining variations in circulating TH levels: polybrominated diphenylether (PBDE)-99, PBDE-100, PBDE-153, polychlorinated biphenyl (PCB)-52, PCB-118, cis-nonachlor, trans-nonachlor, trichlorobenzene (TCB) and pentachlorobenzene (QCB), and both negative and positive relationships with THs were found. In addition, the models revealed that DDTs had a positive influence on total 3,5,3'-triiodothyronine (TT3) in AdF_S, and that a group of 17 higher chlorinated ortho-PCBs had a positive influence on total 3,5,3',5'-tetraiodothyronine (thyroxine, TT4) in AdF_N. TH levels in AdM seemed less influenced by OHCs because of non-significant PLS models. TH levels were also influenced by biological factors such as age, sex, body size, lipid content of adipose tissue and sampling date. When controlling for biological variables, the major relationships from the PLS models for SubA, AdF_N and AdF_S were found significant in partial correlations. The most important OHCs that influenced TH levels in the significant PLS models may potentially act through similar mechanisms on the hypothalamic-pituitary-thyroid (HPT) axis, suggesting that both combined effects by dose and response addition and perhaps synergistic potentiation may be a possibility in these polar bears. Statistical associations are not evidence per se of biological cause-effect relationships. Still, the results of the present study indicate that OHCs may affect circulating TH levels in East Greenland polar bears, adding to the "weight of evidence" suggesting that OHCs might interfere with thyroid homeostasis in polar bears.     

人为活动干扰对纳帕海湿地环境影响的研究

纳帕海是金沙江流域云南西北高原低纬度高海拔的季节性沼泽湿地,有着若尔盖高原湿地和我国北方湿地所不具备的特点,为我国湿地的独特类型。由于其发育于生态脆弱的横断山石灰岩地区,地处长江上游,承接和调节着高原山区的冰雪融水、地表径流和河流水量,控制着土壤侵蚀,对长江下游水位和水量均衡有着重要作用,但长期以来不合理开发利用,使该区生态环境退化问题十分严重。探讨了人为活动干扰对纳帕海湿地环境的影响,结果表明：排水垦殖造田、过牧超载等人类活动的强烈干预对纳帕海湿地发生发展产生显著影响, 40年间湖面积减少了9/10,高原特有水生植物消失或减少,草场资源与牲畜放牧关系严重失调,超载率132.5%,土壤养分衰减下降,湿地严重退化。     

Bioaccumulation and biotransformation of brominated and chlorinated contaminants and their metabolites in ringed seals (Pusa hispida) and polar bears (Ursus maritimus) from East Greenland

We report on the comparative bioaccumulation, biotransformation and/or biomagnification from East Greenland ringed seal (Pusa hispida) blubber to polar bear (Ursus maritimus) tissues (adipose, liver and brain) of various classes and congeners of persistent chlorinated and brominated contaminants and metabolic by-products: polychlorinated biphenyls (PCBs), chlordanes (CHLs), hydroxyl (OH-) and methylsulfonyl (MeSO₂-) PCBs, polybrominated biphenyls (PBBs), OH-PBBs, polybrominated diphenyl ether (PBDE) and hexabromocyclododecane (HBCD) flame retardants and OH- and methoxyl (MeO-) PBDEs, 2,2-dichloro-bis(4-chlorophenyl)ethene (p,p′-DDE), 3-MeSO₂-p,p′-DDE, pentachlorophenol (PCP) and 4-OH-heptachlorostyrene (4-OH-HpCS). We detected all of the investigated contaminants in ringed seal blubber with high frequency, the main diet of East Greenland bears, with the exception of OH-PCBs and 4-OH-HpCS, which indicated that these phenolic contaminants were likely of metabolic origin and formed in the bears from accumulated PCBs and octachlorostyrene (OCS), respectively, rather than being bioaccumulated from a seal blubber diet. For all of the detectable sum of classes or individual organohalogens, in general, the ringed seal to polar bear mean BMFs for ΣPCBs, p,p′-DDE, ΣCHLs, ΣMeSO₂-PCBs, 3-MeSO₂-p,p′-DDE, PCP, ΣPBDEs, total-(α)-HBCD, ΣOH-PBDEs, ΣMeO-PBDEs and ΣOH-PBBs indicated that these organohalogens bioaccumulate, and in some cases there was tissue-specific biomagnification, e.g., BMFs for bear adipose and liver ranged from 2 to 570. The blood-brain barrier appeared to be effective in minimizing brain accumulation as BMFs were ≤ 1 in the brain, with the exception of ΣOH-PBBs (mean BMF = 93 ± 54). Unlike OH-PCB metabolites, OH-PBDEs in the bear tissues appeared to be mainly accumulated from the seal blubber rather than being metabolic formed from PBDEs in the bears. In vitro PBDE depletion assays using polar bear hepatic microsomes, wherein the rate of oxidative metabolism of PBDE congeners was very slow, supported the probability that accumulation from seals is the main source of OH-PBDEs in the bear tissues. Our findings demonstrated from ringed seal to polar bears that organohalogen biotransformation, bioaccumulation and/or biomagnification varied widely and depended on the contaminant in question. Our results show the increasing complexity of bioaccumulated and in some cases biomagnified, chlorinated and brominated contaminants and/or metabolites from the diet may be a contributing stress factor in the health of East Greenland polar bears.     

