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American Journal of Public Health Research. 2020, 8(6), 190-196
DOI: 10.12691/AJPHR-8-6-2
Original Research

Twenty Years of Arsenic Contamination and Arsenicosis Patients in a Village of Bangladesh

Sk Akhtar Ahmad1, , MH Faruquee1 and Manzurul Haque Khan2

1Department of Occupational and Environmental Health, Bangladesh University of Health Sciences (BUHS), 125/1, Darus Salam, Mirpur-1, Dhaka 1216, Bangladesh

2Department of Occupational and Environmental Health, National Institute of Preventive and Social Medicine (NIPSOM) Dhaka, Mohakhali, Dhaka-1212, Bangladesh

Pub. Date: September 28, 2020

Cite this paper

Sk Akhtar Ahmad, MH Faruquee and Manzurul Haque Khan. Twenty Years of Arsenic Contamination and Arsenicosis Patients in a Village of Bangladesh. American Journal of Public Health Research. 2020; 8(6):190-196. doi: 10.12691/AJPHR-8-6-2

Abstract

Background: Arsenic contamination in groundwater of Bangladesh was first detected in 1993 and still a major public health problem in the country. In 1997, Samta was identified as a severely arsenic contaminated village and many villagers were found to suffering from arsenicosis. Methods: A series of surveys were carried out in Samta village in the years 1997, 2002, 2008 and 2017 to assess the situation of arsenic contamination and the status of arsenicosis in the village. The water sources and the entire population of the village were included in the study. Results: In 1997 about 87% of the shallow tubewells in Samta village were arsenic-contaminated and 10.1% villagers had arsenicosis. Twenty years later in 2017, about 90% shallow tubewells were arsenic contaminated, 39 deep tubewells and a pond sand filter were installed in the village and 2.3% of the villagers had arsenicosis. On an average 43.8% arsenicosis patients had recovered from the illness and condition of 21.2% patients had deteriorated or remained unchanged. During the 20-year period 37(6.1%) arsenicosis patients and 185(1.6%) non-arsenicosis villagers had died. The main cause of death among arsenicosis patients was cancer (40.5%) and among non-arsenicosis villagers the cause was geriatric problem (11.8%). The mean age at death was 57.6 years and 61.2 years respectively. Conclusion: In twenty years, measures were undertaken to make available arsenic-safe water options and people were motivated to stop the use of arsenic-contaminated water and to increase the intake of protein and vitamin AEC rich food. Recovery had occurred in a substantial proportion of patients.

Keywords

arsenic, arsenicosis, arsenic toxicity, contamination, groundwater, water, tubewell, Bangladesh

Copyright

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

[1]  Ahmad SA, Khan MH. Ground water Arsenic contamination and its health effects in Bangladesh. In: Flora SJS editor. Handbook of Arsenic Toxicology. USA: Academic Press Publishers; 51-72, 2015.
 
[2]  Khan AW, Ahmad SA, Sayed MHSU, Hadi SA., Khan MH, Jalil MA, Ahmed R, & Faruquee MH. Arsenic contamination in groundwater and its effect on human health with particular reference to Bangladesh. J Prev Soc Med, 16(1): 65-73,1997
 
[3]  DPHE. Arsenic contamination and Mitigation in Bangladesh. Dept of Public Health Engineering (DPHE). https://www.dphe.gov.bd/index.php?option=com_content &view=article&id=96&Itemid=104.Accessed on March 10, 2018.
 
[4]  BGS. Groundwater quality: Bangladesh. British Geological Survey. https://www.bgs.ac.uk/ downloads/start. cfm?id=1277. Accessed on March 10, 2018.
 
[5]  BGS. Arsenic contamination of ground water in Bangladesh. Final report Vol: 1 & 2. Kinniburg DG and Smedley PL (eds), British Geological Survey Report WC/00/19, 2001. Accessed on March 10, 2018.
 
