Monitoring,mapping and health risk assessment of fluoride in drinking water supplies in rural areas of Maku and Poldasht,Iran

The aim of this study was to investigate and determine fluoride concentrations in drinking water supplies in rural areas of Maku and Poldasht in West Azerbaijan Province, the northwest of Iran. Fluorosis risk assessment and characterization was also investigated. Fluoride concentrations mapping was accomplished by using the GIS system. Totally, 356 water samples, including one sample in each season, were collected from 89 water supplies providing water for 95 and 61 rural areas of Maku and Poldasht, respectively. According to the results, in Maku and Poldasht, 25 and 30 rural areas had contaminated water sources, respectively. Average annual fluoride concentrations ranged from 3.04 to 7.31 mg/l in the contaminated villages of Maku, which is about 2–4.8 times higher than the maximum standard level of the Iranian drinking water standard, and 4.52–8.21 mg/l in the contaminated areas of Poldasht, which is about 3–5.47 times higher than the maximum standard level. The maximum fluoride level was determined 11.12 mg/l and 10.98 mg/l in one of villages of Maku and Poldasht Counties in summer, respectively. Neither in Maku nor in Poldasht, water resources showed dental cavity risk, while dental fluorosis risk and skeletal fluorosis risk were very significant in some villages of both cities. Children were at most risk of fluorosis. New alternative water supplies for the contaminated villages if possible, consumption of bottled water and application of reverse osmosis are recommended as remedial actions in the contaminated areas.

     

Chronic kidney disease in two coastal districts of Andhra Pradesh, India: role of drinking water

Chronic kidney disease (CKD) has been reported in a few coastal regions of Srikakulam district and Chimakurthy mandal (~30–40 km away from the coast) in the Prakasham district of Andhra Pradesh, India. Some medical experts and the local population have apprehensions that the drinking water is the sole reason for this disease in these areas. As the source of drinking water for these two regions is only groundwater, major ions and trace elements were measured on waters from different sources to identify the causative element(s), if any. Comparison of hydrochemical data of both the areas indicates that groundwater in Srikakulam coastal region is less mineralized than that of the Prakasham region, which may be due to geological, hydrological and climatic reasons. However, the concentrations of various inorganic chemicals are within the permissible limits of drinking water. Hence, for the inorganic chemicals to cause ill health, including CKD, is unlikely or is ruled out in the study areas.     

Dental fluorosis associated with drinking water from hot springs in Choma district in southern province,Zambia

This study was conducted to investigate the high incidence of mottled teeth among residents of an area with hot springs in the Choma District of the Southern Province of Zambia. A survey involving 128 pupils was conducted at a Basic School to collect data on pupil’s backgrounds and their main sources of drinking water between birth and age 7. A dental specialist examined the pupils’ teeth and samples of drinking water were collected from locations where the majority of the pupils lived. It was analysed for fluorides and other drinking water quality parameters. Results of the survey showed a highly significant (P < 0.001) association between pupils’ main sources of drinking water between birth and age 7 and the incidence of discoloured teeth. All (100%) pupils who drank water from hot springs before age 7 had moderate to severe fluorosis, while the majority (96.7%) of the pupils who drank water from other sources had no dental fluorosis. Fluoride concentrations ranged from 5.95 to 10.09 mg/l in water from hot springs, and from 0.03 to 0.6 mg/l in water from other sources. Fluoride levels in water from hot spring water samples exceeded the 1.5 mg/l WHO guideline value for drinking water, while those in water from other sources were significantly (P < 0.05) lower than this. We conclude that the high prevalence of mottled teeth among residents of the study area is a case of endemic dental fluorosis associated with drinking water from hot springs containing high concentrations of fluoride.     

Fluorides in groundwater and its impact on health

Fluoride is a naturally occurring toxic mineral present in drinking water and causes yellowing of teeth, tooth problems etc. Fluorspar, Cryolite and Fluorapatite are the naturally occurring minerals, from which fluoride finds its path to groundwater through infiltration. In the present study two groundwater samples, Station I and Station II at Hyderabad megacity, the capital of Andhra Pradesh were investigated for one year from January 2001 to December 2001. The average fluoride values were 1.37 mg/l at Station I and 0.91 mg/l at Station II. The permissible limit given by BIS (1983) 0.6-1.2 mg/l and WHO (1984) 1.5 mg/l for fluoride in drinking water. The groundwaters at Station I exceeded the limit while at Station II it was within the limits. The study indicated that fluoride content of 0.5 mg/l is sufficient to cause yellowing of teeth and dental problems.     