Prenatal and postnatal manganese teeth levels and neurodevelopment at 7, 9, and 10.5 years in the CHAMACOS cohort

BackgroundNumerous cross-sectional studies of school-age children have observed that exposure to manganese (Mn) adversely affects neurodevelopment. However, few prospective studies have looked at the effects of both prenatal and postnatal Mn exposure on child neurodevelopment.MethodsWe measured Mn levels in prenatal and early postnatal dentine of shed teeth and examined their association with behavior, cognition, memory, and motor functioning in 248 children aged 7, 9, and/or 10.5 years living near agricultural fields treated with Mn-containing fungicides in California. We used generalized linear models and generalized additive models to test for linear and nonlinear associations, and generalized estimating equation models to assess longitudinal effects.ResultsWe observed that higher prenatal and early postnatal Mn levels in dentine of deciduous teeth were adversely associated with behavioral outcomes, namely internalizing, externalizing, and hyperactivity problems, in boys and girls at 7 and 10.5 years. In contrast, higher Mn levels in prenatal and postnatal dentine were associated with better memory abilities at ages 9 and 10.5, and better cognitive and motor outcomes at ages 7 and 10.5 years, among boys only. Higher prenatal dentine Mn levels were also associated with poorer visuospatial memory outcomes at 9 years and worse cognitive scores at 7 and 10.5 years in children with higher prenatal lead levels (≥ 0.8 μg/dL). All these associations were linear and were consistent with findings from longitudinal analyses.ConclusionsWe observed that higher prenatal and early postnatal Mn levels measured in dentine of deciduous teeth, a novel biomarker that provides reliable information on the developmental timing of exposures to Mn, were associated with poorer behavioral outcomes in school-age boys and girls and better motor function, memory, and/or cognitive abilities in school-age boys. Additional research is needed to understand the inconsistencies in the neurodevelopmental findings across studies and the degree to which differences may be associated with different Mn exposure pathways and biomarkers.     

Three decades (1983–2010) of contaminant trends in East Greenland polar bears (Ursus maritimus). Part 2: Brominated flame retardants

Brominated flame retardants were determined in adipose tissues from 294 polar bears (Ursus maritimus) sampled in East Greenland in 23 of the 28 years between 1983 and 2010. Significant linear increases were found for sum polybrominated diphenyl ether (ΣPBDE), BDE100, BDE153, and hexabromocyclododecane (HBCD). Average increases of 5.0% per year (range: 2.9–7.6%/year) were found for the subadult polar bears. BDE47 and BDE99 concentrations did not show a significant linear trend over time, but rather a significant non-linear trend peaking between 2000 and 2004. The average ΣPBDE concentrations increased 2.3 fold from 25.0 ng/g lw (95% C.I.: 15.3–34.7 ng/g lw) in 1983–1986 to 58.5 ng/g lw (95% C.I.: 43.6–73.4 ng/g lw) in 2006–2010. Similar but fewer statistically significant trends were found for adult females and adult males likely due to smaller sample size and years. Analyses of δ¹⁵N and δ¹³C stable isotopes in hair revealed no clear linear temporal trends in trophic level or carbon source, respectively, and non-linear trends differed among sex and age groups. These increasing concentrations of organobromine contaminants contribute to complex organohalogen mixture, already causing health effects to the East Greenland polar bears.     

