In this paper, the spatial distribution of fluoride (F -) and manganese (Mn) in groundwater was described and the overall groundwater quality was assessed with the entropy weight water quality index (EWQI) in Weining Plain, northwest China. The probabilistic health risk of Fand Mn in groundwater was assessed by the Monte Carlo stochastic simulation method. The results show that 50 groundwater samples (a total of 144) belong to poor and very poor quality because of agricultural activities, industrial development, and the local hydrogeological conditions. Groundwater quality in the upper reaches of the Yellow River is better than that in the lower reaches. The average health risks faced by children and adults are 4.59 and 0.62, respectively. If the uncertainty of the model parameters are considered, the mean risks faced by children and adults are 6.84 and 0.92, respectively, indicating that the health risk to residents, especially children, cannot be ignored. Compared with dermal contact, drinking water intake is the main exposure way to harm residents' health. Fcontributed higher to the health risk than Mn, and children face greater risk than adults. Stochastic simulation can reflect health risks more comprehensively than the deterministic methods. The study results are helpful for decision makers to take measures for the safe supply of drinking water in the study area.

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Water resources are important in large basins which are important places for human habitation and industrial and agricultural development. The background of editing this thematic issue was introduced and the general water resources situation and water quality status in four major large river basins in the Asian and African continents were briefly summarized to give readers general pictures of water resources development and management in these basins, and these large river basins are the Yellow River Basin, the Yangtze River Basin, the Indus Basin, and the Nile Basin. The thematic issue papers were classified into four clustered topical categories, and the main points of the papers in this thematic issue were summarized. Finally, the perspectives of future sustainable water resources development and management in large river basins were proposed.