Groundwater vulnerability to selenium in semi-arid environments: Amman Zarqa Basin,Jordan

An evaluation of ~250 samples of groundwater in the Amman Zarqa Basin for selenium along with other major and trace elements showed that concentrations of Se ranged between 0.09 and 742 μg/L, with an average value of about 24 μg/L. Selenium concentrations exceeded the recommended threshold for drinking water of the World Health Organization (WHO; 10 μ/L of Se) in 114 samples, with greater than 50 μg/L (quantity equivalent to the Jordanian standard of the allowed concentration of the element in water) of Se in nine cases. The average concentrations of Se in the lower, middle, and upper aquifers of the basin were 3.41, 32.99, and 9.19 μg/L, respectively. Based on the correlation with geologic formations and the statistical analysis of major/minor constituents and Piper tri-linear diagrams, we suggest that carbonate/phosphate dissolution, oxidation–reduction processes, and fertilizers/irrigation return flow are, together, the primary factors affecting the chemistry of the groundwater. Factor analysis helped to define the relative role of limestone-dolomitic dissolution in the aquifers (calcium, magnesium, and bicarbonate), agricultural activities (sulfate, nitrates, phosphorus, and potassium), oxidation–reduction factor (Eh, Fe, Mn, Cu, Zn, and Se), and anthropogenic (industrial) factor (EC, Fe, Cr, Co, Zn, and As). The high variability in Se concentrations might be related to the possibility of a multi-source origin of Se in the area.     

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.     

Groundwater fluoride and dental fluorosis in southwestern Nigeria

This study was carried out to assess the fluoride levels of groundwater from open wells, consumed by the residents of three communities located in two distinct geological terrains of southwestern Nigeria. Fluoride concentration was determined using spectrophotometric technique, while analysis of other parameters like temperature, pH and total dissolve solids followed standard methods. Results of the analysis indicated that groundwater samples from Abeokuta Metropolis (i.e., basement complex terrain) had fluoride content in the range of 0.65?±?0.21 and 1.20?±?0.14. These values were found to be lower than the fluoride contents in the groundwater samples from Ewekoro peri-urban and Lagos metropolis where the values ranged between 1.10?±?0.14-1.45?±?0.07 and 0.15?±?0.07-2.20?±?1.41?mg/l, respectively. The fluoride contents in almost all locations were generally higher than the WHO recommended 0.6?mg/l. Analysis of Duncan multiple range test indicated that there is similarity in the level of significance of fluoride contents between different locations of same geological terrain at p?≤?0.05. It was also observed that fluoride distribution of groundwater samples from the different geological terrain was more dependent on factors like pH and TDS than on temperature. The result of the analyzed social demographic characteristics of the residents indicated that the adults (between the age of 20 and >40?years) showed dental decay than the adolescent (<20?years). This signifies incidence of dental fluorosis by the high fluoride content in the drinking water of the populace. Further investigation on all sources of drinking water and other causes of tooth decay in the area is suggested.     

Sediment geochemistry and arsenic mobilization in shallow aquifers of the Datong basin,northern China

Understanding the mechanism of arsenic (As) mobilization from sediments to groundwater is important for water quality management in areas of endemic arsenic poisoning, such as the Datong basin in northern China. The bulk geochemistry analysis of sediment samples from three 50-m boreholes drilled specifically for this study at As-contaminated aquifers, the groundwaters of which have an As concentration up to 1060 μg/l, revealed that the average bulk concentrations of major and trace elements of the samples are similar to those of the average upper continental crust. The average As content of the sediment samples (18.7 mg/kg) is higher than that of modern unconsolidated sediments (5–10 mg/kg). Moreover, the abundance of elements varied with grain size, with higher concentrations in finer fractions of the sediments, such as silt and clay. The concentration of NH₂OH–HCl-extracted iron (Fe) strongly correlated with that of extracted As, suggesting that Fe oxyhydroxides may be the major sink of As in the aquifer. The results of microcosm experiments showed that As mobilization from sediments to groundwater is probably mainly related to changes in the redox conditions, with moderately reducing conditions being favorable for As release from sediments into groundwater.     