Perfluoroalkyl substances in polar bear mother–cub pairs: A comparative study based on plasma levels from 1998 and 2008

Perfluoroalkyl substances (PFASs) are protein-binding blood-accumulating contaminants that may have detrimental toxicological effects on the early phases of mammalian development. To enable an evaluation of the potential health risks of PFAS exposure for polar bears (Ursus maritimus), an exposure assessment was made by examining plasma levels of PFASs in polar bear mothers in relation to their suckling cubs-of-the-year (~ 4 months old). Samples were collected at Svalbard in 1998 and 2008, and we investigated the between-year differences in levels of PFASs. Seven perfluorinated carboxylic acids (∑₇PFCAs: PFHpA, PFOA, PFNA, PFDA, PFUnDA, PFDoDA, and PFTrDA) and two perfluorinated sulfonic acids (∑₂PFSAs: PFHxS and PFOS) were detected in the majority of the mothers and cubs from both years. In mothers and cubs, most PFCAs were detected in higher concentrations in 2008 than in 1998. On the contrary, levels of PFOS were lower in 2008 than in 1998, while levels of PFHxS did not differ between the two sampling years. PFOS was the dominating compound in mothers and cubs both in 1998 and in 2008. Concentration of PFHpA did not differ between mothers and cubs, while concentrations of PFOA, PFNA, PFDA, PFUnDA, PFDoDA, PFTrDA, PFHxS, and PFOS were higher in mothers than in their cubs. Except from PFHpA, all compounds correlated significantly between mothers and their cubs. The mean cub to mother ratios ranged from 0.15 for PFNA to 1.69 for PFHpA. On average (mean ± standard error of mean), the levels of ∑₇PFCAs and ∑₂PFSAs in cubs were 0.24 ± 0.01 and 0.22 ± 0.01 times the levels in their mothers, respectively. Although maternal transfer appears to be a substantial source of exposure for the cubs, the low cub to mother ratios indicate that maternal transfer of PFASs in polar bears is relatively low in comparison with hydrophobic contaminants (e.g. PCBs). Because the level of several PFASs in mothers and cubs from both sampling years exceeded the levels associated with health effects in humans, our findings raise concern on the potential health effects of PFASs in polar bears from Svalbard. Effort should be made to examine the potential health effects of PFASs in polar bears.     

Study of environmental burden of lead in children using teeth as bioindicator

The south region of Sao Paulo city hosts the Guarapiranga dam, responsible for water supply to 25% of the city population. Their surroundings have been subject to intense and irregular occupation by people from very low socioeconomics classes. Measurements undertaken on sediment and particulate materials in the dam revealed concentrations of lead, copper, zinc and cadmium above internationally accepted limits. Epidemiological and toxicological studies undertaken by the World Health Organization in individuals exhibiting lead concentrations in blood, near or below the maximum recommended (10 µg dl^? 1), surprisingly revealed that toxic effects are more intense in individuals belonging to low socioeconomics classes. Motivated by these facts, we aimed at the investigation of chronic incorporation of lead, as well as the use of our BIOKINETICS code, which is based on an accepted ICRP biokinetics model for lead, in order to extrapolate the results from teeth to other organs. The focus of our data taking was children from poor families, living in a small, restrict and allegedly contaminated area in São Paulo city. Thus, a total of 74 human teeth were collected. The average concentration of lead in teeth of children 5 to 10 years old was determined by means of a high-resolution inductively coupled plasma mass spectrometer (ICP-MS). For standardization of the measurements, an animal bone certified material (H-Animal Bone), from the International Atomic Energy Agency, was analyzed. The amount of lead in children living in the surroundings of the dam, was approximately 40% higher than those from the control region, and the average lead concentration was equal to 1.3 μg g^? 1 approximately. Grouping the results in terms of gender, tooth type and condition, it was concluded that a carious molar of boys is a much more efficient contamination pathway for lead, resulting in concentrations 70% higher than in the control region. We also inferred the average concentrations of lead in other organs of these children, by making use of our BIOKINETIC code.     

绿色技术进步、农业经济增长与污染空间溢出——来自中国农业水资源利用的证据

基于2002～2016年的省级面板数据,以农业水资源利用过程中的化肥源面源污染、厩肥源面源污染、灌溉过程碳排放及农药流失作为非合意产出,构建了以"蓝水-绿水"为中心的水资源分析框架,借助SBM模型和Malmquist-Luenberger指数,探析我国农业水资源利用过程的绿色技术进步情况,利用空间面板模型重点考察绿色技术进步、农业经济发展水平与农业水资源利用过程的污染排放之间的关系。化肥源面源污染排放量和农药流失量均表现出空间聚集的特性;在其他投入和产出不变的的既定条件下,促进农业水资源利用过程中的绿色技术进步能够缓解农业污染的局面;将农药流失污染作为非合意产出的农业水资源利用绿色技术进步带来的环境污染减排积极影响更强;农业经济发展水平与4类污染排放分别体现为倒N型、倒U型、正N型和倒N型的关系,随着农业经济发展水平的提升,我国绝大多数地区仍处于农药、化肥粗放使用的倒N型的上升阶段,农药流失和化肥施用引起的面源污染情况仍在加剧,农业经济发展水平与厩肥还田造成的面源污染相分离的状态逐渐消失,而农业水资源利用过程中产生的碳排放污染情况则不容乐观,大部分地区农业灌溉所产生的碳排放面临快速上升的趋势。     

