Nine districts in West Bengal, India, and 42 districts in Bangladesh have arsenic levels in groundwater above the World Health Organization maximum permissible limit of 50 microg/L. The area and population of the 42 districts in Bangladesh and the 9 districts in West Bengal are 92,106 km(2) and 79.9 million and 38,865 km(2) and 42.7 million, respectively. In our preliminary study, we have identified 985 arsenic-affected villages in 69 police stations/blocks of nine arsenic-affected districts in West Bengal. In Bangladesh, we have identified 492 affected villages in 141 police stations/blocks of 42 affected districts. To date, we have collected 10,991 water samples from 42 arsenic-affected districts in Bangladesh for analysis, 58,166 water samples from nine arsenic-affected districts in West Bengal. Of the water samples that we analyzed, 59 and 34%, respectively, contained arsenic levels above 50 microg/L. Thousands of hair, nail, and urine samples from people living in arsenic-affected villages have been analyzed to date; Bangladesh and West Bengal, 93 and 77% samples, on an average, contained arsenic above the normal/toxic level. We surveyed 27 of 42 districts in Bangladesh for arsenic patients; we identified patients with arsenical skin lesions in 25 districts. In West Bengal, we identified patients with lesions in seven of nine districts. We examined people from the affected villages at random for arsenical dermatologic features (11,180 and 29,035 from Bangladesh and West Bengal, respectively); 24.47 and 15.02% of those examined, respectively, had skin lesions. After 10 years of study in West Bengal and 5 in Bangladesh, we feel that we have seen only the tip of iceberg.ImagesFigure 1Figure 2Figure 3Figure 4

Arsenic in ground water has been found above the maximum permissible limit in six districts of West Bengal covering an area of 34 000 km2 with a population of 30 million. At present 37 blocks of these six districts by the side of the River Ganga are affected and about 800 000 people from 312 villagedwards are drinking arsenic contaminated water and amongst them at least 175 000 people are showing arsenical skin lesions. The source of arsenic is geological. We have analysed thousands of tube-well water samples from these six districts for four arsenic species namely, arsenite, arsenate, monomethylarsonic acid (MMAA) and dimethylarsinic acid (DMAA). We could detect no MMAA or DMAA in any of these samples. In urine, DMAA and MMAA are the predominant species along with arsenite and arsenate. The techniques we used for the determination and speciation of arsenic are: (i) separation of arsenite and arsenate from water by sodium diethyldithiocarbamate in chloroform followed by FI-HGAAS; (ii) spectrophotometry using Ag-DDTC in chloroform with hexamethylenetetramine as absorbing solution; (iiz) ion-exchange separation of arsenite and arsenate from water followed by FI-HGAAS; and (iv) for analysis of inorganic arsenic and its metabolites in urine, FI-HGAAS was used after separation of the species by a , I combined cation-anion-exchange column. Total arsenic, in urine was determined by FI-HGAAS after acid decomposition. The most toxic species, arsenite, is present in ground water at about 50% of the total arsenic level, and more than 90% of the total arsenic in urine is inorganic arsenic and its metabolites.

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Arsenic in groundwater has been found above the WHO maximum permissible limit of 0.05 mg 1-1 in six districts of West Bengal, India covering an area of 34000 km2 with a population of 30 million. At present, 37 administrative blocks by the side of the river Ganga and adjoining areas are affected, as shown in Fig. 1. More than 800000 people of 312 villages/wards are drinking arsenic contaminated water and amongst them at least 175 000 people are showing arsenical skin lesions which are late manifestations of arsenic toxicity.

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 microg/L, the maximum permissible limit of World Health Organization (WHO) and 52.8% have arsenic above 10 microg/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 microg/L and 50 microg/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.

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