A study was carried out in Malawi to assess the extent of chemical pollution in a receiving river as affected by industrial effluents. Both the effluents and the water at selected points in the river were analysed for pH, dissolved oxygen, biochemical oxygen demand, electrical conductivity, suspended solids, nitrate, alkalinity, hardness, chloride and phosphate in the dry and rainy seasons. The results showed that the effluents were acidic in both the dry season (range: 4.2 ± 0.02-6.5 ± 0.02) and in the rainy season (range: 4.2 ± 0.05 -5.6 ± 0.01). While the levels of dissolved oxygen, biological oxygen demand, electrical conductivity, suspended solids, alkalinity and chloride were relatively high in the dry and rainy seasons, the concentration of phosphate and nitrate were low in both seasons. The water upstream was neutral (average pH, 7.40 ± 0.04) with high dissolved oxygen but low in the levels of the other parameters in both seasons. The water after the effluent receiving points was acidic and the levels of the other parameters were high, especially downstream. The results suggested that the water in the river was polluted and not good for human consumption. It is therefore recommended that the careless disposal of the wastes should be discouraged and although the values in some cases were lower than the allowable limits, the continued discharge of the effluents in the river may result in severe accumulation of the contaminants and, unless the authorities implement the laws governing the disposal of wastes, this may affect the lives of the people.

Consumption of groundwater containing fluoride exceeding World Health Organization (WHO) 1.5 mg/L standard leaves people vulnerable to fluorosis: a vulnerability not well characterised in Malawi. To evaluate geogenic fluoride source and concentration, groundwater fluoride and geology was documented in central Malawi where groundwater supplies are mainly sourced from the weathered basement aquifer. Lithological composition was shown as the main control on fluoride occurrence. Augen gneiss of granitic composition posed the greatest geological fluoride risk. The weathered basement aquifer profile was the main factor controlling fluoride distributions. These results and fluoride-lithology statistical analysis allowed the development of a graded map of geological fluoride risk. A direct link to human health risk (dental fluorosis) from geological fluoride was quantified to support science-led policy change for fluoride in rural drinking water in Malawi. Hazard quotient (HQ) values were calculated and assigned to specific water points, depending on user age group; in this case, 74% of children under six were shown to be vulnerable to dental fluorosis. Results are contrary to current standard for fluoride in Malawi groundwater of 6 mg/L, highlighting the need for policy change. Detailed policy recommendations are presented based on the results of this study.