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Bulletin of the World Health Organization logoLink to Bulletin of the World Health Organization
. 2002;80(9):732–737.

Promotion of well-switching to mitigate the current arsenic crisis in Bangladesh.

Alexander Van Geen 1, Habibul Ahsan 1, Allan H Horneman 1, Ratan K Dhar 1, Yan Zheng 1, Iftikhhar Hussain 1, Kazi Matin Ahmed 1, Andrew Gelman 1, Martin Stute 1, H James Simpson 1, Sean Wallace 1, Christopher Small 1, Faruque Parvez 1, Vesna Slavkovich 1, Nancy J Loiacono 1, Marck Becker 1, Zhongqi Cheng 1, Hassina Momotaj 1, Mohammad Shahnewaz 1, Ashraf Ali Seddique 1, Joseph H Graziano 1
PMCID: PMC2567605  PMID: 12378292

Abstract

OBJECTIVE: To survey tube wells and households in Araihazar upazila, Bangladesh, to set the stage for a long-term epidemiological study of the consequences of chronic arsenic exposure. METHODS: Water samples and household data were collected over a period of 4 months in 2000 from 4997 contiguous tube wells serving a population of 55000, the position of each well being determined to within +/- 30 m using Global Positioning System receivers. Arsenic concentrations were determined by graphite-furnace atomic-absorption spectrometry. In addition, groundwater samples collected every 2 weeks for an entire year from six tube wells were analysed for arsenic by high-resolution inductively coupled plasma-mass spectrometry. FINDINGS: Half of the wells surveyed in Araihazar had been installed in the previous 5 years; 94% were privately owned. Only about 48% of the surveyed wells supplied water with an arsenic content below 50 micro g/l, the current Bangladesh standard for drinking-water. Similar to other regions of Bangladesh and West Bengal, India, the distribution of arsenic in Araihazar is spatially highly variable (range: 5-860 micro g/l) and therefore difficult to predict. Because of this variability, however, close to 90% of the inhabitants live within 100 m of a safe well. Monitoring of six tube wells currently meeting the 50 micro g/l standard showed no indication of a seasonal cycle in arsenic concentrations coupled to the hydrological cycle. This suggests that well-switching is a viable option in Araihazar, at least for the short term. CONCLUSIONS: Well-switching should be more systematically encouraged in Araihazar and many other parts of Bangladesh and West Bengal, India. Social barriers to well-switching need to be better understood and, if possible, overcome.

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