Fluoride distribution in groundwater and survey of dental fluorosis among school children in the villages of the Jhajjar District of Haryana,India

Fluoride concentration of groundwater reserves occurs in many places in the world. A critical area for such contamination in India is alluvial soil of the plain region, consisting of five blocks (Jhajjar, Bahadurgarh, Beri, Matanhail, and Sahalawas) of the Jhajjar District adjacent to the National Capital Territory of India, New Delhi. The purpose of this study was to assess the association between water fluoride levels and prevalence of dental fluorosis among school children of the Jhajjar District of Haryana, India. The fluoride content in underground drinking water sources was found to vary in villages. Hence, the villages were categorized as high-fluoride villages (1.52–4.0 mg F/l) and low/normal-fluoride villages (0.30–1.0 mg F/l). The source of dental fluorosis data was school-going children (7–15 years) showing different stages and types of fluorosis who were permanent resident of these villages. The fraction of dental fluorosis-affected children varied from 30% to 94.85% in the high-fluoride villages and from 8.80% to 28.20% in the low/normal-fluoride villages. The results of the present study revealed that there existed a significant positive correlation between fluoride concentration in drinking water and dental fluorosis in high-fluoride villages (r = 0.508; p < 0.001) and insignificant correlation in low-fluoride villages.     

Evaluation of groundwater quality and its suitability for drinking,domestic, and agricultural uses in the Banana Plain (Mbanga,Njombe, Penja) of the Cameroon Volcanic Line

Groundwater quality of the Banana Plain (Mbanga, Njombe, Penja—Cameroon) was assessed for its suitability for drinking, domestic, and agricultural uses. A total of 67 groundwater samples were collected from open wells, springs, and boreholes. Samples were analyzed for physicochemical properties, major ions, and dissolved silica. In 95% of groundwater samples, calcium is the dominant cation, while sodium dominates in 5% of the samples. Eighty percent of the samples have HCO₃ as major anion, and in 20%, NO₃ is the major anion. Main water types in the study area are CaHCO₃, CaMgHCO₃, CaNaHCO₃, and CaNaNO₃ClHCO₃. CO₂-driven weathering of silicate minerals followed by cation exchange seemingly controls largely the concentrations of major ions in the groundwaters of this area. Nitrate, sulfate, and chloride concentrations strongly express the impact of anthropogenic activities (agriculture and domestic activities) on groundwater quality. Sixty-four percent of the waters have nitrate concentrations higher than the drinking water limit. Also limiting groundwater use for potable and domestic purposes are contents of Ca²⁺, Mg²⁺ and HCO₃ ⁻ and total hardness (TH) that exceed World Health Organization (WHO) standards. Irrigational suitability of groundwaters in the study area was also evaluated, and results show that all the samples are fit for irrigation. Groundwater quality in the Banana Plain is impeded by natural geology and anthropogenic activities, and proper groundwater management strategies are necessary to protect sustainably this valuable resource.     

Fluoride contamination in groundwater of central Rajasthan,India and its toxicity in rural habitants

This study was carried out to assess fluoride (Fl) concentration in groundwater in some villages of central Rajasthan, India, where groundwater is the main source of drinking water. Water samples collected from deep aquifer-based hand pumps were analyzed for Fl content. Fluoride in groundwater of 121 habitations of Bhilwara tehsil of Bhilwara district of Rajasthan was determined to examine the potential Fl-induced toxicity in rural locations. Fluoride concentrations in the tehsil ranged from 0.5 to 5.8 mg/l. In the tehsil, 69 villages (57%) were found to have Fl concentration beyond the maximum desirable limit recommended in Bureau of Indian Standards (BIS), 10500, 1991. Fifty-eight percent population of these villages was under the threat of fluorosis. One percent population of tehsil living in two villages ingested more than 5 mg/l Fl in each liter of drinking water and at maximal risk for dental and skeletal fluorosis. 142 individuals of these villages were examined for fluorosis. Data indicated that only four individuals (2.82%) did not exhibit dental fluorosis. Most individuals were found to suffer from mild (34.51% or 49 individuals) and moderate (31.69% or 45 individuals) fluorosis. Severe dental fluorosis was recorded in only 16 individuals (11.27%). In 104 individuals above 21 years of age examined for the prevalence of skeletal fluorosis, 66 were positive for skeletal fluorosis with a maximum 36.5% with grade I skeletal fluorosis. Grade II skeletal fluorosis was recorded in 28 individuals (26.9%). Data in this study demonstrate that there is a need to take ameliorative steps in this region to prevent fluorosis.     

