A review of global outlook on fluoride contamination in groundwater with prominence on the Pakistan current situation.

Several million people are exposed to fluoride (F-) via drinking water in the world. Current review emphasized the elevated level of fluoride concentrations in the groundwater and associated potential health risk globally with a special focus on Pakistan. Millions of people are deeply dependent on groundwater from different countries of the world encompassing with an elevated level of fluoride. The latest estimates suggest that around 200 million people, from among 25 nations the world over, are under the dreadful fate of fluorosis. India and China, the two most populous countries of the world, are the worst affected. In Pakistan, fluoride data of 29 major cities are reviewed and 34% of the cities show fluoride levels with a mean value greater than 1.5 mg/L where Lahore, Quetta and Tehsil Mailsi are having the maximum values of 23.60, 24.48, > 5.5 mg/L, respectively. In recent years, however, other countries have minimized, even eliminated its use due to health issues. High concentration of fluoride for extended time period causes adverse effects of health such as skin lesions, discoloration, cardiovascular disorders, dental fluorosis and crippling skeletal fluorosis. This review deliberates comprehensive strategy of drinking water quality in the global scenario of fluoride contamination, especially in Pakistan with prominence on major pollutants, mitigation technologies, sources of pollution and ensuing health problems. Considering these verities, health authorities urgently need to establish alternative means of water decontamination in order to prevent associated health problems.

Geochemical modeling, source apportionment, health risk exposure and control of higher fluoride in groundwater of sub-district Dargai, Pakistan.

The present study examined the hydrogeochemical profile of higher fluoride (F─) in groundwater of mixed industrial and mining areas of Dargai, northern Pakistan. Groundwater samples (n = 75) were collected from three hydrogeochemical environments. The mean concentrations of pH, EC, TDS, Depth and Temperature were (7.6, 1081 µS/cm, 590 mg/L, 75 m, 28.03 °C), for chemical ions viz. NO3, PO4, SO4, Cl, HCO3, Na, K, Ca and Mg were (18.5, 2.7, 161, 107, 330, 150, 9.76, 33, 52) mg/L respectively. Whereas, the mean concentration of F─ was 2.0 mg/L. Therefore, 51% groundwater samples exceeded the WHO guideline of F─ 1.5 mg/L. Additionally, we measured the mean F─ concentration in rocks, coal and wastewater, which were (670, 98) mg/Kg and 2.3 mg/L respectively. The principal component analysis multilinear regression (PCA─MLR) extracted five significant factors which shows natural, mixed and anthropogenic pollution. Thus, fluorite is the primary source of F─ contamination in groundwater. While apatite, biotite and muscovite minerals are the secondary sources which occurs in association with quartzite, granite rocks. Under alkaline conditions, F─ contamination is supported by higher Na+, HCO3─ and lower Ca++ concentrations. The accuracy and reproducibility of the measurement of fluoride was assessed by adopting a standard method of water. The percentage recovery of F─ was 97% and reproducibility was within ±5% error limit. Lastly, a health risk community fluorosis index (CFI) was calculated through Dean's formula which shows unsuitability of groundwater sources conceiving community fluorosis in the entire study area.