Emerging nitrate contamination in groundwater: Changing phase in a fast-growing state of India.

The consumption of nitrate-contaminated groundwater is often associated with potential health risks, particularly in children. This study aimed to assess the hydrochemistry and nitrate contamination in groundwater of Kerala state, India for the years 2010 and 2018 and evaluate the potential human health risks due to nitrate exposure in adults, and children through oral ingestion and dermal contact pathways. Nitrate-contaminated zones were identified by spatial mapping of nitrate concentration based on groundwater quality data of 324 wells. Groundwater is typically acidic to slightly alkaline, and the electrical conductivity (EC) varied from 33 to 1180 µS/cm in 2010 and 34.6-2500 mg/L in 2018 indicating a noticeable increase over the years. Most samples fall within low salt enrichment category. The nitrate concentration in groundwater varied from 0 to 173 mg/L with a mean of 15.4 mg/L during 2010 and 0 to 244 with a mean of 20.3 mg/L during 2018. Though nitrate concentrations show uneven spatial distributions due to both natural and anthropogenic sources, the spatial clustering of higher concentrations remains almost same in both periods. In 2010, non-carcinogenic risk, as measured by Health Index Total (HITotal) values in groundwater for the investigated region, ranged from 0.005 to 4.170 (mean of 0.349) for males, 0.005 to 4.928 (mean of 0.413) for females, and 0.008 to 7.243 (mean of 0.607) for children, while in 2018, the corresponding values varied from 0.001 to 5.881 (mean of 0.501) for males, 0.002 to 6.950 (mean of 0.592) for females, and 0.003 to 10.215 (mean of 0.870) for children, indicating a substantial increase in risk, for females and children. Greater health risk is observed in children during both the periods. The findings emphasize the need for proper water quality management, especially in regions with higher vulnerability to nitrate pollution, to safeguard human health and well-being.

Spatial analysis of chronic obstructive pulmonary disease and its risk factors in an urban area of Trivandrum, Kerala, India.

Background: Chronic obstructive pulmonary disease (COPD) is the second leading cause of death in India. The objective of this study was to map COPD cases and its risk factors and to determine the association between them using geographic information system (GIS) in a semi-urban area of Trivandrum, South India. Materials and Methods: This community-based cross-sectional, descriptive study (n = 494) was conducted in a subcenter area of a primary health center. Location was mapped and COPD population screener questionnaire was administered to all the study subjects enrolled by census method. Lifetime firewood exposure (person-hours) and tobacco smoking were enquired and distance from road was mapped using portable differential global positioning system. The association with COPD was assessed by kriging and hotspot analysis using ArcGIS software. Results: The prevalence of COPD (6.5%) was comparable to national prevalence estimates. Spatial maps showed COPD case clustering in areas with higher firewood exposure, greater smoking exposure, and in households with closer proximity to local roads. A particular high-risk cluster was obtained which had a significant association with all the risk factors. Conclusion: GIS technology is useful in identification of spatial clustering of COPD cases and its environmental risk factors, making it an important tool for targeted interventions for COPD.