226Ra concentration in the teeth of habitants of areas with high level of natural radioactivity in Ramsar

The level of natural radiation in some regions of Ramsar, a northern coastal city of Iran, is known to be among the highest levels of natural radiation in the world. 226Ra existing in high concentrations in the soil of this region is washed by underground water and transferred to the surface. In this way, 226Ra enters the food chain of residents and substitutes within the hard body tissues of humans. 226Ra is one of the so-called bone seekers as its metabolic processes in the human body are similar to calcium and remains in hard tissues of body because of its long half-life, and being an alpha emitter causes dangerous effects on human health. The purpose of this study is to determine the concentration of 226Ra in the teeth of residents of these high-level natural radiation areas, compared with a control group. Thirteen teeth in five groups were studied as the case group and thirteen teeth in five corresponding control groups were inspected. The mean values of the activity of 226Ra in the case group and in the control group were 0.32 and 0.18mBqg(-1), respectively.     

Carbon price impacts on sector cost: based on an input–output model of Beijing

Under the pressure of sustained growth in energy consumption in China, the implementation of a carbon pricing mechanism is an effective economic policy measure for promoting emission reduction, as well as a hotspot of research among scholars and policy makers. In this paper, the effects of carbon prices on Beijing’s economy are analyzed using input–output tables. The carbon price costs are levied in accordance with the products’ embodied carbon emission. By calculation, given the carbon price rate of 10 RMB/t-CO₂, the total carbon costs of Beijing account for approximately 0.22–0.40% of its gross revenue the same year. Among all industries, construction bears the largest carbon cost. Among export sectors, the coal mining and washing industry has much higher export carbon price intensity than other industries. Apart from traditional energy-intensive industries, tertiary industry, which accounts for more than 70% of Beijing’s economy, also bears a major carbon cost because of its large economic size. However, from 2007 to 2010, adjustment of the investment structure has reduced the emission intensity in investment sectors, contributing to the reduction of overall emissions and carbon price intensity.     

Radiation-induced adaptive response in fish cell lines

There is considerable interest at present in low-dose radiation effects in non-human species. In this study gamma radiation-induced adaptive response, a low-dose radiation effect, was examined in three fish cell lines, (CHSE-214 (Chinook salmon), RTG-2 (rainbow trout) and ZEB-2J (zebrafish)). Cell survival after exposure to direct radiation with or without a 0.1 Gy priming dose, was determined using the colony forming assay for each cell line. Additionally, the occurrence of a bystander effect was examined by measuring the effect of irradiated cell culture medium from the fish cell lines on unexposed reporter cells. A non-linear dose response was observed for all cell lines. ZEB-2J cells were very sensitive to low doses and a hyper-radiosensitive (HRS) response was observed for doses <0.5 Gy. A typical protective adaptive response was not detected in any of the three fish cell lines tested. Rather, it was found that pre-exposure of these cells to 0.1 Gy radiation sensitized the cells to subsequent high doses. In CHSE-214 cells, increased sensitivity to subsequent high doses of radiation was observed when the priming and challenge doses were separated by 4 h; however, this sensitizing effect was no longer present when the interval between doses was greater than 8 h. Additionally, a "protective" bystander response was observed in these cell lines; exposure to irradiated medium from fish cells caused increased cloning efficiency in unirradiated reporter cells. The data confirm previous conclusions for mammalian cells that the adaptive response and bystander effect are inversely correlated and contrary to expectations probably have different underlying mechanisms.     

Holarctic Collared Lemmings: Traces of Their Spread as Related to the History of the Arctic Biota

Among recent lemmings (D. torquatus from the Yamal Peninsula and D. groenlandicus from Somerset, Bathurst, Melville, and Devon islands), there are populations with archaic sets of morphotypes characteristic of the end of the Late Pleistocene. In some parts of the species range, lemming morphotypes follow the pattern characteristic of the Holocene stage of their evolution. Lemmings with the best developed tooth system live in the Bering Sea sector of the Arctic (Wrangel Island, Chukotka and Alaska). The correspondence of the boundaries of the groups distinguished by odontological traits to the phylogeographic data on mitochondrial DNA (mtDNA) and chromosomal groups is discussed.     

