G. K. Basu

Arsenic poisoning in the Ganges delta.

We have been studying the contamination of groundwater by arsenic and the attend-ant human suffering in West Bengal, India, for a decade, and in Bangladesh for the past four years. From our analysis of thousands of samples of water and sediment, we have been able to test the course of events proposed by Nickson et al. to account for the poisoning of Bangladesh groundwater. We disagree with Nickson et al.s claim that arsenic concentrations in shallow (oxic) wells are mostly below 50 μg per litre. In our samples from Bangladesh (n=9,465), 59% of the 7,800 samples taken at known depth and containing arsenic at over arsenic 50 μg per litre were collected from depths of less than 30 m, and 67% of the 167 samples with arsenic concentrations above 1,000 μg per litre were collected from wells between 11 and 15.8 m deep.

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.

Chronic Arsenic Toxicity in Bangladesh and West Bengal, India—A Review and Commentary

Fifty districts of Bangladesh and 9 districts in West Bengal, India have arsenic levels in groundwater above the World Health Organizations maximum permissible limit of 50 μg/L. The area and population of 50 districts of Bangladesh and 9 districts in West Bengal are 118,849 km2 and 104.9 million and 38,865 km2 and 42.7 million, respectively. Our current data show arsenic levels above 50 μg/L in 2000 villages, 178 police stations of 50 affected districts in Bangladesh and 2600 villages, 74 police stations/blocks of 9 affected districts in West Bengal. We have so far analyzed 34,000 and 101,934 hand tube-well water samples from Bangladesh and West Bengal respectively by FI-HG-AAS of which 56% and 52%, respectively, contained arsenic above 10 μg/L and 37% and 25% arsenic above 50 μg/L. In our preliminary study 18,000 persons in Bangladesh and 86,000 persons in West Bengal were clinically examined in arsenic-affected districts. Of them, 3695 (20.6% including 6.11% children) in Bangladesh and 8500 (9.8% including 1.7% children) in West Bengal had arsenical dermatological features. Symptoms of chronic arsenic toxicity developed insidiously after 6 months to 2 years or more of exposure. The time of onset depends on the concentration of arsenic in the drinking water, volume of intake, and the health and nutritional status of individuals. Major dermatological signs are diffuse or spotted melanosis, leucomelanosis, and keratosis. Chronic arsenicosis is a multisystem disorder. Apart from generalized weakness, appetite and weight loss, and anemia, our patients had symptoms relating to involvement of the lungs, gastrointestinal system, liver, spleen, genitourinary system, hemopoietic system, eyes, nervous system, and cardiovascular system. We found evidence of arsenic neuropathy in 37.3% (154 of 413 cases) in one group and 86.8% (33 of 38 cases) in another. Most of these cases had mild and predominantly sensory neuropathy. Central nervous system involvement was evident with and without neuropathy. Electrodiagnostic studies proved helpful for the diagnosis of neurological involvement. Advanced neglected cases with many years of exposure presented with cancer of skin and of the lung, liver, kidney, and bladder. The diagnosis of subclinical arsenicosis was made in 83%, 93%, and 95% of hair, nail and urine samples, respectively, in Bangladesh; and 57%, 83%, and 89% of hair, nail, and urine samples, respectively in West Bengal. Approximately 90% of children below 11 years of age living in the affected areas show hair and nail arsenic above the normal level. Children appear to have a higher body burden than adults despite fewer dermatological manifestations. Limited trials of 4 arsenic chelators in the treatment of chronic arsenic toxicity in West Bengal over the last 2 decades do not provide any clinical, biochemical, or histopathological benefit except for the accompanying preliminary report of clinical benefit with dimercaptopropanesulfonate therapy. Extensive efforts are needed in both countries to combat the arsenic crisis including control of tube-wells, watershed management with effective use of the prodigious supplies of surface water, traditional water management, public awareness programs, and education concerning the apparent benefits of optimal nutrition.

