Abstract
BACKGROUND: By monitoring arsenic levels in rural drinking water in Inner Mongolia Autonomous Region from 2013 to 2022 and evaluating their health risks, this study provides a basis for further developing strategies to promote public health. METHODS: One stable centralized water supply point was randomly selected in each township of Inner Mongolia Autonomous Region. One finished water sample and 1-3 tap water samples were collected at each supply point. Water samples were collected once during the dry season (May) and once during the rainy season (August-September). Mann-Whitney U test was used to compare arsenic concentrations in drinking water from different types of water sources, and Kruskal-Wallis test was used to compare arsenic concentrations in drinking water across different years. Environmental health risk assessment was conducted using the health risk assessment model recommended by the US Environmental Protection Agency (USEPA). RESULTS: Overall, arsenic concentrations in rural drinking water were higher in the central-western part of Inner Mongolia Autonomous Region compared to the eastern part. From 2013 to 2022, there was a notable decreasing trend in arsenic concentrations in rural drinking water, with over 98% of water samples meeting arsenic standards by 2022. During 2013-2019, arsenic concentrations in drinking water sourced from groundwater were consistently higher than those from surface water sources (P < 0.05). Hazard quotient (HQ) values for the entire population were below 1, and lifetime cancer risk (LCR) values exceeded 1 × 10(- 6). Sensitivity analysis indicated that drinking water arsenic concentration contributed the most to health risks for the population. CONCLUSION: During 2013-2022, through concerted efforts by the government and the people, excessive arsenic levels in rural drinking water have been significantly reduced, resulting in decreased health risks for the population. However, some carcinogenic risks still exist.Therefore, the next critical step in improving water quality in the region involves further optimizing methods such as coagulation, adsorption, or ion exchange to remove arsenic from drinking water.