Human risk assessment of As,Cd, Cu and Zn in the abandoned metal mine site

The cancer risk and the non-cancer hazard index for inhabitants exposed to As, Cd, Cu and Zn in the soils and stream waters of the abandoned Songcheon Au–Ag mine area were evaluated. Mean concentrations of As, Cd, Cu, Pb and Zn in agricultural soils were 230, 2.5, 120, 160, and 164 mg kg⁻¹, respectively. Mean concentrations of As, Cd and Zn of the water in the stream where drinking water was drawn was 246 μg L⁻¹, 161 μg L⁻¹ and 3899 μg L⁻¹, respectively. These levels are significantly higher than the permissible levels for drinking water quality recommended by Korea and WHO. The resulting human health risks to farmers who inhabited the surrounding areas due to drinking water were summarized as follows: (1) the non-cancer health hazard indices showed that the toxic risk due to As and Cd in drinking water were 10 and 4 times, respectively, greater than those induced by the safe average daily dosages of the respective chemicals. (2) the cancer risk of As for exposed individuals through the drinking water pathway was 5 in 1000, exceeded the acceptable risk of 1 in 10,000 set for regulatory purposes.     

广州市饮用水中挥发性有机物的研究

饮用水中的挥发性有机化合物（VOCs）来源于水源水受到的环境污染或是在净化消毒工艺处理工程中反应产生的副产物,可对人体健康造成极大的危害。改革开放以来,广州人口和经济得到突飞猛进的发展,也带来了包括饮用水安全在内的诸多严重的社会和环境问题。虽然饮用水中VOCs的研究已经得到越来越多的重视,但是目前对广州市饮用水中挥发性有机物的研究还鲜有报道。本文在广州市中心城区选取15个不同位置的采样点进行了自来水水样采集,并利用吹扫-捕集-气相色谱-质谱（GC-MS）联用系统分析技术测定水中 VOCs 的种类和三卤甲烷的质量浓度。结果表明,广州市中心城区的自来水中VOCs有20种,以三卤甲烷（THMs）和芳香烃类为主,占了所检出的物质总量的78%以上。THMs中四种化合物（氯仿、一溴二氯甲烷、二溴一氯甲烷、溴仿）的检出率达100%,总三卤甲烷的平均质量浓度为46.46μg· L-1,最大值为53.31μg· L-1,最小值39.91μg· L-1。根据2006版国家饮用水标准,四种三卤甲烷质量浓度均低于标准限值,符合标准要求。对市面上一般的瓶装水的研究发现,瓶装水中三卤甲烷的质量浓度非常低,总三卤甲烷平均质量浓度仅为1.47μg·L-1,约是自来水中质量浓度的1/30。为了解温度及煮沸对自来水中 THMs 质量浓度的影响,本研究设计了实验进行探究。结果发现加热至沸腾过程中,THMs质量浓度随温度升高而升高,而沸腾后THMs骤降,煮沸5 min可降低水中约95%的THMs,接近瓶装水中THMs质量浓度。     

Arsenic in groundwater in six districts of West Bengal,India

Arsenic in groundwater above the WHO maximum permissible limit of 0.05 mg l^–1 has been found in six districts of West Bengal covering an area of 34 000 km² with a population of 30 million. At present, 37 administrative blocks by the side of the River Ganga and adjoining areas are affected. Areas affected by arsenic contamination in groundwater are all located in the upper delta plain, and are mostly in the abandoned meander belt. More than 800 000 people from 312 villages/wards are drinking arsenic contaminated water and amongst them at least 175 000 people show arsenical skin lesions. Thousands of tube-well water in these six districts have been analysed for arsenic species. Hair, nails, scales, urine, liver tissue analyses show elevated concentrations of arsenic in people drinking arsenic-contaminated water for a longer period. The source of the arsenic is geological. Bore-hole sediment analyses show high arsenic concentrations in only few soil layers which is found to be associated with iron-pyrites. Various social problems arise due to arsenical skin lesions in these districts. Malnutrition, poor socio-economic conditions, illiteracy, food habits and intake of arsenic-contaminated water for many years have aggravated the arsenic toxicity. In all these districts, major water demands are met from groundwater and the geochemical reaction, caused by high withdrawal of water may be the cause of arsenic leaching from the source. If alternative water resources are not utilised, a good percentage of the 30 million people of these six districts may suffer from arsenic toxicity in the near future.     

