“…Literature sources ( Appendix A, Supplementary material ), have indicated that exposure to trace elements as a result of river pollution in the downstream reaches of the Akaki catchment, in Addis Ababa, are higher than upstream reaches. For instance, concentrations of As [37] , [38] , Fe [39] , Cu [37] , [39] , [40] , Mn [37] , [38] , [39] , Zn [37] , [40] , [41] , Cr [37] , [38] , [39] , [42] , Pb [39] , [40] , [41] and Ni [37] , [38] in river and irrigation waters have exhibited this trend in the Akaki catchment. Even though residents in the downstream of Akaki catchment are potentially more exposed to heavy metals, and hence a higher risk of oxidative DNA damage, than those in the upstream, no study has investigated the link between toxic elements and 8-OHdG levels in bio-samples from the residents.…”