Silent Threat: Chemical Pollutants in Haitian Drinking Water

 Water pollution poses a major health risk in Haiti, influenced by both natural geology and human activities.  Numerous chemicals are found in drinking water, including chlorine byproducts, fluoride, lead, chromium, nitrates, pesticides, and hardness. Those chemicals are polluting the water from the soil. Natural sources like bedrock and anthropogenic activities like industrial waste, poor sanitation, and lack of water treatment contribute to pollution. The Exposure to these chemicals can lead to cancers, reproductive problems, cardiovascular diseases, and neurological issues. The study is objectively made to analyze the combined effects of natural geology and human actions on water quality and review the specific toxins found in Port-au-Prince's water supply.

Two key things are essential when addressing the topic considering Haiti’s case. They can be listed as follow: 

1)      Environmental health and assessment of health risks associated with chemical mixtures in drinking water.

2)      Medical geology and ONE HEALTH approach in health risks assessment of drinking water.

 

Exposure to multiple pollutants in water, the case of Haiti, makes assessing health risks difficult due to potential interactions and combined effects which makes the need to use a cumulative Risk Assessment (CRA): Studying the combined effects of pollutants through methods like Hazard Index (HI) and Hazard Metric (HM) is important for accurate risk assessment.

Some researchers are possible and recommended to be done in the future to ensure public health protection from the complex risks posed by contaminated water.


Regarding the medical geology and ONE HEALTH approach, Port-au-Prince faces severe water quality challenges due to a combination of its vulnerable environment, inadequate sanitation, and reliance on karst aquifers. The Groundwater in Port-au-Prince is also contaminated with heavy metals, fecal coliforms, and saltwater intrusion. However, lack of waste collection, drainage, and wastewater treatment further jeopardizes water quality. The problem related to the environmental health can be treated using a multidisciplinary Approach including the SDG (Sustainable Development Goals) specifically targets safe water and sanitation access and the “One Health" approach linking human, animal, and environmental health.

 

In this study some specifics pollutants are selected, and their chemistry and toxicology are addressed. Those selected are Fluoride, the water Hardness and some metals as Chromium, Lead and Nickel.

 

Risks for human health caused by the presence of Fluoride in drinking water.

Fluoride in drinking water has both beneficial and harmful effects on human health. The Benefits are the fact that fluoride strengthens bones and teeth, preventing dental caries. In the other side the risks are the fact Excessive fluoride intake can lead to dental fluorosis, especially in children, with potential mental and physical health impacts. More research is therefore needed on the link between high fluoride exposure and potential long-term health problems, especially in children.

 

Water hardness and human health

Hardness measures water's ability to react with soap, influenced by dissolved calcium and magnesium (Ca2+ and Mg2+). Calcium and Magnesium are minerals which are vital for human health, they contribute to bone health, muscle function, and various enzymatic reactions. However, while essential, inadequate, or excessive intake of either mineral can lead to adverse effects like osteoporosis, kidney stones, and cardiovascular diseases. Research suggests a potential link between extremely hard water (high CaCO3, low Mg) and increased cardiovascular disease mortality, though the mechanism is unclear. Hard water can have a potential impact on human health, particularly in regions with limited access to diverse water. At the end of the analysis, understanding the complex interplay between water hardness, mineral intake, and individual health factors is crucial for accurate risk assessment.

 

Effects of chromium on human health

Chromium exists in two forms: as trivalent (Cr (III)) and hexavalent (Cr (VI)) with vastly different properties.  Cr (III) is an essential ion for the human metabolism, it occurs naturally, and is non-toxic while the Cr (VI) is Highly toxic, mutagenic, and carcinogenic, mainly originating from industrial activities. Chronic exposure to Cr (VI) by Inhalation and ingestion can lead to respiratory issues, skin ulcers, and even lung cancer. Although Cr (VI) is less useful and more toxic than Cr (III) it stays more available in the environment since it is readily absorbed than Cr (III).

 

Effects of lead on human health

Lead exposure can cause a range of health problems, including chronic kidney disease, irreversible kidney damage, neurological impairment, reduced cognitive function and other potentially fatal conditions. Infants and young children are particularly the most vulnerable to lead's negative impacts due to their higher absorption rates and developing nervous systems. Stricter regulations for lead levels in drinking water exist, but effective implementation stay challenging due to aging infrastructure and limitations of current control methods. However, some Recommendations are prescribed for Improvement. They can be cited as follows:              1) Enhance monitoring, sampling, and modeling of lead levels in water systems.         2) Wider adoption of point-of-use treatment devices for individual households.            3) Replace all lead pipes and plumbing through comprehensive regulations and public awareness campaigns to achieve "zero lead" water.

At the end it is urgent to address lead contamination in drinking water and implement a multi-dimensional approach to protect public health, with a focus on vulnerable populations like children.

 

Effects of nickel on human health

Nickel is in Insoluble in water, but when it comes to fine particles it ionizes as Ni (II) in water and body fluids, making it easily absorbed. Those fine particles of nickel pose high health risks ranging from acute intestinal issues to chronic effects depending on the route and dosage. Death reported after oral ingestion of 570 mg/kg, with other symptoms like nausea, cramps, and diarrhea can be described as the acute issue. In the other hand it can be chronic. Depending on the exposure route, various effects can occur, including immunological, hematological, hepatic, renal, and genotoxic effects on development and reproduction.

 


The aim of this study is to Investigate the threat of fluoride and heavy metals as chromium, lead, nickel, in Port-au-Prince's water. It highlights their potential health risks, particularly for children. Geological factors and anthropogenic actions are contributing to water contamination in Port-au-Prince.

This study also emphasizes the need for a comprehensive and transdisciplinary approach to water quality management.  It remains important to keep on investigating combined effects of these substances and their interactions for a deeper understanding of the health risks which can help to pose urgent action to address the water quality crisis in Port-au-Prince.

 

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