Accumulation profiles of parabens and their metabolites in fish,black bear,and birds,including bald eagles and albatrosses

Although several studies have reported the ubiquitous occurrence of parabens in human specimens and the environment, little is known about the accumulation of these estrogenic chemicals in fish and birds. In this study, accumulation profiles of six parabens and their metabolites were determined in 254 tissue (including liver, kidney, egg, and plasma) samples from 12 species of fish and seven species of birds collected from inland, coastal, and remote aquatic ecosystems. In addition, liver and kidney tissues from black bears were analyzed. Methyl paraben (MeP) was found in a majority of the tissues, with the highest concentration (796 ng/g (wet weight [wet wt])) found in the liver of a bald eagle from Michigan. 4-Hydroxy benzoate (HB) was the major metabolite, found in 91% of the tissue samples analyzed at concentrations as high as 68,600 ng/g, wet wt, which was found in the liver of a white-tailed sea eagle from the Baltic Sea coast. The accumulation pattern of MeP and 4-HB varied, depending on the species. The mean concentrations of MeP measured in fishes from Michigan, New York, and Florida waters were < 2.01 (fillet), 152 (liver), and 32.0 (liver) ng/g, wet wt, respectively, and the corresponding 4-HB concentrations were 39.5, 10,500, and 642 ng/g, wet wt. The mean hepatic and renal concentrations of 4-HB in black bears were 1,720 and 1,330 ng/g, wet wt, respectively. The concentrations of MeP and 4-HB were significantly positively correlated with each other in various tissues and species, which suggested a common source of exposure to these compounds in fish and birds. Trace concentrations of MeP and 4-HB also were found in the tissues of albatrosses from Midway Atoll, Northwestern Pacific Ocean, which suggested widespread distribution of these compounds in the marine environment.     

Environmental impacts of land management on the sustainability of natural resources in Oriental Erg Tunisia,North Africa

Environment, Development and Sustainability - In southwestern Tunisia, the intense exploitation of the natural resources (soil, water, hydrocarbons, etc.) bears unrecoverable consequences on the...     

Groundwater quality and its health impact: An assessment of dental fluorosis in rural inhabitants of the Main Ethiopian Rift

This study aims to assess the link between fluoride content in groundwater and its impact on dental health in rural communities of the Ethiopian Rift. A total of 148 water samples were collected from two drainage basins within the Main Ethiopian Rift (MER). In the Ziway–Shala basin in particular, wells had high fluoride levels (mean: 9.4 ± 10.5 mg/L; range: 1.1 to 68 mg/L), with 48 of 50 exceeding the WHO drinking water guideline limit of 1.5 mg/L. Total average daily intake of fluoride from drinking groundwater (calculated per weight unit) was also found to be six times higher than the No-Observed-Adverse-Effects-Level (NOAEL) value of 0.06 mg/kg/day. The highest fluoride levels were found in highly-alkaline (pH of 7 to 8.9) groundwater characterized by high salinity; high concentrations of sodium (Na⁺), bicarbonate (HCO₃⁻), and silica (SiO₂); and low concentrations of calcium (Ca^2 +). A progressive Ca^2 + decrease along the groundwater flow path is associated with an increase of fluoride in the groundwater. The groundwater quality problem is also coupled with the presence of other toxic elements, such as arsenic (As) and uranium (U). The health impact of fluoride was evaluated based on clinical examination of dental fluorosis (DF) among local residents using the Thylstrup and Fejerskov index (TFI). In total, 200 rural inhabitants between the ages of 7 and 40 years old using water from 12 wells of fluoride range of 7.8–18 mg/L were examined. Signs of DF (TF score of ≥ 1) were observed in all individuals. Most of the teeth (52%) recorded TF scores of 5 and 6, followed by TF scores of 3 and 4 (30%), and 8.4% had TF scores of 7 or higher. Sixty percent of the teeth exhibited loss of the outermost enamel. Within the range of fluoride contents, we did not find any correlation between fluoride content and DF. Finally, preliminary data suggest that milk intake has contributed to reducing the severity of DF. The study highlights the apparent positive role of milk on DF, and emphasizes the importance of nutrition in management efforts to mitigate DF in the MER and other parts of the world.