[6]  Ahmad SA, Khan MH and Haque M. Arsenic contamination in groundwater in Bangladesh: implications and challenges for health care policy. Risk Management and Healthcare Policy, 11: 251-261, 2018.
 
[7]  NAMIC. Upazilla wise summary results. Bangladesh Arsenic Mitigation and Water Supply Project. National Arsenic Mitigation Information Centre (NAMIC), 2004. http://www. bamwsp.org/ Accessed on March 26,.2018.
 
[8]  DPHE. Situation Analysis of Arsenic Mitigation 2009. Department of Public Health Engineering, Dhaka, Bangladesh, June, 2010.
 
[9]  BBS. Bangladesh national drinking water quality survey of 2009. Bangladesh Bureau of Statistics (BBS), Dhaka Bangladesh, March, 2011.
 
[10]  Shafiquzzaman M, Azam MS, Mishima I and Nakajima J. Technical and Social Evaluation of Arsenic Mitigation in Rural Bangladesh. J Health Popul Nutr, 27(5):674-683, 2009.
 
[11]  Ahmad SA, Sayed MHSU, Khan MH, et al. Sociocultural aspects of Arsenicosis in Bangladesh: Community perspective. J Env Sci Health, 42(12):1942-1958. 2007.
 
[12]  DGHS. Health Bulletin-2016. Directorate General of Health Services. Dhaka, Bangladesh, 2017.
 
[13]  WHO. A field guide for detection, management, and surveillance of arsenicosis cases. Caussy D, Editor. New Delhi, India: SEARO, World Health Organization, 2005.
 
[14]  WHO. Arsenic and arsenic compounds. 2nd edition. International Program for Chemical Safety. Environmental Health Criteria 224. World Health Organization, Geneva, 2001.
 
[15]  ATSDR. Toxicological profile for Arsenic. U.S. Department of Health and Human Services. Public Health Service Agency for Toxic Substances and Disease Registry, Division of Toxicology and Environmental Medicine/Applied Toxicology Branch. Atlanta, Georgia. USA, 2005.
 
[16]  Ahmad SA, Sayed MHSU, Hadi SA, Faruquee MH, Khan MH, Jalil MA, Ahmed R & Khan AW. Arsenicosis in a village in Bangladesh. Int J Environ Health Research, 187-195, 1999.
 
[17]  Ahmad SA, Sayed MHSU, Khan MH, Faruquee MH, Jalil MA, and Ahmed R. Arsenicosis: Neoplastic Manifestations of Skin. J Prev Soc Med, 17(2): 110-115, 1998.
 
[18]  AAN. How to conduct arsenic mitigation. JICA/AAN Arsenic Mitigation Project Report. Asia Arsenic Network, Dhaka, Bangladesh, December, 2004.
 
[19]  AAN. Final Report- Sustainable Arsenic Mitigation under Integrated Local Government System in Jessore. Asia Arsenic Network, Dhaka, Bangladesh, December, 2004.
 
[20]  Ahmad SA, Faruquee MH, Sayed MHSU, et al. Chronic Arsenicosis: Management by Vitamin AEC Regimen. J Prev Soc Med, 17(1):19-26, 1998.
 
[21]  Alam M, Hazari SKS and Alam ASMT. Prevalence of skin cancer in chronic Arsenicosis in Chittagong Medical College Hospital. J Chittagong Med Coll Tech Assoc, 21(1): 23-29, 2010.
 
[22]  Khandker S, Dey RK, Islam AZMM, Ahmad SA and Mahmud IA. Arsenic-safe drinking water and anti-oxidants for the management of Arsenicosis patients. Bangladesh J Pharmacol, 1(2):42-50, 2006.
 
[23]  Dey RK, Islam AZMM, Khandker S, Mahmud IA, Ahmad SA. Arsenic safe drinking water and antioxidants of for the management of Arsenicosis patients, Applied Research on Arsenic in Bangladesh, WHO, Bangladesh, 103-116, 2007.
 