Arsenic levels in rice grain and assessment of daily dietary intake of arsenic from rice in arsenic-contaminated regions of Bangladesh—implications to groundwater irrigation

Chronic exposure to arsenic (As) causes significant human health effects, including various cancers and skin disorders. Naturally elevated concentrations of As have been detected in the groundwater of Bangladesh. Dietary intake and drinking water are the major routes of As exposure for humans. The objectives of this study were to measure As concentrations in rice grain collected from households in As-affected villages of Bangladesh where groundwater is used for agricultural irrigation and to estimate the daily intake of As consumed by the villagers from rice. The median and mean total As contents in 214 rice grain samples were 131 and 143 μg/kg, respectively, with a range of 2–557 μg/kg (dry weight, dw). Arsenic concentrations in control rice samples imported from Pakistan and India and on sale in Australian supermarkets were significantly lower (p < 0.001) than in rice from contaminated areas. Daily dietary intake of As from rice was 56.4 μg for adults (males and females) while the total daily intake of As from rice and from drinking water was 888.4 and 706.4 μg for adult males and adult females, respectively. From our study, it appears that the villagers are consuming a significant amount of As from rice and drinking water. The results suggest that the communities in the villages studied are potentially at risk of suffering from arsenic-related diseases.     

Bleiverunreinigung von trinkwasser durch leitungssysteme in Berlin

There are many acute and chronic adverse effects of lead on human beings. This is especially true for infants and children. In Germany, the intake of lead through drinking water is commonly due to metal corrosion of the user’s plumbing. In the last years and decades, many lead pipes in Germany were replaced by pipes made of alternative materials. The aim of this study was to assess the present state of drinking water contamination and the resulting lead exposure in infants, the most sensitive population group. For this purpose, mothers of newborn babies were offered a free examination of their drinking water. After a written declaration of consent had been received, two composite samples collected during the day were obtained from the families. The samples were analyzed for their lead concentration using atomic absorption spectrometry. A total of 2109 samples from house holds in the area of Berlin, Germany were collected. From the first composite samples 5.6% and 7.0% of the second composite samples demonstrated lead concentrations higher than 0.01 mg/l (recommended limit of the WHO). 0.95% of the first composite samples and 1.3% of the second composite samples had concentrations above the limit of the German drinking water regulation (0.04 mg/l). The highest measured lead concentrations is the first and second composite samples were 0.19 and 0.13 mg/l, respectively. By region, the suburbs of Charlottenburg, Neukölln, Schöneberg, Wilmersdorf and Zehlendorf were particularly severley affected with more than 10% and their samples being elevated above 0.01 mg/l.     

Hydrogeochemistry study and groundwater quality assessment in the north of Isfahan,Iran

This study presents the groundwater quality assessment in the north of Isfahan, Iran. In the study area, assessment and measurement of groundwater hydrochemical parameters such as pH, total dissolved solids (TDS), electrical conductivity (EC), sodium absorption ratio (SAR), total hardness, major cations (K⁺, Na⁺, Ca²⁺ and Mg²⁺) and major anions (Cl^?, \({\text{HCO}}_{ 3}^{ - } ,{\text{CO}}_{3}^{2 - }\) and \({\text{SO}}_{4}^{2 - }\)) concentrations were performed. Accordingly, the 66 water samples from different locations were collected during April and May 2015. Water samples collected in the field were analyzed in the laboratory for cations and anions using the standard methods. In this research, the analytical results of physiochemical parameters of groundwater were compared with the standard guideline values as recommended by the world health organization (WHO) for drinking and public health purposes. The pH values of groundwater samples varied from 7.05 to 8.95 with a mean of 7.78, indicating a neutral to slightly alkaline water. TDS values showed that 14% of the samples exceeds the desirable limit given by WHO. EC values varied from 213 to 4320 µS/cm, while 23% of the samples were more than the standard limit. Gibbs diagram had shown that 90% of the samples in the study area fall in the rock weathering zone, and this means that chemical weathering of rock-forming minerals is the main factor controlling the water chemistry in the study area. Irrigation suitability and risk assessment of groundwater are evaluated by measuring EC, %Na, SAR and RSC. According to the dominant cations and anions, five types of water were identified in the water samples: Ca-HCO₃, Ca-SO₄, Na-Cl, Na-HCO₃ and Na-SO₄. The results show that the majority of samples (30 samples, 45%) belongs to the mixed Na-SO₄ water type. Correlation analysis and principal component analysis was used to identify the relationship between ions and physicochemical parameters. Results indicated that 18 stations of the study area had the best quality and can be used for irrigation and drinking purposes in the future.     

