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(1)
(2)

.

Arsenic is a semi metal with atomic no.

33

.

It is odourless and tasteless, and is

naturally occurring in rocks and soil.

.

Arsenic can be combined with other

elements to make chemicals that are

used to preserve wood or as insect

killers on cotton crops.

.

Organic arsenic which is mainly found

(3)

The arsenic that concerns scientists is inorganic

arsenic that pollutes the groundwater. Despite

its high toxicity, inorganic arsenic occurs

naturally on earth in small amounts.

Inorganic arsenic is a known and documented

carcinogen, leading to skin, lung, liver, bladder,

kidney, and prostate cancer.

Inorganic arsenic is one of the most toxic

(4)

The undesirable change in the

chemical,biological and physical quality of

water due to the presence of arsenic leading

to its degradation and detoriation and

(5)

By the late 1980s surface water was the main source of

drinking water.

Unfortunately, it was severely polluted

So the government, UNICEF and a few other groups

decided that they should use groundwater as an

alternative.

Ironically, the installations of tube wells triggered the

naturally occurring arsenic that already existed in the

earth to dissolve into the drinking water.

The arsenic that was present in the water was colorless,

tasteless and odorless, therefore people did not realize

that their drinking water was contaminated by arsenic

until there was a widespread of people suffering from

various diseases, such as warts, skin lesions, and

(6)
(7)

Pyrite Oxidation Hypothesis

 Arsenic is assumed to be

present in certain sulphide minerals (pyrites) that are deposited within the aquifer sediments. Due to the lowering of water table below deposits, arseno-pyrite oxidized in the vadose zone releases arsenic as arsenic adsorbed on iron

hydroxide. During the

(8)

Oxy-hydroxide Reduction Hypothesis

Arsenic is assumed to be present in alluvial

sediments with high concentrations in sand

grains as a coating of iron hydroxide. The

sediments were deposited in valleys eroded in

the delta when the stream base level was

lowered due to the drop in sea level during the

last glacial advance. The organic matter

deposited with the sediments reduces the

arsenic bearing iron hydroxide and releases

arsenic into groundwater. According to this

hypothesis, the origin of arsenic rich

(9)

Rock contains 1.5-2.0 milligram of arsenic per kilogram. But, in

contaminated soil, concentration of arsenic may be up to 500

mg/kg.

Arsenic content of natural water may be up to 1-2

g/L.

Most fruits, vegetables, meats and fishes contain arsenic; but

arsenic levels in sea water and sea fishes are higher. Sea fish may

contain 5 mg of arsenic per kg weight.

An intake of 150 microgram of arsenic per day should not cause any

(10)

H

2

AsO

4-

+ 3H

+

+ 2e

-

H

3

AsO

3

+ H

2

O

In the environment, arsenic can occur in several oxidation

states (-3, 0, +3, +5)

In natural waters, arsenic is mostly found in inorganic

form as oxyanions of trivalent

arsenite

[As(lll)] or

pentavalent

arsenate

[As(V)].

As(lll) is more toxic (40-60 times) than As(V)

As(lll) exists in most natural water as As(OH)

3

(pKa = 9.2)

and is more mobile than As(V) because it is less strongly

absorbed on most mineral surfaces than the negatively

charged As(V) oxyanions (H

3

AsO

4

; pKa = 2.22, 6.98, 11.53).

However, it is widely believed that arsenate is the major

(11)

Most toxic trace metals occur in solution as cations (e.g. Pb

2+

, Ni

2+

,

Cd

2+

) which become insoluble as the pH increases.

 However, arsenate, like most oxyanions, tend to become less strongly sorbed as

the pH increases.

As a result, arsenic anions can persist in solution at relatively high concentrations

(tens of g l-1) even at near-neutral pH values.

Arsenic is problematic in the environment due to its relative

mobility over a wide range of natural processes, such as:

Weathering reactions  Biological activity  Volcanic emissions

 Range of anthropogenic activities

Arsenic is also distinct by becoming relatively mobile under

reduced conditions. Its oxyanions can be found at concentrations in

the mg l

-1

range when all other oxyanion-forming elements are

present in the

g l

-1

range. Example:

Selenium is mobile as selenate (SeO

42-) oxyanion under oxidising conditions, but

immobilized under reducing conditions.

 Chromium behaves like other trace cations (i.e. is relatively immobile at

(12)

Arsenic is a poison and its lethal dose for human

is 125 milligram.

It is 4 times as poisonous as mercury.

Toxicity depends on the amount of arsenic

intake, which is classified into acute, sub-acute

and chronic toxicity respectively. Drinking water

contamination causes the last variety of toxicity.

Most of the ingested arsenic is excreted from the

body through urine, stool, skin, hair, nail and

breath. In excessive intake, some amount of

arsenic is deposited in tissues and inhibits

cellular enzyme activities.

Almost all organs are affected; but clinical

symptoms appear insidiously after 6 months to 2

years or more depending upon the amount of

(13)

Organ System

Problems

Skin Symmetric hyperkeratosis of palms and soles, melanosis or depigmentation, bowen's disease, basal cell carcinoma and squamous cell carcinoma.