Arsenic Groundwater Contamination and Sufferings of People in North 24-Parganas, One of the Nine Arsenic Affected Districts of West Bengal, India

Abstract To understand the magnitude of the arsenic calamity in West Bengal, a detailed study spanning 7 years was made in North 24-Parganas, one of the nine arsenic affected districts. Area and population of North 24-Parganas district are 4093.82 sq. km and 7.3 million, respectively. Fourty eight thousand and thirty water samples were analyzed from hand tubewells of North 24-Parganas in use for drinking, cooking and 29.2% of the tubewells were found to have arsenic above 50 µg/L, the maximum permissible limit of World Health Organization (WHO) and 52.8% have arsenic above 10 µg/L, WHO recommended value of arsenic in drinking water. Out of the 22 blocks of North 24-Parganas, in 20 blocks arsenic has been found above the maximum permissible limit and so far in 16 blocks people have been identified as suffering from arsenical skin lesions. From the generated data, it is estimated that about 2.0 million and 1.0 million people are drinking arsenic contaminated water above 10 µg/L and 50 µg/L level, respectively in North 24-Parganas alone. So far, in our preliminary study 33,000 people have been examined at random from arsenic affected villages in North 24-Parganas and 2274 people have been registered with arsenical skin lesions. Extrapolation of the available data indicates about 0.1 million people may be suffering from arsenical skin lesions from North 24-Parganas alone. A sum of 21,000 hair, nail, and urine samples analyses from arsenic affected villages show 56%, 80%, and 87% people have arsenic in biological specimen more than normal/toxic (hair) level, respectively. Thus, many may be subclinically affected. Due to use of arsenic contaminated groundwater for agricultural irrigation, rice and vegetable are getting arsenic contaminated. Hence there is an additional arsenic burden from food chain. People from arsenic affected villages are also suffering from arsenical neuropathy. A followup study indicates that many of the victims suffering from severe arsenical skin lesions for several years are now suffering from cancer or have already died of cancer.

Groundwater Arsenic Contamination and Sufferings of People in West Bengal, India and Bangladesh

Groundwater is becoming the major source of drinking water around the world, especially in developing countries, to avoid microbial and chemical contamination from surface water. Another reason of wide use of groundwater is that because of its easy access and economic viability. Not only is groundwater being used for drinking, but for farmers in many developing countries like India, Bangladesh groundwater is their main source of irrigation. These countries have achieved a green revolution with the help of underground water. Earlier, India and Bangladesh could get only one crop a year, and that too was rain dependent. But now usually 3/4 crops in a year are common and the source of water for irrigation lies underground. Irrigation in West Bengal and Bangladesh using groundwater was first started around the sixties. In both these countries, there is no groundwater withdrawal regulation. As a result, groundwater exploitation goes on unchecked. In Bangladesh and West Bengal more than 95% of the Rural Water Supply Schemes (RWSS) depend on underground water. Dhaka (population abut 11 million) is the only city in the world where more than 97% of the domestic water requirement comes from underground water sources.

Arsenic Groundwater Contamination and Sufferings of People in West Bengal-India and Bangladesh

Working on West Bengal—s arsenic calamity for last 10 years & in Bangladesh for last 4 years even now we feel we are at the tip of the iceberg. Thus we need to know as early as possible the real magnitude of the arsenic calamity. According to WHO, the possibility of getting skin lesions exists among those drinking 1,000μg of arsenic per day for several years. & our analytical report on water indicates that a large sum of population are consuming above 1,000μg of arsenic per day. Our thousands of hair, nail & urine analyses from the affected villages indicate that more than 80% of population have higher arsenic body burden. Thus many may not be showing arsenical skin lesions but may be sub-clinically affected. Further if it is true that arsenic toxicity appears after several years of exposure, then the picture may actually be far more grim than it appears at present, & children our future generations are at a greater risk.

Groundwater arsenic exposure in India

Publisher Summary A preliminary study on arsenic (As) in dugwells, hand pumps, and spring water was reported from Chandigarh, and different villages of Punjab, Haryana, and Himachal Pradesh in northern India. It was reported that people were drinking As-contaminated water. High As was found in the liver of those suffering from noncirrhotic portal fibrosis (NCPF) and drinking As-contaminated water. About 1,000 people are suspected to be suffering from arsenical skin lesions from the Semria Ojha Patty village of Sahapur police station in Bhojpur district, Bihar, in the middle Ganga Plain. The magnitude of the problem in Bhojpur district is unknown. Clinical and various laboratory investigations were carried out on 156 patients to ascertain the nature and degree of morbidity and mortality that occurred because of chronic As toxicity in some affected villages. All the patients studied had arsenical skin lesions. Other features included weakness, gastrointestinal symptoms, and involvement of the respiratory system and the nervous system. Lung function tests showed restrictive lung disease, abnormal electromyography, enlargement of the liver, and portal hypertension.