Mobilization of arsenic and other trace elements of health concern in groundwater from the Salí River Basin, Tucumán Province, Argentina

The Salí River Basin in north-west Argentina (7,000 km²) is composed of a sequence of Tertiary and Quaternary loess deposits, which have been substantially reworked by fluvial and aeolian processes. As with other areas of the Chaco-Pampean Plain, groundwater in the basin suffers a range of chemical quality problems, including arsenic (concentrations in the range of 12.2–1,660 μg L⁻¹), fluoride (50–8,740 μg L⁻¹), boron (34.0–9,550 μg L⁻¹), vanadium (30.7–300 μg L⁻¹) and uranium (0.03–125 μg L⁻¹). Shallow groundwater (depths up to 15 m) has particularly high concentrations of these elements. Exceedances above WHO (2011) guideline values are 100% for As, 35% for B, 21% for U and 17% for F. Concentrations in deep (>200 m) and artesian groundwater in the basin are also often high, though less extreme than at shallow depths. The waters are oxidizing, with often high bicarbonate concentrations (50.0–1,260 mg L⁻¹) and pH (6.28–9.24). The ultimate sources of these trace elements are the volcanic components of the loess deposits, although sorption reactions involving secondary Al and Fe oxides also regulate the distribution and mobility of trace elements in the aquifers. In addition, concentrations of chromium lie in range of 79.4–232 μg L⁻¹ in shallow groundwater, 129–250 μg L⁻¹ in deep groundwater and 110–218 μg L⁻¹ in artesian groundwater. All exceed the WHO guideline value of 50 μg L⁻¹. Their origin is likely to be predominantly geogenic, present as chromate in the ambient oxic and alkaline aquifer conditions.     

Lung function decrement with arsenic exposure to drinking groundwater along River Indus: a comparative cross-sectional study

This study was designed to determine the association between chronic arsenic exposure through drinking groundwater and decrement in lung function, particularly among individuals who do not have signs of arsenic lesions, among an adult population. This was a comparative cross-sectional study conducted during the months of January to March 2009. One hundred participants ≥15 years of age in each group, i.e. exposed (≥100 μg/l) and unexposed (≤10 μg/l) to arsenic, determined by testing drinking water samples (using portable kits), were compared for effects on lung function using spirometry. A structured and validated questionnaire was administered. Examination for arsenic skin lesions was also done. There was a decline in the mean adjusted FEV1 of 154.3 ml (95% CI: −324.7, 16.0; p = 0.076), in mean adjusted FVC of 221.9 ml (95% CI: −419.5, −24.3; p = 0.028), and in FEV1/FVC ratio of 2.0 (95% CI: −25.3, 29.4; p = 0.884) among participants who were exposed to arsenic compared to those unexposed. A separate model comprising a total of 160 participants, 60 exposed to arsenic concentrations ≥250 μg/l and 100 unexposed at arsenic concentrations of ≤10 μg/l, showed a decrement in mean adjusted FEV1 of 226.4 ml (95% CI: −430.4, −22.4; p = 0.030), in mean adjusted FVC of 354.8 ml (95% CI: −583.6, −126.0; p = 0.003), and in FEV1/FVC ratio of 9.9 (95% CI: −21.8, 41.6; p = 0.539) among participants who were exposed to arsenic in drinking groundwater. This study demonstrated that decrement in lung function is associated with chronic exposure to arsenic in drinking groundwater, occurring independently, and even before any manifestation, of arsenic skin lesions or respiratory symptoms. The study also demonstrated a dose-response effect of arsenic exposure and lung function decrement.