Liver Enlargement, Jaundice, cirrhosis, non-cirrhotic portal hypertension

Nervous System Peripheral neuropathy, hearing loss

Cardiovascular System Acrocyanosis and Raynaud's Phenomenon

Hemopoietic System Megalobastosis

Respiratory System Lung Cancer

(14)

Cancer

Melanosis

(15)

PRE-CLINICAL STAGE INITIAL STAGE SECOND STAGE LAST STAGE No clinical manifestation Melanosis, keratosis, conjunctivitis, bronchitis, gastroenteritis Depigmentation (leucomelanosis), hyperkeratosis, non-pitting edema of legs, peripheral nephropathy, hepatopathy Nephropathy, hepatopathy, gangrene, cancer of skin, bladder and lung

(16)

A symptom is felt by the sufferer and described to the

doctors, such as pain or dizziness, while a sign is noticed

by other people too. Examples of signs include a rash,

pallor, or swelling.

If the arsenic has been ingested orally, the first signs and

symptoms of arsenic poisoning will appear within thirty

minutes, and may include some of the following:

drowsiness

headaches

confusion

terrible diarrhea

headaches

confusion

(17)

Please note that if the arsenic has been inhaled, or a less concentrated amount has been ingested, symptoms may take longer to emerge. As the arsenic poisoning develops, the patient may start suffering convulsions and their fingernail pigmentation may change (leukonychia).

The following signs and symptoms are associated in more severe cases of arsenic poisoning: metallic taste in the mouth

mouth produces excess saliva problems swallowing

blood in the urine cramping muscles loss of hair

stomach cramps convulsions

excessive sweating

breath smells like garlic vomiting

(18)

 Unfortunately there is no specific treatment for chronic arsenicosis.

Stopping further intake of arsenic contaminated water and drinking arsenic-free water improves the cases.

 A recent report of DCH (2000) states that chronic arsenicosis cannot be

cured, but the symptoms are reversible up to certain point if a patient discontinues ingesting contaminated water.

 Chelation therapy helps relief of symptoms and improves clinical manifestations.

 D-penicillamine (250 mg 3-4 times a day for 3 months)

 Dimercapto succinic acid (10 mg/kg body weight daily for 7 days followed by 10 mg/kg

body weight thrice daily for 14 days)

 Dimercapto procane sulphonate (100 mg 3-4 times a day every alternate weeks up to 3

such courses).

Vitamins:

 Vitamin A- 50,000 i.u. daily, Vitamin E- 200 mg daily and Vitamin C- 500 mg daily for

adults.

 Symptomatic treatments, viz. antihistamines, local ointments, etc.  Nutritious diets.

 If a patient crosses this threshold, he/she still needs medical assistance to

(19)

Arsenic Removal Chemical Method

 Developed by the Department of Occupational and Environmental Health

of NIPSOM, which is based on the principle of iron coagulation with a pre-oxidation step. Removal of arsenic by this method is almost 99%.

Alum Method

 This cheap method allows 70% removal of arsenic. 300-500 grams of

alum wrapped in a clean cloth is sinked in a bucket full of arsenic

contaminated water for 12 hours. Upper 2/3rd of the water is separated using decantation or two layered clean cloth. Lower third of water

contains arsenic and not suitable for drinking.

Ferric oxide-manganese dioxide clay based filter columns

 This earthen column packed with the above substances is attached to

the tube well outlet. The method is claimed to remove significant

(20)

Short Term Programs

Conduct survey to detect problem prone population group who

is drinking arsenic contaminated water.

Detect arsenicoses patients

Provide treatment to arsenicoses patients and ensure

follow-ups.

Create alternate source of drinking water in problem prone

areas. Distribute de-arsination filters and digging deep tube wells. Encourage people use alum to de-arsinate contaminated water.

Create laboratory facilities for quantitative analysis of arsenic

and determine its toxicity levels in humans.

Conduct training courses for officers and staff in the health

services.

 Conduct national survey to identify new problem prone areas.  Conduct appropriate health education campaigns.

Create outpatient services for detection and treatment of

arsenicoses patients throughout the country.

Build communications programs with national and international

(21)

Long Term Programs

 Find out causes of arsenic contamination of soil water, identify

sources and take control measures.

 Create a Surveillance Team starting from grass-root level up to

the central level to identify, treat, follow up and conduct water-testing activities.

 Establish 10-bed arsenic hospitals in the affected districts with

a view to provide treatment to the complicated patients and also conduct research.

 Launch a national training course for the health personnel and

staff.

 Find out long term alternate source of safe drinking water.  Launch effective water management scheme for encouraging

people ensure rational use of ground water.

 Include media people in the prevention of arsenic

contamination program.

 Develop necessary information, education and communication

(22)

World Health Organization -

http://www.who.int/mediacentre/factsheets/fs

210/en/index.html

USGS -

http://www.usgs.gov/nawqa/trace/arsenic/

US EPA -

http://www.epa.gov/safewater/arsenic/index.h

tml

CDC -

http://www.cdc.gov/ncidod/dpd/healthywater/f

actsheets/pdf/arsenic.pdf

LennTech -

References

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