[24]  Flora SJS, Bhadauria S, Kannan1 GM and Nutan Singh N, Arsenic induced oxidative stress and the role of antioxidant supplementation during chelation: A review. J Env Biology, 28(2): 33-347, 2007.
 
[25]  Klibet F, Boumendjel A, Khiari M, Feki AE, Abdennour C, and Messarah M. Oxidative stress-related liver dysfunction by sodium arsenite: Alleviation by Pistacia lentiscus oil. Pharm Biol, 54(2): 354-363, 2016.
 
[26]  Zargan F. Arsenic Toxiicity, Vitamin C and PON1. Toxicology: Open Acess, 5(1):139, 2019.
 
[27]  Das NK and Sengupta SN. Arsenicosis: Diagnosis and Treatment. Indian J Dermatol Vener Lepro 74: 571-581, 2008.
 
[28]  Gopalkrishnan A and Rao MV. Amelioration by Vitamin A upon Arsenic Induced Metabolic and Neurotoxic effects, J Health Sci, 52(5):568-577, 2006.
 
[29]  WHO. Arsenic World Health Organisation. February, 2018, https://www.who.int/news-room/fact-sheets/detail/ arsenic.
 
[30]  Sohel N, Person LA, Rahman M, Streatfield PK, Yunus M, Ekstrom EC and Vahter M. Arsenic in drinking water and adult mortality: A population-based cohort study in rural Bangladesh. Epidemiology, 20(6): 824-830, 2009.
 
[31]  Argos M, Kalra T, Rathouz PJ, Chen Y, Pierce B, Parvez F, et.al Arsenic exposure from drinking water, and all-cause and chronic-disease mortalities in Bangladesh (HEALS): a prospective cohort study. Lancet, 376(9737): 252-258, July 2010.
 
[32]  Chen Y, Graziano JH, Parvez F, Liu Mengling, Slavkovich V, Kaira T, et al. Arsenic exposure from drinking water and mortality from cardiovascular disease in Bangladesh: prospective cohort study. BMJ, 342: d2431, 2011.
 
[33]  Chen Y, Ahsan H. Cancer burden from arsenic in drinking water in Bangladesh. Am J Public Health, 94:741-744, 2004.
 
[34]  Ahmad SA, Khan MH, Faruquee MH, Yasmin R, Dutta S, Tani M, Kobayashi M, and Shinohara H. Arsenicosis: Nutrition and Socioeconomic Factors. J Prev Soc Med, 31(1-2): 52-63, 2012.
 
[35]  Neupane SC, Ahmed KR, Faruquee MH, Yasmin R, Dutta S, Tani M and Ahmad SA. Food habits among the arsenic exposed population in the rural areas of Nepal and Bangladesh Malay J Pub Health Med, 1(Sp): 48-54, 2017.
 
[36]  Maharjan M, Watanabe C, Ahmad SA, Umezaki M and Ohtsuka R. Mutual interaction between nutritional status and chronic arsenic toxicity due to groundwater contamination in an area of Terai, lowland Nepal. Jour Epidemiol Com Health, 61(5): 389-304, May 2007.
 
[37]  Vahter ME. Interactions between Arsenic-Induced Toxicity and Nutrition in Early Life. J Nutr, 137: 2798-2804, 2007.
 
[38]  Zhang X, Cornelis R, Kimpe JD, Mees L, and Lameire N. Study of arsenic–protein binding in serum of patients on continuous ambulatory peritoneal dialysis. Clinical Chemistry, 44 (1): 141-147, 1984.
 
[39]  MLGRD. National Policy for Arsenic Mitigation 2004. Ministry of Local Government, Rural Development and Co-operative, 2004. https://www.dphe.gov.bd/pdf/National-Policy-for-Arsenic- Mitigation-2004.pdf. Accessed on March 26, 2018.